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Disease, Global Health, Global Poverty, WHO

HIV Prevention Drug Lenacapavir to Reach 120 Countries

HIV Prevention Drug to Reach 120 CountriesAt the end of 2023, approximately 39.9 million people worldwide were living with HIV. An estimated 0.6% of adults aged 15 to 49 years globally are living with the virus. However, the impact of the epidemic varies significantly among countries and regions. Gilead’s new, affordable, twice-yearly lenacapavir (LEN) injection effectively prevents HIV, especially in women. On Oct. 2, 2024, the company announced licensing agreements to offer the drug at lower costs in 120 “high-incidence, low-income” countries. The World Health Organization (WHO) described this development as a significant advancement in combating the life-threatening disease, which affects roughly half its victims as women, predominantly in sub-Saharan Africa.

HIV Prevention Drug Lenacapavir

Lenacapavir is a long-acting injectable that provides pre-exposure prophylaxis (PrEP) to reduce the risk of contracting HIV. Earlier this year, a study in South Africa and Uganda revealed the drug’s high efficacy in preventing HIV among HIV-negative girls and women. Furthermore, another trial involving men in Argentina, Brazil, Mexico, Peru, South Africa, Thailand and the United States (U.S.) demonstrated nearly complete protection. Indeed, in the lenacapavir group tested, among women, there were no new cases of HIV infection and the trials revealed no significant safety concerns.

Pressure on Gilead from World Leaders

Following the publication of these findings, Gilead faced pressure from the People’s Medicines Alliance along with a group of 300 world leaders, celebrities, scientists and activists to make the drug available in middle- and low-income countries simultaneously as people in wealthier nations. Among the signatories were actors Gillian Anderson, Stephen Fry, Sharon Stone and Alan Cumming; former heads of state; and Francoise Barré-Sinoussi, a Nobel-winning scientist. In a letter addressed to the Gilead CEO Daniel O’Day, they pushed the company to open the license up to poorer nations immediately. Furthermore, they expressed their hope that the “groundbreaking” development could make “radically positive change for people facing stigma.”

HIV in Low-Income Countries

Gilead is prioritizing the registration of LEN in the 18 countries with the highest HIV incidence rates, in Sub-Saharan Africa and South-East Asia. These high rates stem from inadequate domestic and international funding, with natural disasters and regional conflicts complicating governments’ HIV response efforts. HIV prevalence is higher in specific population groups, including men who have sex with men, which fuels stigma around the disease. However, global efforts to increase treatment accessibility have yielded substantial progress over the past two decades. Currently, 29.8 million of the 39 million people living with HIV are receiving treatment. Indeed, this is a significant increase from 7.7 million in 2010.

Looking Ahead

In response to these promising findings, the WHO has announced it is actively developing guidelines in collaboration with experts and global partners to ensure an affordable supply and equal access to the drug. New pharmaceutical developments are emerging rapidly. HIV prevention drug lenacapavir presents a hopeful method of combating the disease in high-risk countries.

– Hannah Dunford

Hannah is based in Edinburgh, Scotland and focuses on Global Health and Politics for The Borgen Project.

Photo: Flickr

October 25, 2024
https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg 0 0 Precious Sheidu https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg Precious Sheidu2024-10-25 07:30:152024-10-24 12:39:40HIV Prevention Drug Lenacapavir to Reach 120 Countries
Global Poverty, Health, Nonprofit Organizations and NGOs

How the Global Fund Is Addressing TB in India

Tuberculosis in IndiaThe Global Fund is a nonprofit organization founded in 2002. Since then, it has provided treatment to people with HIV, tuberculosis (TB) and malaria around the world. As of the Summer of 2024, the Fund has invested almost $10 billion in TB prevention and treatment for patients worldwide.

The Global Fund has integrated numerous services into primary health care systems that use innovative technologies, such as mobile health solutions, to improve patient tracking and adherence to treatment. Health professionals will use vans with technology like X-rays and diagnosis kits to provide free health treatments in the most remote locations. The Fund has vastly increased community access to medicines, testing and protective equipment like mosquito nets.

The Global Fund and India’s Close Collaboration

The Global Fund utilizes various strategies to combat TB in India, which reported 1.96 million cases or one-third of TB cases globally in 2021. The Fund has worked closely with the Indian government since 2006 and multiple local nongovernmental organizations (NGOs) to implement effective TB screening, treatment and prevention programs. The government of India, especially Prime Minister Narendra Modi, has shown immense support for the initiative to end TB in India by next year.

Success in Perspective

In 2012, the Indian government implemented a law requiring all diagnosed cases of TB to be reported to public health officials. This policy has successfully reduced the number of unreported cases plaguing the country. One untreated case can spread the disease to 15-20 people in a year. Due to the highly infectious nature of TB, it is crucial to catch cases as early as possible.

Furthermore, through its close collaboration with the Global Fund, India has transitioned from having the highest tuberculosis population to becoming an innovative supporter of global health. In 2019, India hosted the organization’s Sixth Replenishment Preparatory Meeting. Today, thanks to the efforts of the Global Fund, India can support other global health care organizations by serving as a primary source of low-cost pharmaceuticals.

JEET

The Joint Effort to Eliminate TB (JEET), a nonprofit organization, partners with the Global Fund and NGOs in India to improve access to diagnoses and treatments across all communities. JEET works closely with community health professionals and hospitals to promote sustainable solutions that will continue to benefit the population in the future. Indeed, by collaborating with various NGOs, including TB Alert India and the NGO TB Consortium India (NTC), the organization can reach the most at-risk populations and manage cases and outbreaks efficiently.

India is among the countries with the highest number of private health care providers. Between 2018 and 2020, JEET expanded the Patient-Provider Support Agency model in more than 100 districts across nine high-TB-risk states. This model ensures widespread access to TB treatment and patient support in the most vulnerable communities.

Impact of the Global Fund on Poverty

In 2023, the Global Fund provided treatment to more than 2.4 million people in India, improving life expectancy in low-income communities. As of 2022, the Fund has reduced TB-related deaths by 36% since beginning its work in various countries. Ultimately, TB has a profound impact on poverty levels and economic productivity in India, highlighting how successful TB control can lead to healthier communities, reduced health care costs and enhanced economic opportunities for affected populations.

Impacted individuals struggle on different levels throughout day-to-day life, making access to treatment life-changing for families reliant on working income. Furthermore, reducing the impact of TB on health care systems leaves more time, staff and funding to address other health issues in low-income communities.

– Lauren Sellman

Lauren is based in Rochester Hills, MI, USA and focuses on Good News and Global Health for The Borgen Project.

Photo: Flickr

October 25, 2024
https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg 0 0 Lynsey 2 https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg Lynsey 22024-10-25 01:30:582024-10-24 12:09:55How the Global Fund Is Addressing TB in India
Aid, Global Poverty, Government

4 Estonian Organizations Making a Difference

Estonian OrganizationsEstonia, a northeastern European country north of the three Baltic states, features about 1,500 islands and islets. Unlike many European countries, Estonia has the third-highest percentage of immigrants, predominantly from Russia. According to Eurostat, Estonia had 37 immigrants per resident in 2022. In 2022, during the full-scale invasion of Ukraine, Estonia responded by offering refugees temporary protection and access to employment and public services. In 2023, Estonia contributed approximately $109.3 million in Official Development Assistance (ODA), which the OECD iLibrary reports as a 52.4% decrease. However, Estonian organizations and officials have developed policies aimed at enhancing their support to other countries and providing humanitarian aid to eradicate poverty.

Estonian Refugee Council

The Estonian Refugee Council assists refugees globally by providing humanitarian aid, including food and security, support services, mental health services and community services. It also raises awareness about the challenges refugees face in their home countries. The council operates three main programmatic areas with several subprograms focused on education and awareness, entrepreneurship and multi-purpose cash assistance. These programs aim to enhance communal and mental well-being, financial stability and emergency security for refugees. The council has supported more than 293,000 Ukrainian refugees and recently initiated a campaign to aid those affected by the conflict in Lebanon.

Estonian American Fund

The Estonian American Fund or Eesti Ameerika Fond, supports educational, medical and scientific advancements in Estonia by providing equipment and supplies to institutions such as clinics and hospitals. The fund focuses on three core missions: health care, education, and institution building. In health care, the fund has enabled access to drugs and nursing supplies for 7,500 patients, with grants totaling about $18,817. In education, it has allocated $26,068 to train physicians abroad in their chosen specialties, covering education, travel, and living expenses. The institution-building project has received $14,400 to support the construction of hospitals and research centers, including the Estonian Women’s Studies and Research Centre.

UNHCR Estonia

Since Estonia is a member of the European Union (EU), which is one of the three major governmental partners of UNHCR, it hosts a branch of the organization. As part of the Nordic and Baltic regions, Estonia focuses its efforts with UNHCR on supporting governments in European and international legislation concerning asylum, international protection and statelessness. This commitment enables refugees to apply for asylum and gain access to countries in the Nordic and Baltic areas, including Estonia. Additionally, UNHCR in Estonia collaborates with the government, local authorities, NGOs and the media to safeguard refugee rights.

Estonian Foodbank

The Estonian Food Bank, a subsidiary of the German organization Riesenkampff Stiftung, was established in 2010 to combat poverty and food waste. It secures agreements with Estonian organizations, food producers, importers, supermarkets and the EU’s food aid program to supply food to the less fortunate. The food bank trains workers and volunteers to distribute food, organizes local food gatherings in its stores, runs charity campaigns and engages in numerous cooperative projects with other organizations within Riesenkampff Stiftung.

Looking Ahead

Estonia remains committed to supporting both local and international humanitarian efforts through a variety of initiatives. By providing aid to refugees, improving health care and education and addressing food insecurity, Estonia plays an active role in alleviating global challenges. Despite facing financial constraints, Estonian organizations continue to focus on enhancing the well-being of vulnerable populations. These ongoing actions reflect Estonia’s dedication to making a positive difference in global humanitarian work, ensuring assistance reaches those most in need.

– Ashley Diaz

Ashley is based in Homestead, FL, USA and focuses on Business and New Markets for The Borgen Project.

Photo: Flickr

October 25, 2024
https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg 0 0 Precious Sheidu https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg Precious Sheidu2024-10-25 01:30:152024-10-24 11:49:554 Estonian Organizations Making a Difference
Child Labor, Children, Global Poverty

Child Labor in Pakistan: From Factories to Classrooms

child labor in pakistanIn 2021, Pakistan made minimal progress in combating the worst forms of child labor, despite some positive legislative efforts. Key developments included the passage of laws in Balochistan prohibiting hazardous work for children under 14, banning corporal punishment of children, and establishing special courts dedicated to child protection. Moreover, the Federal Investigative Authority trained law enforcement agencies, and more than 1,000 children were rescued from begging in Punjab. However, Pakistan’s advancement remained minimal due to practices that hindered significant progress.

To address this issue, vocational training programs are trying to reduce child labor in Pakistan. These programs focus on equipping children with practical, market-driven skills to enhance their employability as they transition into adulthood. Training in various fields allows these children to acquire skills that are in high demand, giving them a chance to secure stable, better-paying jobs.

Vocational Training Reducing Child Labor in Pakistan

The Prime Minister’s Youth Skill Development Program (PMYSDP) plays a pivotal role in providing vocational training opportunities for Pakistan’s youth. By focusing on both high-tech and conventional skills, the program equips young people with market-driven expertise, enabling them to transition from exploitative labor conditions into stable and dignified employment. Through these efforts, PMYSDP could not only help curb child labor in Pakistan but also empower young individuals to improve their socio-economic standing and contribute to the future development of Pakistan.

The Pakistan Bait-ul-Mal School for Rehabilitation of Child Labor, established in 1995, aims to remove children aged 5-14 from hazardous labor and provide them with free education, clothing and a stipend, along with subsistence support for their families. With 159 centers across the country, the program currently benefits 17,871 students. The program helps children from industries like brick kilns, mining and agriculture enroll in schools and receive primary education over four years, with opportunities for higher education.

The joint projects on eliminating child labor in Pakistan have implemented successful strategies, including the use of a unified non-formal education curriculum across districts for consistency and scalability. Furthermore, collaborating with government partners and using the Supporting Children’s Rights through Education, the Arts, and the Media (SCREAM) initiative for teacher training has fostered ownership and improved program delivery. A key achievement is extending pre-vocational and vocational training to working children, including those under 12 and their mothers, offering alternatives to child labor. Involving mothers has empowered them and strengthened their commitment to ensuring their children attend training programs regularly.

Making a Change

In conclusion, Pakistan is making progress in the fight against child labor through education, skills training and empowering families. Programs like the Prime Minister’s Youth Skill Development Program and Pakistan Bait-ul-Mal are giving children the tools to break free from exploitative work and build brighter futures. Indeed with continued commitment to enforcement and support for vocational training, Pakistan can create lasting change, transforming the lives of its youth and unlocking their potential for a better tomorrow.

– Aneela Agha

Aneela is based in Dubai, United Arab Emirates and focuses on Technology and Global Health for The Borgen Project.

Photo: Flickr

October 24, 2024
https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg 0 0 Naida Jahic https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg Naida Jahic2024-10-24 07:30:082024-10-24 00:34:47Child Labor in Pakistan: From Factories to Classrooms
Education, Global Poverty

Refugee Education in Germany

Refugee Education in GermanyIn 2015, conflict in Syria, Afghanistan, Iraq, Libya and other places forced millions of people to leave their homes and become refugees. The flow of migrants entering Europe increased from 153,000 in 2008 to more than a million in 2015.

Education Opportunities for Refugees

During what is known as the “refugee crisis” of 2015, Germany quickly developed a culture of openness, with an emphasis on refugee education. Angela Merkel, then the country’s chancellor, introduced the phrase “Wir schaffen das” (“We can do this”) as a rallying call for the more skeptical citizens of Germany. There were many Germans at the time who doubted the capacity of the welfare state to accommodate such high numbers of new arrivals on top of the demands of the native population. However, the story of Germany’s refugee policy is considered to be one of success today. By 2018, 72% of the asylum seekers had been granted protection and the right to work in Germany. By 2020, half of the asylum seekers who had entered Germany in 2015 had found a job.

One of the central strategies Germany has adopted for accommodating and integrating its migrant population is an investment in education opportunities for refugees. According to the World Bank, there are 15 million displaced school-aged children, more than half of whom are not enrolled in education. If these children were in school, they would be less vulnerable to rights abuses like child labor, forced marriage and violence. Additionally, the consistency of attending school every day in a safe and supportive environment can restore a sense of stability and safety to children who have experienced severe trauma and life disruption.

Barriers to Integration in Germany’s Education System

Although it has been widely recognized that “access to education and language courses are … key to the success of social and labor market integration”, the German schooling system was not designed with this intention in mind. Studies have shown that the German schooling system tends to reproduce and cement already existing social and class distinctions. It can be difficult, therefore, for refugee children to move beyond the social class of their parents, even with a German education. One report cites the fact that frequent relocations in accommodations and being enrolled in a preparatory class separate from native German speakers correlated with a lower chance of gaining further qualifications after completion of the mandatory nine years.

The German Expert Council on Migration and Integration released a report in 2018 suggesting that a barrier to social integration and educational advancement of refugee children is the segregated school system. Some schools implement a parallel schooling system, in which refugee children are taught separately from their German counterparts, sometimes without any native speaker in the classroom. When it came to higher education, refugees again faced considerable barriers. Without institutional provisions like scholarships or waived costs, it was largely the work of volunteers and people working within academia that turned Germany into an example of inclusion when it comes to refugee education. There was a large consensus across academic disciplines that federal funding should be opened up for asylum seekers in Germany.

Looking Forward

Humanitarian organizations filled the gaps where federal policy failed to account for refugee education. An important example of this humanitarianism is the charity Kiron. The charity began its work in 2015, ensuring that forcibly displaced people can continue to access education online. Kiron has now provided remote education for more than 100,000 students since its founding. In 2023, it launched the free program THRIVE, aimed at upskilling displaced women in preparation for the job market.

Additionally, the United Nations High Commissioner for Refugees (UNHCR) has committed to enrolling 15% of refugees in higher education by 2030. Achieving this goal will require efforts from not only humanitarian workers but also governments to ensure inclusive education.

– Io Oswald

Io is based in Paris, France and focuses on Politics for The Borgen Project.

Photo: Flickr

October 24, 2024
https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg 0 0 Lynsey 2 https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg Lynsey 22024-10-24 01:30:232024-10-24 00:26:06Refugee Education in Germany
Children, Developing Countries, Global Poverty

UNICEF’s Action Against Child Displacement in the DRC

Child Displacement in the DRCThe Democratic Republic of the Congo (DRC) is the largest country in sub-Saharan Africa, with a population of nearly 100 million. The DRC is rich in natural minerals, hydropower potential and extensive arable land. However, most of the population is unable to benefit from this wealth. The DRC faces political instability, autocratic leaders and long-term conflict. The country is in a humanitarian crisis, with much of the population, including children, experiencing displacement and extreme poverty. Many nongovernmental organizations (NGOs) are providing aid to help people affected by displacement, such as UNICEF’s action against militia-induced child displacement in the DRC.

Militia-Induced Child Displacement in the DRC

Much of the DRC is controlled by militia rebel groups, with territories seized on a regular basis. Its east and north provinces experience the most unrest, with violent killings of adults and children, as well as the ransacking of homes, schools and health centers. Families are often separated and forced out of their villages into crowded settlements without safe water, health care and basic services. More than eight million people in the DRC are “acutely food insecure.” Alongside the internal displacement of its citizens, the DRC also hosts refugees from neighboring conflict-affected countries.

Children are being recruited as militia fighters and subjected to sexual assault, violence and separation from their families. Rebel forces have displaced three million children from their homes. The Rwandan-backed M23 rebels are causing mass displacement of civilians and humanitarian organizations in eastern DRC. Recently, militia forces shelled refugee camps in the region, killing 17 people, most of whom were children.

UNICEF’s Mission

Without urgent humanitarian aid, children will continue to suffer. Malnutrition, disease and displacement to unsafe areas are causing high child mortality rates. UNICEF faces challenges while delivering aid due to dangerous environments and weak transport infrastructure for delivering resources. However, UNICEF’s action against militia-induced displacement of children in the DRC, alongside other national partner NGOs, works to provide urgent basic services. These include tarpaulins for shelter, cooking utensils, clean water and sanitation. It also has three long-term initiatives:

  1. Safe Spaces: UNICEF collaborates with local governments and NGOs to provide safe spaces for children. It focuses on providing protective services for survivors of sexual violence, forced military recruitment and separation from their families. In addition to providing physical protection, UNICEF also provides mental health and psychosocial support.
  2. Health Care: Militia groups have invaded many health care centers. The rebels use the premises to set up bases, cutting off basic health services to the population. UNICEF provides support to primary health centers in conflict areas. In 2023, these centers reached more than 375,000 children younger than 5.
    Children are provided with health checkups, including routine and emergency immunizations, to prevent the outbreak of diseases such as polio. UNICEF is also responding to the latest cholera outbreak. The organization provides communities with safe drinking water and water treatment kits. The NGO has people on the ground providing decontamination services for homes, as well as prevention techniques such as awareness and surveillance.
  3. Education: Educational institutions have also been overrun by rebels forcing children out of education. In response, UNICEF has built temporary education units to allow displaced children the opportunity to continue their education safely. It provides school supplies, remedial classes, psychotherapy support and encourages peacebuilding activities.

The Future

In 2019, the DRC appointed a new president, Félix Tshisekedi. He promised major reforms in a bid to transform the country’s image of poverty and war into a growing economy and a favorable place for investment. With support, the Congolese government is attempting to overthrow militia groups and reassert authority in the country.

Similarly, in 2022, the World Bank Group set up the Country Partnership Framework (CPF). This four-year strategy promotes the stabilization and development of the DRC. A large focus of the CPF is on human development and improving essential services such as education, health and social welfare. In 2023, the DRC received more than $8.6 billion from the World Bank to fund 23 development initiatives.

The DRC still suffers from fragility and conflict. However, missions such as UNICEF’s action against militia-induced child displacement in the DRC and the Country Partnership Framework are having positive impacts on the country’s security, economy and the well-being of its people.

– Millie Trussler

Millie is based in London, UK and focuses on Global Health and Politics for The Borgen Project.

Photo: Flickr

October 23, 2024
https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg 0 0 Lynsey 2 https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg Lynsey 22024-10-23 07:30:562024-10-23 01:24:03UNICEF’s Action Against Child Displacement in the DRC
Global Poverty, Human Rights, United Nations

Global Human Rights: Strengthening UN Support to Save Lives

Global Human RightsSeptember 2024 is the month when world leaders and diplomats from around the world gather in New York City, New York, to discuss a variety of global issues ranging from conflict to poverty to education, among many others. From September 22-30, the whole world will be watching as world leaders address international challenges, such as eliminating nuclear weapons and antimicrobial resistance, in summits and high-level meetings in an effort to fulfill the Sustainable Development Goals (SDGs).

Overall, the theme of the 79th session of the U.N. General Assembly is “Leaving no one behind: acting together for the advancement of peace, sustainable development and human dignity for present and future generations.” Despite the positive aspiration in the theme, reports from U.N. agencies within the last year show that there has not been stronger U.N. support recently.

Institutional Issues Within the UN System

The U.N. system is facing internal institutional challenges, resulting mainly from funding shortages and inadequate support for its efforts to help vulnerable communities in places such as Gaza and Mali. In fact, on August 30, 2024, the acting Under-Secretary-General for Humanitarian Affairs and Emergency Relief Coordinator stated that as the number of humanitarian emergencies increases, a shortage of funding hinders them from “reaching people who need life-saving assistance.”

Although agencies such as the World Food Programme (WFP) and the U.N. Refugee Agency (UNHCR) have been implementing innovative solutions to difficult issues, countries are not providing the stronger U.N. support needed to make these solutions work on a larger scale. This highlights a lack of commitment from the international community to protect and preserve global human rights values.

More Funding Equals More Lives Saved

The main obstacle to the U.N.’s humanitarian work is the lack of adequate funding for its critical life-saving operations. The Office for the Coordination of Humanitarian Affairs (OCHA) at the U.N. has stated that of the $49 billion needed to reach at least 187 million people who need assistance the most, it only received 29% of the funds.

As of August 30, 2024, the countries whose emergency operations are deemed underfunded include Chad, the Democratic Republic of the Congo, Honduras, Lebanon, Niger, Sudan and Syria. Although OCHA was able to assist these countries via its emergency response funds, stronger financial support is still needed to ensure that OCHA can reach as many vulnerable communities as possible around the world.

Funding Innovation in Humanitarian Aid

As humanitarian aid becomes more difficult and complex, U.N. agencies have decided to find new ways to overcome obstacles and deliver more life-saving assistance than before, including digital data-sharing between agencies. For example, UNHCR has a database on digital registration, identity management and case management called PRIMES. In contrast, WFP has one on digital beneficiary information and transfer management called SCOPE.

Thus, in an effort to enhance their aid operations, UNHCR and WFP created a joint database combining both PRIMES and SCOPE called PING that helps both agencies transfer data safely and efficiently. Therefore, if the international community provides stronger U.N. support via more funds, it will enable U.N. agencies to innovate their life-saving operations further.

Strengthening Global Human Rights

The needs and innovations of U.N. agencies highlight the urgent need for stronger support from countries worldwide. With the rise in global conflicts and crises, the number of vulnerable people requiring life-saving aid has grown, outpacing the U.N.’s current funding capabilities. Although U.N. agencies have been implementing the necessary reforms that enhanced their life-saving operations, such as inter-agency digital data sharing, more monetary support is needed for them to implement more innovative reforms.

– Abdullah Dowaihy

Abdullah is based in Riyadh, Saudi Arabia and focuses on Technology and Politics for The Borgen Project.

Photo: Flickr

October 23, 2024
https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg 0 0 Lynsey 2 https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg Lynsey 22024-10-23 01:30:472024-10-23 00:44:52Global Human Rights: Strengthening UN Support to Save Lives
Global Poverty, Indigenous Women, Mental Health

IDIL: Mental Health Access for Indigenous People in Oaxaca

IDIL: Mental Health Access for Indigenous People in Oaxaca The United Nations General Assembly (UNGA) has designated 2022 to 2032 as the International Decade of Indigenous Languages (IDIL). The United Nations Educational, Scientific and Cultural Organization (UNESCO) leads global efforts to support this initiative. In Mexico, the project La Enfermedad de la que Nadie Habla en el Pueblo (ENHP) aims to expand access to mental health information and services. It does so by providing resources in Indigenous languages and incorporating Indigenous perspectives.

The International Decade of Indigenous Languages

The UNGA established the International Decade of Indigenous Languages (IDIL 2022-2032) to fulfill the objectives of the United Nations Declaration on the Rights of Indigenous Peoples. Throughout this decade, initiatives focus on preserving, revitalizing and promoting Indigenous languages worldwide. The Australian Government reports that many of these languages have reached a critical level of endangerment.

UNESCO estimates that approximately 40% of languages spoken will no longer be in use a century from now. Indeed, many are likely to be Indigenous languages. During International Decades, global facilitators coordinate action and mobilizations to raise awareness on a particular topic. La Enfermedad de la que Nadie Habla en el Pueblo is one example of coordinated action for IDIL. 

“La Enfermedad de la que Nadie Habla en el Pueblo”

Indigenous youths developed the project La Enfermedad de la que Nadie Habla en el Pueblo (ENHP), which translates to The illness nobody talks about in the village, to make mental health information accessible in Indigenous languages. ENHP successfully provided information in 30 Indigenous languages, addressing a critical gap in health communication. In a UNESCO article, the director of the Network of Interpreters and Intercultural Promoters, Eduardo Ezequiel Martínez Gutiérrez, stated that at least 30% of Oaxaca’s population is not fluent in their doctor’s or government’s language, a key issue ENHP aims to solve. The project also trains interpreters to act as intermediaries in mental health spaces.

According to Socialab, 65% of Indigenous people in Oaxaca, who speak up to 177 linguistic variants, cannot engage with content in Spanish. In response, the ENHP produced short videos with interpreters from various Indigenous communities. These videos discuss the symptoms of anxiety and depression and offer coping strategies. The project’s translation and interpretation efforts exemplify the goals of the International Decade of Indigenous Languages by improving access to mental health care for Indigenous peoples in a culturally relevant context.

Implementation of ENHP

The UNESCO program Impulso Joven, “Because Youth Matter,” awarded $10,000 in startup capital to 20 youth projects across 11 Caribbean and Latin American countries, including ENHP. Impulso Joven also provided practical workshops, training sessions and mentorship. The ENHP project unfolded in four stages. Initially, each interpreter completed a course on emotional disorders and mental health. In the second stage, interpreters adapted the course content to be culturally and linguistically relevant for Indigenous territories. Following this, the third stage involved the creation of audio and video materials. Finally, in the fourth stage, the team distributed these materials to Indigenous communities to help reduce the stigma around mental health.

Importance of Reconceptualization

ENHP’s efforts to reinterpret mental health information plays a crucial role in making mental health resources accessible to more Indigenous Peoples. This approach aligns with the goals of the International Decade of Indigenous Languages. The goals focus on actions supporting the United Nations Declaration on the Rights of Indigenous Peoples. The American Psychiatric Association (APA) has studied the barriers Indigenous Peoples in the United States (U.S.), Canada, the Pacific Islands and Australia face in accessing mental health services. These barriers include mistrust of mainstream services, social stigma associated with seeking help, insufficient awareness to recognize signs of poor mental health and the challenges of accessing mental health services in remote areas.

APA emphasizes that barriers to accessing mental health services for Indigenous populations should be viewed within the broader context of systemic, structural and societal challenges. Sandra García Reyes, an educator with ENHP, told UNESCO that mental health and self-care are integral to community care. ENHP has reinterpreted mental health information from a Western perspective to a holistic and relational approach. Furthermore, they take into account the intergenerational impacts of forced assimilation, relocation and discrimination.

Impacts of the IDIL

IDIL provides a framework for collaboration among diverse stakeholders, promoting coherence, continuity and cross-cultural dialogue in actions taken worldwide. IDIL is a global call to develop policies and make strategic investments to protect and revitalize Indigenous languages and support their speakers. According to UNESCO, IDIL involves 4,213 communities from 60 countries and 1,772 organizations. Across these communities, 202 languages are spoken and 2,635 events have been organized to recognize IDIL. Projects like La Enfermedad de la que Nadie Habla en el Pueblo exemplify how youth-led initiatives can enhance the lives of Indigenous communities by incorporating intersectional, community and cultural perspectives while safeguarding their languages.

– Tanisha Groeneveld

Tanisha is based in Leeds, UK and focuses on Good News and Global Health for The Borgen Project.

Photo: Flickr

October 23, 2024
https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg 0 0 Precious Sheidu https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg Precious Sheidu2024-10-23 01:30:062024-10-23 00:59:45IDIL: Mental Health Access for Indigenous People in Oaxaca
Children, Education, Global Poverty

Child Poverty in Antigua and Barbuda

Child Poverty in Antigua and BarbudaAntigua and Barbuda is a country in the Caribbean with an estimated population of 103,600 people. Antigua is mainly known for its beaches and as a popular tourist destination. Tourism is the main driver of Antigua and Barbuda’s economy after sugarcane production became insignificant. In 2016, 18% of the population lived in poverty and 5% were considered indigent. However, the poverty rate in Antigua and Barbuda is lower than the average of 23% for the Eastern Caribbean.

Child Poverty

According to the United Nations Children’s Fund (UNICEF), child poverty in Antigua and Barbuda is largely affected by COVID-19, education and unemployment. In 2016, 24% of children ages 0-17 and 25% of adolescents ages 10-19 were living in poverty. UNICEF’s studies show that adolescents ages 10-19 in female-headed households were twice as likely to be poor compared to those in male-headed households. However, during the COVID-19 pandemic, child poverty rates were projected to rise to 29%.

Education

Secondary school students in Antigua and Barbuda take the Caribbean Secondary Education Certificate (CSEC) exams, which help them gain admission to colleges and universities. In 2018-2019, 27% of students passed five or more CSEC subjects, including English and mathematics. The average pass rate among Organization of Eastern Caribbean States (OECS) member countries is 28%. During the same period, the proportion of trained teachers was 48% at the primary level and 50% at the secondary level, significantly lower than the OECS averages of 72% and 60%, respectively.

Employment and Unemployment

According to UNICEF, youth ages 15 to 19 in Antigua and Barbuda were more likely to be unemployed, as there was little evidence of child labor. Instead, these youths focused on education and exploring future opportunities rather than entering the workforce. In 2016, 36% of youth in Antigua and Barbuda were employed, while 26% were unemployed. In comparison, 87% of adults were employed and 6% were unemployed. Young adults ages 20 to 24 (82%) were four times more likely to be employed than those ages 15 to 19. Additionally, 18% of youth ages 15 to 24 are classified as Not in Employment, Education or Training (NEET), with young NEETs being twice as likely to be ages 20-24 and more likely to be female.

Strengthening Education

UNICEF is focused on strengthening the education system in Antigua and Barbuda. This includes improving teaching quality, enhancing learning materials and integrating more communication technology. Post-COVID-19, UNICEF also aims to address multidimensional child poverty by working toward its eradication. It also wants to boost employability, which often relies on the tourism sector, to support continued economic growth. Additionally, in 2013, the World Bank Board of Directors approved a $10 million loan to Antigua and Barbuda to improve services for the population. Initiatives were aimed at boosting income and employability through temporary employment and training programs.

In Antigua and Barbuda’s 2021 Voluntary National Review (VNR), the government outlined several development goals under the theme “Leaving No One Behind.” These goals included no poverty, good health and well-being, quality education, gender equality and decent work and economic growth. For each goal, the VNR provided examples of the country’s commitment to achieving them. To address poverty among women and children, the government introduced the Social Protection Act of 2020 and a social security scheme aimed at reducing the 24% child poverty rate in Antigua and Barbuda.

Government Actions

In an effort to improve the quality of education, the government ensures universal access to primary and secondary education. It launched the One-Stop Education Center (OSEC) and the Financial Inclusion and Empowerment Center. These initiatives aim to reduce youth unemployment and lower the teenage pregnancy rate (27.7 per 1,000 among ages 15-19). The Social Protection Act of 2020 and the Antigua and Barbuda Labor Code promoted gender equality and improved employability for women and girls. To reduce unemployment rates (8.7% overall), the Financial Inclusion and Empowerment Centre provided opportunities for unemployed women and young women. The government also introduced new training programs to boost youth employment. In “Leaving No One Behind,” the government aims to monitor progress until 2030. This initiative seeks to promote social protection, end extreme poverty, reduce inequalities and address discriminatory behaviors in communities.

– Indira Smith

Indira is based in Manchester, UK and focuses on Global Health for The Borgen Project.

Photo: Pixabay

October 22, 2024
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Developing Countries, Education, Global Poverty

Solar Power in Uganda Supports Educational Goals

Solar power in UgandaRefugees often seek resettlement services after natural disasters and war-related events. Individuals and families use these resettlement services to relaunch their lives and to find stability after disaster events. However, most resettlement encampments need a reliable connection to a power supply and internet services to serve refugee populations. Without these resources, staff may struggle to onboard new members and refugees may struggle to reconnect with society.

Good Actors and Initiatives

Jon Paul Ojok developed a mobile solar power box to supply electricity to students in West Nile region in Uganda. Drawing on his experience as a developer at the United Nations High Commissioner for Refugees (UNHCR), Ojok created a device that can be easily moved through neighborhoods and communities to provide affordable internet and electricity to remote villages and camps. Ojok’s solar power box allows students to access course materials and complete assignments. The long-term success of these students will contribute to the goal of upward mobility and the growth of local communities. The solar power box also provides stable electricity and internet to UNHCR staff, enabling them to connect with and retain more refugees for resettlement services.

The Mobile Solar Computer Classroom (MSCC) is a similar initiative serving Ugandan students. For this project, solar panels are attached to an all-terrain vehicle equipped with computers and a router. The project has improved digital literacy and academic performance in local schools. Since 2008, MSCC has trained more than 37,000 students, 200 teachers and 2,000 out-of-school youths in more than 80 schools and 20 libraries. Approximately 70% of the schools MSCC has worked with have seen improved academic performance at the national level.

Impacts of Solar Initiatives

According to the World Bank, about 41.3% of Ugandans lack access to electricity. Uganda’s power grid, though operational, is not always stable, with professionals and students most likely to experience service interruptions. As more people enter the country, innovations in solar power will help reduce stress on the grid and improve the ability of both native Ugandans and refugees to work toward a middle-class life.

According to Uganda’s Energy Transition Plan, educational and industrial advancements made possible by solar power will improve living standards. Enhancing the country’s grid infrastructure will increase the reliability of clean energy connections in the next 10 to 30 years. This will enable Uganda to better support transitioning its youth and students into a self-sustaining, independent workforce.

Final Note

Solar power in Uganda will lead to more equitable access to essential resources such as electricity and internet services. As access improves, students across all regions will receive a stronger foundational education, promoting the resilience of future generations. Expanding solar power to more remote locations ensures no person or family is left behind, increasing the region’s chances of securing a just, peaceful and equitable future.

– Karina Dunn

Karina is based in Mesquite, TX, USA and focuses on Technology and Solutions for The Borgen Project.

Photo: Flickr

October 22, 2024
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