Maternal Mortality Rate in MalawiThe maternal mortality rate in Malawi is one of the highest in the world. The country ranks at number 13 for the highest number of maternal deaths during pregnancy or after birth.

The maternal mortality rate in Malawi has decreased over the years, but it is still an alarming issue that the country is addressing. It is estimated that per every 100,000 live births, over 600 mothers die from mostly preventable causes.

In Malawi, the circumstances of maternal mortality are complex but preventable. Like most countries in sub-Saharan Africa, the health care system in Malawi is not as developed as the rest of the world. Having better access to health care and qualified personnel will save the lives of mothers and children in developing countries.

Causes of High Maternal Mortality

There are several causes related to the high maternal mortality rate in Malawi. Poverty is one of the main contributing factors. Given that half of the country’s population lives in poverty, most women cannot afford conventional health care.

The majority of the population live in remote, rural areas, making it difficult for mothers to find access to quality maternal health care. In many cases, they cannot travel long distances on foot to the nearest available clinic. According to a 2014 study, 44 percent of women in rural areas attended at least 4 antenatal care visits whereas, in urban regions, the figure jumped to 51 percent.

In Malawi, women have historically given birth in their homes due to cultural beliefs and practices. In most cases, traditional birthing attendants were present. However, many of them were not trained to respond if something were to go wrong. This most commonly occurred in impoverished families. Today, the country recognizes the need for professionally trained personnel. In 2015-2016, 91 percent of women were recorded giving birth in a healthcare facility.

Most maternal deaths are related to diseases or complications during pregnancy or childbirth. The most common direct causes of maternal death are:

  • hemorrhages,
  • infection,
  • eclampsia,
  • obstructed labor and
  • abortion.

The indirect causes include malaria, anemia, HIV/AIDS and tuberculosis. In most cases, these diseases or complications would have been preventable if there was better access to health care.

Improving Malawi’s Maternal Mortality

Due to foreign aid, and the dedication of the Malawian government, the maternal mortality rate in Malawi is improving with every year. In 2001, out of 100,000 live births, 868 mothers died. Today, that number is significantly lowered to just over 600.

Former Malawian president, Joyce Banda made maternal health her top priority in 2014. Through her influence, the government of Malawi constructed new maternal health facilities in rural areas, created a new system to better train birthing attendants and changed cultural norms and attitudes regarding maternal health and pregnancy.

Banda also believed in the importance of educating young women about their reproductive health. A survey on Maternal and Perinatal Health has shown that women with lower levels of maternal education are at risk of high maternal mortality even if they have access to health care facilities.

Banda made lasting changes in Malawi for the women and children of today and the generations to come.

USAID Investments to Improve the Maternal Mortality Rate in Malawi

The United States financially supports Malawi by investing in maternal and child care. USAID is investing in maternal health facilities and quality care interventions in order to progress the country’s healthcare system. USAID is also supporting national family planning programs that promote maternal education and informed decision-making for the mothers of Malawi.

As the country continues to develop, the maternal mortality rate in Malawi is decreasing.

Due to more accessible facilities, better-educated mothers and the addition of trained professionals, the status of maternal health care in Malawi has made significant strides.

– Marissa Pekular
Photo: Flickr

5 Most Hazardous IndustriesAmong the negative effects of living in a low-income country is the inadequacy of workplace safety. Regulations and monitoring organizations to protect workers might be absent. Without the resources for such programs, many developing nations and their citizens suffer high rates of work-related illness, accidents and death caused by unsafe workplaces.

Studies of occupational risk from the International Labour Organization (ILO) and Tampere University in Finland show that workers in low and lower-middle income countries have a higher risk of falling sick or dying as a result of their occupation than workers in high-income countries. Up to 92 percent of all global workplace fatalities are reported in low-income countries. One example is the fatality rate of Myanmar, at 25 deaths per 100,000 workers, which is 30 times higher than the United Kindom, at 0.83 per 100,000.

This disparity is driven by a lack of occupational health services and monitoring in low-income countries. The risk becomes more pronounced within the following five most hazardous industries, which account for the majority of work-related harm.

5 Most Hazardous Industries

  1. Mining – Mining presents a great risk to workers and holds the highest share of work-related fatal injuries. In addition to the risk of cave-ins in underground mining operations, miners are often exposed to pollutants. These include asbestos, metal and silica dust, and radioactive waste. Exposure makes workers prone to respiratory diseases and lung cancers. Chronic Obstructive Pulmonary Disease (COPD) and other respiratory diseases caused by the inhalation of dust, vapors, gases and fumes are the third largest cause of occupational fatalities overall.
  2. Construction – Work-related deaths in the construction industry make up about 30 percent of annual workplace fatalities. The ILO has determined that the risk of fatal injury to construction workers in low-income countries is three to six times higher than in more developed economies. Falls are the greatest threat to workers in the industry, but heavy machinery and electrocution also present a significant risk. Construction workers frequently face exposure to carcinogens and toxins like asbestos, resulting in long-term illnesses and disability.
  3. Agriculture – The agricultural industry makes up half of all global employment. The ILO estimates that at least 170,000 agricultural workers are killed per year in work-related accidents. Accidents often involve farming or fishing equipment, drowning, tree falls or agrochemical poisonings. Due to the number of workers employed in the industry and the frequency of informal farm work in low-income countries, injuries and fatalities in agriculture are likely to be underreported.
  4. Transportation – Most cases of occupational injuries occur in transportation-related events. Transportation is the top cause of workplace fatalities in the United States, and transportation workers are among the top five most frequently injured. Though often understudied, injuries and crashes among transport workers in countries like China have drawn attention, with one driver badly injured or killed every 2.5 days in Shanghai.
  5. Ship-breaking – The ship-breaking industry, often informal or illegal, is a growing concern for occupational safety monitors. Demolition involves frequent exposure to harmful chemicals, carcinogens, welding fumes and asbestos. The ILO reports the informality of the industry as its greatest threat to workers, saying: “Inadequate safety controls, badly monitored work operations and high risk of explosions create very dangerous work situations.” In Bangladesh, experts fear that environmental contamination from job sites threatens the health of neighboring communities.

A Trend Toward Safer Working Conditions

A growing number of countries have embraced efforts to increase regulation and monitoring of work conditions since the 1990s. Safety recommendations and training from the ILO have been implemented, with 134 nations ratifying the Labor Inspection Convention in 2005. However, regulation can’t come fast enough. In 2013, only 7 percent of international labor conventions had been passed in Asia, where the majority of injuries occur.

Decreased rates of workplace injury and fatal accidents over the last two decades are an encouraging sign that safety efforts are paying off in many developing nations. The number of people killed as a result of accidental occupational incidents in low-income countries dropped by 43 percent between 1996 and 2016. Experts note this decrease is lower than in high-income countries and that the five most hazardous industries still disproportionately burden these areas.

– Marissa Field
Photo: Flickr

Women’s Health care in CambodiaThe Southeast Asian nation of Cambodia is currently experiencing its worst in maternal mortality rates. In Cambodia, maternal-related complications are the leading cause of death in women ages 15 to 46. The Minister of Health has created several partnerships with organizations such as USAID to help strengthen its healthcare system. Here are five facts about women’s health care in Cambodia.

Top 5 Facts About Women’s Health Care in Cambodia

  1. Health Care Professionals and Midwives
    USAID has provided a helping hand when it comes to educating healthcare professionals and midwives. Since USAID’s partnership with the Ministry of Health, USAID has helped raise the percentage of deliveries assisted by skilled professionals from 32 percent to 71 percent. The Ministry of Health was also able to implement the Health Sector Strategic Plan to improve reproductive and women’s maternal health in Cambodia.
  2. Health Care Facilities
    Between 2009 and 2015, the number of Comprehensive Emergency Obstetric and Newborn Care (CEmONC) facilities increased from 25 to 37. With more access and an increase in healthcare facilities, 80 percent of Cambodian women are giving birth in health care facilities.
  3. Postpartum Care
    The Royal Government of Cambodia renewed the Emergency Obstetric & Newborn Care (EmONC) Improvement Plan and extended the Fast Track Initiative Roadmap for Reducing Maternal and Newborn Mortality to 2020. This aims to improve women’s health care in Cambodia to improve the lives of women living with postpartum depression. It is also used to improve newborn care and deliveries.
  4. Obstetric Care
    Obstetric care has improved rapidly. According to a 2014 Cambodia Demographic and Health Survey, 90 percent of mothers receive obstetric care two days after giving birth, and three-quarters of women receive care three hours after. Intensive obstetric care has helped drop Cambodia’s maternal mortality rate significantly. In 2014, Cambodia’s maternal mortality rates decreased from 472 deaths per 100,000 live births in 2005 to 170 deaths per 100,000 live births.
  5. U.N. Women
    U.N. Women is working closely to help address the AIDS epidemic in Cambodia. The organization’s efforts to reduce the epidemic focus on protection and prevention. In 2003, 3 percent of Cambodian women reported being tested for AIDS. It has also been observed women in urban areas are more likely to get tested than those in rural areas. Ultimately, Cambodia has set a goal to eradicate AIDS from the country by 2020 through prevention and protection.

Cambodia has seen much economic growth over the years, but the money provided for health care is minimal. Consequently, it is difficult for the government to provide all services. However, there have been great strides in improving women’s healthcare in Cambodia. By fighting to better the lives of women, the Cambodian government has set a goal to establish universal health care by 2030.

Andrew Valdovinos
Photo: Flickr

Vaccines in Egypt On March 14, 2019, the vaccination company Pfizer, in partnership with Gavi, The Vaccine Alliance reduced the price of the pneumococcal vaccine (PCV) to $2.90 per dose for eligible countries. Gavi’s mission since 2000 has been to “improve access to new and underused vaccines for children living in the world’s poorest countries”. Public and private sectors fund the creation and distribution of important vaccines in 73 developing countries partnered with Gavi.

The Benefit of Price Drops

In 2017, the price of a single dose PCV was $3.30. However, as a result of negotiations between Pfizer and Gavi there have been three pneumococcal vaccine price drops since January 2017. It is expected to save developing countries $4.1 million this year. Dr. Seth Berkley, the CEO of Gavi says “pneumonia remains the single largest cause of death for children worldwide and [the] pneumococcal vaccine is one of our largest weapons against it”. The price drop comes at a pivotal time.

PCV is a Priority

PCV takes as long as 15 years to reach developing countries that need it the most. Whereas the vaccine is already easily accessible and widespread in industrialized nations. Vaccines have not been easily accessible in developing nations. They are expensive and difficult to distribute effectively in nations lacking funds and resources. The focus is on different areas. For example, the proportion of developing countries’ exports that is needed to service their overseas debt rose from 11 percent in 1970 to 18 percent in 1996, while overseas aid from the U.S. plummeted $14 billion. With the drop in PCV pricing, developing countries can invest in their public health.

The value of vaccines as a long-term investment for developing countries is leading to pneumococcal vaccine price drops. Vaccinating the youth population of developing countries, according to Gavi, creates a “virtuous cycle”.

The Cycle Follows This Order of Cause and Effect

  • Children have vaccines before the age of two
  • These children are likely to be healthier and live longer
  • Children have fewer and less serious illnesses
  • This leads to lower care costs for health systems and family
  • Which means more family money available to spend or save
  • Children will attend school more, fueling better outcomes
  • A family’s economic outlook will strengthen based on these outcomes
  • Birth rates drop and mother’s health improves
  • A community becomes more economically stable and productive
  • Contributing to politically and economically stable countries

By looking at the cost-benefit analyses for vaccinations, scientists are able to see this “virtuous cycle” in action. A study, conducted by the Cebu Longitudinal Health and Nutrition Survey in 1975, took data from a sample of Filipino children. Researchers compared test scores of children who received six vaccines in their first two years versus those that did not. The study reveals the association of immunization with improved IQ scores, language and mathematics tests. Untreated childhood illness can impair cognitive development.

Developing countries often have large obstacles to face such as food scarcity, a lack of widespread education and low GDPs. Investing in vaccines is a long-term solution that will benefit the economic, health, societal and governmental sectors of these nations. With the pneumococcal vaccine price drops, this seems to be an attainable reality for developing countries.

– Meredith Breda
Photo: Flickr

Vietnams Science Tech and innovation

Vietnam sits at a crucial point as its economic development is currently facing difficulties with labor and capital forces that could hinder proper and sustainable development. Therefore, Vietnam must rely on a boost in productivity to successfully increase the country’s GDP growth. At this moment Vietnam’s science, technology and innovation system can provide numerous advantages in accomplishing its goal of building a sustainable economy. By taking proper advantage of its science and innovation, Vietnam could create numerous opportunities for its future.

Vietnam’s Successes

While Vietnam has a long history of respected and reputable scientific research, particularly in agriculture and biology, its innovation system is only beginning to emerge. Vietnam has numerous advantages it can utilize in order to improve its science, technology and innovation (STI) system.

Geographically, Vietnam is one of the most dynamic regions in the world. Over the past 2 decades, Vietnam has seen strong economic development and a massive reduction in poverty rates. In 1993, the percentage of Vietnamese people in poverty was 58, but by 2011 the percentage had dropped to 12. Vietnam’s education system and educational efforts have also been largely successful. The education systems success is demonstrated by a 98 percent literacy rate in Vietnam.

Furthermore, since the nation becomes industrialized, it has seen an increase in exports of an eclectic variety. Previously exports have been predominantly in agriculture, which it has maintained. However, in 2009, its exports expanded to include electronic equipment (5 percent), jewelry (5 percent) and machinery (4 percent).

Obstacles and Solutions

Vietnam’s current science, technology and innovation (STI) system contains several weaknesses. They include a lack of proper infrastructure, poor research and development in the business sector and weak STI government policies. Vietnam is also faced with several threats to its STI system such as a slowdown in economic growth in recent years, failure to prepare for international cooperation and failure to improve government and business institutions to deal with corruption.

To address these threats and weaknesses to innovation the World Bank has formulated a list of recommendations to serve as solutions to these problems. The list includes:

  • Improving the framework for innovations: All aspects of Vietnam’s framework, including infrastructure, the business sector, openness to trade and foreign direct investment and the tax system affect Vietnam’s innovative system.
  • Improving governance of innovation system: The government plays an integral role in regulating all aspects of STI systems, including setting priorities and ensuring adequate performance.
  • Strengthening the human resource base for innovation: Improving the educational system and allowing current workforce members opportunities to improve their skills as well as placing heavier emphasis on soft skills is essential for innovation.

Looking Forward

With the proper development of Vietnam’s science, technology and innovation System, the country has numerous potential opportunities to pursue. It could lead to a positive social and economic impact on the country’s population. Vietnam’s economic system has the potential to be upgraded and diversified with the development of a dynamic business sector. Lastly, the improvement of Vietnam’s STI system could be the driving force to sustaining Vietnam’s recent economic development.

Randall Costa
Photo: Flickr

Education and Technology in AfricaAccess to education and literacy are two of the most important tools for positive growth in developing nations. Each new educated, literate and technologically-savvy generation can bring with it a host of innovative solutions and boundless potential for future development. However, in rural or impoverished parts of Africa, access to education – and especially technology – can be limited, making it difficult for the millions of people living there to receive these key resources.

Connecting Rural Africa

Intuitive, driven thinkers are determined to change this; the introduction of the XO Laptop and the Inye computer tablet has changed the face of education in Africa with technology, while the WorldReader program is making literacy more accessible than ever with e-readers. Advancements like this help fuel the growth of developing countries from the inside out by starting grassroots dedication to education that can completely alter the future of impoverished nations.

One of the essential first steps for transforming education in Africa with technology is connecting rural villages to the internet, a vital resource when it comes to both teaching and learning. Internet access isn’t guaranteed in villages without the luxury of cables and Wi-Fi, which meant other solutions had to be explored.

The XO Laptop

Two pieces of technology emerged, providing limitless potential to impoverished children throughout Africa. The first is known as the XO Laptop, a compact, inexpensive personal computer with both built-in internet connectivity as well as a host of other features that make it ideal for use in rural areas. The product has surged in popularity in Kenya.

The Inye Tablet

For adolescent users with more advanced technological understanding, the Inye Computer Tablet is the solution helping to bridge the tech gap between first and third-world countries, such as its origin country of Nigeria. At a price just over 250 dollars, it provides competitive features to mainstream wireless devices for a fraction of the cost. The Inye tablet uses dongles to connect to the internet rather than a wireless connection, making World Wide Web access affordable and easy. The Inye tablet has also opened the market for local programmers to develop apps for needs specific to their communities, often featuring education modules focuses on HIV, clean water, and youth education.

The WorldReader Project

Finally, literacy has gone from dream to reality for millions in impoverished countries worldwide with technological advances and the initiative of NGOs like the WorldReader Project, which provides e-readers stocked with curated libraries to schools in developing nations. WorldReader programs are tailored based on age group and reading experience, and the long-lasting e-readers they rely on can be used in direct sunlight. WorldReader has taken action in nearly 50 countries and expanded its base to include nearly 10 million readers since 2010.

The revolution to improve and expand education in Africa with technology is already underway, and growing every day. With new innovations like the Inye Computer Tablet and WorldReader e-readers becoming available to millions worldwide, lives are changing for the better, and the future is bright for Africa.

– Emmitt Kussrow
Photo: Flickr

BeyGood Fellowship ProgramLast December, Beyoncé performed at the Global Citizen Festival in South Africa, a festival aimed at ending global poverty. The 2018 festival was in honor of Nelson Mandela, former South African president and activist who died in 2013. Over 90,000 people attended the festival, which raised $7.1 billion worldwide. The highly anticipated performance garnered high viewership and engagement worldwide, and parts of the performance were streamed online. However, this was not the beginning of Beyoncé’s charity work in South Africa. Her foundation, BeyGood, has spotlighted local organizations for years. Now, BeyGood plans to return to South Africa twice a year to help develop and execute its community outreach plan. In doing so, BeyGood created the BeyGood Fellowship Program.

BeyGood Fellowship Program in South Africa

The BeyGood Fellowship Program in South Africa is being executed in partnership with Global Citizen. The two organizations are working to empower local youth in helping end world poverty by 2030. Each youth fellow receives a paid, yearlong job opportunity and will focus on one of four pillars of activity from Global Citizen: creative, campaigns, rewards or marketing.

In late March 2019, the BeyGood foundation reviewed applications and returned from New York to Johannesburg, South Africa. Once there, BeyGood representatives met with four fellows who have been working on the project since the Global Citizen Festival in December. They also met with local partners to see how their work has been going and what is needed to ensure future success.

BeyGood Foundation Partnerships in South Africa

In addition to the organization’s work in South Africa, the BeyGood Foundation is partnering with UNICEF USA and Chime for Change on a campaign called Every Drop Counts, bringing clean water to Burundi. The BeyGood Foundation also works with an organization in Johannesburg, IkamvaYouth. This organization aims to pull children out of poverty through after-school tutoring. Founded in 2003, IkamvaYouth is youth-driven and offers career advice and psychological services. It impacts 5,000 youths per year across 15 branches.

Moreover, BeyGood is partnered with 9-year-old arts organization Lalea, whose mission is to support youth through after-school art programs. The organization helps students manifest their dreams and think creatively to accomplish their goals. BeyGood’s visits to South Africa enabled them to check in with all of these programs and more. More importantly, it allowed BeyGood to ensure they are engaging the communities they serve and maintain and create future success.

Though the BeyGood fellowship program in South Africa is relatively new, the organization has continuously worked with various South African organizations to aid youth development. The program has executed on their promises to the community. Ultimately, BeyGood is an example of how to incorporate youth in the fight to end extreme poverty by 2030.

Ava Gambero
Photo: Google Images

Sex Trafficking Victims in IndiaEvery eight minutes, a child goes missing in India, becoming yet another one of the estimated three to nine million sex trafficking victims in India, many who are young girls between the ages of nine and 12. Extreme poverty, coupled with a lack of education and awareness about human trafficking, leaves women, young girls and young boys victims of sexual exploitation. However, one Indian artist has launched a campaign that uses art and technology to protect women and children from falling prey to sex trafficking.

The Artist

Leena Kejriwal grew up near Kolkata’s Sonagachi, the largest red-light district in Asia and a global sex-trafficking hub, where around 10,000 women and girls work as prostitutes. Thousands more are trafficked through the district to other brothels and sex trafficking destinations each year. “My awareness of the existence of a red light district happened as a child. I had heard tales of girls and women who were caught and put there. Every time our car passed the lane, we were told not to look to ‘that side’. Furtive glances gave me glimpses of girls and ladies standing on the roadside,” Leena described.

Leena’s childhood awareness that many women and girls around her were trapped as sex slaves spurred her to take action. She knew she had to do something, so in 2014 as a wife, mother and artist, Leena launched “Missing” at the Indian Art Fair. The goal of “Missing” is to bring mass awareness to the dark reality of the sex trafficking industry in India through a simple and engaging piece of art that speaks to everyone and transcends space and language barriers.

What is “Missing?”

The campaign is simple: erect cut-out figures of a young girl in parks, on schools, businesses and other sites throughout cities and towns, casting symbolic shadows to commemorate the millions of young lives lost in the dark shadow that is sex trafficking. Leena’s purpose with “Missing” is twofold—bring public awareness to sex trafficking and provide women, young girls and boys with knowledge so they can avoid becoming sex trafficking victims in India. Confirmed sites for the art campaign include New Delhi’s Gurgaon and Connaught Place, as well as Eco Park in Kolkata.

Leena, along with Satyajit Chakraborty of Flying Robot Studios, has also developed the “Missing” app. The app has a role-playing game that allows players to experience what a missing person goes through when she is trafficked into prostitution. The player, who assumes the role of the missing person, must assess risks and make choices throughout the game in order to find her way to freedom.

Awareness = Prevention

Leena also works in a trafficking prevention program in the remote Sundarbans area, a region that accounts for 44 percent of sex trafficking victims in India. The program, much like Leena’s “Missing” artwork and app, seeks to build awareness and empower both sex trafficking victims and potential victims, giving them a better understanding of their rights and the options available to them, along with consistent counseling.

Leena, whose motto is, “Why wait for a girl to get trafficked to save her?,” believes awareness equals prevention, and with her artwork and the app, she is opening up conversations and bringing public attention to the human trafficking industry in the hopes that Indian women and children will no longer be pulled unawares into the shadows of sex slavery.

– Sarah Musick
Photo: Wikimedia

Innovations in sub-Saharan Africa are emerging, aiming to improve sanitary conditions and facilitate access to medical care, directly combatting some of the region’s most prominent health crises. Due to health and sanitation concerns being a primary factor in high rates of illness and morbidity, advances in technology are progressively bettering the quality of life of many citizens in these regions.

7 Health Care Innovations in sub-Saharan Africa

  1. The Mamaope Jacket
    In Uganda, a leading cause of infant mortality is pneumonia. In its early stages, pneumonia can be difficult to distinguish from malaria. As a result, misdiagnosis is the leading cause of infant and toddler deaths attributed to pneumonia. One of the innovations of sub-Saharan Africa became the solution to reducing the impacted community. The Mamaope Jacket was created by a Ugandan engineer, Brian Turyabagye. This Mamope Jacket records audio of a child’s breathing via a modified stethoscope inserted into a vest. Analyzing this data aids in detecting key signs of pneumonia. It is estimated that the Mamaope Jacket’s diagnostic rate is three to four times faster than a traditional doctor, and also greatly reduces the risk of human error.
  2. SafariSeat
    Access to wheelchairs and other assisted mobility devices is severely limited in rural regions of developing nations. However, the SafariSeat is changing this; the SafariSeat is an inexpensive, durable wheelchair. This offers both a solution to individuals living with limited mobility in rural areas and is environmentally sustainable. SafariSeat is both produced and maintained using bicycle parts to create a wheelchair suitable for use in all terrain types.
  3. NIFTY Cup
    The NIFTY cup is lowering the rate of infant deaths from malnourishment by providing a cost-effective, convenient way to feed newborns unable to breastfeed. Some causes of not being able to breastfeed include birth defects such as a cleft palate or premature birth. Amongst the other innovations of Sub-Saharan Africa, the NIFTY cup funnels breast milk from the main cup into a small reservoir that a baby can sip from easily without choking or spilling. The creator, a mother herself, Trish Coffey, created the NIFTY cup after giving birth to her daughter prematurely. Manufacturing a NIFTY cup costs just $1, a viable alternative to breastfeeding for impoverished rural communities such as Tanzania and Malawi. In addition, it is reusable.
  4. Flo
    In developing African nations such as Kenya, on average, girls miss a week of school per month due to menstruating. This is because of the stigma associated with periods and limited sanitation resources. That being said, Flo is a reusable menstrual hygiene kit equipped. Within this kit, are reusable pads, a discreet carrying pouch, and a container used while washing clothes to avoid soiling other garments. This offers a cost-effective, environmentally friendly method for women lacking disposable alternatives. Flo opens the door for greater educational and occupational opportunities. It also lowers the rate of reproductive diseases resulting from poor menstrual hygiene.
  5. LifeStraw
    With more than 10 percent of the global population lacking access to sources of clean drinking water, diseases resulting from consuming contaminated water are a major contributor to high child mortality rates. Approximately, illnesses from drinking contaminated water kill a child every 90 seconds. The high temperatures and unpredictable climate shifts in the sub-Saharan region make potable water extremely valuable, but can also cause availability to fluctuate. Innovations in sub-Saharan African, such as LifeStraw is a simple, portable device that uses a mesh fiber to filter out bacteria and parasites commonly found in contaminated water. The LifeStraw corporation works with major humanitarian organizations such as World Health Organization and the United Nations to provide both individual LifeStraw filtration devices and larger filtration systems to developing communities in need.
  6. Speaking Books
    There is a lack of information about mental illness available to impoverished communities in Sub-Saharan Africa. As a result, there is a higher rate of suicide among younger populations. Just a decade ago, more than 15 percent of South Africans afflicted with mental illness had little to no access to any kind of treatment. Zane Wilson, the founder of the South African Depression and Anxiety Group, created a range of free audio pamphlets on mental health. Innovations in sub-Saharan Africa like Speaking Books have a goal to combat the lack of access to treatment, which in many rural areas, also reflects high rates of illiteracy. The Speaking Books series now offers 48 different booklets explaining and destigmatizing mental health disorders. Furthermore, these pamphlets are available in 24 languages and distribution spans among 20 African countries.
  7. Tutu Tester Van
    Although HIV is a global epidemic, South Africa has especially high rates of infection. As a result, the country’s rate of tuberculosis has dramatically spiked over the last two decades. However, because of the stigma surrounding HIV, very few communities have access to effective counseling, testing and treatment methods. The Tutu Tester van, introduced by the Desmond Tutu HIV Foundation, is a fully-staffed clinic on wheels. They visit rural and impoverished communities to provide health screenings using modern equipment – including tests for HIV and TB. As a result, this reduces the stigma attached to these diseases, as patients retain anonymity once they enter the van. Globally, increasing availability to testing is a primary goal of the United Nation’s plan to eliminate the epidemic of HIV by 2030.

Access to these health care innovations in sub-Saharan Africa is having numerous impactful effects: reducing mortality rates, advancing mental health awareness, contributing to greater longevity and improving quality of life for people in impoverished communities across the region. With improved healthcare and sanitation access,  communities have greater chances of reducing poverty and increasing economic and cultural growth.

– Emmitt Kussrow

Photo: Flickr

africa water grabWater is an essential but limited resource that is unfairly allocated in many parts of sub-Saharan Africa. Although one of the Millennium Development Goals (MDG7) is to lower the number of people that currently live without sustainable access to safe water by at least half, there is much work to do. The African water grab by international banks and corporations is leaving small African farmers quite vulnerable.

Water Rights

The term “water rights” means the right to extract water from groundwater and other bodies of water. It grants access to desalination projects, water-purification and treatment technologies, irrigation and well-drilling technologies, water and sanitation services and utilities, water infrastructure maintenance and construction. Restrictive permit systems in Kenya, Malawi, South Africa, Uganda and Zimbabwe have resulted in 100 million people being left with insufficient water.

Water rights for large commercial operations in Africa are granted primarily by permit laws that were established in colonial times. Small farmers have only customary water rights, which are agreements based on tradition rather than written law. Their operations are often too small to gain permits either because the government does not have the infrastructure to grant so many permits or farmers do not know to get them. Approximately half of sub-Saharan Africa governments use customary rights to water for home use and limited farm irrigation.

Inequitable Water Distribution

Since the end of Apartheid in South Africa, water distribution has remained inequitable despite the legislative efforts of the National Water Act (NWA 36 of 1998) and the National Water Resources Strategy (NWRS2), which prioritize the allocation of water for socio-economic growth over commercial uses.

In Malawi, 80 percent of the people live in rural areas are dependant upon rain for agriculture success. This leaves the population vulnerable because there are frequent droughts, variations in climate and natural disasters. Recent estimates suggest that foreign investment in Mali’s land jumped by 60 percent between 2009 and 2010. In locations like Mali and Sudan, a new approach is badly needed. Some investors have been given unrestricted access to water. The chairman and former CEO of Nestlé, Peter Brabeck-Letmathe, has called the buy up of farmland a “great water grab.”

Traditional access is efficient until there’s a conflict. In those cases, large-scale water users, with superior entitlements to use water for large-scale irrigation, mining, industry and hydropower generation, are better able to win disputes with the government. Internationally, water rights consolidated in the hands of a few is also a problem.

These new “water barons”—international banks and investors—are buying up the world’s water quickly.  With international and influential agents having extensive rights, and local farmers having questionable rights, the already limited water systems will be further stretched. “Exclusive reliance on national permit systems has, at least on paper, “criminalized” up to 100 million people lacking water permits in the five countries studied,” wrote Barbara van Koppen, the lead author of the report.

A Hybrid Approach

A recent report argued that the consolidation of water rights is hurting the environment and the small farmer, who holds only traditional water rights. The solution, the authors argue, is to support African governments in “decolonizing” water laws through a “hybrid” approach to water-use rights.  They recommend that permit systems be retained but used instead to regulate large-scale water users that have a large impact on small farmers and the environment. The hybrid approach would also extend legitimate rights to customary laws, which have guided investments in water infrastructure as well as water sharing for centuries.

Certain aspects of this hybrid approach are already in use in parts of Africa. Uganda is focusing on providing permits to 20 percent of its large-scale water users. These users require 80 percent of the resources. In Kenya, targeted permitting has been formalized. Water users are categorized from A to D, depending on the impact their water use has, and they are regulated accordingly. However, the legal protection for small-scale users still remains unaddressed.

Heather Hughes
Photo: Flickr