Education and Health
The literacy rate of Guinea is one of the lowest in the world: in 2003 it was estimated that only 29.5% of adults were literate (42.6% of males and 18.1% of females). Primary education is compulsory for 8 years, but most children do not attend for so long, and many do not go to school at all. In 1999, primary school attendance was 40 percent.Children, particularly girls, are kept out of school in order to assist their parents with domestic work or agriculture. Guinea has been reorganizing its health system since the Bamako Initiative of 1987 formally promoted community-based methods of increasing accessibility of drugs and health care services to the population, in part by implementing user fees. The new strategy dramatically increased accessibility through community-based healthcare (including community ownership and local budgeting), resulting in more efficient and equitable provision of services. A comprehensive strategy was extended to all areas of health care, with subsequent improvement in health indicators and improvement in health care efficiency and cost. Ethnographic research conducted in rural and urban areas of the Republic of Guinea explored perceived distinctions between biomedical and traditional health practices and found that these distinctions shape parental decisions in seeking infant health care, with 93% of all health expenditure taking place outside the state sector.
Guinea's public health code is defined by Law No. L/97/021/AN of 19 June 1997 promulgating the Public Health Code. The law provides for the protection and promotion of health and for the rights and duties of the individual, the family, and community throughout the territory of the Republic of Guinea.
In June 2011, the Guinean government announced the establishment of an air solidarity levy on all flights taking off from national soil, with funds going to UNITAID to support expanded access to treatment for HIV/AIDS, TB and malaria. Guinea is among the growing number of countries and development partners using market-based transactions taxes and other innovative financing mechanisms to expand financing options for health care in resource-limited settings.
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