Pediatric heart disease is seen throughout the world and causes grave sickness in children. It is often complicated and hard to treat. With poverty and lacking resources, pediatric heart disease in developing countries becomes nearly impossible to manage.
It is difficult to determine how many children have heart disease because of lacking global data. Figures are generally surmised from industrialized nations. Since better diagnostics were implemented, experts estimate that 8-12 per 1,000 live births have heart disease. Children can also develop heart disease from heart rhythm disorders and infections (among other things).
Children with heart disease have very complicated health situations. Those born with a heart defect may have other birth defects. And as treatment improves and children live longer, they develop secondary diseases such as kidney failure.
Their situation is worsened by a lack of knowledge in developing countries. There is a common misconception that children do not develop heart disease. Parents may not recognize the serious symptoms, and as a result, children are often diagnosed later in life when treatment is harder and more expensive. Medical professionals do not always recognize heart disease in children, leading to misdiagnosis.
Worldwide, heart disease is expensive to treat. In the U.S. in 2009 the hospital cost of treating heart failure in children was thought to be $1 billion. This figure does not include outpatient visits, medications, treating secondary conditions, transportation and parents’ lost work.
Funding treatment of pediatric heart disease in developing countries is challenging. There is a lack of data to guide medical policy and infrastructure and the disease is likely under-reported. When poor countries decide how to best spend small healthcare budgets, it seems plausible to focus on more prevalent conditions that are cheaper to prevent, such as infection.
Providing adequate cardiac care requires significant resources. For simple heart surgeries, sterile consumables (such as drapes) are needed, as well as sophisticated equipment and trained personnel. More complex heart conditions may require more advanced equipment and highly educated providers.
Many children with heart disease in developing countries have surgically curable defects. Yet, because of costs, these children receive simpler “quick fix” surgeries. Another issue that developing countries have with providing acceptable heart surgeries is they often struggle with clean water and electricity, which are crucial in running any hospital.
Fortunately, many organizations see the struggle of treating pediatric heart disease in developing countries. In 2015, there was a survey of NGOs that provide care for this population. The survey lists more than 80 NGOs.
Some of these organizations perform mission trips to developing countries, where they perform heart surgeries in the local hospitals. Others bring children into industrialized nations for surgery and take them back after recovery. In some instances, organizations have worked with the country and local healthcare providers to build lasting cardiology programs that can serve the country more permanently.
Pediatric heart disease is a complicated condition. While seen throughout the world, it has a greater impact in developing nations because of higher birth rates. This does not mean it is not treatable. With great investment from NGOs and governments, children in developing countries can have the same outcomes as those in industrialized nations.
– Mary Katherine Crowley
Photo: Flickr
Pediatric Heart Disease in Developing Countries
It is difficult to determine how many children have heart disease because of lacking global data. Figures are generally surmised from industrialized nations. Since better diagnostics were implemented, experts estimate that 8-12 per 1,000 live births have heart disease. Children can also develop heart disease from heart rhythm disorders and infections (among other things).
Children with heart disease have very complicated health situations. Those born with a heart defect may have other birth defects. And as treatment improves and children live longer, they develop secondary diseases such as kidney failure.
Their situation is worsened by a lack of knowledge in developing countries. There is a common misconception that children do not develop heart disease. Parents may not recognize the serious symptoms, and as a result, children are often diagnosed later in life when treatment is harder and more expensive. Medical professionals do not always recognize heart disease in children, leading to misdiagnosis.
Worldwide, heart disease is expensive to treat. In the U.S. in 2009 the hospital cost of treating heart failure in children was thought to be $1 billion. This figure does not include outpatient visits, medications, treating secondary conditions, transportation and parents’ lost work.
Funding treatment of pediatric heart disease in developing countries is challenging. There is a lack of data to guide medical policy and infrastructure and the disease is likely under-reported. When poor countries decide how to best spend small healthcare budgets, it seems plausible to focus on more prevalent conditions that are cheaper to prevent, such as infection.
Providing adequate cardiac care requires significant resources. For simple heart surgeries, sterile consumables (such as drapes) are needed, as well as sophisticated equipment and trained personnel. More complex heart conditions may require more advanced equipment and highly educated providers.
Many children with heart disease in developing countries have surgically curable defects. Yet, because of costs, these children receive simpler “quick fix” surgeries. Another issue that developing countries have with providing acceptable heart surgeries is they often struggle with clean water and electricity, which are crucial in running any hospital.
Fortunately, many organizations see the struggle of treating pediatric heart disease in developing countries. In 2015, there was a survey of NGOs that provide care for this population. The survey lists more than 80 NGOs.
Some of these organizations perform mission trips to developing countries, where they perform heart surgeries in the local hospitals. Others bring children into industrialized nations for surgery and take them back after recovery. In some instances, organizations have worked with the country and local healthcare providers to build lasting cardiology programs that can serve the country more permanently.
Pediatric heart disease is a complicated condition. While seen throughout the world, it has a greater impact in developing nations because of higher birth rates. This does not mean it is not treatable. With great investment from NGOs and governments, children in developing countries can have the same outcomes as those in industrialized nations.
– Mary Katherine Crowley
Photo: Flickr
Causes of Poverty in Lithuania
The vast inequality present throughout Lithuanian society is the result of a persistent lack of adequate social programs and fair incomes. In addition, many areas of Lithuania maintain a low standard of living, with poor access to social programs and services, quality education and non-agricultural employment opportunities. This is particularly true of rural areas that are largely disconnected from the state’s urban centers and therefore do not benefit from the prosperity of the Lithuanian government or local businesses. Improving infrastructure to connect rural areas to urban centers would supply additional opportunities to those residing outside the city rather than forcing them to pursue only opportunities in their immediate vicinity. To do so would eliminate one of the main causes of inequality and therefore chip away at the causes of poverty in Lithuania as well.
Within Europe, more equal societies typically have the lowest rates of poverty. These are the states that prioritize social protections and mandate an adequate income in order to support a decent living, whereas others neglect disadvantaged populations in favor of other kinds of spending. Thus, one of the main causes of poverty in Lithuania is also one of the main causes of inequality: lack of adequate government assistance and social protections. For example, Lithuanian pensioners often do not receive enough to live on and thus become dependent on their families, placing an additional burden on household incomes that are already low. A more equitable allocation of government spending and redistribution of government services would serve to provide poorer and more vulnerable populations the resources they need to rise out of poverty.
By national standards, nearly 30 percent of Lithuania’s population faces poverty and social exclusion, one of the highest rates among members of the European Union. A comparable portion of the population is considered at risk of poverty. These facts and the lack of opportunities and government assistance available to Lithuanians have driven Lithuanians out of the country in search of better employment, despite the growth of the Lithuanian economy. In 2016, 50,333 Lithuanians left the country, 5,800 more than in 2015 and 13,172 more than in 2014. Should this pattern persist, economic growth in Lithuania will eventually slow, resulting in higher rates of poverty and inequality. In addition, those leaving are likely to be skilled workers, which means that Lithuania could also soon face a brain-drain, deepening the economic downturn that could occur.
While the causes of poverty in Lithuania are relatively simple to identify, their implications for the future are complicated as the country moves forward. In order to stop the emigration that would inevitably worsen Lithuania’s poverty rate, there must be a shift toward more equitable social programs and an effort to improve the access of rural communities to urban centers, therefore exposing them to education and employment opportunities necessary to their success. Should these issues be addressed, it is likely that Lithuania’s recent prosperity will continue.
– Alena Zafonte
Photo: Flickr
Quality of Life Uncertain for Refugees in Kenya
There have been quite a few issues that have risen since the town’s creation. The most prominent of these issues is that Kalobeyei was established just as South Sudan’s civil war greatly intensified, causing many refugees in Kenya to arrive with hardly anything more than the clothes on their backs, as well as without the proper resources that would help them make an attempt at a new life.
The World Food Programme provides $14 per month as a cash allowance to each refugee, which is supposed to cover up to 80 percent of an individual’s needs in the town. This may not be enough to live off of due to the current conditions these refugees are left in after the civil war, especially since Kalobeyei is hosting nearly 40,000 refugees, including individuals from places such as South Sudan, Ethiopia, Uganda, the Democratic Republic of Congo and Burundi.
There have also been many complaints from the refugees in Kenya who are currently residing in Kalobeyei. Refugees say that little to nothing that they were promised has been offered in the town. They have found themselves in an isolated camp where both food and water are in short supply and that residents are at the mercy of thievery that goes on within Kalobeyei. One resident of the town—an Ethiopian refugee—said, “When they brought us here, we were told that the place would be like a community village with many development projects, a school, clinic, market and almost everything close by,” but there is close to nothing within the settlement that is within walking distance.
When the UNHCR’s office in Kenya heard of this story, communications director Yvonne Ndege had a drastically different description of what life was like residents of Kalobeyei saying that the town was in fact not built in a remote area and had markets, water tanks and primary schools on-site, as well as stating that “there is no heightened security situation or security threat at Kalobeyei or Kakuma.” She went on to explain that refugees had the option to visit the camp before relocating and that perhaps they “may have had different expectations,” despite having viewed Kalobeyei in advance.
Whatever the case may be, it is wise to be empathetic and understanding toward refugees in Kenya when it comes to these situations—having to relocate yourself and your family is never easy, and struggling in a new environment does not make anything less difficult. Hopefully, the UNHCR will empathize and refugees in Kenya will be able to resolve and overcome the issues with Kalobeyei, for the town is meant to only do good.
– Sara Venusti
Photo: Flickr
WHO and LSE: Reducing Suicide in Low-Income Countries
A recent study conducted by the London School of Economics determined trends that indicated a positive association between poverty and suicidal behaviors. Low-income countries in Asia and the Pacific, two of the poorest regions globally, also suffer from the highest burden of suicide in the world.
Suicide in low-income countries displays trends that are very different than those in high-income countries in Europe and North America. For example, high-income countries report a greater number of male suicides, and those who commit suicide usually use different methods than those in low-income countries. The differences between risk groups and trends between high- and low-income countries highlight the importance of targeted research and prevention strategies.
Most low-income countries, however, do not have the proper structure or information to effectively help those contemplating suicide. These countries face issues such as poor education and high mortality from infectious and noncommunicable diseases that consume their limited resources. In poor countries, there are less than 0.5 psychiatrists per 100,000 people, and, in high-income countries, there are 6.6 physicians per 100,000 population. Clearly, access to physicians and proper healthcare in poor countries is limited.
The recent study done by the London School of Economics is thus a positive step, despite its sobering results. Another recent study published by Global Mental Health exposed the significant knowledge gaps between suicidal information for high- and low-income countries. Therefore, any gathering of data regarding mental health in low-income countries is helpful and important.
Other organizations are also taking concrete steps toward helping those experiencing mental health problems in poor countries. In 2013, the 66th World Health Assembly announced the first ever Mental Health Action Plan of the World Health Organization (WHO).
The program seeks to remedy the problem of a shortage of mental health professionals by allowing more general health workers to aid in suicide prevention under the supervision of psychiatric experts. The WHO hopes to reduce the rate of suicide in countries by ten percent by 2020.
The actions by the World Health Organization and the London School of Economics are promising in the battle for mental health and against suicide in low-income countries. While their actions are steps in the right direction, further research and development of prevention strategies are necessary to effectively combat the high prevalence of suicide.
– Lauren Mcbride
Photo: Flickr
Human Rights in Singapore in Need of Reform
Singapore’s Media Development Agency (MDA) requires all online news sources to register themselves and subjects them to regulation by the government. They are prohibited from receiving any foreign funding, and the government also limits the circulation of any foreign news sources in the country. This is supposedly so that the organization can maintain religious and racial harmony and national security.
In 2009, Singapore passed the Public Order Act, which requires a police permit for all group assembly in public. While this is similar to the policy in the United States, where one must apply for a protest permit, the grounds for denial of the permit in Singapore are very broad. There are far more applications that are denied than accepted, severely limiting the right to free assembly. Singapore does have a “Speakers’ Corner” which is open for rallies and protests—as long as they don’t touch on racial or religious issues, and as long as they are only Singaporean citizens; foreigners need a police permit to participate.
In 2014, Prime Minister Lee Hsein Loong sued an activist and blogger for defamation. The blogger, Roy Ngerng Yi Ling, was fired from the private hospital he worked at, and the courts ended up ruling against him. This was an open denial of free speech on the part of the Singaporean government.
Even as recently as May 2017, Singapore has continued to limit freedom of speech. Prime Minister Lee Hsein Loong’s nephew, Li Shengwu, made criticisms of the country’s leadership in a private Facebook post. Since then the government has been pushing him to sign an apology letter and to admit to contempt of court, but Mr. Shengwu refused and continued to point out the human rights violations the Singaporean government was committing.
Singapore has committed a number of other human rights violations, but these are very basic rights its citizens lack. Much reform is needed to make Singapore a more equal and free nation, but activists and citizens are hopeful for change in the future. As unfortunate as it is that certain human rights in Singapore are often denied, most countries started with many human rights violations before realizing the importance of granting their citizens these rights. Singapore is hopefully on its way to doing so as well.
– Liyanga De Silva
Photo: Flickr
Positive Planet: Lending to the Greater Good
Because this service goes to low-income individuals, it is popular among many nonprofits and private businesses to help people start enterprises around the world. Many microfinance institutions lend to women, young people and others who have been historically kept out of finance.
One organization, in particular, strives to alleviate poverty by empowering marginalized populations.
Since its founding in 1988, Positive Planet has set out to provide microloans to women who want to start their own businesses. The nonprofit aims to provide the chance to start a viable, sustainable business to women without resources. The organization also follows some of the intuition behind the Sustainable Development Goals, especially the goals of gender equality, decent work and economic growth.
The organization, based in France, manages projects through different locations that provide assistance to people in different countries. Positive Planet’s reach extends all over the world to 35 countries. Its projects span from helping refugee businesses in the Middle East to inspiring young people in West Africa.
Since its beginning, the organization has touched more than 40,000 people through nearly 40 projects. Just one of these projects helps microfinance groups provide women with financial education. The project aimed to help further develop the infrastructure in place for microfinance in China and also support women’s finance training. Through a partnership with Diageo and the Huimin Microcredit Company, the project was able to directly impact more than 7,000 people.
Another project assisted low-income women in Brazil with entering the labor market and learning the basics of entrepreneurship. The program attempted to benefit vulnerable women through individual support. By partnering with Gerando Vida, a local NGO, the program was able to directly impact the women and their families.
By helping vulnerable women around the world, this organization takes a staunch position against global poverty. This organization and its results demonstrate the importance of empowering women entrepreneurs.
– Selasi Amoani
Photo: Flickr
Yemeni Refugees in Oman: Finding a Welcome Home
Oman has taken in many refugees from its neighbor Yemen, which is currently experiencing a civil war sparked by a rough transition of power from longtime authoritarian leader Ali Abdullah Saleh to his deputy, Abdrabbuh Mansour Hadi, in 2011.
The Houthi rebels, representing Yemen’s Shi’a minority, took advantage of the chaos and seized large swathes of territory, including the capital of Sana’a, while Hadi fled to the coastal city of Aden. Al Qaeda, which has long had a foothold in the region, has also been involved in the conflict. As of May 2017, the U.N. estimated about 10,000 people have been killed in Yemen, mainly civilians.
In response to the increasing instability in Yemen, an eight-nation coalition of Arab states, led by Saudi Arabia, launched Operation Storm of Resolve against the Houthis. Oman, while a member of the Gulf Cooperation Council alongside the Saudis, is one of the few nations in the region in the region and the only one in the council not to intervene militarily. Instead, it has opted to support Yemen through humanitarian aid and taking in Yemeni refugees.
Difficult Conditions Facing Yemeni Refugees in Oman
Officially, the Omani government refuses to give the exact numbers of refugees it takes in, but its officials estimate about 2,500 Yemenis live in the country, many illegally. Many of the refugees have lost their families, or come to Oman in search of adequate medical care. According to the U.N., only 45 percent of Yemeni hospitals are fully equipped. By March 2017, about 1,200 Yemeni refugees in Oman have received medical treatment at Omani hospitals, according to Oman’s health ministry.
Oman forbids refugees from working in the country, but many do to send money back home to families who desperately need it, with Omani authorities often turning a blind eye. However, the strain the intake of Yemeni refugees puts on the country has not gone unnoticed. “It is definitely going to be a burden to Oman if the war situation escalates in Yemen,” political analyst Khalfan al Maqbali saisd.
Still, as of now, there are no plans for Yemeni refugees in Oman to be turned away or removed. For the near future, Yemeni refugees in Oman are here to stay.
– Andrew Revord
Photo: Flickr
Mass Emigration Impacts Latvia Poverty Rate
In 2013, the Latvian government developed a policy of turning “welfare into workfare.” This is the practice of welfare being given only for jobs, like road-sweeping. Unfortunately for the government, this resulted primarily in depopulation. While Latvia has had massive amounts of emigration for many years, since this action it saw negative 14,262 net migration. This means that it had far more emigration than immigration.
The highest demographic exiting the country was people of working age, between 15 and 61. This has become a major concern for the Latvian government. Its workforce has decreased massively but unemployment rates are still quite high, resulting in a very high poverty rate.
That being said, there are ways to reduce the Latvia poverty rate, but they will take quite a lot of work from the Latvian government. There are some policies that were enacted before 2010 to address poverty but they were not very effective. There is a minimum wage in Latvia which was updated in 2009 and serves as a very indirect measure for reducing social inequality. Additionally, families are able to apply for social support, so long as they can prove that the income of each family member does not exceed 50 percent of the minimum wage for three months.
The government has not put more measures or economic programs in place for protecting the working class or the unemployed, and this will have to change immediately in order to both encourage repopulation and reduce poverty. There is also a great need for more information collection in the population. Little is known about how current poverty measures are benefiting the Latvian population — if at all.
While current measures are somewhat helpful, Latvia really needs more legislation that will limit the number of people in poverty and put in place measures for improving their economic status. There are currently no policies relating to lifting citizens up out of poverty which is particularly important because the poverty prevention methods really aren’t working. Latvia has quite a way to go before it can consider itself poverty free, but the dedication of the Latvian government and the commitment of other members of the European Union to aid them is a good place to start.
– Liyanga De Silva
Photo: Pixabay
Human Rights in Montserrat Well Protected
In fact, there are seemingly very few concerns with the state of human rights in Montserrat. Amnesty International and Human Rights Watch list no major human rights violations on the island. The U.S. State Department’s 2016 Country Report on Human Rights for the U.K. only mentioned Montserrat once. This mention was related to same-sex age of consent varying across Overseas Territories.
One of the few concerns regarding human rights in Montserrat relates to children’s rights. The U.S. Department of Labor’s 2015 Child Labor and Forced Labor Report for Montserrat found no evidence of forced labor and multiple protections against child labor and trafficking. However, the Department did note a lack advancement in efforts to reform a legislative gap prohibiting the use of children in illicit activities. According to the report, this could leave children vulnerable to the worst kinds of forced labor.
During the past legislative year, children’s rights have been a primary focus in Montserrat. This was addressed in September 2016 with Montserrat’s 2016 throne speech. This speech set out the government’s policy agenda for 2016/2017. The speech acknowledged growing concerns regarding child abuse on the island while stating that children must be protected from this treatment. The Children (Care and Adoption) Bill was also briefly laid out as an example of multiple bills that would work to protect children and families in Montserrat. This specific bill will establish protections for children on the island, including preventative measures and safe spaces for protection, nurturing and counseling. With this area of concern being addressed, human rights in Montserrat should be well cared for in the future.
– Erik Beck
Why Is Bolivia Poor?
Despite having the second most important natural gas industry in South America, its impact worldwide does not reach the top 1 percent in terms of international activities, which puts Bolivia in a situation of economic risk. On a domestic level, Bolivia’s lack of demand for resources within the country, as well as failed investments in the forestry industry, have shrunk its economic gains and profits since 2002.
Why is Bolivia poor? Bolivia’s main problem has been one that is prevalent in other countries such as Colombia, Honduras and Panamá: social inequality, which has afflicted Latin American countries for decades. However, inequality has been declining over the past decade.
Between 2008 and 2012, Bolivia’s Gini coefficient, a formula to determine a country’s level of inequality, dropped from 0.5 to a 0.45, where 0 equals perfect equality and 1 represents the highest levels of inequality. In 2014, Bolivia’s Gini coefficient decreased further to 0.13. Bolivia’s international affairs decreased its Gross Domestic Product by 6 percent during the year of 2016.
In 2016, the National Plan for Economic and Social Development (PDES) was approved. Public investments, infrastructure investments, the industrialization of natural gas and Bolivia’s 40 percent gross governmental debt are some of the areas in which the PDES will have a positive impact.
Needless to say, there is hope for Bolivia. As of now, the unemployment rate stands at 6.5 percent, one of the lower numbers in Latin America. Bolivia’s GDP has increased by 7.8 in 2017, thanks to growth in the construction sector.
UNICEF, an international NGO that focuses on children’s development around the world, has developed a partnership with Bolivia in order to implement water hygiene as well as environmental sanitation in the less developed parts of the country.
Habitat for Humanity is an organization that is also helping Bolivia, in particular by tackling slum housing and homelessness amongst Bolivian citizens. By raising money, offering volunteering and more, solutions are now a reality that are making Bolivia’s level of poverty decrease and quality of life increase at an extraordinary pace.
– Paula Gibson
Photo: Flickr