Eritrea: From Trenches and Caves to the United Nations General Assembly
By fikrejesus
September 26, 2014
The 69th Session of the United Nations General Assembly (UNGA) has seen
national delegations from around the world convene to debate and dialogue a
wide range of topics including, inter alia, a post-2015 agenda, climate
change and the environment, conflicts involving ISIL/ISIS, Iraq and Syria,
Iran's nuclear ambitions, Gaza, and the ongoing tensions between Ukraine and
Russia. Another important, yet less heralded, meeting occurring is Eritrea's
hosting of a panel on "Innovations Driving Health Millennium Development
Goals" - where the country will share the methods for its success. Such a
development represents a tremendous leap; only decades ago, Eritrean
"society" literally resided within underground trenches, caves in the
mountains, and in the harsh, barren deserts.
To the uninitiated, Eritrea's focus upon and commitment to health began in
earnest in the late 1960s and early 1970s, during the early years of the
protracted war of independence. In developing a medically sound health
system, the Eritrean People's Liberation Front (EPLF) prioritized: ".proper
nutrition; adequate and safe water supplies; basic sanitation; immunization;
the prevention and control of endemic disease; health education and curative
services" (Pateman 1990: 222).[i]
Although in 1970 it only possessed a single mobile health unit, the EPLF was
soon able to boast: having trained 1600 barefoot doctors and forty-one
barefoot midwives (by 1985); 418 village health workers and 150 birth
attendants (by 1986); thirty functioning health service stations and
twenty-two health centers; forty-one mobile barefoot health units; 320
village health workers; 41 radio technicians; 18 dental assistants; 151
nurses; six regional and one central hospital (Pateman 1990: 22).
Of particular note, the EPLF's central hospital at Orotta, in Barka, and the
pharmacy unit hold legendary, almost mythical auras. The Orotta hospital was
often distinguished as the "longest hospital in the world" since it was
built into the underground maze of trenches and tunnels,[ii] and it was the
scene of thousands of operations performed by EPLF surgeons. Equally
impressive, the EPLF's pharmacy unit was made up of twenty-two members, and
".by the end of 1987 it was producing fourteen types of tablets and capsules
- two million per month - and hoping to provide.for sixty percent of the
population's needs" (Pateman 1990: 222) Further, it produced 44 different
types of medical supplies, including infusions, intravenous fluids, syrups
and ointments.[iii]
Yet, even though these efforts were key to Eritrea's momentous liberation
and embodied the EPLF's commitment to the health of the population, at
independence the country immediately faced destruction upon a mass scale,
".everything was destroyed [and there were].no roads, no electricity, no
water.., no education.nothing was there"; for all intents and purposes,
Eritrea started from well "below zero."[iv]
Since that point however, Eritrea has remained staunchly committed to
fulfilling citizens' rights to health, and ultimately witnessed tangible,
positive development outcomes - in spite of an array of socio-economic,
regional, and global challenges. Such success is the fruit of a self-reliant
approach, a capacity to adapt to adverse circumstances, effective
coordination, multi-sectorial, cost-effective projects, community
involvement enabling improved health-seeking behaviors and widespread buy-in
- and the relentless efforts of innumerable men, women, and children around
the country.[v] Who could have scripted how a low-income country, located
within one of the world's most volatile, fractious regions, went from
surviving in underground trenches and mountain caves, to sharing the lessons
of development success at the United Nations?