Maternal and Neonatal Health in ZimbabweProject HOPE stands for Health Opportunities for People Everywhere. It is an international health and humanitarian relief organization. The organization works to strengthen and improve health systems around the globe. Founded in 1958, Project HOPE responds to health crises and disasters but often stays in areas long after a disaster has hit to address other neglected health issues. Project HOPE entered Sierra Leone in 2014 in response to the Ebola outbreak. After sending an emergency response team and shipments of medical supplies to help contain the outbreak, permanent Project HOPE health workers remained in Sierra Leone. Now, their biggest health concern is to improve maternal and neonatal health in Sierra Leone.

Maternal and Neonatal Mortality Rates in Sierra Leone

Sierra Leone has the highest maternal mortality rate in the world with 1,360 mothers dying per every 100,000 live births. The main causes of maternal death include bleeding, pregnancy-induced hypertension, infection, unsafe abortions and anemia. An alarming 40 percent of Sierra Leone’s maternal deaths in 2016 were teenagers aged 15-19.

Sierra Leone also has one of the highest neonatal mortality rates with 33 deaths per 1,000 live births. Only 36 percent of newborns in rural areas and 47 percent of newborns in urban areas receive postnatal care within two days.

Sierra Leone’s lack of trained professionals and medical equipment are perpetuating high maternal and neonatal mortality rates. The country of 7 million only has around 165 doctors and very few neonatal specialists. Organizations like Project HOPE are working to improve maternal and neonatal health outcomes by providing renovation support for neonatal centers. Additionally, they are strengthening the skills and training of health care professionals and establishing neonatal programs. For example, programs such as Kangaroo Mother Care (KMC), which is for premature and low birth-weight newborns.

The Impact of Project HOPE on Maternal and Neonatal Health

Training local health workers is an integral part of Project HOPE’s efforts to improve maternal and neonatal health in Sierra Leone. Their programs include evidence-based training on maternal and neonatal intervention. For instance, training on emergency obstetric and neonatal care, resuscitation with a bag and mask and hygienic cord care.

Project HOPE collaborates with training institutions to provide neonatal nursing program development. They collaborate to teach advanced skills and provide training towards certificates, bachelor’s degrees and specialty nursing degrees. Overall, with more skilled health care professionals come improved healthcare for mothers and newborns in Sierra Leone.

Advanced Neonatal Care

Furthermore, to improve the care of preterm and underweight babies, Project HOPE has provided national and district training programs. These programs include universal modules such as Essential Care of Every Newborn, Essential Care of Small Babies and Helping Babies to Breathe.

Moreover, Project HOPE has established the first two Kangaroo Mother Care (KMC) units for premature and low birth weight newborns. The KMC approach is to securely wrap the fragile, underweight newborns skin-to-skin on the mother’s chest. This provides warmth and promotes regular breathing and breastfeeding for babies who are struggling with both actions. These community-based units are very effective in areas with low resources. In regions without incubators, this method is life-saving for vulnerable children who are unable to keep in their body heat. Certainly, Project HOPE continues to promote the creation of more KMC units in Sierra Leone.

Life-Saving Progress

International support from organizations such as Project HOPE is helping provide life-saving training, services and equipment for mothers and children in Sierra Leone. Though much remains to be accomplished, progress is certainly being made on maternal and neonatal health in Sierra Leone.

– Camryn Lemke
Photo: Flickr

Top Five Facts About U.K. Foreign AidAs one of the most economically developed countries in the world, the U.K. plays a tremendous role in global prosperity. In 2017, the United Kingdom’s gross domestic product per capita was $39,953.60. Here are the top five facts about U.K. foreign aid.

Top 5 Facts About UK Foreign Aid

  1. How much is being spent?
    Since the 1970s, the United Nations has been urging all developing nations to invest 0.7 percent of their gross national income in overseas aid. This is in collaboration with the Millennium Development Goals, which aim to improve international welfare. The U.K. agreed and reached this target in 2013, along with five other countries. Shortly after, the U.K. included this goal in its legislation. By 2015, the U.K. legally required 0.7 percent of its G.N.I. goes toward foreign development. By 2016, the U.K. spent £13.3 billion ($16.9 billion) on international aid. As the U.K. economy continues to grow, the amount the U.K. spends each year does, too.
  2. What are the goals?
    On top of legislation, the U.K. created an aid strategy. The four primary goals of this strategy include promoting global peace, strengthening crises response, aiding in international development and helping the world’s most impoverished people. The government aims to do so by implementing several tactics. For example, 50 percent of all the Department for International Development’s (DFID) spending goes toward aid in developing nations. Moreover, it funds a £1 billion commitment to global health.
  3. How is funding being spent?
    The DFID spends approximately 74 percent of government spending. Smaller departments within the government spend the remaining 26 percent. Most funding (63 percent) goes toward bilateral aid, sent directly to countries in need. Organizations, such as the U.N., distribute the remaining funds. The top recipients of aid include Pakistan, Ethiopia and Nigeria. In 2015, humanitarian projects received the most amount of support. In order to ensure success and public awareness, the DFID site collects data to track foreign aid spending.
  4. What does the government think?
    Conservative parties within the U.K. have argued to reduce foreign aid. Accordingly, these parties believe the money could be better spent domestically. After the 2016 Brexit referendum, concern surrounding foreign aid increased. However, in 2017, Prime Minister Theresa May publically supported the 0.7 percent target goal. Bill Gates has also been a large advocate in support of U.K. foreign aid. In several interviews, Gates has expressed the U.K. should be proud of its contributions toward international poverty reduction.
  5. How does U.K. foreign aid compare?
    Since 2013, the nation has become a global leader in humanitarian aid. It is known as one of the first nations to offer assistance during crises. The U.K. provided relief during Hurrican Irma and the Ebola outbreak in Syria. In 2016, the U.K. ranked fifth in international aid, behind Norway, Luxembourg, Sweden and Denmark. Norway gives more than 1 percent of its GNI to foreign aid, making it a model for other countries.

Overall, the U.K. should be proud of its contributions. These top five facts about U.K. foreign aid demonstrate the nation has contributed billions of pounds to reducing global poverty. For the future of society, may the U.K. continue to grow and prosper, deepening its stance against global poverty.

Photo: Google Images

HIV/AIDS in Tanzania

Despite tremendous scientific advances in the last thirty years to combat HIV, around 40 million people are still living with the virus. Over 70 percent of those with HIV worldwide live in Sub-Saharan Africa. Different countries have responded to the crisis with a variety of policies to prevent the virus from spreading and help those who already have it. Tanzania has been particularly successful in its efforts to mitigate HIV/AIDS, with an overall prevalence rate half that of Sub-Saharan Africa’s average. However, despite its many victories, there are still many barriers at work preventing these policies from eliminating the epidemic of HIV/AIDS in Tanzania.

Government Efforts

The government of Tanzania has introduced numerous policies to fight HIV/AIDS. For example, they have dramatically increased the number of locations where people can receive testing and counseling. Additionally, they are promoting public education campaigns to ensure people know where they can go to get tested.

Policies have been introduced to expand access to antiretroviral therapy (ART). Treatment to prevent mother-to-child transmission is now built into prenatal care across Tanzania. The Ministry of Health has distributed over 100 million condoms in an effort to prevent transmission of HIV. Furthermore, the government began a cash-transfer program in 2016. The program gives out small amounts of money to young people as long as they remained free of STIs to encourage safe sex habits among adolescents. Tanzania was also the first country in sub-Saharan Africa to implement a needle-exchange program to minimize the number of infections caused by sharing needles.

Positive Effects

The results of these policies regarding HIV/AIDS in Tanzania are clear. For instance, HIV incidence has been in steady decline since 1994. Also, AIDS-related deaths in Tanzania decreased by over 70 percent between 2005 and 2017. Nearly 93 percent of Tanzanians of all ages who know they have HIV are receiving ART. Additionally, 90 percent of people know where they can go to get tested and 84 percent of pregnant women who are HIV-positive are receiving treatment to prevent mother-to-child transmission.

HIV/AIDS and Gender Inequality

Overall, Tanzania paints itself as a huge success story in combating HIV/AIDS. However, gender inequality still poses a challenge to overcoming the disease entirely. Young girls routinely have sex with much older men who have had multiple previous sexual partners. As a result, they become more vulnerable to contract HIV.

The rate of HIV among women and girls is nearly three times that of men and boys. Furthermore, women usually do not have the social standing to negotiate safe sex practices with their partners. Other vulnerable populations also experience higher rates of HIV prevalence. For example, those who inject drugs and migrant populations. Stigma against those living with HIV also prevents policies from being maximally effective. This is because people are afraid of being socially ostracized for being tested and receiving treatment.

Work Still to be Done

For the battle against HIV/AIDS in Tanzania to be won, the country must work to remove the social stigma barring people from receiving the necessary treatment. It must also protect its most vulnerable populations, especially women and girls. Nonetheless, Tanzania’s forward-thinking policies have been very effective in decreasing the prevalence of HIV and AIDS-related deaths, and Tanzania continues to lead the fight to defeat the virus once and for all.

– Macklyn Hutchison
Photo: Flickr

Economic Diversification in Guinea-Bissau
Guinea-Bissau is a small West African country with a poverty rate of more than 60 percent. Poor infrastructure and a stagnant business climate fostered a reliance on its main income producer, subsistence farming. Despite this, its GDP growth rate has remained fairly high. Real GDP growth rate in 2017 was 5.9 percent, one of the highest in Africa. Though a recession increased debt and caused Guinea-Bissau to seek assistance from the International Monetary Fund (IMF), the country has slowly rebounded. The nation stands to benefit from a diversified economy.

Current State of the Economy

Guinea-Bissau consistently ranks among the top 10 poorest countries in the world. About 80 percent of the population works in agriculture, while industry and services make up the remaining workforce. As is typical for a developing country, many residents rely on subsistence farming. Cashew production is an important export and source of income for Bissau-Guineans, making up more than 80 percent of income. Economic diversification in Guinea-Bissau could add jobs, begin infrastructure developments and lead to further investment in health and education.

A Cashew Economy

In a visit to Guinea-Bissau in January of this year, an IMF team led by Tobia Rasmussen discussed the importance of favorable cashew prices and production. “Ensuring a transparent and competitive cashew marketing season will be critical,” stated Rasmussen. Cashew production and pricing are important to most Bissau-Guineans. The issue, as with most developing countries, is an over-reliance on the agriculture industry.

Although economic diversification in Guinea-Bissau could be partially achieved by emphasizing crops other than cashews, there would still be a more widespread effect by focusing on services and other industries that have been left untapped. Further investment in the agriculture industry, such as through equipment and green technology, could also provide some relief to poverty-stricken residents.

Areas for Development

Guinea-Bissau lacks strong energy infrastructure and general infrastructure. Adding roads, bridges, railways, ports, hospitals and schools are examples of infrastructure developments that don’t just benefit the native population. Both tourists hoping to visit and business people interested in investing in a country that has the potential for growth stand to benefit, as well. Mineral resources, such as phosphates, mineral sands, bauxite, diamond and gold all are untapped. There are currently only small-scale mining of construction materials, such as clay, granite and limestone. Further development, as well as additional funding by the government in infrastructure, would provide a suitable foundation for the basis of a developed country. Infrastructure, such as roadways, is a necessary beginning to a developing economy. To demonstrate the current state of roadways in the country, only 10 percent of the national road network is tarred.

Energy Infrastructure

Only 21 percent of the population has electricity. There are also no telephone lines. Opening investment to the energy sector, especially to external corporations, is often foundational for further development. Current President of Guinea-Bissau Jose Mario Vaz has promised to reduce poverty and drug trafficking, both of which are rampant. At the 73rd United Nations Assembly President Vaz stated he wished to “eradicate poverty and hunger, combat major endemic diseases, as well as guarantee education and potable water for all.”

Promising Ports

The key location of the country is often overlooked. Guinea-Bissau is a western port of Africa that enables it to be a strategic location for trade. Fishing is usually grouped with the agriculture industry but could become a new income source for the 60 percent of Bissau-Guineans in poverty. Advancements in fishing, such as sonar technology that allows the user to find fish, is one example that provides simple and modern solutions to poor countries.

External Investment

China is a major investor in Africa and has announced it would invest more than $60 billion to help developing countries. One way it achieves this is through investment in infrastructure. China has built Guinea-Bissau’s parliament building, a government palace and a national stadium. The most economical investment China has made for Guinea-Bissau is its $184 million investment in a 30-kilowatt biomass power plant. The partnership is a major step in providing electricity to its residents while also adding to economic diversification in Guinea-Bissau.

With a continued focus on economic diversification and energy infrastructure Guinea-Bissau holds the potential for boundless development. The aforementioned initiatives and investment products indicate that positive change is already occurring in the West African nation.

– Lucas Schmidt
Photo: Flickr

Uterine Balloon TamponadeThe Every Second Matters Uterine Balloon Tamponade (ESM-UBT), a device designed by Massachusetts General Hospital (MGH) to stop postpartum hemorrhaging (PPH), is a condom that is attached to a Foley catheter. When a mother experiences profuse bleeding which cannot be stopped through other means, the condom is placed within the uterine cavity and filled with water using a syringe and a one-way valve. Within minutes, the bleeding is expected to stop. This device has been effective in preventing fatalities associated with pregnancy and childbirth.

The device is easy to use and requires minimal training. Since the training of more than 850 South Sudanese health workers in 2010 and 2011, MGH began using and researching the usage of the device in the countries of India, South Sudan, Kenya, Sierra Leone, Ghana, Senegal, Tanzania, Zambia, Peru, Honduras, Uganda and Nepal.

The Beginning Stages

Training of 46 health providers from 12 health centers to use the device began in Kenya in August 2012. During the first year after training, twenty-six ESM-UBTs were used. The patients who required the device were either unconscious or in an unstable mental state as a result of the severe bleeding they were experiencing. In each case, once the device was put into place, the bleeding was stopped, and the patients were saved. As a result of these successful interventions, the Kenyan Ministry of Health has formally integrated the program into the national policy for PPH.

The ESM-UBT’s Potential

A study was published in 2013 that predicted how many lives could potentially be saved by the use of a uterine balloon tamponade in the year 2018.  These predictions were made based on the availability, use, and efficiency of technologies in health care centers that provide maternal and neonatal services. The model estimated that when the use of a uterine balloon tamponade is implemented, 6,547 lives can be saved, which is an eleven percent decrease in maternal deaths, 10,823 surgeries can be prevented and 634 severe anemia cases can be avoided in sub-Saharan Africa every year.

In 2018, there was a case that involved complex vaginal lacerations which may have resulted in death, but the ESM-UBT was used to control the bleeding. The 26-year-old woman, who was 39 weeks pregnant, went to the Muhimbili National Referral Hospital in Tanzania to deliver her baby. Although she was in good health, she began experiencing significant blood loss. After uterine massage, administration of oxytocin and removal of the placenta, the patient was still bleeding and became unconscious.

Upon examining her pelvis, doctors discovered second degree bilateral vaginal sulcal lacerations. They attempted to suture the lacerations, but the bleeding persisted, so they decided to insert an ESM-UBT device, which was inflated with 300 cc of water. Finally, the bleeding stopped. After forty-eight hours, the device was removed, with no more need for repair. The mother left the hospital two days after giving birth and had fully recovered by her six-week postpartum visit.

As of now, over 670 ESM-UBT devices have been used. MGH has plans of distributing these devices to 350 health centers in South Sudan and Kenya. In addition, technology has been developed to allow for the tracking of referrals of this device as well as the results of its use. The ESM-UBT device has great potential to reduce the number of maternal deaths in developing nations.

– Sareen Mekhitarian
Photo: Unsplash

Victims of Boko HaramSince 2002, the Islamic militant group, Boko Haram, has killed more than 27,000 people and displaced nearly two million from their homes in the northeast regions of Nigeria. For victims of Boko Haram, recovery will be a lifelong process. Although it has been estimated that nearly 4.5 million people remain food insecure since the insurgency, it is the psychological toll that remains most difficult to measure and treat. With the help of organizations such as the U.N., the Neem Foundation and Tender Arts Nigeria, victims of Boko Haram in refugee camps are offered much-needed psychological treatment, including art therapy and training on how to reintegrate into society.

The Role of Therapy in Combating Trauma

Many victims of Boko Haram are taken as children and forced to both witness and commit acts of unspeakable violence, even to members of their own families. Girls as young as 11 are forced to marry and undergo rape. These girls are frequently used as suicide bombers, while the boys are trained as soldiers. The victims of Boko Haram are indoctrinated and occasionally radicalized themselves. For this reason, they are often shamed or feared upon their return, being referred to as epidemics.

The Neem Foundation highlights the importance of therapy to help victims recover from psychological trauma. After being kidnapped, witnessing their villages being attacked and their loved ones being killed, many people suffer severe Post-Traumatic Stress Disorder (PTSD). Children also frequently suffer from cognitive delays and a proclivity towards violent outbursts.

The Neem Foundation brings individual and group therapy to refugee camps, visiting the camps on motorized tricycles called kekes around the country. Terna Abege, a clinical psychologist with the Neem Foundation, uses various methods of therapy, including visualization techniques called “thought-stoppers” to help victims of PTSD deal with disturbing flashbacks. The Neem Foundation and other nonprofits, such as MANI, seek to fill the gap in mental health care in any way they can, including offering therapy to suicidal victims over Twitter and WhatsApp.

How Art Therapy is Used in Nigerian Refugee Camps

Art therapy is also being integrated in refugee camps to help people sort through their mental trauma. The use of drawing and painting, among other art forms, can divert attention from negative thoughts and help people communicate in alternative ways. Art therapy can also help victims preserve their broken cultures and identities and express feelings that they cannot put into words.

In an emergency school set up by UNICEF in Cameroon, children gather in groups to draw as a form of art therapy. The trauma is evident in the scenes of violence and bloodshed that seem to flow naturally from the reservoirs of their memories. Under Boko Haram, children are beaten for crying at the violence they witness and not allowed to play with toys or make noise. When they return, they are often desensitized to violence and either act out violently or withdraw entirely. The art therapy helps the children to express what they have been suppressing and helps therapists identify those in most need of treatment.

Since 2013, Tender Arts Nigeria, created by Kunle Adewale, has used art therapy to help children suffering from physical and mental illnesses and impairments, such as cancer, Down Syndrome and behavioral problems. Since the war with Boko Haram, Tender Arts has reached out to victims of violence and radicalization. They use art therapy to assist in deradicalization efforts and to heal those traumatized from the violence.

Like the Neem Foundation, Tender Arts believes its efforts are not only important avenues of healing but important in helping people avoid radicalization or other areas of crime. More than 10,000 victims have already benefited from the art therapy offered by Tender Arts Nigeria. Because Boko Haram preys on the poor, young and uneducated, Adewale believes that valuing the arts and education is the best way to fight Boko Haram, whose name means “Western education is forbidden.”

The Importance of Greater Access to Mental Health Care in Nigeria

The Neem foundation highlights the importance of increasing the availability of psychological treatment for refugees in Nigeria. There is a major deficit in mental health care in Nigeria, with only one mental health facility available in the northeast and only one therapist per 375,000 people. The Neem Foundation is working to implement programs that will train more people to offer therapy. They now offer an intensive nine-month program in Maiduguri to train lay counselors who can work more immediately as therapists for the traumatized population.

Although the road to recovery is a long one for victims of Boko Haram’s violence, the Neem Foundation believes in the need to act quickly to prevent more severe mental illnesses from developing. They are working to spread awareness about mental health and want to gain more governmental support for the mental health crisis in the coming years. In the meantime, as more therapists become available throughout Nigeria, it is their hope that these victims can recover and start to live normal lives again.

– Christina Laucello
Photo: Flickr

10 Worst CyclonesThese top 10 worst cyclones in the world have devastated communities with lasting effects. A tropical cyclone is an intense spinning storm system with a low-pressure center that forms over warm water. All over the world, cyclones have created chaos and devastation. Once tropical cyclones develop sustained winds of at least 74 miles per hour, they are classified as either hurricanes, typhoons or cyclones. The name of a tropical cyclone depends on the region in which they occur. Those that occur in the Eastern Pacific are hurricanes. Those that occur in Southeast Asia are typhoons. And those that occur in the Indian Ocean and Western Pacific regions are cyclones. Here are the 10 worst cyclones in the world, from least to most severe.

10 Worst Cyclones in the World

  1. Bangladesh Cyclone of 1942 (Bangladesh, 1942)
    Coming in as the least severe of the list is the Bangladesh Cyclone of 1942. The cyclone struck the eastern coast of Bangladesh Oct. 16 with 70 miles per hour winds, causing a 20-foot storm surge. The cyclone led to the deaths of 61,000 people and destroyed at least 3,000 homes in the afflicted areas.
  2. Cyclone Nargis (Myanmar, 2008)
    On May 2, 2008, Cyclone Nargis made landfall in Myanmar, moving across the southern region of the country over two days. Cyclone Nargis particularly devastated the Ayeyarwady Delta region of Myanmar. The United Nations approximated the cyclone affected 2.4 million people. As a result of the cyclone, 84,500 people died, and 53,800 went missing.
  3. Cyclone 02B (Bangladesh, 1991)
    Cyclone 02B, commonly referred to as the Bangladesh Cyclone of 1991, made landfall onto the southeastern coastal region of Chittagong on April 29, 1991. The cyclone devastated Bangladesh, killing more than 135,000 people, and rendering 10 million people homeless. Plus, one million cows died as a result of the cyclone. More importantly, the cyclone devastated the country’s crops. As a result, many survivors of the cyclone would end up facing a risk of starvation. Cyclone 02B resulted in more than $1.5 billion in damages.
  4. Chittagong Cyclone (Bangladesh, 1897)
    In 1897, the Chittagong Cyclone devastated the town of Chittagong in Bangladesh, killing 175,000 people, and destroying more than half of the buildings in town. Unlike some of the other cyclones on this list, there is not much data or news coverage available on the cyclone.
  5. Great Backerganj Cyclone (Bangladesh, 1876)
    Also known as the Bengal Cyclone of 1876, the cyclone occurred Oct. 31, 1876, in Bangladesh, leading to the deaths of an estimated 200,000 people. Forming over the Bay of Bengal, the cyclone made landfall at the Meghna River Estuary. Combined with an already high tide, the Cyclone caused a 40-foot storm surge that devastatingly flooded low lying coastal areas. The high tide and storm surge made the effects of the Cyclone deadly in particular; an estimated 50 percent of deaths from the cyclone resulted from starvation and disease associated with the flooding.
  6. Backerganj Cyclone (Bangladesh, 1584)
    Occurring in 1584, the Backerganj Cyclone formed in the Bay of Bengal and struck Bangladesh. Creating destruction in Bangladesh, the cyclone caused an estimated 200,000 deaths.
  7. Coringa Cyclone (India, 1839)
    The port city of Coringa was struck by a disastrous cyclone Nov. 25, 1839. The cyclone brought heavy winds and produced a 40-foot storm surge, causing havoc throughout the city. The cyclone killed 300,000 people and completely demolished the port, destroying around 20,000 ships. Coringa has never fully recovered from the damage of the cyclone and is now a small village.
  8. Haiphong Cyclone (Vietnam, 1881)
    Next is the 1881 Haiphong Cyclone of Vietnam. On Oct. 8, 1881, the Haiphong Cyclone struck into the Gulf of Tonkin, setting off a course of tidal waves that flooded the Northeastern city of Haiphong. The flooding devastated Haiphong and led to the widespread destruction of the city. The Haiphong Cyclone led to an estimated 300,000 deaths. However, more are thought to have died afterward from starvation and disease, as a result of the flooding.
  9. Hooghly River Cyclone (India and Bangladesh, 1737)
    One of the deadliest natural disasters in all of history, the Hooghly River Cyclone, also known as the Calcutta Cyclone, devastated the Indian city of Calcutta, as well as the surrounding regions. The cyclone made landfall just south of Calcutta in the Ganges River Delta, creating a 30-40 foot storm surge, and bringing an approximated 15 inches of rain over six hours. The cyclone devastated the city of Calcutta, destroying the majority of buildings and structures, mostly made from wood and having straw roofs. Many existing brick structures were also damaged to a point beyond repair. The cyclone led to the deaths of 300,00 to 350,000 people. While most data focuses on Calcutta, it is also thought that villagers in East Bengal and Bangladesh died as a result of the cyclone. Additionally, the Hoogly River Cyclone destroyed 20,000 vessels.
  10. Great Bhola Cyclone (Bangladesh, 1970)
    The most severe cyclone on the list is the deadliest tropical cyclone ever, Great Bhola Cyclone. It completely devastated Pakistan (then East Pakistan). The cyclone started out as a depression in the Bay of Bengal Nov. 8, 1970, and quickly intensified into a tropical cyclone with 85 to 90 mile-per-hour winds by Nov. 11. The cyclone further intensified and moved north by November 12th, bringing with it 140 mile-per-hour winds and a 20-foot high storm surge. Unfortunately, while meteorologists did know of the impending cyclone, they had no way of notifying most people living within the islands of the Ganges River Delta and the coastal plain; thus, most people didn’t even know that it was coming. The cyclone killed between 300,000 to 500,000 people, making it the deadliest cyclone ever, as well as one of the deadliest natural disasters in history. The cyclone resulted in more than $490 million in damages, and 85 percent of homes were either damaged or destroyed.

These are the 10 worst cyclones to have occurred within recorded history. They are also among the deadliest natural disasters of all time and have created mass destruction. To this day, communities like Coringa, have yet to fully recover from the damages of the disaster. Hopefully, with the development of new technologies, more investment into foreign aid, and support for building more cyclone-resistant infrastructure, cyclones will be easier to track and people will be warned in advance.

– Nicholas Bykov
Photo: Flickr

the lingering effects of genocide
The causes of genocide are vast but include dehumanization, national crises and government power. In countries where there are deep grievances between groups, it is probable one group will ultimately be victimized by the other. Moreover, groups may blame each other for tragedies within their country. Plus, some governments constrain their power, limiting the fair representation of its people.

Rwanda and Cambodia offer two case studies of genocide that occurred in the last 50 years. Additionally, both populations combated realities of poverty and inequity even before the atrocities. Halting any development these countries may have experienced, genocide left lingering effects in Rwanda and Cambodia. Currently, both countries face hardship. However, their peoples are busy rebuilding their environments to sustain a neutral state wherein cultural, political and economic growth can flourish.

Rwanda

Rwanda lost 800,00 people during the genocide in 1994. Since the genocide, Rwanda is trying to develop services and opportunities that were lost. The drive behind this redevelopment has come from tea and coffee exports, foreign aid and the tourism industry.

Rwanda has always depended heavily on agricultural production for family consumption and state revenues. But rural poverty and land issues created a dissatisfied climate before the genocide. This is still seen through rising land inequality and decreasing possibilities for income outside of the farm sector. And both are lingering effects of genocide and threaten economic stability. Subsequently, commodity prices have dropped rapidly, especially in 1989. Then, government revenues from coffee exports declined from $144 million in 1985 to $30 million in 1993.

New Growth

However, according to the World Bank, Rwanda is developing its private sector to ensure more economic growth and reduce the lingering effects of genocide. Since 2001, Rwanda’s economic growth was bordering an average of 8 percent. In 2010, the World Bank named the country as the top reformer for business. After two successful Economic Development and Poverty Reduction Strategies from 2008 to 2018, Rwanda’s per capita gross domestic product annually grew around 5 percent.

The Rwanda Development Organization has ongoing projects that empower the Rwandan people to help improve socio-economic development in their communities. One project includes the Farm to Market Alliance. FtMA provides institutional support to 24,000 farmers among 80 cooperatives. The project has sustained many small farms and created support groups. So far, 20,000 farmers have been trained by other farmers to learn the best farming practices, like post-harvesting and handling.

Cambodia

In Cambodia, the Khmer Rouge genocide period took place from 1975 to 1979. Now, the country is still grappling with the past. The Cambodian People’s Party took power at the end of the genocide, instilling conservative values. Currently, there is still a generation of political leaders making it difficult for communities to have open discussions about the Khmer Rouge genocide. As such, it is hard to create strategies for growth and healing.

Legacies of Poverty

Poverty in Cambodia remains widespread, largely due to the lingering effects of genocide and the unfair distribution of wealth. The genocide led to the death of much of Cambodia’s educated class. Additionally, the majority of surviving Cambodians were farmers, subsequently unable to sustain the services affected by the genocide.

In rural areas, poverty is still a lingering effect of genocide because of ongoing corruption and the lack of government help. Similar to Rwanda, Cambodia faces challenges in jump-starting modern agriculture and irrigation techniques. This has made it difficult for Cambodia to keep up with developed countries.

Nevertheless, the future does appear hopeful according to statistics. General poverty rates in Cambodia have decreased from 50 percent to 35 percent between the mid-1990s to the mid-2000s. As a result, many provinces have seen improvements. Development strategies and nongovernmental organizations have done a lot to assist Cambodian communities.

Voluntary Service Overseas is one such NGO that has worked to restore developmental growth in Cambodia by improving the education system, quality of teaching and people’s livelihoods. It works alongside government entities to research inclusive education policies. In 2015, VSO supported the training of 540 senior education officials. This creates a sustainable opportunity for more cohesive management of schools and contributes to future economic development.

A Shared Experience

After the genocide in both Rwanda and Cambodia, a majority of the population was comprised of young people. A large part of the healing process has been to educate younger generations about the country’s history and why knowledge is so vital in making sure genocide never happens again.

Both countries have tried tackling the skills gap that could greatly affect the future of the country’s growth in economics, politics and education. Enrolling more children in school proves to be a successful strategy in combating poverty. However, these children must also attain employment opportunities as adults, too. Creating these foundations will reduce the lingering effects of genocide and give future leaders the resources to build better lives not only for themselves but for their country as a whole.

Melina Benjamin
Photo: Flickr

Top Facts about Education in AfghanistanWhen the United States invaded Afghanistan in 2001, the percentage of Afghan children attending school was extremely low. Now, the educational landscape of Afghanistan is vastly different. More children, especially girls, are enrolled in school. More importantly, they are staying in school. These top 10 facts about education in Afghanistan provide a glimpse of what education looks like in the country now.

Top 10 Facts About Education in Afghanistan

  1. As of 2019, over 9 million Afghan children are in school.
    Around 300,000 students are attending colleges and universities. Additionally, 480,000 new teachers were placed in Afghan schools. Their training was funded by the U.S. Agency for International for Development initiatives.
    https://www.usaid.gov/afghanistan/education
  2. It is rare for Afghan children to drop out of school once they are enrolled.
    Approximately 85 percent of children who start primary school also finish primary school. Plus, nearly 94 percent of boys and 90 percent of girls who start secondary school also finish secondary school.
  3. Literacy rates are high in urban areas.
    Although literacy rates in rural Afghanistan remain relatively low, this is not the case in urban areas. Literacy rates for women living in urban areas are as high as 34.7 percent. However, literacy rates for men living in urban areas are as high as 68 percent.
  4. SEA is improving education.
    Strengthening Education in Afghanistan, a USAID initiative, aims to improve the quality and accessibility of education in Afghanistan. Thanks to SEA, over 4,500 teachers received training in 2018. In the same year, 710 women received scholarships. This allowed them to work toward receiving bachelor’s degrees. SEA scholarships also allowed 150 women to work toward receiving master’s degrees at universities in India.
  5. U.S. interference has improved education.
    In 2007, six years after the U.S. invasion of Afghanistan, 60 percent of Afghan children attended school in temporary settings like tents instead of in school buildings. About 80 percent of teachers were deemed unqualified. The education of 5 million children was restored but 50 percent of children were still not in school. In the past 12 years, improvements have been made on all of these fronts.
  6. There are currently over 3 million children out of school in Afghanistan.
    Out of these 3 million, 60 percent are female. Nearly 17 percent of Afghan girls get married before they turn 15, meaning that they leave school sooner than their male peers.
  7. The number of Afghan children in school is higher now than in 2001.
    While more Afghan children are in school now than in 2001, there have not been significant increases in enrollment numbers since 2011. There are also some parts of Afghanistan that have seen decreased enrollment numbers during the past four years.
  8. In some Afghan provinces, female enrollment rates are as low as 14 percent.
    Only 33 percent of Afghan teachers are female. The number of female teachers varies widely from one region to the next. In some provinces, 74 percent of teachers are female. In others, only 1.8 percent of teachers are female.
  9. Around 50 percent of Afghans age 15 to 24 are illiterate.
    Afghan government spending grew three times higher from 2010 to 2015. However, spending on education was not increased proportionally. Over 50 percent of university students are from high-income areas.
  10. Girls have almost half as many years of schooling than boys.
    As of 2014, boys spend 13 years in school on average. Girls spend an average of eight years in school. Moreover, only 38.2 percent of the adult population is literate. As of 2017, Afghanistan was ranked 79th globally in terms of youth unemployment, with 17.6 percent of its population aged 15-24 unemployed.

These top 10 facts about education in Afghanistan show that though there is still room for improvement, the efforts made in the past 18 years have led to positive results. Needless to say, education is vital. The people of Afghanistan cannot overcome poverty and move toward peace without schools. Fortunately, the Afghan government and multiple organizations, including USAID, have made a great deal of progress. International support, including support for USAID from U.S. voters, can further maintain the progress of education in Afghanistan.

– Emelie Fippin
Photo: Flickr

Romani People in BulgariaIn the 1400s, Romani people migrated from Northern India to Eastern Europe. Upon first arriving, Eastern European natives supposed they came from Egypt, thus calling them “Gypsies.” While the term “Gypsy” refers to a single ethnic minority, the Romani people came from numerous tribes. They lived as nomads and traditionally worked as craftsmen.

During this time, Eastern Europeans commonly used “Gypsy” as a derogatory term. They discriminated against Romani people, treating them as less than. Due to this history, the term “Gypsy” is avoided today for its negative connotation.

Romani People in Bulgaria

However, in some Eastern European countries like Bulgaria, citizens still discriminate against the Romani people. This discrimination results in poverty among Romani people in Bulgaria. As a result, they are isolated into ghetto-like neighborhoods that are covered in trash and lack clean drinking water. Additionally, the infrastructures and sewage systems of these neighborhoods are in need of repair. In Bulgaria, 40 percent of Romani people live below the poverty line.

The schools in the Romani neighborhoods of Bulgaria are of low quality, both in the quality of curriculum and resources. Because of this, many Romani parents view school as pointless and instead keep their children home. Other parents keep their children home to work for extra income. Some parents need older children to watch their younger siblings during the day. If possible, some Romani parents send their children overseas to school, in hopes they can achieve a better future.

This lack of high-quality education among Romani people in Bulgaria has led to:

  • 22 percent of Romani people in Bulgaria being illiterate.
  • 91 percent not receiving a secondary education.
  • a direct link between the lack of schooling and teen pregnancy, resulting in 6,000 babies being born to underage Romani mothers in 2016.
  • many being unable to speak Bulgarian.

Forming the Set Free Foundation

After acknowledging discrimination against Romani people in Bulgaria not only causes poverty but also makes it nearly impossible to escape, the Set Free Foundation was created. Established in 2000, this nonprofit works to fight for Romani rights in Bulgaria. Their vision is to create a system integrating Romani people into Bulgarian society. In doing so, Romani people would become functioning members of Bulgarian society and receive the same rights and opportunities as Bulgarians.

In order to accomplish this successfully, the Set Free Foundation has created the Renascence Programme which consists of the following components:

  • a 14- to 30-day program that transitions Romani people who have migrated to other parts of Europe back to Bulgaria,
  • a space for Romani people to rest and reflect,
  • assistance for Romani people seeking permanent housing and a job,
  • teaching Romani people how to budget finances, and
  • training for Romani women to ensure they have the necessary skills to enter the job market.

The Set Free Foundation Helps Romani People in Bulgaria

Beyond implementing the Renascence Programme, the Set Free Foundation has accomplished numerous projects to help end poverty among Romani people in Bulgaria. For example, they have built a house in Bulgaria called the Liberty House. This house temporarily houses Romani families in financial crises in need of housing. It consists of three working toilets, three showers and three water basins. The Liberty House can shelter four to six families at a time. And the Set Free Foundation hopes this house is the first of many.

The Set Free Foundation has also partnered with Valley Church to build a garden outside the Liberty House. The garden provides guests with fresh produce during their stay. In addition, Valley Church has donated numerous suitcases full of feminine hygiene products to the Set Free Foundation for Romani women.

The Set Free Foundation encourages supporters to spread the word about poverty among Romani people in Bulgaria. It also welcomes donations to help continue their work. Donations help Romani people gain access to better education and enter the workforce, ultimately resulting in their ability to leave poverty and lead more fulfilling lives.

– Emily Turner
Photo: Wikimedia Commons