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Improving Child Mental Health in Ethiopia

Improving Child Mental Health in EthiopiaEthiopia, a landlocked country in East Africa, is the continent’s second-most populous nation with an estimated 129 million people. Despite its large population, poverty is pervasive, with 68.7% of its residents classified as multidimensionally poor, according to the Oxford Poverty and Human Development Initiative. The impact on children is particularly severe, with an estimated 13 million living in poverty and two million in extreme conditions, lacking necessities such as housing, sanitation, clothing, food and education. Additionally, mental health in Ethiopia remains a significant concern, with a noticeable lack of resources and awareness compounding the challenges faced by those living in poverty. The United Nations (U.N.) emphasizes that “…it is most threatening and harmful to children, leaving them unable to enjoy their rights, to reach their full potential and to participate as full members of the society.”

Mental Health in Ethiopia

Childhood and adolescence are crucial phases for physical and mental development and poverty could hinder a child’s ability to focus on studies and connect with peers. In sub-Saharan Africa, the prevalence of depression among 10 to 19-year-olds is about 27%, significantly higher than in Europe and other high-income countries. In 2023, around 24.68% of Ethiopian children experienced mental health issues. The stark disparity in mental health prevalence between regions stems from differences in socioeconomic status, living conditions and public childcare resources. High-income countries, with more advanced childcare systems, provide minimally adequate care for depression to approximately one out of every five individuals, contrasting sharply with one out of 27 in lower-middle-income countries like Ethiopia.

Tackling the Root Source

In Ethiopia, the lack of a defined mental health system for children stems not just from inadequate resources but also from a pervasive lack of awareness. Many Ethiopians hold traditional views on mental disorders, encapsulated in the phrase “Lij Bedilu Yadgal,” which translates to “children will grow by their chance or luck.” This perspective aligns with the belief that mental health issues are spiritual and best treated through cultural or religious practices. Combined with the challenges posed by poverty, this has led to significant gaps in child psychiatric services within the health care system. Addressing these issues requires a focus on community mental health care to enhance awareness, reduce stigma, support recovery and foster social inclusion.

A New Direction

Recently, Ethiopia’s Federal Ministry of Health has initiated new mental health initiatives, including the Enrichment Center Ethiopia’s Support the Care-givers Intervention Program (SCI). This innovative program brings together a team of professionals and volunteers from around the globe to assist infants and children in meeting critical developmental needs. Despite scarce resources, SCI focuses on children aged 0 to 6, aiming to elevate caregiving knowledge by training mothers, social workers, teachers, teaching assistants and childcare staff in orphanages. The training encompasses four weeks of comprehensive sessions in eight different groups, covering essential caregiving skills such as attachment and secure base, insightfulness, reflective functioning and dialogue, emotional regulation and empathy. This approach is designed to enhance the early developmental environment for Ethiopia’s children, particularly in settings where traditional support structures may be lacking.

So far, the Enrichment Center Ethiopia’s training program has educated more than 400 caregivers, with overwhelmingly positive outcomes. Participants report reduced instances of violence, enhanced family dynamics, deeper emotional bonds with children and increased job satisfaction. Leveraging local resources and manpower, ECE’s experience serves as an inspiring model for other communities, demonstrating a cost-effective approach to raising awareness and improving mental health care for young children.

Looking Ahead

Ethiopia’s challenges with widespread poverty and inadequate mental health resources, especially for children, require ongoing attention and intervention. Initiatives by the Federal Ministry of Health and programs like the Enrichment Center Ethiopia’s caregiver training are making strides in addressing these ongoing issues. By focusing on enhancing caregiving practices and providing support, these programs aim to improve the mental health and well-being of Ethiopian children. Continued dedication to these ongoing efforts could be vital in creating a healthier and more resilient future for the country’s youth.

– Kewe Chen

Kewe is based in Memphis, TN, USA and focuses on Good News for The Borgen Project.

Photo: Flickr

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Emergency Relief to Sudan

Emergency Relief to SudanSudan is a country full of conflict between the people and between the people and their government. This instability has only compounded the country’s difficulties. While Sudan is still recovering from COVID-19 and various government aid programs and World Bank projects are on pause, the Sudanese have been left to fend for themselves. However, the Sudan Emergency Safety Nets Project has been enacted to provide temporary relief until the previous poverty prevention and relief projects are resumed.

Why Have the Preexisting Programs Stopped?

During COVID-19, Sudan was wrecked economically, as many people became unemployed and were unable to find jobs afterward. Compound this with the near-constant fighting occurring in the country and the Sudanese food security is limited to none. This fighting has caused the humanitarian aid front of the World Food Programme (WFP) to stop, as its teams cannot enter active combat zones to provide relief safely. While the WFP can aid the Sudanese people in different areas, those trapped in the middle of conflict cannot receive relief.

This is not unusual when providing humanitarian aid to active conflict provinces. However, the fighting in Sudan is so intense and ongoing that the combat zones change frequently. More and more people are trapped in dangerous provinces away from the WFP’s. At least four military groups are fighting for control of Sudan: the Sudan Armed Forces, Rapid Support Forces and many from previous Sudanese civil wars. With so much conflict, providing humanitarian aid is difficult and dangerous.

The Sudan Emergency Safety Nets Project

The Sudan Emergency Safety Nets Project has two halves: the safety nets and the infrastructural supports. The safety nets include both food and cash, but the value of both is equivalent to $7 in food. This may not seem like much, but the $7 can provide up to 1000 kilocalories, about half the daily required caloric intake. In a country with little consistency and food security, even something as little as $7 can change a person’s life. These Safety nets will focus on households and use its new infrastructural support system to monitor caloric intake per household to maximize their humanitarian aid.

The infrastructural support systems in question can be divided into delivery, monitoring and evaluation and project management. The delivery programs will work to ensure safe evaluation and social information. The programs will also ensure that payments, enrollment and information can safely be delivered to the Sudanese people.

The monitoring and evaluation system will assess potential risks and benefits for future projects and allow people to make informed choices about whether specific aspects of projects are safe to conduct. The hope for this system is to attempt to combat the paused humanitarian relief by monitoring risk factors in Sudan and either acting before it is too dangerous or finding another way around it.

The project management aspect of the infrastructural support system will focus on financing and executing the Sudan Emergency Safety Nets Project. While Sudan is in such turmoil and conflict, the political systems are functionally unilaterally, as this is the nature of civil wars. The project management aspect of the Emergency Safety Nets Project will take on all the administrative and financial aspects that may be done by a political party to ensure that humanitarian relief avoids becoming a political piece in the military conflict.

Final Thoughts

Sudan is struggling with limited food security and constant military conflict. Where the fighting escalates, emergency relief to Sudan is limited and removed to ensure the safety of the relief workers. The Sudan Emergency Safety Nets Project works during these tumultuous times to ensure that the high-conflict areas of Sudan may still receive humanitarian aid. This project works during the halts of other humanitarian projects so that the people of Sudan do not suffer during the civil wars.

– Paige Tamasi

Paige is based in Los Gatos, CA, USA and focuses on Global Health and Politics for The Borgen Project.

Photo: Unsplash

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Food Systems in the Bahamas

Food Systems in the BahamasCountries in the Caribbean, such as the Bahamas, are located in a part of the world where problems induced by varying climatic conditions, such as extreme droughts, destructive flooding and ocean acidification, could negatively affect food systems in the Bahamas.

Reliance on Imported Goods and Health Impacts

Like most Caribbean nations, the Bahamas has little access to land and relies heavily upon imported goods. The Bahamas imports more than 90% of its food needs. Many of these imported goods are processed and contain large amounts of salts and sugar, which negatively impact the health of the Bahamian population.

Food Insecurity and Health Concerns

Between 2019 and 2021, it was estimated that 17% of the Bahamian population faced modest to extreme levels of food insecurity. Although this statistic is considerably below the global average of 33% and the regional average of 38%, there are other concerns. Specifically, 32% of the adult population is obese compared to the global average of 21%. The problem of obesity can be attributed to the country’s reliance on imported goods that are often lacking in nutritional value and unhealthy. Diabetes is also another major health problem in the Bahamas.

Food Accessibility and Government Support Programs

In terms of overall access to food in the country, food is readily available in urban areas; however, the accessibility of food in rural communities remains uncertain. The government aids in making food more accessible by providing grants and financial assistance to impoverished residents, allowing them to purchase food. The National School Feeding Programme supplies meals for young students from low-income families and the government also subsidizes certain foods. Despite these efforts, the National School Feeding Program and subsidy program struggle to provide nutritious options for these underprivileged communities.

In light of these challenges, the Bahamian government is looking to make changes to create a more sophisticated and responsive food system. Notably, the Bahamian government aims to reduce the country’s reliance on imported food by 25% by 2025. Prime Minister Davis explained that this will require increased agricultural output locally, with an emphasis on growing and cultivating healthier options for the population.

In addition, in 2021, the Bahamas became a member of the Agriculture Innovation Mission for Climate initiative, which focuses on promoting sustainability in developing countries like the Bahamas. Through this program, the Bahamas will work on developing sustainably, working with local farmers to utilize more environmentally safe farming methods. Furthermore, it will put effort into research and development of new agricultural techniques meant to minimize environmental impact and increase output.

Summary

Like other countries in the Caribbean, the Bahamas has little arable land. Therefore, it imports almost 100% of its food needs. However, the government is working to increase local food production in an effort to combat food insecurity and unhealthy diets, whilst improving food systems in the Bahamas.

– Brendan Sheehan

Brendan is based in San Rafael, CA, USA and focuses on Good News and Technology for The Borgen Project.

Photo: Flickr

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How AVANTI’s Initiatives Lifted an Ecuadorian Town from Poverty

AVANTI's InitiativesNestled in the Andes mountains of Ecuador, the small rural town of Pistishi-Tolte or the Devil’s Nose, was once plagued by extreme poverty, with nearly all of its residents living in dire conditions. Deemed one of the poorest parts of Ecuador, most residents relied solely on agriculture to make a living, working day and night in the fields to scrape by. After witnessing these unfortunate circumstances, a local nonprofit organization, AVANTI, came up with a plan to lift the town out of poverty. AVANTI’s initiatives in education, agricultural innovation and community empowerment have significantly improved Pistishi-Tolte’s economic and social conditions. Through its efforts, the town has begun its journey to economic recovery.

AVANTI’s Education Initiatives

AVANTI saw how the lack of education structure impacted the community’s ability to find and hold down higher-paying jobs. It tackled this problem in three ways:

  1. It built the infrastructure to house educational opportunities, starting with a library and multiple schools.
  2. It worked on restoring and acquiring the proper educational equipment in the town. The nonprofit set up a computer laboratory in the library and provided educational materials for schools and nurseries.
  3. It organized and finalized educational programs, such as computer classes at the library and English and reading courses at the school and completed the special education programs.

This groundwork to improve education and literacy was set in place to improve employment rates due to better education and higher-paying skills.

AVANTI’s Agricultural Innovation

The NGO improved the overall farming experience for the existing agriculture system in Pistishi-Tolte. It also accomplished this goal in three ways:

  1. Its new school system implemented an agricultural training program. This program allowed for more effective and efficient training on technology and sustainable agriculture practices both in person on the field and in the classroom.
  2. It created and implemented an organic uvilla program. This technique was used to introduce crop rotation and organic farming to grow golden berries. By educating the farmers on organic farming methods rather than chemical-heavy traditional methods, the farmers gained confidence and saw results in better crops.
  3. It created a community to pool resources and share knowledge since farmers came from all over the town to receive education in these new methods.

These AVANTI’s initiatives increased food security and reduced poverty due to higher incomes from better crop yields.

Prioritizing Health in Community

One of the ways AVANTI empowered the community was by emphasizing health in the town. It focused on achieving this goal in two ways:

  1. Providing spaces to seek medical treatment or for health education. It built a primary care health center to give instant medical attention to critical cases and oversee medical brigades. In addition, by constructing the library and other community spaces, the community was able to acquire education on health and wellness to improve their lives.
  2. Providing access to aid: Bringing aid to families. It was able to transport life-saving health care items to homes, such as water filters, first aid kits and fire extinguishers.

These efforts set in place a system to improve the livelihood of all residents of Pistishi-Tolte.

Conclusion

AVANTI turned a town suffering from extreme poverty and being one of the poorest places in Ecuador into a thriving city out of poverty’s grasp. The nonprofit used infrastructure and systems in education, agriculture and community empowerment through health to achieve its goal. AVANTI provided safe places for the people to learn to improve their job pay, farm with sustainable practices to improve crop yields and get access to health care to improve their quality of life.

– Rachel Venable

Rachel is based in Berkeley, CA, USA and focuses on Good News and Global Health for The Borgen Project.

Photo: Pixabay

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Child Poverty in Cabo Verde

Child Poverty in Cabo VerdeUp until 2019, Cabo Verde, previously known as Cape Verde, was one of the most successful sub-Saharan African countries working toward poverty reduction. However, after the COVID-19 pandemic, which initiated a disruption of labor activities, tourism and businesses, the poverty index rose by 3.8%—the equivalent of 10,000 more people in Cabo Verde facing extreme poverty. As a result, parents, guardians and caregivers struggle to provide for their children. As of 2024, nearly one in 10 children is malnourished.

Lack of Housing

One of the greatest challenges experienced by children in Cabo Verde is the lack of affordable housing. Many families have to settle for underdeveloped and unsafe homes, which often lack public water supply, sewage and electricity. As a result, the children of Cabo Verde are at a huge disadvantage in terms of educational and social opportunities. The housing crisis is present in nearly all Sub-Saharan African countries.

Child Labor

Since the COVID-19 pandemic, many families in Cabo Verde have had to withdraw their children from school to help provide for their households. Consequently, approximately 3.2% of children aged 10 to 14 were working as of 2020. In rural areas, many children are especially subject to harsh physical working conditions, such as agriculture and housework. However, progress has been made in recent years. In 2014, Cabo Verde established the Action Plan for the Prevention and Elimination of Child Labor. Additionally, in 2022, the country increased the minimum age of employment to 15 years old.

Poor Nutrition and Sanitation

In Cabo Verde, 31 out of every 100 people lack access to the country’s public water network and approximately 15% lack proper sanitary systems. As a result, anemia remains a common disease among young children. Typically caused by malnutrition, anemia may result in low energy, tachycardia and delayed growth and development. In Cabo Verde, anemia affects about 72% of children aged less than 2 and 52% of older children.

Solutions

Recently, Cabo Verde has been making efforts to improve the living conditions of these children. As of 2024, the Cabo Verde government is addressing the challenges left by the COVID-19 pandemic and the Russian-Ukraine conflict. According to the United States (U.S.) Department of Labor, “Through the Cape Verde Social and Educational Action Institute, the government implements various initiatives to increase access to education among the poor. For children who may still be subject to school fees, efforts include the provision of school fees, school materials and free meals to low-income families.”

Additionally, in 2020, all 434 public schools in Cabo Verde received the Global Partnership for Education (GPE) grant support, improving health standards for both the children and teachers. Additionally, in 2020, all 434 public schools in Cabo Verde received the Global Partnership for Education (GPE) grant support, improving health standards for both the children and teachers. This is just a step toward diminishing child poverty in Cabo Verde and hopefully, it will influence remaining impoverished countries to follow suit.

Conclusion

While Cabo Verde is one of the more progressive sub-Saharan African countries when it comes to child poverty, there’s still work to be done, particularly regarding safe and affordable housing, proper sanitation and child labor reduction. With the implication of the resources and solutions listed above, Cabo Verde is on its way to a more promising future for their children.

– London Puc

London is based in West Palm Beach, FL, USA and focuses on Global Health for The Borgen Project.

Photo: Unsplash

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Poverty and Women’s Rights in Guinea-Bissau

Women's Rights in Guinea-BissauGuinea-Bissau is a small country located on the west coast of Africa and is a former colony of Portugal, from which it declared independence in 1974. Despite political and governmental challenges, including constitution changes and a coup d’Etat, the country has made efforts to protect women’s rights in Guinea-Bissau in key sectors such as labor, security and health measures.

Women in the Workforce

Developing nations such as Guinea-Bissau often face cultural and familial challenges that hinder women’s involvement in the workforce. Globally, the female labor force participation rate, which is the proportion of the female population that is 15 or older who are economically active is 48.8%. This figure rose dramatically, from just 2.63% in 1979. Additionally, the female unemployment rate in Guinea-Bissau is 2.8%. This is a low figure, especially in comparison with other developing nations across Africa and the Middle East. While the potential for progress remains, the data regarding workforce participation is an indicator of progressive change in female poverty and women’s rights in Guinea-Bissau.

Domestic Security for Women

As it stands, the Guinea-Bissau constitution does not explicitly prohibit violence against women or harmful practices to women’s health and safety. To improve female safety across Guinea-Bissau, the country adopted measures such as the Convention on the Elimination of All Forms of Discrimination Against Women (CEDAW) in 1985 and a National Action Plan per U.N. Resolution 1325 in 2011. However, Guinea-Bissau experiences high levels of governmental corruption and impunity for gender-based violence, as well as a stark lack of prosecution for cases of rape. This makes the legal advancements that promote women’s safety ineffective and reinforces gender disparity and poverty regarding domestic security.

Maternal Mortality

A vital measure of women’s health in a country is maternal mortality. One measure of maternal mortality is the number of maternal deaths per year. In 2020, Guinea-Bissau experienced 464 maternal deaths, down from 743 in 1997. In comparison, a developed country such as the U.S. experienced only 19 maternal deaths per 100,000 live births in the same year. While data shows improvements in maternal safety in Guinea-Bissau, these numbers are severe and have serious consequences for women’s health.

In 2020, 3.12% of women in Guinea-Bissau were expected to die from pregnancy-related causes, according to Our World in Data. This statistic is abysmal, but women’s health in childbearing and birth can be dramatically improved through investment in maternal care, safe and sterile deliveries, improved nutrition and better hygiene and sanitation. UNICEF provides training and technical support to community health workers “to upgrade the skills of midwives as in some cases poor obstetric care has contributed to high maternal death rates.”

FGM in Guinea-Bissau

Female Genital Mutilation (FGM) is a practice across developing nations in Africa, Asia, and the Middle East that has serious health consequences for the girls who experience FGM. In 2011, Guinea-Bissau passed the Federal Law to Prevent, Fight and Suppress Female Genital Mutilation. This law defines FGM, as well as criminalizes the performance, the failure to report incidents, the participation of medical professionals in the act, and the procurement or arrangement of FGM.

While this law is a significant step in reducing FGM and its culture across Guinea-Bissau, it is necessary to reiterate the impact of the weak legal system and corrupt government in the country. Due to these challenges, there is no data regarding prosecutions under the updated criminal code that FGM laws fall under. However, data does exist on the prevalence of FGM across Guinea-Bissau. From the ages of 15-49, an average of 52.1% of women experience FGM, with lower rates along the coast and extreme rates inland (95.8% of women in the Gabú region), according to the 28 Too Many report. Thus, poverty and women’s rights in Guinea-Bissau are strongly hindered by the prevalence of FGM, as the practice creates unsafe and unhealthy realities for women and girls across the country.

The Future of Women’s Rights

Women’s rights in Guinea-Bissau have increased with a global movement to involve women in the workforce, promote their safety and protect their health. Fortunately, numerous NGOs and non-profit organizations carry out important work in improving the well-being of women in Guinea-Bissau. For example, the FGM/C Research Initiative (FGMCRI) continues the work of the 28 Too Many Charity, which provides essential research and recommendations for ending FGM in countries that allow the practice to continue, including Guinea-Bissau. FGM is a difficult problem to measure and research, so the work of FGMCRI has provided other charities and organizations like the U.N. with the research needed to adjust goals and interventions.

Another organization operating in Guinea-Bissau is Effective Interventions which has been in operation for just two years. This NGO conducts randomized controlled trials to improve maternal and child health and literacy. In doing so, Effective Intervention can accurately measure the outcomes of their trials, which are either expanded or discarded depending on program success rates. Thus far the organization has succeeded in five projects that have improved maternal mortality rates and increased literacy rates in children.

Despite extensive challenges to women’s rights in Guinea-Bissau, these organizations provide hope to the women experiencing the challenges, and to the future generations of women who will continue to improve conditions.

– Carlie Duggan

Carlie is based in Newtown, PA, USA and focuses on Global Health for The Borgen Project.

Photo: Pixabay

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Tackling Poverty in the Cook Islands Post-Pandemic

Poverty in the Cook IslandsThe Cook Islands, an idyllic South Pacific archipelago, faced significant socioeconomic and poverty challenges after the COVID-19 pandemic. Traditionally reliant on tourism, global travel restrictions severely disrupted the nation’s primary industry, leading to widespread economic hardship.

Economic Disruption and Job Losses

The COVID-19 pandemic dealt a devastating blow to the Cook Islands’ economy. Tourism, which contributed approximately 70% of the nation’s gross domestic product (GDP) in 2018, abruptly halted as global travel restrictions were imposed to curb the spread of the virus. This led to a dramatic decline in national income, with the GDP recession estimated at 26% in 2021.

The immediate consequence was widespread job losses, particularly in the hospitality and service sectors. Many businesses were forced to close their doors permanently due to the lack of revenue. This economic shock rippled through the community, significantly increasing poverty in the Cook Islands.

Government Response and Social Welfare

In response to the crisis, the national government implemented a series of financial aid packages and social welfare programs to reduce poverty in the Cook Islands. The COVID-19 Active Response and Economic Support (CARES) Program, backed by the Asian Infrastructure Investment Bank (AIIB), provided much-needed financial assistance.

These initiatives supplied grants and loans for businesses to help them stay afloat. The programs also supported households with food programs and educational opportunities for children. These measures were crucial in preventing a complete economic collapse and maintaining social stability during the height of the pandemic.

Recovery and Diversification of Economy

  1. Fisheries and Agriculture: Investments are being made to enhance sustainable fishing practices and improve agricultural productivity. These efforts aim to provide alternative sources of income and ensure food security. For instance, the government has introduced high-yield crop varieties and modernized fishing fleets with support from international partners like the Australian Government through its Department of Foreign Affairs and Trade (DFAT).
  2. Digital Economy: Expanding digital infrastructure has become a priority in integrating the Cook Islands into the global digital economy. Projects funded by organizations like the Asian Development Bank (ADB) aim to improve internet access, foster new business opportunities and support remote work. This digital expansion is crucial for economic diversification and for creating new avenues of income.
  3. Renewable Energy: The Cook Islands government has set ambitious targets to transition to renewable energy, aiming for 100% renewable energy in the near future. Significant progress has been made with solar and wind energy projects contributing to the national grid. These projects reduce dependency on imported fuels while creating green jobs and attracting investment in clean technologies.

Looking Forward

The COVID-19 pandemic highlighted the vulnerabilities of the Cook Islands economy. However, it also presented an opportunity to rethink and diversify economic strategies. By focusing on other sectors of the economy, poverty in the Cook Islands can be replaced by prosperity. The collective efforts of the government, international organizations and the community will be instrumental in driving this transformation and ensuring that the nation emerges stronger post-pandemic.

– Asiya Siddiqui

Asiya is based in Fremont, CA, USA and focuses on Business and Good News for The Borgen Project.

Photo: Unsplash

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HIV/AIDS in Gabon: Everything You Need To Know

HIV/AIDS in GabonDespite having a relatively high prevalence in such a small country, the rate of HIV/AIDS in Gabon has improved significantly. Recent political instability has threatened to curtail the progress being made in the fight against HIV/AIDS in the oil-rich Central African nation. However, there is also plenty of reason to believe Gabon will continue on track to reduce the impact of the disease.

HIV/AIDS Is Still an Epidemic

As of 2023, the World Health Organization (WHO) estimates that 49,000 people are living with HIV/AIDS in Gabon. This number includes 2,300 children and 33,000 women. With a population of 2.3 million people, the infection rate stands at around 3%. While that is lower than many neighboring countries, the number is still far higher than the majority of countries around the world that have infection rates below 1%.

Progress Has Been Made

Although work remains, the rate of HIV/AIDS in Gabon has fallen dramatically over the years. Since 2010, infections have been down 31% and deaths in the same time frame have declined by 30%. The sharp decline in HIV/AIDS in Gabon can be attributed to a vast network of local and international players. Recent efforts include a partnership between The Joint United Nations Programme on HIV and AIDS (UNAIDS) and the Africa Centers for Disease Control and Prevention. In October 2021, these two organizations launched the Partnerships to Accelerate COVID-19 Testing (PACT) initiative. This dual relief program mobilized more than 70 health workers in Gabon’s areas with the highest prevalence of HIV/AIDS and COVID-19.

Additionally, the U.S. Government has been a key ally. Between 2020 and 2024, the U.S. embassy in Gabon donated more than $1.12 million in equipment and HIV prevention training. A further $2 million worth of antiretroviral medication was donated in the past year. More locally, Luc Armel Mkala Mfoulou has been the project director for the Department of Defense HIV/AIDS prevention program since 2020. Under his leadership, the Gabonese military has trained more than 500 health workers, distributed more than 200,000 condoms and provided nearly 25,000 rapid diagnostic tests.

An Uncertain Future

Shortly after a controversial presidential election in 2023, the military overthrew President Ali Bongo. President Bongo’s family had been in power since 1967. New elections have taken place and General Brice Oligui Nguema has been sworn in as president. However, major international powers like the U.S. and France have yet to recognize his legitimacy as the Bongos were considered allies. While the U.S. Department of State announced it would discontinue almost all assistance that directly contributed to the Government of Gabon, it also announced that “humanitarian, health and education funding will continue.”

Reasons for Hope

Despite this recent political shakeup, the fight against HIV/AIDS in Gabon seems to be steadily on track. With one of the highest gross domestic product (GDP) per capita on the continent, there is hope that the oil-producing nation’s wealth will continue to grow and be more evenly distributed among its population. Until then, it is hoped that the work of international players will continue to help tackle HIV/AIDS in Gabon.

– Mason Borden

Mason is based in New York, NY, USA and focuses on Global Health for The Borgen Project.

Photo: Wikimedia Commons

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Women’s Rights in Suriname

Women's Rights in SurinameArticle 35 of the Surinamese Constitution states that men and women are equal before the law. Recent studies indicate that 13.6% of women and 14% of men live below the international poverty line, showing fairly equal levels of poverty among both genders in Suriname. However, these numbers fail to capture the economic disparities that women face due to unpaid labor, health risks and social roles. Suriname’s coastal location makes it severely prone to flooding, and this is one contributor to women’s disadvantageous position in society. Women’s traditional role in society, unique health risks and limited participation in decision-making disproportionately impact women during flooding and increase poverty rates among Surinamese women.

Traditional Role of Women

In Suriname, gender roles are clearly defined, and women are responsible for household chores or raising children. Because they spend so much of their time doing unpaid work, they have fewer opportunities to seek paid employment. This financial dependency on the men in the household reinforces women’s lower position in society. Additionally, cultural practices in Suriname restrict women’s freedom of movement, meaning males must accompany them if they walk outside their homes or villages. Moreover, flooding exacerbates this issue because infrastructure damage makes travel difficult. This limited mobility hinders women from finding employment or education, making the traditional role of women a primary reason why women face higher rates of poverty than men, according to the 2023 Gender and Disaster Risk Management (DRM) report.

Health Risks

Flooding results in contaminated water, which disproportionately affects women because they use this water while doing household chores. This increased exposure heightens their chance of contracting waterborne illnesses, according to the 2023 DRM report. When floods compromise women’s health, they cannot fully participate in society or pursue higher education or employment. This perpetuates the cycle of inequality because women suffering from poor health are less productive and will be more likely to remain in poverty.

Limited Participation and Decision Making

In Suriname, women hold only 29.4% of seats in national parliament. The average percentage of women in parliament in the LAC is 32.8%, so Suriname is slightly lower than the regional average, according to the 2023 DRM report. Because women in Suriname have limited representation in decision-making about disaster management or response efforts, policymakers overlook women’s needs during a flood. Even if women want to participate in decision-making, societal expectations and systemic discrimination create barriers for them. Lack of input from women in decision-making causes important issues like equal pay or maternity leave to not be prioritized, which hinders women’s economic opportunities and increases the risk of poverty.

Ilse Henar Foundation for Women’s Rights

Flooding in Suriname has enlarged the gender poverty gap, and the Ilse Henar Foundation for Women’s Rights is working to correct this. Founded in 1996 to commemorate the 15th anniversary of the National Women’s Movement, this NGO aims to protect the rights of women, establish non-discrimination policies in Surinamese law and alleviate poverty for all. One of its most notable accomplishments was helping draft legislation to eliminate sexual harassment in workplaces in Suriname. By focusing on women’s rights, the Ilse Henar Foundation is ensuring that women have legal protection from harassment or discrimination, creating a safer work environment. This incentivizes women to seek employment, lifting them out of poverty.

Conclusion

Flooding in Suriname exacerbates the challenges faced by women, highlighting the urgent need to address gender disparities. Empowering women in disaster management is crucial because their inclusion in decision-making ensures that their needs are translated into policies. The Ilse Henar Foundation for Women’s Rights does exactly that, advocating for women’s rights in Suriname and ensuring their equal participation in decision-making processes. These actions foster an environment where women in Suriname can thrive economically because they are more willing to join a workforce that is free of harassment and discrimination.

– Sophia Manole

Sophia is based Bellevue, WA, USA and focuses on Good News for The Borgen Project.

Photo: Flickr

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The Relationship Between Waste Management and Poverty

Waste Management and PovertySeveral factors contribute to keeping communities around the world in poverty. Even waste management can be one of these contributing factors.

Understanding the link between waste management and poverty is essential for addressing global sanitation issues and improving living conditions. When exploring the relationship between waste management and poverty, it becomes clear that inadequate systems disproportionately affect impoverished communities. Delve into how waste management impacts these areas and what actions can mitigate its effects.

Health Implications of Poor Waste Management

Inadequate waste management has severe health repercussions for impoverished communities. Poorly managed waste leads to the proliferation of disease vectors such as rodents and insects. These pests spread illnesses, contributing to high morbidity and mortality rates. For example, deficiencies in India’s waste management systems are contributing to tuberculosis cases for residents near landfills.

Moreover, open dumpsites release harmful toxins and pollutants into the air and water, exacerbating respiratory and gastrointestinal illnesses. According to the World Health Organization (WHO), exposure to improperly managed waste, including medical waste, significantly increases the risk of infectious diseases in vulnerable populations.

Economic Burden of Ineffective Waste Systems

Communities struggling with poverty often face an economic burden due to ineffective waste management systems. The costs associated with healthcare for waste-related illnesses can be overwhelming for families already living below the poverty line. Additionally, inadequate waste disposal infrastructure can hinder economic development by making areas unattractive for investment and tourism. For instance, comprehensive liquid waste management requires different types of sewer pipes, some of which might be unaffordable for impoverished regions. The lack of proper sewer systems can lead to environmental contamination, further degrading the quality of life and economic prospects.

Differences in Liquid and Solid Waste Management

The management of liquid and solid waste presents unique challenges for impoverished communities. Liquid waste, such as sewage and industrial effluents, requires advanced infrastructure, such as sewage treatment plants. In contrast, solid waste management involves the collection, transportation and disposal of household and commercial garbage. Impoverished areas frequently lack access to these necessary facilities and resources. Consequently, liquid waste often contaminates water sources, while solid waste accumulates in public spaces, posing significant health hazards. Addressing these disparities is crucial for improving overall waste management practices.

Community-Based Waste Management Solutions

Community-based solutions offer hope for mitigating waste management issues in impoverished areas. Local initiatives focusing on recycling, composting and waste segregation can significantly reduce the volume of waste requiring disposal. Education and awareness campaigns can empower communities to adopt sustainable practices and hold authorities accountable for maintaining proper waste management systems.

Moreover, partnerships with non-governmental organizations (NGOs) and international bodies can bring much-needed resources and expertise to implement effective waste management strategies. For example, the Global Alliance for Incinerator Alternatives (GAIA) has been instrumental in promoting zero-waste solutions in low-income communities.

Since 2002, the GAIA has connected communities striving towards policy change in 90 different countries. GAIA has contributed 2.6 million annually to member organizations focused on zero-waste. This organization continues to grow its impact. 

The relationship between waste management and poverty is complex but undeniable. Poor waste management exacerbates health risks, imposes economic burdens, and highlights the stark disparities in infrastructure between affluent and impoverished regions. However, community-based initiatives and international cooperation offer promising avenues for addressing these challenges. By understanding and addressing the relationship between waste management and poverty, we can take significant steps toward creating healthier, more sustainable environments for all.

– Kelly Schoessling

Kelly focuses on Global Health and Technology and Solutions for The Borgen Project.

Photo: Flickr