In 2018, Algeria had the highest numbers of physicians in the Maghreb region (1.72 per 1,000 people), nurses (2.23 per 1,000 people), and dentists (0.31 per 1,000 people). Access to "improved water sources" was around 97.4% of the population in urban areas and 98.7% of the population in the rural areas. Some 99% of Algerians living in urban areas, and around 93.4% of those living in rural areas, had access to "improved sanitation". According to the World Bank, Algeria is making progress toward its goal of "reducing by half the number of people without sustainable access to improved drinking water and basic sanitation by 2015". Given Algeria's young population, policy favours preventive health care and clinics over hospitals. In keeping with this policy, the government maintains an immunisation program. However, poor sanitation and unclean water still cause tuberculosis, hepatitis, measles, typhoid fever, cholera and dysentery. The poor generally receive health care free of charge.