Health system: The Globalland health system includes a total of 494 health facilities:
5 tertiary hospitals
40 secondary hospitals
449 primary health care facilities

Of the 494 health facilities, 91% are publicly owned, 3% are private, 1% are private faith-based while 5% are owned by NGOs/INGOs. In total, 84% have permanent structures and 16% have temporary structures. The names, locations and services offered by each facility are stored by the central Ministry of Health.

Vaccination programmes tend to reach between 83-89% of the nation’s population.

Food security: An estimated 17% of Globalland’s population are considered food insecure, with the majority of food insecure people living in rural areas. Another 31% of the population are vulnerable to becoming food insecure if affected by any shock.

Nutrition: Globalland’s global acute malnutrition (GAM) rate is 6%. Malnutrition rates are highest in rural areas and informal settlements. 19% of children under five are stunted.

Water: An estimated 73% of the total population have access to improved drinking water sources such as water piped into the dwelling or yard. The rate is lower in rural than urban areas. 30% of rural households get their water from a tanker truck or cart with drum. Rural drinking water infrastructure is generally in poor or very poor condition, with only 2% of rural communities found to have drinking water infrastructure in good condition.

Sanitation: Overall, 73% of households have an improved toilet facility, but there is a considerable difference between urban and rural areas. Only 48% of households in rural areas have an improved toilet facility, with 50% of rural households having an open pit latrine. Almost all households in urban areas (97%) have an improved toilet facility, such as a flush to piped sewer system.

Waste management: The Ministry of Nature Protection makes state policy and strategy on waste issues. Solid waste management is a mandatory responsibility of local government, spelled out by law. Most municipalities do not have sufficient human, technical and financial capacities to address solid waste management issues. There is no strategic approach to the issue. Fee collection rates are low and do not cover the cost of services. In most cases, garbage collection tariffs are set without any economic justification. In many cities, garbage companies do not have service provision contracts with residents and legal entities. Cities have poor policies to cooperate with citizens in organising solid waste management services. There is no law on solid waste management. Cities do not have the necessary infrastructure to provide quality services. In nearly all cities, landfills do not meet minimum standards and recycling practices do not exist.

Education: As a results of the 6-year civil war, 2.2 million children in the country did not receive any education. Since then, the situation has improved with the number of children enrolled in school rising to 5 million in 2017. The literacy rate improving to 40% in 2016 but ranks lower than nearby countries. School is a legal requirement until the age of 14, but rarely enforced (see the section on Additional Protection Concerns). 

Additional protection concerns:

Due to the flailing economy, a significant number of the many migrant workers have been unable to find employment in the capital and, in an attempt to seek other opportunities, have attached themselves to ethnic minority groups and other fringe communities without a natural territorial base. The result has been a steady rise in displaced, unregistered people moving from urban centre to urban centre, often living in temporary settlements and shanty towns for short periods of time. 

Children: An estimated 8% of children aged 7-17 are engaged in child labour, with boys constituting the vast majority (86%). 9.5% of girls aged 15-19 are married, while 2% of boys aged 15-19 are married.

Female genital mutilation: FGM is not practised.

Most international monitoring groups consider the human rights situation in Globalland to be generally poor. According to the US State Department, political opponents are frequently harassed and arrested. Cases of arbitrary arrests, beatings, unwarranted searches and seizures, and other human rights abuses have been reported.