How AI Could Reshape Education in India
India has the largest K-12 educational system in the world with 260 million students. However, it still ranks low globally on academic achievement and student performance. Nearly half of students lack basic literacy and math skills after studying in school for five years. However, the rise of new classroom technologies, such as artificial intelligence (AI), shows promising hope for rural communities seeking to improve student success. Here is how AI could reshape education in India.

The Challenges

Thirty-eight percent of government public school students in grade three are unable to read simple words. Only 27 percent of students could perform double-digit subtraction. Teacher preparedness and competency is also a reported issue. In one study, only 11 percent of government school teachers in the Indian state of Bihar could demonstrate the steps by which to solve a three-digit by one-digit division problem.

Surprisingly, a survey through the Center for Global Development has found no significant correlation between high teacher salaries and achievement in India. After evaluating per capita GDP and economic context, Indian teachers receive relatively good pay. Nevertheless, reports determined that low-cost private schools had similar learning levels where teachers received significantly less pay. The results highlight the need for more highly trained teachers and better professional preparedness programs.

Notwithstanding these educational challenges, early evidence shows a number of adaptive AI programs offer promise in mitigating the educational deficits in poor educational communities and schools. Oftentimes, these programs supplement the traditional curriculum and even absent teachers. This is how AI could reshape education in India.

How AI Could Reshape Education in India

  1. Mindspark: Mindspark is an adaptable Indian AI program that adjusts to a learner’s knowledge and skills. As the student progresses, it introduces more challenging concepts. The software includes text, video, games and interactive tutorials that people can access on multiple devices. Proponents of Mindspark have remarked that although AI may not be the best educational solution for countries that already have an effective education infrastructure, it has shown to raise scores for areas that experience teacher shortages or absenteeism. MIT’s randomized study in Delhi of 619 government school students found that students progressed significantly in math and Hindi after using the Mindspark software. Priced at approximately RS 1,000 per month ($14 per month), it is a cost-effective program for students.
  2. Byju’s: Named after its founder, Byju Raveendran, Byju’s is an Indian learning app. Similar to Mindspark, the program’s AI adapts to student users to create personal learning experiences, a mapped syllabus, interactive tests, recommended videos in response to mistakes, interactive questions, quizzes, games and interactive lessons. The program uses a bank of student data on learning patterns to personalize feedback and assessments. Although innovative and fun, the company currently only markets adaptive software to urban families looking to supplement their child’s education with a new delivery method. Forbes India recognizes that while the model receives good funding through venture capital, greater access to Byju’s AI for poorer communities through government and nonprofit investments would be advantageous to the country.
  3. Onebillion: Onebillion is a U.K. education nonprofit that created a modular course for children designed to improve their writing, reading and numeracy. It includes carefully structured courses with a huge bank of activities, games and stories adapted into many different languages. It includes a digital teacher who offers individualized, weekly diagnostic tests to ensure the addressing of learning gaps. Teachers can monitor student progress through the system as well. It is for students who have little or no access to formal schooling. The organization incorporates a localization process that keeps the content relevant by partnering with local communities and experts. Like Mindspark, the aim of the organization is to get the software directly into the hands of the student who lacks formal educational mentors. Onebillion has reached more than 100,000 students globally, including students in rural India in 2016.

The Future for India’s Education

What is evident thus far, especially from the implementation of Mindspark, is that AI has the potential to address gaps in education in India for poor, rural communities that lack high-quality teachers and programs. Access to effective tools is currently in favor of wealthier communities in India. Forbes India opines that more investment from the government, nonprofits and companies is necessary to expand the influence of these new technologies into the communities that need them. India, which already has one of the world’s largest software industries and telecommunications systems, may prove how AI could reshape education in India with investments in education technology.

Caleb Cummings
Photo: Wikimedia Commons

Poverty Rates of Filipinos
Crystal Tai, a journalist from South China Morning Post, reported that Filipinos were the largest immigrant minority in Alaska. They represent at least 15 percent of the population. According to the article, Filipinos have been in the state since the late 1700s, often heading to the Last Frontier for jobs. Many held positions as sailors, ore sorters and salmon cannery workers. People would eventually describe these seasonal workers and their descendants as Alaskeros. Some of the descendants came from Filipino soldiers who married Alaska Natives. Filipinos in the Philippines, Filipinos in the United States, Alaska Natives and Filipinos in Alaska or Alaskeros tend to have different economic outcomes. Poverty rates of Filipinos in different regions look different because each region brings out different challenges.

However, it is hard to tell which data belongs to which group as people continue to aggregate them or forget them altogether. People may have even overlooked Filipinos when it came to their status as Asians among other Asian countries. Some even describe Filipinos as the “orphans of the Pacific.” Researchers often overlook native people. As a result, Alaskeros and Filipino descendants in Alaska, in general, suffer from a multi-dimensional statistical invisibility cloak. The descendants of the Philippines in these respective regions deserve an honest look at how poverty has evolved or changed. Looking at each group individually might help distinguish the data.

Poverty in the Philippines

A December 2019 article of the Philippine Daily Inquirer declared that the poverty rate in the archipelago had fallen to 16.6 percent. It decreased from 23.3 percent in 2015. However, there is a difference between the poverty incidence of the Philippines and the subsistence incidence. The subsistence incidence is the proportion of Filipino families whose incomes fall below the food threshold. For the Philippines, the per capita food threshold was P1,505.6 per month in 2018. The poverty threshold was P2,145.36 per month for an individual or P10,726.79 for a family of five. ” Research group IBON stated that one could consider the Philippine Statistics Authority’s (PSA) April 2019 report on poverty misleading.

According to PSA, poor Filipinos fell to 21 percent in the first semester of 2018. This was 23.1 million poor Filipinos down from 27.6 percent or 28.8 million poor Filipinos in the first semester of 2015. IBON observed that the improvements were based on daily per capita poverty. The research group did not consider these thresholds to be decent minimum standards for basic necessities. It found the official poverty line to be too low and grossly underestimating the true number of poor Filipinos. If one were to take the average of the poverty rates of Filipinos in different regions, the variable of the country of the Philippines would bring the average down.

Filipinos in the United States

The Migration Policy Institute states that the United States is home to the largest number of Filipinos abroad with 1.9 million residing in the country in 2017. The rate of poverty for Filipinos in the United States was 8.8 percent in 2015. The median household income for Filipinos living in the U.S. in 2015 was $80,000.

Identifying Minorities on a Census

According to a Census.gov fact sheet on American Indians and Alaska Natives, 19.9 percent of Alaska’s population identified as a member of one of the two groups, alone or a combination, in 2016. That was the highest share for this race group of any state.

In 2014, the Pew Research Center listed the poverty incidence for Alaska Natives and American Indians as the highest in the United States with 26 percent of this group living in poverty. Another 2014 Pew Research Center article found that millions of Americans who had selected one race or ethnicity in the 2000 census had changed it in the 2010 census. Hispanics, mixed-race individuals, American Indians and Pacific Islanders were the ones most likely to do so. The article noted that a variety of factors could influence why people decide to change their race or ethnicity on a census form. They might discover an ancestor of another racial or ethnic group or they might discover that there are benefits to ticking a certain box.

A 2014 meta-analysis of how researchers studied multiracial populations over 20 years, even noted that “not reporting data from multiracial participants, or combining data from all mixed subgroups together into a single “multiracial” category) have led to conflicting representations in the literature.” The difficulty in coming by accurate research on Native populations is determined both by researchers’ oversimplifications and by participants’ complex and changing views on race, their own or otherwise. According to a 2018 report on the economic well-being of Alaska children, the number of Alaska children living in poverty is worsening to a rate of more than a third of them living in poverty.

Poverty in Alaska

There are many Alaskans who are Filipino descents. Nez Danguilan, a local Filipino community leader, noted that most Alaskans do not even realize that they are of partial Filipino descent. People start to realize when they communicate with more recent arrivals from the Philippines. Filipinos appear to have low rates of poverty in the United States and both Filipinos and Alaska Natives share a history of colonialism. This particular Asian group appears to be one of the more successful Asian populations. However, the poverty rate of Filipino descendants who live in Alaska specifically remains unclear.

It is difficult to tell which policies Alaskeros would be interested in. The poverty rates of Filipinos in different regions are diverse. Thus the policies could end up being very diverse as well. A good place to start however would be with disaggregating data on AAPIs. The census conflates Asians and Pacific Islanders. In addition, the Census conflates Alaskan Natives and Native Americans.

Hence, an Alaskero has the added issue of the truths of their communities getting scattered among three or four different statistical identifiers. In December 2019, New York Gov. Andrew Cuomo vetoed a bill that would require state agencies to disaggregate and collect data on Asian American and Pacific Islanders of different ethnic backgrounds. As a result, this issue continues to be important and the 2020 census needs to take the differences of these groups into account. The different poverty rates of Filipinos in different regions demonstrate that.

Julia Stephens
Photo: Flickr

The road to peace in sudanPeace in Sudan has proven to be a challenging goal. Sudan has been fraught with violence from the beginning. British and Egyptian forces relinquished Sudan in 1956. With imperialistically-sanctioned divisions between the north and south and little institutional direction, the new nation was immediately thrown into confusion and instability. The first military coup occurred two years after independence. Since then, peace in Sudan has been an abstract concept that the nation desperately needs but has only seen intermittently.

Conflict after Conflict

Economically, Sudan has been heavily reliant on oil since the discovery of oil fields in what is now South Sudan. The country began exporting oil in 1999. Ultimately, Sudan secured the industry’s overwhelming importance in the accumulation of the country’s revenue. In 2011, oil exports accounted for 98 percent of the revenue for the southern government. The discovery of oil has had a longstanding effect on tensions between the north and south, specifically, regarding who controls the trade and reaps the subsequent benefits. Although oil reserves are abundant in the south, the north established the refineries and trade hubs.

Frustrations over the regions’ codependency have manifested in intense fighting between the north and south.  Conflicts over the small, oil-rich region of Abyei in 2002 is a good example. The oil industry has remained at the core of the lack of peace in Sudan because of its role in perpetuating regional struggles.

South Sudan

The conflict between northern and southern Sudan was not brought upon merely by oil. For more than 50 years, South Sudan was overwhelmed with civil wars, experiencing only brief periods of peace. The first civil war began in this region in 1962. Unfortunately, conflict is still prevalent in the country today. This decades-old conflict now consists of unending violence and countless accounts of human rights violations. The U.N. reported events taking place in the country such as ethnic and sexual violence, which may amount to be war crimes. These circumstances serve as a consistent threat to solidarity or reconciliation in Sudan.

The Sudanese civil war was largely due to colonizer-enforced divisions between northern Muslims, southern Christians and Animists. In fact, former president Omar al-Bashir was responsible for the unrelenting assault on the lives of southern Sudanese. For 30 years, Sudan was under the control of Omar al-Bashir, who ruled ruthlessly as a pro-Arab dictator in continuous oppression and violations of human rights. Beginning in February of 2003, he brutally ordered the systematic killings at Darfur, a region in western Sudan.

Anti-government groups accused the al-Bashir administration of neglect. Subsequently, an onslaught of ethnic cleansing ensued, displacing more than 3 million people and taking the lives of over 400,000. The conflict ended only when South Sudan was at last granted independence through a referendum obtaining the backing of 99 percent of voters in 2011. However, the longstanding friction between the north and south still plagues the two countries today.

Glimpses of Peace and Hope

There have been many attempts to end conflict and strife in order to protect the lives of Sudanese directly affected by the ongoing violence perpetrated by dictatorship, neglect and oppression. The U.N. Security Council intervened in 2003, in order to provide humanitarian relief in an attempt to stabilize the region. For example, in Darfur, it created the United Nations Hybrid Operation in Darfur (UNAMID) in 2007, which allows for current, ongoing facilitation of peace talks between rebel groups and the government of Sudan. UNAMID has allowed for peacekeeping operations to provide mediation to conflicting groups and aid to civilians affected by continuing violence.

A breath of fresh air came in 2005 when the Government of Sudan and the Sudan People’s Liberation Movement signed the Comprehensive Peace Agreement in a historic resolution to lead the country on a road to development and stability. This was the start of a hopeful understanding between conflicting groups in Sudan to invest in the distribution of resources in order to begin bettering the lives of its people. Most recently, in 2019, the Transitional Government of Sudan and Darfur armed forces signed a peace agreement in an effort to express both sides’ willingness to establish peace in Sudan.

Sudan is seemingly seesawing between one conflict and another. Where peace is established or agreements are reached in one area, violence ensues elsewhere. Protests are not uncommon, but the people of Sudan are fighting for democracy and to bring attention to the necessity of elections and a civilian-led government. Peace in Sudan is not an impossible task. With the combined determination of international organizations and internal efforts to establish inclusive institutions, Sudan has hope of bringing itself out of its violent past.

Jessica Ball
Photo: Flickr

Health Improvements in Afghanistan
Conflict has torn Afghanistan apart. Like all conflicts, it is the innocent civilians that suffer the most. Afghanistan continues to face a great amount of insecurity within its borders. Yet, despite the harsh conditions that are an everyday reality for civilians, the country continues to make additional health improvements. Here are seven health improvements in Afghanistan.

7 Health Improvements in Afghanistan

  1. Increased Health Facilities: Readily available health facilities initiated health improvements in Afghanistan, according to the Senior Health Specialist at the World Bank, Ghulam Dastagir Sayed. As of 2003, there were only 500 health facilities available for Afghan civilians. As of 2018, that number skyrocketed to 2,500 facilities. These facilities are located all over Afghanistan, but USAID makes it clear that low-income populations and rural areas are the most important to reach.
  2. The International Midwife Association: NGOs in Afghanistan have trained over 4,000 community midwives around the country and provided them with the necessary information to provide anti-natal care, postnatal care,  deliveries and immunization services to the people of Afghanistan. The NGO International Midwife Association has helped women in Afghanistan. Before it provided this help, many women did not have the necessary knowledge and help to have a safe pregnancy.
  3. Infant Mortality Rate: Afghanistan has the highest infant mortality rate in the world. However, from the year 2003 to 2015 the number of children dying before their 5th birthday has dropped by a total of 34 percent. This has lowered deaths from 137 per 1,000 births to 91 per 1,000 births. Health services and a better health care system in Afghanistan have caused these numbers to drop.
  4. Pregnant Women: Health care available to pregnant women in the country has also been among the health improvements in Afghanistan. From 2010 to the year 2018, health professionals have seen pregnant women at an increase of 3.5 percent each year. Additionally, women’s use of contraceptives and the number of births that professionals aided increased by 2 percent during the same eight years. The Afghani government has launched effective national health campaigns that have educated Afghani women and led them to seek out professional help during pregnancy. Women in the country are benefiting greatly through these increased health services. From the year 2003 to 2015, the number of women dying per 100,000 births has reduced by 64 percent. Similar to the improved child mortality rate above, a better health care system that reaches and educates Afghan women about their health has caused these improvements.
  5. The Afghanistan Development Association (ADA): NGOs are working to contribute to health improvements in Afghanistan. Seventy-two percent of the NGOs in the country are Afghan and are on the front lines providing medical treatment. One such NGO is the Afghanistan Development Association. ADA provides development and humanitarian aid to the country of Afghanistan.
  6. Drug Availability: Drug availability has risen in the country. It rose from 13.8 percent in the years from 2004 to 2010 and an additional 0.6 percent in the years 2011 to 2016. The government established the National Medicine and Health Products Regulatory Authority (NMHRA) that regulates medicines and other health products. This is one such program that is helping medicinal drug availability. Many Afghans have had to resort to smuggling medicinal drugs from neighboring countries or rely on traditional medicine. While Afghanistan has improved this problem, it can only continue its progress through programs like the NMHRA.
  7. Patient Counselling: Patient counseling is an important part of health care. From 2004 to 2010, patient counseling saw an increase of 6 percent annually followed by an additional 1.3 annually between the years 2011 and 2016. Patient counseling is important in the realm of family planning and child services.

While Afghanistan is still a country with many problems, one cannot deny that the progress it is making deserves celebration. The Afghan government partly made many of these improvements by actively engaging NGOs to tackle the health issues within its borders.

Jacob E. Lee
Photo: Wikimedia Commons

 

Poverty Reduction Strategy of Tanzania
Recently, the World Bank released its list of nations that most successfully reduced domestic poverty from 2000-2015. The top five countries reduced poverty between 3.2 percent and 2.6 percent between 2000 and 2015, with Tanzania reducing the highest percentage. The top fifteen countries lifted 802.1 million individuals out of poverty. This article outlines the successful poverty reduction strategy of Tanzania and international support that caused the most drastic reductions in poverty around the world.

History of Tanzanian Poverty

Historically, Tanzania has been one of the most impoverished countries in the world. In 2000, 86 percent of Tanzanians were impoverished, but this number dropped to 28 percent in 2018.

Tanzania reduced poverty by 3.2 percent in 11 years, making it the country that reduced poverty the most in the last 15 years. The poverty reduction strategy of Tanzania is due to three elements: reducing income poverty, increasing access to basic necessities and improving government infrastructure.

Economic Growth

The first strategy focuses on sustainable economic growth, which includes decreasing inflation and focusing on growing parts of the economy that have the largest poor population. The employment and empowerment programs utilized in these strategies focus on agriculture, manufacturing, mining and tourism in addition to macroeconomic growth in exports and imports. Between 2000 and 2015, Tanzania’s export volume grew from 120 to 272, making it the world’s 130th largest exporter. This successfully increased Tanzania’s GDP from $13.3 billion to $47.3 billion.

Tanzania’s unemployment rate dropped from 12.9 percent in 2001 to 10.3 percent in 2014, because of the liquid capital that injected into Tanzania’s economy, a focus on job creation and an industrial transition that opened new jobs. The economic focus of the Tanzanian government lifted thousands of individuals out of poverty and made it the seventh-largest economy in Africa.

The Impoverished Individual

The second strategy focuses on the personal needs of those in poverty. Poverty reduction efforts seek to increase the quality of life and ensure that those in poverty have access to social welfare. Efforts concentrated on education, clean water, sanitation and health services. Because of these efforts, Tanzania increased the number of individuals who had access to clean water by 9 percent between 1990 and 2009. In the same period of time, Tanzania’s health care became more accessible. As a result, child mortality rates dropped from 162 to 108, infant mortality rates dropped from 99 to 68 and the rate of malaria contraction dropped from 40.9 percent to 40.1 percent.

Another poverty reduction strategy focused on education. Tanzania made education more accessible by increasing funding for education, bettering its transportation mechanisms (including roads) and emphasizing vocational education and education for girls. This focus on education increased school enrollment from 68.8 percent in 2000 to 84.6 percent in 2015.

Tanzania’s Commitment to its People

The third strategy is one of the governmental commitments to the impoverished Tanzanian people. This included ensuring the enforcement of the law, the accountability of the government for its people and the prioritizing of stability in order to avoid poverty. The IMF reported that Tanzania has become more accountable to its people, less corrupt and has increased citizen participation in governance, thus ensuring an effective political framework.

International Participation in Tanzania’s Poverty Reduction Strategies

The international community was critical to Tanzania’s successful poverty reduction. The United States, Tanzania’s largest source of aid, began giving Tanzania foreign aid in 2006. In that year, the U.S. gave $151.29 million. This number increased every year, with the U.S. giving Tanzania $633.5 million in aid in 2015. This aid has consistently gone towards the very areas in which Tanzania has seen the most improvement: humanitarian aid, governance, education, economic development and health.

While Tanzania still has a long way to go until it completely eliminates poverty, it has made significant progress since the beginning of the millennium. The poverty reduction strategies of Tanzania, including economic growth, investment in individuals and infrastructure and governance development, have been successful to a great extent. International aid has consistently been a contributing factor to Tanzania’s ability to reduce poverty and has successfully targeted the areas in which Tanzania required the most improvement.

–  Denise Sprimont
Photo: Flickr

Honduras Life Expectancy
Honduras is a Central American country with a population of nearly 10 million people. Though the country has faced extreme poverty and disease, there have been significant signs of improvement in the country’s overall quality of life. These 10 facts about life expectancy in Honduras detail the improvements the country has made throughout its history.

10 Facts About Life Expectancy in Honduras

  1. Life expectancy is increasing. The life expectancy in Honduras has increased by almost a decade in the past 30 years. According to the 2019 Human Development Report from the United Nations Development Programme, the life expectancy at birth in 1990 was 66.7 years and rose to 75.1 years by 2018.
  2. Some of the top causes of premature death in Honduras are significantly lower than the average global comparison. The rate of deaths due to diarrheal diseases is 584.4 per 100,000, while the global average is more than 1,000. Similarly, the rate of deaths from stroke is less than 1,000 per 100,000, while the average is more than 1,800. Finally, the rate of deaths due to lower respiratory infections is 388.7 per 100,000, while the average is almost 2,000.
  3. The average years of schooling in Honduras has increased by more than three years since 1990. In 1990, the average years of schooling were only three and a half. In 2018, the average was more than six and a half. An increase in education often leads to higher-paying job opportunities, and therefore, access to better health care. Since 1957, the government of Honduras has had free primary school, which has led to a literacy rate of 83 percent.
  4. According to the Economic Commission for Latin America and the Caribbean (ECLAC), Honduras has a low public investment in health per capita. The country currently ranks second in Central America and fourth in Latin America. The Latin American and Caribbean average is about $392 per person, while Honduras lies at about $101 per person.
  5. The mortality rates of both infants and children under 5 have both declined in the last 30 years. In 1990, the mortality rate in children under 5 was 53.4 per 1,000 live births. In 2017, the rate was just 14.6. For children under the age of 1, the mortality rate was 41.3 per 1,000 live births in 1990, which decreased to 11.6 in 2017.
  6. Some of the leading causes of premature death in Honduras include heart disease (41.6 percent), stroke (38.7 percent), violence (15 percent), road injury (16.4 percent), respiratory infections (2.5 percent) and other diseases. However, the World Bank approved the Country Partnership Framework for the country in 2015, which objectives include increasing access to finances, improving farming productivity and improving local governments to prevent violence and crime. The World Bank’s portfolio of the country is $259 million.
  7. The Honduras Social Security Institute (IHSS) has plans to expand its health facilities. The IHSS currently provides the public health system for about 37.1 percent of the working population. The institute currently has two public specialty hospitals and 10 outpatient facilities.
  8. In 2017, the World Bank reported that there were 0.314 physicians per 1,000 people in Honduras. Comparatively, Guatemala reported 0.355 physicians per 1,000 people.
  9. In 2015, the National Congress approved the Framework Law on Social Protection. This is the first time in Honduras that there was ever a law to define the national health care system. The multi-pillar law aims to extend health insurance, unemployment insurance and workmanship compensation to the working population, as well as Hondurans living in poverty.
  10. The Human Development Index (HDI), which measures the quality of life, health and wellbeing in Honduras, has increased from 0.508 to 0.623 from 1990 to 2018. To compare, Guatemala had a rating of 0.651, El Salvador a 0.667 rating and Haiti a 0.503 rating.

Although Honduras still needs to make progress in health care and safe water access, it has made a lot of improvements for its citizens in recent years. Honduras should be able to continue ensuring a long, healthy life for its citizens by continuing its improvements.

– Alyson Kaufman
Photo: Pixabay

Life expectancy in Bosnia and Herzegovina
Bosnia and Herzegovina is a country located in the Balkan region of Eastern Europe. The country has been one of the center points of the Yugoslavian Wars that tore across the area in the 1990s. It was the location of countless atrocities, such as the massacre at Srebrenica in 1995. The impact of these events still exists across the country today, despite 25 years of improvements and advancements. Part of this impact was the reduction in life expectancy in Bosnia and Herzegovina.

10 Facts About Life Expectancy in Bosnia and Herzegovina

  1. Life Expectancy: Life expectancy in Bosnia and Herzegovina is around 77 years. This is more than most of the other countries in the Balkans, surpassed only by Greece, Montenegro and Croatia. However, in the European Union, life expectancy is the average of 81 or the Balkan average of 77. All of the Balkan countries are above the world average of 72 years despite genocide and war afflicting them.
  2. Instability: The country’s average life expectancy was on a linear growth before the wars and peaked at 71.6 in 1987. However, the loss of life and general prosperity from the instability of late Yugoslavia followed by the violence of the wars and genocide caused a massive dip in this figure. In fact, its life expectancy did not return to prewar figures until 1995.
  3. Reduced Life Expectancy: Before the war, the population peaked at 4.5 million people in 1989. In contrast, up to an estimated 300,000 fatalities massively dented this figure. By 1996, a quarter of the pre-war population displaced while around 1.2 million fled the country in a mass migration. Additionally, high-income families generally have a higher life expectancy which links to the reason behind the life expectancy loss.
  4. Life Expectancy Growth: Life expectancy in Bosnia and Herzegovina has grown by 6.6 percent from 1996 until 2017. This is slower than the world growth of 8.7 percent in the same time frame. This is likely due to poor economic growth and countless health issues.
  5. Air Pollution: Large amounts of air pollution result in many premature deaths. It also reduces general life expectancy in Bosnia and Herzegovina by at least 1.1 years overall. Poor control over energy generation pollution output has cost the people of the country 130,000 years of life overall in the last 10 years. This is due to poorer respiratory health and increased incidences of lung cancers. To combat this, cities and decisionmakers within the country are coordinating with an organization like the U.N. Environment. They will switch energy production from polluting sources such as old coal generators to renewables. For example, the project District Heating in Cities Initiative is attempting to replace the heating oil system of the city Banja Luka to biomass generators. This will cut emissions by 90 percent.
  6. Life Expectancy Disparities Between Genders: The differences in life expectancy between genders are significant. As men live an average of 74.6 years, while women live five years more on average at 79.5 years. This is likely caused by various social conditions such as the expectation for men to take on more dangerous jobs. In addition, suicide rates are disparately high in men compared to women.
  7. Death Rate: Bosnia has a very high death rate. It is the 39th highest in the world at 10 deaths for every 1,000 people. This is due to air pollution, destroyed infrastructure from the war and water shortages. Also, many areas of the country have poorly rebuilt electric networks and poor train lines or road systems. Due to this, reactive health care has suffered in many areas, making it impossible for people to get to hospitals. However, with investments and concentrated efforts, this has been changing for the better. As the country rebuilds train lines and improves roads, motorway fatalities have gone from dozens a year to simply two in 2014.
  8. The Poverty Rate: The poverty rate in the country is 2.2 percent, but lack of health does not contribute greatly to its poverty rate. This means many of those in poverty do not struggle with health care issues. This is due to the fact that the government provides health insurance to even the unemployed, reducing out-of-pocket costs for the country’s poor on these issues.
  9. Health Care Spending: The majority of health care spending in the country is government spending. Around 71 percent of all health care spending is public funding. Of the 29 percent private expenditures, nearly all of it is purchases of household health materials such as bandages and medicine. Meanwhile, the country spends 1 percent on other expenses, indicating that these private expenses are less likely to be costly affairs that may serve to hurt the financial stature of citizens.
  10. Preventative Care: Preventative care is minimal in the country as programs like education and advising programs, immunization programs, epidemiological monitoring and disease risk control and disaster response programs only make up 1.8 percent of total health care funding. This likely plays a large part in the death rate as preventative care is extremely important in ensuring long lifespans. However, the government of Bosnia and Herzegovina and the European Union have been working in tandem with NGO projects to boost immunizations in the country including World TB Day, Immunization Week, Anti-TB Week and World AIDS Day. Additionally, the aim is to build trust in vaccines amongst the general populace.

These 10 facts show how damaging the war has been on the general health and lifespan of the population. While the years since have seen improvements, they have not been enough to bring Bosnia and Herzegovina to par with the rest of the world. Damaged public infrastructure, lack of focus on preventative care and deteriorating environmental conditions are some of the primary reasons behind the slow increase of the country’s life expectancy.

– Neil Singh
Photo: Flickr

 

5 Mental Health Effects of the Yazidi Genocide
In the past few years, the Yazidi populations of northern Iraq and northern Syria have faced forced migration, war, the enslavement of women and girls and genocide. These traumatic events have resulted in several, severe psychological problems among Yazidis. A lack of adequate treatment and a prolonged sense of threat compounds the five mental health effects of the Yazidi genocide.

The Yazidis, a Kurdish religious minority, practice a non-Abrahamic, monotheistic religion called Yazidism. When the so-called Islamic State declared a caliphate in Iraq and Syria, it specifically targeted the Yazidis as non-Arab, non-Sunni Muslims. ISIS has committed atrocities against the Yazidis to the level of genocide, according to the United Nations Human Rights Council (UNHRC); these crimes included the enslavement of women and girls, torture and mass killings. This violence caused many Yazidis to suffer from severe mental health disorders.

5 Mental Health Effects of the Yazidi Genocide

  1. Disturbed Sleep: According to a study by Neuropsychiatrie, 71.1 percent of Yazidi refugee children and adolescents have reported difficulty sleeping due to the trauma they have experienced. These sleeping problems include trouble falling asleep, trouble staying asleep and nightmares. Children are afraid that if they fall asleep they will not wake up again. Importantly, disturbed sleep will worsen other problems, such as anxiety.
  2. Post Traumatic Stress Disorder: PTSD is one common mental illness that the Yazidi genocide caused. According to the European Journal of Psychotraumatology, 42.9 percent of those studied met the criteria for a PTSD diagnosis. Women and men experienced traumatic stress differently. Women with PTSD were more likely to show symptoms such as “flashbacks, hypervigilance, and intense psychological distress.” Men with PTSD more frequently expressed “feelings of detachment or estrangement from others.” Additionally, more women than men reported having PTSD. According to a study that BMC Medicine conducted, 80 percent of Yazidi women and girls who ISIS forced into sex slavery had PTSD.
  3. (Perceived) Social Rejection: Perpetrators of genocide have often employed systematic sexual violence against women to traumatize the persecuted population. In addition to the devastating injuries women experience, they also suffer from several psychological disorders, including PTSD, anxiety, depression and social rejection. Families and communities frequently reject survivors; Yazidi women who suffered enslavement perceive social rejection and exclusion from their communities at high rates. For instance, 40 percent of Yazidi women that BMC interviewed avoid social situations for fear of stigmatization, and 44.6 percent of women feel “extremely excluded” by their community. Social support is a crucial way to alleviate some of the pain from sexual violence and enslavement since rejection from their community magnifies the likelihood that girls will experience depression. Thus, social support, such as community activities organized by schools, can help by decreasing the factors that worsen psychological disorders like depression and by increasing the rate at which girls report instances of sexual violence.
  4. Depression: The Neuropsychiatrie researchers also found that one-third of the children they studied had a depressive disorder. In another study by Tekin et al., researchers found that 40 percent of Yazidi refugees in Turkey suffered from severe depression. Similarly, a 2018 Médecins Sans Frontières (MSF/Doctors without Borders) study in Sinuni found that every family surveyed had at least one member who suffered from a mental illness. The most common problem was depression. As a response to the growing mental health problems among Yazidis, MSF has been providing emergency and maternity services to people at the Sinuni General Hospital since December 2018. MSF has set up mobile mental health clinics for those displaced on Sinjar mountain and provides services such as group sessions for patients. In 2019, MSF health care officials conducted 9,770 emergency room consultations, declared 6,390 people in need of further treatment in the inpatient wards and have helped 475 pregnant women give birth safely. While MSF has increased its health care activities in the region, there are still people on the waiting list to receive treatment.
  5. Suicide: Since the ISIS takeover of the Sinjar region of Northern Iraq, the Yazidis’ historical homeland, the incidents of suicide and suicide attempts among Yazidis have increased substantially according to Médecins Sans Frontières. The methods of suicide or attempted suicide include drinking poison, hanging oneself and drug overdose. Many Yazidis, particularly women, have set themselves on fire. To alleviate this uptick in suicide and other negative mental health effects, MSF increased its presence in the area and offered psychiatric and psychological health care. Since the start of this initiative in late 2018, MSF has treated 286 people, 200 of whom still receive treatment today.

In the aftermath of ISIS’ genocide against the Yazidis of northern Iraq and northern Syria, many survivors have experienced mental health problems stemming from the trauma. These genocidal atrocities will have long-term psychological effects on the Yazidis, but such issues can be mitigated by psychological care. The five mental health effects of the Yazidi genocide outlined above prove the necessity of such health care for populations that have endured genocide and extreme violence.

– Sarah Frazer
Photo: Flickr

 

Public Health in Mali
Mali is a nation that has had both ups and downs in recent decades where public health is concerned. Food and waterborne diseases are particularly problematic within the country. The degree of risk for attracting some sort of major illness or infection within Mali is very high. Among the top 10 causes of death in Mali are neonatal disorders, malaria, malnutrition and lower respiratory infections. Many of the issues surrounding public health in Mali largely correlate with access to food and clean drinking water.

Centers for Disease Control and Prevention (CDC)

The CDC has been working in a close partnership with the country since 1996 in an effort to provide aid for public health in Mali. A CDC epidemiologist first began working with Mali on stopping diseases like smallpox and measles. However, its mission within the nation’s borders has expanded. One goal of the CDC’s current partnership with the nation is to improve public health in Mali. The CDC is expanding access to solutions for vaccine-preventable illnesses and other leading causes of death. Another goal is strengthening the country’s laboratory and workforce capacity to help it be more prepared for disease outbreaks.

The U.S. Agency for International Development (USAID)

Despite some serious achievements within the health sector of the country, public health in Mali still remains one of the largest concerns within its borders. The newest strategy under the U.S. Agency for International Development focuses heavily on development within the region in several different ways. It prioritizes the comprehensive packaging of high-impact health services at the community level and pushes for making said necessary health initiatives accessible to those who need it the most. Additionally, the organization supports the goals of the U.S. Government Global Health Initiative. The organization is continuously looking for ways to improve public health by making effective, quality health services to Mali’s citizens.

Prioritizing Mothers and Children

Even more specifically, Mali and initiatives must give special attention to mothers and children within the country as part of any approach to improving public health in Mali. Some organizations prioritize this above all else, like Mali Health. Its approach focuses on promoting financial health and stability. Mali Health removes financial barriers that stand in the way for many citizens of Mali. The thinking behind this approach is that with fewer financial barriers posing as obstacles for mothers, they will be able to seek out medical care for themselves and their children easier than it may have been previously to do so. Approaching public health in Mali primarily by tackling issues that heavily affect mothers and children first is an intuitive idea. Doing so means that healthier mothers are able to raise healthier children. The children will live and thrive past the years where certain illnesses can be particularly deadly. In addition, when more children survive and thrive, it leads to successes in Mali’s workforce, population growth and economic growth.

Clean Water in Mali

Another integral approach to solving the issues which plague public health in Mali is one that focuses primarily on clean water. Diarrheal diseases are especially lethal and often emerge out of a lack of access to clean and safe drinking water. One nonprofit organization, Medicine for Mali, has drilled 28 clean water wells within the country in hopes of providing cleaner water to its citizens. Solar even powers some of these wells and the organization has provided training within the villages it services so that users know how to maintain and repair the wells. It is through organizations like these that profound impacts are visible on public health in Mali. The implementation of health services and wells can change the lives of thousands of people all at once. This sparks a movement to help a nation on its path to growth.

Like many other countries, Mali still needs improvement in order to become substantially healthier. Public health in Mali still faces many issues. The real challenge lies in ensuring that clean drinking water, necessary medications and vaccinations and preventive health services are accessible throughout the country. The country should undoubtedly achieve this through the combined efforts of nonprofit organizations, its government, its citizens and foreign aid agencies in the U.S.

Hannah Easley
Photo: Flickr

Gates Foundation Poverty China
Former Microsoft CEO Bill Gates and his wife, Melinda, have used their private organization, The Bill and Melinda Gates Foundation, to aid China in its goal to eradicate poverty by 2020. Meanwhile, China has had several issues that have contributed to its problems with poverty, including its transition to becoming a more urbanized country back in 2012. The urban population has risen to 52%, which is more than the rural population at 48%. People continue to move into urban sections of the country in search of better-paying jobs. This becomes a problem as poverty increases as people end up taking underpaying jobs while the cost of living also goes up. Another problem was that 170,000 students attended school in 2010 in Shanghai, while more than three times that amount worked on farms in that same city.

The Game Plan

The Gates Foundation Poverty China project launched a campaign called Goalkeepers to help quicken the process towards ending not only poverty but also inequality and injustice. This coincides with helping achieve the United Nations Sustainable Development Goals (SDGs), which include gaining quality education, clean water and sanitation, along with universal health care for all.

Despite the issues that a more urbanized China has, it has produced positive results during the past 70 years by lifting more than 850 million people out of poverty over a span of 40 years. Meanwhile, others have developed their own plans to get themselves out of poverty by using business sense. One example is when a local Shibadong farmer named Shi Quanhou worked his way out of poverty by running an agritainment farm.

Agritainment is a compound word for farms that include both agriculture and entertainment. These farms might include pumpkin patches, petting zoos and corn mazes, among other attractions for a family-friendly atmosphere. Although one cannot say this about other farmers, Quanzhou underwent this plan in a desperate measure to help him provide a more secure and prosperous life for his family. Farmers have also found a 12.1% increase in their income by transitioning their farms to agritainment farms.

China’s Success

Furthermore, assigned teams have gone to farms and villages to investigate how those areas are performing, making sure that those with struggling land receive assistance. China has also promoted poverty alleviation, which includes e-commerce and providing employment opportunities for more than 2.5 million people. It also originated more than 30,000 poverty reduction workshops and classes in order for attendees to gain employment close to home.

With many people still underprivileged, The Gates Foundation Poverty China project also offered its support during this stretch with three solutions that incorporate working with government agencies, advocating for financial services, health care and childhood nutrition. The organization also added a partnership with the State Council Leading Group Office of Poverty Alleviation and Development to research how to remedy these issues through experience within China and also between China and other countries. Establishing stronger platforms that encourage participation in the relief efforts to end poverty has also been part of its long-term plan. The Gates Foundation Poverty China is closing in on completing what could very well be the largest turnaround of this global issue in the world’s history.

Helping Health

The Gates Foundation Poverty China plan includes a $33 million grant to combat tuberculosis to the Chinese Ministry of Health. This partnership intends to better detect tuberculosis cases and find a cure for those suffering from it. With more than 1.5 million cases each year, this partnership is providing innovative tests, along with patient monitoring strategies to deliver improved treatment and diagnoses across the country.

Additionally, China has developed a plan to decrease TB by creating The Chinese Infectious and Endemic Disease Control Project (IEDC) back in 1991. The World Bank partly funded $58 million to it and the World Health Organization (WHO) developed it in 1989. The IEDC was a booming success, curing 85% of identified patients within two years of its implementation. TB cases decreased by more than 36% between 1990 and 2000, about 4.1% each year.

Infinite Improvement

People have widely recognized China for its dramatic improvement. U.N. Secretary-General Antonio Guterres pointed out that China has contributed the most to its cause over the last decade. This turnaround means that the livelihoods of many will boost China’s economy and build a more prosperous nation. With that plan in motion, China has almost eradicated rural poverty by refocusing on areas where the poorest live in places with poor infrastructure and have special needs. China went from a staggering 97.5% in 1978 to a meager 3.1% among the rural population at the end of 2017.

With 2020 already underway, President Xi Jinping has informed the Chinese people that anyone in an impoverished state should receive medical benefits, such as insurance, aid and allowances. With the Gates Foundation Poverty China plan and China’s campaigns and multiple partnerships with local governments, China’s ability to avert its national catastrophe will not only gain global attention from other suffering countries or have more fortunate nations lend a hand, but will be able to lend help of its own.

Tom Cintula
Photo: Flickr