Australia is a high income and a first world country. Germany is a second world country while Morocco is a lower income and a third world country. These countries have different economic status thus having different health evaluation data such as fertility indicators, DALYS, life expectancy, morbidity indicators, and nutritional indicators (IHME, 2019). Australia has a declining fertility rate of 1.7 births per woman as there is increased awareness of the family planning methods and the need to fulfill other goals in life before having children. In Germany, the fertility is even lower than in Australia as it is at 1.5 births per woman, but this is an increased birth rate recorded in Germany since it had experienced low birth rates for a long time.

The changes could be attributed to family policy reforms that allow mothers to nurse their babies while at work thus encourage them to have more children. Morocco, a third world country has the highest average fertility rate of 2.4 births per woman. This significant difference is because women in Morocco have inadequate knowledge about family planning methods and children are also considered a source of wealth regardless of the family’s economic status (IHME, 2019). In as much as Morocco has the highest fertility rate, it also has a higher infant mortality rate than Germany and Australia. Morocco has poorly structured healthcare system thus mothers and their children do not receive adequate care which leads to the death of mothers or children during birth (Purnell, Calhoun, Golden, Halladay,  Krok-Schoen, Appelhans & Cooper, 2016). Besides, lack of family planning awareness in Morocco results in improper spacing of children and women end up having children who are vulnerable to diseases and infections thus exposing them to risk of losing their lives. This incidence is unlikely for women in Australia and Germany as they are well educated and understand the value of having manageable family sizes. Therefore, Germany and Australia have low infant mortality rates.

Australia has a life expectancy of 82.50 years while Germany and Morocco’s life expectancy is 80.64 and 75.82 years respectively. Therefore, Australia has the highest life expectancy while Morocco has the lowest. The difference is because of the well-established healthcare system in Australia and Germany than in Morocco (Purnell et al., 2016). Besides, Australians and Germany can afford regular medical checkups, unlike Moroccans who earn insufficient income to spare some for medical bills.

The leading causes of disability-adjusted life in Australia include low back pain, heart diseases, and pulmonary diseases.  , and the old people are the most affected as some disability incidences are as a result of old age (Purnell et al., 2016). Germany has the same causes of DALY’s as Australia, and it is attributed to the unhealthy lifestyle and old age (IHME, 2019). In as much as Morocco is a third world country, it also has the same leading causes of DALYs as Germany and Australia. However, the risk factors that cause high mortality and disability in Morocco include high blood pressure, dietary risks, and malnutrition. While malnutrition might affect the terminally ill patients in Germany and Australia as they tend to have insufficient food due to their health condition, children are the most affected with incidences of malnutrition in Morocco as their families are unable to provide enough food for the household.

Generally, Germany has the lowest fertility rate followed by Australia while Morocco has the highest fertility rate. However, Germany and Australia have a low mortality rate while Morocco has the highest mortality rate.  The same causes of DALYs affect the three countries, but malnutrition mainly affects children in Morocco. The economic and educational levels are the leading factors that cause this difference in health evaluation data.

Reference

IHME (2019). Morocco. Retrieved on March 31, 2019, from http://www.healthdata.org/morocco

Purnell, T. S., Calhoun, E. A., Golden, S. H., Halladay, J. R., Krok-Schoen, J. L., Appelhans, B. M., & Cooper, L. A. (2016). Achieving health equity: closing the gaps in health care disparities, interventions, and research. Health Affairs, 35(8), 1410-1415.