child mortality
One out of every 20 children dies before the age of 5, and the Bill and Melinda Gates Foundation wants to know why.

That’s according to the foundation’s announcement in early June 2015 of a $75 million investment in a new program named the Child Health and Mortality Prevention Surveillance Network, or CHAMPS.

The network will utilize ground teams in Africa and Asia to gather information about recent childhood deaths. Teams will be positioned in key areas and will collect samples to be analyzed in advanced laboratories. In doing so, the foundation hopes to replace the current practice of conducting “verbal autopsies”—asking questions of parents following a child’s death—with something more comprehensive.

“The world needs better, more timely public health data not only to prepare for the next epidemic, but to save children’s lives now,” said Bill Gates, co-chair of the foundation, in announcing the investment.

As part of the new program, teams will utilize minimally invasive needle biopsies to take samples from certain deceased children after obtaining permission from parents. The samples will then be analyzed at labs throughout the world to determine the cause of death. Key partners in this effort will include the U.S. Centers for Disease Control and Prevention, as well as the Global Health Institute at Emory University.

While these teams will mostly be focused on monitoring childhood deaths, they will also be able to respond to global health crises, should the need arise. In an interview with The Atlantic, Gates stated the program would help detect epidemics sooner and deploy key resources faster. Gates believes this will improve upon the reaction time seen in the Ebola crisis.

The Ebola epidemic, still ongoing, is responsible for at least 26,000 reported cases and 11,000 deaths; the World Health Organization estimates many more cases have gone unreported. According to The New York Times, the WHO believes the first Ebola victim was a one-year-old boy. As the epidemic worsened, 12 weeks passed before the virus was properly diagnosed.

The new program may make a difference in some of the world’s poorest regions. High child mortality is a common symptom of poverty and is an indicator of poor access to medical services. It often causes overpopulation, as families are forced to consider that not all of their children will survive to adolescence.

The United Nations has made the reduction of childhood mortality a centerpiece of its development policy, naming it as one of the eight Millennium Development Goals. Since 1990, childhood mortality has been reduced by 50 percent. With new efforts and innovative technology, the Bill and Melinda Gates Foundation hopes to cut the rate in half once more.

– Kevin Mclaughlin

Sources: The Atlantic, Bill and Melinda Gates Foundation 1, Bill and Melinda Gates Foundation 2, New York Times 1, New York Times 2, United Nations, World Health Organization
Photo: Flickr

 

Ahmedabad
With a population of around 8 million, the city of Ahmedabad is the largest in India’s western region of Gujarat. While India has long held a reputation for being one of the world’s least developed countries, it has steadily been shifting and is now one of the fastest growing developing countries. Poverty in India is starting to disappear; industry is thriving, literacy rates are increasing and the world community is beginning to see it as a real front-runner. There is no better example of this new shift in development than Ahmedabad.

Census information gathered in 2001 showed a literacy rate of around 79 percent. The next census, gathered in 2011, revealed a great increase, showing that around 85 percent of the population was literate. The first step in decreasing poverty is increasing education. For many years, India has faced issues with its large impoverished communities not allowing their children to attend school because they needed them to work in order to support the family. Now, with increased aid from various NGO’s and family structure organizations, Ahmedabad’s youth have been, for the most part, educated at least to an 8th grade level. This six percent gain is not the only leap that Ahmedabad has made.

When one imagines India, they might picture crowded streets, pollution, over-population, grand temples and the Taj Mahal, which would all suffice to describe it. However, recent census information has shown a 1.55 percent decrease in birthrates. While to some this may seem sad, it is quite the opposite. Many poor families will have upwards of 8 children in an attempt to have as many people working in order to support the family. Often, women are overwhelmed by the pressure to have kids, and with no safe methods of birth control available, many have more than ten in their lifetimes. While supporting 10 kids is hard enough, this amount of children can also be very detrimental to a woman’s health. Many women to die during childbirth. In the past few years, many women’s health organizations have gone to the slums of India to introduce birth control packs and condoms to the people. This decrease in birthrate is also accompanied by a 6 percent decrease in death rates of women during childbirth, as the amount of institutionalized deliveries has increased by 13 percent. While this may seem small, it marks a big change for the city of Ahmedabad and India as a whole.

As India continues to grow, poverty rates in Ahmedabad are decreasing. Occupying a large strip of the coastline, Gujarat is one of the best areas for businesses seeking to work overseas to take root. The business models in Gujarat and Ahmedabad have been described by UNICEF as “being a highly effective growth and private sector-driven model. In fact, the average growth rate of GDP in Gujarat over the past two decades has been higher than the national average, and more balanced than the other high growth-rate states.” This positive increase in GDP is primarily due to the agricultural and business sectors.

For now it looks like poverty is out and development is in for the great city of Ahmedabad, and this is a trend that the global community hopes to see a lot more of in the future.

— Sumita Tellakat

Sources: UNICEF India, Journal of Health Population and Nutrition, Ahmedabad Census 2011
Photo: Flickr

Meningitis-Epidemic-in-Niger
On June 2, 2015, the World Health Organization (WHO) reported 8,234 cases of meningitis with 545 deaths in Niger. It is not the numbers that are alarming because it is the meningitis season in Africa, and Niger is in the meningitis belt.  But this season, the outbreak in Niger is unusually alarming for five major reasons.

Every year from December to June, the meningitis belt, which consists of 21 countries in sub-Saharan Africa that extend from Senegal in the west to Djibouti in the east, is hit by more meningitis cases than anywhere else in the world. This meningitis epidemic is due to Nesisseria meningococus serotype C. Until this meningitis season, serotype C was a type of meningitis common in the U.S., Canada and Europe. The other major serotypes associated with this deadly disease are A, B, C, Y, and W-135. It is type A that has been ravaging Africa for over 100 years.

According to WHO,  this is the largest outbreak of serotype C recorded in any country in Africa’s meningitis belt. It has affected 13 districts in Niger. Sixty-five percent of the cases are located in 4 out of 5 districts in the capital city, Niamey.

There are four conditions in the meningitis belt that make it ripe for recurrent meningitis epidemics in general: the drought and dust storms, impoverished living conditions/overcrowded housing, large population displacements and the immunological susceptibility of the population.

While the outbreak started slowly, it is now spreading quickly across the region. The number of cases has tripled during the first two weeks of May—near the end of the meningitis season. Doctors Without Borders reported that 350 meningitis patients a day were admitted to the hospital in Niamey during the first two weeks of May. Patients had to be discharged early and continue their treatment plan at home in order to make room for incoming cases. Doctors Without Borders also had to add an additional medical team.

Because serotype C meningitis has never been a major threat in Africa, efforts have been focused on eradicating epidemics of serotype A. From 2010 to January 2015, over 217 million people in 15 African countries had been vaccinated with MenAfriVac. MenAfriVac is a new vaccine developed by the Meningitis Vaccine Project coordinated by WHO and PATH to be affordable and effective in Africa. It has long lasting effects and has been so successful that serogroup A epidemics are expected to be eliminated from this region, according to WHO’s Weekly Epidemiological Record published on March 27, 2015.

Because this is the first large outbreak of serotype C in the meningitis belt, there has not been enough vaccine available to fight it. The vaccine is also not affordable for the people and the governments in Africa. The vaccine that prevents serotype C meningitis is often combined with vaccines that prevent the other types of meningitis producing a multivalent polysaccharide vaccine. It is available in the U.S., Canada and Europe, where type C has been most prevalent. Furthermore, due to the success of MedAfriVac, the need for the multivalent polysaccharide vaccine has diminished and has only been used in emergencies—not for prevention.

Although WHO and the International Coordinating Group on Vaccine Provision for Epidemic Meningitis Control requested 1.5 million doses of multivalent polysaccharide vaccine and 1.5 million doses of MenAfriVac to prepare for the 2015 meningitis season, one manufacturer had production problems and could not completely fill the request. Fortunately, GlaxoSmithKline in Britain, Instituto Finley in Cuba and BioManguinhos in Brazil provided most of the requested amount of the polysaccharide vaccine. WHO and ICG continue to stockpile the vaccine to combat future outbreaks in Africa’s meningitis belt.

This current meningitis epidemic in Niger peaked after the first few weeks in May, and by May 21 about 100 patients a day instead of 350 patients a day were being admitted to the hospital according to Doctors Without Borders. The Disaster Relief Emergency Fund has requested to extend its operation by six weeks to June 30 in order to reach 71,000 more beneficiaries in eight new districts.

– Janet Quinn

Sources: WHO—Africa, CDC, Doctors Without Borders, Relief Web, Reuters, WHO, WHO, WHO, Outbreak News Today
Photo: Doctors Without Borders

What's 'Musicogenic' Got to Do with It?Countless amounts of people have probably been either uninformed or misinformed of the still-developing musicogenic epilepsy. One may think: what is this ‘musicogenic,’ and what does it have to do with poverty and world issues?

Musicogenic epilepsy is defined as a rare neurological disorder retaining seizures that are triggered by the onsets of different sounds layered in musical pieces.

Initially considered “reflex epilepsy” that stemmed from the right temporal lobe according to a 1989 study, it would be later proven in further research that the disorder stemmed from multiple temporal lobe foci, alongside holding ties with certain emotional reactions and additionally breaking loose from categorization as a “reflex” disorder.

As early as 1937, researcher MacDonald Critchley recorded three cases that attained a then unknown phenomenon that would become the ‘musicogenic’ disorder. Critchley noted that the disorder was “too rare,” but did assure that the seizures could not occur without the inclusion of music, also adding that certain types of music contributed to the cause.

Take note of Mariah Carey’s 1993 up-tempo classic, “Dreamlover,” for example.

The angelic recording would live up to its critical title as an “infectious tune,” when in 1998, a Japanese native woman alleged that three minutes into the piece triggered a seizure episode, resulting in a lengthy hospital visit accompanied by a series of medical tests. It would then be found that certain elements—allegedly the sound of the production’s bells—would play a role in the attack.

What soon followed was not only an alleged lawsuit launched against Ms. Carey’s recording label, but also a more redefined look into the mysteries concerning the neurological disorder.

In 2003, during infantile epileptic testing, the 6-month-old subject’s right-sided focal seizures were triggered by loud music performed by The Beatles. Researchers formulated that personal musicality and sensory response served as potential results for the causes of the attacks.

However, in a recent study conducted in 2014, it was reinstated that emotion served as a driving response when testing the playback of Russian music to a 32-year-old epileptic-sufferer. Further findings indicated that the dysregulation process of “musically-induced emotions” played a role in musicogenic seizures, rather than the musical stimulus itself.

More results from the testing theorized that the newfound discovery of cognitive dysregulation could hold potential links to other forms of epilepsy, such as reading epilepsy.

Though it is still a developing mystery, several forms of epilepsy still account as a large suffering and mortality rate in impoverished settings; two-times the amount when compared to high-income settings.

In lower-income regions, where high mortality rates are often associated with the lack of treatment in epilepsy, medical supplies to aid epileptic-sufferers have been scarce. This results in the growth of risk factors.

As developments continue to be designated, inexpensive interventions are at the forefront of ultimate factors in minimizing epileptic rates. Other solutions presented include risk factor prevention, improved access to biomedical treatment and continuous supply of high-quality antiepileptic drugs.

Medical analysts are determined and confident that progressive testing and newly discovered results will yield the musicogenic disorder into the right direction for the betterment of studying, and moreover, for the potential solution to accompanying epilepsy cases in poverty-stricken areas.

– Jeff Varner

Sources: NCBI 1, The Lancet, NCBI 2, Editors Choice Archive, NCBI 3, Brain, NCBI 4, NCBI 5
Photo: Wikipedia

Afghanistan

Afghanistan is one of the most dangerous and impoverished nations in the world. What can be done to help to turn it around?

One of the biggest problems Afghanistan faces is its history of a weak rule of law. The rule of law has to do with the strength of legal institutions, as well as laws themselves. It also applies to how laws are carried out—equally or unequally.

When the rule of law is strong, it provides a basis for a society’s economic development, security, infrastructure and an accountable government. A strong rule of law also improves public health, alleviates poverty and improves education.

Weak rule of law leads to crime, corruption and the unequal application of laws across a society. Afghanistan has struggled with all these things, and improving and solidifying the rule of law is important to secure its future. For a country to flourish, a strong rule of law is needed.

It is a generally accepted idea, that for some, education is a pathway out of poverty. However, without a strong rule of law, which limits the Taliban preventing girls from going to school or corruption from impacting learner’s education, this pathway is fraught with difficulties. Corruption is a massive problem in Afghanistan—the country ranked last for the absence of corruption in the World Justice Project’s 2014 Rule of Law Index.

Sadly, the problem runs deeper than merely educating Afghan girls and boys with hopes that they will escape poverty. For Afghanistan to improve its rule of law and therefore it’s future, it’s legal education system must continue to be developed.

Because of Afghanistan’s five constitutions since 1964 along with Soviet occupation and the Taliban government, the country’s legal system been decimated and fallen behind the rest of the world. The legal education system has failed to produce a capable body of legal experts, instead a group of jurists who have made their best effort in recent times but are woefully unprepared.

Since U.S. military intervention and the fall of the Taliban in 2001, much has been done to try and improve both the university and legal education systems in the county. Strengthening these institutions can lead to fewer instances of land disputes—the main cause of conflict in Afghanistan. They are common because both informal and formal devices used to resolve the conflicts are fragile and weak.

Land disputes are also a perfect example of a weak rule of law because they illustrate an instance where a law says one thing, but in practice, it is not relevant, enforced or practical. The current land ownership law states the need for documents proving ownership of land, however, only 20 percent of land actually has these documents.

The U.S. State Department has played a role in developing the legal system in Afghanistan by bringing young lawyers to the U.S. to study, who have then gone back to their home country to set up legal practices. This is a good step, but improvement in the rule of law via more development of the legal education system in Afghanistan itself could go even further to improve its future as a safer, less impoverished country.

– Greg Baker

Sources: The Hague Institute for Global Justice, The New York Times, United States Institute for Peace, The World Justice Project, U.S. Department of State
Photo: Clarksville Online

malaria
Malaria is spread through mosquitoes that carry the disease. In the United States, the swamps and marshes that housed malaria-carrying mosquitoes were destroyed to eradicate the disease, a trick that worked well. However, this is not a tactic that will work worldwide, especially in hot and humid places where the majority of the landscape is marshland.

In places like these, a promising solution has been created: long-lasting, insecticide-treated nets (LLINs). An insecticide-treated net is a bed net that has been treated with safe, residual insecticide to kill and repel the infected mosquitoes while also physically blocking them out. LLINs are designed to remain effective for multiple years without needing to retreat.

Malaria kills about 660,000 people a year, most being children. LLINs are cost-effective in production and distribution and are considered to be one of the most cost-effective ways to save lives. The process of distribution is simple and thorough: survey the people to determine the need for the nets, deliver the LLINs, and then promote their use.

In the 2012 World Malaria Report that looked at 17 sub-Saharan African countries determined that 68-84 percent of people that owned the nets were using them, an increase since 2010. Along with this increase came fewer malaria-related deaths; however, the exact figures collected were fairly unreliable.

However, with a long-term solution at hand, scientists can focus on eradicating the disease entirely. In the Southern U.S. and Europe, where malaria has been eradicated, a big factor in defeating the disease was a change in human behavior, a shift in land use, and in housing. Scientists believe that more research is needed to understand the factors affecting transmission before the disease will be fully eradicated.

There is a long way to go before malaria is gone for good, but the long-lasting, insecticide-treated nets have proven to be successful in the lives of individuals. They are cost-effective and well-used. Eradication of malaria is within the foreseeable future.

– Hannah Resnick

Sources: Give Well, TDR
Photo: Fast Coexist

Five Companies Dedicated to Helping the World’s PoorPeople often do not know where to start when looking to help the world’s poor. One of the best ways to help is to use one’s purchasing power to support businesses whose mission is to also help those in poverty.

TOMS Shoes has a wonderful business plan: for every one pair of shoes that is purchased, one pair of shoes is given to a person in need. But they are not the only company that is dedicated to helping people out of poverty through their business plan.

The five businesses listed below are not a comprehensive list of dedicated companies by any means, but they are committed to using their products and platform to help those in poverty around the world with the most basic needs, specifically water, health and education.

Three Avocados

Three Avocados donates their profits to help provide clean water in Uganda and education initiatives in Nicaragua. The organization grows coffee bean in both countries. The Three Avocados website reports over 20,000 people in Uganda have been impacted by the company’s involvement in providing clean water. Consumers are able to buy sustainable coffee beans while helping people who need clean water and better education.

World Crafts

World Crafts operates in several countries around the globe empowering the artisans through fair trade initiatives. A number of the artisans are women who produce their goods as a means to raise their family out of poverty, such as the Miao women of China. Through embroidering beautiful designs onto various bags and such, the women are given the chance to raise their economic status and send their children to secondary school.

Hand in Hand

Hand in Hand creates artisan soaps that have a one to one donation ratio, which means that buying one bar of soap allows the company to donate one bar of soap and a month of clean water to people in Haiti. Clean water and proper hygiene through the use of the soap will, in part, help cut down on diseases in the area. The company is also committed to sustainable and environmentally safe ingredients for their soaps.

Ornaments 4 Orphans

Ornaments 4 Orphans operates on several levels. First, ornaments are created in areas stricken with poverty to boost the economy, and second, the proceeds from selling the ornaments are used to help children in need. Orphans in areas of poverty are prone to illness, sexual exploitation and lack of education. By using the proceeds to help orphans, the children are given a chance to create a brighter future than they might have had otherwise.

Starbucks and Oprah Chai

Starbucks offers a drink called the Oprah Chai. A portion of the money earned whenever a drink is purchased will go directly to Oprah Winfrey’s charity, the Leadership Academy Foundation. The foundation pledges to bring education opportunities, especially opportunities for higher education, to girls in South Africa.

While buying from these companies will directly help individuals in need, more can and should be done. Purchasing these products, as well as items from other responsible companies, will help raise awareness for the efforts needed to help people out of poverty. Consider using birthdays, graduations and other holiday events to make an impact in someone else’s life.

The list above barely touches the scope of companies that are doing good on the global scale. For even more ideas, check out Shop With Meaning to find other companies dedicated to helping those in poverty around the world.

– Megan Ivy

Sources: Three Avocados, WorldCrafts, Hand in Hand Soap, Ornaments 4 Orphans, Starbucks, ShopWithMeaning
Photo: Style Quotidien

Malnutrition in BurundiPopulated with over 10 million people, Burundi is a densely packed, landlocked East African country with the worst rates of malnutrition in the world.

Burundi was rated the world’s leading nation affected by hunger, according to the 2014 Global Hunger Index (GHI), a score calculated annually by the International Food Policy Research Institute. Plagued with political turmoil and prone to natural disasters, Burundi has seen rates of malnutrition increase in recent years. Despite global strides in combating malnutrition in recent history, Burundi is one of only four nations that has seen an increase in GHI from 1990 to 2014, indicating a worsening situation in the country. With 67.3 percent of the overall population undernourished, it is one of two countries with a hunger situation labeled “extremely alarming” in the study.

As the vast majority of Burundi’s population relies on agriculture, many of the country’s inhabitants combat food insecurity and malnutrition due to climate hazards, limited land access and limited crop diversity. Despite a constantly growing population, food production has stagnated at pre-1993 levels, according to the World Food Programme. Additionally, due to the rising costs of food — the price of beans increased by nearly 50 percent in recent years — the average household now spends over 70 percent of its income on food. While the nation’s government has programs in place to assist in the fight against malnutrition, it is growing increasingly costly for the country to deal with the worsening problem.

Common causes of malnutrition in the country include kwashiorkor and marasmus, both of which can stunt development and can be life-threatening if not treated. Although women and young children are most at risk for diseases caused by malnutrition, many men are also affected.

Additionally, many children and women suffer from a lack of micronutrients in their diets. In the first two years of life, it is especially crucial for children to get sufficient amounts of micronutrients such as iron, Vitamin A, iodine and zinc. Such nutrients are critical for physical growth and intellectual development.

Anemia is one of the biggest deficiency problems currently faced in Burundi, with 56 percent of children under the age of 5, and 47 percent of pregnant women anemic, according to the World Bank. Additionally, nearly half of the population as a whole is at risk for insufficient zinc intake, and a quarter of the country’s children under 5 and 12 percent of women are Vitamin A deficient. Although the effects of these deficiencies are less dire in the short term, they contribute to life-threatening illnesses and issues.

In order to address the problems of malnutrition in Burundi, the World Bank recommends extensive vitamin A supplementation and deworming in children under 5-years-old and increased iron supplementation for pregnant women. While about 96 percent of households are already consuming iodized salt, the World Bank recommends “universal salt iodization” in order to control iodine deficiency and avoid IQ loss in young children. Working to increase market and infrastructure development to promote dietary diversity can also combat issues with malnourishment.

Education and counseling services can also serve to improve feeding habits for children under five years old. While Burundi sees a lack of gender equality in most sects of life, women are still seen to have a strong maternal role in the family. UNICEF found that children of mothers with at least a primary level of education have 94 percent of fewer risks of growth stunting from malnutrition than children of mothers with no education. The study showed that mothers with some level of education had been proactive in managing malnutrition than other mothers, recognizing the importance of good breastfeeding habits, clean living and staggering pregnancies.

Since 2005, the Ministry of Health has emphasized building community-based infrastructure to screen for and treat acute malnutrition. Many organizations are also working with the Burundi government to increase education programs for mothers in order to deal with the country’s chronic malnutrition. In 2012, Burundi signed on to the Scaling up Nutrition initiative, which works with the United Nations, civil society, donors, businesses and researchers to work with communities on this issue. The initiative involves an interdisciplinary approach to combating malnutrition. Burundi’s approach, as established through the initiative, involves working to protect maternity leave, create legislation on the marketing of breast milk substitute, establish national directives on food, diversify and increase its food production, and increase nutrition education. The established goal in 2012 was to reduce malnutrition rates by 10 percent by 2016. No information has been released by Scaling up Nutrition or by the Burundian government on the progress of this goal.

– Arin Kerstein

Sources: International Food Policy Research Institute, International Food Policy Research Institute, Iwacu-Burundi, Scaling Up Nutrition, World Bank, Wolrd Food Programme, UNICEF
Photo: The Guardian

solar-powered_iShack
In 2012, South Africa’s subsidized housing program had built about 2.8 million houses since 1994. As impressive as that is, the country still faced a backlog of nearly 2 million homes. Facing these numbers, the government decided to shift its focus from providing new-made homes for every household to improving current living conditions. Approximately 1.2 million households, or 3 million people, are still living in informal homes today. These shacks have no electricity or running water. Many are uninsulated and poorly ventilated, creating unhealthy environments for those inside.

Mark Swilling decided to address this problem back in 2011. Swilling, the academic head of the Sustainability Institute in Stellenbosch, asked his students, “‘What can be done while people are waiting?’ We wanted to orientate [our research] towards what the average shack dweller could do while they are waiting for the state.”

His question led to the solar-powered iShack. The shiny metal walls of these ‘improved shacks’ stand out in shantytowns where wooden pallets and corroded sheets of zinc are the building norm. The shacks also feature insulation made of recycled plastic products, a layer of insulating bricks around the bases of the walls, windows designed to improve airflow, and a coat of fire-retardant paint.

The most popular feature by far, however, is the solar electricity. The shacks are equipped with a photovoltaic panel on the roof that powers a porch light and interior lights, as well as an electrical outlet that makes it possible for residents to charge their cell phones.

Damian Conway, manager and director of the Sustainability Institute Innovation Lab, the main team behind the implantation of the iShack, says that part of their research methodology was paying close attention to what they community really wanted. “Electricity is the number one thing that most people in Enkanini say they need,” Conway says. “The needs are all there: sanitation, water … but the main thing is energy.”

The iShack has been warmly received. Nosango Plaatjie, a mother of three living in one of the iShack prototypes, commented that the ability to keep her phone charged and her lights on has made a huge difference to her family.

“The solar [lights] are better,” Plaatije said. “Now we don’t need to go to sleep early anymore because now we have lights. My daughter must do her homework now, she doesn’t have any more excuses. And I like the light outside because we can see what is going on, I feel safer.”

The iShack model of incremental improvements to already-existing settlements has a lot of people excited. In 2013, the Bill and Melinda Gates Foundation supplied the organization with a grant that would allow the project to roll out across the informal settlement of Enkanini.

With much success and steadily rising support from the local community, other groups are beginning to take notice. Slum Dwellers International, a global nonprofit that serves the urban poor, is watching iShack with an eye toward implementing the project across many countries in Africa.

The secretariat-coordinator Joel Bolnick gave the impression of hopeful patience when he said, “Our intention is to give the institute some time to develop the model. They’re almost there now.”

– Marina Middleton

Sources: Mashable, The Guardian iShack Project CNN Live Science Mail & Guardian
Photo: Street News Service

Near-East-Refugees
Syria has seen a rise in violence and conflict; moreover, not just Syrians are the victims. Syria is home to 560,000 Palestinian refugees in 12 camps relying on aid. They have been living there up to four years or longer. After escaping violence in Palestine, these refugees find themselves in danger once again. Even the camps they thought would provide security are attacked. Aid can’t enter. Conditions can worsen. This can create preventable health problems: unsanitary conditions, starvation and disease. Many surrounding countries like Jordan and Lebanon have closed their borders to Palestinian refugees, making it difficult for them to flee the violence and worsening conditions.

Although it becomes difficult for aid workers assisting the refugees to provide the adequate care needed, aid continues to reach the refugees. The United Nations Relief and Work Agency for Palestine Refugees, or UNWRA in the Near East reaches more than three million people in 128 Primary Health Centers in the Middle East. In Syria alone there are 23 centers; however, only 19 are currently open because of violence. Yet, these centers reach about 80 percent of the Palestine population in Syria. Goals for 2015 indicate that 100 percent of the refugee population will be reached.

The services that UNRWA provides work to ensure a healthy lifestyle and environment. The Family Health Teams were developed to provide comprehensive care to visitors. There is preventive and curative care, outpatient, pharmacies and maternal offices. No longer does UNRWA just focus on the particular issue that brings someone to the clinics, but on the entirety of the health of the patient—this approach to aid is known as the Life Cycle Approach. The goal is to provide long-term medical aid to each person that enters. Doctors are able to treat all medical conditions from pregnancy complications to cancer, from the time a person is born to the time they die. By taking care of person through all stages of life, the hope is that this will lead to a healthier Palestinian community.

The Family Health Teams are made up of several teams that include a doctor, several nurses and a clerk. Each team has the same number of families to treat. The teams form personal relations with the patients, learning about their medical history. Check-ups after the initial visit allow preventable complications to be fixed before they become fatal; this enables the doctors to provide more adequate aid and proper monitoring to everyone. The new focus has seen a reduction in maternal deaths. About 99 percent of the population is immunized, and outbreaks of preventable diseases are near zero.

While conditions appear to be worsening for Palestinian refugees, new programs developed to provide aid for them are showing positive signs. Refugees have access to efficiently run health care providers that provide aid for any problem at any stage of life. The aid has gone beyond just temporary refugee camp health care to a permanent health care system. The doctors and nurses are able to not only combat health problems that are common in refugee populations like maternal death and the spread of communicable diseases, but also create a healthier Palestinian community by treating diabetes and lowering obesity levels.

– Katherine Hewitt

Sources: UNRWA 1, UN News, CNN, UNRWA 2, UNRWA 3
Photo: UNHCR