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10 Health Costs of the Syrian Civil War

Health Costs of The Syrian Civil War
The Syrian civil war, which began in 2011, has led to a monumental refugee crisis, hundreds of thousands of deaths, the rise of the Islamic State of Iraq and Syria (ISIS) and destabilization in the Middle East. Yet another devastating effect of the war is the health consequences for people still living in Syria. Civilian doctors and nurses in active war zones face significant challenges not encountered in peacetime. These include a massive amount of trauma victims, shortages of medical equipment and personnel, infectious disease epidemics and breaches in medical neutrality. Here are 10 health costs of the Syrian civil war for the Syrian people.

10 Health Costs of the Syrian Civil War

  1. Because of the war, Syrian life expectancy has plummeted by 20 years from 75.9 years in 2010 to 55.7 years through the end of 2014. The quality of life in Syria has also worsened. As of 2016, 80 percent of Syrians are living in poverty. Moreover, 12 million people depend on assistance from humanitarian organizations.
  2. The civil war devastated Syria’s health care infrastructure, which compared to those in other middle-income countries prior to the war. By 2015, however, Syria’s health care capabilities weakened in all sectors due to the destruction of hospitals and clinics. The country faced a shortage of health care providers and medical supplies and fear gripped the country.
  3. The Syrian Government has deliberately cut vital services, such as water, phone lines, sewage treatment and garbage collection in conflict areas; because of this government blockade, millions of Syrian citizens must rely on outside medical resources from places like Jordan, Lebanon and Turkey. In 2012, the Assad regime declared providing medical aid in areas opposition forces controlled a criminal offense, which violates the Geneva Convention. By the following year, 70 percent of health workers had fled the country. This exodus of doctors worsens health outcomes and further strains doctors and surgeons who have remained.
  4. The unavailability of important medications presents another health cost of the civil war. Due to economic sanctions, fuel shortages and the unavailability of hard currency, conflict areas face a severe shortage of life-saving medications, such as some for noncommunicable diseases. Commonly used medicines, such as insulin, oxygen and anesthetic medications, are not available. Patients who rely on inhaled-medications or long-term supplemental oxygen often go without it.
  5. A lack of crucial medications has led to increased disease transmission of illnesses, such as tuberculosis. Furthermore, the conditions Syrians live in, for instance, the “tens of thousands of people currently imprisoned across the country… offer a perfect breeding ground for drug-resistant TB.”  Indeed, the majority of consultations at out-patient facilities for children under 5 were for infectious diseases like acute respiratory tract infections and watery diarrhea. According to data from Médecins Sans Frontières-Operational Centre Amsterdam  (MSF-OCA), the largest contributor to civilian mortality was an infection.
  6. In addition to combatant deaths, the civil war has caused over 100,000 civilian deaths. According to the Violation Documentation Center (VDC), cited in a 2018 Lancet Global Health study, 101,453 Syrian civilians in opposition-controlled areas died between March 18, 2011, and Dec 31, 2016. Thus, of the 143,630 conflict-related violent deaths during that period, civilians accounted for 70.6 percent of deaths in these areas while opposition combatants constituted 42,177 deaths or 29.4 percent of deaths.
  7. Of the total civilian fatalities, the proportion of children who died rose from 8.9 percent in 2011 to 19.0 percent in 2013 to 23.3 percent in 2016. As the civil war went on, aerial bombing and shelling were disproportionately responsible for civilian deaths and were the primary cause of direct death for women and children between 2011 and 2016. Thus, the “increased reliance on the aerial bombing by the Syrian Government and international partners” is one reason for the increasing proportion of children killed during the civil war according to The Lancet Global Health report. In Tal-Abyad’s pediatric IPD (2013-2014) and in Kobane Basement IPD (2015–2016), mortality rates were highest among children that were less than 6 months old. For children under a year old, the most common causes of death were malnutrition, diarrhea and lower respiratory tract infections.
  8. The challenges doctors and clinicians face are great, but health care providers are implementing unique strategies that emerged in previously war-torn areas to meet the needs of Syrian citizens. The United Nations (the U.N.) and World Health Organizations (WHO) are actively coordinating with and international NGOs to provide aid. The Syrian-led and Syrian diaspora–led NGOs are promoting Syrian health care and aiding medical personnel in Syria as well. For instance, aid groups developed an underground hospital network in Syria, which has served hundreds of thousands of civilians. These hospitals were “established in basements, farmhouses, deserted buildings, mosques, churches, factories, and even natural caves.”
  9. Since 2013, the Médecins Sans Frontières-Operational Centre Amsterdam (MSF-OCA) has been providing health care to Syrians in the districts of Tal-Abyad in Ar-Raqqa Governorate and Kobane in Aleppo Governorate, which are located in northern Syria close to the Turkish border. The health care MSF-OCA provided included out-patient and in-patient care, vaccinations and nutritional monitoring.
  10. New technologies have enabled health officials to assist in providing aid from far away. For instance, telemedicine allows health officials to make remote diagnosis and treatment of patients in war zones and areas under siege. One organization that has used this tool is the Syrian American Medical Society, which “provides remote online coverage to nine major ICUs in besieged or hard-to-access cities in Syria via video cameras, Skype, and satellite Internet connections.” Distance learning empowers under-trained doctors in Syria to learn about disaster medicine and the trauma of war from board-certified critical care specialists in the United States.

Conditions on the ground in Syria make it more difficult for Syrian citizens to receive vital medical aid from health care workers. Many people and organizations are working diligently to help injured and sick Syrians, however. These 10 health costs of the Syrian civil war illuminate some of the consequences of war that are perhaps not as storied as the refugee crisis. While aiding refugees is an undoubtedly worthy goal for international NGOs and governments, policymaker’s and NGOs’ agendas should include recognizing and alleviating the harm to those still living in Syria.

– Sarah Frazer
Photo: Flickr

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Kio Kit: A “Classroom in a Box” in Rural Africa

Kio KitHaving access to education is a fundamental aspect of being able to improve one’s life. Children who grow up in poverty are often deprived of an education and therefore have fewer opportunities as adults, which maintains the cycle of poverty. Education has been proven to be one of the most effective ways to break that cycle. Poor countries have the highest rates of children who are not in school, and according to an estimate from UNESCO, universal secondary education would lead to a 55 percent drop in the number of people living in poverty around the world. In other words, if everyone completed secondary education, more than 420 million people could be lifted out of poverty. Here is the story of the Kio Kit, a way of introducing technology for education in rural Africa.

Education Is A Human Right

The United Nations recognized education as a human right in the 1976 International Covenant on Civil and Political Rights. However, as of 2015, the UNESCO Institute of Statistics estimates that 37.1 percent of upper-secondary-school-aged children globally are not in school. Barriers to education come in many forms: some children begin working at a young age to help provide for their families, in some places girls are not allowed to go to school and many children live in regions undergoing conflicts or crises that prevent them from accessing education. Additionally, a lack of funding can mean untrained teachers, no school buildings and not enough educational materials.

A lack of access to technology is another barrier to education. Modern technology expands the horizons of what an instructor can teach — perhaps she will download ebooks, or show an educational video about biology, or teach students computer skills that are an asset in the workforce. In many regions, particularly in Africa, internet access is limited. For example, in Chad, Niger and Madagascar, less than 10 percent of the population was using the internet in 2017. The U.S. Energy Information Administration estimates that in 2014 approximately 15 percent of the world population did not have access to electricity, with electricity being less accessible in urban areas. So how can we adapt educational technology to work in regions where there is limited access to electricity and the internet?

How To Adapt Technology

BRCK, an engineering and design company based in East Africa, has developed a solution. BRCK, founded in 2013, focuses on digital solutions that are specific to African infrastructure. The company was named one of TIME Magazine’s 50 Genius Companies in 2018. BRCK’s Kio Kit project was launched in 2015 and consists of a set of forty tablets and a Wi-Fi router that can connect to web content. Kio Kit tablets charge wirelessly, either by connection to a power source or by solar power, and can run for 8 hours on a charge, meaning they can still be used when electricity is unreliable.

The Kio Kit comes in a weather-proof case and is designed to be usable for untrained teachers. The entire kit, including the tablets, is turned on and off with one button. BRCK calls the Kio Kit a “classroom in a box” and promises to expose rural children to “the same information and learning tools available to kids in any city.” As of 2018, BRCK had sold more than 200 Kio Kits to communities in fourteen countries. BRCK does not list prices online, but a 2015 article from QuartzAfrica reports that one kit costs $5,000, to be paid over twelve months without interest. While this is a hefty price and is not possible for some communities, BRCK’s commitment to getting students online is admirable, and the Kio Kit is a valuable step toward accessible education.

– Meredith Charney
Photo: Pexels

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5 Facts About the Aga Khan Foundation

Five Facts about the Aga Khan FoundationThe Aga Khan Foundation (AKF) was founded in 1967 by the Spiritual Leader of the Shia Ismaili Muslims (the Aga Khan). The organization is part of the Aga Khan Development Network (AKDN), a group of private and international agencies with a goal of improving living conditions and opportunities for people in developing countries as well as fighting against global poverty. The AKF’s main goal is to address the root causes of poverty by sharing new and innovative solutions in health, education, rural development, civil society and the environment. The AKF works in over 30 countries around the world and operates about 1,000 programs and institutions, with a focus on economic, social and cultural development. Here are five facts about the Aga Khan Foundation.

5 Facts About the Aga Khan Foundation

  1. The AKF operates globally, with field resources in Asia and Africa, research offices in Canada, the U.K., and the U.S. and headquarters in Switzerland. They work with local, national and international partners to assist impoverished areas. Through their international sectors, they are able to organize outreach campaigns, volunteer resources and development education around the world. The AKF focuses on six areas: agriculture and food security, economic stability, education, child development, health and civil society. The main goal is to improve the quality of life by aiding in the fight against the issues associated with poverty.
  2. The AKF is involved with approximately 1,000 programs and partner institutions in over 20 countries and employs over 80,000 people, mostly from the developing areas that the foundation operates in. Through their worldwide efforts and partnerships, various AKF agencies and affiliated members have won awards in a variety of areas. The Aga Khan Rural Support Programme received the Community-based Mitigation and Adaptation to Climate Change Award in 2014, the Aga Khan University Hospital received the CSR Brands of the Year Award in 2013 and the Aga Khan Development Network itself was selected as a 2011 Devex Top 40 Development Innovator, plus the AKF has received several other awards and mentions in the past 20 years alone.
  3. So far, the AKF has helped millions of people improve their quality of life. Each year, over two million students from preschool to university are enrolled in programs and institutions operated by the AKF. Over 17 million people benefit from various financial services and over 10 million people receive electricity each year due to efforts by the foundation. Through various rural support programs, like participatory governance and natural resource management, over eight million people have been able to receive better food security and raise household income.
  4. The AKF has one of the largest nonprofit, private healthcare systems of the developing countries. Thousands of nurses, midwives and doctors have been trained through this system, and several community health projects are hosted each year to raise awareness of various health issues. One of the goals of the Foundation is to introduce the use of eHealth tools to enhance the quality of healthcare and make it more accessible to communities without easy access. Over 5 million people are able to receive healthcare each year due to services provided by the AKF.
  5. Each year, the Aga Khan Foundation Canada hosts a World Partnership Walk to raise money and awareness for the foundation. Started in 1985 by a group of women formerly from Africa and Asia, it has since become an annual event that is held in over 10 cities in Canada and is the largest event in the country held in support of international development. Since 1985, the World Partnership Walk has raised over $100 million to help initiatives in over 15 countries to help reduce poverty and improve quality of life across Africa and Asia.

The AKF is an international network of agencies working to fight poverty and improve the quality of life for people in developing countries around the world. These five facts about the Aga Khan Foundation show that by providing well-rounded opportunities like schools, healthcare and financial help, the foundation has been able to provide a variety of assistance to those in need. The Aga Khan Foundation has helped millions of people over the last 60 years and is on track to help millions more in the near future.

– Jessica Winarski
Photo: Aga Khan Development Network

 

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10 Facts About Life Expectancy in The Gambia

10 Facts About Life Expectancy in The Gambia
The Gambia is a small West African country that people know for its diverse ecosystems around the Gambia River. It is the smallest country within mainland Africa and farming, fishing and tourism drive its economy. The Gambia has a life expectancy of 65 years which is relatively low when considering that the global average life expectancy is 72 years. The Gambia also faces problems associated with poverty that can have serious effects on population and life expectancy. Here are 10 facts about life expectancy in The Gambia.

10 Facts About Life Expectancy in The Gambia

  1. HIV/AIDS – Twenty-one thousand people are currently living with HIV or AIDS in The Gambia with only 30 percent seeking treatment. Since 2010, The Gambia has been working towards lowering the rate of transmission between mothers and children. With the establishment of the National AIDS Control Programme, HIV infections have decreased by 3 percent and AIDS-related deaths have decreased by 23 percent.
  2. Lack of Health Care Providers – The Gambia faces a lack of health care providers. According to a 2009 World Health Organization report, The Gambia had only 156 physicians. The World Health Organization recommends one doctor for every 1,000 people, whereas The Gambia only has one doctor for every 10,000. The International Organization for Migration, in partnership with the World Health Organization, is attempting to increase the amount of health care providers through its program, Migration for Development in Africa.
  3. Infant Mortality Rate – The infant mortality rate in The Gambia is at 58 deaths per 1,000 live births, severely affecting the life expectancy in The Gambia. Malaria is the cause for 4 percent of infant deaths under the age of 1, and 25 percent between the ages of 1 and 4. The National Malaria Control Programme launched in 2014 and prevents 75 percent of all malaria and severe malaria episodes.
  4. Maternal Mortality Rate – The maternal mortality rate in The Gambia is 706 deaths per 100,000 live births. The major cause behind maternal mortality is a lack of prompt response to emergencies combined with disorganized health care. Improving accessibility is necessary for preventing maternal deaths.
  5. Income – The average gross salary is $0.57 per hour with 75 percent of the labor force working in agriculture. Long-term challenges that the economy of The Gambia faces include an undiversified economy, limited access to resources and high population growth.
  6. Malnutrition – Approximately 11 percent of the country is chronically food insecure and 21 percent of children under 5 are malnourished which impacts the life expectancy in The Gambia. Thirty percent of the population do not have proper nourishment–a number that has increased over the past decade. The Gambia relies heavily on imports of food staples along with low agricultural production has made it easy to become food deficient. UNICEF has begun treating cases of malnutrition through preventative and curative services.
  7. Water – Only 32 percent of households have access to clean water with unprotected wells being more common in rural areas. With 4 percent of the rural population practicing open defecation, water, sanitation and hygiene-related diseases account for 20 percent of under-5 deaths. Water for Africa has begun to send aid to The Gambia in the form of building wells.
  8. Education – The Gambia sends its children to six years of primary school and three years of upper basic education, but there are still gaps in education. With aid from the United States and the World Bank, The Gambia launched its Education Sector Support Program to promote early childhood development and boost access to basic education. The project also provides for the building of 40 schools in remote areas.
  9. Malaria Endemic – Peak season for malaria is during the rainy season from June to October. The Catholic Relief Services (CRS) works to provide relief to malaria outbreaks in The Gambia with cases that have declined by 50 percent from 2011 to 2016. The CRS works by distributing bed nets and focusing its aid on children under 5 and pregnant women.
  10. Employment – Farming employs at least 70 percent of the population. Farmers are reliant on rain-fed agriculture. Most cannot afford improved seeds and fertilizers. Between 2011 and 2013, poverty, food shortages and malnutrition have increased due to crop failures that droughts caused.

Despite problems people associate with agriculture, income and health, life expectancy in The Gambia is rising while infant and maternal mortality rates are declining.

– Darci Flatley
Photo: Flickr

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The Link Between Mental Health and Poverty

Mental Health and Poverty
Although mental health and poverty are two things that one might not always group together, there is a serious link between people living below the poverty line and mental health disorders. According to a Substance Abuse and Mental Health Services Administration SAMHSA report, around 9.8 million people living in the United States had mental health disorders in 2015, and 25 percent of those people were living below the poverty line.

Both poverty and mental health can bring about the other. For instance, a Gallup poll found that about 15.8 percent of people not living in poverty reported having diagnosed depression, while 31 percent of people living in poverty reported depression. In addition, a McSilver Institute for Poverty Policy and Research study based on data from the National Center for Education Statistics found that a household is likely to experience a 50 to 80 percent increase in food insecurity if the mother has diagnosed depression. While it is not clear whether the depression leads to living in poverty or living in poverty results in depression, the link between the two issues is clearly prevalent. Therefore, it is crucial that others address and treat the mental health of people living in poverty.

Ways to Treat Mental Health

One large issue with impoverished people having mental health disorders is that they often do not have the insurance and money to seek therapy and get medical help. This can be especially harmful to children living in poverty. The Official Journal of the American Academy of Pediatrics has three main recommendations for low-income families to seek help for mental health disorders, including education and training, establishing relationships with providers and creating multidisciplinary teams.

The best way to help and treat mental health in low-income families and communities is education. By integrating mental health education in schools and free programs that schools offer to families and communities, more people can learn about how to cope with mental health disorders and keep themselves and their families healthy and happy. In addition, integrating mental health services into school health services allows children to seek help for any mental health disorders right at school.

Further, establishing relationships with school health providers and counselors allows children to feel comfortable enough to seek the help that they need, in a safe space that they are used to. Communication between children/families and health care providers also allows the providers to be available more quickly and could result in more effective treatment.

Effects of Improving Mental Health

Poverty can strain a person’s mental health due to stress and instability. Therefore, public mental health has a huge impact on communities and the mental health of the people. People do not widely recognize public health, which is why is it crucial that communities are actively working to prevent mental health problems and to educate the community on how to cope with mental health strains.

Mental health problems and poverty have a serious link and it is vital that people are aware of the strains of poverty and understand their community and who is at risk. Only by monitoring and evaluating impacts of mental health, creating educational programs and addressing both physical and mental health, both mental health and poverty can improve together.

– Paige Regan
Photo: Flickr

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Women’s Health in India: Technology’s Impact

Women’s Health in IndiaWomen’s health in India is still vulnerable to several risks such as high maternal mortality rates, lack of preventative care and misinformation about family planning and contraception. Despite this, India has proven itself a pioneer in technological innovation among developing countries and it is putting its new innovations towards improving women’s healthcare. 

Maternal Health and Newborn Development

Although maternal mortality rates in India have declined substantially in the last decade, the number of recorded deaths related to pregnancy complications in the country is still remarkably high. A report by UNICEF estimates that 44,000 women die due to preventable pregnancy-complications in India yearly. These complications often stem from a lack of knowledge and inherently the inability to understand that their baby isn’t developing correctly. This lack of knowledge results in fewer women seeking treatment that could save their lives. To combat this, organizations are developing innovative mobile apps to help women stay proactive and educated about the health of their babies and the status of their pregnancies. 

For example, in 2014, MAMA (Mobile Alliance for Maternal Action), an organization dedicated to women’s maternal health in developing countries, developed a digital service called mMitra. The service sends recordings and SMS messages to new and expectant mothers with crucial information about the early stages of pregnancy and child development within the first year of life. The app, which collected 50,000 subscribers within months of its launch, sends educational content to women in their native languages and at times of their choosing. The app,  mMitra ultimately aims to help women pick up on pregnancy and child development issues early and seek treatment before symptoms escalate or endanger the mother and child. 

Breast Exams and Preventative Care

Mammograms are an essential part of preventative care for women globally. Despite this, it is estimated that over 90 percent of women in the developing world go without this essential screening examination. Particularly, in India, high-costs, unsustainable electricity and lack of properly trained radiologists are major causes for the inaccessibility to mammograms and other procedures like it. More women die of breast cancer in the country than anywhere else in the world (around 70,000 women annually). While these high death rates due to inaccessibility to preventive care are tragic, they’ve inspired innovative medical devices that have revolutionized women’s health in India. 

One such device, known as iBreastExam was invented by computer engineer Mihir Shah. Shah invented the device to ensure that women in even the most rural parts of India could get affordable, accurate breast exams and seek treatments as needed. The battery-operated wireless machine is designed to record variations in breast elasticity and performs full examinations in five minutes, posting and recording results through a mobile app. Not only that, the exams are painless, radiation-free and are extremely affordable at $1 to $4 per exam.

Family Planning and Contraceptive Options

Lack of family planning and knowledge of contraceptive options is another challenge in improving women’s health in India. Many Indian women shy away from modern family planning and contraception due to things like familial expectations, cultural influence and a general fear stemming from misinformation from disreputable resources. Family planning and the use of contraception could reduce India’s high maternal mortality rates. However, without proper education on these matters, it is difficult for young Indian women to make informed decisions about what options are best for them. But, in the midst of India’s technological revolution, an increase in accessibility to mobile devices is steadily transforming the way women are gaining health awareness in India. 

There is a particular mobile app that is playing a huge role in improving women’s health awareness in India. Known as Gyan Jyoti, the mobile app provides credible information through educational films, TV advertisements and expert testimonials from doctors. It also acts as a counseling tool for ASHAS (appointed health counselors). The app allows ASHAS to expand their knowledge of family planning through an e-learning feature, customize their counseling plan according to the needs of clients and monitor and store client activity in order to provide the best information possible. 

Overall, while there are still many challenges in improving women’s health in India, the country has proven itself to be a pioneer in technological innovation. Just as well, it’s proven that transformation is possible by putting its innovations towards women’s health awareness through mobile apps, life-saving hand-held devices, and educational platforms that can be accessed at the click of a button. 

– Ashlyn Jensen
Photo: Flickr

 

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9 Facts About Poverty In Eritrea

Facts about Poverty in Eritrea
Eritrea is a small northeastern country in Africa, surrounded by the larger Somalia, Ethiopia and Sudan. It is home to more than 6.1 million individuals, of which, about 53% were in poverty as of 2008. Eritrea’s harsh history coupled with its low rates of development has contributed to the poor economic conditions that oppress so many. This article will provide nine facts about poverty in Eritrea which will give reason to the concerns that international organizations have raised.

9 Facts About Poverty in Eritrea

  1. A tumultuous history with Ethiopia: After a 30-year war with Ethiopia, Eritrea finally gained independence in 1991. It was not until 1993, however, that this separation became legitimate. Eritrean citizens historically experienced neglect under Ethiopian rule. Many experienced deprivation of their nation’s resources and abandonment on the pathway to development.
  2. Cultural superstitions prevent sanitary practices: According to UNICEF, persistent cultural beliefs hinder many Eritreans from collecting clean water, washing their hands and disposing of animal products properly. Many believe that evil spirits attach themselves to certain animal parts while other customs prohibit the use of latrines during certain hours of the day.
  3. Limited access to clean water for rural Eritreans: Very few villages in rural Eritrea have access to clean water. In fact, as of 2015, only 48.6% of the rural population had access to improved water sources compared to 93.1% in urban areas. As a result, many Eritreans drink from the same water source as animals. In addition, many communities do not have a local latrine due to a lack of financial resources. Sewage systems also contaminate water sources that would otherwise be feasible options. These issues can lead to numerous diseases such as schistosomiasis, giardiasis and diarrhea.
  4. Challenges in agriculture: While nearly 80% of the Eritrean population works in agriculture, this sector only makes up about 13% of the nation’s GDP. Landscapes in Eritrea are naturally rocky and dry. This makes farming a difficult task even in the best weather conditions. During the most fruitful periods, domestic agriculture production still only feeds 60% to 70% of the population.
  5. Susceptibility to drought: When drought does strike northeast Africa, Eritrea is one of the countries that experiences the greatest blow. Months can pass in the Horn of Africa without rainfall and these episodes are frequent and recurrent. This results in food shortages and increased rates of malnourishment among children. Statistics show that malnutrition has been increasing throughout Eritrea as nearly 22,700 children under the age of 5 suffer from the condition. Plans have already emerged as an acknowledgment of the crisis, one being the African Development Bank’s Drought Resilience and Sustainable Livelihood Programme for 2015-2021. For this, the Eritrean government has agreed to reserve $17 million to administer solutions for drought effects in rural communities.
  6. Many children are out of school: Public education in Eritrea is inconsistent across the nation. Children living in rural areas or with nomadic families do not have access to quality education like those living in urban regions. Overall, 27.7% of Eritrean children do not attend school.
  7. Low HDI: Recently, GDP in Eritrea has been growing. One can attribute this to the recent cultivation of the Bisha mine, which has contributed a considerable amount of zinc, gold and copper to the international economy. Even so, Eritrea’s Human Development Index is only at 0.351. The country is far behind other sub-Saharan nations, whose average is 0.475.
  8. Violence at the southern border: The central government has created large holes in the federal deficit in its preoccupation with Ethiopia. While the countries officially separated in 1993, discontent with the line of demarcation has left them in a state of “no war, no peace.” The Eritrean government sees the stalemate with Ethiopia as a primary concern, and the military forces needed to guard their territory has occupied most of the nation’s resources.
  9. High rates of migration: These realities listed above have encouraged much of the Eritrean population to flee the country. Eritrea is the African country with the highest number of migrants. Furthermore, the journey to Europe is a dangerous one, as the pathway through the central Mediterranean is highly laborious.

Looking Ahead

These facts about poverty in Eritrea show that while poverty in Eritrea has been an ongoing challenge, efforts are under way to provide aid to the country’s people. Hopefully, the work of the African Development Bank’s Drought Resilience and Sustainable Livelihood Programme will help alleviate hunger and malnutrition in Eritrean communities.

– Annie O’Connell
Photo: Flickr

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Startup Companies in India are Fighting Poverty

Startup Companies in India
With a booming population and competitive economy, India has made a mark in the global playing field. However, nearly 60 percent of India’s population lives on $3.10 per day and 21 percent (250 million people) live on $2 per day. The uneven spread of wealth leaves many people in poor living conditions. The top 1 percent of Indians own 58 percent of India’s wealth, meaning 16 people own the wealth of 600 million people. Unfortunately, over 70 percent of the population still lives in rural villages and work labor-intensive jobs with minimal profits.

The extremely high growth rate of the population leads to a strain on resources. This leads to growing illiteracy and a lack of health care facilities and services. Some expect the total Indian population to reach 1.5 billion by 2026 which means the country will require 20 million new jobs to sustain its people. There is now a desperate need for a better solution to pull people and their families out of poverty.

The Nature of Startup Companies in India

The economy in India continues to compete on a global scale as highly intellectual individuals are progressing with new businesses and startups. In fact, India is the home of 48 million new businesses, which is more than twice the number in the United States at 23 million. The startup companies in India have unlimited access to software and intelligence, making it a competitive playing field. Due to the startups, India has the fastest growing economy and market place in the entire world, taking over China and the United States.

The number of startup companies in India is continuing to grow from 3,100 companies in 2014 to an expected number of 11,500 companies by 2020. The current day and age make India an ideal place of startups as entrepreneurs have access to the internet, educational initiatives and experienced mentors. All of these factors improve the success of startup companies. India has the third-largest startup ecosystem in the world, which was worth over $32 billion in market valuation in 2017. The ever-growing field has drawn in numerous foreign investors leading to a 167 percent growth in 2016 alone.

How Startup Companies Create Jobs

The Indian government has recognized the growing startup companies and has created a plan for ‘New India.’ This involves encouraging employment among the youth. The millennials in India can take advantage of the possible employment ventures as startups create an open atmosphere for innovation. With new information trends every year, these creative companies are creating jobs for people and reducing poverty as people can better support themselves and their families. The startups alone create one billion jobs for millennials. Companies such as Flipkart, Ola and PayTM have an equity of $1 billion, inspiring young entrepreneurs to take risks and start companies. In 2016, India had the most job creation of all countries in the Asia and Pacific Region.

What Now?

Despite the high poverty rates in India, there are new opportunities emerging for people to improve their living conditions. The startup companies in India are extremely successful and allow for families to improve their financial standings. The nature of the startup ecosystem makes it easier for people to start new businesses and become successful. Startup companies in India are changing lives and the same could happen in other countries.

– Haarika Gurivireddygari
Photo: Flickr

Dealing with Air Pollution in Nigeria

Air Pollution in Nigeria
Nigeria has the largest number of deaths due to air pollution in Africa, while the country ranks fourth for air pollution across the globe. Statistics indicate that in 2016, 150 fatalities occurred per 100,000 people as a result of this environmental issue. The State of the Global Air Report that the Health Effects Institute (HEI) published determined that Nigeria’s air quality is amidst the most lethal worldwide. Atmospheric threats such as generator fumes, automobile emissions and crop burning cause air pollution.

In 2016, The HEI indicated that industrialized countries like Russia and Germany have reported lower death rates than Nigeria with 62 and 22 per 100,000 people. Meanwhile, developing countries like Afghanistan, Pakistan and India have reported much higher rates with 406, 207 and 195 deaths per 100,000 people.

Causes of Air Pollution in Nigeria

Air pollution emits through generator fumes which produce the deadly gas carbon monoxide. Automobiles with older engines are also likely to emit unhealthy fumes into the atmosphere. In households, kerosene stoves produce flames that contribute to the poor air ventilation. The nation creates over 3 million tons of waste yearly and most Nigerians burn their waste in their neighborhoods rather than discarding it, contributing more pollution to the atmosphere. Another aspect that contributes to the air pollution crisis in Nigeria is the use of firewood and coal to cook.

Additionally, indoor air pollution in Nigeria is also a big issue, as the amount of fine particulate matter levels in many households surpass air quality guidelines by 20 times. In 2012, according to the WHO, Lagos, Nigeria experienced nearly 7 million deaths caused by indoor and outdoor air contamination.

Air contamination across the African continent kills over 700,000 people annually; more people die from air pollution than unsanitary hygiene practices and undernourishment. Casualties as a result of the air pollution crisis in Nigeria has increased by nearly 40 percent in the last 30 years. Nigeria has some of the highest rates of unhealthy air quality across the African continent. Overall, Nigerian cities contain the most unhealthy air quality with 10 urban areas being classified on a list of 30 cities in Africa with the most unhealthy air quality.

The Effects of Air Pollution in Nigeria

While developed countries have effective solutions in place to handle air pollution, underdeveloped countries are struggling to handle this environmental issue. Some countries have begun taking appropriate measures to handle it, though. As a result, the number of people exposed to air pollution has decreased from 3.5 billion in 1990 to 2.4 billion in 2016.

The report also indicated that 95 percent of the globe’s citizens are intaking polluted air. In 2016, extended subjection to air pollution contributed to roughly 6 million deaths, all resulting from diseases such as strokes, lung disease, lung cancer, bronchitis, asthma and heart attacks. Air pollution is one of the top leading causes of fatalities, particularly in underdeveloped countries, even after smoking, increased blood pressure and unhealthy diets. Exposure to air pollution also increases the risk of developing cancer.

Solutions to the Air Pollution Crisis

In order to effectively handle the air pollution crisis in Nigeria, it is important for the country to provide regular inspections of automobiles to ensure that older cars are not releasing harmful chemicals into the atmosphere. It is also integral that Nigeria removes cars from the road that are toxic to the environment.

The implementation of efficient electric energy will help decrease the need for generators, which produces unhealthy air pollution in households and work environments. However, Nigeria does have access to sustainable energy resources that are capable of providing power to its citizens. These methods are safer for the environment and the usage of them decreases the use of gasoline-powered generators, thus decreasing pollution.

Nigerians can reduce air pollution in the household by substituting fuelwood for biogas, which is a form of biofuel that is instinctively manufactured from the decay of natural waste. Biogas will provide sustainable options for preparing food and heating the household while eliminating air pollution both inside the household and the outside environment.

In terms of trash disposal, recycling methods will be helpful to make certain that people are not burning waste. Additionally, daily waste removal from households will also help to properly dispose of trash, which reduces the fragmentation of waste and prevents odors that contribute to air pollution.

Additionally, factories that are within metropolitan areas follow guidelines regarding sustainable practices in order to decrease air pollution in Nigeria. The National Environmental Standards and Regulations Enforcement Agency (NESREA) monitors operations to ensure that these work environments are abiding by the pollution proclamations.

In conclusion, the execution of environmentally friendly practices in Nigeria will help decrease the air pollution crisis in Nigeria that is present in households, businesses and the outside environment. In order for the elimination of air pollution to be effective, the country must pursue the regulations for all Nigerians.

Additionally, it is necessary to inform communities regarding the sources and consequences of air pollution in order for them to effectively take action in decreasing the issue. Furthermore, those that become more knowledgeable of the issue are then able to educate others and persuade the Nigerian government to continue to enforce legislation against air pollution.

– Diana Dopheide
Photo: Wikipedia

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Human Rights in the Dominican Republic

Human Rights in the Dominican Republic

The Dominican Republic is best known globally as a tropical getaway with Americans making up the majority of the tourism income. Travel and tourism alone made up 17.2 percent GDP and 16.0 percent of employment last year in the Dominican Republic. Despite its beauty, human rights in the Dominican Republic do not match the freedoms that Americans are accustomed to back in their homeland. Here are the top 10 facts about human rights in the Dominican Republic.

Top 10 Facts About Human Rights in the Dominican Republic

  1. Police Brutality: The National Human Rights Commission (NHRC) reported more than 180 extrajudicial killings by police forces through 2017. Reports from a top-level prosecutor and the National Commission for Human Rights implicate large amounts of corruption in the police force as a cause for the wrongful murders, nearly 15 percent of all homicides committed are done by the police.
  2. Incarceration: Corruption of the police force has contributed to the eroded human rights in the Dominican Republic.  The United States Bureau of Democracy, Human Rights and Labor reported that there were credible allegations that prisoners paid bribes to obtain early release on parole in 2017. In the same report, prisons were said to range from acceptable conditions to awful conditions, with poor sanitation, and poor access to health-care services in severely overcrowded prisons.
  3. Freedom of Speech: While citizens are allowed to criticize the government of the Dominican Republic freely, there have been reports of journalists being intimidated by the government. Journalists are threatened when investigating organized crime or corruption within the government and when researching in more remote or rural locations.
  4. Privacy: Article 44 of the constitution of the Dominican Republic grants “the right to privacy and personal honor.” No one may enter the homes of citizens unless the police are in pursuit of a criminal blatantly committing a crime. Article 44 also grants the right to private correspondence. However, there have been reports of homes being wrongfully raided by police in impoverished areas.
  5. Child Labour: According to the U.S. Department of Labor Bureau of International Affairs, 28 percent of children in the Dominican Republic had to work in the agricultural sector in 2017. The government is making reforms to end the severe abusive child labor such as over-working and sex-trafficking. The government increased the Labor Inspectorate’s budget from $3.3 million to $4.8 million in 2018 and approved the National Action Plan against Human Trafficking and Illicit Smuggling of Migrants and put forth funding for more after-school programs.
  6. Right to Protest: Citizens of the Dominican Republic have a right to assembly, without prior permission, in lawful protest. Successful protests have occurred, such as the protest against extending the presidential term limit in order to keep President Danilo Medina from running for a third term. There was also a protest called Con Mis Hijos Te Metas (Don’t Mess With Our Children) against the Dominican’s Republic Department of Education on teaching school children about gender ideology, the proper roles for men and women in society.
  7. Education: The World Bank has officially approved funding of up to $100 million USD to help implement education reforms. Their main goal is to improve student learning outcomes. When the last Assessment was done 27 percent of third-grade students had reached acceptable levels in math. Through multiple new programs, the students will soon be able to compete internationally and further invest, as education is an important human right in the Dominican Republic.
  8. Public Healthcare: A universal healthcare system is considered among human rights in the Dominican Republic. Services provided by the public hospitals are free, but medications are not. Health insurance is taken by many of the hospitals and the Pan American Health Organization reports that in 2015, 65 percent of the population was enrolled in the Family Health Insurance system. State financing of the Family Health Insurance system aims to achieve universal coverage. 20 years since the launch of the idea of universal has been slow-going.
  9. Clean Water: The World Bank reports that 74 percent of inhabitants of the Dominican Republic have access to clean water. Those living in rural areas suffer without clean water, resulting in horrible illness, for example, diarrhea is causing half the deaths of children under the age of one.
  10. Foreign Aid: The United States has an important relationship with the Dominican Republic, especially in trade and democracy. While there is a declining poverty rate, inequalities among citizens is high. There is not enough room for growth, the U.S. continues to help address the human rights issues in the Dominican Republic.

–  Nicholas Pirhalla

Photo: Pixabay