Act. 1.1 Bolivia – Ashlyn Sovereen

The country I selected as my example country for the duration of this course is Bolivia, South America’s poorest country.  The population is 10,496,300 with 41.7% under the age of 18, making the country relatively young.  The population grows about 1.5% annually with 7.2 deaths and 25.9 births per 1000 people.  The average life expectancy is 67 and the urbanized population includes 67.2% of Bolivians, growing at a rate of 2% per year.

Bolivia is South America’s poorest country, as seen with its Gross National Income of $2220 US dollars.  The average annual inflation rate is 6.9%, which is relatively high when compared to the United States’ 2.1%.  15.6% of Bolivians also fall below the international poverty line of $1.25 per day.

Women live longer than men, which corresponds to other countries throughout the world.  Women, however, have a smaller literacy rate when compared to males with 90.6 females to every 100 males.  Contraceptive prevalence is 60.6%, only slightly lower than the United States’ 78.6%.  The majority of women attend antenatal care throughout their pregnancies with 85.8% visiting at least once and 72.1% at least four times.  71.1% of the time, skilled attendants are present at births, which corresponds with Bolivia’s economic status as the lower class may not be able to afford this.  67.5% of babies are born via institutional delivery with 18.6% being through caesarian section.  The lifetime risk of maternal death is also low, which is surprising for such a poor country, with only 0.7%.

The youth literacy rate is relatively high (males – 99.7%, females 99.1%), which is surprising with such a poor country.  92.6% have access to mobile phones and 34.2% use the internet.  Primary school attendance is also relatively high (males and females – 96.9%), while dropping in secondary school (males – 78%, females – 75.1%).

With rate of progress, the under-five mortality rate is 60 per 1000 live births; however, the annual reduction rate is about 5% and it has fallen 47% since 2000.

With birth registration, registration is higher in urban areas (79%) than rural areas (71.9%).  Skilled attendant at birth are much more prevalent in urban areas (88.4%) than rural areas (50.8%), suggesting the lower class may live in rural areas without proper medical care and the ability to afford such a luxury.  Primary school attendance is similar (urban – 97.6%, rural – 96.1%).  HIV knowledge in females in urban areas; however, is greater than in rural areas, suggesting urban women have better resources to such knowledge.

Birth registration is much more prevalent in the richest 20% (89.9%) to the poorest 20%’s 67.5%.  Skilled attendants at birth are also more prevalent in the richest 20% (98.7%) when compared to the poorest 20% (38%).  Primary school attendance is similar (poorest 20% – 95%, richest 20% – 98.9%).  HIV knowledge is more prevalent in the richest 20% (males – 45.4%, females – 40.1%) than the poorest 20% (males – 10.5%, females – 4.8%), however.  This corresponds with the fact that the poor are less likely to be able to afford proper health care.

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