Saudi Arabia's Health Care System Protects Children

The Custodian of the Two Holy Mosques King Fahd Bin Abdul Aziz has supervised the
establishment of a vast network of hospitals and health care centers throughout the Kingdom.

Providing for the health care needs of the Saudi people has always been a priority of the Kingdom's leaders. Saudi Arabia has achieved astonishing success in health care services, such as free medical treatment for all citizens and the virtual eradication of epidemic diseases.

The government has also made substantial progress in protecting the younger generations. According to Director-General of the Ministry of Health's Makkah region Dr. Muhammad Jalal Aashy, the Kingdom is the only country which requires all children to be vaccinated against major diseases within one year of their birth.

Moreover, Saudi Arabia was the first among only a few nations that adopted the Alma-Ata Document, and did so "almost in full." The document was created during a meeting held in Alma-Ata, Kazakhistan and sponsored by the World Health Organization (WHO) in the early 1980s. The result was a call for a comprehensive health care package for children including compulsory vaccination and primary health care. Due to advancements in both health care services and facilities, the Kingdom has been able to make great strides towards implementing the document. Children receive vaccinations against diseases such as tuberculosis, hepatitis, tetanus, whooping cough, diphtheria, measles and mumps. All of these efforts have led to a significant reduction in child mortality rates, which have fallen from 68 per 1,000 in 1980 to less than 30 per 1,000 in 1993.

In order to further protect children and other citizens, the Kingdom has launched a campaign this spring to monitor suspected cases of polio among residents and visitors entering the Kingdom. During the Hajj season, when more than two million pilgrims visit the Holy Mosque in Makkah and the Prophet's Mosque in Madinah, the Ministry of Health has been active in protecting pilgrims through vaccination campaigns. In 1991, the Ministry began fighting meningitis and plans to begin a new program targeting those not vaccinated or vaccinated before that date. These campaigns are a result of cooperation between both the public and private sectors. For instance, the Ministry provides vaccines free of charge to both private and public facilities to ensure accessibility to everyone in Saudi Arabia.


Dramatic improvements in prenatal and pediatric care have
resulted in a sharp decline in infant and child mortality rates.

The development of a comprehensive and modern health care system in the country is evident in the number of facilities and specialized services, as well as the decrease in those seeking health care treatment abroad. Since the government began its series of five-year development plans in 1970, Saudi Arabians have had access to thousands of hospitals and clinics throughout the country. The Fifth Development Plan (1990-1994) led to a 13.92 billion dollar investment in the health sector aimed at building new facilities or improving existing ones. The number of hospitals, clinics and health centers have increased five-fold in the last two decades, while the number of physicians increased 21-fold and nursing and technical staff grew 16-fold.

According to the Minister of Health Dr. Faisal Al-Hegelan, the Kingdom currently has 306 state-run hospitals and 1,700 state-run primary health care centers which provide a range of medical and health services to all. The King Fahd Project for Health Care is a pioneering campaign including 2,000 health care centers. During the first phase, over 500 centers will be constructed, servicing major Saudi cities. The newest is the King Faisal Medical City, which is soon to be inaugurated. It will provide health care, specializing in education and conducting research. Minister Al-Hegelan stated: "This medical city, which contains excellent facilities for diagnosis and treatment, will receive patients referred from hospitals inside and outside of Riyadh."

All of these facilities, both existing and planned, are strategically located in order to provide accessibility to all people in Saudi Arabia. The Kingdom is already home to one of the largest hospitals in the Middle East, the King Fahd Medical City, which encompasses five hospitals and various health centers. Al-Hegelan noted this unprecedented development has resulted in 98 percent health care coverage throughout the Kingdom.

With regard to specialization, hospitals and clinics provided only general services 20 years ago. Today, however, the quality of health care improves as more facilities specialize in numerous fields, including obstetrics and gynecology, psychiatric care, contagious disease and eye disorders. In fact, one of the largest eye hospitals in the world is the King Khalid Eye Specialist Hospital in Riyadh. According to Dr. Aashy, in the Makkah region alone facilities exist for heart surgery, neurosurgery, kidney transplants and teeth implants. Furthermore, over 7,000 open heart surgeries have been performed in the country, according to well-known heart surgeon Dr. Hassan Raffa. The cardiac facilities have a success rate exceeding 70 percent and continue to provide heart transplant services to their patients. Many of these heart ailments are treated at Al-Noor Specialist Hospital's Heart Center in Makkah, a center sponsored by the Custodian of the Two Holy Mosques King Fahd Bin Abdul Aziz. Dr. Mansour Muhammad Al- Nozha, President of the Saudi Heart Association (SHA), noted that the Kingdom was planning to extend heart surgery to the Gulf Hospital in Dammam and the Military Hospital in Khamis Mushayt.


As the nation's most precious resource, children receive high
quality medical care.

The Joint Center for Research on Artificial Limbs has recently introduced special programs to prevent and treat spinal injuries, including awareness campaigns and specialized training for medical staff. Dr. Muhammad Al-Turaiqi, the General Supervisor at the center, also noted plans for a rehabilitation program for victims of spinal injuries. Moreover, the quality of health professionals in the Kingdom also illustrates the dedication to health care development.

The skill of Saudi surgeons is exemplified by Dr. Raffa, who has been invited to several European countries to perform heart operations. Saudi Arabia's health care services and facilities maintain the highest international standards.

The Kingdom continues to improve its services through initiatives such as numerous international seminars sponsored by SHA. The three-day meeting of the Sixth Session of the SHA recently concluded in Jeddah. The seminar was opened by the Deputy Governor of Makkah Prince Saud Bin Abdul Mohsen who pointed out the continued government support for heart research and treatment. Dr. Al-Nozha noted that the latest diagnosis and treatment techniques are discussed at these seminars. This latest session was the greatest in scope and presentation to date, involving 20 foreign speakers from the U.S., U.K., the Netherlands, Canada, Egypt and Jordan. Topics discussed at the session included various cardiac diseases, treatments and state-of-the-art technology.

Research and education also play a role in improving the health of the nation. The Health Ministry sponsors health awareness programs through the distribution of publications, posters and media advertising. These projects are aimed at informing the public about various diseases, nutrition, preventative vaccination, the dangers of smoking and the effects of environmental pollution. Health research in the Kingdom not only improves the quality of life within Saudi Arabia, but also throughout the world. For instance, the research conducted at the King Saud University's School of Pharmacology has resulted in the development of new drugs, including one for the treatment of diabetes. The King Khalid University Hospital has been in the forefront of cancer research.


Numerous charitable and benevolent societies are active throughout the nation, meeting the needs of handicapped and senior citizens. One significant provider is the Saudi Red Crescent Society which offers health services both within the Kingdom and abroad. The Red Crescent Society operates 141 medical centers, as well as a fleet of mobile clinics, medical evacuation helicopters and 500 ambulances.

This organization provides first aid emergency medical treatment in the Kingdom and to victims of natural disasters throughout the world. In fact, the Red Crescent Society operated field hospitals and food distribution centers to fight famine in Somalia in 1993. During the Hajj, the society sets up health care centers staffed by over 1,400 health professionals and hundreds of support personnel to ensure the health and well-being of the pilgrims. The Ministry of Health also provides services in conjunction with the Hajj. Dr. Aashy noted: "This year we will be in a position to reach out to more patients," adding that more doctors and equipment will be available to provide assistance to those pilgrims. Just as important, preventative measures have been taken, including vaccinations and health care awareness campaigns directed towards all pilgrims.

The Ministry of Commerce recently developed an initiative to improve the distribution of medicine. Through the Riyadh Chamber of Commerce and Industry, the Ministry has entrusted the Saudi Pharmaceuticals and Medical Appliances Company with a research project aimed at developing a fair pricing mechanism for imported medicines. Significant strides have been made in the production of pharmaceuticals, with local output presently supplying 15 percent of domestic demand. Plans have been implemented to raise this market share to 50 percent in the year 2000.


In addition to basic medical care, Saudi children and citizens have
access to specialized health services, including physical and
social rehabilitation programs.

The Kingdom's pharmaceutical dispensing is another way of achieving high medical standards. Besides maintaining prices, the Kingdom assures appropriate dosage and dispensing by monitoring such transactions. The state believes private dispensing may lead to inaccurate dosages as well as an increase in medicine price, resulting in health hazards. According to the Director of Licensing for Pharmacies, Polyclinics and General Practitioners Dr. Sameer Linjawi, restricting private dispensing enables the Kingdom to maintain ideal health levels for the community. If dispensing mixtures at pharmacies was permissible, patients could easily obtain contaminated or polluted doses.

Furthermore, the Ministry of Health prevents anyone from operating unethical practices, such as selling sample products or expired medicine, through routine inspections. The Kingdom's pharmacies are equipped with a wide range of products including all types of medicine, wheelchairs, crutches, walkers, ankle and knee braces, cervical collars, abdominal binders, hospital supplies, skin- care products, and cosmetics, all of which have to meet Saudi regulations for safety. The accessibility to medicine is ensured through the 1,500 pharmacies operated by 3,500 qualified and trained personnel. Moreover, the prices for medicine are lower in the Kingdom than in any neighboring country.

The ad-vances achieved by Saudi Arabia in the field of health care and medical services in recent decades have set the stage for continued development in new areas in the medical sciences in years to come.


 

Source Royal Embassy of Saudi Arabia-Washington, D.C.