Health Profile of Algeria: Challenges and Progress

Algeria's healthcare system faces significant challenges despite universal coverage aspirations. Key indicators (WHO, World Bank, latest available):

Key Metrics

  • WHO Health System Ranking: 125th of 195 (2019).
  • Life Expectancy: 77.1 years (2021) — Note: earlier figure of 75.5 was outdated.
  • Infant Mortality: 18.6 per 1,000 live births (2021).
  • Under-5 Mortality: 23.4 per 1,000 (2021).
  • Maternal Mortality: 78 per 100,000 (2020).

Leading Causes of Death

  1. Cardiovascular diseases
  2. Cancers
  3. Diabetes
  4. Respiratory infections
  5. Road injuries

Systemic Challenges

  • Funding: ~5–6% of GDP (below WHO 10% target). Heavy reliance on hydrocarbon revenue.
  • Workforce: ~1.7 physicians / 1,000 pop (improved); nursing shortage persists. Uneven distribution (urban vs. rural).
  • Infrastructure: Aging hospitals, equipment gaps, maintenance backlogs. New hospitals under construction.
  • Access: Rural/remote areas (Saharan south) underserved. Telemedicine expanding.
  • Epidemiologic Transition: Rising NCDs (diabetes, hypertension, obesity) alongside infectious diseases (TB, hepatitis, zoonoses).

Government Efforts

  • Health insurance generalization (CNAS/CASNOS) — goal: universal coverage.
  • Hospital modernization program (new CHUs, specialized centers).
  • Training expansion (new medical schools, nursing institutes).
  • Digital health (electronic records, e-prescription).
  • Prevention campaigns (vaccination, screening, anti-smoking).

Algeria has made gains since independence (life expectancy +25 years), but the gap with developed nations persists. Sustainable financing, workforce retention, and primary care strengthening are critical.

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