Tuberculosis is a disease caused by bacteria that spreads through the air. While it can also be spread through the consumption of unpasteurized milk contaminated with the bacteria, the most prevalent form of the TB infection is pulmonary TB. In rare cases, TB can also affect the lymphatic system, central nervous system, urogenital region, joints and bones.
In Somalia, one of the world’s most poverty-stricken nations, less than half of estimated cases of TB are detected. Not all tuberculosis strains are equal, making diagnosis and treatment more difficult. While antibiotics typically treat TB, studies have shown that the prevalence of drug-resistant TB has increased. Somalia has a recent history of a tumultuous political climate, exacerbating obstacles that might prevent the delivery of efficient healthcare, like fund allocation and accessibility.
Diagnosis
In a cultural profile of Somalia conducted in 2006, many believed the disease was spread through airborne particles resulting from coughing or sneezing. These same people often believed that the contraction of TB also comes from a variety of things including it being inherited or the result of a loss of faith, creating stigmas around the disease.
Many people distinguished TB from other ailments with respiratory symptoms through weight loss and the presence of blood in the mucus. Until these symptoms are found in addition to an existing cough, it is assumed to be a chest infection. In cases when a fever is apparent, some confuse TB with malaria.
While the primary symptoms (cough, weight loss and bloody mucus) follow the same way the west symptomatically views TB, Somalians understand the progression of symptoms and the disease a little differently. For example, they separate coughing as a symptom into different phases based on the nature of the cough. They focus on whether or not chest pains accompany a cough, or how it sounds. Based on what phase the symptom is in, it might dictate different treatment plans.
Drug-Resistant Tuberculosis
As of 2011, 5% of first-time infected tuberculosis patients had a drug-resistant strain of TB. In comparison, 41% of previously infected patients had this more robust form of TB. These strains are resistant to several drugs used in the treatment of TB. This resulted in the highest recorded instances of multidrug-resistant TB in Africa at the time.
World Vision
World Vision is a global poverty mitigating initiative with boots-on-the-ground efforts. The organization provides healthcare resources, clean water and education to impoverished communities around the world.
Partnering with the Global Fund to Fight AIDS, Tuberculosis and Malaria, the organization has created 33 tuberculosis grants valued at a total of $160.6 million. World Vision has been the primary recipient of tuberculosis grants in Somalia.
In Somalia, World Vision works to fight the frequency of tuberculosis and its drug resistance. With the help of the Global Fund, the organization has treated more than 115,000 people. Additionally, it has trained 132 health professionals in DOTS, the directly observed treatment, short course, as recommended by the WHO. The organization has also helped 30 laboratories with TB microscopy, which resulted in the national health authority documenting 6,505 cases. World Vision continues to strive to strengthen resources within Somalia so that the government and community have a better capacity in which to deal with TB.
– Catherine Lin
Photo: Flickr
Slums in Ghana: Challenges with Growth
Ghana’s Housing Crisis
How does the government view the slums?
People Living in Slums Face Evictions
This is not the first time demolitions have happened. Demolitions between 2003 and 2006 left more than 7,000 people without homes. The demolition that took place this year received criticism because it occurred during COVID-19 when people were asked to stay at home and practice social distancing. Amnesty International has condemned the government for its actions. The treat of demolition makes it difficult for people who live in slums to invest in the places that they live because they may be evicted.
Lack of Sanitation
To solve the problem of limited bathrooms in the slum community, WSUP works with Ghana’s Ministry of education to provide schools with “toilet blocks.” Furthermore, one of the innovative ways that the organization has helped is by building toilets that are not connected to sewer systems. These toilets store human waste in cartridges that are taken to a waste treatment facility by a clean team whose job is to then send the waste to a plant and replace the cartridge. The clean team is paid a monthly fee to remove the waste. The toilets can be placed in residential areas where some people may find it difficult to access a public restroom.
Although the housing crisis in Ghana may look bleak, the government, citizens and non-government organizations are passionate about solving the problem. In 2019, the government of Ghana entered into an agreement with the UN to build 100,000 houses by 2022, a project that would also provide jobs to people in the community.
Photo: Flickr
Women Showcase Food Safety in El Salvador
Education on Food Safety in El Salvador
Women in El Salvador are participating in an educational program supported by the World Health Organization that teaches safe hygiene practices and food safety. The WHO works in collaboration with El Salvador’s government and other United Nations partner organizations like the Food and Agriculture Organization (FAO), United Nations Development Program (UNDP), UNICEF, UNWomen, and the World Food Program (WFP). The program aims to address foodborne illnesses and poor nutrition by educating local women who then pass on their knowledge to other women in the community.
In preparation for the village workshops, there are two ‘train the trainers’ workshops held to train health promoters who can then go on to educate women in other villages. The women teach others how to host their own educational workshops. Women are chosen as leaders since they play a vital role in food preparation and safety.
Teaching Subsistence Farming
In El Salvador 1 in 10 people live on less than $2 U.S. a day, which makes it hard to buy food. A large sector of the population lacks the proper education about nutrition needed to grow food themselves. This program provides women with education about farming, specifically focusing on five keys to growing safer fruits and vegetables.
Results
After participating in the program, the women involved began to change their lifestyles and safety habits. Women use mesh to protect fields from contamination from animals and can grow a wide variety of fruits and vegetables while practicing food safety. Foodborne illnesses decreased in households where safety measures were practiced. Families that utilized the five keys at home reduced their chances of getting diarrhea by 60% compared to families in communities where these hygiene and safety measures were not applied. Families that began to practice food safety also had a more diversified crop production that contributes to improved nutrition.
Many people in El Salvador live on less than $2 U.S. a day and education on nutrition needed to grow food independently is sometimes lacking. In order to address these issues, The WHO, and other organizations, partnered with El Salvador’s government to host workshops on food safety and hygiene practices. While food safety remains an important issue in El Salvador, the workshops positively impacted food safety in the country by decreasing foodborne illnesses in households that applied the safety measures.
– Anna Brewer
Photo: Flickr
What to Know About Tuberculosis in Somalia
Tuberculosis is a disease caused by bacteria that spreads through the air. While it can also be spread through the consumption of unpasteurized milk contaminated with the bacteria, the most prevalent form of the TB infection is pulmonary TB. In rare cases, TB can also affect the lymphatic system, central nervous system, urogenital region, joints and bones.
In Somalia, one of the world’s most poverty-stricken nations, less than half of estimated cases of TB are detected. Not all tuberculosis strains are equal, making diagnosis and treatment more difficult. While antibiotics typically treat TB, studies have shown that the prevalence of drug-resistant TB has increased. Somalia has a recent history of a tumultuous political climate, exacerbating obstacles that might prevent the delivery of efficient healthcare, like fund allocation and accessibility.
Diagnosis
In a cultural profile of Somalia conducted in 2006, many believed the disease was spread through airborne particles resulting from coughing or sneezing. These same people often believed that the contraction of TB also comes from a variety of things including it being inherited or the result of a loss of faith, creating stigmas around the disease.
Many people distinguished TB from other ailments with respiratory symptoms through weight loss and the presence of blood in the mucus. Until these symptoms are found in addition to an existing cough, it is assumed to be a chest infection. In cases when a fever is apparent, some confuse TB with malaria.
While the primary symptoms (cough, weight loss and bloody mucus) follow the same way the west symptomatically views TB, Somalians understand the progression of symptoms and the disease a little differently. For example, they separate coughing as a symptom into different phases based on the nature of the cough. They focus on whether or not chest pains accompany a cough, or how it sounds. Based on what phase the symptom is in, it might dictate different treatment plans.
Drug-Resistant Tuberculosis
As of 2011, 5% of first-time infected tuberculosis patients had a drug-resistant strain of TB. In comparison, 41% of previously infected patients had this more robust form of TB. These strains are resistant to several drugs used in the treatment of TB. This resulted in the highest recorded instances of multidrug-resistant TB in Africa at the time.
World Vision
World Vision is a global poverty mitigating initiative with boots-on-the-ground efforts. The organization provides healthcare resources, clean water and education to impoverished communities around the world.
Partnering with the Global Fund to Fight AIDS, Tuberculosis and Malaria, the organization has created 33 tuberculosis grants valued at a total of $160.6 million. World Vision has been the primary recipient of tuberculosis grants in Somalia.
In Somalia, World Vision works to fight the frequency of tuberculosis and its drug resistance. With the help of the Global Fund, the organization has treated more than 115,000 people. Additionally, it has trained 132 health professionals in DOTS, the directly observed treatment, short course, as recommended by the WHO. The organization has also helped 30 laboratories with TB microscopy, which resulted in the national health authority documenting 6,505 cases. World Vision continues to strive to strengthen resources within Somalia so that the government and community have a better capacity in which to deal with TB.
– Catherine Lin
Photo: Flickr
10 Facts About Tuberculosis in Impoverished Countries
10 Facts About Tuberculosis in Impoverished Countries
Although TB poses a threat to impoverished countries, there is a lot being done to prevent TB deaths. The Global Fund is ensuring that grants are provided for countries combating the dual-threat of COVID-19 and existing diseases like TB, HIV and malaria. With effective treatment regimens already on the market and faster-acting versions in development, increased U.S. foreign aid and funding for aid programs could expedite the end of TB in impoverished countries.
– Eleanor Williams
Photo: Flickr
A Global Fight: Battling Tuberculosis in Tanzania
Tanzania holds a spot on the list of the 30 highest-burden countries for tuberculosis (TB) and TB/HIV coinfection. Many things contribute to the spread of TB in Tanzania, like infrastructural barriers and transportation difficulties for those in rural areas. While the burden of costs associated with addressing TB in the country falls largely on the government, the United States and Tanzania have formed several partnerships to attack infectious diseases with a united front.
Tuberculosis in Tanzania
Victims of active TB in Tanzania endure chronic coughing fits, fevers, night sweats, persistent exhaustion and severe weight loss. Annually, more than 166,000 Tanzanian inhabitants are infected with TB. The International Association for Medical Assistance to Travelers classifies the infectious disease as “highly endemic” in the East African country.
The Centers for Disease Control and Prevention (CDC) report that TB is the fifth leading cause of death for Tanzanians, trailing behind heart disease and HIV/AIDS. Moreover, the five percent of Tanzanians with the HIV/AIDS infection are at a higher risk for TB co-infection, according to the World Health Organization.
The Science Behind Tuberculosis
The two strains of TB most common in Tanzania are airborne pulmonary TB (Mycobacterium tuberculosis) and bovine TB (Mycobacterium Bovis) sometimes found in unpasteurized dairy products. Pulmonary TB occurs globally because it travels through small, aerosolized droplets that settle in the lungs. A mere cough or sneeze, or even singing, can pass the infectious droplets from one person to another. The CDC reported that the disease can also stay suspended in the air for hours if the environment allows.
Latent TB comprises 90-95 percent of cases, a stage that can last many years in which carriers do not exhibit symptoms. However, when activated, the disease can prove lethal. Broad-spectrum antibiotic treatments can cure TB, although multidrug-resistant tuberculosis is becoming more common. Without proper treatment, TB evolves to resist antibiotics, making it difficult to kill the bacteria.
Factors Contributing to the Prevalence of Tuberculosis
Infrastructural barriers increase the spread of Tuberculosis in Tanzania. Densely populated communities provide a breeding ground for bacteria and infection. The International Organization for Migration identifies the mining sector as a hot-spot for TB, a problematic externality to an industry that stimulates the Tanzanian economy.
While crowded environments increase the spread of disease, remote regions experience delays in the diagnosis and treatment of TB. The National Institutes of Health reported that people living in rural areas are more likely to pursue traditional healers before seeking health care services, preventing early diagnosis and prolonging infection. Moreover, especially during the rainy season when roads are inaccessible, inhabitants of remote regions face difficulties with transportation to medical facilities and testing sites.
Within the health care sector, inadequate adherence to preventive measures allows for the risky exposure of TB to health care workers. Tanzania also lacks the human resources (i.e. health care personnel) and technical diagnostic tools to properly tackle widespread TB infection.
Efforts to Mitigate Widespread Tuberculosis in Tanzania
The financial burden of TB testing and treatment falls mostly on the Tanzanian government, which covers the majority of costs associated with health care services. However, other agencies, such as volunteer organizations, donate in order to help stop the spread of TB.
For instance, since 2003, USAID has partnered with the Tanzanian Ministry of Health to combat Tuberculosis. In 2017, the partnership yielded concrete changes, such as initiating 2000 new patients for TB treatment and expanding drug-resistant TB services to 48 sites throughout the country. USAID pledged an additional $5 million to continue the prevention and treatment of Tuberculosis in Tanzania for the fiscal year of 2018.
Beyond government agencies, medical schools aid Tanzania through academic support. In December of 2018, Dartmouth’s Geisel School of Medicine and 50 participating Tanzanian partners united for a symposium in Dar es Salaam. The symposium sought to address TB through the exchange of research and a strengthened relationship between the United States and Tanzanian academics.
Lisa V. Adam, director and dean for Geisel School of Medicine, said “the [symposium] addressed both the progress with TB care and prevention in Tanzania and the many challenges that lie ahead.”
Well into 2020, TB continues to diminish the quality of life throughout Tanzania and poses a threat to the livelihood of its people. Yet, governments, organizations and academic centers are working to eliminate Tuberculosis in Tanzania. These groups are furthering the fight against infectious diseases — together.
– Maya Gonzales
Photo: Flickr
6 Facts About the Garment Industry in Nepal
Nepal is one of many developing South Asian countries that plays a substantial role in the global ready-made garment industry. These mass-produced textiles have become a staple export from Nepal, but they have also normalized the unethical practices of fast-fashion chains within the country. Over the last two decades, Nepal has struggled to regulate both economic and ethical issues within the garment industry, but the last few years have produced a shift towards a brighter future for garment workers. Here are six facts about the history of the garment industry in Nepal and the efforts to address both the problems of fast-fashion chains and the country’s economic reliance on them.
6 Facts About the Garment Industry in Nepal
The exact reach and impact that the garment industry has had on Nepalese poverty remains unclear, but the future looks bright. The Nepalese government reports that employment data within the garment industry is “not readily available” but at the peak of its power, the garment industry employed 12% of the overall labor pool of the Nepalese manufacturing sector. As of 2019, the World Bank calculates the poverty line in Nepal to be $1.90 per person per day. Nepal lacked substantial policy in terms of a minimum wage, but the Library of Congress reports that since 2016, Nepalese workers across industries now make a minimum wage of approximately $3.74 per person per day. The modern garment industry, regulated with a minimum wage, can help lift Nepalese workers above the poverty line of the country, even if the garment industry of the past once presented a potential hurdle.
There still exists substantial work to transform the garment industry in Nepal into both a thriving industry and an equally ethical one; the country is making the first successful steps towards achieving both. This change will provide garment industry employees a better quality of life, as well as ensure that they and their families receive fair treatment.
– Nicolette Schneiderman
Photo: UN Multimedia
Improving Internet Access in the DRC
Internet access in the Democratic Republic of the Congo has been almost nonexistent for the past decade. The DRC’s internet access is 145th in the world, which is horrendous knowing the haunting past of its internet accessibilities. It was just in 2019 that the DRC lost its internet access completely amidst its election cycle. This has become a growing trend amongst several African and Asian nations, as governments are becoming more capable of shutting down electronic ways of communication and civil discourse. Apps like WhatsApp, Facebook, YouTube and Skype have cut communication. Here is some information about internet access in the DRC.
Economic Burden of Internet Loss
The financial burden that the DRC has faced has become an eroding problem after every internet shutdown of 83 million people. NetBlocks and the Internet Society, both internet access groups, calculated these shutdowns by using an algorithm. NetBlocks is a website that has a Cost of Shutdown Tool (COST) that “estimates the economic impact of internet disruption, mobile data blackout or app restriction using indicators from the World Bank, ITU, Eurostat, and U.S. Census.” NetBlocks estimated that the DRC’s shutdown costs an economic downturn of $3 million or more. This paints a bleak picture for the people of the DRC and their government.
Cutting off internet access is one thing but to cut it off at the expense of losing capital funds is a losing feat on both ends. The Internet Society has been trying to answer the question, how can internet access be better for the Democratic Republic of the Congo?
New Approaches to Internet Access
In 2019, The Internet Society started working on launching the second Internet Exchange Point in the Democratic Republic of the Congo. Kojo Boakye, that Head of Public Policy for Africa, said that “This new infrastructure will help improve connectivity by lowering the cost of delivering Internet services to people in the region.”
Since then, the DRC has seen a steady increase in internet access. Mobile connectivity has increased by 1 million (3.1%) from January 2019 to January 2020. This increase still means that 60% of the DRC’s total population does not have a mobile connection via the internet. Social media accounts have increased by 680,000 (28% increase) from April 2019 to January 2020.
The Future of the Internet in Congo
With TIS and NetBlock’s help, internet access in the Democratic Republic of the Congo should continue to expand as more IEP emerge. Another way of helping the Congo is by advocating for the removal of censorship laws from laws like No. 13/2002. No. 13/2002 “governs the telecommunication sector and confers powers on the government to take charge of communication facilities in the interest of national security or public defense.”
Not complying with these laws makes internet service providers like Bharti Airtel and Orange Group afraid that the country could revoke their licenses. If these laws change or the DRC puts a new one in place, internet access in the DRC should allow others to hear all voices without the government’s force.
– Grant Ritchey
Photo: Flickr
Innovative Ways to Solve Hunger During a Pandemic
The Borgen Project has published this article and podcast episode, “How Innovation Can Help Solve Hunger During a Pandemic,” with permission from The World Food Program (WFP) USA. “Hacking Hunger” is the organization’s podcast that features stories of people around the world who are struggling with hunger and thought-provoking conversations with humanitarians who are working to solve it.
As COVID-19 spreads across the globe, it brings more than the threat of disease, it also brings the threat of hunger. Currently, 135 million people suffer from severe hunger, and it’s estimated that the pandemic will double that number by year’s end. WFP is ramping up to meet the rapidly increasing need.
Technology and innovation have always been a key part of WFP’s emergency response, but now, during a global pandemic, they are perhaps more critical than ever before. That’s why it should come as no surprise that WFP tapped its Innovation Accelerator program to aid in its COVID-19 response.
The WFP Innovation Accelerator sources, supports and scales high-potential solutions to hunger worldwide. Each year, it hosts several bootcamps where technology starts ups hone their innovative ideas help solve global hunger. So far, more than 60 innovations have been deployed within WFP’s operations and have been making a critical difference.
Since the Coronavirus hit, the Innovation Accelerator has adjusted its plans and operations, but it hasn’t slowed down. In fact, it’s now doing even more. We dialed up Bernhard Kowatsch, Head of WFP’s Innovation Accelerator, to learn more about how it’s helping WFP overcome challenges they face in this unprecedented time.
Click the link below to listen to Bernhard Kowatsch talk about innovative ways to deal with hunger during COVID-19.
Photo: Flickr
Tennis in Poverty-Stricken Countries
Around the world, people have always considered tennis to be an aristocratic sport. Although tennis is one of the most popular sports worldwide, many people in poor nations simply do not have the infrastructure to play. However, tennis in poverty-stricken countries is growing in popularity. From post-Soviet European societies to rapidly developing African nations, tennis is spreading to a diverse community of people all over the world, and it is helping catalyze the development of under-resourced areas.
Rising Stars: Tennis in Eastern Europe
One prominent example is the effect that tennis has had in Eastern Europe and the Balkan region. The brutal internal conflict spanning nearly 20 years at the end of the 20th century centered around border disputes and ethnic boundaries between Serbians, Bosnians and Croatians. As war ravaged the former Yugoslavia, tennis became an outlet for many youths to escape the conflict and make a name for themselves. One such youth was a boy named Novak Djokovic, who went on to receive wide regard as one of the greatest tennis players of all time.
Djokovic, who experienced his transformative years in Belgrade, Serbia during the late 1990s, described growing up with tremendous adversity. Like other tennis players, he sometimes had to play in abandoned swimming pools because the courts experienced bombing. Partially accrediting his later success to this difficult childhood, Djokovic recalled one period from 1999: “We were waking up every single night at 2 or 3 a.m. for two and a half months because of the bombings.” He went on to articulate that “these experiences made me a champion, it made us tougher, made us more hungry for success.”
The “us” he refers to is his cadre of fellow Eastern European tennis players from war-torn or poverty-stricken countries in the 1990s. The Serbs took the tennis world by storm in the 2000s, dominating both men’s and women’s tours. Janko Tipsarević, Filip Krajinović, Nenad Zimonjic, Jelena Janković and Ana Ivanović are just a few examples. The popularity of tennis radiated from the war-torn Balkan nations northward to poor post-Soviet states like Bulgaria, Ukraine, Belarus and the Baltics, and even to Russia. All of these countries now have players in the top 100 world rankings.
Progress On and Off the Courts
Though one cannot overlook the impact of the sport on world rankings, tennis has also helped develop and unify struggling nations. Extracurricular programs and character development among children are just a few positive side-effects of tennis. Indeed, following the conflict at the end of the 20th century, Balkan nations have seen relative progression and development. This formula of development through tennis also appears in other regions of the world.
Africa suffers from many circumstances similar to the Balkans such as poverty, despair and ethnic conflict. Tennis in poor countries in Africa can offer incremental progress toward building strong young people for the future and mending broken societies. Many organizations share this vision. Tennis in Africa, a nonprofit organization, is trying to kickstart tennis infrastructure in Ghana and other nations to help build not only technical tennis skills but also life skills to bring families out of extreme poverty. In July 2018, locals received a tennis clinic in Ghana well. Organizations like Tennis in Africa provide year-round training for impoverished youth on the continent, helping cultivate the seeds of growth and development in an underprivileged area of the world.
Working in conjunction with other support efforts, the International Tennis Federation (ITF) development fund has its sights set on the African continent too. Being the central governing body of tennis, the ITF raised its budget by 12% to a total of $11.3 million in 2019. The ITF works to give underprivileged athletes financial support in traveling and making a living through tennis, while also covering other areas of development like coaching, facilities and administration to underprivileged communities. In addition to these organizations, some of the most successful tennis players in the world, like Rafael Nadal, are using tennis as a means of an education — both physical and emotional — all over the world. In one such project that the Rafa Nadal Foundation conducted, underprivileged youth in India received access to tennis and education through Nadal Educational Tennis School (NETS). NETS aims to alleviate extreme poverty in Anantapur, India by enrolling over 200 disadvantaged children each year. NETS is just one example of how tennis can be a positive societal force to spur progress, especially for future generations.
Hope for Tennis Players Worldwide
Though tennis has traditionally been a sport of privilege and wealth, the modern game is seeing many new faces from disadvantaged parts of the world. Especially for young people, tennis in poverty-stricken countries offers a unique opportunity for character development, as well as building healthy physical habits. Beginning with Eastern Europe, tennis has had an overwhelmingly positive social influence, helping nations recover from economic, social and political upheaval. There is no reason why the sport should not receive extension into underdeveloped nations across the world, providing a vehicle to help lift people out of extreme poverty.
– Zak Schneider
Photo: Flickr
Essential Education Reforms in India
Impoverished and Uneducated?
In 2017, 22% of India’s population lived in poverty. Among them, 287 million were unable to read or write: the basic fundamentals of primary education.
India has the highest worldwide rate of illiterate children. Sadly, illiteracy makes many students unable to keep up in classes and causes them to be removed from the public school system. Disproportionately, 78% of the children out of school are girls.
Children who fail out of lower school due to illiteracy are in greater danger of falling or staying beneath the poverty line if their family is already facing hardships. Indian children who are not included in the school community face greater social seclusion and lack of community support. Without support and opportunities from their communities, these challenges greatly stunt a child’s socioemotional and economic growth.
Building the Budget
Although there are difficulties, education reforms in India are growing. In 2019, the Indian government in New Delhi declared the 2019-2020 school year budget for public institutions to be ₹94,853.64 Indian rupees ($1,254). This was a raise of $149 U.S. dollars since the previous school year.
Although the New Delhi government is increasing its budget with the funds it can spare, India spends nowhere near the U.S. $64 billion yearly budget for public education.
Building the budget for public education in India means much more than funding for materials and updating technological services in school buildings. Along with a lack of access to education, many children in India are malnourished, making it more difficult to focus during school.
The budget has also increased the amount allocated for the lunchtime meal plan to ₹11,000 Indian rupees. Thus, students receive more services than classroom instruction while in the school building. This betters the overall physical and mental health of a student.
Three Initiatives of Public Education Reforms in India
Is Socioemotional Learning the Future?
India has invested in enhancing the level of mental and emotional growth that a child can have at school. This includes self-enhancing and enlightening engagement from the school curriculum and staff. The benefits of these initiatives implemented by the government are making many nations around the world start to question the benefits of investing in their children’s emotional and social well-being during the school day.
Photo: Flickr