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10 Facts About Sanitation in Niger

Sanitation in Niger
Niger is the largest country in West Africa. It is officially named the Republic of the Niger after the famous Niger River. While rates like school enrollment, global economic prospects and life expectancy at birth are estimated to increase in the coming years, it still remains one of the most underdeveloped and poorest countries in the world. Access to proper sanitation still remains one of the largest issues affecting the nation. Here are 10 facts about sanitation in Niger.

10 Facts About Sanitation in Niger

  1. In 2016, an estimated 70.8% of deaths were caused by a lack of safe drinking water or proper sanitation. Other leading causes of death include influenza and pneumonia accounting for 27,892 deaths, diarrheal diseases accounting for 16,180 deaths and tuberculosis accounting for 3,842 deaths, all in 2017.
  2. Because of Niger’s quickly increasing population, any progress being made in the sanitation infrastructure and development has been slowed down by the number of people being born. In 2000, the population was around 11.4 million. By 2018, the population had grown to 22.5 million. Niger also has the highest birth rate in the world: in 2011, the birth rate was 7.6 births per woman per year.
  3. The droughts that Niger experienced in the past, from 1950 to around 1980, contributed to sanitation access issues and disease. This also led to lower crop yields, resulting in malnutrition.
  4. In Niger, there are 10 million people who cannot reach clean water. This is in part due to the fact that most of the people in Niger live in rural areas, not urbanized ones. In 2014, approximately 8.2 million people lived in the rural areas of the country that lacked proper sanitation infrastructure.
  5. In 2008, only 39% of the people living in rural areas had access to water, while 96% of the population in urban areas did. Also in 2008, only 4% of people living in rural areas had access to sanitation, while 34% had access to sanitation in urban areas.
  6. There are 18 million people without access to a toilet in the country. This issue of sanitation in Niger leads to open defecation, which also poses health issues. In 2017, 68% of people were practicing open defecation in the country.
  7. Lack of clean water results in 9,800 childhood deaths from diarrhea each year. In 2018, there were 83.7 childhood deaths per 1,000 children.
  8. Part of the reason many people lack access to sanitation in Niger is due to the country’s Water Access Sanitation and Hygiene Program (WASH), which needs to be improved. This is in part due to the rapidly growing population. The goals of WASH cannot keep up with the growth. The drastic differences in living conditions between the urban and rural populations also create complications.
  9. Although wells are dug for water, there are problems accessing them and with contamination. Some wells do not have proper liners, and therefore become contaminated and unusable for drinking. In other cases, women and children have to walk hundreds of miles just to access the water wells.
  10. Niger’s people face problems with diseases from water, especially cholera. The conditions of sanitation in Niger result in water contamination, which resulted in a cholera outbreak in the area from the years 1970 to 2006. In 2004, another outbreak led to 2,178 cases of cholera, resulting in 57 deaths. In 2006, Niger had yet another outbreak, leading to 1,121 cases and 79 deaths being reported.

The Good News

UNICEF is one of the main groups helping the government of Niger with the sanitation issues in the country. The group aims to help provide safer drinking water and better access to sanitation. Another group called Water Aid aims to provide clean water to those in need, along with access to toilets and hygiene. The nonprofit Wells Bring Hope focuses on drilling wells in the rural areas of Niger in order to supply clean drinking water. They also are promoting drip-farming in order to help farmers grow their crops.

While Niger is far from reaching its Millennium Development Goal (MDG) and sanitation concerns are rampant throughout the country, especially in rural areas, there are groups making strides for the nation’s future. With these continued efforts, hopefully sanitation in Niger will improve.

– Marlee Septak
Photo: Flickr

10 Facts About Healthcare in the Russian Federation

Healthcare in the Russian Federation
The Russian Federation is the biggest country in the world, covering more than 6.6 million square miles. It is also the ninth most populated country with almost 146 million citizens. Despite Russia having universal healthcare, most people are unable to obtain an adequate form of it. After the fall of the Soviet Union in 1991, healthcare conditions have not improved and many expect it will worsen due to government corruption, consequences of COVID-19 and a lack of government funding for medical supplies. Here are 10 facts about healthcare in the Russian Federation.

10 Facts About Healthcare in the Russian Federation

  1. Life expectancy increased by eight years over the past 20 years but still remains lower in males than in females. In 2000, estimates determined that the average lifespan of both genders was 65 years old, but in 2018, the number increased to 73 years old. In 2020, estimates identified that females live to 77.8 years old, while males only live to an average of 66.3 years.
  2. The Russian Federation provides its citizens with compulsory insurance, known as OMC, or free universal healthcare. Russia also allows its citizens to purchase privately-owned insurance or DMC. People who are on the OMC do not receive coverage for the majority of vital treatments and everyone has to pay in full for the provided medical services. Poor healthcare in the Russian Federation stems from a lack of governmental funding, hence more than 17,500 Russian villages and towns have no medical infrastructure and salaries for doctors and nurses are often as low as $250 a month.
  3. In 2019, a large number of imported medicines disappeared from Russian pharmacies and the sanctions against Russia further escalated the drug shortage problem. The Russian government failed to supply basic drugs like glucose, Prednisone and Lamivudine to its hospitals. There is also a painkiller deficit for terminally ill patients which is linked to the suicides of 40 terminally ill cancer patients in Russia in 2014. The problem with drug shortages and low wages has escalated in the previous years because Russia has implemented policies that not only cut spending on imported Western products but also only promote domestic businesses.
  4. The Russian government plans to cut its healthcare budget by 33% in the near future, bringing it down to $5.8 billion a year. Russia’s current health expenditure from GDP is only 5.3%, which is less than Guatemala and Madagascar’s annual GDP healthcare spending. The current global average health expenditure is at 10%. According to a 2014 Bloomberg report, healthcare in the Russian Federation placed last out of 55 developed nations.
  5. Moscow, the capital of the Russian Federation, has the best hospitals in the country, some of which have national rankings. Moscow’s Children Hospital ranks 250th in the world, while the Bakulev Center for Cardiovascular Surgery ranks 291st. Despite dire shortages of medicine, both hospitals operate at a national level. Russia also has more than 17,000 pharmacies and 17% of them are privately owned, while the rest either belong to the city’s authorities or regional governments.
  6. In Russia, 98% of children between the ages of 12-23 months receive vaccinations for measles and skilled health staff attend 99% of all births. However, the general rate of vaccinated children has recently declined because not only did the parents receive the option to not vaccinate their children, but many citizens noticed that their children get ill more frequently after receiving the vaccines. Because the measles vaccine became widespread since 1993, cases in Russia have drastically decreased, dropping from almost 80,000 to only 2,539 in 2018. In addition, there were 51 births per 1,000 women between the ages of 15-19 in 1990, but in 2018, it has decreased to 20 births per 1,000 women. Russia’s teenage pregnancy rate is decreasing because of an increase in contraceptive counseling and laws, one of which stipulates young women older than 15 years old to receive sexual health consultations without their parents’ permission.
  7. Only 5% of people hold private medical insurance or use private healthcare in the Russian Federation because many are unable to afford it. The cost of private health insurance in Russia can vary from 10,000 to 45,000 rubles per year, and on average, a living wage family has an income of 23,700 rubles per month. There were no governmental attempts to make insurance more affordable and the Russian Federation will cut its health expenditure next year by 33%. In addition, many Russian citizens have to seek appropriate healthcare in neighboring countries.
  8. There are only 8.4 psychiatrists, 2.4 social workers and 4.6 psychologists per 100,000 people. Despite the Russian law guaranteeing psychiatric care to its citizens as a civil right, Russia underfunds medical programs due to its corruption. The Corruption Perceptions Index ranks Russia 137th out of 180 countries worldwide, and the Global Corruption Barometer also estimates that 27% of public service users paid a bribe in 2016. In 2018, the Russian government added new amendments to its Administrative Code, which allows courts to freeze one’s assets if they are under investigation for bribery. It also exempts businesses from liability if they are willing to cooperate with the authorities to uncover other criminal schemes. Both actions are promising in terms of battling corruption. Unlike the seeming battle with corruption, Russian psychiatric hospitals have been struggling immensely from governmental underfunding. Psychologists and social workers are unavailable in 13 territories within Russia, and findings determined that one-third of Russian in-patient psychiatric hospitals have unsanitary conditions. It has been numerously reported that Russian psychiatric hospitals have 15 people in one room, which has bars on all windows and no partitions or toilet access.
  9. In 2017, the seven leading causes of death were ischemic heart disease, stroke, Alzheimer’s disease, cardiomyopathy, Cirrhosis and lung cancer. Many of them decreased in frequency since 2007. Only Alzheimer’s has increased by 34% between 2007-2017, while strokes have decreased by 19.2% and cardiomyopathy by 29.5%, despite the lack of improvements in Russia’s medical system.
  10. Small Russian nonprofit organizations and civil societies like Patient Control, Eurasian Women’s Network on AIDS and the EVA Association have been fighting an uphill battle with the Russian government. The EVA Association is a nonprofit organization that helps women with HIV or any other immunodeficiency disorder, by bringing together a network of activists, 72 medical specialists and eight other nonprofits from more than 39 cities in Russia. Patient Control, on the other hand, advocates for citizens who have not received the necessary medication for tuberculosis, Hepatitis C and HIV due to significant healthcare budget cuts in Russia. In 2016, the Russian Red Cross branch also worked closely with the Regional Health Initiative, a Red Cross program, and it worked to supply civilians, particularly in Sochi, Irkutsk, Belorechensk and Tula, with food parcels and tuberculosis screenings.

While some are addressing the problems regarding healthcare in Russia, it is impossible to eradicate poor healthcare all at once because of corruption and lack of funds. As of June 2020, the quality of healthcare in the Russian Federation remains low. With anticipated health expenditure budget cuts and consequences of COVID-19, experts do not expect the situation to improve in the near future. However, because the nation’s citizens are staying united and helping one another through various associations and nonprofits, there is hope at the end of a very long tunnel.

– Anna Sharudenko
Photo: Flickr

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Citizenship Amendment Act Protests in India

Citizenship Amendment Act Protests in IndiaBlood, tears and the echoes of piercing cries have filled India’s capital New Delhi for weeks now. People participating in peaceful anti-Citizenship Amendment Act protests in India have face the wrath of violent police officers. India’s youth has taken to the streets to fight against the Citizenship Amendment Act (CAA). The CAA allows for the marginalization of the Muslim community by restricting their ability to gain citizenship in India. This has created great discomfort for many of the 138 million Muslims currently living in India, who make up around 13.4% of the total population.

The bill appears to be most beneficial to Hindus, who account for 80.5% of India’s population. Its introduction has caused a national uproar as it highlights century-old religious intolerance in India. Many argue that the bill is in violation of Article 15 of the Indian constitution, which prohibits discrimination on grounds of religion, race, caste, sex or place of birth. The public has drawn similarities between the current situation and the problematic partition of Pakistan and India.

How does the CAA actually affect citizenship?

The CAA specifies that illegal immigrants from Pakistan, Afghanistan and Bangladesh can receive Indian citizenship if they have proof of residence for six years under the condition that they affiliate with Hindu, Sikh, Buddhist, Jain, Parsi or Christian religious communities. However, Muslim immigrants from the same countries must have proof of residence for at least 12 years; it is argued this component contravenes Article 14 (equality for all people) and Article 15 of the Indian Constitution. The bill reduces the Muslim community to “second-class citizens” based on their religion alone.

Prime Minister Narendra Modi expressed his dissatisfaction with the Citizenship Amendment Act protests in India. He defended the bill, claiming there was no harm in trying to uplift the religious majorities in India, especially because they were discriminated against in other countries, like Pakistan. His party, the Bharatiya Janata Party (BJP), has previously promoted policies and ideologies that favor Hindus and disfavor Muslims.

Further, members of the party have openly labeled Muslims as “terrorists” and have asserted that Hinduism is the dominant religion. Recently, BJP representative Chief Minister Yogi Adityanath claimed that the protests are stopping India from becoming a global power. However, he offered no explicit elaboration as to how they are doing so. It is evident that influential parts of the Indian government support and promote anti-Muslim sentiments.

Jamia Millia Islamia, a university in New Dehli with a significant population of Muslim students, is a center for Citizenship Amendment Act protests in India. Despite the peaceful nature of the protests, several videos of physical harassment at the hands of law enforcement have surfaced. This footage shows police charging students with lathis; many criticized this act for being unwarranted.

The Path to Equality: Pleas to the Supreme Court

Awareness about the CAA’s unjust components has spread across the country. Because of this, numerous petitions against the act have been filed at the Supreme Court of India. This same method was implemented previously against Section 377 of the Indian Constitution, which criminalized homosexuality. The Supreme Court later repealed the law thanks to the various protests and petitions filed across the country.

As the government continues to defend the bill, the public’s last hope is the Supreme Court, the only institution that can stop the implementation of CAA. On January 22, 2020, the Supreme Court did not issue a stay on the petitions filed against the bill and instead gave the central government four weeks to respond. This further angered the public and has continued to help the youth hold consistent protests all around the nation. However, as of March 5, the Supreme Court announced that it will consider petitions against the CAA after resolving matters pertaining to the Sabarimala issues.

The path taken by the protestors has proven to be effective in the past. The youth of India aim to strike down the CAA in court with the law on their side. Citizenship Amendment Act protests in India display the changing mindset of the country’s youth. These protests also promise hope to those ostracized by the government on the basis of religion. As religious tolerance is now a priority for the majority of India, unfair practices promoting inequality are bound to disappear in the near future. As for the present, the Supreme Court will decide whether CAA can be implemented in India within the next few months.

– Mridula Divakar
Photo: Wikimedia Commons

10 Ways the EU Supports the Least Developed Countries

10 Ways the EU Supports the Least Developed CountriesThe European Union (EU), comprised of its 27 member states, is the biggest economy in the world. As such, the EU is the biggest exporter and importer of goods and services provided by third parties (non-union members). On the other end of the spectrum, the world’s Least Developed Countries (LDCs) account for only 2% of the global economy and only 1% of global trade in goods and services. The EU’s social policies have always been supportive of these LDCs. Yet, they acknowledge that economic policies and opportunities are most effective in supporting these countries. Even though the LDCs function in the global economy, they struggle with exports (while obtaining the full benefits). Because of this, the EU began allocating resources to help these countries. The EU also opens the European market to their products and services. Here are 10 ways the EU supports Least Developed Countries.

10 Ways the EU Supports the Least Developed Countries

  1. No Customs Taxes, No Quotas: LDCs exporters are not taxed when accessing the EU market. There are no limits on how much LDCs can export to member states without this taxation. This applies to all products or services, as long as it complies with the EU’s quality standards. The only exception is the trade of arms and ammunition.
  2. EU Aid for Least Developed Countries: The EU encourages the LDCs to increase exports and production by investing in their local economies. The Aid for Trade is the EU’s stimulus for the LDCs to take on infrastructural projects such as roads, bridges and ports. It is believed this aid helps the countries develop further and become more competitive.
  3. Least Developed Countries Get Complimentary Access to the EU Market: The EU’s trade policy for LDCs differs from other developing countries. In some cases, it is even more accommodating than their partnerships with traditional allies. By giving LDCs uninhibited access, the EU is providing a competitive advantage over other third parties. This way, LDCs have more opportunities to trade with the EU than stronger economies. Hence, this gives them a better chance to grow.
  4. Full Access for Services: The EU makes it easy for companies in the LDCs to sell innovative services. For example, engineering, management advising and IT. There is dual reasoning behind this policy. First, it creates a more competitive market. Second, it helps LDCs enhance their local technology and engineering service sectors.
  5. Opt-out from World Trade Organization’s Patents: The EU created unique policies that apply only to LDCs to encourage innovation. The LDCs may request an opt-out from the World Trade Organization’s (WTO) rules on intellectual property. This could include things like expensive patents or designs. These things can block their developmental progress. Further, the EU gives LDCs access to otherwise patent-shielded drugs, to ensure that people have access to the medications they need.
  6. Governmental Support and Counseling: The EU supports the LDCs’ governments, so they can make trade a central part of their national agenda and plan to develop their economies. As part of this effort in 2015, the EU pledged €10m to a program designed and guided by top European economists.
  7. No More Unfair Competition Among Farmers: Subsidizing local farmers to export is a common practice around the world. As a result, farmers in weaker states struggle to compete; sometimes they even declare bankruptcies. In 2015, the EU and Brazil discussed a new deal with the WTO. This deal would scrap the unfair practices and export subsidies to farmers. The deal is still in process, but it hides an excellent premise for all the LDCs that would profit from it on the background.
  8. Backing the Fair Trade: EU trade deals with the LDCs that specially designed products to promote fair and ethical trade of products. This includes cocoa, coffee, fruits and other foods; these products are mainly supplied from these countries. Additionally, the EU supports the LDCs by partnering with the International Trade Centre. It invests in projects like 1 RUN that trains small-scale farmers in the LDCs to produce their crops more sustainably.
  9. The Trade Facilitation Agreement: The EU is the loudest supporter and promoter of the WTO’s Trade Facilitation Agreement. It will make it much more manageable and more affordable to clear goods through customhouses – giving crucial administrative relief to exporters from the world’s poorest countries.
  10. EU Supports the Least Developed Countries on the World Stage: The Union is a prominent member of the world’s international organizations, including the WTO, the UN, and the United Nations Conference on Trade and Development (UNCTAD). In each one, the EU prioritizes the needs of the Least Developed Countries and encourages other members to open up their markets and provide finance to help their advancement.

 – Olga Uzunova

Photo: Pexels

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Eritrean Women Fight Gendered Poverty

Eritrean Women Fight Gendered PovertyThe Eritrean War of Independence oversaw a liberation on two fronts. The first was a divergence from Ethiopian colonial rule and the creation of a free Eritrea. The second was a women’s emancipation from culturally embedded subordination and the development of a semi-feminist state. The women’s movement began alongside the Eritrean War of Independence in 1961. It was quick to gain support and traction. The movement allowed women freedoms they did not have pre-revolution. However, as the state transitioned its focus towards a restructuring of administrative processes, the women’s movement lost steam and support. Now the Eritrean women fight gendered poverty. They are fighting issues such as malnutrition, the pan-African AIDS epidemic and limited access to education and health resources.

Poverty and Eritrea

According to the World Health Organization, 53% of Eritreans are living below the poverty line. Further research conducted by UNICEF reported that female-headed households in Eritrea tended to be the poorest. Many long-standing traditions in Eritrean society, pre-dating the civil war, are sources of this income disparity between male and female-headed households. An example of these gender norms is the fact that Eritrean women were not allowed to own property; this often led to unemployment and as a result, a lower income. These outdated expectations cause female ex-combatants a great deal of difficulty in readjusting to gendered cultural norms.

The National Union of Eritrean Women (NUEW)

Poverty hit the women of Eritrea women hard, but that has not stopped them from fighting. The National Union of Eritrean Women (NUEW) is a direct response to the feminist movement born out of the liberation war.

As an organization, the NUEW works with communities of women, including demobilized women fighters. The organization lifts women out of poverty through a combination of literacy programs, vocational training, income-generating activities and micro-credit schemes. In addition, another big part of the NUEW’s mission is promoting women’s participation in local and national government. In working closely with the Government of the State of Eritrea (GSE), the NUEW secured a hold on 30% of elected positions for women. After additional advocacy, the NUEW is working with the GSE to increase that number. The NUEW provided more than just relief programs to women in poverty; it created a space where women were able to have their voices heard.

While Eritrean women have had to overcome numerous hurdles in post-independence Eritrea, they did not do so alone. Eritrean women are fighting gendered poverty. The NUEW provides an invaluable service to Eritrean women through advocacy, education and relief programs. Today, the NUEW is working towards the total emancipation of women and continuing their efforts to raise their country up one woman at a time.

– Elizabeth Price

Photo: Flickr

New Jobs in Pakistan: Helping the Unemployed During COVID-19

Jobs in PakistanDue to the coronavirus pandemic, many people around the world lost have their jobs and are now facing financial hardship. The economic impact is projected to increase global poverty. This will be the first time since 1998 that the world sees an increase. Luckily, countries have been creating new job markets to aid the unemployed and fight poverty levels. A new market of jobs in Pakistan has been created for those laid off because of the coronavirus: tree planting.

“10 Billion Trees Tsunami”

In 2018, Pakistan started a campaign called the “10 Billion Trees Tsunami” program. The project goal: to plant more trees and fight against deforestation. Additionally, this program will help the environment. Jobs in Pakistan have already been affected by the pandemic, and it is projected that as many as 19 million people will be laid off due to COVID-19. To combat this, Pakistan started employing those who lost their jobs because of the virus to plant trees as a part of their “10 Billion Trees Tsunami” program. Though this program was not specifically created for those who lost their jobs due to the pandemic, it is greatly helping those who did. These new laborers have been dubbed “jungle workers.” This program aims at creating more than 60,000 jobs as a way to help citizens and the economy and fight against climate change. In order to help as many citizens as possible during this devastating time, the program has tripled the number of workers hired.

These jungle workers are mostly seen in rural areas. Hiring is aimed primarily at women, unemployed daily workers and those who are from cities in lockdown. A large portion of the workforce is also made up of young people. As tree planting does not require much past experience, many unskilled workers are still able to be employed during this harsh economic period. There are still strict precautions in place for those working, such as having to wear a mask and continuing to keep a social distance of 6 feet while working.

Relief for the Unemployed

The program’s creation of new jobs in Pakistan allows its citizens to continue making enough money in order to provide for their families. A construction worker named Abdul Rahman lost his job when the coronavirus struck and began to face financial instability. Once employed as a jungle worker for the “10 Billion Trees Tsunami,” he was able to start providing for his family again. In an interview with the Thomson Reuters Foundation, Rahman said “Due to coronavirus, all the cities have shut down and there is no work. Most of us daily wagers couldn’t earn a living.” Rahman is now earning around ₹500 a day, which translates to about $3. Though this payment is about half of what he would have made on a good day as a construction worker, he says it is enough “to feed our families.”

Pakistan’s Positive Example

Through this program and its employment of more citizens, Pakistan is taking a step towards rebuilding its economy and aiding poor citizens. The project aims at having planted 50 million trees by the end of this year and, with the addition of more workers, this goal is achievable. The presence of such jobs in Pakistan is an example of hope during this time and, as the economy improves, Pakistani citizens can earn living wages and the environment reaps the benefits.

– Erin Henderson
Photo: Flickr

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10 Facts About Life Expectancy in Timor-Leste

Life Expectancy in Timor-Leste
Timor-Leste, also known as East Timor, is a nation that occupies the eastern half of the island of Timor in Southeast Asia. With a population of 1.26 million people, Timor-Leste is one of the least populated countries in Asia. The Portuguese originally colonized the country in 1520. After declaring independence in 1975, Indonesia invaded the nation, which occupies the western half of the island. The Indonesian invasion brought violence, famine and disease to Timor-Leste, resulting in a large loss in population. After a majority of the Timorese population voted to become independent in 1999, Indonesia relinquished control and Timor-Leste moved under the supervision of the United Nations. The nation officially became independent in 2002, making it one of the newest nations in the world. These 10 facts about life expectancy in Timor-Leste outline the rapid improvement the country has made since Indonesian occupation and the issues it still needs to overcome.

10 Facts About Life Expectancy in Timor-Leste

  1. Life expectancy in Timor-Leste increased from 32.6 years in 1978 to 69.26 years in 2018, matching that of South Asia. The consistent improvement in life expectancy in the past decade is primarily due to the Ministry of Health’s public health interventions. Such interventions include the reconstruction of health facilities, expansion of community-based health programs and an increase in medical graduates in the workforce.
  2. Life expectancy in Timor-Leste increased despite a drop in GDP, which decreased from $6.67 billion in 2012 to $2.6 billion in 2018. However, Timor-Leste’s GDP rose by 2.8% from 2017 to 2018. Continued improvement in GDP and economic progress in the nation will only serve to increase life expectancy by providing more opportunities for employment, education and improved quality of life.
  3. Tuberculosis was the highest cause of death in 2014, causing 14.68% of deaths. In 2014, estimates determined that Timor-Leste had the highest prevalence of tuberculosis in Southeast Asia, and 46% of people with tuberculosis did not receive a diagnosis in 2017. Maluk Timor, an Australian and Timorese nonprofit committed to advancing primary health care, provides a service through which team members visit Timorese households to locate undiagnosed patients and raise awareness about the severity of tuberculosis in the community. The organization collaborates with the National TB Program and aims to eliminate suffering and deaths in Timor-Leste due to diseases that Australia, which is only one hour away, had already eliminated.
  4. Communicable diseases caused 60% of deaths in 2006 but decreased to causing 45.6% of deaths in 2016. While diseases such as tuberculosis and dengue fever remain a public health challenge, the incidence of malaria drastically declined from over 200,000 cases in 2006 to no cases in 2018 due to early diagnoses, quality surveillance, funding from The Global Fund to Fight AIDS, Tuberculosis and Malaria and support from the World Health Organization.
  5. The adult mortality rate decreased from 672.2 deaths per 1,000 people in 1977 to 168.9 deaths per 1,000 people in 2018. Additionally, the infant mortality rate decreased from 56.6 infant deaths per 1,000 live births in 2008 to 39.3 infant deaths per 1,000 live births in 2018. While public health interventions and disease prevention contributed to the decrease in the adult mortality rate, Timor-Leste needs to expand access to maternal health services in rural areas to continue to improve the infant mortality rate.
  6. Maternal mortality decreased from 796 deaths per 100,000 live births in 1998 to 142 deaths per 100,000 live births in 2017. The leading cause of the high maternal mortality rate is poor access to reproductive health services, as only 43% of women had access to prenatal care in 2006. While the Ministry of Health continues to expand access to maternal health care through mobile health clinics that reach over 400 rural villages, only 30% of Timorese women gave birth with a health attendant present in 2013. Even as access increases, challenges such as family planning services, immunization, treatment for pneumonia and vitamin A supplementation remain for mothers in rural communities.
  7. The violent crisis for independence in 1999 destroyed more than 80% of health facilities. Despite rehabilitation efforts to rebuild the health system, many facilities at the district level either have limited or no access to water. However, the number of physicians per 1,000 people improved from 0.1 in 2004 to 0.7 in 2017. The capacity of the health care system is also improving, as UNICEF supports the Ministry of Health in providing increased training for health care workers in maternal and newborn issues and in striving to improve evidence-based public health interventions.
  8. Timor-Leste has one of the highest malnutrition rates in the world. At least 50% of children suffered from malnutrition in 2013. Additionally, in 2018, 27% of the population experienced food deprivation. USAID activated both the Reinforce Basic Health Services Activity and Avansa Agrikultura Project from 2015-2020 to address the capacity of health workers to provide reproductive health care and the productivity of horticulture chains to stimulate economic growth in poor rural areas. Both projects aim to combat malnutrition by addressing prenatal health and encouraging a plant-based lifestyle that fuels the economy.
  9. Motherhood at young ages and education levels are key contributors to malnutrition, as 18% of women began bearing children by the age of 19 in 2017. Teenage girls are far more likely to experience malnourishment than older women in Timor-Leste, contributing to malnutrition in the child and therefore lowering life expectancy for both mother and child. As a result of malnutrition, 58% of children under 5 suffered from stunting in 2018. Additionally, findings determined that stunting levels depended on the wealth and education level of mothers. In fact, 63% of children whose mothers did not receive any formal education experienced stunting, while the number dropped to 53% in children whose mothers received a formal education.
  10. Education enrollment rates are increasing, as the net enrollment rate in secondary education increased from 40.5% in 2010 to 62.7% in 2018. Completion of secondary education links to higher life expectancy, especially in rural areas. Since 2010, Timor-Leste has increased spending on education. Additionally, local nonprofit Ba Futuru is working to train teachers to promote quality learning environments in high-need schools. After Ba Futuru worked with schools for nine months, students reported less physical punishment and an increase in innovative and engaging teaching methods in their classrooms. The organization serves over 10,000 students and provides scholarships for school supplies for hundreds of students. With more programs dedicated to increasing enrollment and the classroom environment, students are more likely to complete secondary education and increase both their quality of life and life expectancy.

These 10 facts about life expectancy in Timor-Leste indicate an optimistic trend. Although malnutrition, disease and adequate access to health care remain prevalent issues in Timor-Leste, the nation’s life expectancy has rapidly increased since Indonesian occupation and has steadily improved its education and health care systems since its founding in 2002. To continue to improve life expectancy, Timor-Leste should continue to focus its efforts on improving public health access and community awareness in poor rural areas, and particularly to emphasize maternal health services to reduce both maternal and infant mortality rates. Despite being one of the newest nations in the world, Timor-Leste shows promise and progress.

– Melina Stavropoulos
Photo: Flickr

7 Facts About Healthcare in Hungary

Healthcare in HungarySince the year 2000, Hungary has made strides to improve its healthcare system, which for decades has lagged behind the healthcare systems of other countries in the European Union (EU). Unequal issuing of medical equipment, the prevalence of smoking, drinking and obesity and an unstable political system have resulted in systematic healthcare issues in Hungary, which disproportionately affect citizens living in poverty. Here are seven facts everyone should know about healthcare in Hungary.

7 Facts About Healthcare in Hungary

  1. Hungary has one of the lowest life expectancies in the EU. In 2017, life expectancy in Hungary averaged 76 years, a four-year increase since the year 2000. Despite the improvement, the Hungarian life expectancy is still 4.9 years behind that of other Europeans. Hungarians have higher rates of risk factors, such as smoking, obesity and underage alcohol consumption than other countries in the EU, which can contribute to an early death.
  2. As of 2017, Hungary’s rate of amenable mortality is twice that of the rest of the EU. Amenable mortality refers to deaths from diseases and conditions that are nonfatal when given appropriate medical care.
  3. Socioeconomic inequalities in Hungary contribute to lower life expectancy. Lower-income Hungarians are more likely to report unmet medical needs than those with a higher income. Out-of-pocket spending in the country is double the EU average and medical care is most readily available to those who can afford to pay. Though access to medical care is not an issue across the board, lower-income Hungarians are 11 times more likely to complain of unmet healthcare needs.
  4. Healthcare in Hungary suffers from an unequal distribution of equipment. According to the Organization for Economic Cooperation and Development, the Hungarian counties with the lowest health status tend to also have the lowest numbers of necessary medical supplies. The distribution of resources is concentrated largely in the capital of Budapest and the counties with the highest health status. The city of Budapest alone has 87% more doctors and 64% more hospital bed space than the rest of the country.
  5. Healthcare in Hungary does excel in some areas but still has systematic problems. In 2016, the Euro Health Consumer Index ranked the Hungarian healthcare system 30th out of 35 countries in the EU. Though Hungary does excel in infant vaccination and physical education, it has some of the EU’s highest waiting times for CT scans and a higher than average occurrence of lung disease, infections and cancer deaths. It also had the second-highest prevalence of bribery among hospital workers. Hungarian physicians are particularly susceptible to this form of corruption due to their low pay. Their acceptance of these so-called “gratitude payments” puts those who cannot afford to pay extra at a disadvantage.
  6. The World Health Organization (WHO) rewarded the government’s anti-tobacco initiatives. In 2013, the WHO awarded Prime Minister Viktor Orbán with its WHO Special Recognition award for “accomplishments in the area of tobacco control.” In recent years, the Hungarian government has developed anti-tobacco campaigns to quell the high percentage of smokers in the country. These reforms include changing the labels on tobacco products to include warnings of the potential side effects of smoking and banning smoking in public spaces. The country has also taken steps to ban advertisements for tobacco products and, since then, has seen a reduction of smoking-related deaths.
  7. Reforms to increase the healthcare workforce are in progress. In November 2018, the government rolled out a plan to increase physicians’ pay 72% by 2022, and, in early 2020, announced government scholarships for 3,200 people in order to bring more Hungarians into the understaffed nursing profession.

Healthcare in Hungary today is still behind many other countries in the European Union. Hungarians have lower life expectancies than other Europeans and the country is in need of more skilled doctors and nurses to properly treat all of its people. However, in recent years, the Hungarian government has invested more money to reduce the country’s high rates of smoking-related deaths and increase the healthcare workforce. Healthcare in Hungary has experienced a positive change in recent years and, with more investments in the healthcare sector, more necessary reforms can be made.

– Jackie McMahon
Photo: Flickr

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5 Facts About Hunger in Haiti

hunger in Haiti
Haiti, a Caribbean country with a population of more than 11 million, is one of the most food-insecure countries in the world. Political and economic crises, combined with natural disasters and extreme weather events, have contributed to the rise of poverty and hunger in Haiti. About 1 million Haitians are severely food insecure, and more than one-fifth of Haitian children are chronically malnourished. Here are five facts about hunger in Haiti.

5 Facts About Hunger in Haiti

  1. Haiti is one of the most impoverished countries in the Americas. According to the World Food Program U.S.A., almost 60% of the Haitian population lives below the poverty line and 25% of it experiences extreme poverty. Furthermore, more than 5 million Haitians earn less than $1 per day. This means that about half of the population cannot afford to buy food and other necessities. The hunger crisis is most prevalent in regions with the highest levels of poverty, particularly in the northwest.
  2. One-third of Haiti’s population is in urgent need of food assistance. Around 3.7 million Haitians did not have reliable access to adequate food in 2019. According to the United Nations, this number increased from 2.6 million in 2018. In 2019, the U.N. Office for the Coordination of Humanitarian Affairs (OCHA) stated that, without immediate food assistance for Haitian people living in poverty, “1.2 million people will only be able to eat one meal every other day and about 2.8 million people might eat just one meal a day” in 2020.
  3. Frequent natural disasters and droughts contribute to widespread hunger. Haiti is one of the most weather-affected countries worldwide. In 2010, a magnitude 7.0 earthquake had a huge negative impact on food security in the region. In 2016, Hurricane Matthew was devastating for Haiti’s agricultural production and its citizens. It caused more than 800,000 people to require immediate food assistance. Severe droughts have also decreased agricultural production and left more people hungry and malnourished in recent years.
  4. Political instability and poor economic conditions have decreased the accessibility of food aid and caused food prices to rise. In the last year, political gridlock and corruption have created obstacles to the distribution of food aid, according to Global Citizen. Protests in major cities, violence and the economic recession have caused businesses and schools to close, blocking many citizens from access to affordable meals and food assistance. Also, in 2019, the cost of staple foods like rice, wheat flour, sugar, vegetable oil and beans rose by about 34%.
  5. Climate change and the COVID-19 pandemic are likely to exacerbate the hunger crisis in Haiti. As a small island state, Haiti is particularly vulnerable to the effects of climate change. Rising sea levels can bring about devastating floods. More frequent extreme weather events can devastate significant parts of the country’s agriculture and infrastructure. Therefore, climate change poses a significant threat to food security and agricultural production in Haiti. Unfortunately, this threat will only increase in future years. The COVID-19 pandemic also threatens to raise inflation further, increasing the prices of staple foods. Haiti imports about 80% of its rice, so the pandemic’s impact on global supply chains could further restrict access to staple foods.

Solutions

As the hunger crisis in Haiti continues to grow, multiple organizations have implemented programs to provide food and financial assistance. For example, the World Food Program U.S.A. delivers meals to 1,400 Haitian schools every day. This program benefits students in 1,400 schools, and the Haitian government plans to take over the initiative by 2030. Feed the Children also provides school meals, including three hot meals each week, in an effort to reduce hunger and motivate students to prioritize their education. While these student-focused food assistance programs help reduce malnourishment and hunger, they also motivate children to continue pursuing an education.

Furthermore, the United States has provided more than $5.1 billion to Haiti since the 2010 earthquake. In the last 10 years, U.S. assistance has helped fund food security programs, increase crop yields and improve child nutrition in Haiti. OCHA hopes to receive $253 million in humanitarian aid for Haiti in 2020. With the financial assistance they urgently need, impoverished Haitians can better prepare for natural disasters. They can also gain reliable access to sufficient food. Both of these necessities will be more necessary than ever in 2020 and beyond.

Overall, these facts about hunger in Haiti show that it is a growing issue that affects millions of people. Now, the current COVID-19 pandemic is amplifying this problem. However, with humanitarian aid and food assistance from NGOs and members of the international community, including the United States, food insecurity in Haiti can reduce.

– Rachel Powell
Photo: Flickr

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10 Facts about Sanitation In Mali

Sanitation in MaliOne of the largest countries in Africa, the Republic of Mali sits landlocked in the northwestern chunk of the continent. While it is known more recently as one of the most impoverished and unstable countries, thousands of years ago Mali was a cultural epicenter. The Niger and Senegal rivers that cross through the country made Mali one of the richest countries due to a flourishing trans-Saharan trade economy. With goods came literature, art, music and discovery, transforming the Malian city of Timbuktu into a vital center for scholarship. Though Timbuktu’s cultural reputation and Mali’s musical achievements have continued, the country as a whole faces many challenges. About half of Mali’s total population lives in poverty, facing exceedingly unhealthy circumstances as a result, partially due to poor sanitation. Mali’s journey toward achieving proper hygiene and sanitation is detailed in the following facts.

10 Facts About Sanitation in Mali

  1. In 2017, the WHO and UNICEF discovered 52% of Malian households nationally have access to basic hygienic facilities, just below the global average of 60%. In rural areas though, access to facilities drops down to just 39%. These averages are higher than other African countries, like Ethiopia and Burundi, that have less than 10% access to facilities in rural areas.
  2. UNICEF also found about 7% of Malians still practice open defecation, causing preventable illnesses connected to improper sanitation. Diseases like diarrhea, pneumonia and malaria unequally affect children, producing some of the highest child and infant mortality rates in the world. However, in 2018, UNICEF, USAID and its partner organization JIGI implemented Community-Led Total Sanitation models (CLTS) as a way to decrease open defecation in rural communities. CLTS helped more than 3,500 villages eradicate open defecation, improving the lives of almost three million people due to increased awareness of personal hygiene and sanitation.
  3. Thanks to humanitarian aid from various organizations, 80% of Mali’s national population has access to safe drinking water and in rural areas, 70% have access. In 2019, UNICEF and its partners provided water supply services to more than 194,500 people, including water points and latrines in 95 schools and 61 health centers.
  4. In 2018, a Global Burden of Disease (GBD) study discovered diarrheal diseases stood as the third-highest cause of death in Mali, beaten by neonatal diseases and malaria. However, it is worth noting that due to sanitation improvement measures, the rate of death from diarrheal diseases declined by almost 9% between 2008 and 2017.
  5. Currently, 52%of the population does not have access to a handwashing facility, weakening how Malians can effectively combat diseases. Since the start of the COVID-19 pandemic, UNICEF has begun distributing handwashing devices with the goal of sending up to 4,000. In a joint report with UNICEF and the WHO published in April concerning COVID-19, they specified that “frequent and correct hand hygiene is one of the most important measures to prevent infection with the COVID-19 virus”. They also recommend proper water sanitation and waste management to mitigate the spread of the virus.
  6. About 50% of schools have improved water access, though only 20% have working, gender-separated latrines. Due to the coronavirus, more than 1,000 schools have closed for the time being, cutting off access to what could be a child’s only functioning toilet.
  7. Since 2012, armed conflicts have resulted in the displacement of thousands of people in addition to violence and abuse of children. This instability has created a decrease in the successful delivery of humanitarian aid, which the country largely relies on for assistance with sanitation needs. The coronavirus pandemic has also slowed the services usually given to Mali.
  8. In April, the World Bank approved a $25.8 million grant to support Mali’s response to the coronavirus. The money contributes to health care services, screening and treatment of patients. The initial funding will focus on Mali’s response to the virus and the country’s ability to handle the health and economic impacts to come with an already fragile health system. The grant will also allow Mali to continue essential services like clean water and education.
  9. The humanitarian organization World Vision joined the Mali Integrated Water, Sanitation and Hygiene program (MIWASH) to construct 208 new water points in 2019, allowing more than 100,000 people access to sanitation facilities while increasing hygiene education. World Vision has also implemented numerous latrine stalls, handwashing kits and hygienic education services through its additional projects, reaching 15,400 children in 51 schools.
  10. In 2016, UNESCO, U.N.-Women, UNFPA and KOICA implemented the “Empowering Girls and Young Women through Education in Mali” project to help girls and young women seek better living conditions through equitable education. The project involves educating girls about feminine hygiene and their reproductive rights to decrease the rates at which young girls drop out of school, have children and marry while still children themselves. One aspect of the project involves access to clean water and sanitation facilities. One of the many achievements the project has made since its creation includes the construction and mending of 137 latrines suitable for girls in Bamako.

Poor sanitation is not the only problem plaguing Mali but it does create a tidal wave of other preventable issues that Malians have to struggle with. Disease, higher mortality rates and malnutrition result from improper sanitation of water and toilet facilities. However, continued investments by the Malian government along with support from international players will help with country to improve sanitation in Mali for its citizens going forward. 

– Maria Marabito
Photo: Flickr