
The silent killer, otherwise known as maternal and neonatal tetanus, is a life-threatening bacterial infection in newborns and their mothers that is associated with nonsterile delivery and cord-care practices. Although it is vaccine-preventable, when tetanus develops, mortality rates are extremely high. This is especially true when the appropriate medical care is not available, which is often the case in low-income counties. In 1999, there were 57 countries where tetanus posed a considerable risk for women giving birth. Today, that number has dropped significantly, but maternal and neonatal tetanus remains a public health threat in 13 countries: Afghanistan, Angola, Central African Republic, the Democratic Republic of the Congo, Guinea, Mali, Nigeria, Pakistan, Papua New Guinea, Somalia, South Sudan, Sudan and Yemen.
Kenya has put in great effort to eliminate maternal and neonatal tetanus where it once was a common problem. The commitment the country made has drawn global attention and is inspiring other countries to do the same.
Kenya’s Initiative
As of 2018, Kenya has been removed from the list of countries that sees maternal and neonatal tetanus as a public health threat by attaining elimination status. Elimination is only attained when there is a reduction of neonatal tetanus incidences to below one case per 1,000 live births per year. Kenya’s progress towards achieving this important public health milestone began in 2001, proving that this process takes time. A pre-validation assessment took place in Kenya in September 201 by the Ministry of Health with the support of the World Health Organization (WHO) and UNICEF. A WHO-led validation process took place in 2018 to confirm the elimination of the disease.
Eliminating maternal and neonatal tetanus takes a lot of planning, and Kenya has set a great example. In 2002, Kenya introduced a five-dose tetanus toxoid vaccination schedule and in 2003, the country began to implement immunization campaigns in high-risk areas. Kenya also focused on providing free maternity services to increase skilled birth attendants. Over time, they began including tetanus toxoid vaccines into the routine antenatal care packages. Today, Kenya is still working on strengthening health facilities and resources and plans to provide free medical care to children under five years of age.
The involvement of schools is another factor that helped Kenya eliminate maternal and neonatal tetanus. Aliaphonse’s Katuit primary school is a prime example of the success seen from the campaign. Ann Talam, one of Katuit primary school’s teachers, explained in an interview with UNICEF that the campaign not only reaches members of the student body but also their sisters or relatives who may not attend school. Education ensures that all girls, even those from poverty-filled communities, are immunized.
Kenya’s Impact
Reducing deaths from neonatal tetanus is one of the simplest and most cost-effective ways to reduce the neonatal mortality rate. As of 2012, Kenya’s immunization coverage for newborns protected against tetanus reached 73 percent — and it continues to rise. WHO estimates a 94 percent reduction in neonatal deaths from 1988, when an estimated 787,000 newborn babies died of tetanus within their first month of life.
As Kenya eliminates maternal and neonatal tetanus, it has inspired the country to combat other diseases as well. They plan to identify the unreached and design an innovative approach to reach these populations with immunizations. On February 22, 2019, WHO representative, Dr. Rudi Eggers, addressed the recent measles outbreak in the country, attributing it to lapses in the routine immunization system since the previous measles and rubella outbreak in 2016.
“There is an urgent need for all stakeholders to come together and work to increase immunization coverage and address inequities,” Eggers said.
The Kenya campaign also aims to vaccinate nearly 14 million children between the ages of nine months and 14 years — nearly 40 percent of the population — for other common viruses.
Since Kenya’s elimination of maternal and neonatal tetanus, more than 153 million women around the world have been immunized with two or more doses of vaccines fighting against tetanus. The Eliminate Project, funded by the Kiwanis Children’s Fund, plans to learn from Kenya’s success and use it to inspire other countries to follow their lead. In 2018, The Eliminate Project raised a total of $502.282.72 to save and protect mothers and their babies worldwide.
Along with planning and taking initiative, Kenya recommends planning outreach activities for remote places, promoting delivery in health facilities and strengthening knowledge of health workers on the immunization schedule. Kenya sets an example of how small changes can overcome the silent killer of maternal and neonatal tetanus.
– Grace Arnold
Photo: Flickr
Fighting Breast Cancer in Developing Countries
Early Detection: A Better Chance for a Cure
Great strides have been made in the prevention and treatment of breast cancer in developed countries. More than 80 percent of women diagnosed in North America, Sweden and Japan survive. However, the situation is far different for women in the developing world. Less than 40 percent of women diagnosed in developing countries survive the disease, according to the WHO. This disparity in fatalities can be attributed to a lack of early detection. Studies in Europe and Canada found that the risk of breast cancer death decreased by more than 40 percent among women who underwent early diagnostic screening. In the U.S., data reveals the widespread use of early detection procedures and a 39 percent decrease in U.S. breast cancer fatalities after the 1990s.
Screening for Breast Cancer in Developing Countries
In 2003, the World Health Survey found that only 2.2 percent of women aged 40 to 69 years received breast cancer screening in low- to middle-income nations. More than half of women newly diagnosed with breast cancer in those nations have already progressed to stage III or IV disease. In the United States, 71.5 percent of women aged 50-74 have been screened within the past two years and over 90 percent of recently-diagnosed women have locoregional breast disease.
Why Aren’t Women Screened?
One of the main factors preventing women in low- to middle-income countries from early breast cancer detection is the high cost of screening procedures. Core needle biopsy (CNB) is a common diagnostic procedure that allows doctors to test a sample of breast tissue from the area of concern. In high-income countries, doctors use efficient and expensive disposable CNB drivers for breast biopsies. Low-income countries often cannot afford the same expense, relying instead on reusable drivers. These drivers are easily contaminated and the cleaning process is extremely time-consuming and costly, rendering breast cancer biopsies unavailable to most women in developing countries.
Ithemba: Hope for Women with Breast Cancer
A group of Johns Hopkins undergraduates won a 2019 Lemelson-MIT Student Prize for their creation of a safe, low-cost, reusable breast cancer biopsy device. After learning of the unsafe and inefficient diagnostic methods in developing countries, the team of four young women set out to create a safe and cost-effective CNB driver. Their device is named Ithemba, the Zulu word meaning “hope.” the CNB driver is centered around increasing women’s access to early breast cancer diagnosis. The device’s disposable needle contains a chamber that traps contaminants and is easily sterilized with a bleach wipe, ensuring safe reuse. Ithemba is expected to last up to 20 years before replacement is necessary.
The Johns Hopkins students have conducted over 125 stakeholder interviews. They predict that within the first five years on the market, Ithemba will impact the lives of 300,000 women in developing countries. In May of 2018, the team filed for a patent and are now searching for low-cost manufacturing methods and finalizing estimated costs.
Valerie Zawicki, one of the four undergraduates on the team, insists that the location of a woman’s home should not determine her odds of surviving cancer. The mission of Ithemba is to give all women—no matter where they live—hope with the chance to fight and survive breast cancer.
– Sarah Musick
Photo: Wikimedia
A Look at the Health Care System in Senegal
The health care system in Senegal is focusing its reforms on expanding the range of health services offered. For example, increasing access to traditionally underserved populations and introducing social protection measures.
Health Care Sections and Structure
Both private and public health sectors exist in Senegal. Employees receive coverage from the IPM (Institut de Prévoyance Maladie) Health Fund, a public health care system in Senegal. In fact, employers have the responsibility of providing health care to employees.
However, employees must contribute to the workplace for at least two months before receiving coverage. Some services of these health care systems in Senegal include partial coverage of pharmaceutical and hospital costs, primary care, vaccinations and emergency treatment.
The public health care system in Senegal includes a Social Security department, but the responsibility of health care and employment are not inclusive. Therefore, if an individual is not employed but wants to receive public healthcare services, they have the option to use Welfare services, which covers primary care. On the other hand, private health services are also available for those unemployed, not receiving health care services.
Addressing Access to Health Care Services
While the health care system in Senegal is improving, there is still a lack of effort to address health disparities within the population. As a result, only 32 percent of rural households have access to regular health care.
Many organizations are working to provide aid ensuring wider access to health care in Senegal. For example, Health Systems Strengthening, a program stemming from USAID, is working to establish a performance-based financing project in six regions in Senegal. Additionally, it is working to provide services to three-quarters of the population.
The Role of International Aid
The Centers for Disease Control and Prevention (CDC) is also providing health care services in Senegal. Their initial focus is on providing medical services for HIV/AIDS through the HIV sentinel surveillance program. Widening their goals for the health care system in Senegal is due to the U.S. President’s Malaria Initiative of 2006 and the U.S. President’s Emergency Plan for AIDS Relief of 2010.
Work in Senegal
In 2015, the Global Health Security Agenda, in partnership with the CDC was able to establish an office in Senegal. Through this, there has been additional development of networks and partnerships. For example, the CDC is now working with the World Health Organization and the Ministry of Health and Social Action.
Furthermore, IntraHealth is an organization working in Senegal for over a decade. Their goal is to help increase services for family planning and education about Malaria. So far, training has been provided for more than 1,000 workers. These workers specialize in family planning services. On a broader scale, 15,000 home visits throughout Senegal have. been conducted; Ultimately, to raise awareness about Malaria.
Overall, groups, such as USAID and the CDC are working with the government to address the health care system in Senegal. In partnership, there are increasing quantities of awareness and involvement.
– Claire Bryan
Photo: Flickr
Are Roasted Crickets the Future of Food?
If the rise of Entomo Farms is any indication, the world is about to undergo a food revolution. The Bellevue, Washington-based company produces roasted crickets and cricket flour for human consumption. The crickets are sustainably raised and highly nutritious, containing 13 grams of protein per serving (1/3 cup). The insects also provide high amounts of calcium and iron, along with vitamin B12. Many industry experts believe that the nutritious nature of these insects can help to significantly reduce malnourishment worldwide.
Cricket Production
Most of the production of these crickets occurs at Entomo Farms’ private farm in Norwood, Ontario (the biggest cricket farming facility in North America). The crickets are farmed efficiently and sustainably. They are allowed to roam freely in dark, warm “cricket condos,” which simulate their natural habitat. The crickets are harvested only at the end of their life cycle, which lasts about six weeks. This ensures that the crickets are produced humanely, which is an integral aspect of Entomo Farms’ approach to cricket farming.
Roasted Crickets and Cricket Powder
Once they are farmed, the crickets are prepared in a special facility. They are rinsed thoroughly to remove bacteria and then broken up into two groups: some are roasted in the oven, intended to be eaten whole, and others are placed into a food processing machine, in which they are ground into a fine powder. This powder will be sold as “cricket flour” and is intended to be used as a nutritious supplement to regular flour. The flour can also be used in smoothies and protein shakes.
Investments and Impact
Entomo’s production network is quite vast: they ship their crickets around the world, to locations like South Africa and Australia. In addition, they are currently working on getting more of their products into large supermarkets. All of this points to massive growth in the near future – in fact, the entire insect production industry is expected to undergo a 24 percent CAGR (compound annual growth rate) increase from 2019 to 2030.
As a result, Entomo recently received a large investment from Canadian food company Maple Leaf Farms. When asked about the transaction, Maple Leaf CEO Michael McCain said in a statement that his company “sees a long-term role in this form of protein delivery, both for animal and human consumption”. This investment bodes well for both companies, as production will be able to be scaled, and profits will likely increase. Once this occurs, Entomo Farms’ products will be able to make their way into the homes of the world’s poor, providing individuals and families alike with key nutrients.
Changing the World
Cricket production holds immense potential in changing how developing world eats. The protein and vitamins in the roasted crickets and cricket powder provide a nutritious boost to meals that many individuals in poverty sorely need. In addition, the environmentally friendly nature of cricket production is quite promising. Everything said, there is no doubt that Entomo Farms is changing the world for the better.
– Kiran Matthias
Photo: Flickr
Kenya Eliminates Maternal and Neonatal Tetanus
The silent killer, otherwise known as maternal and neonatal tetanus, is a life-threatening bacterial infection in newborns and their mothers that is associated with nonsterile delivery and cord-care practices. Although it is vaccine-preventable, when tetanus develops, mortality rates are extremely high. This is especially true when the appropriate medical care is not available, which is often the case in low-income counties. In 1999, there were 57 countries where tetanus posed a considerable risk for women giving birth. Today, that number has dropped significantly, but maternal and neonatal tetanus remains a public health threat in 13 countries: Afghanistan, Angola, Central African Republic, the Democratic Republic of the Congo, Guinea, Mali, Nigeria, Pakistan, Papua New Guinea, Somalia, South Sudan, Sudan and Yemen.
Kenya has put in great effort to eliminate maternal and neonatal tetanus where it once was a common problem. The commitment the country made has drawn global attention and is inspiring other countries to do the same.
Kenya’s Initiative
As of 2018, Kenya has been removed from the list of countries that sees maternal and neonatal tetanus as a public health threat by attaining elimination status. Elimination is only attained when there is a reduction of neonatal tetanus incidences to below one case per 1,000 live births per year. Kenya’s progress towards achieving this important public health milestone began in 2001, proving that this process takes time. A pre-validation assessment took place in Kenya in September 201 by the Ministry of Health with the support of the World Health Organization (WHO) and UNICEF. A WHO-led validation process took place in 2018 to confirm the elimination of the disease.
Eliminating maternal and neonatal tetanus takes a lot of planning, and Kenya has set a great example. In 2002, Kenya introduced a five-dose tetanus toxoid vaccination schedule and in 2003, the country began to implement immunization campaigns in high-risk areas. Kenya also focused on providing free maternity services to increase skilled birth attendants. Over time, they began including tetanus toxoid vaccines into the routine antenatal care packages. Today, Kenya is still working on strengthening health facilities and resources and plans to provide free medical care to children under five years of age.
The involvement of schools is another factor that helped Kenya eliminate maternal and neonatal tetanus. Aliaphonse’s Katuit primary school is a prime example of the success seen from the campaign. Ann Talam, one of Katuit primary school’s teachers, explained in an interview with UNICEF that the campaign not only reaches members of the student body but also their sisters or relatives who may not attend school. Education ensures that all girls, even those from poverty-filled communities, are immunized.
Kenya’s Impact
Reducing deaths from neonatal tetanus is one of the simplest and most cost-effective ways to reduce the neonatal mortality rate. As of 2012, Kenya’s immunization coverage for newborns protected against tetanus reached 73 percent — and it continues to rise. WHO estimates a 94 percent reduction in neonatal deaths from 1988, when an estimated 787,000 newborn babies died of tetanus within their first month of life.
As Kenya eliminates maternal and neonatal tetanus, it has inspired the country to combat other diseases as well. They plan to identify the unreached and design an innovative approach to reach these populations with immunizations. On February 22, 2019, WHO representative, Dr. Rudi Eggers, addressed the recent measles outbreak in the country, attributing it to lapses in the routine immunization system since the previous measles and rubella outbreak in 2016.
“There is an urgent need for all stakeholders to come together and work to increase immunization coverage and address inequities,” Eggers said.
The Kenya campaign also aims to vaccinate nearly 14 million children between the ages of nine months and 14 years — nearly 40 percent of the population — for other common viruses.
Since Kenya’s elimination of maternal and neonatal tetanus, more than 153 million women around the world have been immunized with two or more doses of vaccines fighting against tetanus. The Eliminate Project, funded by the Kiwanis Children’s Fund, plans to learn from Kenya’s success and use it to inspire other countries to follow their lead. In 2018, The Eliminate Project raised a total of $502.282.72 to save and protect mothers and their babies worldwide.
Along with planning and taking initiative, Kenya recommends planning outreach activities for remote places, promoting delivery in health facilities and strengthening knowledge of health workers on the immunization schedule. Kenya sets an example of how small changes can overcome the silent killer of maternal and neonatal tetanus.
– Grace Arnold
Photo: Flickr
10 Facts about the Northern Triangle Enhanced Engagement Act
The North Triangle of Central America (NTCA) is made up of three nations: Honduras, Guatemala and El Salvador. Though rich in culture and wildlife, the three countries this region houses are considered incredibly dangerous. Honduras, in 2011, was named the “murder capital of the world”. Every year, the number of asylum seekers fleeing from the NTCA increases as violence, poverty and drug trafficking in the region worsen.
In May 2019, a bill titled the Northern Triangle Enhanced Engagement Act (NTEEA) was introduced in the US House of Representatives. This bill, in a nutshell, aims to address the aforementioned causes of migration from the NCTA. There are two goals to this bill. First, to promote regional stability in the NCTA. Second, to increase border security in the US. Currently, the bill has passed through a committee that aims to issue a report to the House for further consideration. Here are 10 facts about the NTEEA.
10 Facts about the Northern Triangle Enhanced Engagement Act
The 10 facts about the Northern Triangle Enhanced Engagement Act demonstrate the strong need for foreign assistance in the Northern Triangle region of Central America. Guatemala, Honduras and El Salvador, all homes to rampant violence and harrowing poverty, are expected to majorly benefit from the NTEEA.
– Anna Giffels
Photo: Flickr
Women’s Empowerment in Developing Countries
Under the Millennium Development Goals, the world has made progress toward gender equality and women’s empowerment through equal access to primary education. However, discrimination against women still happens in every part of the world.
Current statistics show only 24 percent of women sit in national parliaments internationally. Only 13 percent of women are agricultural landholders, and over 19 percent of women from ages 15 to 49 have experienced physical and sexual violence. If this is not enough reason to treat women as equals in developing nations, consider that women make up a disproportionate 70 percent of the world’s poor.
Interventions by the United Nations, World Bank and USAID are pushing women’s empowerment projects. However, more can be done. The health and education levels of women and girls in developing countries continue to trail behind men and boys due to a lack of investment.
Economic Opportunities for Women’s Empowerment in Developing Countries
One of the most important ways to promote peace and stability is to provide economic opportunities to empower women. Through economic partnerships between public and private sectors that enable women to be part of a nation’s growing economy, research has shown a ripple effect against poverty that will extend across families and societies.
According to the International Monetary Fund, Rwanda’s pro-women empowerment reforms after the 1994 genocide have contributed immensely to the country’s recent economic success. Between 2000 and 2015 average income in Rwanda more than doubled, outpacing the average development of sub-Saharan Africa. These reforms require a 30 percent quota for women in decision-making positions, including 24 out of 80 seats reserved for women in the Lower House of Parliament. Rwanda’s women parliament members are also focused on ensuring that their girls are being educated so that they are able to lead economically.
Educational Opportunities for Women’s Empowerment in Developing Countries
Empowerment aims to move persons from oppressed powerlessness to positions of power. Education is a vital component in empowering women in developing countries. Through the provision of confidence, knowledge and skills, women can rebuild impoverished communities. Studies by the World Bank have shown that across 18 of 20 countries with the highest levels of child marriage, girls have no access to education.
Educating adolescent girls about their rights has been a critical factor in increasing the age of marriage in developing countries such as Indonesia and Sri Lanka.
In Indonesia, the International Center for Research in Women has worked on making public spaces safer for women by creating women empowerment programs. The programs advocate for safer spaces and a workplace integrated with men and boys.
In Sri Lanka, the World Bank had been raising awareness to reduce the stigma of HIV and AIDS. Because of this, women can obtain the help that they need and decrease infant mortality associated with early child marriage.
Technological Opportunities for Women’s Empowerment
Worldwide, 200 million more men have internet access than women. Women are also 21 percent less likely to own a mobile phone, a key resource in developing countries where phones provide security, mobile health care and facilitate money transfers.
Technology has great potential in closing the gender gap and empowering women in developing countries. Educating girls in STEM and IT will help women and girls pursue opportunities in these fields. For instance, in Egypt, women have developed an application called HarrassMap. The application maps out areas of high sexual assault and allows women to feel secure within their communities.
Poverty Alleviation through Women Empowerment
By empowering women to participate in growth opportunities, developing countries will accelerate their economic and social development. Working women invest 90 percent of their earnings back to their families, leading to greater health and education for their children. This, in turn, creates a cycle that sustainably alleviates poverty.
– Monique Santoso
Photo: Flickr
10 Facts About Farming in Africa
10 Facts About Farming in Africa
Improving the lives of African farmers is possible through education and outside funding. USAID can focus on improving transportation networks for rural areas, as well as expanding the infrastructure of suppliers and markets. Through gender-equalizing laws and lowering tariffs, African farmers can also increase their benefits from their work. These 10 facts about farming in Africa show that African farmers make up a large majority of the world’s poor, and there is much to be done when it comes to improving their future.
– Isadora Savage
Photo: Flickr
Dignity Period Protects Girls’ Education in Ethiopia
Ethiopia is located in sub-Saharan Africa just west of Somalia. Poverty levels have been decreasing in the country since the early 2000s, but the female education levels are still struggling to raise their percentages. The main cause of the female dropout rate, menstruation, is high in pre-teen and early teen ages. Approximately one in ten girls in Ethiopia and sub-Sahara Africa as a whole begin missing school during their menstruation cycles. The total amount of days missed adds up to an average of around twenty percent of the school year. Girls miss school during this time because of lack of access to proper menstruation hygiene products. Many girls drop out during this time while those who stay struggle to keep up in their studies. Because of this, one company aims to protect girls’ education in Ethiopia.
Stigma Attached with Menstruation
The UNICEF records that the topic of a women’s menstruation is not taught in most schools and girls do not talk with each other about it, either. Along with these factors, sanitary hygiene for women is expensive or unavailable, and more than half of Ethiopian women do not have access to the necessary menstrual supplies needed to manage their periods. Instead, most girls use dried grass or rags to deal with their periods.
Dignity Period and Freweini Mabrahtu
The company advocating practically for girls’ education in Ethiopia is called Dignity Period. Its founders are Dr. Lewis Wall and his wife. The company receives its products from the Mariam Seba Sanitary Products Factory, which is run by Freweini Mebrahtu. Mebrahtu designed a fully washable pad that can last up to two years and costs around ninety percent less than a year’s worth of disposable pads. The pads have cotton linings and waterproof backings, and they are secured to underwear with a small button and come in a discreet package that folds securely to keep them clean. Mebrahtu claims that in Ethiopia, most girls do not speak of their periods because it is considered a taboo subject and is particularly shameful.
Education on Menstruation
Not only does Mebrahtu run the factory that produces these reusable pads, but she also educates students on women’s menstruation. Her goal is to defeat the stigma around a women’s period so that girls can feel comfortable and safe about their bodies’ natural processes. Mebrahtu also educates boys for this reason. She holds an educated gathering of students at school where she teaches boys and girls about the naturalness of a woman’s period. Afterward, Mebrahtu teaches individual girls how to use the pads and keep themselves clean during their periods.
Changing the ways in which society thinks about a woman’s period is how Dignity Period is influencing girls’ education in Ethiopia. Mebrahtu wants girls to no longer feel ashamed about their body’s natural processes and to give them the freedom and ability to stay in school and be able to achieve their dreams.
– Chelsea Wolfe
Photo: Flickr
10 Facts about Living Conditions in Equatorial Guinea
Equatorial Guinea is a small nation on the west coast of Africa. While Equatorial Guinea is one of Africa’s largest oil producers it also faces many challenges associated with living conditions. Living conditions are poor, due to problems ranging from corrupt politics to low education rates. These 10 facts about living conditions in Equatorial Guinea shed light on the major issues the country faces.
10 Facts about Living Conditions in Equatorial Guinea
Overall, there is hope on the horizon for Equatorial Guinea. Despite years of problems and issues, many which still remain, the country has seen improvement from many of its sectors. Most importantly, the country is now getting attention from multiple aid groups, who are doing what they can to improve conditions there. With support and attention, perhaps the worse of these 10 facts about living conditions in Equatorial Guinea can be nothing but history.
– Owen Zinkweg
Photo: Flickr
Top 10 Facts About Living Conditions in the Marshall Islands
In the Central Pacific, a series of 29 atolls and five islands compose the independent republic of the Marshall Islands. The Marshall Islands used to be under United States trusteeship but now exists as a freely associated state with the U.S. As of 2018, the Islands had a population of 75,684 people. Additionally, life expectancy ranges from around 71 years for men and 76 years for women. Despite these promising life expectancy rates, there is room for improving current living conditions in the Marshall Islands. Below are the top ten facts about living conditions in the Marshall Islands.
Top 10 Facts about Living Conditions in the Marshall Islands
Although the interventions and aid of the United States are prominent in the islands, there is still work to be done that will hopefully improve living conditions in the Marshall Islands.
– Haley Hiday
Photo: Flickr