Eritrea is the fifth most vulnerable country in East Africa.
It ranks among the top 10 most vulnerable countries for household crowding and sanitation, health systems strength, and population over 65.
Eritrea has limited health capacity, with only 12 hospital beds per 10,000 people, and 6.3 health care workers (doctors, nurses, midwives) per 10,000 people — making public health and social distancing measures critical.
Source: Precision for Covid
Africa COVID-19 Community Vulnerability Index
The index informs COVID-19 planning and response, especially among Africa’s most vulnerable regions—those that will struggle to weather a COVID-19 outbreak and its health, economic and social impacts without support. The index assesses seven kinds of vulnerability for 751 regions in 48 countries. The overall index (CCVI) is made up of seven themes: age; epidemiological factors; fragility; strength of health systems; population density; socioeconomic factors; and access to transportation and housing.
Eritrea is the fifth most vulnerable country in East Africa. It ranks among the top 10 most vulnerable countries for household crowding and sanitation, health systems strength, and population over 65. Eritrea has limited health capacity, with only 12 hospital beds per 10,000 people, and 6.3 health care workers (doctors, nurses, midwives) per 10,000 people — making public health and social distancing measures critical.
Within-Eritrea highlights
The northern region is consistently more vulnerable than the southern region, with neighbouring regions Anseba and Debub having the greatest overall vulnerability to COVID-19. Anseba has a strong health care system, but due to high population density and high food insecurity, the overall vulnerability is high. The capital, Asmara, lies in the Maekel region which has overall low vulnerability but has high population density and higher number of people over the age of 65 than other regions in the country.
In this table each region’s vulnerability is expressed relative to other regions in Eritrea. Where available, it also shows mobility data, with greater reductions suggesting more social distancing, relative to a pre-pandemic baseline. The final column shows what percentage of people who get infected are expected to require acute care, based on the age and gender distribution of the region’s population.
Eritrea: regional metrics of vulnerability, mobility and acute IHR
| REGION | POPULATION | OVERALL CCVI INDEX | AGE | EPIDE-MIOLOGICAL | FRAGILITY | HEALTH SYSTEM | POPULATION DENSITY | SOCIO-ECONOMIC | TRANSPORT AVAILABILITY | ACUTE IHR | MOBILITY |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Anseba | 518000 | 1.00 | |||||||||
| Debub | 908000 | 1.00 | |||||||||
| Debubawi Keyih Bahri | 114000 | 0.99 | |||||||||
| Gash Barka | 900000 | 1.00 | |||||||||
| Maekel | 639000 | 1.00 | |||||||||
| Semenawi Keyih Bahri | 1111000 | 1.00 |
Hospitalization and infection fatality rates
Age is the most critical risk factor for poor outcomes from an infection with COVID-19. This shows what percentage of those infected in each region will require acute hospital care or ICU care, and what percentage will die. The two hospitalization rates are based on the gender/age demographics of the region alone, whereas the fatality rate additionally takes into account comorbidities and health system capacity in the country (see Methods).
| REGION | ACUTE RATE | ICU RATE | FATALITY RATE | ACUTE NUMBER | ICU NUMBER | FATALITY NUMBER |
|---|---|---|---|---|---|---|
| Anseba | 1.0% | 0.3% | 0.5% | 517 | 135 | 261 |
| Debub | 1.0% | 0.3% | 0.5% | 911 | 238 | 461 |
| Debubawi Keyih Bahri | 1.0% | 0.3% | 0.5% | 112 | 29 | 56 |
| Gash Barka | 1.0% | 0.3% | 0.5% | 897 | 234 | 452 |
| Maekel | 1.0% | 0.3% | 0.5% | 638 | 166 | 322 |
| Semenawi Keyih Bahri | 1.0% | 0.3% | 0.5% | 1108 | 289 | 559 |
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