Teachers in Brazil
In recent years, the challenges of teachers in Brazil have become a focus of the Brazilian government. With the introduction of a new Plan for Education, issues such as a shortage of teachers, inadequate pay and teacher training and unequal access to education in the country are now receiving greater attention.

Yet, a recent outbreak of violence in the form of a school shooting, controversy on the teaching of particular subjects, and widespread teacher dissatisfaction continue to make the profession an unappealing one. The following are the top 10 facts about teachers in Brazil.

Top 10 Facts About Teachers in Brazil

  1. Many Brazilian teachers report feeling undervalued. A recent study has shown that nearly half of the teachers in Brazil would not recommend the teaching profession to students.
  2. Educational reforms have targeted teacher quality. The district of São Paulo has introduced systems to improve its teacher’s skills. For instance, teaching coaches are provided in every school. This initiative awards teachers and schools meeting annual targets. Additionally, ongoing training place greater value on education and provide teachers with positive motivation.
  3. Class sizes in Brazil have dropped by eight percent between 2005 and 2016. Additionally, many teachers in Brazil are working at two schools daily. This is due to a shortage of teachers in many communities. As a result, they teach in four-hour shifts with little time for lesson planning and study.
  4. Teacher education has only recently been standardized. Before 1996, teachers were not required to have a post-secondary degree and many had not attended college. Now, there is a requirement for teachers to obtain a degree and pass a national examination. As of 2010, 40 percent of all working teachers in the São Paulo district remain unaccredited. As a result, free courses are now available to teachers to improve practical classroom skills.
  5. Salaries for teachers in Brazil are below average. According to the OECD, in 2018, the maximum average salary for teachers in Brazil was $24,100 USD. This is in comparison to the average of $45,900 per year in surrounding countries. This places many teachers in a lower socioeconomic status. Additionally, in recent years, low pay has also contributed to several teacher strikes in Brazil, some that have turned violent.
  6. Teachers provide support for students living in poverty. In 2013, 2.7 percent of students in Brazil between 5 and 14 years old were working, rather than attending school. Of those, many also make up the 7.2 percent of Brazilians reportedly illiterate as of 2015. Historically, many Brazilian parents doubt the value of education for their children. That being said, teachers are urged to monitor student attendance and encourage parents to keep their children in school with government ‘Bolsa Familia’ incentives.
  7. The number of indigenous teachers in Brazil has grown. Brazil is home to about 900,000 indigenous peoples. Children in mostly rural indigenous communities are four times more likely to work rather than attend school. Over the last two decades, the Brazilian government has adopted a commitment to provide education to indigenous children in their traditional languages and using traditional methods. Indigenous schools are autonomous, but legally overseen by the Brazilian government and staffed by specially trained teachers from within the community.
  8. Following the election of Jair Bolsonaro as president in 2018, a right-wing movement called Escola Sem Partido or School without Party (ESP) gained ground. Responding to allegations that teachers have spread left-leaning propaganda in classrooms, advocates have called for a ban on the promotion of controversial political and social views in education. Critics argue that the ban violates constitutional freedom to teach and learn. Conservative legislator Ana Caroline Campagnolo has suggested that students report teachers in violation, resulting in a rash of police encounters in classes.
  9. Recent violence has led to the death of two teachers. In March of 2019, two teachers and five students were killed in a school shooting in a public school in Suzano. The incident was one of a handful of school shootings since 2000, which remain rare in Brazil but are causing concern about the security of classrooms and the safety of teachers and students.
  10. The use of technology as an educational resource is growing. Half of all Brazilian teachers reported using technology, particularly mobile phones, in lesson planning and gathering resources for the classroom. The number of educational resources available, including apps, pre-prepared lesson plans, and online videos, has significantly increased. The district of Sao Paulo issued a $5.5 billion BRL contract in 2013 for technology and educational content. Samsung, Unicef, and the Brazilian organization, Nova Escola, are among the companies gathering original content, providing online lessons and teacher training materials and targeting plans to improve student engagement.

The top 10 facts about teachers in Brazil indicate obstacles to improvement, but a growing effort. Reforms are being put in place to fund schools and increase the number and quality of teachers. These improvements show promise to both Brazilian educators and students.

– Marissa Field

Photo: Agustin Diaz

Poverty and Corruption in Afghanistan

Afghanistan is currently one of the poorest countries in the world with nearly 40 percent of the Afghan population living in poverty. Afghanistan is also one of the most politically corrupt countries in the world. In 2018, The anti-corruption organization Transparency International ranked Afghanistan an index score of 16/100 for its high levels of corruption. Over the past several decades, political corruption in Afghanistan has destabilized the country and contributed to its poverty problem.

USAID has always believed that political corruption and poverty are an interlinked problem because political corruption has a tendency to aggravate the symptoms of poverty in countries with struggling economic growth and political transition. Conversely, the social and economic inequalities that are found in impoverished countries are known to create systemic corruption.

The Scope of Contemporary Corruption in Afghanistan

The destabilizing effects of political corruption on Afghanistan cannot be underestimated. According to Special Inspector General for Afghanistan Reconstruction (SIGAR), a U.S. government agency tasked with the reconstruction of Afghanistan, corruption has been a major obstacle in the political, economic and cultural reconstruction of Afghanistan. The Asia Foundation has identified more than 70 forms of corruption currently within Afghanistan that cross a wide range of institutions, including international aid and public administration.

Two of the most common forms of corruption in Afghanistan are nepotism and bribery. Many of the basic public services provided by the government are only obtainable through the payment of bribes, which has caused severe distress to Afghan citizens. Afghanistan’s economic growth has been severely damaged by the reliance on bribes to pay for public services. Nepotism and patronage have made it difficult for honest people without connections to rise within the political system and have given impunity to corrupt officials.

Afghan Awareness and Perceptions of Corruption

Unfortunately, many Afghans believe certain forms of corruption are inevitable and, in certain cases, a legitimate form of political life. When surveyed in 2012, at least 30 percent believed that most forms of bribery were acceptable. This type of attitude towards political corruption can make efforts to reduce or eradicate corruption more difficult.

Nevertheless, the Afghan people have not been completely culturally ingrained with political corruption, and there are many who still criticize corruption in Afghanistan. Most Afghans have consistently stated in several polls that corruption is a serious problem that their country is facing. A study from the Asia Foundation has shown that most Afghans believe that political corruption was more severe during and after Karzai then it had been under several past regimes.

Anti-Corruption Efforts

In 2014, President Ashraf Ghani was elected into executive office in Afghanistan. He has shown a remarkable commitment to developing and implementing strategies to decrease corruption and stabilize the country. Following his election in 2014, his first course of action was to not only dismiss several corrupt heads and directors of certain departments but also charge them with corruption, marking a major change from his predecessor Karzai.

In 2017, Afghanistan’s National Strategy for Combating Corruption (Anti-Corruption Strategy) was adopted by Afghanistan’s High Council and was developed under the supervision of President Ghani. The Strategy consists of 6 pillars outlining the course of action to be taken against corruption. This strategy was based on a comprehensive analysis of the causes and drivers of corruption and provides realistic goals that make it relatively easy to implement. Some of the pillars are designed to address nepotism (pillar 3) and money tracking (pillar 5).

The Ghani administration introduced new legislation in 2017 and 2018 to reduce and prevent corruption. The laws have been limited to a certain extent due to extenuating circumstances; however, they have had a certain level of success. The most notable success in the prosecution of corruption with this new legislation has been the adoption of a new Penal Code. This new Penal Code was the first to incorporate financial and corruption laws into its criminal provisions, making it a major achievement for the Afghanistan legal system.

Corruption Is Declining

While corruption is still pervasive in Afghanistan, these efforts have demonstrated some progress. Within the Transparency International Index, Afghanistan’s CPI score has steadily grown from 11 in 2015 to 16 in 2018, which is one of the largest increases any country has experienced in this amount of time. The introduction of new legislation and the adoption of the Anti-Corruption Strategy can provide a solid foundation to stabilize Afghanistan and reform its political system from corruption.

The government, under Ghani, has already taken the first steps in decreasing the significant level of corruption in Afghanistan throughout the country by implementing these strategies and laws. While progress may be slow, it appears that under President Ghani, Afghanistan may be on its way to political stabilization, allowing it to provide better public services and alleviate poverty within the country.

Randall Costa
Photo: Flickr

Bloodiest War in History

What is the bloodiest war in history? To determine which wars or battles would qualify for the bloodiest or the deadliest can be tricky. Which war wins in meeting the criteria for this evaluation?

World War II

The global war between Axis, Allied and Neutral Powers that led to approximately 50,000,000 deaths, World War II. All of the chaos and controversy that created the First World War laid the foundation for the next global playing field of conflict that came to be The Second World War. This came about 20 years later after World War One.

During a financially and politically challenging time period for Germany, Adolf Hitler and his National Socialist or Nazi party rose to German rule. Hitler began making tactical treaties with Italy and Japan. Hitler, in violation of the Treaty of Versailles, began rearming German military in pursuit for more Lebensraum, or living space, for Germany. Once Hitler invaded Poland in September 1939, France and Great Britain declared war on Germany. As a result, World War II began.

What Happened During World War II

After invading Poland, Germany attacked Denmark and Norway. After that, the country went on to attack Belgium, The Netherlands and France. In the summer of 1940, Germany lost in its air attack attempt with its Air Force, the Luftwaffe. The Luftwaffe couldn’t defeat Britain’s Royal Air Force. Germany’s ally, Italy, experienced failure as well in attempts to expand the war. This was attempted by invading Greece and North Africa. In early 1941, Germany came to the rescue of its ally.

Later in 1941, Germany experienced a turning point of failure in its war efforts through attempting to invade Russia. Russia was too big, even with the inefficiencies of Russia’s counteraction. Its muscle and tenacity, paired with its harsh winter, sustained them at the expense of Germany’s army.

In 1943, Germany was backed into a corner to retreat after the end of the battles of Stalingrad and Kursk. During 1944, the Germans were gradually backed out of USSR territory and the Russians continued to seek them out across eastern Europe and even back into their country in 1945.

On the coast of Normandy, in France that was currently occupied by Germany, is where the D-Day invasion took place. This was between Great Britain and the United States in June 1944. Germany’s army was being sandwiched in by Allied forces coming from the east and the west. The Soviet Union touched down in Berlin first which transpired into Germany’s surrender in May 1945 after Adolf Hitler’s suicide.

Some of the most renown relationships and battles of the war occurred in the Pacific beginning on December 7, 1941. This was when Japan attacked the U.S. Navy base in Pearl Harbor, Hawaii. Japan was also fighting with China and developing expansion in the Southeast Asia-Pacific Region. The attack on Pearl Harbor led to the U.S. declaration of war on Japan. But their battles didn’t begin until the spring of 1942. These battles built up to the Battle of Midway where Japan suffered a massive loss.

In 1943, the struggle continued between the United States and Japan over the Solomon Islands and the Guadalcanal. The fighting in the Pacific continued in 1944 and 1945. Then, in early August, the United States dropped two atomic bombs in two Japanese cities, Hiroshima and Nagasaki. This resulted in the surrender of Japan.

Global Progress Since World War II

What is the bloodiest war in history? The answer points to World War II, having caused estimates of over 40 million deaths. The war also caused massive amounts of destruction in land and property.

Globally, the majority of the world was living in poverty 110 years before this Second World War. What progress has been made between then and now? After the Second World War, the United Nations Charter was signed by 50 countries to stand on valuing peace which is found in favor of social justice, development and eliminating poverty.

In 1964, President Lyndon Johnson set forth War on Poverty in the United States. The World Bank began developing studies on global poverty and creating a definitive system for the global poverty line. Ultimately, these efforts have led to overachieving successes such as the Millennium Development Goal of reducing extreme poverty rates and the development of Sustainable Development Goals to eradicate all forms of poverty. So, the bloodiest war in history? The bloodiest war in history, World War Two, resulted in tremendous losses globally but the goals of international leaders won’t let them be in vain.

–Janiya Winchester
Photo: Flickr

HIV and AIDS in South Africa

South Africa has the largest number of people living with HIV of any country in the world. South Africa comprises of approximately one-fifth of the 37 million people in the world living with HIV, with an estimated 7.2 million people living with HIV in 2017. This translates to a general population in which an estimated 18.8 percent of South Africans are HIV positive.

And yet, the country is making progress in reducing HIV and AIDS. In recent years, efforts to combat HIV and AIDS in South Africa have been ramped up. According to a study by the Human Sciences Research Council (HSRC), the statutory research agency of South Africa, there were 231,000 new HIV infections in 2017, representing a 44 percent decrease since the last major study in 2012.

Largest Antiretroviral Drug Campaign in the World

South Africa has the largest antiretroviral drug campaign in the world, which its own domestic resources largely fund. In 2015, South Africa was investing more than 1.34 billion (US dollars) towards its efforts to combat HIV and AIDS. And yet, it was not always like this; the South African government regarding and treating HIV and AIDS as a major and important public health issue and one to which it allocates resources to is a fairly recent phenomenon.

The government spearheaded this change, at least in part, by the exit of former South African President, Thabo Mbeki, who headed the government between June 14, 1999, and September 24, 2008. He had a track record of aversion to the combating of HIV as a public health issue and largely turned a blind eye to the issue. ‘“Many people do not remember that in 2000 there were only 90 people in South Africa on treatment,” said Michel Sidibé, executive director of UNAIDS.” When Mbeki left office in 2008, a tide turned and HIV and AIDS became to be regarded in the milieu and in public policy as a major and important public health issue, and now approximately four million people are receiving antiretroviral drug treatment in South Africa.

The 90 90 90 Plan

The 90 90 90 Plan summarizes some of the efforts to combat HIV and AIDS in South Africa. This plan aimed to test 90 percent of people so they would know their HIV status, followed by 90 percent of those diagnosed receiving sustained antiretroviral therapy and 90 percent of those receiving antiretroviral therapy to have viral suppression.

South Africa reached the first of the 90-90-90 targets, with 90 percent of people aware of their status, jumping up from only 66.2 percent in 2014. Of the affected, presently 61 percent of adults (people between ages 15-49) and 58 percent of children are on antiretroviral treatment, and so these current numbers are not at target though they are continuing to trend upwards. Life expectancy has seen a significant increase over the past several years, largely due to the efforts launched with antiretroviral therapy. There has been an improvement in life expectancy from 61.2 years in 2010 to 67.7 years in 2015.  With an increase of nearly 10 percent in just five years, one cannot overstate South Africa’s success in reducing HIV and AIDS within the country.

– Lacy Rab
Photo: Flickr

Aid to Indonesia

Indonesia is no stranger to natural disasters; it has experienced a lot of destruction throughout the years. A major natural disaster occurs in Indonesia almost every year in the form of tsunamis, earthquakes and volcanic eruptions. Christian organizations are planted internationally in order to minister and bring aid to those in need. World Vision Ministry is one such organization that has been in Indonesia since 1960. Here is a look at World Vision’s aid to Indonesia.

World Vision’s Foundation

World Vision in Indonesia is based on a vision of a world that is committed to the well-being of children. The organization strives to build thriving communities where peace and justice can prevail with security, opportunity and contentment. This is accomplished through its relief, development and advocacy work. World Vision has become one of the world’s largest charities with annual revenue reaching more than $1 billion. It has ministries in 90 countries, focusing on children.

In the 1970s, World Vision Indonesia initiated a community development approach that provides more integrated support toward the empowerment of the poor communities and their children. Its involvement improved basic education, health, income generation and basic infrastructure for Indonesia. In 1998, World Vision raised 14 million to aid the poor in Jakarta, Indonesia. As a global humanitarian organization, World Vision’s ministry is dedicated to continuous aid to Indonesia whether it be a food crisis or assistance to victims of natural disasters.

Programs to Empower

According to the ministry, World Vision introduced the Area Development Program (ADP) approach in the 1990s to create an effective and lasting transformation in the lives of people in poor communities. The organization describes the ADPs as nurturing an inclusive approach to tackle poverty across extensive areas, normally involving several villages and communities. World Vision’s aid to Indonesia through the ADP approach has led to more sustainable developments and impacts through longer intervention and lifetime concentrated programs.

Today, World Vision has a partnership with Wahana Visi Indonesia, which supports around 50 ADPs in aid to Indonesia’s North Sumatra, Jakarta, East Java, West Kalimantan, Central Sulawesi, East Nusa Tenggara, North Maluku and Papua. World Vision in Indonesia has helped to save lives in many ways, but it is most effective in its emergency response.

Emergency Relief and Support

World Vision has administered emergency relief support to those affected by natural disasters or communal conflicts for many years. In 1963, World Vision supported the victims of Mount Agung eruption in Bali and then provided aid to Indonesia in the resettlement of displaced people in West Kalimantan, Maluku among other sites in the 1970-80s. The ministry remained Indonesia in 1997 and 2009 following the drought from the El Nino weather phenomenon, severe economic crises, earthquakes and the major tsunami in Aceh province.

In December 2018, World Vision provided aid to Indonesia when the Sunda Strait tsunami struck Java and Sumatra, resulting in more than 300 deaths. The ministry distributed hygiene and household items to families who lost their homes and provided safe places for mothers to feed their young children.

Margie Siregar, Humanitarian Emergency Affairs Director with World Vision, spoke with NPR’s Ari Shapiro while she was in Jakarta, Indonesia. “We had 30 aid staff already in the place before the earthquake happened and now we are providing some public kitchen and children feeding,” Siregar told NPR. The workers of World Vision also provided the children with a child-friendly space where they could play and recover from the trauma. In Central Sulawesi, an estimated 460,000 children in four districts were affected according to World Vision Indonesia.

Combatting Poverty

Each fiscal year, World Vision raises around $20 million from donors and sponsors in various countries to combat poverty and bring lasting transformation in the lives of the children to facilitate their communities. In 2018, 86 percent of World Vision’s total operating expenses went to aid Indonesia by establishing programs that benefited children, families and communities in poverty.

Parents in Indonesia are being empowered to care for their children through education on child protection and disaster risk reduction thanks to World Vision’s aid to Indonesia. Those who are interested in aiding the families affected by the recent tsunami may donate to World Vision’s Indonesia tsunami relief fund.

Carolina Chaves
Photo: Flickr

Trevor Noah Foundation
Trevor Noah’s childhood in late-state apartheid South Africa color his perception of the world. His recent memoir, “Born A Crime, gives insight into his life experiences. The host of the Daily Show is more than just a comedian. He has taken his success back to his homeland to build a new generation of inspired individuals.

The Trevor Noah Foundation

According to UNICEF, there are about 3.7 million orphaned children in South Africa. The youth make up around 60 percent of the unemployed population. Behind the Trevor Noah Foundation is the vision of a South Africa that improves itself through each new generation. In reference to his program, Noah stated, “the higher the level of education, the higher [the] chance the youth have of creating a future for themselves and collectively, a better South Africa.”

So, with this belief, Trevor Noah’s non-profit has established itself as an organization that supplies troubled youth with the education, life skills, and social capital essential for the pursuit of opportunities beyond high school. The Trevor Noah Foundation strategically launched to an audience of education professionals in order to find partnerships with government schools, mobilize philanthropic capital and, most importantly, to research innovative approaches. Not only does the organization offer skill development and career guidance, but it also provides psycho-social support.

Rooted in South Africa

The initiative is being piloted at a government school in Johannesburg, South Africa. On March 7th, 2019, Trevor Noah and executive director of the program Shalane Yuen, met with South Africa’s president, Cyril Ramaphosa. After sharing about the Foundation’s influence on education, the team was invited to the National Assembly as special guests to the president. Impressed by Trevor’s efforts, President Ramaphosa welcomed the South African native back home.

In “Born A Crime”, Trevor talks about the leverage he received from a privileged friend. It was in a CD writer gifted to him, that Trevor began to generate money from his DJ skills. This evolved into his appreciation for opportunities that are opened by technology. For the 500 orphans at the New Nation school, Trevor Noah hopes to open similar doors.

Computer Labs for the New Nation School

With Microsoft as the technology partner for the Foundation, the New nation School opened a new computer lab. The lab is equipped with Windows 10 laptops for students and teachers to allow for computer literacy skills courses. Workshops introducing basic coding has students practicing problem-solving skills.

When given the tools to offer Computer Application Technology courses, some institutions forget the value their equipment has on other subjects. Fortunately for the New Nation School, there are scheduled times students can utilize their tech resources for other subjects. Teachers are also able to use their timeslots to show subject related videos.

New Tech Opens New Doors

The biggest influence actually reflects upon the improved teaching practices. Instructors have been trained to maximize their services with Office 360 which allows for access to their work on multiple devices. In addition to Excel, Word and Powerpoint, teachers now have the opportunity to create online presentations and Socrative interactive quizzes.

Educators at the New Nation School are given new teaching opportunities with a plethora of innovative programs their computer labs offer. As they become comfortable in this new field of tech-based instruction, they are able to give students the tools to hone in on their own skills. These students exhibit the ability to surpass their predecessors adding a layer of growth to yet another generation.

A Vision for the Future

This is in large thanks to the Trevor Noah Foundation. It is no surprise that the symbol for the organization puts Africa at its center, being that the founder is South African. However, the rippled rings surrounding the imprint is symbolic of how a single footprint has an effect. Like a growing tree, generations add to that impact and make up an ever-changing world.

– Crystal Tabares
Photo: Flickr

Palliative Care
Providing necessary medical care is essential to any humanitarian response. For the approximately 745,000 Rohingya refugees in Cox’s Bazar, Bangladesh, home to the largest refugee camp in the world, accessing high-quality medical care is often difficult. Palliative care, which is medical treatment for those with chronic or life-threatening illnesses, is often overlooked in humanitarian crises. Two organizations, PalCHASE (Palliative Care in Humanitarian Aid Situations and Emergencies) and the Fasiuddin Khan Research Foundation, are pioneering this treatment for Rohingya refugees.

The purpose of humanitarian health work is to relieve suffering and save lives; however, those who are chronically and perhaps terminally ill are often given less attention than those with more easily treatable ailments.

Who Needs Palliative Care?

Palliative care improves the quality of life for children and adults who have chronic or life-threatening illnesses. Treatment focuses on physical, emotional, social and/or spiritual symptoms, and requires ongoing interaction between the patient and health provider. This care is sometimes provided alongside other therapies and treatments, including chemotherapy for cancer patients.

A 2018 study in the Journal of Pain and Symptom Management on life-threatening illness in Cox’s Bazar found that the most common life-threatening illnesses were tuberculosis, cancer and HIV/AIDS.

They also estimated that 73 percent of those with life-threatening illness experience pain. Approximately half received no pain relief and a majority receive very little pain relief. Other common symptoms include insomnia, cough, anorexia and dyspnea.

The Challenges

While medical supplies are generally available to treat these symptoms, they are often unaffordable, particularly for refugees, and more than 60 percent of patients had to stop taking medications because they were no longer able to afford them.

In addition to medication, palliative care requires a caregiver, and caregivers in Cox’s Bazar are normally family members. Approximately 94 percent of caregivers have no training, and providing hours of daily assistance bathing, feeding, giving medications, etc. is a physically and financially demanding role. Providing this treatment for Rohingya refugees, therefore, is often a significant burden on families, particularly if they have to do a lot of the work themselves.

Moreover, unique challenges arise when children need extensive treatment, as they need extra support and often spend more time in the hospital, separated from family and friends. This increases psychological stress and caregivers are in need of even more training to know how to properly care for children with chronic or life-threatening illnesses.

A Need that Should not be Overlooked

In spite of this need, palliative care for Rohingya refugees is not a priority in the aid sector’s response plan. PalCHASE (Palliative Care in Humanitarian Aid Situations and Emergencies), an organization based in the UK, was created in response to the general lack of palliative care in disaster and conflict responses.

Co-founder Joan Marston stated that palliative care is “really about the dignity of the individual,” noting that already “there’s enough indignity within these humanitarian situations.” The goal of PalCHASE is to get more emergency response plans to incorporate palliative care, hoping that the treatment will cease being an afterthought in the humanitarian response.

The Fasiuddin Khan Research Foundation

The Fasiuddin Khan Research Foundation is Bangladesh-based and is working directly on providing palliative care for Rohingya refugees. It is the first concrete palliative care program with a humanitarian response.

Founder Farzana Khan, despite being unable to secure long-term funding, is on the ground with a team of three addressing the distinct needs in the Rohingya refugee camps. Khan spent 20 years providing palliative care in Bangladesh prior to focusing on the Rohingya refugees, noting that her “core approach” is “dignity and respect.”

Early in their response, Khan’s researchers estimated that thousands of people in the refugee camps may be in need of palliative care and were not currently getting help. To remedy this, it is essential to make this treatment more easily accessible and ensure that refugees know when to seek medical treatment and care.

Changed Lives

Sanjida, a 16-year-old refugee living with untreated meningitis, which is causing increased paralysis, has received palliative care, thanks to Khan and her team. Her sister and caregiver, Khaleda, noted that she can now do more by herself, can call for assistance more easily and just generally seems happier.

Another patient, 10-year-old Mujibur Rahman, who suffers from bone cancer, was struggling to walk and ended up confined to a wheelchair. Dedicated treatment helped manage his pain and within two months helped him walk again.

Since the Rohingya crisis began in 2017, Khan’s team has reached approximately 1,000 patients, including Sanjida and Mujibur. While funding continues to be a problem, Khan hopes that organizations’ successes will help secure more financial support so that they can continue to provide support for Rohingya refugees.

Looking Forward

Regardless, the Fasiuddin Khan Research Foundation should become a model for other humanitarian response teams looking to focus on palliative care. In addition to the Rohingya, other refugees around the world, as well as those who are impoverished, are in need of better treatment in the case of life-threatening or chronic illness. The work of PalCHASE will hopefully increase knowledge about the need for palliative care and encourage humanitarian leaders to consider it more seriously.

– Sara Olk

Photo: Flickr

 

Improvements for Healthcare in India

Technical advancements are revolutionizing the health care industry in India. The country is now experiencing a rise of entrepreneurs and start-up culture, with a promising GDP that is expected to expand to 7.5 percent by 2020. In return, the health care industry of India can expect to see more personalized and accessible health options as well as better infrastructure. Below are five recent improvements for health care in India worth noting.

Five Improvements for Health Care in India

  1. The National Health Protection Scheme (NHPS), also called the Ayushman Bharat, is one of the biggest advances in Indian health care to date. The initiative provides health care coverage for 100 million low-income families in India — nearly 40 percent of the population will have secondary and tertiary care procedures handled for them. Priority is given to women, children and senior citizens. Another component of the NHPS involves setting up 150,000 wellness centers to take care of primary health. In poor regions of India where people have remained dependent on government hospitals, their lives should improve as the NHPS improves health care infrastructure and creates more job opportunities.
  2. In March 2019, Esri, a global company developing location intelligence software, opened its latest research and development center in New Delhi. Esri is bringing improvements for health care in India through geospatial mapping technologies with the software ArcGIS, which can assist health organizations in making decisions that impact the health of India’s population. In developing countries, the demand for health service can outweigh the availability of service. As a result, geospatial intelligence has not been a priority in India’s government policies. The infrastructure for health care networking in India is limited, but there is a possibility for growth with Esri building a hub in India. Medical mapping, or health geo-information, is an efficient way for countries to monitor disease outbreaks, flood risks, and many other functions that improve overall public wellness. For example, in 2013, African organizations used ArcGIS to find the regions of Africa most afflicted by the eye disease known as trachoma; health workers were then able to reach out and provide antibiotics and corrective surgery to these areas.
  3. The startup company Niramai is developing an affordable screening tool called Thermalytix to counter the high rate of breast cancer-related deaths in India. According to WHO, one in every 12 women have the risk of a breast cancer abnormality, and Indian women have a 50 percent chance of survival. By using thermography for early detection, the screening tool is radiation-free, non-invasive, privacy-sensitive and accurate. Thermography reading has been around for a while, especially in the world of holistic medicine, but Niramai’s device uses machine learning algorithms to ensure an accurate result, making it one of the most innovative improvements for health care in India yet.
  4. Phillips and GE Health care have made it possible for doctors in urban cities to see rural patients through an apparatus called Tele-ICU. Since most hospitals in India are not equipped with high-quality intensive care units to handle the high demand, Tele-ICU provides a new option and eliminates transportation risks for patients. It uses video cameras, microphones, alarms and other tools to monitor patients in need of intensive care. By establishing an intensivist and a nurse within a command center, doctors can review patients’ records electronically through Phillips’ Clinical Decision Support software. Through the InTeleEye Mobile Cart, the command center can enter the ICU and oversee a patient’s physical condition through a screen. Tele-ICU thus upgrades the care and reduces the length of stay, therefore diminishing overall hospital costs, too.
  5. Several phone apps have made improvements for health care in India with the goal of helping women. Maya, a comprehensive health tracker app, provides a tool for women to manage their menstrual health. The developer, Plackal Tech, claims that only 12 percent of women at reproductive age in India use sanitary napkins, likely due to the country’s stigma of menstruation. To combat this stigma, Maya helps educate and empower women to understand and nurture their bodies. Another app, Celes Care, has become India’s first virtual health clinic for women. In 2015, the World Bank found that 174 women died per 100,000 live births, which is an improvement from the 215-figure in 2010. This number is still high, however, compared to developed countries where the mother’s mortality rate stays in the single digits range. Apps like Celes Care are necessary to provide long-distance preventative health care and deliver prescriptions to women in India. Within a minute, users can connect privately with a female physician who will address issues concerning fertility, pregnancy, thyroid, PCOS, weight control and menopause.

Such innovative solutions provide hope for reducing health risks and increasing access to health care in India.

– Isadora Savage
Photo: Flickr

10 Scary Facts About the Zika Virus
The Zika virus was first discovered in Uganda in 1947 through a group of diseased monkeys. In 1952, the first infected human was found in Uganda and the United Republic of Tanzania. The Island of Yap is the first location where a large scale outbreak of the Zika virus was recorded. This incident took place in 2007. There are currently no countries facing a sizeable Zika outbreak, however, there may be a risk of contracting the disease in regions where the Aedes species of mosquito is prevalent. This article looks at the top 10 scary facts about the Zika Virus.

10 Scary Facts About the Zika Virus

  1. People are more likely to contract the Zika virus in poor countries. Mosquitoes that carry Zika often breed in stagnant water. These buildups of stagnant water are found in areas where communities lack adequate plumbing and sanitation. According to the United Nations Development Programme, poor households are least equipped to deal with the virus and are most likely to be exposed to the disease.
  2. Women face the biggest consequences during a Zika outbreak. Health ministers throughout Latin America have told women not to get pregnant during a Zika epidemic. In poorer countries, women lack access to sexual education, which leaves them vulnerable to misinformation. Furthermore, women may be blamed for contracting the virus during pregnancy, which carries an unfair social stigma.
  3. Zika poses a threat to unborn children. In some cases, when a pregnant woman is infected by the virus it disrupts the normal development of the fetus. This can cause debilitating side effects like babies being born with abnormally small heads and brains that did not develop properly. This condition is called microcephaly. Symptoms of microcephaly are seizures, decreased ability to learn, feeding problems, and hearing loss.
  4. Even though a mosquito bite may be the most well-known way to contract the Zika virus, it is possible to get the disease through other avenues. It is possible to get the disease during unprotected sex with a partner, who already have been infected by the virus. Individuals can also contract the virus during a blood transfusion or an organ transplant.
  5.  Symptoms of a Zika virus infection may go unnoticed. The symptoms can be described as mild. If symptoms do occur they can present themselves as a fever, rash or arthralgia. This is especially dangerous for pregnant women because they may not know that they have been infected, unknowingly passing it on to their unborn baby. There is no treatment available to cure this disease once it has been contracted.
  6. There are other birth defects associated with the Zika virus. Congenital Zika syndrome includes different birth problems that can occur alongside microcephaly. Some malformations associated with congenital Zika syndrome include limb contractures, high muscle tone, eye abnormalities, and hearing loss. Approximately 5-15 percent of children born to an infected mother have Zika related complications.
  7. The cost of caring for a child born with Zika related complications can be quite expensive. In Brazil, each kid born with the disease could cost $95,000 in medical expenses. It would cost approximately $180,000 in the U.S. to care for the same condition. Some experts believe the numbers are higher when taking into account a parent’s lost income and special education for the child.
  8. Even though there are more than 10 scary facts about the Zika Virus, there are also measures being taken to prevent future outbreaks. Population Services International (PSI) is working with the ministries of health in many different Latin American countries to spread contraception devices. This promotes safe sex practices. This also gives the women the power to decide if and when she wants to become pregnant.
  9.  The World Health Organization (WHO) is also implementing steps to control the Zika virus. Some of these steps include advancing research in the prevention of the virus, developing and implementing surveillance symptoms for Zika virus infection, improving Zika testing laboratories worldwide, supporting global efforts to monitor strategies aimed at limiting the Aedes mosquito populations and improving care to support families and affected children alike.
  10. The good news is that there are currently no major global outbreaks of the Zika virus. This is a sign that steps around the globe have been successful to lower the number of Zika cases. However, this doesn’t mean that precautions shouldn’t be taken when traveling to areas where the Aedes species of mosquito is prevalent. Even though they are no major outbreaks the disease still exists and may cause problems if contracted.

Conclusions

Even though the Zika virus may currently not be a threat worldwide, it is still something that needs to be accounted for. Zika has serious repercussions in poverty-stricken countries where people can’t afford adequate medical care. The Zika virus is also more likely to be contracted in poorer regions. The Zika virus has a strong correlation with poverty.

– Nicholas Bartlett
Photo: Flickr

Erna Solberg
Erna Solberg is a Norwegian politician who was born and raised in Bergen, Norway and has held many different positions of power during her career. Since 2004, she has been the leader of the Conservative Party of Norway (EPP, IDU) and has been Prime Minister of Norway since the General Election in 2013. Norway re-elected her as Prime Minister in September 2017 and she has leveraged her position as the leader of a wealthy and influential country to fight for female education and children’s rights in developing countries. The Prime Minister has a long track record of international educational aid especially for women and children, and these are just three examples of the important strides Ms. Solberg has taken.

Three Initiatives in the Fight for Female Education

1. Starting in 2016, the Prime Minister co-chaired the U.N. Secretary General’s Advocacy group for the Sustainable Development Goals. During her residency as co-chair, she committed herself to increasing equitable access to education for girls and children in conflict areas. In fact, in 2018, Norway promised to increase its contribution to The Global Partnership for Education (an organization that works to improve education in developing countries) to $255 million.

2. In 2015, under the direction of Ms. Solberg, Norway committed to providing at least $6 million to improve sanitation for the estimated two billion people lacking it. This commitment may seem unrelated to education but many developing nations lack adequate sanitation, which often keeps girls from attending school regularly. Cultural stereotypes and taboos around female hygiene, especially in regards to menstruation, often keep girls out of class. The $6 million Norway pledged can make a huge difference in closing the gender gap in classrooms. For example, a UNICEF study showed that girl’s attendance improved by 12 percent in Tanzania when the girls had access to clean water. Norway’s support for proper sanitation, in tandem with education, will give girls a better opportunity to obtain a quality education.

3. In 2014, Erna Solberg launched a $12.3 million initiative in Malawi to improve the access and quality of girl’s education. On a trip to Malawi in July 2014, Ms. Solberg announced the initiative and stated that it would strengthen the education system, particularly for girls, and improve aid effectiveness. With Norway’s money and cooperation, Malawi has launched a number of programs including promoting secondary school for girls, further integrating minorities and children with disabilities into the education system and providing new technologies to enhance learning. The program has been successful so far and under Ms. Solberg’s guidance, the initiative will continue until 2020.

It is clear that since her appointment as Prime Minister of Norway in 2013, Erna Solberg has focused the plentiful resources of her nation to uplift girls in the most underprivileged countries. In an op-ed she co-wrote in 2014, she said, “if you invest in a girl, she feeds herself, educates future children, lifts up her community and propels her nation forward – charting a path that offers dignity for all in the process.” The Prime Minister openly continues to hold this belief and has launched and supported many initiatives that prove it.

– Isabel Fernandez
Photo: Flickr