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Activism, Global Poverty, Water

Top 6 Water NGOs in Latin America

Top 6 Water NGOs in Latin America

A number of countries in the Latin America and Caribbean region are experiencing water crises which present an obstacle in achieving the U.N.’s Sustainable Development Goal of universal access to clean water access by 2030. Fortunately, there are a number of organizations actively working to help them get there as quickly as possible. Keep reading to learn more about the top six water NGOs in Latin America.

Top 6 Water NGOs in Latin America

  1. Founded in 2007, Water Charity’s first project focused on improving the health of garbage dump workers by providing water filters in Guatemala City. Since then, the NGO has executed numerous water missions throughout 12 Latin American countries, among other projects worldwide. Each of its projects is innovative and tailored toward the specific needs of the communities in which they work. For instance, through the Dajabon Latrine Project in rural northwestern Dominican Republic, 110 families now have access to safe and sanitary latrines. Moreover, the initiative strives to educate families on the importance of health and hygiene given Dajabon’s poor education system.
  2. Living Water International in Mexico has been working to improve water access, hygiene and sanitation throughout the country’s poorest and often most rural communities. With operations spanning from water systems to hygiene education, the organization aims to focus on the marginalized regions of southern Mexico. Living Water’s “Lazos de Agua” program from 2013 to 2016 promoted WASH (“water, sanitation and hygiene) services to 68,000 beneficiaries in Oaxaca and Puebla. The organization’s projects, such as a new initiative to serve beneficiaries in 65 Mexican rural communities, continue to emerge across the nation and beyond.
  3. blueEnergy knows that the most efficient way to create change is through community consultation and working with local actors. Recognizing the context of a changing climate, blueEnergy has delivered water and sanitation to more than 30,000 people in marginalized regions of Nicaragua. Regarding a recently built water filter, Victorio Leon, a resident of Bluefields, Nicaragua only had positive feedback. “This filter has helped me economically and helped me avoid being sick a lot of the time… now we know we can drink this water with confidence.” Indeed, according to the World Bank, lack of water and sanitation results in a loss of 0.9 percent of Nicaragua’s GDP. Promoting health, and ultimately economic opportunity is among blueEnergy’s primary goals.
  4. WaterStep recognizes that making a true difference in developing countries requires planning for the long-term. For this reason, the nonprofit educates vulnerable communities on why and how to use safe water solutions such as bleach making as well as how to use WaterStep’s on-the-ground technologies. One of its ongoing projects includes that in Ecuador, which began following the country’s 7.8 magnitude earthquake in 2016. Thousands of Ecuadorian survivors were misplaced and lacked any source of clean water. WaterStep responded to the situation by implementing water technologies and training people in refugee settlements on how to use this equipment.
  5. Water For People has targeted Honduras’ marginalized and rural regions such as Chinda and San Antonio de Cortés, since 1997. The NGO invests in public and private sectors alike to provide proper water and sanitation solutions. Since the nineties, Honduras has seen success not only in meeting the Millennium Development Goal of reducing the percentage of people lacking clean water by 50 percent. Moreover, at least 84 percent of the rural population now have access to improved water. Grassroots efforts such as those by Water For People are making clear steady strides towards achieving SDG goal six: providing clean and safe water to all regions.
  6. Solea Water acknowledges the clear inequalities between rural and urban Panama. While Panama City has seen outstanding economic growth in recent years, in marginalized indigenous areas, extreme poverty affects nine in 10 inhabitants. Consequently, clean water access remains a critical issue in these regions. One of the organization’s many projects includes work in Sinai, Panama, where seven in 10 people lack safe drinking water. In addition to implementing a municipal water system which utilizes sustainable technologies to pump water, the organization has supported WASH education to locals. Solea Water’s goals of better health, education and overall improved standards of living within regions like Sinai are made a reality through the organization’s tireless dedication.

What Happens Now?

While access to water has improved in poor and marginalized regions in-line with the decrease in global poverty, disparities remain. These disparities are clear between regions, where 94 percent of citizens in the United States and Europe have access to safe drinking water compared to 65 percent in Latin America and the Caribbean. Moreover, even larger disparities can be seen within a given region, such as the gap between urban and rural regions within Latin America. While 96 percent of citizens living in the Dominican Republic’s cities can obtain piped water, less than 25 percent of Dominicans in rural areas have this same access.

While the fight to universalize access to clean water and sanitation remains a pressing matter, these top six water NGOs in Latin America present the importance of civil society’s proactive planning, hard work and progress.

– Breana Stanski
Photo: Flickr

 

September 29, 2019
https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg 0 0 Kim Thelwell https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg Kim Thelwell2019-09-29 04:44:252019-12-16 13:47:47Top 6 Water NGOs in Latin America
Education, Global Poverty, Water Quality

Top 10 Facts About Living Conditions in Tonga

Tonga is a tropical group of islands located in the South Pacific. Tonga is rich with a vibrant culture and population and the islands are known for their tropical beauty. While the lives of Tongans have vastly improved in recent years, there is still much that can be done. These 10 facts about living conditions in Tonga showcase both the struggles that Tongans face on a daily basis as well as the positive aspects of life in the country.

Top 10 Facts About Living Conditions in Tonga

  1. Water quality is an issue – The majority of Tonga’s freshwater supply is in the form of groundwater, collected either through rainwater harvesting or limestone extraction. Because Tonga has no coordinated, centralized system for caring for waste, individuals and communities manage wastewater on-site. This presents difficulties in monitoring water quality and sanitation, making Tongans susceptible to parasites and waterborne diseases.
  2. Noncommunicable diseases are quite common among residents – Tonga used to face challenges with deaths caused by infectious diseases, but now the country is facing a new primary cause of death: non-communicable diseases. According to a 2008 report, non-communicable diseases accounted for more than 70 percent of deaths in Tonga during that year. These diseases include respiratory and cardiovascular conditions, as well as cancer and diabetes. However, the Tongan Government has begun to take action against this growing problem and recently launched the Tongan National Non-Communicable Disease Strategy, which sets out to reduce the number of individuals in Tonga with non-communicable diseases.
  3. Tongans have excellent access to healthcare and medicine – According to the World Health Organization (WHO), 100 percent of the population has access to health care and medicine. However, the quality and supply of these hospitals and medicines can be an issue in some of the more remote areas of the country, such as in the outer islands.
  4. Tonga has a small, but open, island economy – The country largely exports agricultural goods and fish. These items make up close to 80 percent of Tonga’s total exports. Tonga’s economy is also based around tourism, although this industry has faltered in recent years following the global economic crisis of 2008.
  5. Early education in Tonga is a priority – Almost 95 percent of the resident population with children between the ages of 6 and 14 are enrolled in school. Once children reach the age of 15, however, school attendance decreases. Overall, almost 30 percent of those between the ages of 15 and 19 do not attend school. Along with this, female school attendance is generally higher than males. This gap only increases in secondary school, where female enrollment is 67.4 percent and male enrollment is only 54 percent. It has often been reported that, as they grow older, many boys who fail their exams have chosen to quit school altogether and help their families by working.
  6. Housing can be a problem – This can be largely attributed to the wet, tropical climate and severe weather found in the South Pacific region. A recent study found that one of the most prevalent types of structural damage to homes in urban parts of Tonga was water damage, which was characterized by mold growing predominantly in the sleeping and cooking areas of the homes. Furthermore, many homes are often destroyed because of the harsh weather. For example, in 2018, Tropical Cyclone Gita hit various parts of Tonga, affecting roughly 70 percent of the population and completely destroying over 1,000 homes.
  7. Child marriage is common – Between 2015 and 2017, more than 100 child marriages took place in Tonga. These marriages were able to take place because of specific sections from Tonga’s Births, Deaths and Marriage Registration Act of 1926 that allow children between the ages of 15 and 17 to be married if there is parental approval. However, in many of these situations, young girls are pressured into marriage due to parental desires or teen pregnancy. To help combat this, a campaign was launched in 2017 called “Let Girls be Girls!” The campaign, which is supported by the Tongan Ministry of Justice, hopes to repeal the law that currently allows child marriage in Tonga.
  8. Close to 60 percent of Tongans are dependent solely on agriculture for food – Though acreage for agricultural goods is increasing, production and quality is decreasing due to unsustainable agricultural practices, pests, diseases and increasing urbanization. Attempts have been made in the past to try and stabilize food security, but only recently have any methods proven effective. In 2015 the Tonga Framework for Action on Food Security (TFAFS) was developed to ensure food security as a top priority. TFAFS focuses on combining a variety of methods to address food security, focusing on both immediate and long-term solutions.
  9. About 25 percent of households in Tonga have incomes that are below the poverty line – 88 percent of Tonga’s population live in rural areas of the country, which experience the highest rates of poverty and harshest living conditions. The population in these rural areas has been slowly declining, however, and is expected to drop another 7 percent in the next 30 years. However, this decline may present some problems for the Tongan agricultural industry, which may face labor shortages.
  10. Tonga has a relatively young population – The median age in Tonga is only 23 years old, and more than one-third of the population is 14 or younger. Additionally, just over 6 percent of the population is over the age of 65. However, life expectancy is slowly increasing in Tonga, and as of 2017, the average life expectancy had risen to 73 years old.

These 10 facts about living conditions in Tonga demonstrate the progress that the country has made in improving the lives of its people. Though there is still much work to be done, Tonga is working hard to become a strong, self-reliant nation.

– Melissa Quist
Photo: Flickr

September 29, 2019
https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg 0 0 Kim Thelwell https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg Kim Thelwell2019-09-29 03:16:202024-05-29 23:11:03Top 10 Facts About Living Conditions in Tonga
Global Poverty

The Advancement of Green Energy in Kenya

Green Energy in Kenya

Kenya has big plans for its future as a major green technology user. About 70 percent of Kenya’s electricity comes from renewable energy, which is almost three times the global average. The Lake Turkana Wind Farm, which was completed in 2018, and the Meru County Energy Park are two important developments in wind and solar power, each helping Kenya to reach its target of 100 percent renewable electricity by 2020.

Meru County Energy Park

Meru County Energy Park will be Africa’s first large scale hybrid wind, solar photovoltaic and battery storage project. It will provide 80 megawatts (MW) of clean, renewable energy that could power more than 200,000 households. The project is a great step in producing green energy in Kenya and also acts as a model for other countries seeking to advance in low-cost, clean energy. Construction begins during 2021 in Meru County, Kenya.

The $150 million investment consists of 20 wind turbines and more than 40,000 solar panels. The Meru County Energy Park is a lead project by the Meru County Investment and Development Corporation (MCIDC) and its partners WindLab and Eurus Energy. WindLab is a wind energy developer that has completed projects across three different continents. During the signing of the agreement between Meru County and Windlab, Governor Peter Munya stated that “The development, construction and operation of a large scale renewable energy project within the County will bring employment, energy security and expertise to the region.”

Lake Turkana Wind Farm

The Lake Turkana Wind Farm, operational since 2018, is another major development in Kenyan green technology. It’s Africa’s largest wind power project, consisting of 365 turbines with a capacity of releasing 310 MW of sustainable low-cost energy. The wind farm is located in the Turkana Wind Corridor that channels wind between the mountains in the north and south of the desert region.

It’s also another stride in achieving Kenya Vision 2030, Kenya’s long-term development plan to create a better nation by 2030. The energy provided by the Lake Turkana Wind Farm is helping to create “a newly-industrializing, middle-income country providing a high quality of life to all its citizens in a clean and secure environment.” The entire energy sector has grown tremendously. Thanks to advancements in green energy in Kenya, electricity access in 2018 stood at 73.4 percent, an increase from 56 percent in 2016.

Since September 2018, the Lake Turkana Wind Farm generated 1.2 billion kilowatt-hours of electricity and saved taxpayers about $77 million from reduced use of diesel-operated power. The project proves that wind power is an efficient and low-cost alternative for rural regions that often rely on more expensive and environmentally harmful methods of electricity, such as diesel.

Future of Green Energy in Kenya

President Uhuru Kenyatta plans to continue reducing Kenya’s carbon footprint by welcoming private investment in green technology. Major investments from corporations such as WindLab and Eurus Energy are simply the beginning to Kenya reaching its goal of achieving 100 percent renewable electricity by 2020. The nation ranks ninth in the world for geothermal power generating capacity, making green energy in Kenya a viable option to help those in poverty who struggle to access electricity. Since 70 percent of Kenya’s current power usage is already from renewable sources, the country is on an upward trajectory to achieving its green technology goal.

– Lucas Schmidt
Photo: Flickr

September 29, 2019
https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg 0 0 Kim Thelwell https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg Kim Thelwell2019-09-29 02:53:102024-05-29 23:12:28The Advancement of Green Energy in Kenya
Global Poverty, Life Expectancy, Water Sanitation

10 Facts About Life Expectancy in Djibouti

10 Facts about Life Expectancy in Djibouti
The life expectancy of a country deeply intertwines with various factors, such as economic status, living conditions and nutrition.  People living within these countries often find themselves short on food, stable living conditions and consistent employment which may lead to a higher mortality rate.  These 10 facts about life expectancy in Djibouti will show the myriad of factors playing into Djibouti’s low life expectancy, and how NGOs and Djibouti’s government are making a difference in the region.

10 Facts About Life Expectancy in Djibouti

  1. Djibouti’s life expectancy is 66.81 years as of 2019. Djibouti’s death rate is 7.5 deaths per 1,000 people while its birth rate is 23.3 births per 1,000. While Djibouti’s life expectancy is dramatically lower than the global average of 72 years, 66.81 years is a 0.4 percent improvement from 2018.
  2. Djibouti’s life expectancy ranks 191 out of 223 countries, putting it on the lower end of worldwide life expectancies. Diabetes may cause many deaths and general disabilities in Djibouti, which causes the most death and disability of any disease.  This goes hand in hand with malnutrition, which also causes the most death and disability in Djibouti combined.
  3. Djibouti receives 90 percent of its food as imports, which is because of the arid conditions in the region that makes successful agriculture difficult. This, in turn, causes food insecurity to be a major problem, as 62 percent of the rural population has inadequate access to nutritious food.  However, malnutrition rates have dropped from 18 percent in 2015 to 7.5 percent in 2016.
  4. Sixty-two percent of rural Djiboutians have insufficient access to healthy food.  In order to counteract this, the World Food Programme and the Government of Djibouti teamed up to create the Humanitarian Logistics Hub, a facility built to house large quantities of food and goods for the Horn of Africa region.  The Humanitarian Logistics Hub can store 25,000 metric tons of food, making access to nutritious food easier for the Horn of Africa region.
  5. The International Fund for Agricultural Development (IFAD) has been a force for good in Djibouti. IFAD has spearheaded multiple projects devoted to the betterment of Djibouti. One of these projects is the Programme for the Mobilisation of Surface Water and Sustainable Land Management which began in 2007.  This project intended to develop the Djibouti Ministry of Agriculture and local communities’ abilities to manage natural resources in a more effective manner and give practiced guidelines that would help spread clean surface water to local communities as well as guidelines for sustainable land management. IFAD considered this project a success and ended in 2013.
  6. Djibouti’s GDP (which is $5,307 per capita) should increase by 7 percent in 2019 with much of the economic growth coming from transportation and logistics due to the Port of Djibouti’s importance in the region. None of the countries with a GDP per capita around $50,000 have a life expectancy below 74 years. Conversely, no country with a GDP per capita around $500 has a life expectancy above 64 years.
  7. Djibouti’s drinking water sources are among the most modernized and widespread of all the nations in the Horn of Africa with 97.4 percent of the urban population having access to improved water sources (i.e protected springs, rainwater collection, tap water, etc.) Only 64.7 percent of the rural population has access to these water sources, though, which is due to the droughts that have plagued the country since 2009. This has effectively eliminated surface water in some rural areas. There is hope, however, as the IFAD’s ongoing project, the Soil and Water Management Programme is working towards ensuring that rural households gain access to sustainable sources of water. It intends to add to the network of hydraulic structures that the previous program implemented.
  8. Only 51.8 percent of Djiboutians have access to electricity. Much of the urban population (67.4 percent) has access to electricity and a paltry two percent of rural areas have access to electricity. However, Djibouti does have options in the form of renewable energy, primary in the form of wind, geothermal and solar.  Djibouti’s rural areas having inadequate access to electricity is because of the uneven distribution of energy resources.  The country can rectify this with power grid integration, however.
  9. Most people living in Djibouti are between the ages of 0-14 (30.71 percent) and 25-54 (39.63 percent) with less than 5 percent making it to the 55-64 age range. As of 2017, Djibouti’s most frequent cause of death is HIV/AIDS followed by heart disease and lower respiratory infections.  As of 2016, Djibouti has a Healthcare Access and Quality Index (HAQ) of 35.0 which is a massive increase from the 24.3 HAQ in 2000.
  10. Only 47.4 percent of the population has access to improved sanitation facilities while 52.6 percent of the Djiboutian population have unimproved sanitation facilities. Waterborne illnesses like hepatitis A, hepatitis E and typhoid fever thrive in areas of low sanitation, as they often spread when fecal matter and waste come into contact with drinking water. To combat this, USAID has enacted the Water, Sanitation and Health (WASH) project that aims to educate the Djiboutian public on important hygiene practices, along with modernizing boreholes and ring-wells in more rural areas to prevent water contamination.

These 10 facts about life expectancy in Djibouti show that while Djibouti has many issues contributing towards its abnormally low life expectancy, none of these issues are insurmountable.  What Djibouti lacks in resources it more than makes up for with its favorable geographic location that makes it a hub of local and international maritime trade.

An in-depth look at these 10 facts about life expectancy in Djibouti makes it plain as day that Djibouti can and will overcome the factors hindering the population’s low life expectancy.  Djibouti’s GDP increases every day thanks to its bustling port that provides jobs and goods; the Humanitarian Logistics Hub is a step in the right direction for Djiboutian nutrition and its water sources are second to none. Djibouti has shown that with a little help from NGOs and government agencies like the IFAD and USAID, it can become a thriving maritime hub where no man, woman or child goes hungry, thirsty or destitute.

– Ryan Holman
Photo: Wikipedia Commons

September 29, 2019
https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg 0 0 Jennifer Philipp https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg Jennifer Philipp2019-09-29 01:30:252024-05-27 23:54:0810 Facts About Life Expectancy in Djibouti
Poverty

The Venezuelan Crisis and How the US is Reacting

Venezuelan Crisis
For decades Venezuela’s government and economy have struggled significantly. Entering Venezuela into a search engine will generate links to a multitude of foundations attempting to relieve the Venezuelan Crisis. What is the Venezuelan Crisis and how is the U.S. reacting?

The South American country’s history is full of political and social inequity. Venezuelan leadership has been rocky at best since Simon Bolivar led the country to independence more than 200 years ago. Despite his original constitutional implementations of extremely strict rules such as capital punishment for any public officer guilty of stealing 10 pesos or more from the government, the country quickly fell into corruption.

History of Corruption

The disorder apparent in Venezuela’s contemporary governmental and social climates stems from centuries ago when inefficient leadership set the precedent. The country did not institute a democratic election until 1945. That is more than 130 years after its founding and establishment of the civilian government. Turmoil ensued as Marcos Perez Jimenez, a military figure, overthrew the first elected President Romulo Gallegos within eight months. Admiral Wolfgang Larrazabel, in turn, ousted Jiminez and leftist Romulo Betancourt subsequently took power. This period of rapid regime change defined by government instability and disorganization instilled a distrust that still resonates in the hearts of Venezuelans today.

The trend of unreliable leaders continued until the late 1960s and 1970s when a beacon of light emerged. This age saw much-needed transparency in public assets, contrasting with previous leaders who were heavily corrupt. During this time, other South American countries even began to restructure their governments after the Venezuelan model. However, Venezuela lived this era of tranquility for only a short time because of one man: President Jaime Lusinchi.

Lusinchi served as President from 1984 to 1994. Even in the era of Nicolas Maduro, he stands as the epitome of Venezuelan corruption. In his 10 years as the country’s leader, a corrupt security exchange program stole an alleged $36 billion from the government. Additionally, many accused Lusinchi of stealing from the National Horse Racing Institute to promote the campaign of his successor, Carlos Andres Perez.

Venezuela’s economy functions almost solely on oil exports. The volatility of international oil demands, a market characterized by consistent inconsistency, historically parallels with the state of the Venezuelan market. A booming oil stock in an oil-dependent country naturally creates extraordinary temptation, a temptation that Lusinchi gravely fell into.

Making the national situation worse, the money Lusinchi stole from the government came from a temporary oil surge. Therefore, when oil prices normalized, the economy faced a much more difficult catching up than it would have otherwise.

For many Venezuelans, Lusinchi reopened recent wounds concerning government distrust. This fueled a wave of anger that the famous populist Hugo Chavez harnessed. Lower-class Venezuelans blamed government corruption and greed of the elite for the country’s extreme economic and social issues. The support of this large base played an important role in electing Chavez as President in 1998.

Today’s Dictatorship

To understand the current state of affairs under Maduro, it is vital to understand Chavez’s impact on the Venezuelan Crisis. Chavez’s policies raised (and still raise) enormous controversy as he led using traditionally socialist policies. Under these policies, Venezuela saw a 50 percent reduction in poverty and a dramatic reduction in the unemployment rate.

These policies were only achievable because of a 2004 soar in oil prices in the middle of Chavez’s presidency. His excessive spending on categories like food subsidies, education and health care was only possible through this boom. To get the Venezuelan people to reelect him, Chavez did not scale back these programs to match declining oil prices and set up his country to fail.

In 2014 Venezuelan oil prices crashed, leaving the economy in shambles as Chavez’s programs quickly racked up an enormous deficit. This also started the massive inflation of the Venezuelan bolivar that the country still struggles with today. Following Chavez’s death, Nicolas Maduro gained power in 2014, taking on the responsibility for the economy and deficit. Maduro failed to diversify the oil-rigged economy. This caused the petrostate to fall back into extreme poverty, currently wielding a poverty rate of around 90 percent, double what it was in 2014.

The Council on Foreign Relations quotes Venezuela as “the archetype of a failed petrostate,” describing it as a sufferer of the infamous Dutch disease. The transition to this began back in 1976 when then-President, Carlos Andres Perez, nationalized the oil industry creating the state-owned ‘Petroleos de Venezuela (PDVSA). Chavez’s mismanagement of this company led it to render weak profits. Internal issues such as insider business practices and drug-trafficking also littered the business with corruption. Chavez then sanctioned a series of other national businesses and foreign-owned assets tilting the country towards extreme socialism.

This progression of increased nationalization slowly opened the doors for Maduro to initiate authoritative rule. He abused this power in multiple facets which had devastating consequences on the well-being of the country and its people.

Early in his rule, Maduro placed his supporters in the Venezuelan Supreme Court and replaced the National Assembly with his own Constituent Assembly. Through this cunning, undemocratic move, he essentially eliminated all political opposition and erased any check on his power. This allowed him to pass extremely contentious policy such as the abuse of food importation. Because of Maduro’s extremely poor operation of a socialist economy, hyperbolic inflation rates currently plague the country. While the political elites operate on a 10:1 rate, the rest of the country uses around a 12,000:1.

To make matters worse, Maduro delegated food commerce to the military which has access to the significantly decreased exchange rate. To make enormous profits, it buys food at the 10:1 rate and then sells it domestically at a 12:000:1 rate. The 2017 statistic shows that Venezuelans lost an average of 27 pounds, highlighting the horror of Maduro’s corruption.

What is the US’s position in all of this?

As expected, the U.S. with its long history of an anti-socialist stance disapproves greatly of the Maduro suppressive regime. There is historical friction between the two, which emerged again during Chavez’s time in a battle between capitalist and socialist ideals.

After Maduro’s reelection, the Trump administration grew furious and decided to use aid as a tool against the dictator. In an act of defiance against the U.S., Maduro rejected all supplies from the capitalist power. The U.S. decided to use this move to its advantage, pledging to send copious amounts of humanitarian aid and urging Venezuela’s officials to defy their President’s orders.

As Dylan Baddour states in his article for The Atlantic, “Those who support the mission say that soldiers will be motivated by the impact Venezuela’s crisis is having on their families to switch sides and affect a peaceful transfer of power.” However, not everyone supports this mission because of the U.S.’s bittersweet past regarding Latin American intervention.

Citizens in countries like Chile, Nicaragua and Panama certainly are in living memory of times when American involvement only made matters worse. But as Baddour writes, in a situation as dire as Venezuela’s during the Venezuelan Crisis, “the world’s most powerful country showing up at Venezuela’s border with truckloads of food and medicine is much better than what it has done in the past.”

There is, of course, a concern that Venezuela could transform into the next Syria — where the majority of the population suffers because of one belligerent leader. But if the U.S. takes a proper humanitarian route with its aid, unlike previous attempts, it could do more help than harm. Hopefully, Venezuela will accept aid and transfer power peacefully and efficiently to someone that does not endorse such heinous policies. Until then, the U.S. simply providing its current amount of humanitarian aid is a positive step in the right direction to relive some of the effects of the Venezuelan Crisis.

– Liam Manion
Photo: Flickr

September 28, 2019
https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg 0 0 Jennifer Philipp https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg Jennifer Philipp2019-09-28 19:28:412019-12-16 14:53:43The Venezuelan Crisis and How the US is Reacting
Global Poverty, Life Expectancy

10 Facts About Life Expectancy in Iran

10 Facts about Life Expectancy in Iran
Since the 1979 Iranian Revolution, the government of the Islamic Republic of Iran (IRI) has prioritized the need to improve Iran’s health care system. Indeed, Article 29 of the IRI’s Constitution establishes every Iranian citizen’s right to high-quality health. The Ministry of Health and Medical Education is responsible for providing the health care necessary to achieve this goal. Here are 10 facts about life expectancy in Iran and the state of the country’s health care system.

10 Facts About Life Expectancy in Iran

  1. Starting in the early 1980s, Iran successfully launched a reformed primary health care system or PHC. Because of Iran’s PHC programs, life expectancy in Iran has steadily risen from 55.7 years in 1976 to 75.5 years in 2015. Since the implementation of the PHC system, Iran has also experienced increased economic growth and literacy, and an improvement in safe water access and sanitation. The Community of Health Workers suggests that all of this may have contributed to Iran’s increased life expectancy.

  2. The aim of PHC was to provide all Iranians with health care by 2000. Especially in the beginning, PHC prioritized reducing health inequality between urban and rural populations by focusing attention on and resources to rural areas. Central to PHC was the establishment of health houses in rural areas. Behvarzes, local community members who had personal ties and commitments to the community, would run these houses.

  3. As of 2009, more than 90 percent of Iranians have some type of health insurance according to data cited by the Japan Medical Association Journal. Both the public and private sectors play a pivotal role in Iran’s health care system, which is a nation-wide network that includes local primary care centers in Iran’s provinces, secondary care hospitals in the provincial capitals and tertiary hospitals located in big cities. The public sector provides most of the primary care and some of the secondary and tertiary health services. Some public services, like prenatal care and vaccinations, are free. The private sector focuses on secondary and tertiary services. Additionally, NGOs play an active role in Iran’s health system, specifically concerning issues like children with cancer, breast cancer, diabetes and thalassemia.

  4. In addition to higher life expectancy, Iran has seen better health outcomes on several fronts. For one, the incidences of malaria-related deaths have decreased significantly from 15,378 cases in 2002 to 777 cases in 2015; 28 of these cases resulted in death. The reduction in malaria-related deaths is the result of interventions, such as the introduction of tap water and electricity into villages.

  5. To completely eradicate malaria, health officials should concentrate resources to prevent and treat the disease in the specific provinces where the disease is most prevalent. Policymakers should monitor borders to prevent the spread of malaria into Iran from outside the country. They should strengthen cooperation between institutions and improve the health systems’ ability to quickly identify epidemics.

  6. Between 1995 and 2011, Iran’s neonatal (NMR), infant (IMR) and under-5-year (U5MR) mortality rates in rural parts of the country decreased substantially. In particular, Iran’s NMR and IMR saw a statistically-significant decline as a result of a family physician program and rural insurance program. Implemented in 2005, Iran intended these programs to reform PHC, which did not cover access to specialists or private-sector physicians for rural populations. The family physician program and rural insurance program provided preventive and outpatient care to rural communities and made health care access more equitable between urban and rural areas. By providing greater access to important health services, these reforms improved many health indicators, such as child mortality. From 1995 to 2011, Iran’s NMR dropped from 17.84 to 10.56; the IMR decreased from 31.95 to 15.31; and Iran’s U5MR declined from 40.17  to 18.67.

  7. One of Iran’s significant health achievements is a dramatic increase in child immunization; indeed, providing vaccinations was one of the main activities of the community health workers under PHC. From 1990 to 2006, the percentage of one-year-olds immunized with three doses of DPT rose from 91 to 99 percent. Over that same period, one-year-olds immunized with three doses of the hepatitis B vaccine increased from 62 to 99 percent; similarly, one-year-olds immunized with MCV rose from 85 to 99 percent. This increase in immunization among children correlates with a sharp decline in Iran’s infant mortality rate.

  8. Cardiovascular diseases are the most common causes of mortality in Iran and connect to more than 45 percent of deaths. The second most common cause of death in Iran is accidents at 18 percent. Cancer follows at 14 percent and then neonatal and respiratory diseases, each of which accounts for about 6 percent of deaths in the country. Many NGOs, like the Union for International Cancer Control (UICC), are cooperating with the Iranian Ministry of Health to combat these frequent causes of mortality. For instance, at the beginning of 2019, the country launched a national campaign to fight cancer. This campaign seeks to bring hope to cancer patients and to raise awareness about the fact that cancer is treatable and often preventable. Officials note that behavioral and dietary risks can cause cancer.

  9. While Iran’s health care system has improved significantly, it still has room for growth. For instance, greater than half of the under-5 deaths in Iran are the result of preventable or easily-treatable diseases and illnesses, such as malnutrition, which affects some 45 percent of children under the 5-years-old in Iran. One NGO that is helping food-insecure refugees in Iran is the World Food Programme (WFP), which has had a presence in Iran since 1987. In January 2018, WFP implemented the Iran Country Strategic Plan (2018-2020), which provides a combination of cash and monthly distributions of wheat flour to refugees in need, especially the most vulnerable women-headed households. In January 2019 alone, WFP helped 29,736 people in Iran.

  10. Another NGO providing health services to Iranians in need is Médecins Sans Frontières (MSF), which translates to Doctors Without Borders. MSF provides marginalized groups in south Tehran, such as drug users, sex workers, street children and the ghorbat ethnic minority, with free health care. MSF runs a clinic in the Darvazeh Ghar district, where they provide services including medical and mental health consultations, testing and treatment for sexually transmitted infections, ante- and postnatal care and family planning. In 2018, MSF provided 29,900 outpatient consultations.

As these 10 facts about life expectancy in Iran show, the health of the Iranian people and health care system of Iran have improved significantly in the past few decades, due largely to the reforms of PHC and the family physician program and rural insurance program. If the Iranian government continues its investment in these programs, there is a good reason to believe life expectancy in Iran will continue to rise in the coming years.

– Sarah Frazer
Photo: Flickr

September 28, 2019
https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg 0 0 Jennifer Philipp https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg Jennifer Philipp2019-09-28 07:30:202019-12-16 10:26:3810 Facts About Life Expectancy in Iran
Education, Global Poverty, Life Expectancy

10 Facts About Life Expectancy in Kosovo

Life Expectancy in Kosovo
Kosovo is a newly and controversially independent Baltic state with its fair share of hardships. After only recently deescalating its conflict with Serbia, the war-torn country must continue to find how to establish itself in the world. These 10 facts about life expectancy in Kosovo highlight Kosovo’s unstable internal conditions as well as the efforts that the country is putting forth to improve them.

10 Facts About Life Expectancy in Kosovo

  1. In 2002, the average life expectancy in Kosovo was 68 years. It has steadily improved since then with the average life expectancy in Kosovo now being 72 years according to the World Bank. Improvements in many sectors, such as increased health care accessibility, education reforms and de-escalation of the conflict in the region may be a cause of this. Compared to the average life expectancy of the European Union (E.U.) nations (81 years), Kosovo has a long way to go. However, many project the yearly improvement over the past two decades to continue.
  2. According to the Kosovo Agency of Statistics, in 2017, 18 percent of the population lived below the poverty line. High poverty levels likely stem from a prevalence of unemployment (31 percent in 2017) as well as exceedingly low wages (500 euros monthly). This makes Kosovo the third poorest country in Europe. However, increased foreign investment and urban development have caused major improvements from figures just five years prior that show the poverty level at 23.5 percent, reflected by a higher unemployment rate of 35 percent.

  3. There is a vast disparity in health care access between minority populations and the general populous of Kosovo. Children living in rural areas are less likely to have access to good health care, and this is even worse for ethnic minorities. According to the United Nations International Children’s Emergency Fund (UNICEF), more than 60 percent of Roma, Ashkali and Egyptian children live in absolute poverty and over 30 percent live in extreme poverty (compared to the average statistics of 48.6 percent and 18.9 percent, respectively). A statistic that reflects this disparity is the infant mortality rate (IMR). The average IMR for the whole of Kosovo is 12 deaths per 1,000 live births. When looking at the IMR for minorities, that number jumps to 41 deaths per 1,000 live births.

  4. Kosovo has a Gross Domestic Product (GDP) of $7.129 billion and spends 1.1 percent of it on health and social work, as well as 0.9 percent on public administration. While the amount the country spends on public health services is very low, Kosovars have seen improvements in basic health. The government has recently subsidized health care accessibility programs such as the Law on Health Insurance (2014) and the National Health Sector Strategy (2017-2021). The former gave all Kosovo citizens the right and obligation to have a basic, mandatory health insurance package that covers emergencies, pregnancies and childbirth and other health care essentials. The latter is a strategy the Ministry of Health adopted that focuses on better management of health care funds as well as improving the accessibility of basic health care to minorities and other marginalized communities. Ultimately, however, the outcomes of the new policies have been difficult to measure due to lacking administrative records and unclear implementation policies.

  5. The leading causes of death in Kosovo are circulatory system diseases, making up 62.7 percent of all deaths in 2015. Other prevalent causes of death are tumor diseases (14.7 percent) and respiratory diseases (5.4 percent). Kosovo also has one of the highest tuberculosis rates in Europe, according to the World Health Organization. Many of these diseases are due to the overwhelming amount of tobacco products consumed in Southeastern European countries, causing 80-90 percent of all lung cancer cases and increasing the risk of cardiovascular diseases and tuberculosis.

  6. Starting in 1998, Serbia cast out over 800,000 people from Kosovo during the Kosovo Conflict. Thousands of people still live in refugee camps since they have no way to reclaim their homes. Other organizations or individuals have bought the properties, and Kosovo courts make it very difficult to evict the illegal tenants and allow refugees to return to their homes. However, efforts from UN Habitat, a branch of the United Nations that deals with sustainable human settlements and shelters, have recently pushed for reform in Kosovo’s court system to more adequately handle the illegal seizures of property. The Kosovo Municipal Spatial Planning Support Programme, which UN Habitat developed, has built capacities for sustainable and affordable development of urban areas and has established institutions like the Housing and Property Directorate and the Kosovo Cadastre Agency.

  7. The homicide rate in Kosovo is measured at about 2.1 intentional homicides per every 100,000 people in 2016. This is impressively low, considering the global average is 6.2 homicides per 100,000 people and the U.S. average is 4.9 per 100,000.

  8. The Programme for International Student Assessment (PISA) looks at three categories for fifteen-year-old students: math, reading and sciences. The test thereby evaluates teaching methods and education infrastructure and shows the government whether the improvement is necessary or not. In 2015, the PISA ranked Kosovo as one of the last three countries in all of the evaluated categories. The ranking is devastating, yet the Minister of Education Arsim Bajrami embraced the results with a promise of improvement. He stated, “[The decision to participate in the PISA] was a courageous act as well as a commitment to increase the quality of education in our country.” Since then, with the help of foreign aid, the government has worked to improve the technical training of teachers and the ability of Kosovo’s youngest generation to be financially viable.

  9. Kosovo air quality has been steadily decreasing over the past decade. In December 2018, Kosovo’s capital of Prishtina had an air quality measured as hazardous. Increased investment in coal and biofuel power plants have caused a sharp increase in air pollution. The Balkan Green Foundation and the Institute for Development Policy (INDEP) launched campaigns to raise awareness on the effects of excessive air pollution caused by fossil fuel. They have been pushing for transparency with energy expenditure and power plant output, but the government has been less than receptive. However, the green movement in Kosovo has gained traction very quickly within the past six months. There are now large pushes for the Kosovo government to be more accurate with air pollution reports as well as transportation reform to ensure car emissions are not unnecessarily high.

  10. The people of Kosovo consider corruption to be the most important problem facing them, after unemployment, according to the UNODC Corruption Report on Kosovo. Systemic bribery is endangering Kosovars by obstructing their access to law enforcement as well as health care. Thirty percent of all bribes went to police officers to overlook petty crimes, 26 percent went to nurses and a massive 42 percent of bribes went to doctors to either expedite or receive better treatment. The U.K.’s ambassador to Kosovo Ruairi O’Connell has pushed very strongly for a crackdown on governmental and private corruption, “The moment has come to remove officials whose integrity is contested. Politicians should not meddle in the work of police, courts, and prosecutor’s office.”As of yet, corruption continues to be widespread, and public opinion as well as the justice ministers in the Kosovo government call for immediate reform.

These 10 facts about life expectancy in Kosovo reflect that the condition is gloomy, but improving. Corruption is still endemic and ethnic disparities are prevalent, but outside influencers, like the U.N. and non-governmental organizations like INDEP are helping the government improve. If the government carries out infrastructure, education and health care developments successfully, the country would see improvements across the board and become a more competitive piece of the world with a much higher life expectancy.

– Graham Gordon
Photo: Flickr

September 28, 2019
https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg 0 0 Jennifer Philipp https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg Jennifer Philipp2019-09-28 01:30:582024-06-07 05:07:5810 Facts About Life Expectancy in Kosovo
Children, Developing Countries, Global Poverty, Life Expectancy

7 Facts about Life Expectancy in Côte d’Ivoire

10 Facts about Life Expectancy in Côte d'Ivoire
Côte d’Ivoire, or the Ivory Coast, is a West African country with one of the fastest-growing economies in the continent. However, its life expectancy at birth is one of the lowest in the world. Here are seven facts about life expectancy in Côte d’Ivoire.

7 Facts About life Expectancy in Côte d’Ivoire.

  1. According to the CIA World Factbook, Côte d’Ivoire’s life expectancy at birth is 60.1 years. Out of the 223 countries measured, Côte d’Ivoire ranks 209. This is 30 spots lower than its GDP per capita ranking.
  2. One of the main causes of Côte d’Ivoire’s low life expectancy is its alarmingly high infant-mortality rate. An estimated one out of every 16 babies born in Côte d’Ivoire dies, making it the number one cause of death in Côte d’Ivoire. This is the 14th highest rate in the world, but over the last 20 years, there has been a considerable improvement. According to Niale Kaba, Côte d’Ivoire’s planning and development minister, the country’s infant mortality rate has fallen from “112 for every 1,000 births in 1998 to 60 per 1,000 in 2016.”
  3. Côte d’Ivoire’s life expectancy is also being suppressed by its high birth rate and lack of quality health care for both newborns and mothers. The average age of a mother’s first birth in the Ivory Coast is roughly 19 years old and each woman will bear almost four children, on average. However, only 59 percent of births are overseen by a skilled birth attendant. The young age of mothers and the lack of health professionals guiding them through their pregnancies contribute to the Ivory Coast’s ranking of 12th highest maternal mortality rate in the world.
  4. A considerable lack of accessible sanitation facilities and clean water makes much of the Ivory Coast’s population susceptible to disease. Around half of the schools in Côte d’Ivoire do not have toilets or water, forcing students to walk up to a kilometer just for clean water. Additionally, 60 percent of families do not have the means to regularly wash their hands with soap and water. These dangerous conditions increase the likelihood of death from preventable diarrheal diseases, which are the sixth deadliest condition in Côte d’Ivoire.
  5. Alarmingly, 24,000 people die from HIV/AIDS in Côte d’Ivoire each year, the 10th highest rate in the world. While it no longer causes the most deaths in the Ivory Coast, every day five teenagers are infected with HIV/AIDS. Modern scientific treatments like antiretroviral therapy have been remarkably successful at combating this crisis, but less than 30 percent of HIV-positive children in Côte d’Ivoire are receiving the medication they need to survive. The lack of health care for these children is one of the main drags on the country’s life expectancy, with more than 50 percent of HIV-positive children not on medication dying before the age of 2.
  6. Education is one of the main drivers of increased life expectancy. Unfortunately, only 65 percent of Ivorian children are completing primary school. Additionally, less than half of the country is literate mostly due to prohibitive fees associated with schooling which excludes poor families. This lack of education severely limits the economic opportunities for the entire country. Experts agree that improving education in Côte d’Ivoire would increase the number of skilled laborers and lead to higher wages, a better quality of life and improved life expectancy. The International Cocoa Initiative has worked with over 600 communities to help get more children out of the fields and into school. They have seen a remarkable 20 percent increase in school participation rates, showing that there is hope for the future generations of Ivorians.
  7. UNICEF has been crucial in helping the people of Côte d’Ivoire, funding numerous programs that have produced a substantial quality of life improvements. Whether it be offering HIV/AIDS testing, providing community wells or helping children escape dangerous working conditions, UNICEF is making a difference throughout the Ivory Coast. Groups like Action Against Hunger have followed in UNICEF’s footsteps, partnering with Côte d’Ivoire’s government to help run 12 community health establishments and providing 29,900 families with access to clean water.

While these seven facts about life expectancy in Côte d’Ivoire can be hard to grapple with, there is evidence that conditions are getting better. Improving access to education, medicine, healthcare and many other necessities will undoubtedly help pull millions of Ivorians out of poverty. With help from the international community, 20 years from now an article titled 10 facts about life expectancy in Côte d’Ivoire might not look so glum.

– Myles McBride Roach
Photo: Flickr
September 27, 2019
https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg 0 0 Kim Thelwell https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg Kim Thelwell2019-09-27 15:26:052024-05-29 23:12:227 Facts about Life Expectancy in Côte d’Ivoire
Global Poverty

7 Pillars: The Decade of Family Farming

Decade of Family FarmingFamily farms are the largest employers of human capital in the world. Unlike factory farms, family farms are extremely sustainable and drastically mitigate hunger and poverty at the local level. However, governments tend to sanction legislation that prioritizes the interests of factory farms and fisheries, effectively excluding local producers from sustaining their communities. For this reason, the U.N. has outlined a decade-long plan lasting from 2019 to 2028 that expands the role and influence of family farmers around the world.

Family Farming Statistics

Despite being overshadowed by transnational food cooperations, family farms control more agricultural output and human capital than all factory farms combined. In fact, family farmers occupy 70-80 percent of global farmland and produce more than 80 percent of total global agricultural output. Furthermore, the U.N. estimates that there are approximately 570 million family farms operating around the world, mostly employing people who live in absolute poverty.

The Sustainability of Family Farming

A typical representation of family farming would be similar to that portrayed in Little House on the Prairie. However, this all-encompassing term defined by the U.N. includes mountain farmers, family foresters, pastoralists, indigenous people, local fisheries, hunters and gatherers. Local producers know how to navigate their land and waterways effectively and do so with great reverence since many trace ancestral and historical significance to the land they farm and the waters they fish. In doing so, they preserve the biodiversity of their communities and amend farming techniques to sustain the productive capacity of their local environments.

Furthermore, rural farming expands local economies by providing jobs in various services that accompany the line of agricultural production; family farming encompasses the help of all members of the community. In this communal effort, family farmers also tend to reject artificial growth products made specifically for mass food production, such as dangerous pesticides that result in fatal consequences for the environment.

The Decade of Family Farming: Elevating the Status of Family Farmers

The Decade of Family Farming sets forth an agenda for countries to develop policy and investment strategies aimed at generating sustainable development and prioritizing the interests of family farmers. Meanwhile, the U.N. hopes that the Decade of Family Farming will also mitigate the projected consequences of environmental deterioration by revitalizing local ecosystems. The action plan consists of seven central pillars that incorporate several dimensions of social, political and economic life to achieve such goals:

  • Pillar 1: Renewing policy and establishing links between the private and public sectors to develop investment strategies.
  • Pillar 2: Educating rural youth about the importance of family farming and encouraging them to maintain their traditional farming practices.
  • Pillar 3: Elevating the status of women in farming communities and providing them with access to the management of land, information and financial resources.
  • Pillar 4: Championing the voices of family farmers and expanding their influence in the political arena via family farming organizations.
  • Pillar 5: Enhancing the welfare of family farmers and establishing social protection systems.
  • Pillar 6: Promoting farming practices that will protect food supply from the uncertainties of an impending climate catastrophe.
  • Pillar 7: Protecting regional ecosystems and expanding the diversity of job opportunities in the farming-based service sector.

The Decade of Family Farming is a multi-faceted program that encompasses the betterment and sustainability of the biosphere through protecting the environment, culture, local economies, social life, politics and food resources. It is up to the cooperation of the government and the private sector to ensure the realization of these proposals.

– Grayson Cox
Photo: Flickr

September 27, 2019
https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg 0 0 Kim Thelwell https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg Kim Thelwell2019-09-27 13:15:362019-09-27 13:18:297 Pillars: The Decade of Family Farming
Global Poverty

The Success of HIV/AIDS Prevention in Zambia

HIV/AIDS Prevention in Zambia

Antiretroviral therapy in Zambia has been one of the most effective HIV/AIDS prevention strategies in recent years. Thanks to the efforts of the CDC and the Zambian government, the spread of HIV/AIDS has decreased steadily by 13 percent since 2010.

HIV/AIDS Prevention in Zambia – Strategies

  • Education and Awareness: The effective response and resource allocation from the Zambian government through early HIV testing had a profound effect on the stigma surrounding the virus, encouraging more people to get tested. To that end, the government implemented the GIPA policy, emphasizing equality in medicine free from discrimination. In addition, the National Health Services Act is a government policy aimed at strengthening the structural power of Zambia’s medical field to increase its influence on rural communities. Aside from spearheading research, the act more clearly defines Zambia’s medical infrastructure with a power structure to allocate resources as effectively as possible. Integrating these government programs into the heart of Zambia’s most impoverished communities decreases the chances of an outbreak.
  • Antiretroviral Therapy: As mentioned above, the CDC is also active in Zambia, focusing on early antiretroviral therapy in highly affected areas like the Copperbelt and the western provinces. Within these parameters, 89 percent of those who began treatment immediately are less likely to spread the virus. Outreach programs to reach the more impoverished and marginalized groups have also been successful, with antiretroviral therapy increasing among children from 23 percent in 2009 to 79 percent as of 2019. The government has also promoted the use of Pre-Exposure Prophylaxis (PrEP), a daily course of antiretroviral drugs (ARVs) taken by HIV-negative people which reduces the risk of contracting the virus.
  • Preventing Mother-to-Child Transmission: Through the PMTCT (Prevention of Mother To Child Transmission) plan, Zambia has made great strides aimed at preventing the spread of the virus from mother to offspring by providing lifelong antiretroviral therapy in Zambia. According to the CDC, through early education and effective policy implementation, the health protection agency has prevented 98 percent of HIV-exposed babies from contracting the virus.

Final Thoughts

The lack of access to basic health care and a comprehensive understanding of how HIV spreads, especially in rural communities, produces a hostile environment where exposure risk increases. Furthermore, high poverty and unemployment levels create a shaky foundation where socio-economic growth is key to eliminating the HIV/AIDS epidemic in Zambia. However, increased government spending has sprouted new testing facilities in rural areas, providing quality service where “…the Government is scaling up social protection by increasing allocations to the Social Cash Transfer (SCT) and Food Security Pack (FSP) program[s] and other poverty mitigation measures.”

The key to a structural change in Zambia’s HIV epidemic lies partially in assisting Zambia’s fairly large impoverished community. In addition, antiretroviral therapy in Zambia continues to be a focal point of the government’s long-term plan to eliminate the virus with increased spending on antiretroviral therapy and sex education in a bid to secure more prosperous futures for its citizens.

– Adam Townsend
Photo: Pixabay

September 27, 2019
https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg 0 0 Jennifer Philipp https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg Jennifer Philipp2019-09-27 12:44:382024-05-29 23:12:56The Success of HIV/AIDS Prevention in Zambia
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