
Recently, the northern Pacific island nation of Palau hosted its 25th Education Convention from July 23 to July 25, with approximately 530 public and private school teachers attending. The convention follows years of progress in improving education in Palau by increasing enrollment rates, creating primary school retention programs and prolonging the average school life for both boys and girls. All these factors allow Palau to further develop its education system.
Education in Palau and Gender
Surprisingly, girls and young women in Palau have at times had higher enrollment rates than boys and men, according to a 2008 analysis by UNICEF. The Ministry of Education of Palau even stated, “…gender disparity is not an issue in Palau. If there are any cases of gender disparity, they would involve males rather than females.”
The numbers are telling. According to the Ministry in 2005, the adjusted ratio of women to men with post-secondary education was 1.11, and the ratio of girls to boys in secondary school and primary school was 1.23 and 0.92, respectively. Furthermore, according to Palau Census Data as cited in the United Nations Millennium Development Goals (MDG) status report, a larger proportion of Palau women have reached higher education than men for a college degree since 2000, an associate degree since 2005 and a bachelor degree since 1990.
Only 1.5 percent of women 25 years old and over have no education background compared to 2 percent for men in the same age group. In the same category, 81.5 percent of women have one to four years of college education, while the number only stands at 75 percent for men.
Palau has outperformed some Pacific island countries in such efforts. The Global Partnership for Education states that in Papua New Guinea, for example, the 2016 primary completion rate for boys and girls was 84.7 and 73.5 percent, respectively. Meanwhile, Palau’s 2014 primary completion rate for boys and girls was 96.947 and 94.69 percent, respectively. Although the Pacific Education for All effort lists various concerns of gender equity, low enrollment rates and high dropout rates for many Pacific island countries, many of these metrics do not apply to Palau.
Other Improvements Still Needed
While efforts to offer better girls’ education in Palau have been successful, other metrics for assessing the education system in Palau show that there is still room for improvement: The CIA World Factbook states that the school life expectancy for women in primary to tertiary education is 18 years compared to 16 for men. Further, the male literacy rate is 96.8 percent compared while the female literacy rate is 86 percent.
Other areas of the education system require further attention. Improving the quality of instruction is one of Palau’s top priorities, as the U.S. National Center for Educational Evaluation and Regional Excellence reported in 2016 that instructors scored “relatively low” on reading, writing and math skills in an assessment test. The accompanying survey found that the teachers scored particularly low on data analysis and probability; the report additionally found that teachers who scored higher had higher levels of education, taught upper-level schoolchildren and had higher reported proficiency in English.
Other indicators show weaknesses in the education system. In 2016, the student to teacher ratio in primary and secondary schools was 12:1, suggesting the possibility of overworked teachers who may not be able to give personalized attention. In primary schools in 2018, the CBE -– Life Sciences Education found that only 40 percent of teachers possessed a high school diploma. According to UNICEF, in 2015, 29 percent possessed an Associate of Arts or Science degree, and only 9 percent possessed a Bachelor of Arts or Bachelor of Sciences. Past just the teachers, many schools do not even have adequate funding for school supplies and many buildings are in desperate need of renovations.
Tertiary education opportunities are also limited, given the small nature of Palau’s education system. With only one public high school in the country, many students attend private schools. Should students choose to attend college, the country only has one––Palau Community College (PCC). Though scholarships to attend the University of California San Diego are available, little data on tertiary education in Palau indicates few opportunities for students to expand on their education following high school.
Given that Palau has a matrilineal society and aforementioned indicators demonstrate successes in improving girls’ education in Palau and the country’s high regard for education, the main challenge is not to achieve gender parity in education but to generally boost the quality of education.
To address these concerns, the Ministry of Education has made calls for Palau schools to begin formal accreditation processes to bring more international attention to the country. Accompanying this have been efforts to implement teacher certification procedures. Studies have found varying results in English language teaching proficiency that underscore a greater need to establish training requirements for teachers and offering more opportunities for students to engage in a variety of fields, including STEM collaborations with PCC. To achieve this, the Palau government passed legislation requiring that teachers participate in a teacher preparation program at PCC.
Shaping the Landscape
International movements, organizations and regional efforts, alongside national educational improvement programs, have all helped Palau maintain high enrollment rates for girls and women and generally improve the education system. Palau’s educational achievements come almost two decades after the 2000 World Education Forum sparked Educational for All, an international movement calling for nations across the world to identify and achieve six educational goals.
With the 2006-2016 Ministry of Education’s 10-year plan to improve the quality of instruction, children have access to education from first grade until the end of high school, with compulsory primary and secondary education. The nation’s Early Childhood Comprehensive System and Head Start program––modeled similarly to American programs––provide support for families, medical services and works with Human Services and the Department of Health to help primary care providers, teachers, caregivers and families holistically care for 400 children and their development.
The ever-increasing access women have to financial stability and a wider variety of careers and roles in society throughout the past few decades have not been linked directly to women surpassing men in educational performance and attainment, according to the U.N. The 2005 census shows that women have a higher life expectancy than men, and though women are still less likely to be employed than men are, women’s median income is greater ($9,740) than that of men ($8,417). Women have “dominated” the judiciary in Palau and roles in public boards, but have yet to achieve equity in politics at the national level.
With the 25th convention coming up, the opportunities are endless for how Palau can build off its successes in creating more educational opportunities for both genders, particularly girls, by improving the overall quality of education and allowing for that education to carry over into careers and contributions to Palau society.
– Jeongyoon Han
Photo: Flickr
Top 8 Most Influential First Ladies for Global Issues
U.S. presidents are often put in the spotlight, but what many people overlook is the work of America’s First Ladies. This list offers insight into the most influential First Ladies for global issues and their efforts to address these issues.
Top 8 Most Influential First Ladies for Global Issues
– Gabriella Gonzalez
Photo: Flickr
10 Facts about Child Labor in China
Top 10 Facts About Child Labor in China
– Henry Burkert
Top 10 Facts About Living Conditions in Hungary
Hungary is a country of 9.8 million people located in central Europe. It makes up a portion of the EU’s southern border and is a major immigration hub. Hungary is one of the EU’s poorer countries, with a GDP in the lower third of all member states, though it is still better off than many of its central European and Balkan neighbors. Below are the top 10 facts about living conditions in Hungary.
Top 10 Facts About Living Conditions in Hungary
Unemployment is high in Hungary, with only 68 percent of people age 15 to 64 employed. Of those employed, 75 percent are men and 61 percent are women. However, the number of employees working very long hours is less than 4 percent–much lower than the United States, where 11 percent of employees work long hours.
In terms of GDP, Hungary is ranked 23rd out of the EU’s 28 member states, at 68 percent of the EU’s average. In first place for the region is Austria, which produces at roughly twice Hungary’s capacity. Another metric used to determine the welfare of the consumer, Actual Individual Consumption (AIC), places Hungary second-to-last.
In 2015, the Hungarian government ended housing support to nearly half a million impoverished residents. Prior to that, several hundred thousand Hungarians were already experiencing housing poverty. A Habitat for Humanity report from 2014 noted that more than half a million Hungarians lived with leaky roofs and/or moldy walls. Just under half of the population (44.6 percent) live in overcrowded flats, and 52 percent of Hungarians not living in major cities have access to a sanitary sewer.
Although Hungary has had universal health care coverage since the 1940s, it still ranks in the bottom third in the EU in terms of quality of coverage. This is partly due to low salaries—medical professionals cannot expect to make as much money in Hungary as they would in other EU member states. The main issue is a focus on curative care in hospitals, rather than preventative care in other medical facilities.
As of 2018, Hungary has an annual inflow of $4.3 billion per capita of foreign direct investment (FDI), a full recovery from the stagnation of the 2009-10 financial crisis. While this is partly since Hungary has an ideal geographical position for foreign investment, foreign investors have also shifted focus from the relatively poor textile and food processing industries to more lucrative industries such as wholesale, retail trade and automotive repair.
For primary school students, enrollment has varied slightly over the past two decades, but has remained above 95 percent overall. At its highest, the enrollment rate was 97.2 percent in 2009, and at its lowest in 2012, at 95.7 percent. For adolescents in school, the statistics are similarly good: though there has been a slight rise since 2014 of the number of adolescents out of school, the overall number has hovered at less than 5 percent.
Only 13 percent of 25-64 year-olds have a bachelor’s degree, with 9 percent of that population holding a master’s degree or equivalent. These statistics are low, but the individuals who possess these degrees are reaping the benefits. Studies have shown that postsecondary education credentials can potentially double one’s earnings in Hungary: a bachelor’s degree is worth a wage premium of 72 percent, while a master’s or above can earn 140 percent more than the country’s respective average salaries.
An initiative led by the NGO HEInnovate to invest in higher education has been taking place over the last decade, spurred by a decline in institutional funding from the state. The focus of this initiative has been to utilize Hungary’s educational system to boost economic and socio-cultural development at the local and national levels. This has led to a marked increase in venture capital and start-up creation among academics and has caused strong domestic economic growth.
Since his election in 2010, Hungarian Prime Minister Viktor Orban has taken steps to consolidate hundreds of pro-government media outlets into a propaganda conglomerate. These actions have been received well by some but not as well by others — Orban enjoys far more support from individuals living in rural areas of Hungary than he does from individuals living in Hungary’s urban centers.
Since a section of Hungary’s border forms the external border of the European Union, the country has received many migrants in the past. However, in recent years Hungary has adopted a harder stance on immigration, which has drastically reduced the number of asylum seekers from the Middle East.
These top 10 facts about living conditions in Hungary demonstrate how the country remains at a crossroads in the European Union—geographically, economically and socially. While the country performs well in some areas, such as education and cost of living, it still faces more economic hardship than most other EU member states, and its status as a migration hub has led to entrenched xenophobia in the country’s political landscape.
– Rob Sprankle
Photo: Flickr
Ebola Prevention in Rwanda
In August 2018, the World Health Organization confirmed an Ebola virus outbreak in the Democratic Republic of the Congo. Since then, the Rwandan government has taken a proactive stance with a rigorous system to promote Ebola prevention in Rwanda. So far, the system has been successful. Despite constant traffic across the borders between the DRC and Rwanda, there have been no cases of Ebola in Rwanda.
Threat of Transmission from the DRC
Since the outbreak of Ebola in the DRC, there have been more than 2,600 confirmed cases of the virus and 1,800 deaths. According to the WHO, the DRC Ebola outbreak is one of the worst outbreaks in history, second only to the 2014 West Africa Ebola epidemic. The WHO recently designated the outbreak as a global health emergency. With approximately 12 cases of Ebola arising every day in the DRC, the threat of transmission to other countries is still high, especially Rwanda. Since the Ebola threat is just across their border, Rwanda’s government has been proactive in preventing it.
Strategies for Ebola Prevention in Rwanda
The Rwandan National EVD Preparedness Plan is the basis of Ebola prevention, with key strategies, including early detection and response training, Ebola education, vaccinating health workers, outfitting health facilities, and carrying out simulation drills.
Early detection and response training help prepare medical staff, from Red Cross volunteers to health care centers. Rwanda’s efforts to educate its citizens, also contribute to early detection and response training. Through radio, television, billboards and community meeting, the public has learned the signs and symptoms of Ebola, so citizens are better prepared.
Vaccinating health workers in high-risk areas is also critical to controlling transmission, should health workers encounter a patient with Ebola. Approximately 3,000 health workers have received vaccinations so far. Beyond health care officials, Rwanda set up an Ebola treatment center and 23 isolation units. These measures, paired with simulation exercises to maximize response efficiency, go beyond proactive, by preparing for potential Ebola transmission.
In addition to all these measures, health officials check for Ebola symptoms at points of entry to Rwanda. Officials check travelers’ temperatures and make them wash their hands, while Ebola awareness messages play in the background. So far, these measures have kept Ebola out of Rwanda. Even so, the threat of Ebola spreading to Rwanda remains critical.
Increasing Threat of Ebola Transmission
In early August 2019, Rwanda briefly closed its borders, after the third confirmed Ebola death in the Congolese border city of Goma. According to a joint statement from the WHO and the United Nations, the latest case of Ebola in the highly populated, border city of Goma increases the risk of the virus spreading to other countries.
The government closed the border to cut down on traffic between the two countries, due to concerns of transmission between Goma and the Rwandan city of Gisenyi. Though Rwandan officials shortly reopened the border in response to international criticism, they have also increased cross-border monitoring between the two countries.
Moving Forward
As WHO Director-General, Dr. Tedros Adhanom Ghebreyesus noted, “Rwanda has made a significant investment in Ebola preparedness.” These investments and prevention strategies have stopped the spread of Ebola into Rwanda thus far. However, the threat of Ebola transmission will remain significant, until the outbreak is controlled in the DRC. Therefore, it is crucial that the Rwandan government, as well as health organizations worldwide, keep encouraging Ebola prevention in Rwanda.
– Morgan Harden
Photo: Flickr
Central American Immigration and US Gun Policy
Thousands on the migrant caravan were outside Arriaga, Chiapas. To avoid some of the heat of the day they began walking at 2 am. Negotiations began in the dark, and shortly after dawn, the caravan continued towards Juchitan, Oaxaca. As the U.S. tightens its immigration policy at the border, civilians throughout Central America are struggling to cope with the bloodshed largely brought about by smuggled, American-made guns. Here is some information explaining the influence of immigration and U.S. gun policy on Mexico and various other Central American countries.
Variations in Gun Laws
Mexico and the United States have different gun laws. Although the constitutions of both countries protect a citizen’s rights to bear arms, Mexico’s licensing process is more rigorous. In Mexico, only one establishment, the Secretariat of National Defense (SEDENA), can produce and sell firearms. Anyone who purchases a gun in Mexico must register the weapon with this defense department. Even after proving employment, military service, proof of residence, picture identification, a Unique Population Registry Code and no criminal record, the country still bans some styles of AR and AK assault rifles from civilian purchase. Gun policy in the U.S. is far more relaxed giving further incentives to smugglers and those who hope to profit by obtaining guns illegally.
Smuggling Firearms has Increased
The illicit presence of U.S. guns has increased across Central America. Between 2011 and 2016, the Bureau of Alcohol, Tobacco, and Firearms (ATF) found that a licensed gun dealer in the U.S. purchased 70 percent of 106,001 guns that Mexican law enforcement recovered. Forty-nine percent, 45 percent and 29 percent of guns recovered from El Salvador, Honduras and Guatemala, respectively, were of U.S. origin. Between 2014 and 2016, El-Salvador had more U.S. sourced guns used for a crime than 20 states combined.
This type of activity, where someone purchases a gun legally only to give that firearm to someone who cannot purchase a gun legally, is a straw purchase. According to Gifford’s Law Center, U.S. law does not currently regulate or prohibit this act enough for change to occur.
Violent Crime
People use the majority of these smuggled weapons for violent crimes. The U.S. Government Accountability Office concluded in 2016 that just around half of the guns that the U.S. manufactured or purchased in Mexico at the time were either semi-automatic, AK or AR rifles. Mexican government officials are concerned because these firearm models can easily become automatic in style and have become the choice weapon of gang members for that reason.
Violent gun crime has grown substantially in recent years in this part of the world. The current rate of homicide in Mexico is 20.5 per 100,000 people. The percentage of fatal shooting homicides increased from 15 percent in 1997 to 66 percent in 2017. Firearm usage also grew from 58 percent to 68 percent in Mexican robberies between 2005 and 2017.
Many cite the overall increase in violence as a major reason for the increased northbound movement of Central American refugees and asylum seekers. Known as the migrant caravan, groups of up to 10,000 will join together on their trek towards a less violent and less corrupt life. They are unlikely to find a solution to this type of life until their countries address their serious political problems.
The profits from gun sales in the Central American States fuel the violence and corruption still present in those countries. Weaponry will continue to pour into these countries for profit. As of February 2019, the Trump administration solidified a new approach to international arms deals allowing for little to no congressional oversight on large sales. This process is to go to the Department of Commerce instead of the State Department.
Paths Towards Improvement
Though immigration and U.S. gun policy have a close relationship as of now, there are legitimate solutions all individuals can participate in. Three possible paths to follow towards improvement include to:
The presence of U.S. guns has become something of an epidemic for Central Americans. People in the United States and across Central America can benefit from changing the narrative surrounding immigration and U.S. gun policy.
– Fatemeh Zahra Yarali
Photo: Flickr
10 Facts About Life Expectancy in Malaysia
A former British colony, Malaysia achieved independence in 1957. Since gaining its freedom, Malaysia has seen steady growth, reducing its poverty rate, increasing literacy rates and providing affordable health care services. Life expectancy in Malaysia is at an all-time high. However, the promising statistics surrounding Malaysia’s booming economy provide a narrow window into poverty, mortality and other crises within the still-growing nation. These 10 facts about life expectancy in Malaysia give a closer look at the quality of life in the country.
10 Facts About Life Expectancy in Malaysia
The 10 facts about life expectancy in Malaysia prove a disheartening truth but are also a reason for immense hope. The disadvantaged in Malaysia suffer greatly because of a lack of health awareness, insufficient health care resources and income disparity. However, the revitalization of Malaysia after its independence displays how a nation can survive and flourish when given the help and change in governance it needs. The economy of Malaysia continues to ascend and with more work, so too should life expectancy.
– Anthony Negron
Photo: Flickr
10 Facts About Life Expectancy in Eritrea
The average life expectancy in Eritrea is 65 years, nearly seven years short of the world average. Before getting to the 10 facts about life expectancy in Eritrea, here is some general background on the country’s health metrics. In 2000, life expectancy in Eritrea was only 55, meaning there has been a substantial improvement over the past two decades. However, Eritrea‘s growth has been comparatively less than neighboring Ethiopia, which increased from nearly 52 to 65.5 over the same period and surpassed Eritrea for the first time since 1970.
According to the WHO, despite political turmoil and high poverty rates, Eritrea has managed to improve its health resources. With the official end of the Ethiopian-Eritrean war in 2018, all signs seem to indicate that life expectancy in Eritrea will continue to increase in the coming years.
Still, Eritrea is a complicated country with past political and economic troubles that make its future uncertain. However, present trends may give insight into the future longevity of the country’s citizens. Here are 10 facts about life expectancy in Eritrea.
10 Facts About Life Expectancy in Eritrea
These 10 facts about life expectancy in Eritrea indicate that the country is a long way from solving the humanitarian crisis which continues to affect its population. However, these facts do give some idea of which areas the country is addressing successfully and which it is neglecting. Many aid organizations around the world are working hard to increase the standard of living in Eritrea and elsewhere in the developing world. It, therefore, seems likely that in the near future, life expectancy in Eritrea will rise significantly.
– Alexander Metz
Photo: Flickr
An In Depth Look At Education in Palau
Recently, the northern Pacific island nation of Palau hosted its 25th Education Convention from July 23 to July 25, with approximately 530 public and private school teachers attending. The convention follows years of progress in improving education in Palau by increasing enrollment rates, creating primary school retention programs and prolonging the average school life for both boys and girls. All these factors allow Palau to further develop its education system.
Education in Palau and Gender
Surprisingly, girls and young women in Palau have at times had higher enrollment rates than boys and men, according to a 2008 analysis by UNICEF. The Ministry of Education of Palau even stated, “…gender disparity is not an issue in Palau. If there are any cases of gender disparity, they would involve males rather than females.”
The numbers are telling. According to the Ministry in 2005, the adjusted ratio of women to men with post-secondary education was 1.11, and the ratio of girls to boys in secondary school and primary school was 1.23 and 0.92, respectively. Furthermore, according to Palau Census Data as cited in the United Nations Millennium Development Goals (MDG) status report, a larger proportion of Palau women have reached higher education than men for a college degree since 2000, an associate degree since 2005 and a bachelor degree since 1990.
Only 1.5 percent of women 25 years old and over have no education background compared to 2 percent for men in the same age group. In the same category, 81.5 percent of women have one to four years of college education, while the number only stands at 75 percent for men.
Palau has outperformed some Pacific island countries in such efforts. The Global Partnership for Education states that in Papua New Guinea, for example, the 2016 primary completion rate for boys and girls was 84.7 and 73.5 percent, respectively. Meanwhile, Palau’s 2014 primary completion rate for boys and girls was 96.947 and 94.69 percent, respectively. Although the Pacific Education for All effort lists various concerns of gender equity, low enrollment rates and high dropout rates for many Pacific island countries, many of these metrics do not apply to Palau.
Other Improvements Still Needed
While efforts to offer better girls’ education in Palau have been successful, other metrics for assessing the education system in Palau show that there is still room for improvement: The CIA World Factbook states that the school life expectancy for women in primary to tertiary education is 18 years compared to 16 for men. Further, the male literacy rate is 96.8 percent compared while the female literacy rate is 86 percent.
Other areas of the education system require further attention. Improving the quality of instruction is one of Palau’s top priorities, as the U.S. National Center for Educational Evaluation and Regional Excellence reported in 2016 that instructors scored “relatively low” on reading, writing and math skills in an assessment test. The accompanying survey found that the teachers scored particularly low on data analysis and probability; the report additionally found that teachers who scored higher had higher levels of education, taught upper-level schoolchildren and had higher reported proficiency in English.
Other indicators show weaknesses in the education system. In 2016, the student to teacher ratio in primary and secondary schools was 12:1, suggesting the possibility of overworked teachers who may not be able to give personalized attention. In primary schools in 2018, the CBE -– Life Sciences Education found that only 40 percent of teachers possessed a high school diploma. According to UNICEF, in 2015, 29 percent possessed an Associate of Arts or Science degree, and only 9 percent possessed a Bachelor of Arts or Bachelor of Sciences. Past just the teachers, many schools do not even have adequate funding for school supplies and many buildings are in desperate need of renovations.
Tertiary education opportunities are also limited, given the small nature of Palau’s education system. With only one public high school in the country, many students attend private schools. Should students choose to attend college, the country only has one––Palau Community College (PCC). Though scholarships to attend the University of California San Diego are available, little data on tertiary education in Palau indicates few opportunities for students to expand on their education following high school.
Given that Palau has a matrilineal society and aforementioned indicators demonstrate successes in improving girls’ education in Palau and the country’s high regard for education, the main challenge is not to achieve gender parity in education but to generally boost the quality of education.
To address these concerns, the Ministry of Education has made calls for Palau schools to begin formal accreditation processes to bring more international attention to the country. Accompanying this have been efforts to implement teacher certification procedures. Studies have found varying results in English language teaching proficiency that underscore a greater need to establish training requirements for teachers and offering more opportunities for students to engage in a variety of fields, including STEM collaborations with PCC. To achieve this, the Palau government passed legislation requiring that teachers participate in a teacher preparation program at PCC.
Shaping the Landscape
International movements, organizations and regional efforts, alongside national educational improvement programs, have all helped Palau maintain high enrollment rates for girls and women and generally improve the education system. Palau’s educational achievements come almost two decades after the 2000 World Education Forum sparked Educational for All, an international movement calling for nations across the world to identify and achieve six educational goals.
With the 2006-2016 Ministry of Education’s 10-year plan to improve the quality of instruction, children have access to education from first grade until the end of high school, with compulsory primary and secondary education. The nation’s Early Childhood Comprehensive System and Head Start program––modeled similarly to American programs––provide support for families, medical services and works with Human Services and the Department of Health to help primary care providers, teachers, caregivers and families holistically care for 400 children and their development.
The ever-increasing access women have to financial stability and a wider variety of careers and roles in society throughout the past few decades have not been linked directly to women surpassing men in educational performance and attainment, according to the U.N. The 2005 census shows that women have a higher life expectancy than men, and though women are still less likely to be employed than men are, women’s median income is greater ($9,740) than that of men ($8,417). Women have “dominated” the judiciary in Palau and roles in public boards, but have yet to achieve equity in politics at the national level.
With the 25th convention coming up, the opportunities are endless for how Palau can build off its successes in creating more educational opportunities for both genders, particularly girls, by improving the overall quality of education and allowing for that education to carry over into careers and contributions to Palau society.
– Jeongyoon Han
Photo: Flickr
7 Facts About Overpopulation in Brazil
Brazil is located in South America and neighbors every country within the continent except for Chile and Ecuador. It has the largest number of Portuguese speakers in the world and is known as one of the most ethnically and culturally diverse countries in the world. Since the 1930s, immigrants from many countries have become the backbone of Brazil. Although the country’s growth does not necessarily cause poverty, there is a correlation between overcrowdedness and population growth in specific regions of the country that are poor. Here are seven facts about overpopulation in Brazil.
7 Facts About Overpopulation in Brazil
– Francisco Benitez
Photo: Flickr
How Oral Rehydration Therapy is Saving Lives
Background
Children in impoverished countries are diagnosed with dehydrating diarrhea approximately four times per year. Most cases of diarrheal diseases can be prevented with proper hygiene, sanitation and access to clean water. However, when prevention efforts fail, oral rehydration therapy has proven to be an effective treatment option for diarrhea.
Treatment
Oral rehydration therapy (ORT) uses available fluids such as breastmilk or rice water mixed with salt to rehydrate the ill. Oral rehydration solutions or ORS is a specific way of delivering ORT. Discovered in the 1970s, ORS is a mixture of sugar, salt and water that can be made at home to replenish electrolytes. In 2001, a new version of ORS, with reduced sodium and glucose, was packaged and distributed in powdered form.
The 2001 low-osmolality ORS reported decreases in stool volume and vomiting by 25 and 30 percent, respectively. Since the implementation of ORT in the 70s, it has saved 50 million lives at an individual cost of less than 30 cents per package. Further, supplementary zinc treatments have proven to reduce the duration and recurrence of diarrheal illness, and provide strong supplementation to oral rehydration solutions.
However, ORT use between 1992 and 2005 decreased in 23 developing countries because they had no knowledge nor access to oral rehydration solutions. The World Health Organization (WHO) estimates that ORT has the potential to save an additional 300,000 children’s lives each year with ORT and zinc supplementation, but, currently, only 42 percent of children in prioritized countries are receiving ORT treatment. Further, only 7 percent receive both ORS and zinc.
Even though oral rehydration solutions sell for only 25 cents, impoverished families living on less than $1 a day cannot afford these costs. Additionally, there are common misconceptions in poor, less educated, communities that those suffering from diarrhea should be restricted from the consumption of food and fluids including oral rehydration solutions.
Solution
The Global Maternal, Child Health Network and the American Public Health Association have worked together to create a strategy involving international policymakers and health organizations with four main components:
While prevention efforts such as improving hygiene and sanitation should remain a priority, it is not always possible to address the consequences of poverty. Approximately, 58 percent of diarrhea fatalities in low and middle-income countries is a result of poor sanitation and inadequate access to clean water. This problem cannot be fixed overnight, however, if provided to everyone, oral rehydration therapy is an affordable treatment that could prevent 93 percent of diarrhea deaths.
– Haley Myers
Photo: Flickr