Housing First: Eradicating Homelessness in Helsinki

Homelessness in Helsinki
Helsinki is home to 50 percent of Finland’s homeless population. Still, the country is the only EU nation where homelessness is on the decline thanks to its Housing First program. Since the launch of the initiative in 2008, Finland has reduced the homeless population from 18,000 people in 1987 to 6,600 in 2017. Keep reading to learn more about this solution to addressing homelessness in Helsinki.

More Than Housing

The Housing First principle aimed to reverse the old standard of getting one’s life in order before having a house. Housing First was developed by a social scientist, a doctor, a politician and a bishop. These four individuals recognized the old way did not work and chose to shed light on areas that do.

Other establishments developed out of the Housing First endeavor, including the Y-Foundation and the Helsinki Deaconess Institute (HDI). The Y-Foundation is a program that offers affordable housing assistance to tenants, while the goal of the HDI is to help the homeless by doing away with night shelters and short-term hostels.

Nimi Ovessa

The four developers of Housing First aptly titled their proposal Nimi Ovessa, Finnish for “Your Name on the Door.” The title expressed their philosophy that housing should be non-negotiable. In Helsinki, the homeless population deals with addiction, mental health issues and medical conditions.

Housing First offers support to tenants ranging from access to education, training and work placements to recreation and basic life skills, all while providing them a home. Some Housing First establishments may ban alcohol, and some may not with certain restrictions. Counselors often work around the clock. For example, at Rukkila, a homeless hostel in Malminkartano, a suburb of Helsinki, there are seven staff members for 21 tenants.

Blueprint

Helsinki owns 60,000 social housing units. One in seven residents lives in city-owned housing. The city also owns 70 percent of the land within city limits. Each district includes a strict housing mix aimed at limiting social segregation. The housing mix includes 25 percent social housing, 30 percent subsidized purchase and 45 percent private sector. Furthermore, tenants in social housing do not have a mandated capped income.

The developers of Housing First have exceeded their initial goal of building 2,500 new homes to 3,500. The municipality, state and NGOs all back the program. With all of this support, the program was able to buy flats, build new blocks and convert old shelters into permanent and comfortable homes.

Progress and Cost/Benefit Ratio

In Helsinki, homelessness decreased to 35 percent, with 1,345 people now off the streets. Rough sleeping is almost non-existent, and there is only one 50-bed night shelter remaining. This is good news for street sleepers who have endured deadly winter temperatures as low as -7C° (19F°). “If you’re sleeping outside [in the middle of winter], you might die,” said Thomas Salmi, a tenant at a housing facility in Helsinki. Deputy Mayor Sanna Vesikansa, who witnessed a large number of homeless people in Helsinki as a child, said, “We hardly have that any more [sic]. Street sleeping is very rare now.”

Since 2008, Housing First has spent over 250 million euros in creating new homes and hiring staff. Meanwhile, Helsinki has seen savings upward of 15,000 euros a year in emergency healthcare, social services and the justice system. In 2018, some tenants moved out of Rukilla, able to live independent lives. The benefits outweigh the cost.

Eradicating homelessness in Helsinki is far from complete. However, the major reduction in long-term homelessness must be applauded. Helsinki has proven when authorities are fully committed, positive change can occur.

– Michelle White
Photo: Flickr

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8 Facts About Education in Thailand

8 Facts about Education in Thailand
While it has been successful in creating an image as a top tourist destination, Thailand faces numerous challenges. In recent years, Thailand has experienced political instability and demographic shifts, affecting its socio-economic development. A strong education system is critical for Thailand to respond to these challenges. Here are eight facts about education in Thailand.

8 Facts about Education in Thailand

  1. Declining student population: Thailand has one of the world’s most rapidly aging societies, causing a decline in the student population. The combination of this decreasing demand for education and increased competition from international universities are posing threats to the existence of Thai higher education institutions. Some Thai education experts fear that the trends could lead to the closure of up to 75 percent of higher education institutions within the next decade.
  2. Expanding basic education: Every child in Thailand has the right to receive three years of pre-primary schooling and 12 years of free basic education, regardless of their nationality or background. Approximately 95 percent of primary-school-age children attend school, but the number drops to 86 percent when it comes to the secondary school level. The majority of children who do not attend school are from disadvantaged communities, are migrants or have disabilities.
  3. Poor learning outcomes: Despite progress in expanding basic education in Thailand, the learning outcomes have not improved for Thailand. At the end of primary education, 12 percent of children do not achieve a minimum proficiency level in mathematics. Only 50 percent achieve the minimum reading proficiency and 46 percent in minimum mathematics proficiency after completing lower secondary schools. The World Bank estimates that 12 years of basic schooling for a Thai child is only equivalent to 8.6 years. This is a learning gap of 3.8 years due to under-resourced small schools.
  4.  Political repression limits academic freedom: The deep conflicts between Thailand’s traditional political establishment and the rural population majority instigated a long period of political instability in the nation, with frequent military coups in recent years. In the effort to control the chaos, the military government bans political activities and censors the media and free speech. Thai academics also have to work under strict surveillance, constantly afraid of the possibility of political reprisal and arrest.
  5. Shortage of qualified teachers in small rural schools: With falling birth rates and decreasing student populations, the number of small schools increased significantly between 1993 and 2010. These small schools are extremely costly to operate and have a hard time attracting and retaining qualified teachers. Many teachers of these institutions do not have the necessary qualifications, and the majority are inexperienced university graduates. The children receiving schooling from these institutions are often from Thailand’s poorest families and do not receive the quality education that would prepare them for a competitive workforce.
  6. Disparities between students in urban and rural areas: Thailand’s poor rural population and disadvantaged communities have significantly lower enrollment and graduation rates due to the low-performing small schools and a shortage of qualified teachers. The 2012 Programme for International Student Assessment scores revealed that students from schools in big cities made significantly greater improvements than students from small schools. Students studying science in rural areas are behind their peers in urban areas by more than a year of schooling, and more than half of the small rural school students will be functionally illiterate.
  7.  Improved training for teachers: Training used to be centralized with very few urban schools, making it accessible to a selective number of teachers. The Ministry of Education now provides online registration for teacher training courses and aims to offer online training eventually, increasing access for teachers from rural areas. The government also provides $300 worth of credits annually for teachers to register for training courses, and it is working to increase the variety of courses in more places in the country.
  8.  School consolidation plan: Thailand’s Office of Basic Education (OBEC) plans to consolidate half of the small and under-resourced schools with nearby larger schools to provide better learning opportunities for children from the most disadvantaged communities and to solve a teacher shortage. This plan will affect approximately 11,000 small schools if implemented. At least 2,700 small schools considered to be geographically necessary will not be affected and stay open.
These eight facts about education in Thailand show the achievements and challenges of the education system. Despite Thailand’s achievements in expanding access to basic education, the quality of education that the children receive remains a big issue for the nation. Investing in improving the education system is crucial for Thailand to achieve sustainable growth and harness its most valuable and powerful resource: the children.

– Minh-Ha La
Photo: Flickr

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10 Facts About Child Labor in Morocco

10 Facts about Child Labor in Morocco
Morocco, led by the Justice and Development Party, has directly targeted poverty and led efforts to support social programs, employment opportunities and income equality. Although the real GDP of Morocco has been declining, economic growth is expected to increase by 3.3 percent between 2020 and 2021. In 2005, the Human Rights Watch released reports highlighting the relationship between child labor and the economy of Morocco. Since then, the Human Rights Watch, the United Nations and the World Bank have poured resources into Morocco in order to alleviate child labor and the economic strains which require families to push their children into labor. The Justice and Development Party has made significant progress in fighting child labor in Morocco; however, there is still work to be done. Here are 10 facts about child labor in Morocco.

10 Facts about Child Labor in Morocco

  1. Children in Domestic Work in Morocco: In 2017, 247,000 children between the age of seven and 17 had to work. Of these, 81.4 percent dropped out of school and 8 percent never attended school. The majority of these children live in rural areas. Morocco passed a human trafficking law that increased protections for children who were at risk for trafficking. This measure prohibited hazardous work for children, increased labor inspectors to enforce child labor laws and increased the criminal punishment for child labor.
  2. Legal Framework in Morocco: Many of the laws and regulations in Morocco do not meet international standards. Its 2018 laws on child labor, however, significantly improved legal protections for children. Morocco increased the minimum age for hazardous work to 18 and made education compulsory until 15 years old.
  3. Causes of Child Labor in Morocco: Poverty, poor quality education and a lack of access to education, electricity and water all impact whether or not children work. The rural population in Morocco is particularly susceptible to child labor due to the reliance of the rural economy on agriculture, rain patterns and rural-urban migration.
  4. Dangerous Forms of Labor in Rural Areas: In rural areas, 55 percent of working children work in unsafe environments. These environments include agriculture industries, forestry and fishing. Among these 154,000 children who work in rural areas, 20 percent work full time.
  5. Dangerous Forms of Labor in Urban Areas: In urban areas, the majority of children work full time in manufacturing or construction. Ninety-three percent of children who work in construction and public works work in hazardous environments.
  6. Abuse of Children in the Workplace: The Human Rights Watch reports that not only do many children participate in dangerous forms of labor, but many children are also abused in the workplace. Girls are especially vulnerable to deception regarding working conditions. Many girls work without a break for 12 hours at a time with no days off, and not enough food. Although Morocco limits workers to 44 hours per week, some girls reported working over 100 hours a week without a day off.
  7. Low Wages: Child laborers often work long hours for very low wages. The Human Rights Watch reports that on average, girls earn $61 per month, which is $261 below the average minimum wage for the industrial sector in Morocco. In Morocco, many employers provide room and board for child laborers. While this payment may seem thoughtful at first, girls report that they are often underfed and live in poor conditions. This only furthers the abuse that these children experience at the hands of their employers.
  8. Child Poverty and Child Labor: Between 2001 and 2014, the High Commission for Planning in Morocco reported that child poverty decreased by 6.2 percent per year. Because poverty is a leading cause of child labor, between 2001 and 2014, child labor also decreased.
  9. Promise Pathways Helps Decrease Child Labor: The United States Labor Department’s Bureau of International Labor Affairs funds Morocco’s Promise Pathways program, which creates a web of local individuals dedicated to working with local communities to target causes of child labor, including education quality and learning opportunities. In addition to educational programs, Promise Pathways provides alternatives to domestic work, such as classes and coaching. Since its inception, 4,300 children have been lifted out of child labor.
  10. Overall Decrease in Children in the Workplace: Although Morocco is a long way from ensuring that no children have to work, Morocco has decreased the overall number of children in domestic labor. In 1999, 517,000 children were child laborers. In 2011, only 123,000 children were engaged in domestic labor. The number of children working in domestic labor increased between 2011 and 2017 due to the decline in the economy. However, the Human Rights Watch estimates that human trafficking laws will alleviate child labor in Morocco.

These 10 facts about child labor in Morocco shed light on the difficulties child laborers face. With continued efforts by the Human Rights Watch and other humanitarian organizations, hopefully child labor will continue to decrease.

– Denise Sprimont
Photo: Flickr

Pakistan Introduces the New Typhoid Vaccine

Pakistan and the New Typhoid VaccineTyphoid is a disease caused by Salmonella Typhi that spreads through contaminated food and water, disproportionately affecting children. There were nearly 11 million typhoid cases and more than 116,000 deaths worldwide. In Pakistan, children younger than 15 years old made up 70 percent of deaths from typhoid in 2017. Treatment with antibiotics is essential in controlling and preventing the spread. Further, vaccination helps to protect people from contracting typhoid disease.

There are several ways of preventing and treating typhoid. Preventative measures include improved sanitation, hygiene and water supply. Additionally, treatments include the use of effective antibiotics and vaccines. However, with the rising drug-resistant typhoid outbreak, the antibiotics have become ineffective.

Pakistan and the New Typhoid Vaccine

Pakistan is facing an extensively drug-resistant typhoid outbreak. However, the opportunity arose to revamp its vaccine strategy. This strategy now includes a typhoid conjugate vaccine as part of the routine immunization program. Pakistan in the first country to pilot the new typhoid conjugate vaccine. It hopes that the vaccine will be a breakthrough in the face of drug-resistant antibiotics.

The country’s drug-resistant outbreak “has infected more than 10,000 people.” This is the first-ever reported outbreak to be resistant to the drug ceftriaxone and to all but one oral antibiotic for typhoid. These challenges make the disease costly to treat. However, the new vaccine has been proven successful and safe to use as part of the outbreak response since April 2019. This vaccine establishes Pakistan as the first country in the world to introduce a vaccine set to protect 10 million children within its first two weeks.

The Importance of the Vaccine in Pakistan

Historically, Pakistan makes up one of three countries bearing the burden of the high prevalence of typhoid, along with Bangladesh and India. Typhoid is often referred to as a disease of the poor. It has been neglected by many organizations in terms of investment in vaccines. Dr. Samir Saha, Executive Director of the Child Health Research Foundation at Dhaka Shishu Hospital, states, “vaccination is not the end of the story…we need to continue surveillance to measure the impact of TCV introduction on typhoid burden and the improvement of the overall health system.”

The World Health Organization has recommended and approved this new vaccine. Additionally, the Global Alliance for Vaccines and Immunizations (GAVI) will provide the vaccine to Pakistan at no cost. The government of Pakistan is launching the vaccine introduction with the central focus and campaign beginning in Sindh Province. This location is the center of an ongoing drug-resistant (XDR) typhoid outbreak that began in November 2016. The vaccine’s improved characteristics include a stronger immune response, a longer duration of protection and usability in infants as young as 6 months.

Pakistan’s Health Authorities have reported a notable ongoing outbreak of the drug-resistant strain. Further, the resistant strains of Salmonella Typhi pose a public health concern for the country’s population. However, with the funding support from GAVI, the new typhoid vaccine introduction will initiate a two-week vaccination campaign. Once the campaign ends, Pakistan will routinize the immunization of infants. The government announced plans to introduce the vaccine in neighboring areas of Pakistan next year and then nationally in 2021.

– Na’Keevia Brown
Photo: Flickr

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8 Quotes About How to End Hunger

8 Quotes About How to End HungerMore than 820 million people are suffering from hunger. Further, 2 billion are suffering from malnutrition. However, there is enough food, knowledge and resources to end hunger. First, society must address the root cause to effectively end world hunger. Here are 8 inspiring quotes about how to end hunger.

8 Quotes About How to End Hunger

  1. “If with so little we have done so much in Brazil, imagine what could have been done on a global scale if the fight against hunger and poverty were a real priority for the international community.” -Luiz Inácio Lula Da Silva. Luiz Inácio Lula Da Silva is a former Brazilian president, with enormous popularity across Brazil. Lula Da Silva made the poor his central focus. He put into place many social welfare programs and was able to bring millions out of poverty.
  2. “If you can’t feed a hundred people, then feed just one.” -Mother Teresa. Mother Teresa is widely known for feeding the hungry one person at a time. She also set up programs that assisted in resolving world hunger.
  3. “You cannot tackle hunger, disease and poverty unless you can also provide people with a healthy ecosystem in which their economies can grow.” -Gro Harlem Brundtland. Dr. Gro Harlem Brundtland was a physician and scientist for the Norwegian public health system and the Prime Minister of Norway. She later became the Director-General of the World Health Organization (WHO). Brundtland believes in being the moral voice in improving health and alleviating suffering for people around the world.
  4. “We cannot fight against the poverty and hunger in the world when our stomachs are full of delicious food… the fighters must feel the poverty not imagine it.” -M.F. Moonzajer. This quote comes from M.F. Moonzajer’s latest book titled “Love, Hatred, and Madness.” Moonzajer is a journalist and a former intern for the United Nations Secretariat in Bonn as well as a policymaker for an international NGO in Afghanistan.
  5. “Nowhere in the world, in no act of genocide, in no war, are so many people killed per minute, per hour and per day as those who are killed by hunger and poverty…” -Fidel Castro. Fidel Castro was the former Prime Minister of Cuba. Castro felt strongly about human rights, particularly the right to food accessibility. He accused wealthy nations of tolerating the genocide of starvation. He addressed the United Nations during the organization of a multinational force to aid “1 million Rwandan refugees in eastern Zaire where rebel fighting cut off the country’s food supply.”
  6. “When you see in places like Africa and parts of Asia abject poverty, hungry children and malnutrition around you, and you look at yourself as being people who have well being and comforts, I think it takes a very insensitive, tough person not to feel they need to do something.” -Ratan Tata. Ratan Tata is an Indian philanthropist working to improve conditions in India by honing in on the malnutrition of children, fortifying staple foods and aiming to alleviate poverty. The Tata Trusts are providing 60,000 meals a day.
  7. “If you want to eliminate hunger, everybody has to be involved.” – Bono. Bono is a band member of the group U2 and is a leading voice for the world’s poor. His efforts mainly pertain to fighting hunger and poverty, particularly for those in Africa. The musician donates his time to philanthropic causes such as creating charities such as the ONE Campaign and the clothing line EDUN to stimulate trade in poverty-stricken countries.
  8. “If everyone who wants to see an end to poverty, hunger and suffering speak out, then the noise will be deafening.” -Desmond Tutu. Archbishop Desmond Tutu of South Africa is an advocate for human rights, particularly the right to food and clean water. Tutu received the Global Champion Against Hunger award from the United Nations World Food Program for his efforts to defend the weak and the hungry.

These 8 inspiring quotes about how to end hunger show that there are people in the world trying to make a difference. But, as Bono said, everyone has to be involved to truly end world hunger.

– Na’Keevia Brown
Photo: Flickr

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Fighting Cancer in the Developing World

cancer in developing countriesMajor progress has been made in recent years in combating leading threats to global health such as tuberculosis, HIV/AIDS and malaria. However, there is a lesser-discussed global health problem that is growing in developing nations. Eight million cancer cases across the world occur in developing countries, accounting for 57 percent of all reported cancer cases worldwide. Ami Bhatt and her coworkers at the School of Medicine at Stanford University are working to change these numbers by reducing cancer in the developing world.

Background on Ami Bhatt

In 2009, Bhatt became aware of the growing danger of cancer in developing countries through her work at Harvard University. She knew that something had to be done. She started a nonprofit with another fellow in her program, Franklin Huang, who became equally as passionate about this topic. The organization, called Global Oncology (GO), has launched numerous programs and projects since its start in 2012. All of them are aimed at creating better care for cancer patients in low and middle-income countries through new technology, education and medical training. In 2014, Bhatt started her work at the Stanford School of Medicine. Since then she has mobilized her coworkers to further explore the pandemic of cancer in the developing world and find ways to combat it.

Educational and Tracking Resources

Working with a design firm in sub-Saharan Africa, Bhatt was able to develop materials with simple messaging and visuals to help patients in developing nations understand potential treatment options, side effects and complications. Many patients in these low-income areas drop out of treatment because they do not fully understand the process of treatments like chemotherapy. These materials are aimed at solving this problem and keeping more patients in treatment. They are currently being used in cancer wards across Rwanda, Botswana and Haiti.

GO also partnered with the National Cancer Institute to develop an interactive map of cancer researchers and program managers across the world. This resource is the first of its kind and has increased interaction and collaboration between those working in the field. The map gives experts equal access to contemporary knowledge and technology being used to combat cancer in the developing world.

Work in Nigeria and Rwanda

In 2017, Bhatt and her colleagues at GO collaborated with the Federal Ministry of Health in Nigeria to identify two hospitals that could make a huge impact by taking their cancer care programs to the next level. The northern portion of Nigeria is Muslim-majority while the southern area is Christian majority. For this reason, they chose ABUTH hospital in the north and Lagos University Teaching Hospital in the south.

The programs implemented at these hospitals were aimed toward outlining potential opportunities for hospital faculty to carry out improvements in their cancer programs. After this program had been in place for a few months, Bhatt and a few of her colleagues traveled to Nigeria to complete a comprehensive needs assessment. This formed the foundation for the recommendations to the Federal Ministry of Health that were included in the Nigerian 2018-2023 National Cancer Control Plan.

While teaching classes to physicians in Rwanda, Bhatt discovered that patients with leukemia were being treated with hydroxyurea, a drug that only prolongs a patient’s life for about five years. She found out that the country had lost free access to an alternate drug called Gleevec, which can prolong someone’s life for up to 30 years. Bhatt and her Stanford colleagues spent weeks lobbying the Rwandan Ministry of Health as well as the drug manufacturer to restore free access to Gleevec in Rwanda.

Sixty-five percent of those who die from cancer yearly live in developing countries. Ami Bhatt recognized the existence and implications of this statistic in 2009. She has made it her life’s work to battle cancer in the developing world ever since. As more and more people recognize cancer as a major problem in the developing world, Bhatt and her team get closer and closer to winning the battle.

– Ryley Bright
Photo: Flickr

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The Battle Against Monkeypox

The Battle Against Monkeypox
Monkeypox is a viral zoonotic disease, meaning that animals transfer it to humans. Infected animals, usually small rodents, transmit the disease through bodily fluids. Sometimes, however, the disease can transmit through human-to-human contact via bodily fluids, but this is less common. Symptoms include body aches and pains, and fever as well as a bumpy, localized rash. Monkeypox is similar to smallpox, a related infection that people have eradicated worldwide. Yet the battle against monkeypox continues. According to the World Health Organization, the Democratic Republic of the Congo (DRC) saw over 5,000 monkeypox cases in 2019, including 103 fatalities. In addition, most deaths occurred among younger age groups.

History

People first discovered the virus in 1958 when two outbreaks occurred in colonies of monkeys that they used for research, hence the name. The first human cases were in the DRC in 1970. The disease mainly impacts the country’s rural areas and rainforests, where many consider it endemic. In 2017, Nigeria also experienced one of the worst monkeypox epidemics following 40 years of no confirmed cases in the country.

While the virus has largely concentrated in Africa, there have been documentations of cases of monkeypox outside of Africa in recent years. Usually, these cases involved people who visited Africa and returned home harboring the infection. In 2003, the first monkeypox outbreak outside of Africa occurred in the United States. In the past two years, there have been cases in Singapore, the United Kingdom and Israel.

Treatment

Monkeypox and smallpox share many similarities and both have classifications under the genus orthopoxvirus. Currently, a recommended treatment for monkeypox entails the use of antibiotics and there has been an 85 percent success rate using the smallpox vaccine. A new third-generation vaccine received approval in 2019 for the prevention of both smallpox and monkeypox while scientists continue to develop additional antiviral agents.

Medecins Sans Frontieres (MSF), an NGO established in 1971, has been on the frontlines battling monkeypox. MSF, which translates to Doctors Without Borders, provides medical assistance to people affected by outbreaks, epidemics and disasters. In October 2018, an emergency team dispatched to a village in the Central African Republic after a monkeypox outbreak there infected about a dozen children. The group set up a quarantine, treating the children while administering vaccinations to others.

World Response

A number of world health organizations have come together in the battle against monkeypox. After the 2017 Nigeria outbreak, the Nigerian Centre for Disease Control sought to unite West Africa’s response to the disease. The NCDC also teamed up with organizations such as the World Health Organization, the Centers for Disease Control and Prevention in the United States and the Africa Centres for Disease Control and Prevention to better observe and document the disease.

Monkeypox prevention includes raising awareness, avoiding potentially infected animals and practicing good hygiene. Several countries have also put forth restrictions on animal trade to stop the spread of the disease across Africa and to other parts of the world. These steps, as well as additional preventative measures and research, will be key to the battle against monkeypox and the prevention of future outbreaks.

– Taylor Pittman
Photo: Flickr

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Water Quality in Thailand

Water Quality in ThailandSanitation and hygiene have improved in the past 20 years for the nearly 70 million people that live in the Kingdom of Thailand. Prior to the year 2000, many people lived without access to basic hygiene necessities or clean drinking water. Left untreated the domestic water could pose the risk of infectious disease. In some areas, this surface and groundwater is the primary source of water despite its contamination. Irregular flood and drought patterns could continue to pose a threat to Thailand’s future in terms of water scarcity. This is both a domestic and global issue that needs to be addressed before water resources are endangered any further. These five factors that affect water quality in Thailand highlight the country’s progress with regard to sanitation quality and practices as well as the problems they continue to face.

Water Quality and Scarcity

The Thai government’s Pollution Control Department (PCD) has monitored the state of water quality since 1990. Overall, the trends in water quality in Thailand between 1993 and 2003 were average and stabilizing. With both agricultural and industrial pollution at play, poor water quality was reported in certain bodies of water including the Chao Phraya River, the Tha Chin River, the Lam Takhong River and Songkhla Lake. The following decade’s rise in population size and economic development is now causing a strain on the availability of water resources.

Waterborne diseases can be contracted through eating or drinking contaminated substances from the local economy. Hepatitis A, Hepatitis E and Typhoid fever are the three leading infectious diseases in Thailand. All three are viral infections that can easily spread in areas of poor sanitation.

Droughts and Flooding

Thailand’s water resources have diminished over the years due to disappearing wetlands, corroding watersheds and pollution. The climate in Thailand was not always erratic, but now intense flooding during the wet season and droughts during the dry season are commonplace. Wetlands used to be abundant, but today only 2 percent of the original wetlands still exist. Thailand has lost nearly 96 percent of its wetlands. Unless water resource management is improved, water shortages remain a potential threat to Thailand’s future.

Flooding has been just as detrimental to Thailand’s water supply as have repetitive droughts. Standing water from floods poses serious threats. Contaminated floodwater contains many unknown threats that can be harmful to health, causing symptoms like rashes, infections and illness. Severe flooding has left countless dead and thousands displaced. In September 2019, Thailand experienced extreme floods, resulting in 19 deaths. Although an assessment of the total is ongoing, floods have affected more than 150,000 households. The water quality in Thailand is heavily impacted by the continual irregular weather patterns that have taken over Thailand’s climate.

Legislation

Sustainability in terms of water development and sanitation has been a part of Thailand’s legislative value since 1980. The nation continues to support and attempt to improve sustainable natural resource management and environmental protection. It believes both are vital tools for the sustainable development of resources. Legislation has also placed value on addressing sanitation inequality by recognizing proper sanitation and water access as a human right. In addition to laws and efforts on Thailand’s part, the U.S. has dedicated resources to improving sanitation in countries around the world as part of their Millennium Development Goals

Sanitation and access to clean water have a profound impact on the quality of life, especially in more impoverished areas. It has been shown that United States money that is invested in sanitation in developing countries is reintegrated at a rate of more than five times the original value since people are more likely to be happy, healthy and able to work. Promoting investment in global sanitation will help improve the quality of water in Thailand and have a lasting impact on Thai citizens’ lives.

– Helen Schwie
Photo: Wikimedia Commons

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10 Facts about Sanitation in Vietnam

10 Facts about Sanitation in VietnamVietnam, once one of the world’s poorest nations, has seen remarkable growth after the economic and political reforms in 1986, transforming it into a middle-income country with one of the world’s fastest-growing economies. The rapid economic expansion has lifted millions out of poverty and provided them with access to services and goods that improve the quality of life. However, Vietnam does not prioritize some important aspects of development which affects the most vulnerable and low-income communities in the country. Sanitation is one such aspect that the government has not properly attended to. While 99 percent of people in industrialized nations have access to improved sanitation, only 69 percent of Vietnamese people had such access in 2006. Here are 10 facts about sanitation in Vietnam.

10 Facts About Sanitation in Vietnam

  1. Vietnam has seen considerable progress in improving water supply and sanitation. From 1990 to 2011, the access rate to improved facilities of water supply rose from 88 percent to 99 percent in urban areas, and from 50 percent to 94 percent in rural areas. The access rate to improved sanitation facilities rose from 64 percent to 93 percent over the same period in urban areas, and from 30 percent to 67 percent in rural communities.
  2. Vietnam has experienced financial losses from poor sanitation. Vietnam lost an estimated $780 million due to issues related to poor sanitation. The cost of treating illnesses, losing income through reduced or lost productivity and losing time and effort finding access to sanitation facilities has driven the economic losses.
  3. Urban wastewater does not receive adequate treatment. The number of operational treatment plants is small, with the majority of households in urban areas relying on on-site facilities such as septic tanks or soakage pits and discharging overflow into waterways or drains. These household facilities tend to function inefficiently and rarely empty. Estimates determine that less than 10 percent of urban wastewater receives treatment. The drainage and sewage systems in Vietnam combine and often overflow in the rainy season, discharging waste into the streets.
  4. There are severe health impacts of poor sanitation. Poor sanitation and hygiene cause almost 11 million cases of diseases and over 7,000 deaths. Diarrhea is the main disease and also the number one cause of deaths from poor sanitation and hygiene, with reports of seven million cases and over 4,000 deaths. Vietnam estimates that improvements in sanitation and hygiene could reduce health-related costs by $228 million.
  5. Vietnamese people have limited access to sanitary latrines. As of 2011, only 55 percent of the rural population had access to hygienic latrines. In the Northern Mountains, Central Highlands and Mekong River Delta regions, 15 to 22 percent of the population do not have access to any kind of latrines, while 45 to 55 percent of the communities use unhygienic latrines. Only 20 to 30 percent of households own a hygienic latrine in these regions.
  6. Open defecation is still common in rural areas. While the national rate of open defecation has reduced to 1 percent, one in 10 people from rural areas still practices defecating in the open. The rate of open defecation is about three in 10 people for the ethnic minorities in poor and remote regions. This behavior contaminates the environment and water sources, making people vulnerable to various diseases. It is both a concern for health and economic reasons. Vietnam is committed to eradicating open defecation by 2025.
  7. Vietnam has provided an investment in its water supply. The public sector of Vietnam has invested $6.4 billion into 140 water programs and projects between 2006 and 2015. It is currently financing at $1 billion annually for the water and sanitation sector alone but still falls short of the investment requirements, which it estimates to be $2.7 billion annually. While public investment is declining, there are opportunities for developing and increasing the investment and operations of private sectors in Vietnam, as well as public-private partnerships.
  8. Vietnam is undergoing a Water and Sanitation Project for Schools in Vietnam. In 2016, UNICEF started the five-year project with funding from KAO corporation to improve environmental hygiene in rural areas of Vietnam. The project has renovated poor condition WASH (water, sanitation and hygiene) facilities in 18 schools and provided training and hygiene promotion to 170 teachers in 40 schools since its inception. One hundred and forty villages in An Giang Province have achieved Open Defecation Free (ODF) status. The project aims to reach 60 elementary schools by the end of the five-year period, benefiting 35,000 children in rural communities.
  9. Vietnam has international support and the SSH4A program. SNV collaborated with local partners to develop the Sustainable Sanitation & Hygiene for All (SSH4A) program from 2010 to 2013, which the Australian and the United Kingdom governments funded. The program has benefited 200,000 people from poor households in the remote areas of Vietnam, enhancing access to improved sanitation and developing hygienic practices.
  10. Women have challenges accessing water in Vietnam. Many women in rural Vietnam face discrimination and many challenges in accessing WASH services, resulting in unmet sanitation needs due to existing gender norms and low income. The Women Led Output Based Aid (WOBA) project, which Water for Women Fund and Thrive Networks support, aims not only to improve access to clean water and sanitation but also to create gender empowerment and ensure social inclusion in marginalized households.

These 10 facts about sanitation in Vietnam highlight some of the challenges and achievements that Vietnam has made. It is undeniable that the country has made considerable progress in improving access to clean water and sanitation services over the past few decades. Thanks to both the national and international efforts, Vietnam was able to exceed both the Millennium Development Goal target for water and sanitation after a 15-year commitment. Vietnam is now working toward the goals of eradicating open defecation by 2025 and providing access to safe drinking water to all Vietnamese by 2030. To achieve these goals, it is important not only to focus on constructing new facilities but also to instill behavior change and public awareness campaigns at the community level.

– Minh-Ha La
Photo: Wikimedia Commons

 

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How the GEPP Can Limit the Spread of Epidemics

Limit the Spread of Epidemics
In the past, there has been some difficulty in tracking and containing epidemics. In 2014, the Ebola virus killed thousands in West Africa. At the time, many national health systems had trouble properly addressing and controlling its spread. With aid agencies not knowing where to dedicate their attention, more people fell to Ebola. Determining where to distribute a vaccine is critical for the future of any region. It is often difficult to make the correct decision when there is not enough information on human mobility, the spread of an epidemic and its lethality in certain areas. People could have better contained Ebola had newer technology been available to help aid agencies track its spread. The Global Epidemic Prevention Platform (GEPP) may be able to limit the spread of epidemics.

A Solution for Limiting the Spread of Epidemics

The Global Epidemic Prevention Platform (GEPP) is a project that Korea Telecom (KT) Corporation and the Ghanaian government created to improve Ghana’s health information system and limit the spread of epidemics. The project employs information and communications technology (ICT) to gather data on epidemics. It works by gathering existing data and by incorporating newer input from its users. It analyzes Call Detail Record (CRD) data to determine the spread of people such as cross-border movement. Its main goal is to prepare its users for possible epidemics, whether its users consist of the general public or the Ghanaian government. Its existence helps detect the early spread of an epidemic, allowing governments more time to respond and giving humanitarian agencies and NGOs the opportunity to identify possible relationships and trends.

GEPP Explained

There are three parts to the GEPP: GEPP Public, GEPP Clinic and GEPP Gov. The GEPP Public’s intention is to inform Ghanaians of epidemic-prone areas. When someone is nearing one such area, they receive a notification and warning of its status. If a user is in an area that may become contaminated soon, the app provides disease information and prevention measures for pre-response during their stay. They also receive a list of nearby hospitals.

The GEPP Clinic is for the public to make real-time reports to nearby health centers in the event of an epidemic outbreak. Users can fill out a report for either themselves or another individual with their symptoms. This report goes into the GEPP Clinic’s database and gives the government a better idea of what is happening in a particular region.

The government uses GEPP Gov, which allows it to access the data gathered from GEPP Public and GEPP Clinic to monitor any possible health crises. As a result of the digitization of airport immigration information, the government can consider immigration levels when monitoring. This also takes away the need to manually compile this information. All of this aims to help developing countries and their governments prepare for and reduce the impact of epidemics.

If a disease has already spread and it is too late to prevent infection, the GEPP can also address the aftermath of disease by conducting communications in the area. Not only can it address health crises, but it can also apply to natural disasters and their control. In the event of a natural disaster, the GEPP can help aid workers provide shelter, food and health care to victims. If an area does not have a working mobile network, as a result of a natural disaster or not, the GEPP can use its collected data to contact them via satellites and Geographical Information Systems (GIS).

GEPP Support

The Ghana Health Service, KT, Mobile Network Operators (MNOs), Resolution 202, Resolution 136, Resolution 36 and WTDC Resolution 34 support the Global Epidemic Prevention Platform. While all of these play a large role in assisting the GEPP in its goal to limit the spread of epidemics, MNOs arguably do the most. MNOs provide the app with its official data. It gathers data from around the world and its software anonymizes it to protect privacy. This data then stays on a server or an International Telecommunication Union (ITU) cloud and can go towards creating a dynamic map for the ITU. Humanitarian actors and NGOs can, with permission, view this data through MNOs.

– Nyssa Jordan
Photo: Flickr