Several studies highlight that decades of violence and conflict in Sudan have significantly impacted the mental health of its citizens. Yet, suitable mental health care in the country is lacking, prompting action from organizations to improve mental health in Sudan.
Mental Health in Numbers
In Sudan, most mental health service providers are centralized in the capital of Khartoum. A barrier to mental health care access is the location of psychiatric hospitals — out of 18 states of the country only 12 states have “fully-equipped psychiatric hospitals” managed by qualified psychiatric personnel. Of these hospitals, six are located in Khartoum and the other six states are “managed by non-specialist medical doctors or by clinical psychologists and medical assistants,” a study, published in 2020, by Abdelgadir H. M. Osman and others says.
According to the Mental Health Atlas 2020, Sudanese people struggling with mental conditions pay for mental health care services and related medicines “mostly or entirely out of pocket.” Sudan has 34 psychiatrists, 425 psychologists and 366 social workers. Very few psychiatrists operate in Sudan’s rural areas. In total, as of 2020, 878 professionals across public, private and NGO sectors manage mental health in Sudan.
Many young doctors opt to move abroad to further their knowledge, experience and salaries. This causes a shortage of health professionals, who are often stretched beyond their capacity. Illustrating this, data shows that Sudan has only 2.05 total mental health professionals per 100,000 people in a country with a population of nearly 45 million people.
Sudan’s GDP in 2021 stood at about $34 billion. In 2020, Sudan spent about 6.5% of its GDP, equal to 1.7 billion, on health care with no specific allocation for a mental health budget.
Mental Health Policies
Although Sudan drafted a Mental Health Act in 1998, the Sudanese parliament approved it 10 years later in June 2018. Sudan’s mental health policy, which was last published in 2008, centers around the following guidelines: “developing a mental health component in primary healthcare, scaling up human resources, involvement of patients and their families, strengthening advocacy, promotion of the human rights protection of patients, equity and access to mental healthcare services across different groups, quality improvement, financing and monitoring systems.”
In 2009, Sudan developed a policy to restructure the mental health care system in the nation. Leading psychiatrists in Sudan participated in developing these documents and Sudan received technical support from the World Health Organization (WHO).
The cost of medication in a low-income country leaves a majority of civilians in need when having to choose between basic necessities and medicine for their mental health. Additionally, the stigma surrounding mental health makes people more reluctant to seek help. For instance, for women in Sudan, mental health issues “can lead to their family restricting their social presence” and mental health struggles can “[diminish] their opportunity to marry,” according to an article by WagingPeace.
The International Organization for Migration
In 2022, the International Organization for Migration’s EU-IOM Joint Initiative celebrated World Mental Health Day by carrying out community-based Mental Health and Psycho-Social Support (MHPSS) activities in states within Gedaref and Khartoum. The IOM recognizes that foreign migrants, returnees and internally displaced persons face the most barriers to accessing mental health care in Sudan.
The EU-IOM Joint Initiative held a seminar to educate as many as 60 people on the importance of mental health care. The initiative also held a three-day mental health campaign via radio in three local languages.
Additionally, the initiative held a football match for 200 young people in Gedaref to raise awareness of mental health and encourage participation in sports and physical activities to maintain positive mental health.
Furthermore, the IOM held three focus group discussions that highlighted barriers to mental health access and how the IOM can play a role in addressing these challenges. The organization also provided mental health information to students at Gedaref University and supplied information on safe migration.
Looking Ahead
NGOs and other health organizations are working toward facilitating a better understanding of mental health for civilians of Sudan. By increasing the number of trained mental health care professionals and establishing additional mental health care facilities, especially in the more rural areas, mental health in Sudan can improve.
– Amin Isameldin Amin
Photo: Flickr
5 Charities Operating in Zimbabwe
5 Charities Operating in Zimbabwe
Looking Forward
Despite the numerous challenges that the country faces, these five charities operating in Zimbabwe are creating hope for a brighter future. Their work to reduce the impacts of poverty through both immediate aid and long-term initiatives are improving lives for current and future generations in Zimbabwe.
– Isla Wright
Photo: Flickr
Circular Economies Are Alleviating Poverty in Africa
Many communities are taking the concept of circular economies into their own hands, forming cooperatives, or organizations ran jointly by their members. A cooperative in Kenya utilized solar resources that they had an abundance of to generate energy for the area, alleviating poverty by allowing people access to electricity. By making policies more environmentally friendly, circular economies are alleviating poverty in Africa in more ways than one.
Limitations on Single-use Items
There are currently 37 African countries that have a ban focused on eliminating single-use plastic, most focused on plastic bags. In 2017, the East African Community (EAC) endorsed the Polythene Materials Control Bill which provides the regulation and control of the use, sale and manufacturing of polythene materials like plastic. Circular economies are alleviating poverty in Africa by eliminating single-use plastics. By doing this, there will be less pollution in communities in Africa where poverty is present, resulting in less money allocated towards the cleaning of this pollution and more funds dedicated to the people of the area.
Extended Producer Responsibility (EPR) Policies
EPR is an environmental policy in which a producer is still responsible for their product even after it is consumed. This way producers fully take into account the environmental implications of producing their product. In South Africa, EPR policies regulate producers to be responsible for funding a salary scheme for workers to determine how employees are paid in the informal sector, where businesses are generally cash-based and workers have informal agreements with their employers. South Africa’s EPR plan also outlines expanding the Packa-ching project, which advises people in informal settlements to sort their waste, clearing the settlements of pollution. Circular economies are alleviating poverty in Africa by giving policies the chance to steadily pay their workers and rid their communities of waste.
Enabling Digital Transformation
South Africa, Kenya and Rwanda have all implemented digital accessibility policies and this could contribute to circular economies alleviating poverty in Africa because they can support youth employment and skill development by creating jobs that focus on the management, use and repair of equipment. The policies include free or subsidized internet access to those who can not afford it by recycling old technology and fixing it to make it functional.
Specifically, Rwanda collaborated with the World Economic Forum to host a Centre for the Fourth Industrial Revolution in 2022, promoting emerging technologies including artificial intelligence and blockchain, which is an advanced business database. Within the same year, Rwanda’s capital held the ITU World Telecommunication Development Conference, which included a new Generation Connect Global Youth Summit to discuss engaging the next generation of leaders in a digital age. Rwandan entrepreneurs use Irembo, a government-to-citizen service portal located on a kiosk, as micro-businesses that generate income. Rwanda is a great example of a country using technology in a circular way to alleviate poverty– by giving its citizens resources, people have more opportunities to make money while giving back to their community.
Pushing Circular Economy Agenda through Policy
Circular economies are alleviating poverty in Africa, but there still is a way to go before Africa and other continents can fully adopt an economy focused on reusing and recycling. This can be done by introducing policies that incorporate a circular economy and post-pandemic recovery, including low-carbon emissions carrying over from the pandemic to the post-pandemic era.
In addition, by giving the public more of a say in policymaking, such as people working in waste management and secondary material production, circular economy policies are developed where benefits are distributed fairly.
– Olivia Maillet
Photo: Flickr
Sustainable Agriculture in the Netherlands
With a population of just over 17 million people, the Netherlands has developed a highly efficient and innovative agricultural sector that produces significant amounts of food. In fact, it stood as the fifth-largest food exporter in the world in 2017, with an agricultural sector that generates billions of dollars annually. The country’s impressive agricultural production is a testament to its ingenuity and commitment to sustainable practices.
This success is due in part to the country’s innovative and sustainable approach to agriculture. The United Nations recognizes the crucial role of sustainable agriculture in reducing poverty and promoting food security worldwide. The Netherlands illustrates this with a highly efficient and innovative agricultural sector contributing to an extreme poverty rate ($2.15 per person per day) of zero in 2020. Sustainable agriculture in the Netherlands holds valuable lessons that can help the world meet the food needs of more than 9.7 billion people by 2050.
4 Sustainable Agriculture Practices
Benefits and Challenges
According to the United Nations, Sustainable Development Goal 2 aims to “End hunger, achieve food security and improved nutrition and promote sustainable agriculture.” SDG 2 “recognizes the interlinkages [between] supporting sustainable agriculture, empowering small farmers, promoting gender equality, ending rural poverty, ensuring healthy lifestyles, tackling climate change and other issues” in the 17 SDGs. In the Netherlands, sustainable agriculture proves to be economically viable, with many farmers reporting that sustainable practices have led to increased yields, reduced costs and improved soil health.
However, there are also challenges to implementing sustainable agriculture on a larger scale. For example, the high-tech approach to agriculture used in the Netherlands is not scalable to larger, less developed countries, where resources and infrastructure may be limited. Additionally, there may be cultural barriers to adopting new farming techniques or changing traditional farming practices.
Despite these challenges, the Netherlands has demonstrated that sustainable agriculture is not only possible but is also economically viable. By embracing technology, prioritizing soil health, implementing integrated pest management and promoting sustainable animal agriculture, the country has shown that it can produce high-quality food while minimizing environmental impact. These lessons can serve as a model for other countries looking to implement sustainable farming practices.
Looking Ahead
The Netherlands’ smart and sustainable agricultural practices have immense potential to strengthen global food security. In developing regions where poverty levels are high, food production can be increased by adapting and tailoring the Dutch agriculture practices as per the needs of the region.
– Sarmad Wali Khan
Photo: Flickr
Fragility and Rule of Law in Belarus
Often referred to as Europe’s last dictator, Alexander Lukashenko has served as Belarus’ president since 1994. During Lukashenko’s election and subsequent early years in power, many in Belarus believed he was the man to return the nation to normality and prosperity. However, many of his pledges did not come to fruition after nearly three decades in charge and several suspected human rights violations, rigged elections and suppression of free speech.
Human Rights
According to Amnesty International, regarding Belarus in 2021: “the rights to freedom of expression, association and peaceful assembly remained severely restricted.” The justice system in Belarus seems to continually suppress dissent, with protests in the nation often resulting in the arrest and torture of key dissenters.
Major critics of the Belarussian regime often end up prosecuted and imprisoned. Major websites and national and international media outlets often face bans due to ‘extremist’ views. Trends like this suggest that there is little room for freedom of expression in Belarus.
Limited freedom of association appears to be another issue in Belarus. People’s Embassies of Belarus suggest that there has been an escalation of measures that serve to repress independent trade union activities. The measures often involve intimidation and outright violence. There has been an effective ban on Freedom of assembly in Belarus. Protest participants usually have to pay hefty fines and face detention of up to 15 days.
The Right of Peaceful Assembly indicates that whereas there has been a change in the law toward a process for assemblies, law enforcement in Belarus still systematically prevents peaceful protests concerning the fragility and rule of law in Belarus with excessive force.
Torture and ill-treatment remain widely used measures to limit dissent in Belarus. Those who commit such dissent-related crimes have been on the receiving end of total impunity by Lukashenko’s government. According to Human Rights Watch (HRW), Belarussian security forces have methodically imperiled hundreds to torture. HRW reported on the brutality of the Belarussian police force.
The state of refugees’ and migrants’ rights in Belarus has attracted condemnation from critics. The European Commission has accused Belarus of luring migrants to the nation with a false promise that they would have entry to the EU. As a result, thousands of migrants became stranded along the border between Poland and Belarus. The British Broadcasting Corporation (BBC) suggested that some migrants received clearance from Belarusian soldiers to move into neighboring country Poland. These soldiers cut through border fencing at night to allow migrants to cross.
Rigged Elections
In Belarus’ last election, Alexander Lukashenko appeared to win 80% of the vote. However, due to a lack of observers present and a landslide victory for Lukashenko, many claim the elections were rigged.
Considering “the election was held amid growing frustration at Lukashenko’s leadership” and questions regarding the fragility and rule of law in Belarus with rallies for opposition parties attracting large audiences around Belarus, it may have surprised some to see an overwhelming majority vote for the current government.
Miss Svetlana Tikhanovskaya (Sviatlana Tsikhanouskaya), the main opposition to Lukashenko, actually entered the election in place of her husband who had been previously jailed. The election has been heavily criticized by much of the West, however, Russian President Vladimir Putin sent in congratulatory messages. Ties between Belarus and Russia have grown considerably due to the isolation of Belarus by Western Europe.
Looking Ahead
When the USSR collapsed, Belarus was one of the poorest countries in Europe. Around half of the population lived below the poverty line during this period. However, in 2013, less than 1% of people lived in poverty, representing a 60% drop from 2000.
Belarus went through a period of significant economic growth from 2005 to 2011, outpacing many in Europe. This time happened to be during the financial crisis when many other nations suffered hardship. This progress suggested that Belarus can be resilient during tough global economic times. Unemployment has also significantly dropped since the 90s. Belarus’ unemployment sat at 4.7% in 2021 compared to 24.4% in 1996.
Poverty still exists in Belarus. However, the situation seems to have steadily improved in comparison to when Belarus first gained independence. While it appears there may not be a clear end in sight to the present regime in Belarus, NGO Explorer states that there are still up to 152 NGOs working in the nation.
– Josef Whitehead
Photo: Flickr
USAID Efforts to Advance Gender Equality
The Women’s Global Development and Prosperity (W-GDP) Initiative
The Women’s Global Development and Prosperity (W-GDP) Initiative was launched in 2019 by the Trump administration to promote women’s economic empowerment globally. The initiative has reached over 12 million women in its first year and aims to reach 50 million women in developing countries before 2025 through various programs, partnerships, and initiatives. W-GDP focuses on three pillars:
W-GDP has already made significant progress toward its goals to advance gender equality. The initiative has launched several innovative programs and initiatives that have helped thousands of women entrepreneurs and business owners in the developing world.
U.S. Strategy on Women, Peace and Security
The U.S. Strategy on Women, Peace and Security (2019) is a comprehensive plan that aims to advance gender equality by promoting women’s participation in peace processes and conflict prevention. The strategy recognizes the importance of women’s leadership and participation in decision-making processes. It seeks to address the unique needs and challenges faced by women and girls in conflict-affected areas. The strategy outlines four main objectives:
During the fiscal year 2021, USAID supported more than 77,000 women’s participation in leadership, legal, political, conflict mediation and peacebuilding processes. Additionally, over 5.3 million gender-based violence survivors received crucial health care, legal aid, economic services and psychosocial support. To support women and girls in countries affected by natural disasters, crisis, violent extremism and conflict, USAID invested more than $243 million in various programs.
Ending Child Marriage and Meeting the Needs of Married Children
This document outlines USAID’s strategy for addressing child marriage and supporting married children. The report recognizes child marriage as a harmful practice that can have devastating consequences for girls, including limited access to education, health care and economic opportunities as well as increased risk of gender-based violence. It is estimated that every year around 10 million girls are married before they turn 18. In developing nations, 1 in 7 girls is married before turning 15 and some child brides are as young as 8 or 9. Orphans and young girls without involved caregivers are especially at risk of early marriage. 1 in 9 girls between the ages of 10 and 14 were coerced into a marriage.
The report outlines several key strategies for ending child marriage and supporting married children:
Different stakeholders, including governments, civil society organizations and religious leaders must cooperate to address child marriage and support married children. There is a need for data and evidence-based programming to address the issue effectively. The report presents a comprehensive vision for ending child marriage and meeting the needs of married children and provides a roadmap for USAID’s efforts in this area.
USAID’s strategies that advance gender equality demonstrate its commitment to promoting women’s empowerment, reducing gender disparities and improving the lives of women and girls globally. Through its policies, programs and partnerships, USAID strives to create a more just and equitable world where everyone can thrive.
– Nino Basaria
Photo: Flickr
The Power of Ubuntu: Transforming Poverty in South Africa
Ubuntu Pathways
Ubuntu Pathways is a nonprofit organization that provides social support and resources for health and education to orphaned children in Gqeberha. In doing this, it creates unique opportunities for disenfranchised individuals to thrive and have a better future.
In 1999, Jacob Lief and Malizole ‘Banks’ Gwaxula founded Ubuntu Pathways (previously known as Ubuntu Education Fund) to directly tackle the various issues that poor households endure. This includes the lack of job opportunities, poor access to health care, low income and inadequate school resources for children.
The organization is inspired by the guiding principles and power of Ubuntu, recognizing that every child is experiencing unique struggles. Since the organization’s establishment, it has flourished significantly, focusing primarily on long-term impacts.
‘Cradle to Career’ Model
Ubuntu Pathways launched its five-year program, ‘Cradle to Career’, to provide long-term personalized support to impoverished families. This integrated approach acknowledges that there is a need to do more to assist vulnerable South African people. It dedicates time and facilities to ensure children are supported from birth to pre-school and up to the university level, providing families with financial support throughout. The initiative also has mentors who focus on helping youths achieve their life-long ambitions. These mentors provide interview and resume tips to equip their mentees for future employment. Cradle to Career also offers holiday camps and job training courses.
Impact
At the peak of the COVID-19 pandemic, Ubuntu Pathways’ Cradle to Career model provided 30,000 people with food monthly, administered 40,000 COVID vaccines, helped 400 youths gain employment, supported students academically, psychologically and socially while also ensuring that all mothers with HIV birthed HIV-free infants. In 2021, the organization also bought a piece of land for building the Ubuntu High School. This idea was inspired by its Cradle to Career model.
Monitoring Success Rates
Ubuntu Pathways considers the number of university graduates when measuring the impact and success rates of its efforts. It collaborated with McKinsey & Company to create an evaluative model which provides a deep insight into assessing the university graduate’s progress in terms of having job security a good financial standing.
Looking Ahead
Ubuntu Pathways is known for providing children with a safe and supportive educational environment while assisting the most vulnerable members. Despite facing challenges like COVID-19, the organization continued serving and supporting the less privileged. This aligns with its reputation as an organization that believes in the power of Ubuntu while maintaining its commitment to improving the lives of South African children through education.
– Dami Kalejaiye
Photo: Flickr
The Ugandan Entrepreneur Turning Waste into Water
Uganda has experienced 20 years of economic growth and population relocation. Many Ugandan people have chosen to move from remote regions to areas around big towns and cities. Significant population growth has resulted in Uganda’s water supply and sanitation services facing exceptionally high demand. Limited supply and high demand mean that Uganda’s urban population faces high costs for access to water. Moreover, Ugandans that still live in rural areas continue to embark on long walks to collect water for their households. In light of this, a Ugandan entrepreneur, Timothy Kayondo, is turning waste into water. The following is a brief look into water quality and sanitation in Uganda.
Four Facts About Water Quality and Sanitation in Uganda
The Cost of Access to Water
Water.org has estimated that 72% of Uganda’s population “lives on less than $3.20 a day.” People living in the urban areas of Uganda use up to 22% of their income on maintaining access to water. A significant allocation of wages toward water access means that Ugandan households have less disposable income for other life necessities. Subsequently, it becomes challenging for the disadvantaged groups in Uganda’s population to break the current cycle of poverty.
Eco Water Purifier
In 2019, Timothy Kayondo demonstrated the Eco Water Purifier at the Global-NAMRIP’s conference in Uganda. Kayondo’s product serves as a solution to Uganda’s current water crisis. The Eco Water Purifier filters waste products such as animal bones and cassava peels to produce clean drinking water. The process involves the waste being “cleaned, fired in a vacuum-sealed furnace, soaked in acidic solution, washed in distilled water and then crushed into activated carbon.” The filter runs entirely off solar panel energy and has the capacity to purify up to 300 liters of water within the space of an hour.
Timothy Kayondo’s invention is affordable, portable and will be made accessible to all income demographics in the local population. However, public facilities, remote schools and clinics will be the main beneficiaries of the Eco Water Filter. As recognition of his achievement, Timothy Kayondo received the Africa Prize 2021 Alumni Grant. The grant was worth $19,700 and acknowledges the need to help “ambitious African innovators develop scalable engineering solutions to local challenges.”
Looking Ahead
Uganda’s struggle with access to drinkable water remains rife. However, efforts from individuals like Ugandan entrepreneur Timothy Kayondocontinue to highlight the need for effective and sustainable action against Uganda’s water crisis. The Eco Water Purifier provides an inventive solution that is most importantly accessible to those living in poverty. With time, the Eco Water Purifier can potentially become a long-term solution for Uganda’s water problems.
– Jennifer Preece
Photo: Flickr
Supporting Refugees During Ramadan
Apart from being a fast-breaking meal, iftar plays a vital role in balancing health and nutrition. Unfortunately, in a world where 11.7% of the entire global population experiences extreme food insecurity, millions of Muslims often have no food to break their fast with. Food insecurity is a major issue affecting refugees and displaced people who rely on donations and aid to access food. In a bid to alleviate the issue, charities like Restless Beings are supporting refugees during Ramadan by providing them with iftar meals.
Restless Beings is a U.K.-based human rights organization that is making efforts to address food insecurity during Ramadan. Through distributing food packages in nations with high numbers of refugees and displaced people, such as Syria and Bangladesh, it provides iftar meals for Muslims around the world.
The Borgen Project spoke with one of the directors of Restless Beings, Rahima Begum, to find out more about the organization’s food packages and other ongoing efforts aimed at supporting refugees during Ramadan.
Food Packages
In 2023, Restless Beings is distributing food packages in Gaza, Turkey, Syria and the Rohingya refugee camps in Bangladesh. The content of the food packages varies for each nation depending on dietary requirements and cultural sensitivities. According to Rahima Begum, “As Restless Beings is a highly consultative organization, we ensure that at all stages, we speak to the community about their needs and what they want in their food packs.”
For example, the packages for refugees in Bangladesh include food items such as rice, chickpeas, lentils, vitamin supplements, oil, onions and seasonings. These are all staple items in a typical Bangladeshi diet. In Gaza and Syria, the packages include tea, pasta, beans, feta cheese, dates and bulgar. The Turkish food packages include most of the aforementioned as well as olives, tahini and ingredients for making traditional Turkish bread. Each food package contains enough to feed a family for at least one month.
The food packages are distributed by the organization’s on-the-ground teams. As of April 2023, Restless Beings has provided food packages and other forms of assistance to over 50,000 refugees globally.
Feeding Refugees in the UK
For Restless Beings, supporting refugees during Ramadan in the U.K. is just as important as supporting refugees abroad. It partners with other organizations that specialize in assisting refugees and migrants arriving in the U.K. to provide occasional free, warm iftar meals throughout Ramadan. It also donates baked snacks, including bread and pastries, which refugees can take away. The service is not exclusive to only Muslims, as Restless Beings is committed to helping refugees from all religious and cultural backgrounds. The organization is affiliated with two food banks in East London, both of which provide free or discounted food to the homeless and those affected by extreme food insecurity.
Gifting Presents and Haircuts
Restless Beings is supporting refugees during Ramadan in ways other than providing food. It also aims to restore joy and hope in the lives of refugee children. Many of the children that Restless Beings works with have witnessed extreme violence and experienced severe political conflict and displacement. This has stripped them of their fundamental human right to safety and deprived them of their childhood.
The organization is making efforts to give children something to look forward to while encouraging them to believe that there is hope for a better future. It gifts children in the Rohingya refugee camps hampers, new clothes, shoes and fresh haircuts to celebrate Eid al-Fitr, the day that follows the end of Ramadan. For Rahima Begum, the gifting service is of utmost importance because it bestows a sense of normalcy and dignity on the recipients that aids their emotional healing. She says “When a child is reminded of their dignity and given an opportunity to feel and look fresh… this child feels like they are seen, heard and most of all, valued.”
Concluding Thoughts
– Mohsina Alam.
Photo: Flickr
Everything to Know About Hunger in Burkina Faso
Shocks
In 2022, the FAO conducted the DIEM (Data in Emergencies Monitoring) assessment, surveying more than 5,000 households throughout Burkina Faso. The survey asked households whether they had experienced any of several shocks as early as three months prior to August 2022. Among the surveyed households, 70% reported experiencing one or more shocks in that timeframe. Sickness or death of a household member accounted for 46% of the reported shocks, while higher food prices accounted for 31%. In the Sahel region, 55% of those surveyed reported an increase in food prices.
On top of the widespread increase in food prices, 50% of households throughout the country reported experiencing a decrease in primary income. Apart from increasing food prices, up to 81% of respondents in the Sahel region reported experiencing a decrease in primary income.
Inflation Crises
The FAO reports that Burkina Faso’s inflation rate reached as high as 18% between July and August 2022, further contributing to the hunger problem. Repeated instances of conflict in the Sahel and Centre-North regions have led to significant population displacement in those areas. Among the survey respondents, more than 70% reported crop production difficulties. Nearly 40% of crop producers reported insufficient access to irrigated water, and 59% reported insufficient access to fertilizers. Of the households that participated in the FAO survey, 96% reported a need for food production assistance in the following six months. Among them, more than 60% reported needing food assistance.
Reports from the United States Agency for International Development (USAID) suggest that around 40% of Burkina Faso’s population lives below the poverty line, and up to 20% of the population is classified as food insecure.
Actions Toward Change
There are ongoing efforts aimed at decreasing hunger in Burkina Faso and alleviating its short-term and long-term effects. The Food Agriculture Organization (FAO), along with other humanitarian organizations such as the United Nations International Children’s Emergency Fund (UNICEF), the World Food Programme (WFP) and the United States Agency for International Development (USAID), are working hard to combat these issues. At the annual meeting of the Network for the Prevention of Food Crisis in West Africa, the UNICEF, FAO and WFP issued a joint statement calling on other governments to increase their investments in support of Burkina Faso and other struggling neighboring countries by strengthening their food security and nutrition programs.
The FAO has reached more than 600,000 people in Burkina Faso, assisting them with food production. Additionally, the FAO provides cash-based transfers and complementary services to more than 400,000 people.
In 2021, USAID provided almost $12 million in funding to support agricultural production, food security and vulnerable communities in Burkina Faso. The organization also helps farmers by increasing their access to water for agricultural purposes and mitigating the effects of climate-related shocks on their livelihoods.
Looking Ahead
Several organizations are working tirelessly to combat the rising levels of hunger in Burkina Faso despite the challenges posed by rising inflation rates, intense conflict in the northern regions, decreasing primary income and insufficient livelihood protection. One of the main goals is to ensure that more citizens can get access to food.
– Christopher Dickinson
Photo: Flickr
Mental Health in Sudan
Mental Health in Numbers
In Sudan, most mental health service providers are centralized in the capital of Khartoum. A barrier to mental health care access is the location of psychiatric hospitals — out of 18 states of the country only 12 states have “fully-equipped psychiatric hospitals” managed by qualified psychiatric personnel. Of these hospitals, six are located in Khartoum and the other six states are “managed by non-specialist medical doctors or by clinical psychologists and medical assistants,” a study, published in 2020, by Abdelgadir H. M. Osman and others says.
According to the Mental Health Atlas 2020, Sudanese people struggling with mental conditions pay for mental health care services and related medicines “mostly or entirely out of pocket.” Sudan has 34 psychiatrists, 425 psychologists and 366 social workers. Very few psychiatrists operate in Sudan’s rural areas. In total, as of 2020, 878 professionals across public, private and NGO sectors manage mental health in Sudan.
Many young doctors opt to move abroad to further their knowledge, experience and salaries. This causes a shortage of health professionals, who are often stretched beyond their capacity. Illustrating this, data shows that Sudan has only 2.05 total mental health professionals per 100,000 people in a country with a population of nearly 45 million people.
Sudan’s GDP in 2021 stood at about $34 billion. In 2020, Sudan spent about 6.5% of its GDP, equal to 1.7 billion, on health care with no specific allocation for a mental health budget.
Mental Health Policies
Although Sudan drafted a Mental Health Act in 1998, the Sudanese parliament approved it 10 years later in June 2018. Sudan’s mental health policy, which was last published in 2008, centers around the following guidelines: “developing a mental health component in primary healthcare, scaling up human resources, involvement of patients and their families, strengthening advocacy, promotion of the human rights protection of patients, equity and access to mental healthcare services across different groups, quality improvement, financing and monitoring systems.”
In 2009, Sudan developed a policy to restructure the mental health care system in the nation. Leading psychiatrists in Sudan participated in developing these documents and Sudan received technical support from the World Health Organization (WHO).
The cost of medication in a low-income country leaves a majority of civilians in need when having to choose between basic necessities and medicine for their mental health. Additionally, the stigma surrounding mental health makes people more reluctant to seek help. For instance, for women in Sudan, mental health issues “can lead to their family restricting their social presence” and mental health struggles can “[diminish] their opportunity to marry,” according to an article by WagingPeace.
The International Organization for Migration
In 2022, the International Organization for Migration’s EU-IOM Joint Initiative celebrated World Mental Health Day by carrying out community-based Mental Health and Psycho-Social Support (MHPSS) activities in states within Gedaref and Khartoum. The IOM recognizes that foreign migrants, returnees and internally displaced persons face the most barriers to accessing mental health care in Sudan.
The EU-IOM Joint Initiative held a seminar to educate as many as 60 people on the importance of mental health care. The initiative also held a three-day mental health campaign via radio in three local languages.
Additionally, the initiative held a football match for 200 young people in Gedaref to raise awareness of mental health and encourage participation in sports and physical activities to maintain positive mental health.
Furthermore, the IOM held three focus group discussions that highlighted barriers to mental health access and how the IOM can play a role in addressing these challenges. The organization also provided mental health information to students at Gedaref University and supplied information on safe migration.
Looking Ahead
NGOs and other health organizations are working toward facilitating a better understanding of mental health for civilians of Sudan. By increasing the number of trained mental health care professionals and establishing additional mental health care facilities, especially in the more rural areas, mental health in Sudan can improve.
– Amin Isameldin Amin
Photo: Flickr