In response, a group, APOPO, has been clearing landmines throughout the affected region. APOPO and other nongovernmental organizations (NGOs) have cleared nearly half of the country’s minefields.
In addition to the landmines in Cambodia, APOPO has been clearing land for 20 years in over 50 different countries. It specifically targeted Cambodia because the nation has the highest ratio of mine amputees per capita. The land APOPO can clear the land efficiently and accurately with mine detection rats so that it is safe for Cambodians to use.
APOPO’s Mission
People in areas with mines are often too frightened to utilize the land for activities such as farming, and rightly so, because there is no way of knowing where the landmines are. Many often use metal detectors for explosive detection although this is quite dangerous and time exhaustive. People have scattered scrap metal throughout the land and it often sets off the metal detectors for false positives. APOPO employs rats to detect and clear landmines in Cambodia and other countries.
The training of giant African pouched rats allows APOPO to effectively detect the landmines. Not only is this faster, but it is also much safer because it causes no harm to the rats as they are far too light to set off the mines. The use of these rats completely diminishes the additional risks to human casualty. For comparison, these mine detecting rats are able to detect mines in an area the size of a tennis court in 30 minutes while a person would take up to four days.
APOPO’s Work in Cambodia
Beginning in April 2015, APOPO launched the noble work of landmine clearing in Cambodia. This was the NGO’s first time doing work in a country outside of Africa. This project consisted of bringing mine detection rats to help a local group, the Cambodian Mine Action Centre (CMAC).
CMAC and APOPO joined together to clear landmines in Cambodia. They decided to tackle the most affected villages, which are located in the Siem Reap and Preah Vihear provinces.
To ensure quality, the mine detection rats undergo training and performance tests over a three month period. This even included live minefield testing at the end of the training; all mine detection rats passed these tests. The CMAC used metal detectors to check all of the zones after the rats searched for mines. Results indicated that the rats did not miss a single landmine.
So far, APOPO and the CMAC have found over 45,000 unexploded landmines in Cambodia. Through joint efforts, these groups have been able to clear mines in 15 million square meters of land. Thanks to the initiatives of these NGOs, people in these local communities will no longer fear death over simple movement throughout the village. The unnecessary risk of people losing lives and limbs completely reduces. In addition to subduing the danger imposed on the people, agriculture has the potential to flourish within these communities.
After speaking with the APOPO U.S. Director, Charlie Ritcher, he spoke about working with various other groups and NGOs. Ritcher spoke of the importance of working with groups such as the Cambodian Mine Action Centre; he felt that collaborative efforts make a more substantial impact in the fight to improve living conditions throughout the world. Combining resources allows each group to diminish redundancy, reduce time spent, improve financial situations and, most importantly, save many more lives.
Impact of APOPO In Cambodia
According to the World Bank collection of development indicators, 76.6 percent of Cambodia’s population lived in rural areas as of 2018, the primary area of APOPO’s work. Unfortunately, the rural population experiences more impoverished living conditions than those living in urban areas. Rural areas typically include poor access to proper sanitation facilities and electricity. To further outline rural circumstances, 90 percent of the poor in Cambodia live in rural areas.
In the past 20 years, these numbers have significantly decreased. From 2007 to 2014, the rate of poverty within the country dropped from 47.7 percent to 13.5 percent. Cambodia’s poverty rates have further declined as a result of the economy’s impressive annual growth rate of 8 percent over the past two decades.
APOPO’s clearing of landmines in Cambodia further aid in improving the conditions of poverty throughout these communities. Clearing the land, which has not been safe for use in nearly 30 years, allows Cambodians to use it for agriculture to further develop the growing economy.
Cambodia has great agricultural potential because of the landscape; with vast amounts of plains and large rivers, the land is a perfect recipe for robust farming. In 2018, due to an increase in available land, the agricultural sector expanded and became 22 percent of the nation’s GDP. Additionally, the gross value rose by 4.4 percent.
APOPO is Saving Lives
After the Vietnam War, over 40,000 people have lost a limb and 64,000 have died as a result of landmines in Cambodia. A person should never fear death or limb loss to perform daily activities, especially as a result of random wartime mines. Clearing landmines in Cambodia by using mine detecting rats allows citizens to regain a normal life and launch into a more sustainable life.
APOPO has been able to implement an innovative method to improve living conditions throughout Cambodia. A majority of the country’s population lives in rural areas where there are profound agricultural opportunities. Such opportunities have the potential to greatly reduce poverty throughout the nation.
Important work, like that of APOPO, of implementing unique and effective methods to fight against unnecessary harm that restricts people’s livelihood is key in reducing poverty and improving quality of life.
How UNICEF is Fighting Malnutrition in Kenya
In Africa, about 257 million people do not know where their next meal will come from. This means that approximately 20 percent of the population is experiencing severe hunger as a result of the continent’s economic crisis and extremely dry conditions. Food prices soar in response to poor harvests and crop failures, leaving many to starve if action is not taken. Fortunately, humanitarian aid organizations like UNICEF reduce the impact of hunger in impoverished countries across Africa by stepping in with malnutrition prevention and treatment strategies that continue to save lives. This is how UNICEF is fighting malnutrition in Kenya.
The State of Malnutrition in Kenya
Kenya’s food insecurity issue is a direct byproduct of the country’s low agricultural productivity that is caused by a lack of rainfall. About 80 percent of the East African country’s land is arid. These dry, drought-like conditions only exacerbate the dilemma of low crop and livestock production. This leads to a shortage of food, and the available food is often sold at an inflated, unaffordable price.
More than 3.4 million Kenyans are facing severe food insecurity and around 400,000 children under the age of 5 are malnourished. Approximately 26 percent of children 5 and under are stunted, while another 4 percent are chronically emaciated or “wasting.” With malnutrition being the leading cause of death in children, it is vital that something is done to prevent this hunger.
Taking Action
Luckily, UNICEF is taking action. Founded in 1946, UNICEF is fighting malnutrition in Kenya from the inside by providing millions of people with resources, medical treatment and even counseling. The organization’s Vitamin A Supplementation Policy helped more than 3 million children to receive Vitamin A, a nutrient that is crucial for the human body to develop properly. This supplementation program has helped children fight malnutrition by allowing them to build strong immune systems and reduce dehydration. According to UNICEF, Vitamin A supplements can increase a child’s chance of survival by as much as 24 percent.
In 2017, UNICEF provided malnutrition screenings to over 450,000 impoverished children through outreach services. This program was in response to Kenya’s national drought emergency that was declared in April of that year, which was projected to cause a rapid spike in food shortages. These screenings were able to provide life-saving treatments for children that were suffering from the effects of malnutrition.
Iron Folic Acid (IFA) prevents low iron levels in the body while also promoting proper growth and development. UNICEF recently donated Iron Folic Acid supplements to over 2.5 million women of reproductive age through the Girls’ Iron-Folate Tablet Supplementation (GIFTS) Programme, allowing adolescent girls and women to decrease their susceptibility to anemia. Since IFA is often used as a prenatal supplement, UNICEF is fighting child malnutrition in Kenya before it even starts.
In addition to increasing a child’s chance of survival, feeding practices like breastfeeding can promote optimal growth and development. Through the Community Health System, UNICEF counseled more than 1.7 million new mothers on safe and proper breastfeeding. By teaching mothers about the benefits of breastfeeding, UNICEF has saved even more children from experiencing malnutrition at an early age.
Moving Forward
Kenya has made significant progress in reducing malnutrition rates. By promoting good nutrition and providing resources and outreach services, UNICEF has improved the lives of millions of families. As far as 2022, UNICEF plans on continuing to integrate nutrition-specific strategies to help fight malnutrition in Kenya.
– Hadley West
Photo: Flickr
The Plight of Period Poverty in Nigeria
Period poverty occurs when someone cannot afford proper menstrual hygiene products, including tampons and sanitary pads. Health experts have labeled period poverty as the cause of why students, girls in particular, routinely miss school. Approximately 1.2 billion women across the world do not have sufficient access to these menstruation sanitation products. This typically leads to unhygienic practices, like using rough newspapers or cloth napkins in place of pads. According to reports by UNICEF, one in 10 African girls miss school due to their periods. This is akin to about 20 percent of a school year. Nigeria also places a heavy tax on menstrual products, with a pack of pads costing around $1.30. People who are facing extreme poverty, approximately 44% of the population, make less than $1.90 per day. Here is more information about period poverty in Nigeria.
Period Poverty in Nigeria
Period poverty in Nigeria has received little attention, but due to firsthand encounters with schoolgirls who struggle to make ends meet between school and their menstrual hygiene, more initiatives have sprung forward. In a conservative country where discussions on menstrual health are often taboo, these measures are important to start eliminating barriers to quality menstrual hygiene.
In March 2018, Ashley Lori, a health activist, began her advocacy efforts when she witnessed the impact of period poverty in Nigeria. She formed an advocacy campaign that focuses on three primary aspects: advocacy, sensitization and support programs. She developed and supported various efforts like the #1millionpadscampaign, Cover Her Stain campaign and Menstrual Hygiene Day on May 28. The campaign has distributed sanitary pads to secondary students in the city of Abuja and other rural areas.
Menstrual Health Education
UNICEF developed the Menstrual Health Management (MHM) program based on its research in 2017. The program is an initiative to teach women and adolescent girls how to use “clean menstrual management material” to absorb menstrual blood and to provide access to readily available facilities to dispose of the menstrual material.
In August 2019, public health specialist and sexuality health educator Lolo Cynthia traveled to southwest Nigeria to teach students how to sew their own reusable sanitary pads. The material comprises linen and cloth and each teenager was able to take home two reusable pads and additional materials to make more. This reusable pad initiative sparked a wave of discourse surrounding sexual health. Cynthia, the founder of social enterprise LoloTalks and a UNHCR Nigerian influencer, is from Lagos, Nigeria, where she witnessed the necessity to empower these communities with sexual education firsthand.
In her NoDayOff campaign, Cynthia focused on access, awareness and affordability to alleviate period poverty. In August 2019, the campaign allocated more than 1,000 disposable menstrual pads in Lagos’ Festac Town. It was difficult to receive financial backing for her campaign, but eventually, the First Lady of Ondo, Betty Anyawu-Akeredolu, offered support. These organizations also petition for the government to take on the civic responsibility of reducing taxes or providing greater accessibility to sanitary pads.
Sanitation Initiatives
Other aid efforts include a sanitation initiative that Hope Springs Water developed. This organization emerged in Athens, Texas to increase access to drinking water and sanitation for the world’s poor. It also teaches schoolgirls how to make their own menstrual pads from sustainable fabrics. The project, SuS Pads, intends to help women make their own menstruation pads with sustainable fabrics. The organization hosted menstrual hygiene workshops, where schoolgirls learned about disposable pads and the importance of menstrual health.
Empowering women to make their own reusable pads not only improves sanitary conditions but also serves as an economic vehicle that can fuel more household income. It is an effective avenue for women to create their own businesses and profit from making their own reusable pads. There are many countries that are taking steps in alleviating the financial burden of affording menstrual products. This includes Kenya’s implementation of a historic law in 2018 that would hand out more than 140 million pads to girls in its public schools. This will eventually boost girls’ education and give access to sanitary pads to 4.2 million girls in the country. Global support channels more awareness on the issue of not only period poverty in Nigeria but in other regions as well, which helps fight the plight of global poverty.
– Brittany Adames
Photo: Wikimedia Commons
Clearing Landmines in Cambodia
Cambodia is a country located on the Indochinese mainland of Southeast Asia. As of 2017, the country has a population of more than 16 million people. Much of Cambodia’s landscape consists of beautiful flowing rivers and large flat plains that transition into mountains. Unfortunately, though, much of this land is unsafe for use.
In response, a group, APOPO, has been clearing landmines throughout the affected region. APOPO and other nongovernmental organizations (NGOs) have cleared nearly half of the country’s minefields.
In addition to the landmines in Cambodia, APOPO has been clearing land for 20 years in over 50 different countries. It specifically targeted Cambodia because the nation has the highest ratio of mine amputees per capita. The land APOPO can clear the land efficiently and accurately with mine detection rats so that it is safe for Cambodians to use.
APOPO’s Mission
People in areas with mines are often too frightened to utilize the land for activities such as farming, and rightly so, because there is no way of knowing where the landmines are. Many often use metal detectors for explosive detection although this is quite dangerous and time exhaustive. People have scattered scrap metal throughout the land and it often sets off the metal detectors for false positives. APOPO employs rats to detect and clear landmines in Cambodia and other countries.
The training of giant African pouched rats allows APOPO to effectively detect the landmines. Not only is this faster, but it is also much safer because it causes no harm to the rats as they are far too light to set off the mines. The use of these rats completely diminishes the additional risks to human casualty. For comparison, these mine detecting rats are able to detect mines in an area the size of a tennis court in 30 minutes while a person would take up to four days.
APOPO’s Work in Cambodia
Beginning in April 2015, APOPO launched the noble work of landmine clearing in Cambodia. This was the NGO’s first time doing work in a country outside of Africa. This project consisted of bringing mine detection rats to help a local group, the Cambodian Mine Action Centre (CMAC).
CMAC and APOPO joined together to clear landmines in Cambodia. They decided to tackle the most affected villages, which are located in the Siem Reap and Preah Vihear provinces.
To ensure quality, the mine detection rats undergo training and performance tests over a three month period. This even included live minefield testing at the end of the training; all mine detection rats passed these tests. The CMAC used metal detectors to check all of the zones after the rats searched for mines. Results indicated that the rats did not miss a single landmine.
So far, APOPO and the CMAC have found over 45,000 unexploded landmines in Cambodia. Through joint efforts, these groups have been able to clear mines in 15 million square meters of land. Thanks to the initiatives of these NGOs, people in these local communities will no longer fear death over simple movement throughout the village. The unnecessary risk of people losing lives and limbs completely reduces. In addition to subduing the danger imposed on the people, agriculture has the potential to flourish within these communities.
After speaking with the APOPO U.S. Director, Charlie Ritcher, he spoke about working with various other groups and NGOs. Ritcher spoke of the importance of working with groups such as the Cambodian Mine Action Centre; he felt that collaborative efforts make a more substantial impact in the fight to improve living conditions throughout the world. Combining resources allows each group to diminish redundancy, reduce time spent, improve financial situations and, most importantly, save many more lives.
Impact of APOPO In Cambodia
According to the World Bank collection of development indicators, 76.6 percent of Cambodia’s population lived in rural areas as of 2018, the primary area of APOPO’s work. Unfortunately, the rural population experiences more impoverished living conditions than those living in urban areas. Rural areas typically include poor access to proper sanitation facilities and electricity. To further outline rural circumstances, 90 percent of the poor in Cambodia live in rural areas.
In the past 20 years, these numbers have significantly decreased. From 2007 to 2014, the rate of poverty within the country dropped from 47.7 percent to 13.5 percent. Cambodia’s poverty rates have further declined as a result of the economy’s impressive annual growth rate of 8 percent over the past two decades.
APOPO’s clearing of landmines in Cambodia further aid in improving the conditions of poverty throughout these communities. Clearing the land, which has not been safe for use in nearly 30 years, allows Cambodians to use it for agriculture to further develop the growing economy.
Cambodia has great agricultural potential because of the landscape; with vast amounts of plains and large rivers, the land is a perfect recipe for robust farming. In 2018, due to an increase in available land, the agricultural sector expanded and became 22 percent of the nation’s GDP. Additionally, the gross value rose by 4.4 percent.
APOPO is Saving Lives
After the Vietnam War, over 40,000 people have lost a limb and 64,000 have died as a result of landmines in Cambodia. A person should never fear death or limb loss to perform daily activities, especially as a result of random wartime mines. Clearing landmines in Cambodia by using mine detecting rats allows citizens to regain a normal life and launch into a more sustainable life.
APOPO has been able to implement an innovative method to improve living conditions throughout Cambodia. A majority of the country’s population lives in rural areas where there are profound agricultural opportunities. Such opportunities have the potential to greatly reduce poverty throughout the nation.
Important work, like that of APOPO, of implementing unique and effective methods to fight against unnecessary harm that restricts people’s livelihood is key in reducing poverty and improving quality of life.
– James Turner
Photo: Flickr
UN Program Aiding Women’s and Children’s Health
In 2000, all 191 members of the United Nations officially ratified the Millennium Development Goals (MDG) which are eight, interdependent goals to improve the modern world. One of these goals included “promot[ing] gender equality and empower women; to reduce child mortality; [and] to improve maternal health,” emphasizing the need for increased focus on women’s and children’s health across the globe. In 2015, the Millennium Development Goals ended and the U.N. published a comprehensive report detailing the success of the MDGs. The report concluded that, during the length of the program, women’s employment increased dramatically, childhood mortality decreased by half and maternal mortality declined by nearly 45 percent.
Such success is, in part, due to another initiative, the 2010 Global Strategy for Women’s and Children’s Health, that aimed to intensify efforts to improve women’s and children’s health. Upon conclusion, the U.N. began developing a new program, the Sustainable Development Goals (SDGs), which includes 17 interconnected goals. Expanding on the success of the MDGs, the U.N. aims to tackle each goal by 2030. Similar to supportive programming to the MDGs, the U.N. has created another push for women’s and children’s health by establishing the 2016 Global Strategy for Women’s, Children’s and Adolescent’s Health.
The Global Strategy for Women’s, Children’s and Adolescent’s Health
The 2016 Global Strategy for Women’s, Children’s and Adolescent’s Health tackles a variety of critical global issues including maternal and childhood death, women’s workforce participation, women’s and children’s health care coverage, childhood development and childhood education. Being more robust, the 2016 Global Strategy is distinguished from the previous program as it “is much broader, more ambitious and more focused on equity than [the 2010] predecessor,” according to a U.N. report. The 2016 Global Strategy specifically addresses adolescents with the objective of encouraging youth to recognize personal potential and three human rights of health, education and participation within society.
Initiatives Supporting the SDGs
Many anticipate that achieving these global objectives will be a complex challenge. Therefore, the U.N. has established two groups to address women’s, children’s and adolescent’s health advancement: The High-level Steering Group for Every Woman Every Child and The Working Group on the Health and Human Rights of Women, Children and Adolescents.
The U.N. Secretary-General created the High-level Steering Group for Every Woman and Every Child in 2015. Seven areas of focus within the 2016 Global Strategy define the overall aim of this group. These include early child development, adolescent health, quality, equity, dignity in health services, sexual and reproductive health and rights, empowerment, financing, humanitarian and fragile settings.
The World Health Organization and the U.N. Human Rights Council created the Working Group on the Health and Human Rights of Women, Children and Adolescents in 2016, and it delivered recommendations to improve methods to achieving the 2016 Global Strategy. The group provides insight to “better operationalize” the human rights goals of the Steering Group in the report.
In conjunction, these groups have accelerated and promoted the effectiveness of the 2016 Global Strategy. These groups effectively outline the idea that it is crucial to work as a team to tackle some of the world’s most complex problems concerning global poverty and health. U.N. Secretary-General, Ban Ki-Moon, believes these programs and groups will guide individuals and societies to claim human rights, create substantial change and hold leaders accountable.
Benefiting the Global Community
While the objective of the 2016 Global Strategy is to provide women, children and adolescents with essential resources and opportunities, the benefits of this integrated approach reach far beyond these groups. Developing strategic interventions produces a high return on resource investment. The reduction of poverty and increased public health leads to stimulated economic growth, thus increasing productivity and job creation.
Further, projections determine that the 2016 Global Strategy’s investments in the health and nutrition of women, children and adolescents will procure a 10-fold return by 2030, yielding roughly $100 billion in demographic dividends.
These high returns provide a powerful impetus for program support by local communities and government officials. Projected financial return can shed light on the global benefits of localized poverty reduction efforts. While the aim of poverty reduction should be in the interest of those most affected, understanding that such programs can provide a country with increased long-term growth is a major factor in the success of such initiatives, specifically in women’s and children’s health.
The 2016 Global Strategy for Women’s, Children’s and Adolescent’s Health is indispensable during a time when women and children are providing the world with new innovations and perspectives. Each day, women across the world promote cooperation, peace and conversations within communities. Children will come to define the wellbeing of our world in the future. The success of U.N. programs today is a new reality for the world tomorrow.
– Aly Hill
Photo: Flickr
Sustainable Farming in Developing Countries
About 10,000 years ago, humans were primarily nomadic, wandering the land in search of game and other wild food sources. Gradually, these hunter-gatherer societies settled into sedentary communities. In addition, hunter-gatherer societies cultivated land and domesticated animals. The history of agriculture is in a sense the history of human civilization as the food surplus that farming large quantities of staple grains allowed for steady population growth and the beginnings of urbanization. Through the centuries, humans have continued to innovate agricultural methods, developing new tools and technologies to more efficiently raise crops. Today, sustainable farming is the new workshop of the agricultural invention. Sustainable farming in developing countries is in its early stages but may prove a solution to food scarcity in those nations.
What is Sustainable Farming?
Sustainable farming is not a buzzword, it is a practice. Sustainable agriculture is a science-minded approach to farming, predicated on an awareness of agriculture’s place in the local ecosystem. Moreover, sustainable farmers take a mindful approach to their work, attempting to encourage biodiversity, maintain soil fertility, protect water sources and prevent erosion.
Sustainable Farming in the Developing World
The most obvious benefit that sustainable farming initiatives offer developing nations is the potential to dramatically increase crop yields. A study that the American Chemical Society conducted determined that sustainable farming methods could improve harvests by about 80 percent within four years. As a result, sustainable agriculture incorporates water preservation techniques. It also contributes to water security. The Global Agriculture and Food Security Program plans to revamp irrigation and drainage networks across 44,415 hectares of farmland in 12 developing nations.
To be sure, while sustainable farming in developing countries has a lot of advantages, it is not without limitations. Given that most farmers in developing nations operate at a subsistence level, the possibility of long-term gains provided by a shift to sustainable farming might not be enough incentive to change. Additionally, the farmers might not even be aware that sustainable methods exist or have access to guidance in implementing those methods.
Agriculture and Poverty Reduction
Sustainable farming in developing countries provides tangible macroeconomic benefits, including poverty reduction. Research from the World Development Journal found agricultural growth to have two to three times more impact on poverty reduction than equivalent growth in other industries. Moreover, the poorest segment of society reaps the lion’s share of wealth gains from agricultural development.
The OECD organized a research study designed to reveal why certain countries made faster progress than others at poverty reduction. In addition, the study reported to what extent agriculture played a role in this disparity. The results indicate that agriculture may be the key to alleviating poverty. Agriculture revenues contributed an average of 52 percent to poverty reduction in developing countries. Once again, the extremely impoverished benefitted the most. It seems clear that sustainable farming is more than an efficient and environmentally friendly set of agricultural procedures. It is also a path out of poverty.
– Dan Zamarelli
Photo: Wikipedia Commons
How WATSAN in Rural India is Providing Clean Water
India utilizes underground water more than any other country in the world. In fact, nearly 25 percent of all water that the globe extracts is in India. Within this, 90 percent of those residing in rural areas use this groundwater as the sole source of replenishment. Problems such as open defecation and the high cost of filtered water lead to a lack of sanitation and access to clean drinking water in rural India. One company, WATSAN in rural India, is targeting this through the creation of a clay-based water purification system.
What is WATSAN?
Chandrasekaran Jayaraman founded WATSAN in India in 2009. A portmanteau of the words ‘water’ and ‘sanitation,’ WATSAN is working to provide clean water and sanitation systems through low, cost-effective methods to locations in rural and urban India. Its water purification devices have successfully fulfilled the U.N. Sustainable Development Goal 6 and has further progressed the mission to provide potable water to all.
The Filtration System
WATSAN’s water filtration system, the ‘CPO Natural Terafil Water Filter,’ works in a simple yet complex way. WATSAN’s filters do not use chemicals to purify the water; instead, they rely on natural materials to do the job. Built from nano-clay particles, the Terafil candle contains pores that are smaller than harmful bacteria and microbes. When polluted water pours through the candle, the harmful bacteria and iron particles remain on top while the clean water continues passing through the filter.
WATSAN in rural India has installed unique water filters for those that fall below the poverty line. This ensures that everyone has access to their filter without any complicated assembly. WATSAN’s design also allows for easy storage, ensuring that their filters take up a minimal amount of space.
The Impact
Due to the continued consumption of polluted water, a multitude of waterborne illnesses infects many people living in rural India. WATSAN has crafted a specific formula to alleviate these issues. With its filtration system, WATSAN in rural India has been able to deliver clean drinking water to over 16,000 homes in just a single year. This has effectively eliminated the number of people who waterborne illnesses affect.
Specifically, 25 million people across India have been living with no option but to consume fluoride-saturated water over the accepted parts per million, leaving many susceptible to several illnesses. The Terafil Water Filter filters minerals such as fluoride out and ensures that the water people consume contains the necessary parts per million and prevents diseases such as skeletal fluorosis and severe diarrhea. This exemplifies how simple solutions can dissolve large-scale issues.
WATSAN alone has provided products to over 2.15 million households in over 18 states in rural India. Going forward, WATSAN has committed itself to providing over 100 million rural families with its products over the next three years. Overall, WATSAN is just one of many innovative companies giving back to communities in rural India through its commitment to sanitation and potable water. Although access to clean resources in India is a persistent problem, effective work is combatting this. The Terafil Water Filter is a perfect example of a simple solution with the ability to create change.
– Laurel Sonneby
Photo: Pixabay
Vietnam’s Health Care System
As Vietnam has grown and developed over the last two to three decades, so has its health care system. There is a decrease in the number of deaths due to health issues and an increased rate of vaccination through Universal Health Coverage (UHC). With much success for the UHC implementation, Vietnam’s health system has become a model to other countries. However, there is still a difference in the level of care between the rich and poor in Vietnam’s health care system.
Health Care and Hospital Systems
Business Monitor International (BMI) stated that health care spending in Vietnam in 2017 increased to 7.5 percent of gross domestic production, which is $16.1 billion. Meanwhile, experts forecasted it to grow 12.5 percent annually during a four-year period from 2017-2021, which would be approximately $20 billion according to KPMG. Public health care spending is expanding with social health insurance programs that projections determine will 58.1 percent of all health care spending.
Vietnam’s health care system is decentralized with the Ministry of Health at the central level. Meanwhile, the provinces, cities, districts and communities connect to the Ministry of Health. The four groups implement their own health policies and manage their own health care system and facilities. The Ministry of Health (central level) manages the health care system for the government as well as hospitals, medical education and research. Provinces and cities run hospitals, other health care facilities and health care-education programs with central oversight. Finally, health care facilities at the district and commune-level provide basic medical care with preventative services.
Universal Health Coverage (UHC)
Vietnam is a leader in implementing universal health coverage. This would cover medical and dental services as well as medicine and vaccines. The Global Monitoring Report on UHC by both the World Health Organization and the World Bank states that almost 88 percent of people in Vietnam have health coverage and 97 percent of the children received vaccinations. There is also a 75 percent decrease in the death of mothers through universal health coverage. Vietnam has reached health care goals (as recommended by the United Nations’ Sustainable Development Goals) earlier as compared to other countries due to its strategy on using all that is available, including staffing and administration.
Public View and Poverty Gap
Vietnamese’s traditional viewpoint on health care services affects health care delivery. It is a common belief that larger health care facilities in big cities would provide better health care services through more specialized staffing and more robust technology and equipment. Therefore, people tend to overlook smaller local facilities in the countryside or in rural areas. This, in turn, is impeding faster and necessary care while incurring unnecessary, unknowing or avoidable high costs. Such a barrier would ultimately contradict the proposed health care strategy above.
Vietnam’s health governance body is working to change the public viewpoint on local community health by educating the public about the programs and charging local health offices to provide excellent care in order to build trust. Wealthy patients have better access and higher quality health care. As wealthy patients tend to live in big cities, they are closer to big health care facilities that are well equipped. Meanwhile, poorer patients often have to travel hundreds of miles from rural areas to reach better care. While private insurance gives patients primary and preventative medicine that would avoid high health care expenditures due to medical emergencies, wealthy patients have more opportunity to purchase private insurance for better care. Health care inequity leaves the poor at a disadvantage with higher chances for illness and a lower quality of care.
Support and Challenges for UHC
Vietnam’s universal health care is receiving support from the Working Group for Primary Healthcare Transformation. The group works to present and emphasize primary care services in provinces around Vietnam, as well as improve and expand those services moving forward. Harvard Medical School, a member of the group, helps with primary care structuring and management. Another member, Novartis, provides rural community health education outreach as well as technology and rural medicine education for health care professionals. For instance, Novartis’ Cung Song Khoe Program has provided treatment for many conditions such as diabetes, hypertension and respiratory disease, as well as education for local rural communities and health care professionals, totaling 570,000 people served in 16 provinces. However, there are still challenges that are holding back Vietnam’s health care system including a high number of smokers and adults with alcohol usage, as well as extreme air pollution and aging populations.
Despite drawbacks from public views, health challenges and the environment, Vietnam’s universal health coverage is holding strong and progressing with ongoing program evaluations, strategic planning, improved care quality and partnerships. Therefore, Vietnam’s health care system has also been growing and is standing tall among that of other well-mentioned countries. With that said, eliminating health inequity is the focus to improve Vietnam’s health care.
– Hung Le
Photo: Flickr
10 Facts about Life Expectancy in Andorra
10 Facts About Life Expectancy in Andorra
Lifestyle factors, a safe environment and access to excellent health care are the main contributors to an exceptionally high life expectancy rate in Andorra. A close-knit sense of community among Andorrans also contributes to a happy and healthy way of life in the European country.
– YongJin Yi
Photo: Flickr
Understanding the Total Literacy in Kerala
History of Kerala
Kerala is a fairly small state and largely rural, rather than being a center of commerce. Additionally, it does not have a high level of industrial development. However, Kerala rises above other states regarding development indicators like literacy, health outcomes and life expectancy. It is crucial to analyze and understand Kerala’s success so that the literacy rates can improve in other regions.
Kerala’s history as a region plays a role in its literacy success. Starting in the 19th century, royalty called for the state to cover education costs. While still a colony, Kerala implemented social reform in the early 20th century that allowed access to education for lower castes and women. Post-independence, socialist or left of center governments overarchingly controlled the state government and they made equity and social goals a huge priority.
Literacy Programs in Kerala
However, aside from these factors, one of the biggest contributors to Kerala’s total literacy is its literacy program, Kerala State Literacy Mission Authority. This is an institution that works under the state government and received funding from it, but operates autonomously. The values of this organization are clearly framed in its slogan, “Education for all and education forever.”
The program works on many levels, including basic literacy programs and equivalency programs. The basic literacy programs include a push to take Kerala to a full 100 percent literacy rate. These programs focus on regions and peoples who tend to have lower literacy rates, including urban slum, coastal and tribal populations. District-specific programs target localized issues, needs and a total literacy program for jail inmates. The equivalency program provides the opportunity for adults who did not go through all levels of primary and secondary school to take classes and tests which will bring them up to fourth, seventh, 10th, 11th, or 12th-grade literacy standards. The program also offers certifications and is constantly adding smaller, new programs in social literacy as different areas require attention.
The Goal
The goals of this program center around developing literacy skills through continuing education and offering opportunities for all who have an interest in learning. This ensures secondary education, providing the skills necessary for those learning to read and write to apply these new abilities in their daily lives and to conduct research on non-formal education. The organization and practices of the Keralite government in terms of improving literacy in their state are undoubtedly successful.
In the development field, it is easy for one to become bogged down in the failures. The total literacy in Kerala is a success story that should receive attention. This is the value of investing in development projects. There are concrete gains when development receives careful formulation and funding with the population in mind. There is much that one can learn from the Kerala State Literacy Mission Authority and apply to achieve total literacy around the world.
– Treya Parikh
Photo: Flickr
ICT and eHealth in Developing Countries
Information Communication Technology (ICT) supports medical workers when physicians are absent. They manage patient records and keep accurate accounts in medical supplies and medication inventory. ICTs increase lab information management and create algorithms for effective treatment plans including the distribution of medications and immunizations. As a laundry list of medical conveniences, ICT in eHealth has a lot of advantages. Yet, the concept of eHealth in developing countries is more about connecting rural and resource-poor communities with specialists. So, how does ICT and eHealth in developing countries work?
Asynchronous Medical Exchanges
The obvious advantage is that health information is easily accessible, regardless of time, location or occupation. Asynchronous medical exchanges bridge physical and time-complying barriers between multiple personnel. This could be between a doctor and patient or doctor and specialists or all three. There are various forms of ICT (email, video conference and audio), all of which offer an array of services including teledermatology, telepathology and teleradiology, to name a few.
Maternal and child health care is of primary concern in many countries, and India has shown particular promise in women and children eHealth platforms.
Successful ICT Programs in India’s Mobile Health Initiative
The use of cell phones, home patient monitoring devices and other wireless devices closed the gap between India’s poorest communities and health care. The National Informatics Centre developed MCTS (Mother and Child Tracking System), which utilizes information technology (IT or ICT) to access a full spectrum of health services for pregnant women and children. MCTS operates on an alert-notification platform for medical workers. Services include antenatal, post-op and post-natal care for mom as well as guaranteed immunizations and check-ups for the first five years.
At the state level, eHealth programs like PICME (Pregnancy Infant Cohort Monitoring Evaluation) in Tamil Nadu, Arogyam in Uttar Pradesh and the 2018 Digital LifeCare initiative all provide working platforms for physicians to screen, manage and care for patients in resource-poor areas on or off-site.
The use of ICT in eHealth has impacted developing countries and progress, as illustrated in India, has occurred. However, reliable internet access is necessary for the successful implementation of ICT in eHealth. In addition, eHealth development varies by country and has unequal distribution among the poorest of countries.
Serbia has a population of 7 million with about 37 percent seeking health information online; only 33 percent have access to reliable internet. Similarly, Turkey has a population of 80.3 million with reliable internet access for more than half. Algeria, Guatemala and Zambia’s populations have less than 20 percent internet access respectively and Afghanistan only 5 percent. Many challenges threaten the successful implementation of eHealth, chief among them access to reliable internet.
A Digital Divide
If global society continues daily reliance on digital technology and services, resource-poor countries will be in the wake of information communication technology. Gaps in supportive infrastructure cripple developing countries’ chances of successful eHealth platforms.
Rapid technological advances over the last decade impede resource-poor locations’ ability to remain up-to-date with medical equipment and treatment plans, disallowing use of the technology. Likewise, unstable power supplies and insufficient or unreliable communication networks fundamentally limit the potential of eHealth integration.
A cross-sectional survey conducted in Brazil reported 81.4 percent of medical physicians believed EHR (electronic health records) response time was unsatisfactory. Eighty-six percent complained of technical difficulties and 35 percent had an insufficient supply of equipment in clinics—a direct result of insufficient funding.
Information Communication Technology is expensive and insurance packages, private party investments and individual donors or clients provide the majority of funding.
Deputy Director of the Digital Health Solutions Programme Skye Gilbert speaks caution and vigilance to collaborators when considering solutions for the digital divide, stating that “Being excluded from the digital domain will have more and more implications for someone’s health status…So the digital divide will become more and more tied to health equity over time.”
A Symbiotic Relationship
Overall, health improvement for resource-poor settings will not improve unless health technologies are accessible to all. The way in which ICT impacts eHealth in developing countries is quantifiable in that the countries with proper resources and pre-existing conducive technological platforms have measurable success in the implementation of eHealth programs. But for those countries struggling to fill in a widening digital gap, eHealth and, by consequence, people will always underrepresent and neglect public health.
Countries like Bangladesh, Paraguay, Qatar and Rwanda officially adopted eHealth strategies—four of 73 with eHealth initiative plans. Until medical information communication technology is accessible to everyone, health will only ever be a privilege for those able to afford it.
– Marissa Taylor
Photo: Flickr