Decades of violent civil war and political unrest have debilitated Afghanistan’s healthcare system and led to the populations’ exceedingly high rates of mental illness. In 2004, Afganistan’s Ministry of Public Health (MOPH) declared mental health in Afghanistan a top priority. Today, the National Strategy for Mental Health (NSMH) is taking a multifaceted approach to improving the mental health of Afgan citizens.
The National Strategy for Mental Health aims to provide a “community-based, comprehensive” system with “access to treatment and follow up of mental illness and related conditions.” One of the primary goals of this system is to integrate mental health services into Afghanistan’s Basic Package of Healthcare Services (BPHS). Within the first 10 years of mental health integration into the BPHS, 70% of patients utilizing mental health services reported “significant improvement.” Other developing countries may wish to follow Afghanistan’s lead and to begin implementing their own mental health initiatives.
Women in Taliban-controlled Areas
Mental health surveys of Afgan women in Taliban-controlled areas exemplify the link between stress and mental illness. Women living in these areas report experiencing gender segregation and violent treatment. This includes restricted employment and education as well as domestic abuse and lack of health resources.
A survey of 160 Afghan women during the 1996-2001 Taliban regime showed many Afgan women suffer from mental illness. The survey results displayed that out of the 160 women,
-
42% had PTSD symptoms
-
97% had major depression
-
86% had severe anxiety
Additionally, Afgan women living in Taliban-controlled areas suffered from depression at almost three times the rate of women living in non-Taliban-controlled areas (78 % versus 28 %).
Integration of Mental Health Services
In many countries, mental health support falls under general health funding, which results in very little direct funds for necessary mental health resources. However, as a result of successful integration by the Afghan government and restructuring of its healthcare system, resources for mental health in Afghanistan are available within the national healthcare infrastructure. The critical decision to absorb mental health in Afghanistan into general health has allowed mental health training to become a priority among all general physicians in addition to specialists.
The National Institute of Mental Health reports that people suffering from mental illness can potentially die anywhere from 13 to 30 years before their counterparts with no mental health problems. The integration of mental illness into general health equips primary physicians with the resources and training to diagnose and treat conditions. Transferring training and resources to primary health caregivers makes mental health services more accessible to the general public.
Afghanistan’s NSMH recognized that medication alone cannot fix mental health problems in Afghanistan. Medication treats the symptoms of trauma, not the source. This can lead to social isolation. This research led the NSMH to switch from a strictly medical treatment plan to a biopsychosocial treatment plan. This provides patients with counseling services, including stress management and domestic violence training for community health workers and teachers.
Impact of Mental Health Services
Before 2004, there were no psychiatrists working for the government. Furthermore, mental health receives less than 1% of physician training. After the integration of mental health services into the BPHS, each district hospital in Afghanistan has a full-time mental health physician who has received a two-month training in psychiatric care.
In regions that previously had no access to mental health services, there are now health facilities with health workers trained in identifying mental health disorders and creating treatment plans. These facilities can provide services for up to 60,000 people. Between 2002 and 2012, when mental health service programs were implemented, more than 900 community health workers and hundreds of doctors, nurses and midwives received training in mental health services.
Furthermore, in 2001, only 10% of the Afghan population lived within a one hour walk from a health facility. The BPHS increased the presence and accessibility of health facilities serving mental health in Afghanistan. Afterward, the overall patient visits to health facilities grew from two million to more than 44 million per year, which shows that the facilities were utilized frequently. In 2004, 22% of the health facilities served a minimum of 750 new patients per month. In 2008, 85% did.
Economic Incentive
Especially in developing countries, prioritizing mental health creates a more sustainable economy. According to the World Health Organization, depression and anxiety account for $1 trillion per year of lost or diminished output in the global economy. Additionally, when workplaces do not provide mental health resources, they lose the equivalent of 45 years of work per year. Mental health consequences on the economy and a population’s health are even greater in low-income countries due to the increased prevalence of stigmatization, superstition and treatment inaccessibility.
In addition to ethical incentives, governments have economic incentives to provide mental health services and resources because there is an economic advantage to having a healthy workforce. A failure to recognize and support populations suffering from mental health problems leads to a loss in economic productivity. Globally, every $1 that is invested in mental health disorder treatment translates to $4 in productivity and well-being.
Global Investment
Afghanistan’s next goal is to increase access to the BPHS for the remaining quarter of the population who still struggle to acquire health care. The growth of the BPHS and the Afghan government’s promise to expand its services to reach every citizen requires some economic input from international donors; however, the BPHS does not intend to rely on international donors forever. The World Bank, European Union and United States Agency for International Development (USAID) have been the largest donors to Afghanistan’s BPHS since the creation of the BPHS. However, each has diminished their contributions over the years.
Between 2003 and 2009, each of their individual financial contributions funded about one-third of the BPHS resources for mental health in Afghanistan. These contributions also supported technical and infrastructural support by funding construction and renovation of health facilities as well as road work projects to increase accessibility for rural populations. Between 2010 and 2012, USAID cut its contributions from $4.5 billion to $1.8 billion. Until the MOPH finds permanent funding for mental health in Afghanistan, the funding will come from donors, taxation, public spending and out of pocket pay for patients.
To fully universalize accessible and affordable mental health resources, the world, and particularly global leaders such as the United States, must continue to invest in mental health and commit to fighting poverty worldwide. Reducing global poverty reduces civil unrest, which decreases the rate of mental health problems. The World Bank, European Union and United States Agency for International Development (USAID) are the largest donors to Afghanistan’s BPHS. Continuing global support for mental health strategies helps not only poverty-stricken countries address mental health needs, but supports the global economy by increasing each populations’ well-being and productivity.
– Nye Day
Photo: Flickr
3 Organizations Providing Humanitarian Aid in Yemen
Today, Yemen is experiencing the largest humanitarian crisis in the world. The violent conflict is between the Yemeni government, which has backing from Saudi Arabia and the United Arab Emirates (UAE), and the Houthi rebels. This conflict has killed thousands of Yemenis, including women and children, since 2014. The war has torn Yemen apart, with more than 20 million Yemenis facing food insecurity and 10 million at risk of famine. Additionally, there is the general disappearance of public services, a shattered economy, abusive security forces and broken institutions. Humanitarian aid in Yemen is crucial, with 80% of Yemenis in need, necessitating a staggering international effort to save the country.
3 Organizations Providing Humanitarian Aid in Yemen
– Connor Bradbury
Photo: Flickr
Hunger in the Marshall Islands
The Marshall Islands is an island country in the Pacific Ocean near the equator. The nation is part of the island group Micronesia. Meanwhile, Wake Island lies to the north with Kiribati and Nauru to the south and the Federated States of Micronesia to the west. The Marshall Islands’ fragile ecosystem and densely populated areas present unique challenges for the country. These environmental and social factors have led to food insecurity and hunger in the Marshall Islands.
At the moment, there are limited statistics regarding hunger and food insecurity in the Marshall Islands. However, estimates determine that 21.5% of women and 20.8% of men living on the Marshall Islands have diabetes. Though this is not necessarily a direct relation, studies show that high rates of diabetes may correlate with food insecurity.
The Reasons for Hunger in the Marshall Islands
Multinational Efforts to Address Hunger in the Marshall Islands
The Marshall Islands, in collaboration with other nations, has taken action towards establishing food security and eradicating hunger. One such initiative is the Readiness for El Nino project (RENI), a measure that the European Union funded and the Pacific Community (SPC) implemented. This project is a response to the severe 2016 El Niño drought. Dr. Colin Tukuitonga, Director-General of the SPC, stated that the project’s goal is to “enhance the resilience of the Marshallese communities in preparation for future droughts, and serve as a model for mitigation efforts across the region.”
The implementation of the RENI project started in June 2017 and will proceed through October 2020. During the implementation phase, project leaders consult local communities including women and other marginalized groups. The consultations determine each community’s exposure and sensitivity to environmental challenges, as well as their ability to adapt.
In addition to preparing communities for drought, the RENI project also teaches home gardening and provides training in food preservation methods. All of these strategies seek to establish food security and decrease reliance on imported foods. This project will directly benefit 1,059 people and indirectly benefit 1,605 people.
So far, the RENI project has returned preliminary reports from the Ailuk Atoll, a northern atoll of the Marshall Islands. The consultation phase of the project has concluded and the RENI project has drafted a disaster management plan with the community.
Pacific Island Countries Addressing Hunger Together
Other island countries, like Taiwan, have also partnered with the Marshall Islands to increase food security. Taiwan’s International Cooperation and Development Fund established a hydroponics demonstration farm to help introduce innovative farming techniques to the Marshall Islands. This farm opened in January 2020.
Hydroponics farming is a method of growing plants using nutrient solutions in water solvent instead of soil. It is helpful in countries that lack fertile soil like the Marshall Islands. This farming technique will help diversify local fruit and vegetable production.
Like the RENI project, Taiwan’s hydroponic project has an educational component that will share vital knowledge about crop management and nutrition. In the next five years, this project hopes to increase vegetable and fruit production by around 100 kilograms per month.
Over time, with cooperation between the Marshall Islands and other nations, the country may be able to eradicate hunger.
– Antoinette Fang
Photo: Flickr
Improving Mental Health in Afghanistan
The National Strategy for Mental Health aims to provide a “community-based, comprehensive” system with “access to treatment and follow up of mental illness and related conditions.” One of the primary goals of this system is to integrate mental health services into Afghanistan’s Basic Package of Healthcare Services (BPHS). Within the first 10 years of mental health integration into the BPHS, 70% of patients utilizing mental health services reported “significant improvement.” Other developing countries may wish to follow Afghanistan’s lead and to begin implementing their own mental health initiatives.
Women in Taliban-controlled Areas
Mental health surveys of Afgan women in Taliban-controlled areas exemplify the link between stress and mental illness. Women living in these areas report experiencing gender segregation and violent treatment. This includes restricted employment and education as well as domestic abuse and lack of health resources.
A survey of 160 Afghan women during the 1996-2001 Taliban regime showed many Afgan women suffer from mental illness. The survey results displayed that out of the 160 women,
42% had PTSD symptoms
97% had major depression
86% had severe anxiety
Additionally, Afgan women living in Taliban-controlled areas suffered from depression at almost three times the rate of women living in non-Taliban-controlled areas (78 % versus 28 %).
Integration of Mental Health Services
In many countries, mental health support falls under general health funding, which results in very little direct funds for necessary mental health resources. However, as a result of successful integration by the Afghan government and restructuring of its healthcare system, resources for mental health in Afghanistan are available within the national healthcare infrastructure. The critical decision to absorb mental health in Afghanistan into general health has allowed mental health training to become a priority among all general physicians in addition to specialists.
The National Institute of Mental Health reports that people suffering from mental illness can potentially die anywhere from 13 to 30 years before their counterparts with no mental health problems. The integration of mental illness into general health equips primary physicians with the resources and training to diagnose and treat conditions. Transferring training and resources to primary health caregivers makes mental health services more accessible to the general public.
Afghanistan’s NSMH recognized that medication alone cannot fix mental health problems in Afghanistan. Medication treats the symptoms of trauma, not the source. This can lead to social isolation. This research led the NSMH to switch from a strictly medical treatment plan to a biopsychosocial treatment plan. This provides patients with counseling services, including stress management and domestic violence training for community health workers and teachers.
Impact of Mental Health Services
Before 2004, there were no psychiatrists working for the government. Furthermore, mental health receives less than 1% of physician training. After the integration of mental health services into the BPHS, each district hospital in Afghanistan has a full-time mental health physician who has received a two-month training in psychiatric care.
In regions that previously had no access to mental health services, there are now health facilities with health workers trained in identifying mental health disorders and creating treatment plans. These facilities can provide services for up to 60,000 people. Between 2002 and 2012, when mental health service programs were implemented, more than 900 community health workers and hundreds of doctors, nurses and midwives received training in mental health services.
Furthermore, in 2001, only 10% of the Afghan population lived within a one hour walk from a health facility. The BPHS increased the presence and accessibility of health facilities serving mental health in Afghanistan. Afterward, the overall patient visits to health facilities grew from two million to more than 44 million per year, which shows that the facilities were utilized frequently. In 2004, 22% of the health facilities served a minimum of 750 new patients per month. In 2008, 85% did.
Economic Incentive
Especially in developing countries, prioritizing mental health creates a more sustainable economy. According to the World Health Organization, depression and anxiety account for $1 trillion per year of lost or diminished output in the global economy. Additionally, when workplaces do not provide mental health resources, they lose the equivalent of 45 years of work per year. Mental health consequences on the economy and a population’s health are even greater in low-income countries due to the increased prevalence of stigmatization, superstition and treatment inaccessibility.
In addition to ethical incentives, governments have economic incentives to provide mental health services and resources because there is an economic advantage to having a healthy workforce. A failure to recognize and support populations suffering from mental health problems leads to a loss in economic productivity. Globally, every $1 that is invested in mental health disorder treatment translates to $4 in productivity and well-being.
Global Investment
Afghanistan’s next goal is to increase access to the BPHS for the remaining quarter of the population who still struggle to acquire health care. The growth of the BPHS and the Afghan government’s promise to expand its services to reach every citizen requires some economic input from international donors; however, the BPHS does not intend to rely on international donors forever. The World Bank, European Union and United States Agency for International Development (USAID) have been the largest donors to Afghanistan’s BPHS since the creation of the BPHS. However, each has diminished their contributions over the years.
Between 2003 and 2009, each of their individual financial contributions funded about one-third of the BPHS resources for mental health in Afghanistan. These contributions also supported technical and infrastructural support by funding construction and renovation of health facilities as well as road work projects to increase accessibility for rural populations. Between 2010 and 2012, USAID cut its contributions from $4.5 billion to $1.8 billion. Until the MOPH finds permanent funding for mental health in Afghanistan, the funding will come from donors, taxation, public spending and out of pocket pay for patients.
To fully universalize accessible and affordable mental health resources, the world, and particularly global leaders such as the United States, must continue to invest in mental health and commit to fighting poverty worldwide. Reducing global poverty reduces civil unrest, which decreases the rate of mental health problems. The World Bank, European Union and United States Agency for International Development (USAID) are the largest donors to Afghanistan’s BPHS. Continuing global support for mental health strategies helps not only poverty-stricken countries address mental health needs, but supports the global economy by increasing each populations’ well-being and productivity.
– Nye Day
Photo: Flickr
6 Facts About Poverty in Uruguay
Uruguay, a country situated on the Atlantic coast, is the second smallest country on the continent. With a population of more than 3.4 million and about 60% of them comprising the middle class, Uruguay stands as one of the most economically stable countries in the region. In fact, Uruguay has the lowest poverty rate in South America and ranks high on such well-being indices as the Human Development Index. In building a secure place as a country, Uruguay has witnessed improvements as well as hindrances in various aspects of its society. Here are six facts about poverty in Uruguay.
6 Facts About Poverty in Uruguay
Solutions
Multiple organizations have stepped up to address and improve the issue of poverty in Uruguay. One such organization is Caritas, which works to provide aid for the poor, from those who have been deprived of liberty to those who lack access to education. Especially through education, training and counseling, the organization has been able to help the most vulnerable groups in Uruguay to cope with their challenging situations.
Despite the recent progress made toward the issue of poverty in Uruguay, certain fundamental limitations in the funding of systems like infrastructure and education have constrained the maximum potential for growth. Certain groups like children and women remain more vulnerable to poverty. Nevertheless, the government has successfully implemented policies and efforts to close the gap between classes over the past years. Now, Uruguay stands on par with many other well-positioned countries around the world with relatively little aid from organizations.
– Seunghee Han
Photo: Flickr
How EdTech in Southeast Asia Transforms Learning
The region is home to 700 million people and 25.7% of the population falls under the school-going age group.
However, due to COVID-19, many educational institutions were forced to adapt and utilize education technology (edtech) to conduct virtual classes for students. Edtech in Southeast Asia utilizes tools such as mobile applications, websites, online quizzes, streaming videos and online tutorials to provide Southeast Asian students with the opportunity to continue studying no matter the circumstance or location.
The Problem of Gaining Access to Quality Education
In rural parts of Southeast Asia (SEA), the lack of development and scarcity of trained teachers result in the problem of children not getting the education they deserve. Teachers are underpaid and classes have high student to teacher ratios, further exacerbating the quality of education that students receive. As a result, public schools are underfunded and poorly-run. Those with the financial ability mostly choose to invest in private education for their children (either in the form of additional tuition or private schooling), however others who do not have the means are forced to study within the existing system, leading to a widening gap in educational inequity.
However, with edtech, not only are many of the physical obstacles (such as distance and lack of school facilities) mitigated but also, edtech lowers the cost and potentially increases the accessibility of quality education for students who have an internet connection.
EdTech in Southeast Asia as the Solution
SEA has high internet penetration rates, and in 2019 alone, 97 million handsets were purchased in SEA, making the region fertile ground for the expansion and adoption of edtech. In addition, over the last five years, Southeast Asia managed to raise $480 million in venture capital funds for edtech startup investments.
Today, there are many edtech startups in SEA such as Topica, (Vietnam), Taamkru (Thailand), Ruangguru (Indonesia) and Classruum (Malaysia) that are hoping to breach the educational gap and increase the quality of education. In particular, Topica, a Hanoi-based edtech startup aims to increase the talent pool by equipping young adults with the skills they need to thrive in a fast-paced working environment in the digital age. Topica has more than 3,000 e-learning courses, in topics such as social media marketing and computer programming, and has trained more than 6,000 students thus far.
Clearly, edtech in Southeast Asia is a burgeoning industry that promotes educational inclusion for many in need. Especially during COVID-19 where many schools have yet to reopen for fears of further spreading the virus, edtech is useful for providing millions of children in SEA with the opportunity to learn during national lockdowns.
– Mariyah Lia
Photo: Flickr
Hunger in Botswana: Causes and Prevention
Background
Botswana has several strong industries, particularly mining diamonds, which comprise approximately 80% of its exports and 25% of the country’s GDP. However, the International Monetary Fund predicted in July 2024 that lower diamond production and a fall in mineral resources, along with global economic weakness and reduced consumer demand would widen the country’s budget deficit from 3.45% to 6%.
Although the country is rich in diamonds, it suffers from a scarcity of food. The Global Hunger Index 2023 ranks Botswana 85th out of 125 countries, with its score of 19.9 classifying the country’s status as moderate, right on the threshold of serious. Its score has been gradually improving over the last two decades, but the proportion of the population considered to be undernourished remains at over 20%. In July 2023, the government estimated almost 37,000 people (1.4%) to require food assistance, a number lower than in the previous year and occurring in “localized pockets.”
Inconsistent Food Production
One of the root causes of Botswana’s food insecurity is poor and inconsistent food production. Although around 46% of Botswana is zoned for agricultural production, agriculture contributes less than 2% of the country’s GDP.
Botswana’s farmers are hampered by a tempestuous climate that threatens frequent droughts. The Kalahari Desert extends into the country and the arid climate causes large temperature fluctuations, making growing crops extremely difficult. In 2023, the cereal harvest was 15% below the five-year average thanks to such fluctuations.
In May 2024, the Ministry of Local Government and Rural Development’s Rural Development Secretariat reported the “devastating impact” of the third consecutive year of drought on water supplies, food production, and nutrition. Cereal production in 2022-23 had already suffered, yielding only 23% of the national requirement.
With only 0.65% of Botswana’s land suitable for farming, around 80% of the agricultural GDP is based on livestock production, mainly cattle.
Moving Toward Food Self-Sufficiency
There is a serious lack of consistent food production in Botswana, and it is responsible for the malnutrition and food insecurity that plague many citizens. As much as 80% of Botswana’s food has been imported from South Africa, with vegetable, fruit and nut food preparations totaling almost $83 million in January 2024.
In January 2022, the Government of Botswana implemented a two-year ban on fresh produce imports. The ban was extended in December 2023 until the end of 2025, and expanded to 32 products, double what it had been. The government intends to increase Botswana’s food self-sufficiency and cut its import bill. This has angered South African farmers, but Botswana sees this as protecting its “nascent industries” that are being squeezed by the cheaper South African imports.
Another approach to a nutritious and sustainable food supply is that of Go Fresh! an award-winning start-up company that has brought Grade-1 vegetable production to Botswana. Using greenhouses and hydroponics, the company can produce quality vegetables throughout the entire year. With this new technology, fresh tomatoes, cucumbers and other large vegetables can be grown locally, requiring only 2% of the water normally needed for vegetable production.
– Staff Reports
Photo: Flickr
Updated: August 22, 2024
Locusts Threatening Food Security in East Africa
A Snapshot of the Problem
There can be as many as 80 million locusts compacted into just a half square mile, and they bring with them devastating effects. In only one day, one square kilometer of these pests can destroy the agricultural produce that could sustain 35,000 people. The FAO states that during plagues, like the ones that occurred in East Africa during 2020, locusts can damage the livelihood of a staggering 1/10 of the world’s population.
Locust migration occurs in a cycle of boom and bust. This biological uncertainty makes it hard for countries to garner the funding, political will, knowledge and capacity to proactively address the threat through long-term infrastructure. However, failure to detect and control locusts proactively can result in devastating plagues. These can require millions of dollars to address and have catastrophic effects on food security, particularly in East Africa. The experience of one Somalian farmer portrays the catastrophic impact these pests have. Abdirahman Hussein Mohamoud relies on his farm to support his family. In May, he lost his entire $5,000 investment in crops to locusts. In his own words, his hard work “has all come to nothing.”
Possible Solutions
The FAO tries to combat the threat of locusts through early detection and warning with its Desert Locusts Information Service. USAID works towards strengthening the government’s capacity to address the threat of locus proactively in addition to the $19 million of US humanitarian response to reduce the size and impact of swarms. However, there is still an overwhelming lack of policies addressing locusts in East African countries. For this reason, there is a heavy reliance on pesticides for rapid response.
The use of pesticides, while incredibly effective for killing locusts, can negatively impact the health of humans and the environment. In Uganda, desert locusts are a common food source and the people often consume them immediately after the use of harsh pesticides. A number of community health advocates are raising concerns with the lack of adequate training and information on the potential impact these pesticides can have on human health. Executive Director of the Mpala Research Centre in northern Kenya, Dino Martins, warns that mass spraying can harm biodiversity as well. Martins points to the need to create more sustainable alternatives to controlling locusts such as biopesticides of pheromones.
Impact of COVID-19
While locusts pose a major threat to food security in East Africa, COVID-19 has made poor communities even more vulnerable. Resources for aid are stretched thin with a high priority on coronavirus relief. Despite this, countries in East Africa have maintained the control and monitoring of desert locusts as a national priority.
However, the slowdown in the global supply chain and cross-border mobility is raising concerns about the difficulty of acquiring pesticides for controlling locusts and protecting food security in East Africa. In March, an order of pesticides from Somalia to Ethiopia was delayed due to cargo flights being cut back. This showcases the dangerous impact COVID-19 can have on controlling the epidemic of locusts. Cyril Ferrand, the FAO’s Resilience Team Leader for East Africa, states access to pesticides is the biggest challenge facing their ability to control the impact of these pests.
Governments are exempting restrictions on movement for locusts control groups, recognizing their need to continue work. The FAO has stated they have been able to continue their efforts despite restriction. For instance, they have been able to treat more than 240,000 hectares with pesticides in East Africa. FAO has also trained 740 people on how to conduct ground control operations for locusts. So far, FAO has raised half of the $300 million it expects to need for pesticides.
– Leah Bordlee
Photo: Flickr
The Benefits of Mushrooms in Fighting Poverty
Mushroom Medicine
Paul Stamets is a mycologist who people know for his research and advocacy of the various benefits of mushrooms. Some of his most important unearthings include a new class of antivirals and antimicrobials called Fomitopsterols which is more potent in treating flu viruses and herpes than Ribavirin is.
By working with the Bioshield Biodefense Program, Stamets confirmed that Agarikon, the longest living mushroom in the world, has anti-tubercular properties. In addition to this, Stamets worked to study the effects of turkey tail mushrooms, which can empower the immune system, on women with breast cancer suffering from impaired immune systems. His studies showed that these mushrooms can enhance natural killer cell activities in women.
Meanwhile, the Amadou mushroom is a useful source for sustainable textile innovations. Amadou can become a cellular fabric when one boils it. People can also use it to keep a fire burning for days by hollowing out the mushroom and putting embers inside.
Disease Control
Vector-borne diseases have a close association with poverty due to their large economic impact on growing populations in urban settings. As a result, they often affect some of the poorest countries.
Insecticides are becoming ineffective in Brazil due to a growing resistance in mosquitos. Many homes in Brazil require water storage tanks due to insecure water supplies. These tanks are also major breeding sites for mosquitoes.
Researchers in Brazil have discovered that using only a plastic bottle and a black cloth containing an entomopathogenic fungus can be an effective way of countering mosquitoes. The mosquitoes become attracted to the dark cloth surface and become infected with the fungus, killing the mosquito.
Stamets had another breakthrough revelation when he took the mycelium of Cordyceps without the spores and discovered that they became super attractants. One of the most significant studies involved the attraction of yellow fever mosquitos. This discovery has profound potential for disease control by steering insects from human populations, controlling diseases such as malaria, yellow fever and West Nile virus (WNV).
Alternative to Poaching
Poaching is a common consequence of poverty in Thailand. Freeland Foundation’s Surviving Together program encourages sustainable mushroom farming to replace poaching and illegal logging. The program leaders collect the mushrooms that the villagers cultivate and sell them at local markets. The money that comes from the mushrooms then goes into bank accounts for the farmers to save and grow their businesses.
Freeland Foundation described mushrooms as the most fitting crop choice for the villagers because it is in high demand throughout the year in Thailand. The mushroom business is providing opportunities to those who originally thought they had no alternatives.
This program provides protection to natural forests and prevents the loss of biodiversity. The families who once felt that they had no options are now contributing to saving ecosystems.
Solving Malnutrition
Recent success at Compassion, a child development center in Lomé, Togo, models how the benefits of mushrooms reach great depths. The development center had been struggling to find the definitive answer to meet all of its children’s needs. The support that the center was receiving to feed the children did not cover the abundant number experiencing malnourishment.
With the help of Critical Needs funding, the center started a mushroom farm which became a fundamental answer to resolving a crucial problem. These mushrooms provided nutrition to the children and replenished their health while remaining cost-effective and sustainable.
Thanks to the center’s mushroom farm, the children have been able to receive lunch and take-home packets each day. The center uses the remaining mushrooms to grind as an addition to a nutrient-rich porridge.
With an increase in enrollment, all the children attending the center have become a healthy weight. The center also gains advantages in funding and employment opportunities with the surplus of mushroom products that it makes and sells locally.
Anyone can easily realize and appreciate the benefits of mushrooms. However, the extent that they can make a difference for people in need around the world may go far beyond what most realize.
– Amy Schlagel
Photo: Pixabay
Morbidity and Inequity in Healthcare in Chile
Healthcare in Chile primarily comes from the state-funded insurance National Health Fund (Fondo National de Salud – FONASA) or from private companies collectively known as Las Instituciones de Salud Previsional (ISAPRE). According to a 2019 report from the Organization for Economic Cooperation and Development (OECD), 78% of the population participate in FONASA and around 17-18% enroll in ISAPREs, while 3-4% receive coverage from the armed forces insurance program. A number of newly implemented government reforms in Chile have challenged healthcare inequity to ensure universal healthcare for all.
Morbidity and Mortality
In the 1980s, a series of successful reforms decreased infant mortality rates (from 33 per 1,000 live births in 1980 to only eight per 1,000 in 2013) and improved communicable disease rates, nutrition and maternal and child health. While the health status of Chileans consistently fell below average among OECD nations in recent decades, the life expectancy in Chile in 2015 rose to 79.1 years in the last 40 years, nearly on par with its OECD peers. Determinants of health status include life expectancy, avoidable mortality rates, morbidity rates from chronic diseases and percentage of the population in poor health.
Non-communicable diseases (NCDs), such as high blood pressure, diabetes and heart diseases are identified as the burden of disease in Chile, accounting for 85% of all deaths. Key risk factors include high obesity rates, heavy tobacco use and increasing rates of alcohol consumption. The infant mortality rate is improving but remains high, as are mortality rates from cancer compared to cancer incidence.
Some Effective Government Measures
The Chilean government has undertaken effective measures to address the nation’s most urgent issues through a multi-intervention strategy that targets different population groups and settings:
Challenging Inequity
The establishment of the National Health System (NHS) in 1952, subsequent expansions and reforms together enabled Chile’s move towards universal coverage with more than 98% of the population having some kind of health insurance. However, inequality remains one of the main challenges in Chile’s two-tier healthcare system, mainly due to the unequal distribution of resources between the underfunded public facilities and the elitist private clinics. Equity monitoring shows less insurance coverage for less educated people, low-income quintiles, residents from rural areas and those with state insurance.
Significant inequalities due to socioeconomic position and residence area persist. According to a study that PLOS Medicine published, the infant mortality rate among the highest educated women was 2.3 times lower than the least educated, while the ratio was 1.4 between urban and rural residence. Risk factors like obesity, alcohol use disorders and cardiovascular risks also disproportionately affected the least educated segment of the population.
Moving Forward
Despite tremendous challenges, healthcare in Chile has improved thanks to the government’s effort to prioritize health reforms. In 2005, Chile launched Universal Access with Explicit Guarantees (AUGE) program that sought to improve access, timeliness and quality of care in the public sector. The OECD assessed that the system of healthcare in Chile is overall “well-functioning, well-organized and effectively governed,” with a particularly robust public healthcare program that operates efficiently on both the central and regional levels. Although challenges such as rising rates of certain NCDs and inequities between sectors and populations persist, the country’s ambitious reforms demonstrate its preparedness to tackle these issues.
– Alice Nguyen
Photo: Flickr
Crafting Sustainable Poverty Reduction One Bead at a Time
Creating sustainable poverty reduction programs is the key to enduring change. Several organizations have employed a business model that encourages small-scale growth through social events, fashion and business ownership to create sustainable poverty reduction. Using jewelry as a bridge, organizations such as the Noonday Collection and BeadforLife have connected groups of people around the globe. Through training programs and fundraisers, these organizations have assisted thousands in impoverished nations.
Noonday Collection
The Noonday Collection has helped create 4,500 jobs for jewelry artisans in 15 countries around the globe in the past decade. The first jewelers they partnered with, Jalia and Daniel, now provide free daycare and hundreds of jobs to their community in Uganda. In India, Noonday Collection works with Moon and Sunita, who offer microloans to other artisans in their country and have provided scholarships to over 1,000 children. In Peru, Noonday works with Fermin, a third-generation silversmith who looks for people needing jobs, especially rural citizens who travel to Lima for work.
That is only half of Noonday Collection’s business model. They call themselves a “sisterhood of passionate, purposeful women,” seeking dedicated individuals in wealthy countries to raise awareness for the jewelry Jalia, Daniel, Moon, Sunita, Fermin and others craft. At Trunk Shows in their homes, women in the United States showcase jewelry from the collection and share Noonday Collection’s story with others. In addition, these Ambassadors earn a commission on their sales, helping support themselves as well. These Trunk Shows fuse fashion, socialization, business and a cause into a single event. It’s a perfect example of how fighting poverty can provide jobs to more than just those in third-world countries.
This collaborative business model has served Noonday Collection well. Company founder, Jessica Honegger, started the business to raise money to adopt a son from Rwanda. It was on that trip that she met Jalia and Daniel—a meeting which led to the creation of what became a 17 million dollar company in only seven years.
BeadforLife
BeadforLife, too, fosters sustainable industry worldwide. They began their work in 2004, when its founders met a woman in Uganda making paper beads, while also working in a rock quarry for only 1 dollar a day. BeadforLife wanted to help her market her beads. Since then, their efforts grew into an initiative that has trained thousands of jewelry artisans and positively affected over 40,000 people.
Apart from bead-making, BeadforLife has assisted 750 female shea butter farmers in Northern Uganda and helped more than 250 refugees return to their farms via an ox-plow cooperative. They also founded the Street Business School in 2013, with the goal of achieving a sustainable poverty-reduction effort. It currently operates in 21 countries and is partnering with 66 NGOs aiming “to help 1 million women out of poverty by 2027.” The school has trained more than 20,000 women so far, with inspiring results. Two years after graduating, 89% of women own a business, with 42 % owning two or more. On average, graduates see a 211% income boost.
Unfortunately, COVID-19 hit BeadforLife hard. Previously, their U.S.-based representatives hosted BeadParties to market the hand-crafted jewelry and shea butter products. Such gatherings disappeared because of crowd size regulations. While hosts can still have virtual parties, BeadforLife decided to suspend its retail sales for several months. The silver lining is that all their current bead makers are also graduates of their Street Business School and have other ways of providing for their families.
“[A]t the end of the day, we all want the same things to be seen, to be accepted, to be known, to be loved,” Jessica Honegger wrote in her 2018 book Imperfect Courage. Businesses like Noonday Collection and BeadforLife help artisans around the world realize their worth and sustain their art.
– Jonathan Helton
Photo: Wikimedia Commons