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Global Health

Updates on SDG Goal 14 in Paraguay

SDG Goal 14Paraguay, a landlocked country in central South America, relies heavily on the Paraguay River for water and marine resources. The river is vital for Paraguayans but is becoming increasingly vulnerable to pollution and overdevelopment. This led to the achievement of the U.N.’s Sustainable Development Goals (SDG). The Paraguay Ministry of Environment and Sustainable Development and the city of Asunción started the Asunción Green City of the Americas — Pathways to Sustainability project. It was started to protect the river and to help reach U.N.’s SDG Goal 14 in Paraguay called “life below water.”

Purpose of the Sustainable Development Goals

The UN introduced its 17 SDGs to lay out a blueprint to achieve a more sustainable future by 2030. Together they work to address social, economic and environmental challenges that the world faces and move towards a sustainable future. Goal 14 is to conserve and sustainably use the oceans, seas and marine resources. With more than three billion people dependent on marine resources globally, this goal is essential to a sustainable future.

Water quality, area of protected space, biodiversity threats and levels of overfishing and other indicators measure SDG Goal 14. Paraguay has struggled with water quality. Although it has some protected wildlife reserves near water, many species are critically endangered and biodiversity has been decreasing.

About the Paraguay River and Asunción

Paraguay is a landlocked country. As a result, achieving SDG Goal 14 in Paraguay requires protecting its freshwater and river systems. The Paraguay River flows from north to south throughout the entire country. It plays an important role in the freshwater system and its health is vital to the achievement of SDG Goal 14 in Paraguay. Farmers and fishermen rely on the river and it provides a significant portion of water to the Pantanal, the largest tropical wetland in the world.

Additionally, in recent decades the river has suffered from increased levels of development and pollution due to things like untreated sewage and garbage entering the river. Poor infrastructure and management of waste lead to these items entering the river system. This harms habitat and reduces water quality. These problems are particularly prevalent in the city of Asunción. Asunción is the capital of Paraguay located on the western side of the nation. The city sits on the bank of the Paraguay River and is home to a rich variety of bird species including many migratory birds during parts of the year. The wetlands near Asunción support many other species and protect the city from flooding. The river and wetlands benefit the community by providing a source of jobs including fishing and tours as well.

The Health of the Paraguay River

Furthermore, the health of the Paraguay River near Asunción has been a concern of the community for decades. Untreated sewage as well as garbage from many landfills make their way into the river. In 2005, the Ecological Reserve of Banco San Miguel and Bahía de Asunción was created to protect the wetland ecosystem along the river. It was also a place for endangered migratory birds to rest.

The creation of the reserve was an effective first step. However, the measures taken were insufficient. Few resources were used to reverse the existing damage. With the health of the river decreasing, Paraguay was not on track to meet SDG Goal 14 by 2030. The Ministry of Environment and Sustainable Development teamed up with city officials from Asunción. With support from the U.N., it created the Asunción Green City of the Americas — Pathways to Sustainability project.

The plan aims to address multiple issues including waste management, transportation and habitat protection in order to benefit the people and wild animals near Asunción. Improved bus systems as well as walking and bicycling networks would benefit the communities of Asunción and reduce harmful emissions. Better waste management will reduce citizens’ exposure to harmful chemicals. It will also help preserve the health of the river and wetland ecosystem.

 

Overall, adequate protection and maintenance of the ecological reserves on the river along with improved waste management and transportation are important. With them, the Paraguay River can maintain its essential role for ecosystems and the people of Asunción. The Ministry of Environment and Sustainable Development needs to continue to work hard to protect the Paraguay River and help achieve SDG Goal 14 in Paraguay.

– William Dormer
Photo: Wikimedia Commons

September 7, 2020
https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg 0 0 Kim Thelwell https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg Kim Thelwell2020-09-07 11:07:282020-09-07 11:07:28Updates on SDG Goal 14 in Paraguay
Global Poverty

Accessing Medical Care in Mexico

Medical Care in MexicoMexico, a country with a rich and expressive culture, is populated with over 129 million people. However, amongst the 129 million people, there are people who do not have health coverage. Although medical care in Mexico has made advances to improve its system over the years, access to medical care remains a concern for the people of Mexico who cannot afford the costs to see a doctor.

IMSS in Mexico

Mexico has private practices, hospitals and physicians working in the healthcare system. The medical employees are trained. They also have experience working in the U.S. and Europe. Mexico’s national healthcare system includes The Instituto Mexicano del Seguro Social, or the IMSS system. It translates to the Mexican Institute of Social Security.

The IMSS system is a part of the national Social Security and focuses on helping employees and employers. Reportedly, applying to be a part of the IMSS system costs about $40 a month. People with pre-existing medical conditions are less likely to be accepted when applying.

Seguro Popular in Mexico

Seguro Popular is the second option people have to get assistance and coverage with medical care in Mexico. It targets people who did not qualify for the IMSS system or cannot afford the costs. Unemployed and ill individuals are already a focus for being part of the program. Fees to participate in Seguro Popular vary depending on household income.

According to the World Bank, in 2002, only half of the Mexican population benefited from health insurance. With Seguro Popular’s efforts to help those underprivileged, the insurance sought to help up to 55.6 million people by 2013. By 2013, 22.8 million people were also able to receive a screening for diabetes and high blood pressure. Millions of people who were unable to receive assistance before the establishment of Seguro Popular are able to now. The percentage of poor people that received help from Seguro Popular grew from 42.3% in 2008 to 72.32% in 2012. Although Seguro Popular has helped many people in need with medical assistance, there remains an issue of access for unemployed people below the poverty line.

Medical Costs and Poverty in Mexico

On average, access to prescription drugs is 30% to 60% less than the U.S charges; however, the prices remain challenging to afford for poor individuals.

Above 40% of people living in Mexico are living under the poverty line. Dozens of poor people live with less than $2 a day, and those who are extremely poor are living at $1 a day. Millions of children in Mexico are poor. Over 20 million children and teens being poor and five million are extremely poor.

Some people cannot apply for programs such as IMSS and Seguro Popular because of their inability to access the internet or afford transportation costs to get to medical facilities. Although there are over 80 million people who have access to the internet in Mexico, there are still millions of others without access.

 

As the country advances technologically and medically, more people will continue to access medical care in Mexico whether it be through a public or private practice. However, the poor and extremely poor remain groups who cannot be forgotten about.

– Amanda Cruz
Photo: Wikipedia

September 7, 2020
https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg 0 0 Kim Thelwell https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg Kim Thelwell2020-09-07 11:03:032020-09-07 11:03:02Accessing Medical Care in Mexico
Global Poverty

Uganda’s 2021 Scientific Election

Uganda’s 2021 Scientific ElectionsBeing in office for over 30 years, Ugandan President Yoweri Museveni has implemented limitations on the nation’s 2021 parliamentary elections. Due to the outbreak of COVID-19 worldwide, the President has decided to enforce a “scientific election.” The scientific campaign is encouraging to ensure the nation’s safety during the pandemic. With that said, Ugandans have grown increasingly more dubious towards President Museveni over the years. Thus, this election year has erupted anger among citizens, as well as concerns over the potential motives. Here is what you need to know about Uganda’s president and the upcoming election.

Politics in Uganda

Uganda, a presidential republic, has universal suffrage for all citizens over the age of 18. As a multi-party system, Ugandan politics remain democratic. With that said, a 2019 study conducted by a civil action group, Democratic Action and Engagement, stated that the 2021 election may bring unrest amid civilians and authorities. Around 89% of the 450 interviewed stated that they were fearful of the violence the upcoming election may bring. This is due to a handful of issues Ugandans face daily.

Said-issues include a “lack of electoral reform” as stated by VOA News. Electoral reform has been a large concern for Ugandans since 2006. While there have been movements towards reform, citizens are also concerned about security agencies’ presence in partisan politics and tribal unrest.

As mentioned in Democracy in Africa, President Museveni has faced significant opposition for many years. Around 76% of Ugandans live in rural areas. These citizens are less likely to stay up-to-date about political activity and the desired reforms in urban areas. This “winning strategy,” as described by Democracy in Africa, has created a political bias for many years. Considering 2021’s scientific elections, this bias may persist even further given the lack of resources to stay informed in rural areas.

COVID-19 Impact on 2021 Election

As with many worldly events, the global pandemic has impacted Uganda’s parliamentary general election. To keep Ugandans safe from COVID-19, President Museveni has enforced “scientific elections.” Ultimately, Uganda’s 2021 elections will be almost entirely virtual. Citizens will vote for their leaders through radios, TV and other social media sites. This is the currently proposed safest way to endure an election, as large gatherings are not permitted.

While many recognize the importance of social distancing, Ugandans are skeptical about the election’s validity. Specifically, Ugandan politician Robert Kyagulanyi, also known as Bobi Wine, stated his concerns regarding a scientific election. According to The Observer, Kyagulanyi feels as though normal elections can be held as many other countries have done so safely. As of June 2020, Uganda saw less than 1,000 COVID-19 cases and no deaths. Politicians and citizens alike feel as though a scientific election is unnesscary at this time.

Concerns for a Scientific Election

Utilizing technology for something as important as a general election is inevitably accompanied by questions of the security and validity of the results. In a 2018 article, it mentions the incorporation of technology is done so mostly on the basis of “the fetishization of technology rather than by rigorous assessment of their effectiveness.” Considering the years of opposition against President Museveni and the desire to utilize technology despite effectiveness, perhaps enforcing a scientific election is another mode of creating bias within rural areas.

Senior research fellow Joseph Mukasa Ngubwagye of Advocates Coalition for Development and Environment (ACODE) emphasizes Uganda’s relatively minimal Coronavirus cases. In his own opinion, he believes that the Ugandan election may be executed as normal via masks and social distancing. Ngubwagye’s skepticism corresponds with many Ugandans, especially considering President Museveni’s history of public opposition.

COVID-19 has impacted politics across the globe. With the years of political anger that Ugandans have faced, a 2021 scientific election has proved to only further ignite frustration. Navigating an election during a global pandemic is difficult. However, Uganda may continue to see civilian unrest due to the history of bias. There still is time, though, to reroute the direction of the election year and give the voices back to Ugandans.

– Anna Hoban

Photo: Flickr

September 7, 2020
https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg 0 0 Kim Thelwell https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg Kim Thelwell2020-09-07 11:02:272020-09-07 11:02:27Uganda’s 2021 Scientific Election
Developing Countries, Global Poverty

Treating ASD in Developing Countries

ASD in Developing CountriesAutism Spectrum Disorder (ASD) awareness and subsequent treatment are much lower in developing countries than they are in the United States. Early intervention is crucial to treating this condition. However, in countries with low levels of awareness and limited resources, many children do not receive the attention they need to mitigate the effects of their ASD. A new prescription drug called bumetanide shows positive results in reducing core ASD symptoms. It might be a promising way to treat children with ASD in developing countries.

What is Autism Spectrum Disorder (ASD)?

Autism Spectrum Disorder (ASD) is a disorder that causes developmental delays due to atypical neurological development. In those affected by ASD, delays are identifiable in early childhood and persist throughout the lifespan, varying in intensity based on the severity of the disorder.

Some symptoms of ASD are atypical eye contact, repetitive behaviors and the inability to consistently understand social cues. They also include the difficulty in communication and cognitive impairment.

Many people with ASD are smart individuals capable of independently living. However, sometimes, the disorder prevents people from properly functioning or taking care of themselves. To ensure people with ASD are as successful as possible, doctors encourage early intervention that helps children learn skills to combat ASD. Intervention strategies teach these children how to communicate their thoughts and understand what others are thinking, as well as other general coping skills that offset the difficulties of ASD. The earlier these skills can be learned, the more beneficial and effective they are.

ASD in Developing Countries

ASD occurs worldwide, but many countries have strong stigmas against it that discourage openly treating or even talking about ASD. Additionally, there is a large deficit of information about ASD in developing countries. In many of these countries, doctors are not easily accessible. Even when they are, they are not properly trained on how to treat ASD. Thus, a large number of children and people in general with ASD remain undiagnosed and, consequently, untreated.

85% of people with ASD are estimated to live in developing countries. As a result, organizations such as the Global Autism Project strive to raise awareness of ASD. The Global Autism Project is in the process of training teachers to work with those with ASD in developing countries. This provides important tools for destigmatizing and diagnosing ASD.

However, studies have identified that the best intervention strategy currently obtainable is to provide information about behavioral treatment to family members. Providing them with this information allows them to implement the treatment. While this holds the potential for success, it has also been found that this is extremely hard to consistently execute in families that are suffering from poverty.

Bumetanide: A New Drug to Reduce ASD Symptoms

There are countries that lack these resources to holistically work with children with ASD. As a result, a new drug called bumetanide could improve symptoms. It could also work as a treatment system for those who lack other resources and options.

Bumetanide works to stabilize the ratio of two important neurotransmitters: GABA and glutamate. A study observed the effects of this drug. When bumetanide was implemented consistently in three to six-year-olds, the severity of their ASD symptoms declined. For example, many showed improved eye contact and cognitive processing. There are other prescription drugs that have been used to treat ASD, but they all cause multiple and sometimes severe side effects as well. Bumetanide had few side effects, with none proving to be severe.

 

The improved ratio of GABA to glutamate aids children with ASD in learning. It helps promote the development of healthy brain pathways. Forming these beneficial pathways early on can hold lifelong benefits by permanently improving brain development. Thus, bumetanide can serve as an accessible treatment for children with ASD in developing countries. It creates lasting improvements without requiring continuous doctor appointments and therapy sessions.

– Hannah Allbery
Photo: Flickr

September 7, 2020
https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg 0 0 Kim Thelwell https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg Kim Thelwell2020-09-07 11:00:572024-05-30 07:52:06Treating ASD in Developing Countries
Global Poverty, Hunger

How the UN World Food Program Endeavors to End Hunger Through Access

How the UN World Food Program Endeavors to End Hunger Through AccessAccording to the United Nations World Food Program, food production has risen to a point that enables the entire planet to be fed, even as the population is expected to grow. Yet, the world’s supply disproportionately meets the needs of all its inhabitants. Starvation kills more children in developing countries than some of the deadliest communicable diseases that are disseminating upon the impoverished. If the solution to starvation is not production than the solution must be to end hunger through access. The U.N. has put three plans into action based on this solution.

Warehouses of Hope

Warehouses of Hope is the U.N.’s first plan to end hunger through access. The former executive of the U.N. World Food Program, Josette Sheeran coined the phrase “Warehouses of Hope” which are essentially banks for food. The villages manage these banks. In addition, it can be unlocked with three different keys, entrusted to three different villagers. Although food assistance can help many people in many countries, food banks provide a more sustainable answer. Hundreds of villages have been able to independently provide for themselves and their children with these warehouses. The program is successful to the point that the villages established school feeding programs for the village children.

Lean season in developing countries is the time between harvests. It is when jobs, earnings and food all are in short supply. As a result, this can lead to severe cases of hunger and devastating effects on the community. The idea behind Warehouses of Hope is to take the food that is supplied in the banks out during the lean season. Additionally, the villager can put some of the food back during harvest with interest by adding 5-10% more to the warehouse. When the next lean season comes, the cycle repeats. the village can consistently end hunger through access.

One Meal in Exchange for Staying in School

The second plan to end hunger through access is One Meal in Exchange for Staying in School. School feeding programs have become much more of a priority in developing countries because it will set major advancements in motion towards reaching Millennium Development Goals (MDGs). While the program benefits are gaining more recognition, some communities face major obstacles in their ability to implement a school feeding program. The initiatives are costly. At the same time, in order for these programs to last, the communities need to be sure that they will be able to acquire local and consistent proportions of food.

In addition to supplying food, the children will benefit far more if interventions were put in place such as deworming. In addition, assuring that each child receives a proper amount of micronutrients in their meals will greatly benefit them. This will enhance children’s cognitive development. Moreover, the U.N. found that by offering one meal a day to children at school in developing countries, the enrollment escalated significantly, especially in young girls. Not only did it encourage attendance while providing crucial nutrition to these girls but it prolonged the span of their education. The program also decreased child marriage and nourished those who were pregnant. This will in turn decrease the risks of malnourished babies and concerning developmental consequences.

Digital Food

Digitial is the third plan of U.N.’s solution to end hunger through access. When food is available, the prices will rise. Consequently, this can still lead to scarcity amongst families in developing countries. The U.N.’s digital food cards replace the usual methods of food aid. Instead, it enables low-income families to go into regional markets and purchase nine items with the swipe of a card. Each purchase must be a locally produced and nutritious food item. These cards have created a significant rise in the dairy industry and a boost in local employment opportunities at shops and markets.

Maslow’s Hierarchy of Needs provides us with a foundational understanding of the incapacitating effects of hunger. It very much foretells a globally dim future as hunger continues to plague society. Imagine a world where peace, security and stability allow the underserved to thrive. Without a human’s basic needs being met, that solidity will remain wishful thinking.

– Amy Schlagel

Photo: Flickr

September 7, 2020
https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg 0 0 Kim Thelwell https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg Kim Thelwell2020-09-07 10:59:062020-09-07 11:00:00How the UN World Food Program Endeavors to End Hunger Through Access
Global Poverty

World Bank’s Project Restores Tunisian Oases

Tunisian OasesTunisia is home to over 200 oases located across the country’s southern governorates. These oases account for more than 40,000 hectares of agriculturally productive land and house 10% of the country’s population. In Southern Tunisia, oases provide food security and employment for local populations. In addition, they serve as trade centers that connect remote regions. However, several challenges threaten the biodiversity of Tunisian oases and the livelihood of residents. Rapid urbanization and monoculture farming have placed tremendous pressure on water resources and resulted in land degradation. As agricultural productivity decreases, young people migrate to the cities in search of better employment opportunities. The lack of proper management has also led many areas to fall into a state of neglect.

The Oases Ecosystems and Livelihoods Project

In 2014, the World Bank implemented the Oases Ecosystems and Livelihoods Project, better known by its French acronym GDEO. It is aimed at improving sustainable natural resources management and conserving the biodiversity of selected oases in southern Tunisia. Co-funded by the World Bank and the Global Environment Facility, the project’s total cost was estimated at 170.50 million USD. The initiative achieved stellar success. Various microprojects restored crucial irrigation systems, renewed water cycles and provided jobs for local residents. The number of beneficiaries totaled at 23,257, exceeding the initial target of 18,000.

Environmental Impact

Tunisian oases form a unique ecosystem ideal for the flourishing of diverse flora and fauna. This impressive biodiversity was endangered by monoculture practices on date farms. The practices used up natural water supplies and caused the loss of unique plant species and varieties. To remedy these harms, the GDEO implemented a total of 60 micro-projects that helped renovate irrigation infrastructure and protect the area against wild boars. They also helped to enforce pest management and diversify crop cultivation by introducing palm and fruit trees. Crop diversification significantly reduced land degradation, which contributed to sustaining the region’s ecosystems.

Furthermore, another key component of the plan is improving the management of oasis natural resources to protect against flooding and sand invasion. An additional component is scaling up sustainable land and water management (SLWM) practices to enhance agricultural productivity. As a result, SLWM practices transformed 900 hectares of land, exceeding the original target of 700 hectares.

Support for Farmers

The provision of training and tools to farmers has increased crop yields and sustained farmers’ livelihoods. They include introducing mechanical plows and organic fertilizers. In addition, farmers receive training on how to farm more efficiently through the implementation of “3-state agriculture.” This is a method of production that pays off with higher crop diversity and higher production within a limited space. More than 200 people participated in training programs, and 5056 farmers ended up adopting SLWM practices. Equipped with the right skills and tools, more and more young farmers now choose to stay and work in the oases. With knowledge of new farming techniques, farmers can profit more from their work while also being mindful of the ecosystem and natural resources.

Economic Empowerment

Most importantly, oasis renewal and rehabilitation enables local residents to earn a living through beneficial and profitable engagement with the local region. This offers an alternative to migration to urban centers. Community-based projects support a variety of farming and non-farming activities. These activities include craftsmanship, ovine fattening activities and beekeeping as well as cultural heritage conservation and ecotourism. “Jobs have been created–about half of them for women and youth,” said Taoufiq Bennouna, World Bank Senior Natural Resources Management Specialist. In total, more than 226 micro-projects focused on SLWM, conservation, artisanship and ecotourism development have resulted in 735 direct jobs and improved income.

 

Overall, the World Bank’s Tunisian Oases Ecosystems and Livelihoods Project has brought new life to Tunisian oases by preserving their diverse ecosystems and helping farmers maintain their livelihoods.

– Alice Nguyen
Photo: Flickr

September 7, 2020
https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg 0 0 Kim Thelwell https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg Kim Thelwell2020-09-07 10:55:512024-05-30 07:52:07World Bank’s Project Restores Tunisian Oases
Global Health

Healthcare Change Looms in Serbia 

A Healthcare Sea Change Looms in Serbia Serbia has become a coveted tourist destination and culturally diverse nation in southeast Europe. Healthcare in Serbia operated solely as a public, state-owned system for years. The Yugoslavian communist regime established many socialistic complexes before it dissolved in the 1990s. These complexes include social welfare, pensions for retired and disabled persons and unemployment forgiveness. While these systems have persevered into the modern-day, public healthcare in Serbia has changed dramatically for the worse since the division of Yugoslavia.

Healthcare in Serbia

Serbia has maintained a public healthcare system in the last thirty years. It has increasingly suffered from widespread dysfunction caused by a bevy of underlying problems. The Serbian Healthcare System (SHCS) does not receive enough funding. In addition, it relies mostly on compulsory citizen contribution in providing insurance for all. Nearly 70% of citizens have to surrender a portion of their income to the Health Insurance Fund. Meanwhile, the other 30% have their insurance covered by additional contributions rooted in pension plans. The system guarantees health care absent of copays as well as professionally trained staff. However, the insurance fund remains relatively low in available financing for upgrading equipment and building enough medical facilities. Healthcare in Serbia ranked last in the 2012 European Health Consumer Index.

Issues with Serbia’s Public Healthcare

According to data from the year prior, public hospital institutions held 5.7 beds per 1,000 population, and under 350 medical facilities existed in the entire country. Poor funding has led to a shortage of tenable services, equipment and basic drugs available in the public sector over time.

Rising corruption has exacerbated Serbia’s public healthcare conundrum during this period as well. On a macro level, doctors give directives to patients that essentially force them to seek care in the private sector to optimize profits. Individuals that require complicated surgeries or procedures go to private clinics. However, some of them have to wait for what can be years. This is an existential threat to citizens who cannot afford expensive private care that will provide them with insulin or the removal of a tumor.

Solutions to the Issues

The widespread speculation of prominent health institutions deals with foreign pharmaceutical companies and drug producers. The speculations subvert regulation and raise the prices for patients. The corrupt practice of soliciting bribes has been a pragmatic solution for patients who want faster treatment. It has also been a solution for patients who want more advanced procedures than the public sector normally allows. Taking advantage of a system where around 75,000 patients are currently relegated to a waiting list, doctors profit off of their patients’ desperation.

More Responses to the Issues

There has been a response to the pervasive environment of corruption and non-disclosure. The nongovernmental organization Serbia on the Move (SoM) was formed. Bolstered by the backing of USAID, SoM initiated efforts to reduce corruption and equip citizens. It did this with the essential knowledge to avoid exploitative doctor-patient relationships between 2013 and 2016. One of their most powerful contributions to this cause was establishing an SMS service. The service facilitated the reporting of corruption in the healthcare sector. It has accounted for over 1,000 reports and 15 filed criminal charges. The organization has set up workshops for doctors across Serbia that offer accreditation. Over 450 doctors who passed robust courses that focused on integrity and work ethics received accreditation.

SoM’s awareness-raising initiatives mobilized over 5,000 citizens both on the ground and virtually to campaign for anti-corruption across the state. The advocacy endeavors culminated in the 2015 publication of the List of Licensed Medical Practitioners. This list is one of the largest advancements towards expanding medical transparency that healthcare in Serbia has undergone. The list provides crucial information about licensed doctors that were previously undisclosed to public record. In 2018, healthcare in Serbia ranked 18th on the European Health Consumer Index. This is a stark increase since the establishment of SoM. It was also labeled 2016 “climber of the year.”

Comparing the Public and Private Healthcare

These developments have led to a flourishing private system where many practitioners continue to flock in an attempt to escape the corruption and inadequacies of the public sector. The number of medical professionals in the private field has exceeded 10%. Many citizens are willing to pay for private healthcare in Serbia. This has led to the construction of state-of-the-art medical facilities. It has also attracted the markets of large corporations overseas eager to provide high amounts of quality equipment and pharmaceutical drugs.

The benefits of private healthcare far outweigh those offered by public healthcare for those who can afford it. Insurance typically costs a monthly premium ranging from €15 to €60. While it costs more, the quality and promptness of services are worth it. The private system receives funding from out-of-pocket payments for more advanced procedures, which is also an area that continues to expand.

Advantages of Health Tourism

Health tourism is extremely advantageous for Serbia’s private healthcare system. It attracts people from both neighboring countries and Western nations like the United States with excellent quality of care and relatively cheap rates. It’s so cheap in comparison that many Serbian diasporas living abroad in the United States elect to come back to Serbia for a broad scope of practices, from dental care to complex surgeries. The rate of collected premiums continues to outpace the GDP, which signals a thriving industry and one that will remain affordable for the foreseeable future.

 

Overall, the most affordable for-profit care is still bound to exclude poor people in Serbia. Also, the expansion of the private healthcare system is hardly a reprieve for those entrapped in a crumbling public system. The system still requires compulsory payment, even from those it has failed. While there are efforts to combat corruption in the system, they still have a relatively limited reach. The work has shown auspicious progress, but it is not done. The Serbian government has allowed both systems to remain afloat without fully committing to either one. Looking at how each has fared in recent years, a full reform of public healthcare or a systemic migration to the private sector may be in order.

– Camden Gilreath

Photo: Flickr

September 7, 2020
https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg 0 0 Jennifer Philipp https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg Jennifer Philipp2020-09-07 10:52:152024-06-06 00:43:17Healthcare Change Looms in Serbia 
Global Poverty

Clean Water Technology for Developing Regions

Clean Water TechnologyNearly 30% of the world’s total population does not have access to clean, on-site water service. Roughly 26% of the world also consumes toxic water. Toxic water spreads various diseases including hepatitis A, cholera, diarrhea and polio. Therefore, it is essential for communities and populations to receive access to clean water. Numerous nongovernmental organizations are attempting to tackle this issue by providing affordable clean water technology to developing regions.

Maji Safi

An engineering student and two professors at the University of Purdue are founders of Maji Safi. Their goal was to provide affordable clean water technology to developing regions. The organization began doing so by installing sand filters in rural communities.

The sand filter technology requires rudimentary supplies that can be found within the region they are implemented. For example, containers are made out of plastic buckets that are filled with sand and water. A plastic dish with a webbed bag is then used to collect water at the bottom. Finally, the filter purifies the contaminated water by utilizing sand as a breeding ground for bacterial growth. This type of bacteria absorbs and digests specific materials in the water that are toxic. As a final precautionary step, minimal quantities of chlorine further purify the water.

Maji Safi International has successfully applied this sand filter technology, ceramic filters and wells in various developing communities. The nonprofit organization would like to install a thousand of these filters over the next decade as well as improve its filter technology with the use of water pumps and smartphones.

The Paani Project

Paani is another NGO that has a mission of providing affordable clean water technology to developing regions. Four students at the University of Michigan are founders of the Paani Project. Their parents were raised in Pakistan. These students focus primarily on preventing Pakistan from becoming a water-stressed nation. Therefore, the students created a nonprofit organization that builds sustainable wells.

Since the organization’s creation, more than 750 wells have been built. Each well generates safe drinking-water for one hundred citizens. The organization also aids in providing Pakistani hospitals with supplies to effectively treat water-borne diseases.

The Paani Project’s mission is not only to provide affordable clean water technology to developing regions in Pakistan. It is also to raise water security awareness, provide hospitals with supplies for disease treatment and educate citizens about water-borne disease prevention.

Water.org

This NGO may not provide an innovative solution to purify water, but water.org does break down economic obstacles prohibiting individuals from acquiring water. Water.org does so through its “WaterCredit Intiative.” In over a dozen countries, this initiative allows individuals to apply for financing to acquire water services.

 

These are just three examples of NGOs that aim to provide affordable clean water technology to developing nations. Founders of these organizations understand that having access to clean water is necessary for health, economic development and more. Clean water allows our bodies to sustain healthy organs, eradicate the possibility of water-borne transmitted diseases and is essential for sanitation and hygiene, which is why it is crucial.

– John Brinkman
Photo: Wikimedia Commons

September 7, 2020
https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg 0 0 Kim Thelwell https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg Kim Thelwell2020-09-07 10:49:582020-09-07 10:49:58Clean Water Technology for Developing Regions
COVID-19, Global Health, Global Poverty, Health, United Nations

What the Numbers Don’t Reveal About COVID-19 in Africa

COVID-19 in AfricaOn a world map of the distribution of COVID-19 cases, the situation looks pretty optimistic for Africa. While parts of Europe, Asia and the United States are shaded by dark colors that implicate a higher infection rate, most African countries appear faint. This has created uncertainty over whether or not the impact of COVID-19 in Africa is as severe as other continents.

Lack of Testing

A closer look at the areas wearing light shades reveals that their situation is just as obscure as the faded shades that color them. Dark spots indicate more infections in places like the U.S. However, in Africa these are usually just cities and urban locations, often the only places where testing is available.

Although insufficient testing has been a problem for countries all over the world, testing numbers are much lower in Africa. The U.S carries out 205 per 100,000 people a day. Nigeria, the most populous country, carries one test per 100,000 people every day. While 8.87% of tests come back positive in the U.S, 15.69% are positive in Nigeria (as of Aug. 4, 2020). Nigeria was one of 10 countries that carried out 80% of the total number of tests in Africa.

As a continent that accounts for 1.2 billion of the world’s population, the impact of COVID-19 in Africa is even more difficult to measure without additional testing. To improve this, the African CDC has set a goal of increasing testing by 1% per month. Realizing the impossibility of reliable testing, countries like Uganda have managed to slow the spread by imposing strict lockdown measures. As a result, the percentage of positive cases in Uganda was only 0.82% (as of Aug. 4, 2020).

A Resistant Population

COVID-19 in Africa has had a lower fatality rate than any other continent. Fatality rates may even be lower than reported. Immunologists in Malawi found that 12% of asymptomatic healthcare workers were infected by the virus at some point. The researchers compared their data with other countries and estimated that death rates were eight times lower than expected.

The most likely reason for the low fatality rate is the young population. Only 3% of Africans are above 65 compared with 6% in South Asia and 17% in Europe. Researchers are investigating other explanations such as the possible immunity to variations of the SARS-CoV-2 virus as well as higher vitamin D in Africans with more sunlight exposure.

Weak Healthcare Systems

Despite these factors, the impact of COVID-19 in Africa is likely high. Under-reporting and under-equipped hospitals contribute to unreliable figures. Most hospitals are not prepared to handle a surge in cases. In South Sudan, there were only four ventilators and 24 ICU beds for a population of 12 million. Accounting for 23% of the world’s diseases and only 1% of global public health expenditure, Africa’s healthcare system was already strained.

Healthcare workers have the most risk of infection in every country. In Africa, the shortage of masks, equipment and capacity increases the infection rate further amongst healthcare workers. Africa also has the lowest physician to patient ratios in the world. As it can take weeks to recover from COVID-19, the recovery of healthcare workers means less are available to work.

Additionally, those that are at-risk and uninsured can rarely afford life-saving treatment in Africa. For example, a drug called remdesivir showed promising results in treating COVID-19. However, the cost of treatment with remdesivir is $3,120 – an unmanageable price for the majority of Africans. These factors will determine the severity of COVID-19 in Africa.

Economic and Psychological Factors

Strict lockdowns have helped some nations in controlling the spread of COVID-19 in Africa but at a very great price.

Lack of technology often means that all students stop learning and many lose their jobs. More than three million South Africans have become unemployed due to the lockdown. The lockdowns have also resulted in much higher rates of domestic violence, abuse and child marriage. Many such cases go unreported and mental health services for victims or those struggling through the pandemic are unavailable. In Kenya, the U.N. has appealed for $4 million to support those affected by gender-based violence.

The slow spread of COVID-19 in Africa has allowed the continent and leaders to prepare, and the young population will lessen the impact. Although there’s reason to be hopeful, there’s no doubt that there will be an impact on Africa’s economy and future. This calls for the need of foreign assistance – not only in controlling COVID-19 in Africa but in the recovery of the continent for years to come.

– Beti Sharew
Photo: Flickr

September 7, 2020
https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg 0 0 Kim Thelwell https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg Kim Thelwell2020-09-07 10:42:042020-09-07 10:42:04What the Numbers Don’t Reveal About COVID-19 in Africa
Global Poverty

Why There is Zero Poverty in Wake Island

Zero Poverty in Wake Island
Wake Island is a small landmass resting between Hawaii and the Northern Mariana Islands. The Spanish discovered the island in 1568 and received its name from William Wake, a British Captain who came across the island in 1796. It covers a total of 6.5 square Km, which is approximately 11 times the size of the National Mall in Washington, DC. This island boasts an impressive statistic: there is zero poverty on Wake Island.

Wake Island’s Background

In 1899 the U.S. created a cable station on the island after seizing it from Spain. In 1941, the country then constructed an air and naval base. However, the Japanese stole it shortly after, forcing the U.S. to bomb the island until Japan surrendered. By 1945, the U.S. recaptured Wake Island. During World War II, the island served as a military landing strip for the Pacific region. Wake Island is a National Historic Landmark due to its involvement in WWII. It has been under preservation by the National Preservation Act since 1966 and is protected by the United States Air Force. The U.S. government maintains the Island for emergency landings.

Reasons for the Absence of Poverty

However, Wake Island has no indigenous people: the only residents on the island come from the United States government and are contractors or military personnel. The sparse population watches over the facilities and airfields. There is currently one military doctor on the island for emergencies. There are no commercial flights to or from Wake Island, making it accessible solely to military personnel. The only telecommunication systems on the island are the Defense Switched Network circuits off the Overseas Telephone System (OTS), located in the Hawaii area code.

Approximately 150 people live on Wake Island as of 2019. Wake Island’s small perimeter does not have the structure or capabilities to hold more people. Thus, the small population creates the condition of zero poverty in Wake Island.

The U.S. regulates, and the present military personnel manages the island. The U.S imports all of the island’s food and manufactured goods for the limited population. By having the food and products imported, Wake Island has a lower possibility of falling into poverty. The island’s currency is in U.S. dollars due to its status as a United States territory. With the U.S. defensive base and government support, the island stays out of poverty.

Environmental Impacts on the Economy

In 2006 a super typhoon almost hit Wake Island, carrying the potential to devastate the island. The government evacuated all residents, but due to the storm’s size, there was a possibility of severe damage. The storm could have destroyed the island’s economy; however, despite the storm’s 155 miles per hour winds, no significant impact affected the military base or buildings. With wreckage of only trees, power lines and rods, the island was fortunate to escape destruction narrowly.

Since 2006, there have not been any storms or other major disasters to threaten the island’s economic status. The island also did not contribute to any wars: following WWII, the island sat peacefully with zero damage. This overall safety has significantly contributed to the absence of poverty in Wake Island.

– Mackenzie Reese
Photo: Flickr

September 7, 2020
https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg 0 0 Jennifer Philipp https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg Jennifer Philipp2020-09-07 10:40:122024-05-30 07:52:18Why There is Zero Poverty in Wake Island
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