Human Immunodeficiency Virus is one of the chronic diseases that has significantly impacted the quality of life of many demographics worldwide. The burden of disease caused Human Immunodeficiency Virus and Tuberculosis is not only witnessed in the healthcare system but also the economy and social life. Besides the above, other major causes of Disability Adjusted Life Years are Communicable, maternal, neonatal, and nutritional diseases. While the burden caused by such diseases is significant, different aspects influence the disease's impact in different geographical regions. According to the 2016 Disability Adjusted Life Years in which the global burden of 333 diseases was analyzed, there was a significant difference in the Disability Adjusted Life Years of the diseases mentioned above in the United States of America and the countries in Sub-Saharan Africa, such as Zimbabwe. The Human Immunodeficiency Virus Disability Adjusted Life Years value for Zimbabwe in 2016 was 133.99, and that for the United States was much lower but had a high Disability Adjusted Life Years related to diseases such as was at 0.71( Hay et al., 2017). The difference in Disability Adjusted Life Years for the countries mentioned can be explained by the economic disparity between the two countries. In terms of the ability to afford drugs and a balanced diet that prolong life for Human Immunodeficiency Virus patients and ensure a reduction of other infections, which could cause a high mortality rate, United States citizens can better afford such necessities. On the other hand, Zimbabwe's people are highly disadvantaged because of the poor economy and a high level of unemployment that influences their ability to afford quality healthcare and a good diet (Mangundu et al., 2020). Politics plays a significant role as well. In 2015, for example, 3.4% of the USA budget was allocated to science-related research. This includes research related to healthcare improvement, including prevalent healthcare issues such as heart disease and cancer and maternal, neonatal, and nutritional disorders and Human Immunodeficiency Virus and Tuberculosis. On the other Zimbabwe, a country plagued by corruption, hardly allocated enough finances to scientific research ( Nyoni, 2017). With such a difference, it almost impossible to achieve progress in response to the reduction of mortality.
Disability Adjusted Life Years is vital in comparing mortality and morbidity regardless of the differences in the categories of diseases because it is an accurate method of proving the healthcare needs that should be prioritized ( Whiteford et al., 2017).
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References
Hay, S. I., Abajobir, A. A., Abate, K. H., Abbafati, C., Abbas, K. M., Abd-Allah, F., ... & Aboyans, V. (2017). Global, regional, and national disability-adjusted life-years (DISABILITY ADJUSTED LIFE YEARSs) for 333 diseases and injuries and healthy life expectancy (HALE) for 195 countries and territories, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. The Lancet , 390 (10100), 1260-1344.
Mangundu, M., Roets, L., & van Rensberg, E. J. (2020). Accessibility of healthcare in rural Zimbabwe: The perspective of nurses and healthcare users. African Journal of Primary Health Care & Family Medicine , 12 (1), 7.
Nyoni, T. (2017). The curse of corruption in Zimbabwe. International Journal of Advanced Research and Publications , 1 (5).
Whiteford, H., & Weissman, R. S. (2017). Key factors that influence government policies and decision making about healthcare priorities: Lessons for the field of eating disorders. International Journal of Eating Disorders , 50 (3), 315-319.
