The Atlantic

Fixing the World's Oldest Health Problem

A new intervention from researchers, philanthropists, and government officials in Mali uses universal health care and basic public-health strategies to address child mortality.
Source: Jerome Delay / AP

Even with futuristic advances in medicine and science, and increased access to food and other forms of nutrition, the oldest human health problem has remained stubborn—and, sometimes, seemingly impossible to fix: Young children and infants still die at epidemic rates in the poorest corners of the globe. Those deaths are linked to every other health-care challenge those areas of the world experience, from the prevalence of fever illnesses to the limited availability and quality of care. The mortality rates of young children are the key indicator of individual, community, and economic health of a given place. And in areas from sub-Saharan Africa to southern Mississippi, elevated rates indicate communities in distress.

But one program in the West African nation of Mali may illuminate a path to solving thisindicates that a pilot program in the capital city of Bamako has been extraordinarily effective at reducing child mortality. And it’s the that pilot program addressed the problem in Mali that makes it intriguing in a global context: by expanding free health care to everyone, and using that free care to extend basic public-health surveillance and response mechanisms to everyone.

You’re reading a preview, subscribe to read more.

More from The Atlantic

The Atlantic4 min read
Hayao Miyazaki’s Anti-war Fantasia
Once, in a windowless conference room, I got into an argument with a minor Japanese-government official about Hayao Miyazaki. This was in 2017, three years after the director had announced his latest retirement from filmmaking. His final project was
The Atlantic7 min readAmerican Government
The Americans Who Need Chaos
This is Work in Progress, a newsletter about work, technology, and how to solve some of America’s biggest problems. Sign up here. Several years ago, the political scientist Michael Bang Petersen, who is based in Denmark, wanted to understand why peop
The Atlantic5 min read
The Strangest Job in the World
This is an edition of the Books Briefing, our editors’ weekly guide to the best in books. Sign up for it here. The role of first lady couldn’t be stranger. You attain the position almost by accident, simply by virtue of being married to the president

Related Books & Audiobooks