Health Status In The Honduran Population

Health status in the Honduran population

The administration in the country’s health and social sector becomes very limited in terms of functions and the beneficial effects of the same, without the evolutions towards improvement being very evident at all, there are still the inequality in the provision of servicesof population health, the constant manifestation of infectious diseases of very high transmission and diseases of the noncommunicable type, not to mention the use instruments of obsolete and low quality analysis, making the veracity of the data and records obstruct the circulation of reliable information. All this contributes to the population does not possess the human right to health completely and this far from a health program with appropriate policies, which acts according to the living conditions of the different sectors of the country and ensuring epidemiological well -being and surveillance.

The majority of the health problem would not exist if social, health or environmental factors that would boost it and in terms of infectious infectious diseases, these are increased by low access to basic sanitation would not participate. In 2015, 44,834 dengue cases were reported in the country (PAHO/WHO, 2016), with an incidence of 0.49% per 100,000 inhabitants between 5 – 14 years old, resulting in 0.47% of the total deaths for that period and in 2017 had increases since the incidence increased to 0.51% and deaths total at 0.55%. Tuberculosis continues to be a threat linked to living conditions and for populations at risk (deprived of liberty and people with HIV), in 2015, the rate reported by TB was 32 per 100,000 inhabitants (PAHO/WHO, 2016),with a 48.

75% of the prevalent cases having a decrease of 47.33% in 2017 at ages of 50-69 years of age.

As for noncommunicable diseases, diabetes mellitus has always been considered as a global epidemic due to its high prevalence. In 2016 the national prevalence was 7.2% for both sexes. It is considered the second cause of death in the total population with a 3.83% of the total deaths per 100,000 ages between 50 – 69 in that same year and increasing by 4.45% in women. Bad blood glucose control leads to deterioration in the quality of life, it also contributes to the risk of vascular and heart brain attacks. In 2017, ischemic heart disease had 26.7% of total deaths and stroke with 10.5% per 100,000 inhabitants with 70+ years (Institute for Health Metrics and Evaluation, 2017). Addressing the youngest population, to the presence of criminal groups and the constant increase in violence and murders in Honduras, in 2014, 60 per 100,000 inhabitants died from homicide, in 2017, 23.59% of total deaths correspond to physical violence by firearm, 9.6% per white weapon and 7.09% for another type of physical violence in people 10-24 years for both sexes, making it the first cause of death in this group especially for men. Regarding the child population, in children under one year, the 2017 data show that deaths are due to perinatal disorders attributed to 20.21% premature birth, 11.59% for neonatal encephalopathy due to asphyxiation and birth trauma and 5.29% to other neonatal disorders per 100 thousand neonates, these deaths constitute 18.6% of the total population being the cause of death number one of the same. In children between 1 – 4 years, mortality causes are assigned to respiratory diseases with an incidence of 38.53% and at diarrheal ones linked to gastrointestinal infections with 37.03% of new cases per 100,000 individuals.

To conclude that, the Honduran epidemiology is in a kind of transformation, there is still a complete need in an improvement in the health and administration system, in order to have more data that include causes, variables and different factors that intervenein the health-disease process according to the conditions of each group of the country, especially those that are at risk, with the purpose of rethinking and above all to fulfill the national objectives, plans and strategies that adapt to these populations and thatThey can reduce mortality and fatalities in the country.