ADEN // The mass departure of foreign medical professionals is contributing to the collapse of Yemen’s health system since full-scale civil war broke out in the country last year, with many people dying from a lack of skilled care, the UN’s health agency and local medical officials say.
Most of the 1,200 foreign doctors and nurses who were employed in Yemen when the war against Houthi rebels began in March last year have now left, the local office of the World Health Organisation tweeted last month.
A source in the health ministry in Sanaa confirmed the departures and said increasing numbers of Yemeni doctors were expected to leave as well “as they can get more money abroad”.
There are about 8,000 Yemeni doctors, but only a quarter are specialised, the source said.
The fighting between pro-government forces, who are supported by a Saudi-led coalition that includes the UAE, and the Iran-backed rebels has also caused heavy damage to many hospitals and health centres and created shortages of medicines, equipment and the fuel needed to run electric generators that make up for an erratic power supply.
The situation is particularly critical in Taez, where battles for control of the south-western province and its capital have raged since April last year. The fighting has been particularly fierce in Taez city, which has been under siege by rebel forces who have blocked the entry of food, medicines and other essentials.
All the foreign doctors and many of the Yemeni ones have left Taez because of the fighting and the rebel siege, according to the Taez supreme medical committee, which was formed by medical professionals to assist victims of the fighting. It said 80 per cent of the health facilities in the province, which has 20 hospitals in addition to clinics and medical centres, had closed.
A ceasefire that has reduced fighting across much of Yemen since mid-April has had little effect in Taez. The medical charity Medecins Sans Frontieres reported last month that it had treated 1,624 people injured by fighting in Taez city since April, nearly half of them civilians
While the pro-government resistance in Taez sends seriously wounded fighters abroad for treatment, for civilians this option is available only to the rich.
When Moneer Jamal, 24, was shot in the chest by a Houthi sniper in Taez city in March, his father took him from hospital to hospital in search of a doctor who could operate on him.
“After five days of suffering, my son died. The main reason for his death is that there was no doctor who could remove the bullet from his chest,” said Abdulwali Jamal, a bus driver.
Hospitals in Taez depended on foreign doctors to perform difficult procedures but they have all left, and “even Yemeni have doctors fled Taez to other provinces or countries”, said Abdul Hakeem Shamsan, a doctor on the supreme medical committee.
Many of the doctors still in Taez, who number only a few dozen, are now working for free.
“Taez depends on volunteer doctors to help injured people and patients,” said Dr Shamsan. “The Houthi rebels stopped paying the salaries of many doctors in Taez because they helped injured resistance fighters, and the Yemeni government does not pay them salaries.”
Dr Shamsan is a volunteer at Al Thawra hospital, which is one of the main medical facilities in Taez city and was damaged in rebel shelling in November.
Some of the city’s youth have launched fund-raising drives to support health facilities in Taez city. So far, they have managed to reopen a centre for prosthetic limbs.
Isam Al Batra, 34, a member of the group that reopened the centre, said they raised funds through Facebook.
“Most of the donations came from Yemenis abroad who heard about the project through Facebook,” Mr Al Batra said.
foreign.desk@thenational.ae
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Formula Middle East Calendar (Formula Regional and Formula 4)
Round 1: January 17-19, Yas Marina Circuit – Abu Dhabi
Round 2: January 22-23, Yas Marina Circuit – Abu Dhabi
Round 3: February 7-9, Dubai Autodrome – Dubai
Round 4: February 14-16, Yas Marina Circuit – Abu Dhabi
Round 5: February 25-27, Jeddah Corniche Circuit – Saudi Arabia
Match info
Uefa Champions League Group C
Liverpool v Napoli, midnight
The specs
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Label: Parlophone/Atlantic
Number of tracks: 10
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Birmginahm City 0
Man of the match Bernado Silva (Manchester City)
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Verdict: Four stars
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Engine: Electric motor generating 54.2kWh (Cooper SE and Aceman SE), 64.6kW (Countryman All4 SE)
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Directors: Carol Mansour and Muna Khalidi
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SPECS
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Mercer, the investment consulting arm of US services company Marsh & McLennan, expects its wealth division to at least double its assets under management (AUM) in the Middle East as wealth in the region continues to grow despite economic headwinds, a company official said.
Mercer Wealth, which globally has $160 billion in AUM, plans to boost its AUM in the region to $2-$3bn in the next 2-3 years from the present $1bn, said Yasir AbuShaban, a Dubai-based principal with Mercer Wealth.
“Within the next two to three years, we are looking at reaching $2 to $3 billion as a conservative estimate and we do see an opportunity to do so,” said Mr AbuShaban.
Mercer does not directly make investments, but allocates clients’ money they have discretion to, to professional asset managers. They also provide advice to clients.
“We have buying power. We can negotiate on their (client’s) behalf with asset managers to provide them lower fees than they otherwise would have to get on their own,” he added.
Mercer Wealth’s clients include sovereign wealth funds, family offices, and insurance companies among others.
From its office in Dubai, Mercer also looks after Africa, India and Turkey, where they also see opportunity for growth.
Wealth creation in Middle East and Africa (MEA) grew 8.5 per cent to $8.1 trillion last year from $7.5tn in 2015, higher than last year’s global average of 6 per cent and the second-highest growth in a region after Asia-Pacific which grew 9.9 per cent, according to consultancy Boston Consulting Group (BCG). In the region, where wealth grew just 1.9 per cent in 2015 compared with 2014, a pickup in oil prices has helped in wealth generation.
BCG is forecasting MEA wealth will rise to $12tn by 2021, growing at an annual average of 8 per cent.
Drivers of wealth generation in the region will be split evenly between new wealth creation and growth of performance of existing assets, according to BCG.
Another general trend in the region is clients’ looking for a comprehensive approach to investing, according to Mr AbuShaban.
“Institutional investors or some of the families are seeing a slowdown in the available capital they have to invest and in that sense they are looking at optimizing the way they manage their portfolios and making sure they are not investing haphazardly and different parts of their investment are working together,” said Mr AbuShaban.
Some clients also have a higher appetite for risk, given the low interest-rate environment that does not provide enough yield for some institutional investors. These clients are keen to invest in illiquid assets, such as private equity and infrastructure.
“What we have seen is a desire for higher returns in what has been a low-return environment specifically in various fixed income or bonds,” he said.
“In this environment, we have seen a de facto increase in the risk that clients are taking in things like illiquid investments, private equity investments, infrastructure and private debt, those kind of investments were higher illiquidity results in incrementally higher returns.”
The Abu Dhabi Investment Authority, one of the largest sovereign wealth funds, said in its 2016 report that has gradually increased its exposure in direct private equity and private credit transactions, mainly in Asian markets and especially in China and India. The authority’s private equity department focused on structured equities owing to “their defensive characteristics.”
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Engine 1,170cc air/oil-cooled flat twin four-stroke engine
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Power 110hp) @ 7,750rpm
Torque 116Nm @ 6,000rpm
Fuel economy, combined 5.3L / 100km
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Drishyam 2
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Starring: Mohanlal, Meena, Ansiba, Murali Gopy
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