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Global Poverty, Health, NGOs

Health Improvements in Rural Kenya

Health Improvements in Rural KenyaKenya is a country in West Africa that has experienced a significant decline in poverty in recent years. This reduction is due to health improvements in rural Kenya. This has been achieved with the interventions of nongovernmental organizations (NGOs) such as Core Health and Wealth International (CHW). Both organizations run programs that educate and assist pastoral populations.

The Situation

Like many developing nations, Kenya experiences poverty and its consequences on a large scale. To clarify, in 2005, poverty levels in rural parts of the country were around 50%, but in 2016 these levels fell to about 38.8%. It is also important to note that the rates of poverty in rural areas are about 6.5 times that of urban areas.

Kitchen Gardens

One important CHW program is its work in educating rural populations on how to grow and maintain kitchen gardens successfully. The goal of this program is “to promote a healthier organic living to vulnerable communities who have small pieces of land.” To achieve this goal, CHW supplies seedlings and conducts training on how to build and maintain multi-story, keyhole or raised bed gardens.

This method of farming is suitable for those living on small plots of land. It creates a small farm that can grow a variety of crops. Through this program, more than 200 rural citizens have grown enough to feed themselves and then some. The results of this program have led to food security, increased immunity through nutrition and profitable gardens.

Sericulture

Another important program that CHW began in rural Kenya is the introduction of sericulture. Sericulture is the practice of raising silkworms through their development stages in order to eventually harvest, process and weave silk. In this program, silkworms are raised on mulberry trees, which not only provide food for silkworms but also aid in soil conservation.

CHW partnered with the Kenya Agricultural and Livestock Research Organization (KALRO) to educate farmers about “sericulture techniques, crop management and silk processing.” Since sericulture is a sustainable and eco-friendly way of developing in-demand silks and silk blends, it is an excellent mode of economic growth for rural Kenyans. This creates wealth for farmers, weavers, garment producers and more. When wealth is created, it also creates strong health improvements in rural Kenya, as citizens are able to afford nutritious foods, medical treatments and other sanitary necessities.

Vaccinations

In Western Kenya, rabies is spread to both people and livestock, mostly through dogs across rural areas. In such pastoral locations, it is difficult to maintain the refrigeration that vaccines require, so most victims of rabies bites must travel long distances on rough roads to receive necessary treatment. However, in a recent effort to reduce rabies levels, CHW collaborated with Boehringer Ingelheim. Together, they implemented the Making More Health initiative to find an innovative solution to rural Kenya’s rabies problem.

The solution unfolded with the help of  Zipline, the world’s largest delivery system, which used drones to deliver packages full of vaccines and VacciBox, which utilizes solar power to run refrigerators. On the first day of this drone-to-refrigerator delivery, 2,000 dogs were vaccinated across counties in Western Kenya. This is only the beginning of an extensive movement to reduce rabies levels and is an excellent example of the health improvements in rural Kenya that CHW aims to achieve.

A Sustainable Future in Rural Kenya

Thanks to CHW’s tireless efforts, rural citizens in Kenya have seen improvements in agriculture, production and access to vaccines. Additionally, they have received assistance in education, period poverty and sanitation. Organizations like CHW, which address all aspects of rural poverty, are making significant contributions to health improvements in rural Kenya.

– Carlie Duggan

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

Photo: Wikimedia Commons

July 7, 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 22024-07-07 07:30:372024-07-07 00:33:48Health Improvements in Rural Kenya
Education, Global Poverty, Women and Female Empowerment

Barefoot College India – Women Becoming Solar Engineers

Barefoot CollegeThe Barefoot College in Rajasthan, India, is working to help women who would not have previously had the chance to study and progress as engineers. It offers women from all over the world from impoverished backgrounds the opportunity to study, progress their skills and, therefore, progress their careers. Not only this, but it is also helping to create sustainable energy options for local communities that are better placed for the future.  It is proving to be good for both economic development and helping to change the narrative, specifically of the role of what women can do to help reduce poverty and to provide solutions to the issues surrounding poverty in India and wider afield.

Background

The college was first created in 1972 and is based in Rajasthan, specifically Tilonia. The Barefoot College supports women in attending classes and gaining qualifications that help their future careers, specifically in engineering. The college has helped 1,708 women from 96 countries become qualified engineers and are then referred to as “solar mamas.” The organization also assists local communities in becoming self-sufficient. It has successfully collected more than 70 million liters of water from storage tanks and ponds, providing safe water.

Empowerment

The women involved with Barefoot College become qualified not only when they graduate from the college but also when they are empowered to change their lives and those of others in the community. This, in turn, changes the social hierarchy of what women can do. Specifically, when looking at their income and careers in India, they can offer financial support to help lift their families and others out of poverty. The college is helping to drastically change the narrative for women and provide solutions to poverty.

Sustainable Energy

Women entering the workforce isn’t the only positive outcome; local communities also benefit from more sustainable energy sources. Barefoot College has played a vital role in this transformation, providing safe drinking water, electrifying 75,000 houses and 1,300 villages using solar power and preventing the pollution of approximately 45 million liters of kerosene.

Economic Development

The college also benefits the economy of India and local cities in the area. The economy benefits from more women qualified to work. The country benefits from having more people working and the college helps significantly, with the majority of its college students being women who would not previously have worked. In addition, the college offers support to other countries through its research.

Progress for the Future for Women and India

As shown, Barefoot College helps not only women or the local communities but also India in general. It helps women, in particular, pursue careers in engineering and local communities benefit from this effort. The initiative also offers advice to other countries to help develop local communities there. So, it is not only helping Indian women thrive in poverty but also aims to help other cities and countries thrive with sustainable options.

– Rosie Miller

Rosie is based in Edinburgh, Scotland and focuses on Good News and Politics for The Borgen Project.

Photo: Flickr

July 7, 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 22024-07-07 07:30:212024-07-07 00:28:03Barefoot College India – Women Becoming Solar Engineers
Developing Countries, Economy, Global Poverty

Poverty in Honduras

Poverty in HondurasHonduras, a country rich in culture and natural beauty, has long faced the challenge of poverty. More than half of its population lives below the poverty line, grappling with issues such as unemployment, inadequate health care and lack of education. Frequent natural disasters that disrupt lives and livelihoods further worsen these issues. Addressing these challenges requires a comprehensive approach that includes economic growth, various social programs and strong institutions.

Economic Growth and Structural Reforms

Economic growth is essential for reducing poverty. In 2023, Honduras saw GDP growth of about 3.5%, slightly down from 4% in 2022, mostly due to a drop in textile demand from the United States. This trend is expected to continue, with projections showing a 3.4% growth in 2024 and 3.3% in 2025. Despite the decline in exports, household consumption and investment have been supported by steady remittances and credit growth.

To boost economic growth, Honduras needs to improve productivity and competitiveness. This includes investing in infrastructure, making the business environment friendlier and supporting small and medium-sized enterprises (SMEs). For instance, the Rural Competitiveness Project (COMRURAL) by the World Bank has significantly improved the productivity and market links for small rural producers, benefiting more than 14,000 families and enhancing financial inclusion for small farmers, according to the World Bank.

Social Protection and Human Capital Development

Investing in human capital is crucial for long-term poverty reduction. Honduras has made progress in education and health, but challenges remain. According to its website, the World Bank’s Education Quality, Governance and Institutional Strengthening Project has expanded school coverage in disadvantaged areas, increasing access to preschool education and providing training and resources for volunteer teachers.

The World Food Programme (WFP) has been instrumental in improving nutrition and food security. In March, the WFP’s school feeding assistance reached 6,598 children with 38 metric tons of food, supported by private partners like Fundación Ficohsa. The WFP’s nutritional assistance program also provided essential food items to 650 vulnerable individuals, including young children and pregnant or breastfeeding women.

Natural Disasters and Governance

Honduras is highly vulnerable to natural disasters, which worsen poverty. The World Bank has supported the country in disaster risk management and enhancing resilience. After hurricanes Eta and Iota, World Bank-financed projects helped rehabilitate and reconstruct affected areas, benefiting about 300,000 people, according to its website.

Improving governance and institutional quality is key to reducing poverty. Transparency and accountability in public administration are critical. The World Bank has helped the Honduran government update its poverty measurement methodology and improve the capacity of the National Statistics Institute, allowing for better targeting of social protection programs, according to its website.

Inclusive Economic Development and Job Creation

Creating opportunities for vulnerable populations is crucial for fostering inclusive growth. The World Bank is actively supporting Honduras through loans, grants, technical assistance and knowledge sharing. This approach is focused on sustainable poverty reduction. Its Country Partnership Framework (CPF) aims to build a “green, inclusive and resilient economy” by improving human development, promoting economic growth and job creation and bolstering resilience to natural hazards, according to its website.

Currently, the World Bank has committed $905 million across 12 investment projects and one development policy operation in Honduras, including $35 million in grants from programs such as the Global Agricultural and Food Security Program (GAFSP).

Since the onset of the pandemic, the World Bank has assisted Honduras with initiatives such as a $20 million emergency COVID-19 response, a $119 million standby loan and investments in disaster preparedness and health services, according to its website.

Projects also focus on improving education quality, urban water supply, disaster resilience and reconstruction efforts following hurricanes Eta and Iota. Despite progress, ongoing challenges emphasize the need for continued efforts to ensure sustainable development in Honduras.

Challenges and Future Initiatives

Despite these efforts, significant challenges remain. The WFP faces a funding gap of $83.4 million over the next six months (April to September 2024). In March 2024, approximately 1.8 million Hondurans faced a food security crisis or employed above-crisis-level food-based coping strategies. This highlights the urgent need for targeted interventions to address food insecurity. Additionally, support is needed for the most vulnerable to hunger and malnutrition, according to the WFP Country Brief.

In response to these challenges, the WFP, in partnership with the Swedish International Development Cooperation Agency (SIDA), conducted a strategic field visit to Choluteca and La Paz departments. Following this visit, both organizations committed to a collaborative emergency response program scheduled for 2024.

Reducing poverty in Honduras requires an approach that includes economic growth, social protection, institutional reforms and resilience to changing weather patterns. The combined efforts of the Honduran government, international organizations like the International Monetary Fund (IMF) and World Bank and private partners have laid a foundation for sustainable poverty reduction. Continued focus on these areas will be essential in achieving long-term progress and improving the lives of the Honduran people.

– Francheska Duarte-Santos

Francheska is based Durham, NC, USA and focuses on Business and Technology for The Borgen Project.

Photo: Unsplash

July 7, 2024
https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg 0 0 Jennifer Philipp https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg Jennifer Philipp2024-07-07 03:00:532024-07-07 00:23:27Poverty in Honduras
Global Poverty, NGOs, Water

How NGOs in India Are Fighting against the Water Crisis

NGOs in India India is currently going through a severe water crisis amid the record-breaking heat wave. In New Delhi, the temperature spiked to 121.8 degrees Fahrenheit in late May, resulting in 40,000 heat strokes and 110 deaths in the past three months. The majority of victims were low-income outdoor workers who spent most of their time outside in the sweltering weather. A contributing factor to the worsening weather crisis is the severe water shortage in India. Drinking water prevents heat strokes as water lowers the body temperature and replenishes the fluid lost from sweat. However, water has always been scarce in India due to agriculture. Agriculture alone takes up 80% of India’s water, but inefficient agricultural practices, such as the lack of irrigation and infrastructure, exacerbate the shortage. The low rainfall impacted by varying climatic conditions also contributes.

The Indian Government’s Response to the Water Crisis

The Delhi Jal Board is responsible for distributing potable water in New Delhi by providing municipal water tankers to the people. However, not everyone can access it. With New Delhi being an overly populous city, 30%- 40% of the people don’t have access to municipal water. With supply outweighing demand, this gave rise to the water mafias. These private water tank owners sell water to locals at expensive prices and often smuggle water illegally. However, people have no choice but to buy it because it is their only option. Bengaluru is one of the cities facing a severe water shortage. During election seasons, politicians promise to resolve the water crisis, knowing that all the voters want is water. However, that promise has yet to be implemented. In combating the water shortage in India, nongovernmental organizations (NGOs) are offering additional help to augment drinking water, enhance water quality and create a more effective agriculture system.

The Response of NGOs in India

Two NGOs, Sehgal Foundation and Save Indian Farmers, have been instrumental in combating India’s water crisis.

  • Sehgal Foundation: This NGO focuses on rural development and water management is one of its five main programs. The foundation has been constructing dams, ponds and tanks to augment water resources and Jalkap biosand water filters to enhance water quality. These stainless steel water filters are cost-effective as there is no need for electric power to filter and they are also effective against bacteria and parasites. Rooftop rainwater harvesting to conserve rainwater in underground school buildings is also one of its efforts. Since its inception in 1999, the organization has reached approximately five million people across 12 states in India.
  • Save Indian Farmers: This NGO strives to increase awareness of the high suicide rates among Indian farmers and help the farmer’s families and their agricultural practices. And creating a better water use system for agriculture is one of its goals. For example, in the village of Choriya Khata, there is extreme water scarcity as the village relies on agriculture and cattle rearing. To meet their agriculture and personal needs, the residents rely on insufficient groundwater. As a result, girls and mothers spend countless hours in search of water. In response, Save Indian Farmers has constructed rainwater harvesting systems to help recharge groundwater and augment drinking water, in addition to piped irrigation systems to reduce water use.

Technology for Better Water Management

The role of technology is crucial in better water management. Thus, adopting enhanced technology is inevitable to alleviate the water crisis in India. Technology enables a more effective use of water by analyzing accurate empirical data. Through data, water distribution and conservation can be improved, which can discover where water gets leaked and wasted. These technologies can have a tremendous impact in reducing water waste, which can then be used as drinking water instead. Technology also increases the public’s attention and fosters support. Donations and volunteering can be taken at a much larger scale through websites and social media.

– Eunsung Koh

Eunsung is based in Seoul, South Korea and focuses on Technology and Global Health for The Borgen Project.

Photo: Wikimedia Commons

July 7, 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 22024-07-07 03:00:112024-07-07 00:17:07How NGOs in India Are Fighting against the Water Crisis
Development, Global Poverty, Slums

An Innovative Solution to the Housing Crisis in Ghana

An Innovative Solution to the Housing Crisis in GhanaGhana, located on West Africa’s Gulf of Guinea and home to approximately 30.8 million people, faces significant challenges with multidimensional poverty and a notable housing crisis. According to a 2020 report by the United Nations Development Programme (UNDP), 45.6% of the population or about 13 million people, experience severe deprivation in various aspects of their lives, including inadequate housing. This index highlights the complex nature of poverty beyond mere income levels, illustrating the broad array of hardships, particularly in housing, that affect the daily lives of millions in Ghana.

The Ongoing Housing Crisis

While Ghana has made strides in addressing its housing crisis, the problem persists. In 2021, the Center for Affordable Housing Finance in Africa reported a 33% decrease in housing deficits, from 2.8 million units in 2010 to 1.8 million. This reduction has been largely driven by a real estate boom and a 72.8% increase in residential construction. However, despite these improvements, many Ghanaians still face inadequate living conditions. In 2020, the United Nations (U.N.) identified that 8.8 million people were living in slums, highlighting the ongoing challenge of ensuring access to safe and sanitary housing for all citizens.

Innovative Solutions by Eric Kwaku Gyimah

Eric Kwaku Gyimah, an innovator from Eastern Ghana and one of 17 siblings, founded IWoodz Creation to address Ghana’s housing crisis. Utilizing discarded shipping containers, Gyimah transforms these structures into stylish and comfortable living spaces. Initially intended to create pet-friendly homes, his project evolved to focus on providing affordable housing solutions for people. He told Al Jazeera, “I settled on repurposing shipping containers, typically discarded after their maritime service life, into chic and comfortable living spaces for people to live in.” Gyimah’s approach not only recycles materials but also offers a creative solution to the pressing need for housing in his community.

Cost Efficiency and Expanding Impact

Eric Kwaku Gyimah is revolutionizing Ghana’s housing market with his innovative approach to building homes. According to the Ghana Real Estate Developers Association, traditional brick-and-mortar homes in the country typically cost between $50,000 and $70,000. In contrast, Gyimah’s container homes are significantly more affordable, with simpler models priced between $7,000 and $10,000 and more elaborate designs up to $35,000. His most expensive model is still $15,000 cheaper than the least expensive traditional home. Beyond creating 52 homes, Gyimah is also adapting shipping containers for offices and other commercial spaces. This initiative not only offers a sustainable solution to Ghana’s housing crisis but also demonstrates how innovative, low-cost housing could significantly impact the economy.

Looking Ahead

Ghana’s ongoing housing crisis necessitates innovative solutions to meet the needs of its population. Eric Kwaku Gyimah’s approach of transforming discarded shipping containers into affordable homes offers a sustainable and economical alternative to traditional housing. This initiative, along with increased efforts in residential construction, can potentially improve living conditions for many Ghanaians. As these ongoing solutions continue to develop, they promise to address the severe housing shortages and provide more secure and adequate housing for the nation’s residents.

– Tess Curran

Tess is based in Boston, MA, USA and focuses on Technology and Solutions for The Borgen Project.

Photo: Flickr

July 7, 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 Sheidu2024-07-07 01:30:292024-07-09 01:32:32An Innovative Solution to the Housing Crisis in Ghana
Developing Countries, Economy, Global Poverty

The Rapid Economic Development in Ethiopia

Economic Development in EthiopiaEthiopia is a low-income country in the Horn of Africa. It is one of the world’s oldest countries, but the territorial borders have changed multiple times during its existence. The country has a history of conflict and war.  In 2020, a civil war broke out in the country, which lasted for two years. Not long before this war started, the long-lasting conflict with Eritrea ended. Ethiopia also has a history of famine and poverty. However, in the last few years, the economic development in Ethiopia has been booming and the economy continues to grow.

About Poverty in Ethiopia

Ethiopia is one of the poorest states in Africa and the second-most populated country after Nigeria. According to the United Nations Development Programme (UNDP), approximately 68% of Ethiopia’s population was multidimensionally poor in 2021. Poverty has various adverse effects on the country, including the prevalence of serious diseases.

The population is highly susceptible to diseases such as malaria, HIV, tuberculosis and noncommunicable diseases (NCDs). In 2019, NCDs caused 43% of deaths in Ethiopia. Furthermore, its average gross domestic product (GDP) per capita is $1,028 as of 2022 and a significant portion of the population struggles to access an adequate food supply. This widespread food insecurity in Ethiopia is attributed to overall poverty, droughts and past conflicts, among other factors.

Economic Growth

Ethiopia is experiencing rapid economic growth, with an impressive 7.2% increase in the 2022/23 fiscal year. The country has made significant progress in reducing poverty. Between 1995 and 2015, the percentage of Ethiopians living below the international poverty line decreased from 69% to 27%. The list below showcases the main reasons why Ethiopia’s economic development is booming:

  1. In 2018, the Ethiopian government launched an Urban Institutional and Infrastructure Development program. The program’s goals are to promote structural and economic transformation through increased productivity, build resilience and inclusiveness, support institutional accountability and confront corruption. The program, which will end in July 2024, has improved the living conditions for at least 6.6 million Ethiopians living in the countryside.
  2. Agriculture is an essential driver of economic development in Ethiopia. The industry accounts for 40% of Ethiopia’s GDP and an estimated 75% of the country’s workforce finds itself in this field. The government has set a plan to replace wheat imports with local production. It has introduced farming techniques that allow wheat to be harvested twice a year. By 2022, Ethiopia had become completely self-sufficient in producing wheat for its inhabitants. In the same year, it made more than one million tons of surplus, which it exported. The wheat initiative has been a great success.
  3. Due to the rapidly growing population, the government is facing challenges in creating enough jobs. Small and medium-sized enterprises play a crucial role in the Ethiopian economy. Therefore, the government has begun to focus on supporting small and medium-sized businesses as part of its plan to create three million more jobs annually.
  4. Some of the elements mentioned are part of the government’s Homegrown Economic Reform Agenda. This is an economic reform that was launched in 2021 and focuses on:
    • Ensuring macroeconomic stability to sustain the rapidly growing economic growth.
    • Rebalancing the public and private sector’s role in the economy.
    • Unlocking new and existing potential.

Looking Forward

In January 2024, the leaders of Ethiopia and Somaliland signed a memorandum of understanding. Ethiopia, which is landlocked, will be allowed to use Somaliland’s port for commercial traffic. In return, Somaliland will get a share of Ethiopia Airlines. This deal has irritated Somalia, which considers Somaliland to be part of its territory. However, if or when this deal is set in motion, Ethiopia’s economic development will likely reach new heights.

– Sigrid Nyhammer

Sigrid is based in London, UK and focuses on Politics for The Borgen Project.

Photo: Unsplash

July 7, 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 22024-07-07 01:30:272024-07-07 14:27:33The Rapid Economic Development in Ethiopia
Developing Countries, Global Poverty, Nonprofit Organizations and NGOs

How FUNDAP Is Improving Women’s Education in Guatemala

Women’s Education in GuatemalaAs a strongly patriarchal society, Guatemala has made progress toward gender equality in the past years. This is partially due to work done by the Foundation for the Integral Development of Socioeconomic Programs (FUNDAP). This nonprofit organization uses six different programs (education, health, microcredit, handicraft, agricultural and environmental) to educate women. FUNDAP is elevating and empowering women to cultivate growth in various impoverished regions of Guatemala.

What Is FUNDAP?

FUNDAP is a nonprofit organization established in 1981 that focuses on improving the lives of people (specifically women) in rural areas of the Republic of Guatemala. It is dedicated to moving forward with respect for people’s dignity and culture, avoiding the patriarchy to empower local women.

How Does FUNDAP Work toward Empowering Women?

FUNDAP operates by first monitoring at-risk and poverty-stricken areas and then evaluating the best ways to assist the residents. Following the evaluation, it implements various changes, which often involve creating job opportunities, offering financial support to local women and developing tools for sustainable environmental use.

After these changes are enacted, FUNDAP will focus specifically on individual women, limiting its view from the wider community to the impoverished woman. It will help the women learn important habits (like hygiene, nutrition, literary and financial literacy), develop their sense of self (through self-confidence) and then educate those women until they are qualified workers in a specialized field.

Like many patriarchal societies, Guatemala holds a deep cultural belief in specific gender roles and biases. These cause great difficulties for women trying to achieve financial stability or even financial independence, as many locals do not support women’s businesses. This is not to say that women entrepreneurs do not exist in Guatemala. In fact, they make up the majority of lower-level businesses. The problem lies in the fact that they lack access to the necessary tools and are being denied opportunities to enhance their businesses and progress to the next level.

FUNDAP assists women in advancing to the next level by providing them with the education that has been denied to them due to their gender. The organization also works with them to cultivate self-confidence and affirm gender equality. By teaching women how to save, invest in equipment smartly and handle their finances, the organization allows local women to feel confident and secure in their businesses.

FUNDAP Improves Women’s Education in Guatemala

FUNDAP offers six programs that Guatemalan women can join. The programs focus on providing specialized training to make women highly qualified in areas such as education, healthcare, microcredit, handicrafts, agriculture and the environment. These programs are designed to educate and empower women to excel in specific fields of their interest.

Impacts

While many international programs and nonprofits have focused on education, FUNDAP provides diverse opportunities for women’s education in Guatemala. According to the World Bank, in 1980, only 17% of Guatemalan women were enrolled in secondary education. However, by 2022, that number had risen to 47%. These programs are effective and although they take time, they often achieve their goals.

In 2023 alone, FUNDAP helped more than 181,000 people with its programs, with more than 83% of those beneficiaries being women. FUNDAP is an organization with a wide reach throughout Guatemala. It identified a problem and took active steps to address it by providing education and empowerment to women.

– Paige Tamasi

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

Photo: Unsplash

July 7, 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 22024-07-07 01:30:162024-07-06 23:55:19How FUNDAP Is Improving Women’s Education in Guatemala
Disease, Global Poverty, Health

Controlling Noncommunicable Diseases in Bangladesh

Noncommunicable Diseases in BangladeshNoncommunicable diseases (NCDs) are the leading cause of death in Bangladesh. In 2019, NCDs, including cancers, diabetes, cardiovascular and chronic respiratory diseases, accounted for 70% of mortality in the country. NCDs derive from genetic, environmental and behavioral factors, meaning a person’s lifestyle impacts their likelihood of diagnosis.

Air pollution in Bangladesh contributes to the rise of cardiovascular illnesses and chronic respiratory diseases, where heart disease, strokes and asthma impact individuals’ physical health. Unhealthy lifestyles, diet and physical inactivity are also causes of NCDs like cancer and diabetes. These ongoing causes and burdens have mobilized the government to work toward controlling NCDs in Bangladesh.

Health Discrimination

Health surveys from 2011 to 2018 have shown that socioeconomic disparities are connected to the prevalence of hypertension, diabetes and overweight and obesity. For example, those who work in manual labor in Bangladesh are more exposed to air pollution, increasing the incidence of hypertension and obesity. Conversely, economic growth has led to more processed, readily available and low-cost foods available to poor people. Unhealthy diets also contribute to high NCD prevalence in poorer communities in the country.

Moreover, NCD services are costly and access to proper care is far less attainable for people experiencing poverty. These chronic conditions require long-term care and jeopardize patients’ financial stability with medical expenditures. In 2021, the country allocated 2.36% of its gross domestic product to health expenditure. Out-of-pocket spending accounts for a 68.5% share of health expenditure. Dependence on out-of-pocket spending causes financial distress, especially among vulnerable families.

The Plan

Bangladesh’s Multisectoral Action Plan for the Prevention and Control of NCDs 2018-2025 commits to address these diseases and improve the health care system. The operation plan’s success requires four courses of action that are conducive to controlling noncommunicable diseases in Bangladesh.

  • Action area 1: Advocacy, leadership and partnerships.
  • Action area 2: Promotion and risk reduction.
  • Action area 3: Health systems strengthening for early detection and management of NCDs and their risk factors.
  • Action Area 4: Surveillance, monitoring and research.

Successes since 2018

Through partnerships, the country has made significant progress in creating a strong foundation for NCD prevention and control. The collaboration between 30 ministries and agencies was one notable success. In the 2022 first National NCDs Conference in Bangladesh, national and international stakeholders assembled to discuss NCD prevention and control strategies and established the Dhaka Declaration, 32 steps to combat NCDs. This declaration furthered the Multisectoral plan’s goal of controlling tobacco, alcohol and indoor air pollution and promoting physical activity and healthy diets.

NCD Corners in health complexes have also been developed across the country, increasing access to care. These corners facilitate early detection and management of common NCDs, even in rural areas. By October 2022, 6,231 patients were treated for high blood pressure and 1,386 for diabetes through these corners. The National Heart Foundation Bangladesh has also reported an increase in hypertension control across the country’s administrative districts. For instance, in Kualara, from May 2022 to October 2022, the number of patients with controlled hypertension rose by 15%, from 55%,  with the assistance of NCD corners. These corners are located in community health centers and primary health care facilities, providing easy access for all population groups.

Furthermore, progress has been made in developing policies to control shared risk factors of NCDs. To promote healthy diets, the country has imposed taxation on domestically produced sugar-sweetened beverages. First, there is a 15% value-added tax and then a 25% supplementary duty for carbonated drinks and 35% for energy drinks. Taxes on unhealthy items help reduce consumption and the prevalence of obesity and other NCDs can decrease.

Ongoing Efforts

There is still more to be done. Taxation is effective in controlling Bangladesh’s tobacco problem. In the fiscal years 2024 and 2025, the government strives for a 66% increase in the tax rate on cigarettes and tobacco products. This change factors in indoor pollution control as tobacco smoke inside homes exposes nonsmokers to smoking and poor air quality.

The plan further addresses health financing and expenditure. In the fiscal year 2024, the country increased its federal budget allocation for health by 9%. However, this improvement had little effect on the country’s health care quality. Bangladesh’s Multisectoral plan proposes financial risk protection through:

  • Accessing NCD services without upfront costs.
  • Integrating essential services at district and lower levels, including an annual NCD voucher system with minimal costs.
  • Adjusting the fee structure if other strategies cannot be implemented.

By prioritizing these strategies, Bangladesh can look toward a healthier future for all its citizens, ensuring equitable access to quality health care.

Conclusion

Noncommunicable diseases continue to impact mortality and quality of life in Bangladesh. However, Bangladesh’s Multisectoral plan has successfully coordinated efforts across various sectors to control NCDs. Collaboration, policies, regulations and initiatives for enhancing accessibility remain conducive to these goals.

– Caroline Albright

Caroline is based in Milton, MA, USA and focuses on Good News and Global Health for The Borgen Project.

Photo: Pexels

July 6, 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 22024-07-06 07:30:592024-07-04 05:33:11Controlling Noncommunicable Diseases in Bangladesh
Business, Developing Countries, Global Poverty, Poverty Reduction

Mali’s Sugu Yiriwa Market

Mali's Sugu Yiriwa Market In 2022, Mali experienced an increase in its poverty rate from 44.6% to 45.4%, with an additional 1.3 million people requiring humanitarian aid, 20% of schools closed and 2.5 million individuals without health coverage. To combat these ongoing challenges, the Feed the Future initiative launched the Sugu Yiriwa Market in Mali, designed to stimulate economic growth and support disadvantaged communities.

Sugu Yiriwa Market

The Sugu Yiriwa Market, launched in 2021 with CARE Mali and other organizations, serves 12 districts across 80 communities. This initiative focuses on three primary objectives: enhancing the quality of products, boosting income and expanding access to nutrient-rich goods. The market aims to foster a network of interconnected markets and businesses to ensure a more reliable supply of quality, necessary products and to enhance overall market access for the community.

The Sugu Yiriwa Market introduces quality products that provide essential nutrition to communities traditionally lacking access to such resources. This availability is crucial for addressing malnutrition and ensuring safer consumption options. The market also supports local farmers by offering efficient production methods and introducing new technologies that assist with pricing and weather forecasting. Additionally, these technology advancements aim to reduce post-harvest labor and enhance overall agricultural productivity.

Its Impacts

In 2023, the Sugu Yiriwa Market achieved $20 million in total annual sales, with women comprising about half of its participants, aligning with the market’s focus on empowering this demographic. The market also targeted children’s nutritional needs, successfully delivering interventions to more than 2,000 children that year. Additionally, more than 100 traders and suppliers received training in sustainable agricultural practices, enhancing food security and boosting sales.

Mali businessman, Sidiki Badian, who profits from cereal and grains, navigated a crisis when the Mali government banned cereal exports, leaving him with surplus stock. Through the Sugu Yiriwa Market, Badian engaged with ministers to facilitate a government purchase of his remaining millet. This support mechanism has bolstered local farmers and businessmen like Badian, enhancing their revenue and providing essential economic support.

Looking Ahead

The Sugu Yiriwa Market has become a vital part of Mali’s efforts to combat poverty and malnutrition. The initiative plans to expand its reach, incorporating more advanced agricultural techniques and supporting additional communities. Efforts could focus on creating more training programs for farmers and traders, to ensure sustainable growth and stability. Through ongoing initiatives, Mali can potentially make strides in improving food security and supporting local economies amid ongoing challenges.

– Dorothy Howard

Dorothy is based in Greensboro, NC, USA and focuses on Business and New Markets for The Borgen Project.

Photo: Flickr

July 6, 2024
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Disease, Global Health, Global Poverty

ARIDA: Tackling Childhood Pneumonia

ARIDAThe World Health Organization (WHO) identifies pneumonia as the leading cause of mortality among children under five, attributing more than 700,000 child deaths to the disease in 2019. Consistently, UNICEF estimates that pneumonia annually claims the lives of 800,000 children under five worldwide, marking it as the top cause of child morbidity from infectious diseases globally. Pneumonia can be contracted through various agents, including viruses, bacteria or fungi. It affects the lungs, specifically the alveoli—small sacs where air exchange occurs. Normally, these sacs expand with air when inhaling. In cases of pneumonia, the alveoli fill with fluid or pus, making breathing painful and limiting the ability to take deep breaths.

Typical Barriers to Treating Pneumonia

Pneumonia is often misdiagnosed as a disease like malaria or tuberculosis, complicating early detection efforts. The WHO reports that in remote areas with limited health facilities, health workers rely on manual counts of respiratory rates (RR) to diagnose pneumonia. However, manually counting a child’s breaths is challenging and subjective, with variations in what different health workers consider a single breath. This inconsistency makes it difficult to obtain an accurate RR, hindering effective diagnosis.

ARIDA

In 2014, UNICEF launched the Acute Respiratory Infection Diagnostic Aid (ARIDA) program to develop technology that would enable health workers to diagnose pneumonia more accurately. This initiative introduced two new devices: the Philips ChARM, which stands for Children’s Automatic Respiratory Monitor and the Masimo Rad G, both designed to improve the assessment of respiratory rates in children.

The Philips ChARM, priced at $44 per unit, automatically counts a child’s respiratory rate when strapped around the torso, designed for use while the child lies horizontally. The Masimo Rad G, costing $250 per unit, uses a clip-like monitor attached to the child’s finger to calculate respiratory rate and simultaneously measure blood oxygen levels. Using devices to calculate respiratory rates has enabled health workers to adhere more closely to WHO guidelines for diagnosing pneumonia quickly and accurately. More than one million children gained access to life-saving antibiotic treatments due to the ARIDA devices and an additional 300,000 received enhanced care services.

The Future of ARIDA

The trials of the ARIDA devices took place in Bolivia, Nepal and Ethiopia from 2017 to 2019, significantly advancing Ethiopia’s health goals for women and children. These ongoing efforts are part of a broader commitment to the Global Action Plan for Pneumonia and Diarrhoea, aiming to eliminate all treatable pneumonia and diarrhea-related deaths by 2025. The plan includes expanding the range of ARIDA products available for government purchase. However, the scaling of ARIDA products faces challenges such as unit costs, though countries may offset these costs through funding from UNICEF’s development partners. This initiative also supports the United Nations (U.N.) goal to end preventable deaths of newborns and children under five by 2030.

Looking Ahead

The ARIDA initiative has made significant strides in diagnosing and treating pneumonia, particularly in remote areas. Trials in Bolivia, Nepal and Ethiopia have already enabled more than a million children to access life-saving treatments. Despite cost challenges, the expansion of ARIDA products aligns with global health goals, aiming to reduce child mortality rates and improve health care outcomes by 2030.

– Naomi Finapiri

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

Photo: Flickr

July 6, 2024
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