Unlike the many landlocked countries we have explored, Indonesia is a long chain of islands, about fifteen thousand, in fact. Food shortages contribute to malnutrition and decreased resistance to disease. With about 10,000,000 inhabitants, ten percent of whom live in the capital city, the Dominican Republic is hard pressed to provide a very high standard of living. Health provision is extremely deficient; the DRC has the second highest worldwide infant mortality rate. Unfortunately, the only public health concern showing significant improvement is the HIV/AIDS infection rate which has dropped significantly in the past three decades. Because English is the language of instruction in secondary schools, English is widely spoken and understood, and that fact also makes it easier for foreign nurses to provide both nursing care and education for a better tomorrow for the persons and organizations they may serve. click here to read more about health education. Easily identified as a triangular-shaped area of land east of Africa, India has a population of over 1.2 billion persons. Costa Rica is one of the most stable countries in Central America, or possibly even beyond there. Diseases due to lack of potable water are common, and often devastating for small children. Life expectancy is limited as is health care. However, Costa Rica shares a significant shortage in health care professionals considering its economic strength. In the US, a registered nurse’s salary is well above the average income. You will also need to obtain a work visa if you are not a citizen. Education is free, but supplies are not, so that although students may go to school they may not necessarily have the basic paper and writing materials they need. One legacy of colonial rule is the official use of English, although Swahili is also an official language. According to some indicators it is the happiest nation in Asia. Located precisely on the equator, Ecuador, literally “equator”, is the most western country in South America. Other ethnic groups, including German, Korean, Japanese, and indigenous groups local to Paraguay provide opportunity for international nurses who want to be able to speak at one language when they arrive. One national university offers degrees in allied health professions, including nursing. Zambia has struggled economically during its history, but recently has improved and exports (including hydroelectric power, mining, mineral, and especially agricultural products) are a major source of income. The challenges to health and a longer life are numerous. Health care provision has improved as more and more professional health care workers are required to do internships in areas that are lacking medical care. While infrastructure is growing, especially with technological advances in communication, education is not readily an option, so that the overall literacy rate is still just over 60 percent. Image by Kogo – market day at Namche Bazar (Khumbu, Nepal). Since becoming a democracy in the early 1990’s, Bangladesh has stabilized significantly, although as one of the most densely populated countries in the world it still faces major challenges. World Health Organization is monitoring nations, WHO Global Health Observatory Data Repository, health care professionals have been lured away. Together with the island of Zanzibar, off the east coast of Africa, they form the United Republic of Tanzania, their official name. Nearly a century later, French colonialism reigned for well over half a century. The Central African Republic is located in the heart of Africa, far from any oceans. In fact, there are areas where Spanish is not spoken at all; there are 21 languages used which have their roots in the Mayan language, creating barriers for healthcare and relief workers. Agricultural and mineral resources, plus growing industrial strength provide the means for education and a highly literate population with science and technology thriving as well. Image by Saveoursmile (Hery Zo Rakotondramanana) – Flickr. Although not a part of the British empire, it was influenced by India, and just a decade ago Bhutan became a constitutional monarchy. Nurses in entry-level positions start out earning around US $30,000 per year, but that can increase to as much as $43,000 per year once they obtain experience. Image by Erik (HASH) Hersman, Wikimedia Commons. Improper sanitation and contaminated water supplies make for a very high infant mortality rate, and high incidence of communicable disease. Most people with this job move on to other positions after 20 years in this field. Image byLucy Milmo/DFID, Wikimedia Commons. Professional nurses are taught to pay attention to details, but at the same time not lose sight of the big picture. Sometimes known by its French name of Côte d’Ivoire, for its last colonial power, Ivory Coast has been exploited for its natural resources for centuries, from the trading of precious metals and slaves by the Roman Empire, to Islamic influence and domination through the Middle Ages, to French conquest ending in 1960. Because it lies in an area with numerous volcanoes there are advantages in the form of rich and fertile soil for agricultural purposes; moderate and stable temperatures provide an added benefit. The lowest nurses income is around the $45,000, while the top 10% of nurses pull in over $94,000 per year. The nurse/population ratio is reportedly more critical than that of doctors, with about 2.5/10,000 population reported in 2007. Registered nurses (RNs) can work in a wide variety of places. Efforts to make nursing a higher priority and more professional have met numerous challenges, including governmental resistance. Throughout the world, the World Health Organization is monitoring nations where there are not enough nurses, and sponsoring programs to recruit and educate nurses who can work to improve quality of life through basic healthcare. In spite of abundant mineral wealth, including diamonds, gold, and uranium, as well as renewable resources in tillable land and hydroelectric power, the Central African Republic is among the 10 poorest countries in the world. Image by Arian Zwegers, Wikimedia Commons. A rising economy has lessened extreme poverty; currently oil is one of Ecuador’s main resources, along with agricultural products. It has been administered by external powers, including Belgium; forced exploitation of natural resources by locals decimated the population, killing millions early in the 20th century. That stability has contributed to Jamaica’s well-being and a nurse/population ratio that is more than double that of other countries with a history of British rule. Only one of three Ugandans are literate even though, in theory, education is obligatory and attempts to follow a British standard. At one point the nurse/population ratio came closer to the minimal suggestion of any countries considered in this ranking, but tragically, for Zambians, the most recent number reported by WHO (2010) was less than half of what it was only five years before: about 7/10,000. Even though English is not the official language (Hindi is), since independence from the British Empire in 1947 English continues to be widely used at many levels.

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