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Global Poverty, Homeless, Homelessness

Everything You Need To Know About Homelessness In Norway

Homelessness in NorwayNordic countries have been historically renowned for their social security and high living standards. They are seen as a safe haven and an aspirational goal among the international community. Norway is no exception, and a prime example of the exceptional Norwegian welfare state is the condition of homelessness. Here is everything you need to know about homelessness in Norway.

How Norway Defines “Homelessness”

The Norwegian government has defined homelessness as an individual or family that is unable to independently maintain a safe, consistent and appropriate housing arrangement. Norway has one of the smallest homeless populations in the world, with only 0.07% of the total population being homeless as of 2016. This proportion is less than half of that found in the United States where 0.17% of the population is homeless.

Causes

While only 0.07% of the Norwegian population is homeless, certain groups are at greater risk than others. Four key causes of homelessness in Norway include insecure housing markets, economic hardship, addiction and mental illness. According to the Office of the United Nations High Commissioner for Human Rights, 54% of homeless people are reportedly drug dependent, 38% suffer from mental illness and 23% are under the age of 25. Additionally, migration poses a challenge to homelessness in Norway, with 20% of the homeless population being immigrants.

Government Initiatives to Fight Homelessness

Norway’s success in regards to having a low homeless population is not random or coincidental. Instead, it is thanks to targeted, effective and long-term policy initiatives. One of the first major policies announced to combat homelessness in Norway was Project Homeless. Project Homeless was launched from 2001 to 2004 and led a collaborative effort among multiple government departments to develop effective methods for combatting homelessness. After Project Homelessness ended, the Strategy Against Homelessness was announced in 2005 and ran until 2007. This strategy built upon the success of Project Homelessness and aimed to:

  • Reduce eviction petitions by 50% and eviction itself by 30%
  • Prevent individuals recently released from prison or a treatment institution from requiring temporary housing
  • Improve the quality of overnight shelters
  • Limit temporary housing stays to less than three months

Most recently, the Norwegian government launched a strategy in 2014 that in many ways furthers the work of the Strategy Against Homelessness. This new strategy specifically targets families with children and young people up to the age of 25. This is a long-term strategy that will last through 2020 and aims to:

  • Ensure safe rental housing for families with children
  • Limit temporary housing to exceptional circumstances, with these arrangements not exceeding three months
  • Reduce and prevent homelessness among families with children and young people

The 2014 strategy plans to achieve these goals by providing assistance to individuals shifting from temporary to permanent housing, assistance in obtaining a suitable home within an insecure housing market, preventing evictions and social innovation.

Repeated reassessment of needs and continued support has been key to Norway’s success in reducing poverty through effective policy. These methods are not unique to Norway, they can be seen across the globe in countries with similarly low homeless populations. Thus, it is reasonable to conclude that the insights gained from Norway can be used to inform policies and initiatives against homelessness in countries that are currently struggling.

– Lily Jones
Photo: Pixabay

July 30, 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 Thelwell2020-07-30 01:30:022020-07-30 05:26:03Everything You Need To Know About Homelessness In Norway
Global Poverty, Health, USAID

USAID Saves Thousands of Babies

USAID Saves Thousands of BabiesRoughly 2.76 million newborns die each year, with preventable infections causing at least 15% of those deaths. For instance, a baby’s cut umbilical cord could allow bacteria to enter their body, leading to life-threatening newborn sepsis. To avoid neonatal deaths like this, cord stump care at birth is critical, particularly in settings with poor hygiene. Thankfully, with national assistance, USAID saves thousands of babies in Nepal and other countries around the world.

There is a low-cost, easily manufactured and easily distributed life-saving solution that the World Health Organization (WHO) recognized in 1998 as a suitable antiseptic for cord care. Commonly found in mouth wash and hand sanitizers, chlorhexidine is an antiseptic gel that USAID helped produce for nations with the greatest need since 2002. Nepal was the first nation to adopt chlorhexidine on a large scale. USAID’s efforts, as well as cooperation with the Government of Nepal and its private sector, are responsible for lowering the infant mortality rate significantly. USAID saves thousands of babies around the world.

Chlorhexidine “Navi” Care Program

USAID’s Chlorhexidine “Navi” Care Program, implemented by John Snow Inc. (JSI), provides technical assistance to the Government of Nepal to scale up the use of chlorhexidine through resources and education. The six-year, $3.9 million program had two phases. The first phase occurred from October 2011 to September 2014 in 49 out of 75 of Nepal’s districts. Phase two started in October 2014 and brought chlorhexidine to all districts. The program found funding as a part of USAID’s “Saving Lives at Birth: A Grand Challenge for Development.”

The Nepali government strongly advocated for this scale-up. The administration incorporated single-use chlorhexidine tubes into its maternal and child health packages. In addition, it also trained health care workers for use of the antiseptic. Nurses began to use chlorhexidine at birthing centers across the country. They apply the antiseptic to the umbilical stump immediately after the cut. Its use in Nepal decreased newborn infections by 68% and decreased newborn deaths by 24%. Chlorhexidine for cord care thus became an integral part of maternal and infant health programs. Through the implementation of its new programs like this, USAID saves thousands of babies.

According to the Bill & Melinda Gates Foundation, Dalberg Global Development Advisors and the Boston Consulting Group, it usually takes more than a decade for global health innovations to develop in low and middle-income nations. In Nepal, it took around five years.

The success of USAID’s Navi Care Program is attributed to its partnering with the Government of Nepal and various organizations. USAID’s partners include MoHP, Save the Children, Plan International, Health For Life (USAID), UNICEF, One Heart Worldwide and PSI. Future initiatives should replicate USAID’s coordinated effort due to this program’s monumental success.

Nepal’s Success Serves as a Model for Others

Other nations have taken notice of Nepal’s health improvements and how USAID saves thousands of babies. Many nations sent their leaders and officials to speak with those who worked on the program to expand the use of chlorhexidine in their own countries. Following Nepal as a model, these nations have planned trials with the antiseptic gel. All program-related materials are public, supporting the global trend. As a result, Nigeria, Bangladesh, Pakistan and the Democratic Republic of Congo have begun the process of scaling up chlorhexidine to reduce newborn death rates. In particular, Nigeria has made substantial progress.

USAID’s efforts to lower infant mortality rates yielded fruitful results from a single and simple solution. As a result, it inspired efficient innovation elsewhere. This program was a tremendous global success, as USAID saves thousands of babies and makes the world a healthier place. USAID’s programs will hopefully continue to work with the governments and organizations in low- and middle-income nations to achieve the optimal adoption of healthcare initiatives.

– Mia McKnight
Photo: Wikimedia Commons

 

July 30, 2020
https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg 0 0 Lynsey Alexander https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg Lynsey Alexander2020-07-30 01:30:022024-05-29 23:18:04USAID Saves Thousands of Babies
Global Poverty

Ethics of Human Hair Trade

Ethics of Human Hair Trade

The growing market for wigs and hair extensions is projected to reach $10 billion in revenue by 2023. Many consumers covet real human hair, as opposed to cheaper synthetic alternatives, because of its natural appearance and resilience to styling. However, harvesting and selling products of the human body make the hair trade rather unique. Many consumers are justifiably curious about how manufacturers source their products. The human hair industry has less regulation, and the ethics of human hair trade can be complex. Although the voluntary sale of hair can be lucrative to many impoverished women, ethical issues often arise when products of the human body are treated as capital.

Where the Hair Comes From

Most commercial hair comes from Russia, Ukraine, China, Peru, and India, with China being the largest hair exporter. Most American hair extension companies source their products from Indian Temples, capitalizing on a ritual head shaving ceremony called Tonsure. Hair manufacturers collect the hair of millions of devotees from temple floors.

Turning Hair Into a Micro-Economy

Hair can be one of the most lucrative commodities that women in extreme poverty have access to. When individuals in developing countries sell their hair, fair compensation can dwarf their monthly earnings. This participation in the global marketplace increases the sellers’ spending power, feeds local economies and allows struggling populations to provide for their families.

Consent versus Exploitation

Paying struggling women for such a personal commodity can easily cross the line into exploitation. The ethics of human hair trade become more questionable when sellers are desperate, and participate as a last resort. Venezuela’s economic crisis has seen an influx of women in need selling bundles of hair to help provide for their families. Rapid hyperinflation has made salaries nearly useless, forcing many Venezuelans to look for supplemental income in the hair trade. Vulnerable and impoverished women are not always able to barter with brokers and receive reimbursement at market prices. In Cambodia, 39-year-old Sreyvy regrets chopping her waist-length locks for just $15. The traders left her remaining hair uneven and patchy.

“I feel regret for cutting my hair off. I don’t feel made up,”  said Sreyvy.

Hair Theft

As with other in-demand sources of capital, human hair can be vulnerable to theft and forcible hair cutting. During these attacks, thieves ambush long-haired women, clipping off victims’ ponytailed hair at gun or knifepoint. The thieves are then able to sell stolen hair to manufacturers for quick money. Hair theft has become a chronic offense during Venezuela’s economic decline. A Venezuelan gang called The Piranhas ambushes victims in shopping malls and populated city streets, forcibly cutting and selling ponytails.

Dreadlocks can take many years to grow, and sew-in ready locks are in demand. The market for dreadlocks has instigated a string of hair thefts in South Africa. Johannesburg gangs have become known for their ‘cut and runs’. By selling shoulder-length dreadlocks, hair thieves can earn between $23 and $58, while longer locks can be sold for as much as $230.

Ethical Alternatives

Although the ethics of human hair trade can be tricky to navigate as a consumer, brands like Great Lengths are sourced by consenting and fairly reimbursed individuals. Human hair is a luxury item, and ethically sourced wigs and extensions will inevitably be expensive.

Inexpensive and natural-looking, synthetic hair is also an option. However, the non-recyclable plastic fibers pose an additional set of environmental concerns. Some companies have found innovative ways to improve the sustainability of their synthetic hair. Raw Society Hair has begun using fibers from banana trees to create coarse, braidable hair. The hair is biodegradable, and a natural byproduct of the banana crop, which could increase farmers’ earnings.

The ethics of human hair trade can be complex. While some impoverished women may use it as a source of income, others are exploited for their long locks. A company called Great Lengths works to make sure that any hair the company sells is bought from people who consent and are paid fairly. Other organizations use synthetic hair as an alternative. Either way, hair trade is not simple. However, when organizations source their hair ethically it can be used as a resource for people in poverty to gain income.

– Stefanie Grodman
Photo: Flickr

July 29, 2020
https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg 0 0 Lynsey Alexander https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg Lynsey Alexander2020-07-29 19:50:552024-06-06 00:38:15Ethics of Human Hair Trade
Global Poverty, Refugees, Refugees and Displaced Persons, Technology, United Nations

How a Website Has Helped Refugees During the Pandemic

signpostAs of last year, there were almost 80 million “forcibly displaced people worldwide.” This figure includes refugees, asylum-seekers and others. As refugee communities are in crucial need of proper medical aid to withstand the COVID-19 pandemic, global powers are devising plans to help them. During the early stages of worldwide lockdown, the United Nations High Commissioner for Refugees (UNHCR) proposed a $33 million pandemic-response plan for improving refugee settlements. Objectives include increasing health service availability, spreading reliable and medical-oriented information throughout refugee communities and implementing efficient surveillance systems. 

Although these efforts were a step in the right direction, they are not enough to assist every displaced refugee in the world. Groups like the United Nations (UN) and World Health Organization (WHO) are certainly championing refugees’ needs. However, it does not take a global superpower to make a positive impact on refugee communities; one website has helped refugees during the pandemic through access to information.

Impact of COVID-19 Pandemic on Refugees

COVID-19 has impacted refugees and other forcibly displaced people in three major ways:

  • Health: Constantly sanitizing, maintaining social distance and obtaining medical information are luxuries that many refugees do not have access to. As such, a refugee’s health is in constant jeopardy.
  • Income: Refugees working in informal jobs are likely to have been laid off due to the pandemic, and losing work means losing the only financial safety net for a refugee.
  • Protection: Hostile xenophobic and racist sentiments have been directed at asylum-seekers during the pandemic, which makes those seeking refuge in foreign countries targets for violence.

While these three obstacles are preventing many refugees from securing safety, they can be solved with one essential tool—information. Reliable information regarding health, income and protection can help many refugees.

Signpost as Virtual Back-up

Signpost is a non-governmental organization (NGO) and a virtual project that utilizes digital platforms to spread critical information throughout vulnerable communities. The organization has made a large impression since its founding in 2015. It has positively impacted almost two million people. Signpost has effectively helped and communicated with people across eight different countries, which demands fluency in several languages. Accurately conveying information regarding public health services and other needs to refugees using their native tongue has saved thousands of lives.

Everywhere, refugees are struggling to find trustworthy information about COVID-19. In response, Signpost has been reaching out and providing valuable, potentially life-saving, information to refugees. In particular, Signpost has supported the most vulnerable communities in countries like Greece, Italy, El Salvador and Honduras.

  • Signpost in Greece: Signpost has developed an app that has numerous services listed for refugee use such as medical services, transportation and housing. Also, the organization is scheduled to put out a website for current COVID-19 information throughout the country.
  • Signpost in Italy: The organization has given asylum-seekers information about essential services through Facebook, an established panel where users could ask questions and share key information regarding COVID-19. In Italy, Signpost focused specifically on informing refugees about Italy’s healthcare services and policies.
  • Signpost in El Salvador and Honduras: Signpost developed CuentaNos. It is a virtual platform that not only provides vulnerable people with information about housing or protective services, but also about COVID-19 and locations for medical assistance. Signpost also bundled its online resources efficiently to allow refugees accessibility through WhatsApp.

Everyone has been affected by the pandemic, but asylum-seekers and refugee communities are especially disadvantaged since they are displaced from their home country. Signpost, a website, has helped refugees by providing access to important information about dealing with COVID-19. Although Signpost is just one example, technology-based organizations are mobilizing to provide some type of digital support for refugees. Whether help comes via the Internet or in-person, any outstretched hand toward refugees anywhere is a glimmering sign of hope for a better future.

– Maxwell Karibian
Photo: Flickr

July 29, 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 Thelwell2020-07-29 19:00:542024-05-29 23:18:24How a Website Has Helped Refugees During the Pandemic
Global Poverty

5 Challenges to Mental Health in Africa

Mental Health in Africa
Africa still has a long way to go in terms of mental health awareness and care. Mental health is highly stigmatized and there are not enough mental health facilities or resources for the people. In Africa, the average number of psychiatrists is 0.05/100,000 population, while in Europe it is 9/100,000 population. Here are five challenges to mental health in Africa.

5 Challenges to Mental Health in Africa

  1. Poverty: There is a strong correlation between different mental illnesses and the socioeconomic status of patients. According to The Conversation, when people are stressed about searching for basic resources for survival like food and stable sources of income, this stress affects their mental health. Furthermore, the healthcare expenses are high, making them inaccessible to some. People with mental health problems may also have more trouble with functioning effectively which can harm their financial resources as well.
  2. War and Conflict: Various African countries endure tribal wars and terrorist groups. These wars affect the population’s mental health — especially the victims. Commonwealth Health reported that more than half “of refugees have mental health problems from post-traumatic stress disorder to chronic mental illness.”
  3. Insufficient Resources: Most African countries spend less than 1% of their budget on mental health. Additionally, mental health is not a popular subject; therefore, there are few higher education facilities teaching about it. The stigma around it prevents graduates from enrolling in mental health-related programs. As a result of this shortage, the Mental Health Innovation Network states that “90% of people with mental illnesses have no access to treatment, especially in poor and in rural areas.”
  4. Lack of Awareness: Mental illness is a taboo topic in some African cultures. A study done by BioMed Central in Northern Nigeria found that at least 34.3% of respondents believed that drug and alcohol abuse was “a major cause of mental illness.” Commonwealth Health reports that the widespread stigma makes families hide their members who are suffering from mental illness because of the discrimination they have to endure.
  5. Other Diseases: Many African countries are still fighting a number of deadly communicable diseases such as HIV/AIDS, cholera, malaria and tuberculosis. As a result, the governments of these nations prioritize helping people survive these illnesses. A mere 3% of Nigeria’s health budget is invested in mental health: the other 97% goes to other health departments. This means that people with functional mental disorders are usually unnoticed and have difficulties accessing appropriate professional help.

Despite all the issues, progress is steadily being made. In Burundi, lay community counselors started screening people and encouraging dialogue about mental health. They emphasized educating parents about better ways to discipline children without causing trauma. Additionally, cognitive behavioral therapy has been helping people in Sub-Saharan Africa to deal with depression. Crisis assistance hotlines were also put in place to help those struggling with suicidal thoughts and other urgent crises. All these intervention alternatives highly depend on the community counselors to integrate the strategies with their respective cultures in order to provide relevant solutions.

Many African nations are trying to invest more in mental health and encourage people to seek professional help. Moving forward, countries must continue to support mental health research and intervention measures, prioritizing both the mental and physical health of Africans.

– Renova Uwingabire
Photo: Flickr

July 29, 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 Thelwell2020-07-29 14:51:442024-06-07 05:08:045 Challenges to Mental Health in Africa
Global Poverty

Improvements in Healthcare in Syria

Improvements in Healthcare in Syria
The Syrian Arab Republic (more commonly known as Syria) is a Middle Eastern country fraught with danger and grief. It has claimed the news headlines for the past decade. Its violent civil war has led to a shattered government with little to no control over its infrastructure and a diminished ability to provide services to its 17.5 million citizens. Proper healthcare in Syria, especially care focused on women and children, has been a service that suffered. UNICEF is a leading organization that is spearheading efforts in Syria to improve healthcare for women and children. These efforts have led to significant improvements in the health and well-being of both women and their children as years have passed.

Improvement in Numbers and Data

One of the easiest ways to identify the improvements in healthcare in Syria lies within the raw data. The life expectancy of Syrian citizens is one major indicator of healthcare improvements. In addition, life expectancy at birth is steadily increasing in Syria. It reached 71.8 years in 2018 after several years of declining numbers after 2006. This indicates a slow but steady return to its peak in 2005 when life expectancy was 74.43 years of age.  This new incline could be due to a variety of factors. However, healthcare is definitely an important piece of the puzzle in improving life expectancy in a nation’s population.

Both infant deaths and neonatal deaths are steeply declining in Syria. Infant deaths have nearly halved since 2000, with numbers of deaths falling from 10,099 to 5,994 in 2018. Moreover, neonatal deaths have lowered from a peak of 8,804 in 1982 to an all-time low of 3,740 in 2018. These two statistics indicate that even at the earliest stages of life when people are the most vulnerable, healthcare in the Syrian Arab Republic is positively progressing in protecting the fitness of its citizens.

Improvements in Female and Child Care

Both women’s and children’s healthcare have seen an uptick in quality in the past few years. UNICEF supported primary healthcare in Syria for more than 2.2 million women and children despite the country’s crisis and war. For instance, the opening of 61 clinics targeted at displaced or deprived communities allowed for 56,000 vulnerable people (20,000 of whom were children) to receive vaccinations and newborn care. Additionally, UNICEF has provided guidance to hundreds of thousands of people, among them 600,000 caregivers, on proper dietary balance and diversity. This effort led to 1.8 million women and children receiving screening for malnourishment. Among those, 11,500 children were able to receive life-saving treatments for malnutrition. With this new training and healthcare infrastructure beginning to take root in hard to reach places within Syria. Women and children will hopefully have an even better standard of life to look forward to.

The data and efforts to date have significantly impacted Syria’s healthcare system. However, it is important to note that all of this progress is occurring despite a lack of assistance from large funding sources. Therefore, it is imperative that Syria receives enough support via other means to ensure that this progress can continue without experiencing delay or derailment. This is a nation in trouble. However, with aid and care from people and organizations like UNICEF, healthcare in Syria could finally know relief.

– Domenic Scalora
Photo: Flickr
July 29, 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 Thelwell2020-07-29 14:38:312024-05-29 23:18:49Improvements in Healthcare in Syria
Global Poverty

Illicit Trade in Kenya: 5 Things to Know

illicit trade in kenyaKenya’s 48.5 million people have chronically suffered poverty because of rampant unemployment, crime and drought. Among other factors, illicit trade in Kenya has contributed to these stressors in a damaging way. Here are five things to know about the illicit trade in Kenya.

5 Things to Know About Illicit Trade in Kenya

  1. Illicit trade in Kenya robs its economy of $900 million every year. Kenya’s largest economic sectors like food and construction frequently fall victim to piracy. Criminals steal from these industries and sell their products illegally on the black market; this causes Kenyan companies and the government to lose money they could have made conducting legal business. Firms in Kenya reportedly lose 37.69% to 42.14% of their profits to illegal trade.
  2. Illicit trade contributes to unemployment as well. Unlawful practices like piracy and the production of counterfeit products caused the loss of 7,484 jobs between 2016 and 2018. The rise of COVID-19 has already threatened the livelihood of Kenya’s 15 million informally employed laborers as people grow less comfortable doing businesses with individuals; illicit trade has only harmed Kenya’s job market further. Kenya’s unemployment has remained fairly stable over the last couple of decades, ranging from 2.6% to 2.9%. However, data has yet to be collected on unemployment in 2020 and across the globe. Unemployment rates have shot well beyond established averages as a result of the COVID-19 pandemic.
  3. Inattention to the issue may be its biggest propagator. Only 30% of the companies experiencing theft by illicit trade are even aware of the crimes against them. Due to the disproportionately high number of foreign banks and poor economic regulation in Kenya, discovering illegal trade proves difficult. The Financial Sector Deepening (FSD) Kenya conducted a study from 2015-2016 to look into complaints about Kenyan banks issuing unwarranted charges. The FSD discovered that many banks charged its customers odd quantities in an opaque manner and the surveyors had great difficulty obtaining any further information on the subject due to the industry’s opacity.
  4. Illegal trade is a global issue and Kenya has joined in the fight against it. The international trade of products like cocaine and tobacco has sparked movements across the globe. In 2020, Kenya joined The Protocol to Eliminate Illicit Trade in Tobacco Products, a treaty signed by 59 countries to universally end the illegal trade of tobacco. The Protocol will lower tobacco smuggling by an estimated 60% and Kenya has already seen success in combating the illicit tobacco market. “The Kenyan Revenue Authority estimates that the illicit cigarette trade market share declined from 15% in 2003 to 5% in 2016, a direct result of the implemented measures [taken],” reports Michal Stoklosa of the Tobacco Atlas.
  5. Kenya’s government has decided to tackle this problem head-on. Kenya’s Anti-Counterfeit Authority, established in 2008 as part of the Anti-Counterfeit Act, has declared its mission to end illicit trade in Kenya. The organization has created jobs, spread awareness of counterfeit activity and its harmful effects, and marked World Anti-Counterfeit Day this year by holding a ceremony and destroying $270,000 of counterfeit goods.

Kenya’s situation may appear difficult, particularly with the added stress of COVID-19, but its government and hardworking people have taken important steps to end illicit trade and its detrimental effects on the Kenyan economy.

– Will Sikich
Photo: Needpix

July 29, 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 Thelwell2020-07-29 14:35:182024-05-29 23:22:10Illicit Trade in Kenya: 5 Things to Know
Global Poverty, Homelessness

Cyclone Harold’s Effect on Homelessness in Vanuatu

Homelessness in Vanuatu
Cyclone Harold tore through Vanuatu in early April 2020 and brought torrential rain, flash flooding and destructive wind up to 145 miles per hour. The storm devastated Espiritu Santo and Pentecost Island, bringing about significant impacts to the rest of the country’s northern and central islands. The cyclone wiped out trees and crops, flooded cities and towns, knocked out power, disrupted communications and destroyed countless homes and businesses. World Vision Vanuatu stated that 160,000 people, which is more than half of the country’s population, became homeless. In some villages, including one on Pentecost Islands, the cyclone destroyed all the homes.

General Relief Efforts

Addressing homelessness in Vanuatu after Cyclone Harold has been challenging due to COVID-19. While the country is one of the few places in the world without any cases, a single outbreak could put the island’s population and healthcare system in jeopardy. Therefore, the country halted international travel, forbade foreign relief workers from on-the-ground efforts and required the decontamination of all aid equipment. As a result, many communities did not see immediate relief.

The Santo Sunset Environment Network and Edenhope Foundation established a coconut weaving program to help rebuild after Cyclone Harold. The program employs people from the island of Tanna in the southern part of Vanuatu. The Tanna weavers held workshops with residents of the affected communities and taught them how to build with coconut fronds, rope and bamboo. Although islanders typically use Natangura palms to construct homes, Harold destroyed most of them, so residents had to adapt. While builders constructed most of the new buildings for communal purposes, they are looking to build private homes and cyclone-resistant buildings as well.

Down Under Rally, an Australian boating tour agency, started Project Nakamal, another local effort to address homelessness in Vanuatu. Down Under Rally also operates in New Caledonia and Vanuatu. Its priority is to rebuild the Nakamal structure, a building that locals use for ceremonial and community purposes. These buildings are at the heart of each community and serve as an important facet of Vanuatu society. The boating tour agency teamed up with Port of Call Yacht Services to provide materials for rebuilding. The organization has now exceeded its original fundraising goal of  $10,000 Australian dollars, about $6,948 in USD.

Larger organizations like World Vision Vanuatu set a goal to reach 3,000 households in Sanma Province, which includes the islands of Espiritu Santo and Malo. These organizations collaborated with World Vision’s Asia Pacific regional office and Vanuatu Women’s Centre to raise money for shelter, water purification and hygiene kits to support people with disabilities.

Through the help of U.N. Women, the Vanuatu Women’s Centre was able to make mobile counseling visits to various areas that the storm affected and help homeless women as well as their families. The organization reports that many women were concerned about their children and avoiding domestic violence. While various women called in need of food, water and shelter, others reached out to alleviate violence and sexual abuse.

Future of Relief

Despite the fact that Vanuatu’s carbon footprint is small, it is at the forefront of dealing with challenging weather. According to a study from Griffith University, the University of Queensland and the University of the Sunshine Coast, stronger and more frequent tropical cyclones threaten the island chain due. Rising sea levels also threaten the country, which would only exacerbate homelessness in Vanuatu. The study found that community-centered initiatives were most successful in addressing these issues. These local programs were scientific but complemented traditional beliefs.

It is important to expand and further implement the Sendai Framework for Disaster Risk Reduction. The document received signatures at the U.N. General Assembly in 2015 and set specific goals for disaster mitigation through 2030. The agreement seeks to reduce global disaster mortality, the number of people who disasters affect, economic losses and infrastructure damage. It seeks to increase warning system availability, international cooperation to developing countries and the number of countries that have both national and local mitigation strategies.

– Bryan Boggiano
Photo: Flickr

July 29, 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 Thelwell2020-07-29 14:18:242024-05-29 23:18:52Cyclone Harold’s Effect on Homelessness in Vanuatu
Global Poverty

Improving Access to Healthcare in Sudan

Healthcare in Sudan
Located in northeastern Africa, Sudan has long been a diverse region of interaction between continental Africa and the Mediterranean. The country is home to hundreds of sub-Saharan African ethnic groups, and political and security challenges in recent decades have impacted it. In addition to displacement, the scattered population has recently suffered several outbreaks of cholera, dengue fever, Rift Valley fever (RVF), chikungunya and malaria.

Healthcare in Sudan faces both unique geographical and financial barriers to access. Improvements in health indicators are difficult to measure since they vary by region. Additionally, efforts to improve healthcare access have met with challenges. These include ineffective implementation of policies and poor coordination between the health and education sectors.

Financial Barriers

Postcolonial Sudan had free access to healthcare until the 1990s when the government gradually withdrew healthcare service provision. To retain healthcare access, Sudanese people often relied on borrowing money from relatives, working more and reducing expenditure on other vital living expenses. Many resorted to buying partial recommended treatments, resulting in further health complications.

Despite reducing support for healthcare, the Sudanese government also invested in higher medical education around the same time. It opened 30 new medical schools and made Sudan the country with the highest number of medical schools in Africa. This investment was an important step in the sustainable progress of healthcare in Sudan. It ensured a steady increase of healthcare professionals for the growing population of 42 million. Consequently, the physician-to-patient ratio improved from 0.1 per 1,000 people in 1996 to 0.41 per 1,000 people in 2015.

In 1997, in an effort to compensate for reduced government spending on health, the Ministry of Health introduced social health insurance (SHI). By 2017, SHI covered most of the population in Khartoum state and a few others. Despite internal efforts, healthcare in Sudan receives little international support. Compared with 50% of healthcare expenditure in Rwanda, only 5.4% of Sudan’s healthcare expenditure comes from external aid. The Sudanese government spends a comparable amount on healthcare to other sub-Saharan countries. However, the cost of healthcare for Sudanese citizens remains high, and many are uninsured.

Current Challenges

Sudan is struggling to retain healthcare workers, many of whom leave the country for better living and working conditions. To reduce physician migration, the Sudanese government has offered various incentives to specialists, such as generous salaries, leading positions, housing, transport and free education for offspring. However, the government cannot afford to sustain these efforts in the long-term or extend these benefits to all physicians.

Michelle Bachelet, a U.N. High Commissioner for Human Rights, argued that sanctions that the U.S. imposed have barred Sudan from receiving international funding for healthcare and COVID-19 relief. Sudan is on the U.S. State Sponsors of Terrorism list, which makes it ineligible to access any of the International Monetary Fund-World Bank’s $50 billion Trust Fund. This fund is currently assisting vulnerable countries to fight COVID-19. Sudan’s health minister Akram Ali Altom has also confirmed that the healthcare system is in urgent need of funding.

Geographical Barriers

As in many African countries, the main challenges to healthcare in Sudan are in rural areas. There, conflict, lack of transport and uneven distribution of resources reduce the availability of healthcare workers. An estimated 70% of the total healthcare providers are in the capital city Khartoum, serving just 20% of the population.

One way that some Sudanese states have addressed the problem has been through the use of telemedicine. Telemedicine has the potential to break down geographical barriers and increase access to high quality, specialist care to patients. A two-year pilot program in Gezira introduced electronic health records into the area for the first time. More than 165,000 new patients were able to register for consultations.

Sudan has many challenges to overcome before telemedicine can become a national success. Consultants located in the Khartoum center were not responsive. Additionally, issues involving software licensing and equipment maintenance have hindered smooth operations. As Salah Mandil, who led the first telemedicine project in Khartoum, noted, poor collaboration between scattered telemedicine projects has hindered efficiency and growth. For instance, projects such as the Surveillance project (FMOH) and the eHealth project have begun independently in various areas. However, they do not communicate or coordinate efforts.

Despite challenges to stability and safety, Sudan has made steps toward improving healthcare access in the past decade. To ensure equal and sustainable healthcare in Sudan, it must address the remaining challenges through better cooperation, management and funding from the government and international aid organizations.

– Beti Sharew
Photo: Flickr

July 29, 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 Philipp2020-07-29 13:50:342024-05-29 23:18:39Improving Access to Healthcare in Sudan
Global Poverty

Diabetes in South Africa: 5 Essential Facts

Diabetes is a disease that occurs when the pancreas is unable to produce or use insulin well, resulting in a high blood sugar level. When the body fails to make insulin at all, this is type 1 diabetes. With type 2 diabetes, the body does not produce or use insulin effectively. Both types of diabetes come with side effects that are detrimental to a person’s lifestyle. In the African region, South Africa has the second largest population of people with diabetes. Here are five facts that you should know about diabetes in South Africa.

5 Facts About Diabetes in South Africa

  1. Diabetes is a leading cause of death in South Africa. With non-communicable diseases (NCDs) like diabetes on the rise globally, South Africa is no exception. In 2016, diabetes and other NCDs caused 16% of the total deaths in the country. Diabetes is one of the three leading causes of death in South Africa, the other two being tuberculosis and cerebrovascular diseases. Among the South African population, there is a major lack of awareness of the disease and access to proper healthcare. Because the prevalence of diabetes in South African adults is 12.8%, it is crucial that other countries continue to support the funding and research of diabetes in South Africa.
  2. There are many ill-side effects for those living with diabetes. Diabetics must consistently track their blood sugar levels to ensure they don’t go into a diabetic coma. Additionally, diabetics are two to three times likelier to experience cardiovascular problems, like heart attacks or strokes. Diabetes can cause an individual’s kidneys to stop working. In most healthcare facilities in South Africa, they lack the procedures necessary to help a diabetic undergoing kidney failure, like renal replacement therapy by dialysis or through transplant. Another symptom of diabetes is neuropathy – or nerve damage – in the feet, which can lead to infection or potential amputation. In healthcare centers in South Africa, there is little equipment available for testing nerve damage in the feet and symptoms like this can often slip under the radar. Through an increase in funding from other countries, individuals suffering from diabetes in South Africa can have access to more equipment and medication necessary for dealing with diabetes.
  3. Socioeconomic disparities and other factors contribute to the prevalence of diabetes in South Africa. In South Africa, proper healthcare is inaccessible in poorer communities. The deficiency of experienced health professionals and respectable clinics makes it hard for citizens to undergo testing or treat the disease if they have it. More than one million citizens in South Africa do not know if they are diabetic. With more accurate and accessible testing, a greater population can begin treatment for the disease. It is crucial that the government receive funding to build diagnostic centers and train medical staff.
  4. Diabetes in South Africa is preventable and treatable in many ways. Though diabetes is irreversible, there are ways to keep symptoms at bay. Type 1 diabetes often develops in childhood and is usually impossible to eliminate. However, type 2 diabetes can go into remission with medication and changes in lifestyle. A common medication used to treat diabetes is metformin. Exercise and good eating habits are helpful treatments for diabetics. The most effective way to decrease the prevalence of diabetes in South Africa is to prematurely educate citizens and encourage healthy decision making. South Africa is currently working towards this goal.One recent preventative measure taken by the South African government is the implementation of a sugar tax. By charging more for sugary drinks and foods, the government is fighting obesity and helping citizens make more conscious decisions. In July 2019, South Africa briefly launched a Diabetes Prevention Programme (DPP). The DPP aims to integrate intervention treatments into a culturally relevant context through household questionnaires and group gatherings for at-risk individuals. In the conclusion of this program, the DPP will focus on using the information they gathered to create a curriculum that can educate communities about diabetes. To prevent rising cases of diabetes it is important that there is more pervasive awareness of the causes of diabetes. Citizens can learn how to manage obesity and understand when they should seek testing.
  5. Many countries and organizations help by funding testing centers and medical treatment in South African cities. The International Diabetes Federation (IDF) works with several organizations in the South African region to help combat the severity of the disease through advocacy, funding and training. The three organizations that are a part of IDF are Diabetes South Africa (DSA), Society for Endocrinology, Metabolism and Diabetes of South Africa (SEMDSA) and Youth with Diabetes (YWD). DSA is one organization that does its part in educating citizens and lobbying the government for better facilities and cheaper healthcare. DSA is a nonprofit that centers around mobilizing volunteers to demand better treatment for those with diabetes.

– Danielle Kuzel
Photo: Flickr

July 29, 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 Thelwell2020-07-29 13:42:502024-05-29 23:22:06Diabetes in South Africa: 5 Essential Facts
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