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Sunday, May 1, 2022

Demographics of Africa

From Wikipedia, the free encyclopedia

Demographics of Africa
Density44 per sq km (2019 est.)
Growth rate2.5% per annum (2017 est.)
Map of Africa indicating Human Development Index (2018).

The population of Africa has grown rapidly over the past century and consequently shows a large youth bulge, further reinforced by a low life expectancy of below 50 years in some African countries. Total population as of 2020 is estimated at more than 1.3 billion, with a growth rate of more than 2.5% p.a. The total fertility rate (births per woman) for Sub-Saharan Africa is 4.7 as of 2018, the highest in the world according to the World Bank. The most populous African country is Nigeria with over 206 million inhabitants as of 2020 and a growth rate of 2.6% p.a.

Population

Genetics

History

Alternative Estimates of African Population, 0–1998 AD (in thousands)

Source: Maddison and others. (University of Groningen).

Year 0 1000 1500 1600 1700 1820 1870 1913 1950 1973 1998 2018 2100
(projected)
Africa 16 500 33 000 46 000 55 000 61 000 74 208 90 466 124 697 228 342 387 645 759 954 1 321 000 4 300 000
World 230 820 268 273 437 818 555 828 603 410 1 041 092 1 270 014 1 791 020 2 524 531 3 913 482 5 907 680 7 500 000 10 900 000

Population growth

Most African countries have annual population growth rates above 2%.
 

The population of Africa was 177 million in 1950, and it grew 7.6 times to more than 1.341 billion in 2020.

The increase in population is explosive, with a population under the age of 14 in the exponential growth phase, a difference from almost the rest of the world, which is already in balance (USA 1966, Europe 1969, Mexico 1990, Latin America 2000, India 2009).

As of 2019, the total population of Africa is estimated at 1.3 billion, representing 16 percent of the world's population. According to UN estimates, the population of Africa may reach 2.49 billion by 2050 (about 26% of the world's total) and 4.28 billion by 2100 (about 39% of the world's total). The number of babies born in Africa compared to the rest of the world is expected to reach approximately 37% in the year 2050.

The population of Africa first surpassed one billion in 2009, with a doubling time of 27 years (growth rate 2.6% p.a.).

Population growth has continued at almost the same pace, and total population is expected to surpass 2 billion by 2038 (doubling time 29 years, 2.4% p.a.).

The reason for the uncontrolled population growth since the mid 20th century is the decrease of infant mortality and general increase of life expectancy without a corresponding reduction in fertility rate, due to a very limited use of contraceptives. Further factors generally associated with decreased fertility include wealth, education, and female labor participation. Uncontrolled population growth threatens to overwhelm infrastructure development, crippling economic development. Kenya and Zambia are pursuing programs to promote family planning in an attempt to curb growth rates.

The extreme population growth in Africa is driven by East Africa, Middle Africa and West Africa, which regions are projected to more than quintuple their populations over the 21st century. The most extreme of these is Middle Africa, with an estimated population increase by 681%, from less than 100 million in 2000 to more than 750 million in 2100 (almost half of this figure is driven by the Democratic Republic of the Congo, projected to increase from 47 million in 2000 to 362 million in 2100). Projected population growth is less extreme in Southern Africa and North Africa, which are expected, respectively, to not quite double and triple their populations over the same period.

  >80
  77.5–80
  75–77.5
  72.5–75
  70–72.5
  67.5–70
  65–67.5
  60–65
  55–60
  50–55
Life expectancy by region in 2016

Population estimates by region (in billions):


2000 2050 2100
Eastern Africa 0.26 0.85 (+227%, +1.8% p.a.) 1.45 (+458%, +0.6% p.a.)
Middle Africa 0.096 0.38 (+296%, +2.1% p.a.) 0.75 (+681%, +0.8% p.a.)
North Africa 0.17 0.37 (+118%, +1.1% p.a.) 0.50 (+194%, +0.3% p.a.)
Southern Africa 0.051 0.087 (+70%, +0.6% p.a.) 0.094 (+82%, -0.1% p.a.)
West Africa 0.23 0.80 (+248%, +2.0% p.a.) 1.48 (+543%, +0.7% p.a.)
Africa 0.81 2.49 (+207%, +1.7% p.a.) 4.28 (+428%, +0.6% p.a.)
World 6.14 9.73 (+58%, +0.5% p.a.) 10.88 (+77%, +0.0% p.a.)

Health

World map indicating infant mortality rates per 1000 births in 2006.
 

History of health care development in sub-Saharan Africa

In September 1987, UNICEF and the World Health Organization (WHO) Regional Committee announced the launching of the Bamako Initiative— chartered in response to financial issues occurring in the region during the 1980s, and with the aim of increasing access to vital medications through community involvement in revolving drug funds. The 1987 Bamako Initiative conference, organized by the WHO was held in Bamako, the capital of Mali, and helped reshape the health policy of sub-Saharan Africa. The meeting was attended by African Ministers of Health who advocated for improvement of healthcare access through the revitalization of primary healthcare. The new strategy substantially increased accessibility through community-based healthcare reform, resulting in more efficient and equitable provision of services. The public health community within the region raised issues in response to the initiative, of which included: equity, access, affordability, integration issues, relative importance given to medications, management, dependency, logistics, and sustainability. As a result of these critiques, the Initiative later transformed to address the increase of accessibility of health services, the enhancement of quality of health services, and the overall improvement of health system management. A comprehensive approach strategy was extended to all areas of health care, with subsequent improvement in the health care indicators and improvement in health care efficiency and cost.

Period Life expectancy in
Years
1950–1955 37.49
1955–1960 Increase 40.03
1960–1965 Increase 42.44
1965–1970 Increase 44.52
1970–1975 Increase 46.60
1975–1980 Increase 48.82
1980–1985 Increase 50.73
1985–1990 Increase 52.10
1990–1995 Decrease 51.93
1995–2000 Increase 52.33
2000–2005 Increase 53.52
2005–2010 Increase 56.78
2010–2015 Increase 60.24
2015–2020 Increase 62.66

Source: World Population Prospects

Major health challenges

The sub-Saharan African region experiences disproportionate rates of infectious and chronic diseases in comparison to other global regions.

Diabetes

Type 2 diabetes persists as an epidemic in the region posing a public health and socioeconomic crisis for sub-Saharan Africa. Scarcity of data for pathogenesis and subtypes for diabetes in sub-Saharan African communities has led to gaps in documenting epidemiology for the disease. High rates of undiagnosed diabetes in many countries leaves individuals at a high risk of chronic health complications, thus, posing a high risk of diabetes-related morbidity and mortality in the region.

HIV/AIDS

In 2011, sub-Saharan Africa was home to 69% of all people living with HIV/AIDS worldwide. In response, a number of initiatives have been launched to educate the public on HIV/AIDS. Among these are combination prevention programmes, considered to be the most effective initiative, the abstinence, be faithful, use a condom campaign, and the Desmond Tutu HIV Foundation's outreach programs. According to a 2013 special report issued by the Joint United Nations Programme on HIV/AIDS (UNAIDS), the number of HIV positive people in Africa receiving anti-retroviral treatment in 2012 was over seven times the number receiving treatment in 2005, with an almost 1 million added in the last year alone. The number of AIDS-related deaths in sub-Saharan Africa in 2011 was 33 percent less than the number in 2005. The number of new HIV infections in sub-Saharan Africa in 2011 was 25 percent less than the number in 2001.

Malaria

Malaria is an endemic illness in sub-Saharan Africa, where the majority of malaria cases and deaths worldwide occur.

Maternal and infant mortality

Map of countries by fertility rate (2020), according to the Population Reference Bureau

Studies show that more than half of the world's maternal deaths occur in sub-Saharan Africa. However, progress has been made in this area, as maternal mortality rates have decreased for multiple countries in the region by about half since 1990. Additionally, the African Union in July 2003 ratified the Maputo Protocol, which pledges to prohibit female genital mutilation.

The sub-Saharan African region alone accounts for about 45% of global infant and child mortalities. Studies have shown a relationship between infant survival and the education of mothers, as years of education positively correlate with infant survival rates. Geographic location is also a factor, as child mortality rates are higher in rural areas in comparison to urban regions.

Measles

Routine immunization has been introduced to countries within sub-Saharan Africa in order to prevent measles outbreaks within the region.

Neglected tropical diseases

Neglected tropical diseases such as hookworm infection encompass some of the most common health conditions which affect an estimated 500 million individuals in the sub-Saharan African region.

Non-communicable diseases

Results of Global Burden of Disease studies reveal that the age-standardized death rates of non-communicable diseases in at least four sub-Saharan countries including South Africa, Democratic Republic of Congo, Nigeria, and Ethiopia supersede that of identified high-income countries. Improvement in statistics systems and increase in epidemiological studies with in-depth analysis of disease risk factors could improve the understanding of non-communicable diseases (i.e.: diabetes, hypertension, cancer, cardiovascular disease, obesity, etc.) in sub-Saharan Africa as well as better inform decisions surrounding healthcare policy in the region.

Onchocerciasis

Onchocerciasis ("river blindness"), a common cause of blindness, is also endemic to parts of the region. More than 99% of people affected by the illness worldwide live in 31 countries therein. In response, the African Programme for Onchocerciasis Control (APOC) was launched in 1995 with the aim of controlling the disease.

Tuberculosis

Tuberculosis is a leading cause of morbidity and mortality on a global scale, especially in high HIV-prevalent populations in the sub-Saharan African region, with a high case fatality rate.

National healthcare systems

National health systems vary between countries. In Ghana, most health care is provided by the government and largely administered by the Ministry of Health and Ghana Health Services. The healthcare system has five levels of providers: health posts which are first level primary care for rural areas, health centers and clinics, district hospitals, regional hospitals and tertiary hospitals. These programs are funded by the government of Ghana, financial credits, Internally Generated Fund (IGF), and Donors-pooled Health Fund.

A shortage of health professionals compounded by migration of health workers from sub-Saharan Africa to other parts of the world (namely English-speaking nations such as the United States and the United Kingdom) has negatively impacted productivity and efficacy of the region's health systems.

More than 85% of individuals in Africa use traditional medicine as an alternative to often expensive allopathic medical health care and costly pharmaceutical products. The Organization of African Unity (OAU) Heads of State and Government declared the 2000s decade as the African Decade on African Traditional Medicine in an effort to promote The WHO African Region’s adopted resolution for institutionalizing traditional medicine in health care systems across the continent. Public policy makers in the region are challenged with consideration of the importance of traditional/indigenous health systems and whether their coexistence with the modern medical and health sub-sector would improve the equitability and accessibility of health care distribution, the health status of populations, and the social-economic development of nations within sub-Saharan Africa.

Ethnicity

San man from Botswana.
 
Yoruba drummers in Kwara State, Nigeria (2004).
 
 

Speakers of Bantu languages (part of the Niger–Congo family) predominate in southern, central and southeast Africa. The Bantu farmers from West Africa's inland savanna progressively expanded over most of Africa. But there are also several Nilotic groups in South Sudan and East Africa, the mixed Swahili people on the Swahili Coast, and a few remaining indigenous Khoisan (San and Khoikhoi) and Pygmy peoples in southern and central Africa, respectively. Native Bantu-speaking Africans also predominate in Gabon and Equatorial Guinea, and are found in parts of southern Cameroon. In the Kalahari Desert of Southern Africa, the distinct people known as the "San" have long been present. Together with the Khoikhoi, they form the Khoisan. The San are the pre-Bantu indigenous people of southern Africa, while Pygmies are the pre-Bantu indigenous African peoples of Central Africa. The peoples of West Africa primarily speak Niger–Congo languages belonging mostly, though not exclusively, to its non-Bantu branches, though some Nilo-Saharan and Afroasiatic-speaking groups are also found. The Niger–Congo-speaking Yoruba, Igbo, Fulani, Akan and Wolof ethnic groups are the largest and most influential. In the central Sahara, Mandinka or Mande groups are most significant. Chadic-speaking groups, including the Hausa, are found in the more northerly parts of the region nearest to the Sahara and Nilo-Saharan communities such as the Kanuri, Zarma and Songhai are present in eastern parts of West Africa bordering Central Africa.

The peoples of North Africa comprise three main groups: Berbers in the northwest, Egyptians and Libyans in northeast, and Nilo-Saharan-speaking peoples in the east. The non-native Muslim settlers who arrived in the 7th century introduced the Arabic language and Islam to the region, initiating a process of linguistic Arabization of the region's inhabitants. The Semitic Phoenicians (who founded Carthage) and Hyksos, the Indo-Iranian Alans, the Indo-European Greeks, Romans and Vandals settled in North Africa as well. Berber-speaking populations still make significant communities within Morocco and Algeria and are still also present in smaller numbers in Tunisia and Libya. The Berber-speaking Tuareg and other often-nomadic peoples are the principal inhabitants of the Saharan interior of North Africa. In Mauritania, there is a small Berber community and Niger–Congo-speaking peoples in the South, though in both regions Arabic and Arab culture predominates. In Sudan, although Arabic and Arab culture predominates, it is also inhabited by originally Nilo-Saharan-speaking groups such as the Nubians, Fur, Masalit and Zaghawa who over the centuries have variously intermixed with migrants from the Arabian peninsula. Small communities of Afro-Asiatic-speaking Beja nomads can also be found in Egypt and Sudan.

In the Horn of Africa, Afro-Asiatic-speaking groups predominate. Ethiopian and Eritrean groups like the Amhara and Tigrayans (collectively known as Habesha) speak languages from the Semitic branch of Afro-Asiatic language family, while the Oromo and Somali speak languages from the Cushitic branch of Afro-Asiatic. In southern Ethiopia and Eritrea, Nilotic peoples related to those in South Sudan are also found, while Bantu and Khoisan ethnic minorities inhabit parts of southern Somalia near the Kenyan border.

Prior to the decolonization movements of the post-World War II era, Europeans were represented in every part of Africa. Decolonisation during the 1960s and 1970s often resulted in the mass emigration of European-descended settlers out of Africa – especially from Algeria and Morocco (1.6 million pieds-noirs in North Africa), Kenya, Congo, Rhodesia, Mozambique and Angola. By the end of 1977, more than one million Portuguese were thought to have returned from Africa. Nevertheless, European Africans remain a minority in many African states, particularly South Africa, Zimbabwe, Namibia and Réunion. The African country with the largest native European African population is South Africa. The Boers or Afrikaners, the British diaspora and the Coloureds (multiracial) are the largest European-descended groups in Africa today.

European colonization also brought sizable groups of Asians, particularly people from the Indian subcontinent, to British colonies. Large Indian communities are found in South Africa, and smaller ones are present in Kenya, Tanzania, and some other southern and East African countries. The large Indian community in Uganda was expelled by the dictator Idi Amin in 1972, though many have since returned. The islands in the Indian Ocean are also populated primarily by people of Asian origin, often mixed with Africans and Europeans. The Malagasy people of Madagascar are Austronesian people and native African people, but those along the coast are generally mixed with Bantu, Arab, Indian and European origins. Malay and Indian ancestries are also important components in the group of people known in South Africa as Cape Coloureds (people with origins in two or more races and continents). Beginning with the 21st century many Hispanics, primarily Mexicans, Central Americans, Chileans, Peruvians, and Colombians, have immigrated to Africa. Around 500,000 Hispanics have immigrated to Africa, most of whom live in South Africa, Kenya, Nigeria, Uganda, and Ghana. During the 20th century, small but economically important communities of Lebanese and Chinese have also developed in the larger coastal cities of West and East Africa, respectively.

Languages

Ethnic groups in Africa
1996 map of the major ethnolinguistic groups of Africa, by the Library of Congress Geography and Map Division (substantially based on G.P. Murdock, Africa, its peoples and their cultural history, 1959). Colour-coded are 15 major ethnolinguistic super-groups, as follows:
Afroasiatic
     Hamitic (Berber, Cushitic) + Semitic (Ethiopian, Arabic)
     Hausa (Chadic)
Niger–Congo
     Bantu
     "Guinean" (Volta-Niger, Kwa, Kru)
     "Western Bantoid" (Atlantic)
     "Central Bantoid" (Gur, Senufo)
     "Eastern Bantoid" (Southern Bantoid)
     Mande
Nilo-Saharan (unity debated)
     Nilotic
     Central Sudanic, Eastern Sudanic (besides Nilotic)
     Kanuri
     Songhai
other
     Khoi-San (unity doubtful; Khoikhoi, San, Sandawe + Hadza)
     Malayo-Polynesian (Malagasy)
     Indo-European (Afrikaaner)

There are three major linguistic phyla native to Africa: Niger–Congo languages (including Bantu) in West, Central, Southeast and Southern Africa; Nilo-Saharan languages (unity debated) spoken from Tanzania to Sudan and from Chad to Mali; Khoisan languages (probably no phylogenetic unit, see Khoe languages), concentrated in the Kalahari Desert of Namibia and Botswana; There are several other small families and language isolates, as well as languages that have yet to be classified.

In addition, the Afroasiatic languages are spread throughout Western Asia, North Africa, the Horn of Africa and parts of the Sahel. The Afroasiatic homeland may be either in Western Asia or in Africa.

More recently introduced to Africa are Austronesian languages spoken in Madagascar, as well as Indo-European languages spoken in South Africa and Namibia (Afrikaans, English, German), which were used as lingua francas in former European colonies.

The total number of languages natively spoken in Africa is variously estimated (depending on the delineation of language vs. dialect) at between 1,250 and 2,100, and by some counts at "over 3,000", Nigeria alone has over 500 languages (according to the count of SIL Ethnologue).

Around a hundred languages are widely used for inter-ethnic communication. Arabic, Somali, Berber, Amharic, Oromo, Igbo, Swahili, Hausa, Manding, Fulani and Yoruba are spoken by tens of millions of people. Twelve dialect clusters (which may group up to a hundred linguistic varieties) are spoken by 75 percent, and fifteen by 85 percent, of Africans as a first or additional language.

Niger–Congo is the largest phylum of African languages, with more than 500 million speakers (2017); it is dominated by the Bantu branch, spread throughout sub-Saharan Africa in the Bantu expansion, Bantu speakers accounting for about half of Niger–Congo speakers. Arabic is the most widely spoken single language in Africa by far, with a population of Arab Africa of the order of 330 million (2017). Other Afroasiatic languages are spoken by of the order of 100 million speakers in Africa (2017). Nilo-Saharan are spoken by of the order of 100 million speakers (2017). Khoisan groups a number of mostly endangered click languages, the largest being Khoekhoe with of the order of 300,000 speakers (2016).

Religion

Poverty in Africa

From Wikipedia, the free encyclopedia
 
Kibera is the largest slum in Nairobi, Kenya

Poverty in Africa is the lack of provision to satisfy the basic human needs of certain people in Africa. African nations typically fall toward the bottom of any list measuring small size economic activity, such as income per capita or GDP per capita, despite a wealth of natural resources. In 2009, 22 of 24 nations identified as having "Low Human Development" on the United Nations' (UN) Human Development Index were in Sub-Saharan Africa. In 2006, 34 of the 50 nations on the UN list of least developed countries were in Africa. In many nations, GDP per capita is less than US$5200 per year, with the vast majority of the population living on much less (according to World Bank data, by 2016 the island nation of Seychelles was the only African country with a GDP per capita above US$10,000 per year). In addition, Africa's share of income has been consistently dropping over the past century by any measure. In 1820, the average European worker earned about three times what the average African did. Now, the average European earns twenty times what the average African does. Although GDP per capita incomes in Africa have also been steadily growing, measures are still far better in other parts of the world.

Mismanagement of land

Despite large amounts of arable land south of the Sahara Desert, small, individual land holdings are rare. In many nations, the land is subject to tribal ownership. Many nations lack a system of freehold landowning. In others, the laws prevent people from disadvantaged groups from owning land at all. Although often these laws are ignored, and land sales to disadvantaged groups occur, legal title to the land is not assured. As such, rural Africans rarely have clear title to their own land and have to survive as farm laborers. Unused land is plentiful but is often private property. Most African nations have very poor land registration systems, making squatting and land-theft common occurrences. This makes it difficult to get a mortgage or similar loan, as ownership of the property often cannot be established to the satisfaction of financiers.

This system often gives an advantage to one native African group over another and is not just Europeans over Africans. For example, it was hoped that land reform in Zimbabwe would transfer land from European landowners to family farmers. Instead, it simply substituted native Africans with ties to the government for Europeans, leaving much of the population disadvantaged. Because of this abuse, foreign aid that was destined for land purchases was withdrawn. (See Land reform in Zimbabwe)

Historically, such programs have been few and far between, with much foreign aid being concentrated on the raising of cash crops and large plantations rather than family farms.

There is no consensus on what the optimal strategy for land use in Africa may be. Studies by the National Academy of Sciences have suggested great promise in relying on native crops as a means of improving Africa's food security. A report by Future Harvest suggests that traditionally used forage plants show the same promise. Supporting a different viewpoint is an article appearing in AgBioForum which suggests that smallholder farmers benefited substantially by planting a genetically modified variety of maize. In a similar vein is an article discussing the use of nontraditional crops for export published as part of the proceedings of a Purdue University symposium.

Misused money

Over $500 billion (U.S.) has been sent to African nations in the form of direct aid. The consensus is that the money has had little long-term effect.

In addition, most African nations have owed substantial sums of money. However, a large percentage of the money was either invested in weapons (money that was spent back in developed nations, and provided little or no benefit to the native population) or was directly misappropriated by corrupt governments. As such, many newly democratic nations in Africa are saddled with debt run up by totalitarian regimes. Large debts usually result in little being spent on social services, such as education, pensions, or medical care. In addition, most of the debt currently owed (approximately $321 billion (U.S.) in 1996) represents only the interest portion on the debt, and far exceeds the amounts that were actually borrowed (although this is true of large debts in developed nations as well). Authors Leonce Ndikumana and James K. Boyce estimate that from 1970 to 2008, capital flight from 33 sub-Saharan countries totalled $700 billion. Most African nations are pushing for debt relief, as they are effectively unable to maintain payments on debt without extending the debt payments indefinitely. However, most plans to forgive debt affect only the smallest nations, and large debtor nations, like Nigeria, are often excluded from such plans.

Worlds regions by total wealth (in trillions USD), 2018

What large sums of money that are in Africa are often used to develop mega-projects when the need is for smaller scale projects. For example, Ghana was the richest country in Africa when it obtained independence. However, a few years later, it had no foreign reserves of any consequence. The money was spent on large projects that turned out to be a waste of resources:

  • The Akosombo Dam was built to supply electricity for the extraction of aluminium from bauxite. Unfortunately, Ghanaian ores turned out to be too low grade and the electricity is now used to process ores from other nations.
  • Storage silos for the storage of cocoa were built to allow Ghana to take advantage of fluctuations in the commodity prices. Unfortunately, unprocessed cocoa does not react well to even short-term storage and the silos now sit empty.

Another example of misspent money is the Aswan High Dam. The dam was supposed to have modernized Egypt and Sudan immediately. Instead, the block of the natural flow of the Nile River meant that the Nile's natural supply of nitrate fertilizer and organic material was blocked. Now, about one-third of the dam's electric output goes directly into fertilizer production for what was previously the most fertile area on the planet. Moreover, the dam is silting up and may cease to serve any useful purpose within the next few centuries. In addition, the Mediterranean Sea is slowly becoming more saline as the Nile River previously provided it with most of its new fresh water influx.

Corruption is also a major problem in the region, although it is certainly not universal or limited to Africa. Many native groups in Africa prioritize family relationships over national identity, so people in authority often use nepotism and bribery for the benefit of their extended family group at the expense of their nations. For example, the Congolese president Mobutu Sese Seko became notorious for corruption, nepotism, and the embezzlement of between US$4 billion and $15 billion during his reign. Despite this, corrupt governments often do better than authoritarian ones that replace them. For example, under Ethiopian emperor Haile Selassie, corruption was rife and poverty rampant. After his overthrow, corruption was lessened, but famine and military aggressiveness came to the fore. In any event, corruption both diverts aid money and foreign investment (which is usually sent to offshore banks outside of Africa), and puts a heavy burden on native populations forced to pay bribes to get basic government services.

In the end, foreign aid may not even be helpful in the long run to many African nations. It often encourages them not to tax internal economic activities of multinational corporations within their borders to attract foreign investment. In addition, most African nations have at least some wealthy nationals, and foreign aid often allows them to avoid paying more than negligible taxes. As such, wealth redistribution and capital controls are often seen as a more appropriate way for African nations to stabilize funding for their government budgets and smooth out the boom and bust cycles that can often arise in a developing economy. However, this sort of strategy often leads to internal political dissent and capital flight.

Human resources

Map of countries and territories by fertility rate as of 2020

The widespread availability of cheap labor has often perpetuated policies that encourage inefficient agricultural and industrial practices, leaving Africa further impoverished. For example, author P.J. O'Rourke noted on his trip to Tanzania for his book Eat the Rich that gravel was produced with manual labor (by pounding rocks with tools), wherein almost everywhere else in the world machines did the same work far more cheaply and efficiently. He used Tanzania as an example of a nation with superb natural resources that nevertheless was among the poorest nations in the world.

Education is also a major problem, even in the wealthier nations. Illiteracy rates are high although a good proportion of Africans speak at least two languages and a number speak three (generally their native language, a neighbouring or trade language, and a European language). Higher education is almost unheard of, although certain universities in Egypt and South Africa have excellent reputations. However, some African nations have a paucity of persons with university degrees, and advanced degrees are rare in most areas. As such, the continent, for the most part, lacks scientists, engineers, and even teachers. The seeming parody of aid workers attempting to teach trilingual people English is not entirely untrue.

South Africa under apartheid is an excellent example of how an adverse situation can further degrade. The largely black population earlier wished to learn English (black South Africans saw it as a way to unite themselves as they speak several different native languages).

Disease

The greatest mortality in Africa arises from preventable water-borne diseases, which affect infants and young children greater than any other group. The principal cause of these diseases is the regional water crisis, or lack of safe drinking water primarily stemming from mixing sewage and drinking water supplies.

Much attention has been given to the prevalence of AIDS in Africa. 3,000 Africans die each day of AIDS and an additional 11,000 are infected. Less than one percent are actually treated. However, even with the widespread prevalence of AIDS (where infection rates can approach 30% among the sexually active population), and fatal infections such as the Ebola virus, other diseases are far more problematic. In fact, the situation with AIDS is improving in some nations as infection rates drop, and deaths from Ebola are rare. On the other hand, diseases once common but now almost unknown in most of the industrialized world, like malaria, tuberculosis, tapeworm and dysentery often claim far more victims, particularly among the young. Polio has made a comeback recently due to misinformation spread by anti-American Islamic groups in Nigeria. Diseases native to Africa, such as sleeping sickness, also resist attempts at elimination too.

Poor infrastructure

People in Agbogbloshie, near the center of Accra, Ghana's capital city

Clean potable water is rare in most of Africa (even those parts outside the sub-Saharan region) despite the fact that the continent is crossed by several major rivers and contains some of the largest freshwater lakes in the world. However, many of the major population centres are coastal, and few major cities have adequate sewage treatment systems. Although boiling water is a possibility, fuel for boiling is scarce as well. The problem is worst in Africa's rapidly growing cities, such as Cairo, Lagos and Kinshasa.

Colonialism concentrated on connecting the coast with internal territories. As such, nearly none of Africa's roads and railways connect with each other in any meaningful way. Connecting Africa's extensive railway network has recently become a priority for African nations outside of southwest Africa, which has an integrated network.

Transportation between neighbouring coastal settlements is nearly always by sea, no matter the topography of the land in between them. Even basic services like telecommunications are often treated the same way. For example, phone calls between Ghana and neighbouring Ivory Coast once had to be routed through Britain and France.

Although Africa had numerous pre-European overland trade routes, few are suitable for modern transport such as trucks or railways, especially when they cross old European colonial borders. Another problem is that in many countries the roads, railway tracks, railway rolling stock, ships and ports are often old and badly maintained and many transportation systems have barely been updated and further developed since the end of colonialism.

Conflict

Locations of armed conflicts worldwide in 2021

Despite other hot spots for war, Africa consistently remains among the top places for ongoing conflicts, consisting of both long-standing civil wars (e.g. Somalia, Democratic Republic of the Congo), ethnic conflicts that even resulted in genocides (e.g. the Rwandan genocide) and conflicts between countries.

The long-standing civil wars are in part due to the border-drawing of the late 19th century's Scramble for Africa, which did not take into account the various ethnic groups due to lack of local knowledge and research. Post decolonization, the European-set borders were accepted by various leaders; however, there remains internal and cross-border struggles, and separatist concerns by popular demand to the governments as they transition to democracy, leading to fears of further destabilization.

In recent years, religious conflicts have also increased, with Islamistic paramilitary terrorist groups like Boko Haram (Nigeria) and Al-Shabaab (Somalia) having committed many brutal, deadly terrorist acts that further decrease safety and prospects of development in the concerned regions. Despite a lack of basic social services or even the basic necessities of life, military forces are often well-financed and well-equipped.

Acts of war and terrorism further harm the chances of development in the regions concerned as they do not only cause economic downturns but also cause severe damage to the often already underdeveloped infrastructure as well as government shutdowns, further worsen the often already tense safety situation and cause large numbers of refugees.

As a result, Africa is full of refugees, who are often deliberately displaced by military forces during a conflict, rather than just having fled from war-torn areas. Although many refugees emigrate to open countries such as Germany, Canada, and the United States, the ones who do emigrate are often the most educated and skilled. The remainder often become a burden on neighbouring African nations that, while peaceful, are generally unable to deal with the logistical problems refugees pose as these nations are often already barely capable of fulfilling the needs of their own population.

Civil war usually has the result of totally shutting down all government services. However, any conflict generally disrupts what trade or economy there is. Sierra Leone, which depends on diamonds for much of its economic activity, not only faces disruption in production (which reduces the supply), but a thriving black market in conflict diamonds, which drives down the price for what diamonds are produced.

Climate change

The link between climate change and poverty has been examined. Climate change is likely to increase the size, frequency, and unpredictability of natural hazards. However, there is nothing natural about the transformation of natural hazards into disasters. The severity of a disaster's impact is dependent on existing levels of vulnerability, the extent of exposure to disaster event and the nature of the hazard. A community’s risk to disaster is dynamic and will change over time. It is heavily influenced by the interplay between economic, socio-cultural and demographic factors, as well as skewed development, such as rapid and unplanned urbanisation.

The level of poverty is a key determinant of disaster risk. Poverty increases propensity and severity of disasters and reduces peoples' capacity to recover and reconstruct. However, vulnerability is not just shaped to poverty, but linked to wider social, political and institutional factors, that govern entitlements and capabilities.

Effects of poverty

African countries by Human Development Index 2019 (higher values indicate higher standards of living).
  ≥ 0.900
  0.850–0.899
  0.800–0.849
  0.750–0.799
  0.700–0.749
  0.650–0.699
  0.600–0.649
  0.550–0.599
  0.500–0.549
  0.450–0.499
  0.400–0.449
  ≤ 0.399
  Data unavailable

Africa's economic malaise is self-perpetuating, as it engenders more of the disease, warfare, misgovernment, and corruption that created it in the first place. Other effects of poverty have similar consequences. The most direct consequence of low GDP is Africa's low standard of living and quality of life. Except for a wealthy elite and the more prosperous peoples of South Africa and the Maghreb, Africans have very few consumer goods. Quality of life does not correlate exactly with a nation's wealth. Angola, for instance, reaps large sums annually from its diamond mines, but after years of civil war, conditions there remain poor. Radios, televisions, and automobiles are rare luxuries. Most Africans are on the far side of the digital divide and are cut off from communications technology and the Internet, however, use of mobile phones has been growing dramatically in recent years with 65% of Africans having access to a mobile phone as of 2011. Quality of life and human development are also low. African nations dominate the lower reaches of the UN Human Development Index. Infant mortality is high, while life expectancy, literacy, and education are all low. The UN also lowers the ranking of African states because the continent sees greater inequality than any other region. The best educated often choose to leave the continent for the West or the Persian Gulf to seek a better life.

Catastrophes cause deadly periods of great shortages. The most damaging are the famines that have regularly hit the continent, especially the Horn of Africa. These have been caused by disruptions due to warfare, years of drought, and plagues of locusts.

An average African faced annual inflation of over 60% from 1990 until 2002 in those few countries that account for inflation. At the high end, Angola and the Democratic Republic of the Congo both saw triple-digit inflation throughout the period. Most African nations saw inflation of approximately 10% per year.

Cooperative

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