Maternal and child health indicators are among the worst globally, reflecting the immense challenges women face in accessing even basic reproductive care. In the cities, the informal sector dominates, with street vending, small-scale trade, and transportation offering the only source of income for many.
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Security and the Urban Landscape The most immediate factor shaping daily existence is security, which varies dramatically across the country. Access to reliable electricity remains a major challenge outside of the main urban cores, where private generators are a standard fixture for businesses and wealthier households.
The agricultural sector, particularly livestock farming, remains a cornerstone of the economy, employing a large portion of the population and providing a crucial export commodity. For the average resident, the routine involves navigating these security layers, with freedom of movement often restricted by the necessity of avoiding known danger zones, particularly after dark.
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Sanitation is another critical concern, with inadequate sewage systems in many areas contributing to public health risks, particularly in the densely populated informal settlements that have sprung up around cities. While hospitals and clinics in major cities have seen improvements, the sector is still fragile, struggling with limited resources, frequent staff strikes over unpaid wages, and the immense burden of treating malnutrition and diseases like cholera and measles, which are often linked to poor sanitation and drought.
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