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Disease

Diseases Impacting Burundi: A Health Challenge in Need of Solutions

Diseases Impacting BurundiBurundi is a landlocked country bordered by Rwanda (to the north), Tanzania (to the east and southeast) and the Democratic Republic of the Congo (to the west). It battles with a vast array of health challenges, with diseases being a significant problem for its people. In the small, landlocked nation, the fight against infectious diseases and non-communicable health threats takes center stage as the government and various organizations relentlessly work to improve the nation’s well-being. Here are the top diseases impacting Burundi.

Malaria

According to the National Institute of Health (NIH), Burundi has been grappling with a significant upsurge in malaria cases in recent years. In 2020 alone, the country reported over 1 million malaria cases, an increase from the 600,000 cases recorded in the previous year. The surge can be attributed to a multitude of factors, including:

  • Recurring malaria outbreaks over the past decade. 
  • The presence of drug-resistant malaria parasites. 
  • Cross-border transmissions from neighboring countries. 
  • Climate change, creating more favorable conditions for mosquito breeding.

Malaria is a mosquito-borne disease that can be deadly, especially for children and pregnant women. The disease is caused by a parasite that is transmitted through the bite of an infected mosquito. The government of Burundi is working to control the malaria outbreak. In recent years the government has distributed 6.8 million insecticide-treated bed nets and malaria medication to people in affected areas, alongside efforts to improve drainage and sanitation to reduce mosquito breeding sites.

HIV/AIDS 

Burundi is at a crossroads in its fight against HIV/AIDS. While commendable progress has been made in reducing new infections and deaths, with incident rates falling by 88% from 2002 to 2020, the country still faces issues with low rates of HIV testing among adolescents and young adults and alarming rates of mother-to-child transmission.

According to the Global Fund to Fight AIDS, Burundi has one of the world’s highest rates of mother-to-child HIV transmission, with approximately 50% of new infections in children aged 0–5. This high level of perinatal transmission results from the failure to provide ART (Antiretroviral Therapy) to many pregnant women living with HIV. While investments have undoubtedly propelled Burundi’s progress in the fight against HIV/AIDS, persistent hurdles require further concerted action. Several approaches can be taken such as:

  • Raising Awareness: Increasing public awareness about HIV/AIDS prevention and treatment is important.
  • Accessible Services: Ensuring equitable access to high-quality testing and treatment services is an important step towards fighting HIV/AIDS.
  • Ending Stigma: Combating the stigma associated with HIV/AIDS is crucial for encouraging testing and treatment amongst the youth.

With enough support and collaborative efforts, Burundi can achieve its goal of eradicating the AIDS epidemic. Together we can support the nation’s resolve to overcome the challenges in this ongoing battle. 

Non-Communicable Diseases (NCDs) and the Economy

Data acquired from different sources reveal an alarming upward trend in almost all NCDs and their related risk factors across the Burundian population. The global nutrition report shows us that 5.5% of adult men and 5% of adult women were identified as being at high risk for the development of Diabetes and Hypertension, two chronic conditions that carry severe health implications. 

There’s the issue of Type 2 diabetes in Burundi being an economic burden, as it costs each patient $2,621 a year, which is significantly higher than the GDP per capita, which is $221.48.

The prevalence of obesity among younger children aged 5–10 years old is 28%. While both adult men and women are at risk, obesity is increasing sharply among children and adolescents, and cancer is also on the rise, with 7,929 new cancer cases. Urgent action is needed to prevent and manage NCDs with a focus on interventions for children, adolescents and women.

According to the Journal of Public Health in Africa, to address this crisis, preventative and management measures for NCDs would have to be put in place, such as: 

  • Increase awareness of diabetes and hypertension.
  • Provide access to quality health care services, including treatment and monitoring.
  • Support research into new treatment and prevention strategies.

Final Thoughts on Diseases Impacting Burundi

Burundi faces a vast array of health challenges, from infectious diseases to non-communicable health problems. The government, alongside international partners and non-governmental organizations, is dedicated to addressing these issues. While progress is evident, challenges remain, including issues of accessibility, stigma and changes in the economy. The path forward demands continued dedication and collaboration to ensure that Burundi citizens can access quality health care and live healthier lives.

– Laeticia Mbangue
Photo: Flickr

October 11, 2023
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Global Poverty

Massive Strides Made for Vaccinations in the DRC

Vaccinations in the DRCThe Democratic Republic of the Congo (DRC) is one of Africa’s largest countries. With an especially high poverty rate, approximately 60 million people live on less than $2.15 a day. Vaccination struggles worsen living conditions by driving up child mortality. However, the government has been steadfast in improving the quality and quantity of vaccinations in the DRC and has doubled down on vaccine programs to improve the country. 

The Gavi Alliance 

A key barrier to vaccinations in the DRC is cost; having resources to cover the massive 2 million square kilometers the country spans is a tall order. The Gavi Alliance, a global NGO championing vaccine equity, has donated a staggering $60 million to the DRC through its equity accelerator fund. The goal of the donations is to reduce the number of “zero-dose” children in the DRC. Zero-dose is a term that refers to the number of children who have received no vaccinations whatsoever, and the fund plans to reduce the number of these kids by 35% within only three years. 

A focal point of Gavi’s mission is promoting equity. Their funds in the DRC will focus on creating Civil Society Organizations that will track zero-dose numbers, as well as tackle gender equity and vaccine inequalities throughout the country. The massive relief effort targets 11 provinces that harbor 74% of zero-dose cases. The DRC currently maintains one of the highest unvaccinated rates for children — 700,000 — and Gavi hopes to shatter that with “innovation and targeted support, [to]reach zero-dose children, and ensure that the most marginalized communities are no longer left behind,” according to Thabani Maphosa, Managing Director of Country Programmes Delivery at Gavi.

Maksho Plan 

Another stride for vaccinations in the DRC is building on successes made before the COVID-19 pandemic. The Maksho Plan is another target vaccine program that has aimed to reduce the number of zero-dose children, increasing vaccination rates by 27% in 2019. During the pandemic, however, its impacts diminished, with national vaccination falling by 9%.

In response, the government has initiated the Maksho Plan 2.0 to further fight the zero-dose crisis. By 2023 they have brought the national vaccination coverage back to 45%. This increase is a substantial victory for the country and shows great signs of global health improvements in the future. The Maksho Plan and the DRC’s Ministry of Health have set their sights on increasing the percentage of vaccinated children to 75% by 2027. 

Powerful Polio Efforts 

Although countries like the United States have eradicated polio, it is still a very present threat to vaccinations in the DRC. Specifically, the polio strain noPV2 is the culprit of the DRC’s problems and is also the most common form of polio throughout Africa. Fortunately, because the disease has been successfully eradicated in other countries, the primary method of paving success is simply strong vaccine rollouts. 

On June 1, 2023, the country launched its first large-scale effort on polio vaccinations. The force was a three-day wave across 20 DRC provinces, reaching 17 million children 5 and under. Half of all Africa’s polio cases are in the DRC, so this onslaught vaccine effort is a massive move to empower the public health of their citizens. The country is continuing its plans with a new mobile app that can track vaccines, health care workers, the quality of the campaign and other vital data for making improvements. 

A Bright Future 

The combined efforts from the Gavi Alliance, the Maksho Plan and the government’s Polio campaign have set vaccinations in the DRC on a fast track to success. The country has positioned itself to reach its milestone goals for reducing its zero-dose population. The DRC’s strategic vaccine endeavors may become a blueprint for other countries hoping to improve the health of their people. 

– Aditya Arora
Photo: Flickr

October 11, 2023
https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg 0 0 Yuki https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg Yuki2023-10-11 06:17:352023-10-12 09:03:54Massive Strides Made for Vaccinations in the DRC
Global Poverty, Poverty Reduction

Poverty and Mental Health in Nicaragua

Mental Health in NicaraguaNicaragua ranks among the countries in Latin America with low-income levels. Its population of 6.5 million faces challenges, with approximately 3.2% living on less than $1.90 per day and around 24.5% below the national poverty line. Widespread poverty in Nicaragua exacerbates mental health issues.

Living in poor conditions creates a challenging and unpredictable environment for families and communities in the area. It is widely known that poverty and socioeconomic disadvantages increase the chances of experiencing life events. In countries with development like Nicaragua, factors such as limited social connections, inadequate public services and insufficient public security contribute to these stress-inducing situations within these communities. Due to a struggling economy, access to health services is scarce for individuals, particularly the poorest. Consequently, they live in unsupportive environments, making it difficult for them to cultivate resilience or develop self-esteem.

The Impact of Poverty on Mental Health

Research indicates that individuals enduring poverty and social hardships often encounter a frequency and greater severity of life events (SLEs) compared to the general population from childhood and adolescence to adulthood. These SLEs have been linked to a range of mental health issues, ultimately diminishing the quality of life for those affected. In interviews conducted in León and Chinandega (Nicaragua), homeless women shared how their financial circumstances were influenced by the SLEs they experienced before reaching 18 years old and their age while experiencing them.

When asked about the life events that had an impact on their experience of homelessness, the women mentioned other factors. These included:

  • Having difficulties with their family.
  • Experiencing the loss of their mother and/or father.
  • Facing unemployment.
  • Enduring intimate partner violence.
  • Struggling with poverty and economic challenges.

Moreover, some interviewed women believed that certain significant life events contributed significantly to their situation. These events included:

  • The death of a partner.
  • Separation or abandonment by a partner.
  • Being abandoned by their children.
  • Substance abuse issues.
  • Lack of education opportunities.
  • Dealing with illness or health problems.

Additionally, one woman in each case indicated that becoming homeless was due to an accident, debt, or mismanagement of assets, time spent in prison, being a victim of rape, engaging in sex work, experiencing the death of a child, lacking family support, struggling with self-esteem issues or having experienced violence.

Health Care and Support Initiatives in Nicaragua

Médecins sans Frontier (MSF, Doctors Without Borders) is an initiative that offers medical assistance. Each day, the dedicated teams of Doctors Without Borders provide health care to individuals facing crises undertaking endeavors across over 70 nations. Since its establishment in 1971, MSF has positively impacted millions of lives, expanding from a group of 13 doctors and journalists to a movement comprising more than 45,000 individuals.

In Nicaragua, they provide psychological and psychiatric assistance to individuals affected by political and social violence. MSF’s initial mission in 1972 took place in Managua, the capital and largest city of Nicaragua. During that time, an earthquake devastated most of the city, claiming the lives of 10,000 to 30,000 people. In 2018, MSF returned to Nicaragua to support those experiencing anxiety, adjustment disorder and post-traumatic stress due to their exposure or personal experiences with events linked to civil unrest and political turmoil. Additionally, MSF conducted training sessions on health care, psychological first aid and self-help for community leaders, groups and educators. This training empowered them to provide support during crises.

Conclusion

Nicaragua’s intersection of poverty and mental health poses difficulties for individuals and communities. The combination of resources and inadequate access to necessary services and support worsens mental health problems. Organizations such as Doctors Without Borders play a part in offering psychiatric aid along with training to tackle these challenges. They assist individuals affected by social violence find ways to recover and build resilience amid adversity.

– Aysu Usubova
Photo: Flickr

October 11, 2023
https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg 0 0 Yuki https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg Yuki2023-10-11 04:57:442023-10-11 10:09:01Poverty and Mental Health in Nicaragua
Global Poverty

Combating Non-Communicable Diseases in the Philippines

Diseases in the PhilippinesNoncommunicable diseases (NCDs) are the world’s number one cause of death and disability and among the leading causes of death in the Philippines. However, the wealth gap between the rich and the poor and a lack of education about preventative behaviors has made it challenging for much of the population to combat the rising danger of NCDs. Action must be taken to address the sheer death toll caused by these diseases in the Philippines.

The Danger of NCDs

NCDs are conditions that tend to last for a long duration with long-term health consequences and arise not as a result of acute infection but as a result of a combination of genetic, physiological, environmental and behavioral factors. There are four main groups of NCDs: cardiovascular diseases, cancers, chronic respiratory diseases and diabetes; and five major risk factors: tobacco use, physical inactivity, the harmful use of alcohol, unhealthy diets and air pollution.

These factors all increase the threat of NCDs and are caused by rapid urbanization, poor urban planning, unhealthy lifestyles and population aging. Other risk factors include metabolic ones, such as high blood pressure and obesity, and environmental ones, such as air pollution; these all contribute to the risk of NCDs.

Every year, NCDs kill 41 million people, a staggering number equivalent to 74% of global deaths — a death toll exceeding even that of infectious diseases. Low- and middle-income countries are disproportionately affected, accounting for 77% of NCD deaths — poverty can be closely linked to NCDs. Poorer families do not always have the knowledge or the means to avoid harmful products that induce risk factors, and they do not have the income to access health services to treat NCDs. The combination of the extortionate costs of NCDs and the loss of household income forces millions and millions into poverty each year.

The Impact of Chronic Diseases in the Philippines

The top five causes of death in the Philippines are 1) ischemic heart diseases, 2) cerebrovascular diseases, 3) neoplasms or cancer, 4) diabetes mellitus and 5) hypertensive diseases. These are all NCDs and are estimated to have caused around 70% of deaths in the Philippines. A World Health Organization (WHO) study has shown that Filipino women are more at risk of NCDs — 240,000 Filipino women die from NCDs per year. There were 511,748 NCD deaths in 2019, with NCDs responsible for 72% of deaths among women and 68% among men. Women are especially vulnerable to NCDs because maternal and perinatal conditions contribute to the mortality rate caused by these diseases.

Not only do NCDs cause illness, disability and death, but they also have economic consequences. The burden of such diseases in the Philippines reduces economic output, with economic losses from NCDs costing PHP 756.5 billion, equivalent to around 5% of the country’s GDP in 2017. 

The Healthy Hearts Program

In 2021, the Department of Health (DOH) worked with local governments, alongside WHO and Resolve to Save Lives, to implement the Healthy Hearts Program in the Iloilo province. The program intensified efforts in seven hypertension service sites to prevent NCDs and cardiovascular diseases, using job aids and e-learning courses to support health care workers in the province. This effort helped equip the workers with accurate and relevant information on cardiovascular diseases, allowing them to provide patients with improved screening, diagnosis and treatment protocols.

The Healthy Hearts Program also includes support for the accreditation of health facilities, providing the Konsultasyong Sulit at Tama or Konsulta primary health care package of the Philippine Health Insurance Corporation (PhilHealth).

By working at a local level and aiming the program at local communities, it has assisted nearly 250,000 adults, helping them access regular consultations and a continuous supply of antihypertensive medications. It has also successfully improved the health outcomes for those living with hypertensive diseases in the Philippines, with 80% of hypertensive patients exhibiting controlled blood pressure.

Continuing Efforts Against NCDs

To fight back against the nation’s biggest killers, the Philippines must address the risk factors that lead to the rise of NCDs. In an expansion of the Healthy Hearts Program that will take place from 2023 to 2024, the DOH and WHO aim to further improve hypertension detection and control by including an additional 36 implementation sites in the Iloilo province and 18 sites in Antique. The program will also aim to support the prevention of NCDs at a governmental level, encouraging the creation of governmental programs and policies that address the risk factors of NCDs.

Projects like these help make health services more accessible to those living in poverty, improve the condition of those living with NCDs and help educate health workers on preventative behaviors, continuing to combat the looming danger of noncommunicable diseases in the Philippines.

– Stephanie Chan
Photo: Flickr

October 11, 2023
https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg 0 0 Yuki https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg Yuki2023-10-11 04:57:432024-06-11 00:17:55Combating Non-Communicable Diseases in the Philippines
Global Poverty

6 Approaches that Advanced Mental Health in Paraguay 

Mental Health in Paraguay Paraguay is located in South America, bordered by Argentina to the southwest and Brazil to the east. Despite a generally content atmosphere, Paraguay faces significant challenges in its mental health care system. One pressing issue is the increasing rate of suicides among indigenous adolescents who are part of the mental health care system. Common mental health disorders in Paraguay encompass anxiety, depression and bipolar personality disorder.

The World Bank conducted High-Frequency Phone Surveys (HFPS) from May to June 2021. Paraguay, along with Ecuador and Bolivia, was tied for the fourth position in the Mental Health Vulnerability Index, scoring 0.28. This ranking highlights significant concerns about mental health in Paraguay, which are also associated with increased levels of poverty and economic inequality. The Mental Health Department under the purview of the Ministry of Public Health and Social Welfare (MPH) of Paraguay has dedicated its efforts to expanding the accessibility of mental health services to its citizens.

Here are 6 Ways That Paraguay is Promoting Mental Health

  1. Expanding Locations: From 2008 to 2016, The National Health Policy established 800 family health units across the nation, averaging 176.7 units per year. Prior to this initiative, Paraguay had health unit coverage of less than 33%. https://blogs.iadb.org/desarrollo-infantil/en/early-childhood-development-in-paraguay/ This robust primary health care network is instrumental in ensuring that individuals with mental health conditions receive treatment in close proximity to their residences. https://www.oecd-ilibrary.org/sites/9789264306202-6-en/index.html?itemId=/content/component/9789264306202-6-en
  2. Mental Health Training: The Latin American Psychiatry Association brought together Paraguay’s residency programs with basic curricular requirements including the subject of mental health. More than 400 health care practitioners are undergoing comprehensive training in the provision of mental health services. This training equips them with the necessary skills and knowledge to effectively address the mental health needs of their patients, thereby fostering a more holistic and integrated approach to delivering health care. This effort plays a vital role in bridging the existing disparities in health care for indigenous communities, especially since Paraguay had a rate of 1.6 psychiatrists per 100,000 population.
  3. Integration into General Hospitals: The National Mental Health Policy outlines its strategy to create community mental health centers, with one such center designated for every cluster of 15 family health units. Each of these centers is envisioned to incorporate a dedicated mental health team as part of its comprehensive approach to mental health care provision.
  4. Universal Health Care: In 2011, Paraguay developed a national policy based on recommendations from the Inter-American Commission on Human Rights. This policy focuses on universal and community-based health care, aiming to improve mental health in the country.
  5. Public Education and Awareness Campaigns: Government bodies, nongovernmental organizations (NGOs), professional associations, private trusts, foundations and international entities have jointly spearheaded public education and awareness initiatives. These concerted efforts have specifically aimed at engaging various segments of the population, including the general public, children, adolescents, women and individuals who have experienced trauma.
  6. Health Care Investment Increase: Paraguay demonstrates a relatively substantial commitment to health care investment when considering its share of the Gross Domestic Product (GDP). In 2015, the country allocated 7.8% of its GDP to total health expenditure, surpassing the health care investment levels observed in more economically advanced nations within the Latin America region.

Looking Ahead

There have been significant strides in terms of promoting mental health in Paraguay. The substantial improvement in health care access reflects a remarkable increase of over 23 percentage points from 2003 to 2016, thereby facilitating enhanced accessibility to mental health assistance.

Paraguay’s efforts to address its mental health challenges have been significant, but there is still room for progress. By staying committed to implementing effective policies, the country could achieve more significant and positive improvements in the well-being of its people, ultimately creating a healthier and more resilient population.

– Susanna Andryan
Photo: Unsplash

October 11, 2023
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 Philipp2023-10-11 03:00:072023-10-09 08:17:506 Approaches that Advanced Mental Health in Paraguay 
COVID-19, Global Poverty

Poverty in the Caribbean: The Challenges

Poverty in the CaribbeanCaribbean countries have always struggled with poverty as a result of factors such as low educational achievement and low worker productivity, and following the infamous COVID-19 global pandemic that began nearly four years ago, they have been struggling with the rise of their inflation, which has resulted in limited access to both goods and labor markets, leaving the most vulnerable people in these places in poverty-stricken situations. The following is an overview of the challenges that relate to poverty in the Caribbean.

Low Education Levels

Poor people who have jobs within the Caribbean reportedly have lower levels of education. In the past, a significant portion of the working population in Caribbean countries like Jamaica and Dominica only managed to complete primary-level education. For instance, Jamaica had about 83% of its population in this category, while Dominica had approximately 79%. Additionally, a relatively small percentage, ranging from 2% to 8%, had attained tertiary-level education.

The Pandemic Made It Harder to Transport Food

The aftermath of the pandemic has posed challenges to transporting food within Caribbean countries, leading to an increase in poverty levels. New strategies, including financial aid and private transfers of money, were implemented to assist during the pandemic. However, these measures have had unintended consequences, resulting in reduced access to goods and labor markets, particularly in urban areas. This has caused a decline in the income of impoverished households, contributing to increased instability in women’s employment within these regions.

Working Poor have Fewer Income Opportunities

Records suggest that, in the past, a small number of residents within the Caribbean countries of Jamaica, Trinidad and Tobago and Dominica get 50 or more hours of work a week compared to those who are not within the same countries.

Additionally, reports suggest that the proportions of the working poor from these countries who work 32 or fewer hours a week are greater than those who are not poor and reside within the same countries. In addition, it was stated that the jobs in these countries included construction in the Bahamas, community and social services in Trinidad and Tobago, agriculture in Jamaica and Dominica and wholesale/retail sales in Barbados.

Learning Poverty among Children

Due to the global pandemic, learning difficulties have worsened, particularly in the Caribbean. The World Bank estimated that, even before the pandemic, 51% of Caribbean children couldn’t read or understand simple text by age 10, compared to a global average of 48%. However, learning poverty rates vary across countries, ranging from 21% in Trinidad and Tobago to 81% in the Dominican Republic.

These rates may continue to rise due to prolonged school closures and increased dropout rates resulting from the pandemic. Across the region, 23 countries and 12 independent states closed their schools for an average of 168 days between the start of the pandemic in 2020 and February 2022.

This is equivalent to nearly an entire academic year. In countries like Guatemala, 13.3% of children are not engaging in educational activities. In Honduras, this number is 17% and in Bolivia, it’s as high as 22.6%. These learning losses in Caribbean countries contribute to increased variability in student skills and present challenges for teachers. One factor is the practice of automatic promotion within schools.

The Caribbean is Struggling to Get its People Out of Poverty

The poverty rate within the Caribbean increased for the first time in years during the 2019–2021 period, following the pandemic. During the period between 1999 and 2019, its poverty rate of 53% dropped to 28% as a result of labor income being the primary driver during this era, but currently, following the complications of the pandemic, its poverty rate has increased to 30%. In addition to this, although labor income was a success for the Caribbean in the past, its people have yet to return to this path of poverty reduction for further success in the future.

Looking Ahead

Although quick and determined action is needed to address poverty in the Caribbean, the situation has become more complex. Many countries in the region have made significant efforts to combat poverty in the past, demonstrating their capacity to do so once again. Furthermore, the World Bank is actively supporting countries in the Caribbean, including Jamaica, Haiti, the Bahamas, Barbados, Guyana and Eastern Caribbean states like Trinidad and Tobago, Grenada and Turks and Caicos. The World Bank is implementing plans and projects aimed at reducing inequality and enhancing overall resilience.

For example, the World Bank has achieved significant milestones, such as completing six water supply systems in Haitian communities after the devastating earthquake in 2010. In 2019, the bank also played a crucial role in reducing cholera cases in Haiti, collaborating with communities, implementing disease surveillance and mobilizing rapid response teams.

The World Bank remains committed to mobilizing both public and private resources to reduce extreme poverty, promote prosperity and foster inclusive growth in the Caribbean. This involves bringing together diverse expertise and financial support from various Caribbean countries.

– Deon Roberts
Photo: Unsplash

October 11, 2023
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 Philipp2023-10-11 01:30:492023-10-11 02:33:32Poverty in the Caribbean: The Challenges
Food Insecurity, Global Poverty

Food Insecurity in Tigray Exacerbated by Aid Suspension

Food Insecurity in TigrayConflict in Northern Ethiopia between the Tigray People’s Liberation Front and the Ethiopian government has displaced more than 1.8 million people, creating dozens of refugee camps across the region. Living conditions in the camps soon became characterized by food scarcity and a lack of basic rights. International humanitarian organizations such as the U.N. partnered with the Ethiopian government to provide aid supplies to the refugees. Even with the temporary end of the conflict inaugurated by the cease-fire in November 2022 and the outside humanitarian aid, conditions in the camp remained precarious. 

Lack of Access to Basic Needs in the Wake of the Aid Suspension

Recently, the encampments have been plunged once more into profound insecurity. Because of nefarious groups’ organized theft of the humanitarian food relief meant for the refugees of the Tigray region, organizations, such as the U.N.’s World Food Programme (WFP) and the US Agency for International Development (USAID), suspended their deliveries in June, leaving many in a precarious position. Refugees already suffered from extreme food insecurity in Tigray and often faced malnutrition and malnutrition-related health conditions. The relief cut-off has only exacerbated an already precarious situation. 

Months after the aid suspension, deliveries still have not resumed. The U.S. and the U.N. have demanded that the Ethiopian government relinquish control of the food relief distribution system in light of the discovered thefts. Until Ethiopian officials do so, the U.S. and U.N. withhold the necessary food and oil supplies for fear that the government will not transmit them to the refugees. The stolen food is equivalent to the number of rations needed to feed the 134,000 people in the Tigray town for a month, and medical supplies are also missing. 

An investigation revealed that multiple shipments of grain provided by USAID were sold for profit in different local markets. Both the Ethiopian government and Tigray rebel fighters have been accused of confiscating the food meant for refugees to feed their demobilized armed forces. Some have also accused the Ethiopian government of diverting the aid meant for the region as a strategy to weaken the region and use starvation as a method of warfare by encouraging food insecurity in Tigray.

Local Nonprofit Centers Overwhelmed by Demand

An estimated 20 million people across Ethiopia rely on these foreign aid deliveries. Some refugees described having to resort to gathering seeds from the surrounding grounds to sustain their families. Others indicated not being able to eat for days at a time. The increase in malnutrition has led to a rise in nutritional deficiency-related diseases, with many refugee children presenting developmental delays. With limited access to aid from the more prominent international organizations, local nonprofit centers have been instrumental in keeping communities across the country afloat. 

The Salesians of Don Bosco have been especially instrumental, regularly helping thousands across the region. With Salesian missionaries’ particularity of living in the communities they support, they are uniquely informed on what community members require by building community bonds with those in need. The Salesian nonprofit centers and other nonprofit organizations are, however, overwhelmed in the wake of the aid suspension. Thousands gather outside the doors of the aid centers, yet they are simply unable to meet the immense demand, and the return of international aid is urgently needed. 

Looking Ahead

The U.N. is currently testing out different initiatives in certain parts of Tigray that use new methods of food assistance and delivery. The U.N. designed these testing initiatives to find an effective method to enable adequate control and surveillance of food deliveries, safeguarding against possible thefts, and hopefully, soon allowing the resumption of large-scale food assistance programs in the region. 

– Tatiana Gnuva
Photo: Flickr

October 11, 2023
https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg 0 0 Yuki https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg Yuki2023-10-11 01:30:452023-10-09 02:03:39Food Insecurity in Tigray Exacerbated by Aid Suspension
Global Poverty, Migration

Migration to Saudi Arabia and the Gulf – A Racial Perspective

Migration to Saudi ArabiaA recent report by Human Rights Watch (HRW) declared that systematic mass killings are taking place at the Saudi-Yemeni border. The casualties are migrants from North Africa, particularly Ethiopia. 

In the lead-up to the 2022 FIFA World Cup in Qatar, the migration system across the Gulf faced increasing scrutiny regarding human rights. But since the tournament’s conclusion, the urgency for reform has vanished. As Gulf countries embark on ambitious construction projects to move away from oil dependency, issues of labor are becoming more pressing than ever.  

Saudi Arabia’s recent potential Crimes Against Humanity (according to HRW) beg for a new mode of analysis to understand the pervasive nature of human rights abuses regarding migration to Saudi Arabia. A racial perspective reveals that the system of migration in the Gulf is an essential piece of statecraft. 

The Kafala

The kafala is the sponsorship system used for migration across the Gulf, Lebanon and Jordan. Each migrant is bound to a sponsor, or kafeel, who is a citizen of the respective country. The kafeel is responsible for the migrant and pays for their lodging and other expenses. Without a sponsor, there is no approval for migration to Saudi Arabia and the Gulf.  

The kafeel also has authority over the migrants they are sponsoring. They can allow or deny migrants to exit or re-enter the country and can cancel their migrant’s iqama (residency permit) whenever they want.  

This power results in countless abuses. According to reports, more than 6500 workers died during the construction of stadiums in the build-up to the Qatar World Cup. Whilst families and witnesses asserted that the cause of death was from squalid living conditions, on-site mismanagement and heat exhaustion, Qatar listed these deaths as natural causes. 

Other abuses include rentier-seeking, with some kafeels confiscating up to a year’s wages as fees to process the iqama. Migrants often live in poor conditions without adequate access to sanitation or health care.

Sexual and violent abuse is also rampant against female domestic workers. A total of 89 Kenyan migrant women died between 2019 and 2021 in Saudi Arabia. Indonesian worker Tuti Tursilawati was executed in Saudi Arabia in 2018 for murdering her employer. The Saudi courts ignored her claims of self-defense against rape. Migrants are not just poor, but also completely demeaned, disregarded and maltreated – sometimes to the point of death.

International efforts have resulted in slight concessions through Saudi Arabia signing many labor treaties. However, the actual implementation of these have been very poor. Meanwhile, Qatari kafala reforms mostly concerned more secular language to make it more internationally palatable. The persistence of the kafala has puzzled many pundits across the world – perhaps incorporating race can provide some answers. 

Racializing the Problem

All migrant workers must register under the kafala. Bina Fernandez asserts that among migrants there is a racial hierarchy. White, often corporate professional, migrants evade the abuses of the kafala and have much higher living conditions and mobility. Even outside of the kafala, this symbolically superior whiteness, which is part of the West’s colonial legacy, is expounded through them being called expats, whilst black and brown workers are called immigrants. Asian and African laborers are at the bottom of this hierarchy, working in dirty, dangerous and demeaning jobs. 

Asian and African workers are spurred by poverty to migrate to the Gulf. For example, Ethiopia’s poorest 20% have experienced little growth in recent years. Therefore, they take the treacherous journey to the Gulf to access higher wages and send back money to their home country as remittances.  

Migrant workers make up huge proportions of the Gulf, approaching 40% and surpassing 75% of Saudi and Qatari populations respectively. This reliance on outsourced labor breeds insecurity, especially as Asian and African workers, who do not have legitimizing whiteness, represent most migrants.

The kafala is a tool of surveillance for Gulf governments. By privatizing migration, they evade responsibility for abuses, but also informally allow them to control the migrant population. Laws prohibiting migrants from unionizing or assembling are evidence of this.

Citizens of the Gulf perpetrate this abuse to abet the racial insecurity that a large migrant population stokes, as well as to protect their investment. Access to citizenship is very slim and there are multi-generational migrants who still require a kafeel. Coupling this with its function of surveillance, it appears the kafala is a tool that serves to maintain the Gulf countries as ethnocracies. 

The Future?

Gulf countries are currently trying to diversify away from oil, especially Saudi Arabia, which is embarking on the construction of the megacity, Neom, to increase tourism revenue. How this could coexist with a very restrictive migration policy remains to be seen.

Saudi efforts to decrease their reliance on migrant workers threaten the country’s fragile social contract, which promises a very high standard of living in return for submission to a totalitarian rule. Asking citizens to take on jobs currently performed by black and brown laborers contradicts this.

Policies regarding migration to Saudi Arabia started becoming more aggressive during the COVID-19 pandemic when migrants underwent inhumane conditions in various detainment camps. Yet, HRW’s report marks a clear escalation. It details how hundreds (likely thousands) of migrants have been killed through the systematic use of rifles, mortar shells and rocket launchers at the Saudi-Yemeni border. There have been other instances of abuse, including rape. Ethiopian migrants make up the bulk of the casualties, showing how stark the consequences of such a racial hierarchy can be under cultural and political approval.

Most NGOs, including HRW, focus on gathering information to address migrant issues in Gulf countries. These organizations collect data on abuse and poverty, which are often lacking. Gulf countries maintain control through oil resources and authoritarian rule, limiting the presence of in-person migrant assistance NGOs. To fully tackle the challenges of migration in the region, there is a need to consider the racial dynamics of the kafala system. Merely abolishing kafala could prove insufficient, as recent developments in Saudi Arabia show that the problem runs deeper than a policy change.

– Ryan Ratnam
Photo: Flickr

October 11, 2023
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 Philipp2023-10-11 01:30:412023-10-09 00:21:21Migration to Saudi Arabia and the Gulf – A Racial Perspective
Child Poverty, Global Poverty

Ending Child Poverty in China

Child Poverty in ChinaChina has remarkably reduced poverty over the past four decades. The percentage of rural residents living in poverty decreased from 96.2 to 0.6% between 1980 and 2019. That means that nearly 765 million people were living in poverty, compared to the present, 6 million people. Experts agree it is important to approach child poverty in China as a multidimensional problem. Many Children are born into poverty. Therefore, reducing the general scope of poverty is important in eliminating child poverty. China has dramatically reduced poverty, and even their global hunger index, based on two pillars: economic transformation to open new opportunities and raise average income, and recognition and targeted support to people living in persistent poverty.

Child Poverty in China

Despite recent efforts, roughly 4.2 million children live in extreme poverty. It’s important to note that more rural children are impoverished than urban children. The families of China living in rural areas or belonging to an ethnic minority are most impacted by poverty. 

Therefore, China has focused on reducing poverty in low-income rural households. There are significant differences that affect poverty in rural and urban areas. These differences include income disparities, limited access to education and health care services, poorer sanitation and overall poorer living conditions. However, according to UNICEF, the most severe forms of poverty that Chinese children experience are nutrition, access to clean water and sanitation and housing.

To focus on relieving poverty in the rural areas of China, the Anhui Yellow Mountain New Countryside Demonstration Project supported Huangshan’s rural development in several areas per the Chinese government’s initiative to “build new socialist countryside,” including investment in rural infrastructure and public services to reduce inequalities in the quality of life between rural and urban areas; improvement in the quality of tourism services to draw more tourists and create jobs and income-generating opportunities; the development of greener, higher value-added agricultural production bases and market facilities, as well as training for farmers to boost agricultural productivity.

Overall, the main objectives of the SDGs established by the UN are to eradicate child poverty and reduce the gap between urban and rural areas. To accomplish these goals, looking into the disparities between urban and rural areas and the causes of child poverty is crucial. Understanding the differences between child poverty in urban and rural areas enables us to understand better how factors related to demography, the economy, society and policy contribute to child poverty.

Current Picture

Alongside reducing rural child poverty, much has been done to end intergenerational poverty in China. According to social policy expert Peter Whiteford, child poverty is the main reason poverty is generational. China has made significant strides in reducing poverty over the past decade by promoting education, an essential feature in preventing poverty from being passed down to future generations. Since 2012, China’s government budgetary spending on education has maintained a proportion of over 4% of the nation’s GDP. It has shifted more in favor of rural areas and areas with significant populations of ethnic minorities.

At the end of 2020, China’s nine-year compulsory education stage saw only 682 drop out, down from over 600,000 dropouts in 2019. The nation has hired 950,000 teachers in total for compulsory education in rural areas, trained nearly 17 million teachers and principals for rural schools in the central and western regions under a national-level training program, provided subsidies for 1.27 million teachers from more than 80,000 schools in nearby poverty-stricken areas and sent 190,000 volunteer teachers to schools in outlying and poverty-stricken regions, border areas and areas with large ethnic populations.

It is important to look at child poverty as a multidimensional problem. Education can open the door to jobs, resources and skills to help a person survive. UNESCO estimates that 171 million people could escape extreme poverty if all students in low-income countries had only the most fundamental reading skills. The percentage of adults who did not complete their secondary education could reduce global poverty by more than half. Therefore, promoting education in China, especially in the rural areas, can be vital in reducing children’s poverty and helping break the cycle of generational poverty.

Conclusion

China’s significant reduction in overall poverty over the past four decades is commendable. However, child poverty remains a pressing issue, especially in rural areas.

China’s ongoing commitment to addressing child poverty and poverty in general through a holistic approach is an instructive example for other nations, highlighting the importance of education, health care, social support and economic opportunities. By prioritizing the well-being of its children, China is not only improving the lives of current generations but also paving the way for a more prosperous and equitable future.

– Paige Falk
Photo: Flickr

October 10, 2023
https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg 0 0 Yuki https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg Yuki2023-10-10 15:00:012023-10-09 08:28:51Ending Child Poverty in China
Global Poverty

5 Key Facts About Disability and Poverty in New Zealand

Disability and Poverty in New ZealandWhile WorldDate.info ranks New Zealand 50th in a list of the world’s major economies, poverty remains a significant issue impacting the well-being of New Zealanders. Many key players working to combat poverty in New Zealand, such as the Whaikaha Ministry of Disabled People, which began in 2022 in New Zealand as a government ministry focused on transforming disability policy in New Zealand, name children and minorities like Māori and Pacific Islander people as groups of people who are especially vulnerable to poverty in New Zealand; disability, too, is a huge factor in determining economic security, written in boldface in both the narratives of and statistics about New Zealanders who identify as disabled. Here are five facts about disability and poverty in New Zealand.

5 Facts About Disability and Poverty in New Zealand

  1. About 25% of New Zealanders identify as having a disability. While this fact may not demonstrate as direct a correlation to poverty as the other facts listed in this article, it is imperative to recognize the scope of how disability affects the lives and well-being of New Zealanders. To put this figure into perspective, the Pew Research Center reports that 13% of Americans have a disability, alongside 24% of the total population in the United Kingdom. Despite this widespread prevalence, Whaikaha still qualifies government policy and support for New Zealanders with disabilities as difficult to navigate and comprehensively fragmented).
  2. Disabled people make more than $13,000 less than non-disabled people per year. The average weekly income for a non-disabled person over the age of 15 is $1,273, compared to $1,018 for a disabled person. This $255 disparity results in annual differences reaching tens of thousands of dollars — tens of thousands of dollars that could have a major impact on the health care and housing resources accessible for a disabled New Zealander.
  3. Labor participation is 84.7% for non-disabled people ages 15-64, versus 44.1% for disabled people. Career stability, unemployment trends and accessibility all massively impact the professional opportunities available for disabled people; in New Zealand, these disparities are drastic enough to cause a 40.6% difference in labor participation. As Whaikaha suggests, this disadvantage can be in part attributed to government policy regarding disability and unemployment.
  4. Neoliberalism is part of the problem. Since the 1980s, beginning with the election of former Finance Minister Roger Douglas, New Zealand has adopted a neoliberal approach to welfare; this means that things like health care and social and infrastructural support have been privatized and corporatized, rather than being maintained by the New Zealand government. This privatization has led to unequal health care policies and practices that inadvertently impact people with disabilities, raising the prices of resources that are vital for people with disabilities.
  5. Disability and poverty are impacting the next generation of New Zealanders as well. The politics and policies surrounding disability and poverty today will continue to impact New Zealanders for decades to come — 8.6% of children living in a household with a guardian who has a disability have experienced material hardship, versus 2.2% of children in a non-disabled household. In addition, 17% of children with a disability live in a low-income household, versus 11.6% of children without a disability. These disparities thus do not just indicate a need for change now; they indicate a trend that will need to be corrected time and time again for years to come.

Looking Ahead

As is true all over the world, people who face disadvantage or disparity in their identity, such as people with a disability, are more susceptible to poverty in New Zealand. In order to combat this inequality, and further the goal of eradicating international poverty as a whole, it is imperative to direct social and economic support to disabled communities. Organizations like Whaikaha have already made strong strides toward this initiative, from raising millions of dollars from the New Zealand government to focus on disability transformation work to establishing infrastructural and accessible support for New Zealanders during natural disasters and crises, from power outages for COVID-19.

– Frances Sharples
Photo: Unsplash

October 10, 2023
https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg 0 0 Yuki https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg Yuki2023-10-10 07:38:032024-05-30 22:32:305 Key Facts About Disability and Poverty in New Zealand
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