Geographical Locations - Djibouti

• (Statistical) Number of Inhabitants per Doctor: 5,258
• CIA World Factbook : Djibouti

Organisations and Networks

UN and Multinational

• WHO
  - WHO Country Profile - Djibouti
  - WHO - Tobacco control: Country Profile - Djibouti
  - WHO - Environmental Burden of Disease: Country Profile – Djibouti
• WHO - Regional Office (EMRO) in Cairo (Egypt)
• UNICEF At a Glance: Djibouti

Government

Non-Government

• Human Rights Watch Djibouti Page
  This page provides information on the human rights situation in Djibouti. It includes Briefing Papers, Press Releases and Letters.

Academic Institutions

National Policy and Related Documents

• Djibouti National Malaria Indicator Survey 2008-2009
  "The 2008-2009 Djibouti Malaria Indicator Survey was implemented by the Programme National de Lutte Contre le Paludisme of the Ministry of Health of the Republic of Djibouti from December 2008 to February 2009… The 2008-2009 Djibouti malaria indicator survey (MIS) is the first nationally representative survey designed to collect information on important malaria-specific outcome and impact indicators. The main objectives of this survey were to assess: household ownership of insecticide treated nets (ITN); use of ITN among all age-groups, and particularly among children under the age of five years and pregnant women; the level of insecticidal spraying for vector control; the prevalence and prompt treatment of fevers among the children under the age of five years; the sources of treatment and the type of drugs used to treat fever; the prevalence of malaria parasite infection among all age groups; and the general population access to malaria-related information. Sampling of the survey was done to be representative of urban and rural areas and the six regions of the country. However, over the 65% of the population of Djibouti live in the capital city, Djibouti Ville, and most of the rest of live in the urban regional capitals. Although an oversampling for the other five regions (excluding Djibouti Ville) and rural areas were implemented, inevitably the majority of sampled households were urban." [Ministry of Health, Republic of Djibouti, March 2009]
• Djibouti: Poverty Reduction Strategy Paper
  "The first Poverty Reduction Strategy Paper (PRSP) of the Republic of Djibouti, adopted in May 2004, had responded to a particularly alarming poverty situation, as regards both monetary poverty and poverty of living conditions… Following a participatory process involving all development players, the PRSP set goals for poverty reduction and improvement of the inhabitants’ living conditions that would place Djibouti on the path to achieving the Millennium Development Goals (MDGs). The main goals were: to increase average GDP growth over the period 2004–06 to 4.6 percent; to reduce the incidence of extreme poverty to 36.1 percent; to increase the GER to 73 percent; and to reduce the IMR to 90 per thousand and the IJMR to 110 per thousand. To achieve these goals, the government, working with its national and international partners, identified priority measures and actions reflecting four complementary strategic pillars: (i) resumption of economic growth and strengthening of competitiveness; (ii) human resources development; (iii) promotion of integrated local development; and (iv) improvement of governance and capacity-building." [July 2009]

Reports, Guidelines, and Projects

• Curbing the HIV/AIDS Epidemic in Djibouti
  This study outlines the initial challenge presented by the HIV/AIDS epidemic, describes Djibouti’s response, reviews the results achieved and the enabling factors in curbing the spread of the epidemic, and identifies remaining challenges. Between 2002 and 2008, HIV prevalence among young pregnant women aged 15–24 was reduced from 2.7 percent to 1.9 percent, and among sentinel surveillance groups from 2.5 percent to 1.9 percent. HIV prevalence among tuberculosis patients was reduced from an estimated 22 percent to 12 percent. Condom use during last intercourse outside marriage increased from 27 percent to 55 percent and reached 95 percent among sex workers. Among the general population, awareness of HIV/AIDS increased to 95 percent and knowledge about transmission and prevention rose to 50 percent. Political commitment, engagement of community and religious leaders, rigorous communication, social marketing and the provision of an integrated package of medical and social services, and donor harmonization were among the key factors that contributed to the achievement of these results. Despite these impressive results in a relatively short period, Djibouti still has to address several challenges and consolidate program gains, but most importantly, funds are being mobilized from government resources to sustain the national AIDS control program. [publication abstract] [World Bank Global HIV/AIDS Program Discussion Paper, October 2010]
• Les Infections Genitales Basses à Djibouti [Genital infections in Djibouti]
  No published work makes an inventory of the lower genital infections in Djibouti or in the countries neighbouring the Horn of Africa. The present study aims at making that inventory, at estimating its prevalence, and finally at drawing therapeutic implications. We have studied the results of 353 uretral samples (US) and of 538 cervical ones (CS) taken between June 1^st 1996 and April 30th 1997. Among the men 118 samples (33,4%) were negative. Among the 233 urethritis, 25 (7 %) were due to Neisseria gonorrhoeae (Ng), 176 (49,85 %) to Chlamydia trachomatis (Ct) and 23 (6,3 %) to the two combined. One hundred and ninety CS were normal. Only 5 microbial strains of Ng were isolated. Ct was involved 175 times (32,5 %), Gardnerella vaginalis 78 times (14,5 %), Candida sp. 148 times (27,5 %) and Trichomonas vaginalis only 14 times (2,6 %). Chlamydia is the main cause of urethritis and of cervical infections in Djibouti. Its prevalence is exceptionally high both with male urethritis and cervical infections. For lack of sampling, too costly for most djiboutians [sic], the treatment apparent of the genital lower infections must rely on tetracyclins and macrolides. [author abstract] [Médecine d'Afrique Noire: 1999, 46(6): 319-321]
• Malaria Epidemic and Drug Resistance, Djibouti
  Analysis of Plasmodium falciparum isolates collected before, during, and after a 1999 malaria epidemic in Djibouti shows that, despite a high prevalence of resistance to chloroquine, the epidemic cannot be attributed to a sudden increase in drug resistance of local parasite populations. [publication abstract] [Emerging Infectious Diseases, Vol. 11, No. 2, February 2005, pp.317-321]

Educational Resources

• CDC Travelers' Advice East Africa
• UNAIDS/WHO Epidemiological Fact Sheet - 2004 Update: Djibouti