Why Africa has poor health indices:

1) Political apathy and corruption

Cuba has proved that if you have political will, major haullment are possible in health sector. Politicians siphon off most of the aid receiving from global organizations. Due to lack of political will, they do not come up with any plan or idea neither do they support if any of them come up from different quarter.

2) Environmental and geographical factors: certain environmental conditions promote growth of bacteria and parasites.

3) lack of infrastructure: many African countries suffer from lack of adequate infrastructure to control infectious diseases.

4) Low literacy : literacy rate, especially among women is below 50%. It hampers awareness programs.

5) Poverty: poverty is one of the most important hundreds for better health.

All these factors are so interconnected, and in epidemiology language, I would call it social web of causation.

There is need of strong political will and honest politicians, other things will eventually improve with time.

One thing I pointed out that there is growing fashion among African leaders that they blame WEST for their miseries. But in my opinion, it is a defensive mechanism to cover up their own failures. Who else on the earth stopped leaders to formulate a plan for safe water in continent? Why leaders are not able to control hunger index in few countries like Zimbabwe despite of rich resources.

Hunger must be addressed through political change; political democratization, restrictions on arm trade, and the reduction of generalized violence.