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Global Poverty

Retinoblastoma in Sub-Saharan Africa

Retinoblastoma in Sub-Saharan AfricaRetinoblastoma is a childhood cancer affecting the eye. In sub-Saharan Africa, its incidence is high and survival is low. The VISION 2020 LINKS program aims to address this issue by forming partnerships between U.K. and African eye health care departments.

What is Retinoblastoma?

Retinoblastoma is a childhood cancer of the light-sensitive cells at the back of the eye (the retina). Symptoms of retinoblastoma can include vision problems, irregular eye movements and inflammation of the eye. Treatment options usually include surgery, chemotherapy, radiotherapy, freezing therapy and laser therapy.

What is the Incidence of Retinoblastoma in Sub-Saharan Africa?

It is estimated that there are over 1,950 cases of retinoblastoma in Africa per year. The symptoms in children in sub-Saharan Africa are found late and they become more troublesome and severe. Unfortunately, this means children have lower chances of survival. Overall, the survival rates for retinoblastoma in sub-Saharan Africa are as low as 26.6%, compared to 99% in the U.K.

What are the Barriers to Proper Management of Retinoblastoma in Sub-Saharan Africa?

  1. Shortage of Ophthalmologists: The World Health Organization recommends a minimum of one ophthalmologist per 250,000 people. However, in many places in Africa this falls as low as one ophthalmologist per 1,000,000 people.
  2. Inaccessibility of specialist eye health care: Two-thirds of these ophthalmologists are located within major cities, despite the majority of the population of sub-Saharan Africa living in rural areas. Lack of transport and large traveling distances make proper eye care inaccessible and/or costly. This means that most children receive eye care from local primary health care workers or traditional healers. However, neither is adequately trained to competently identify and manage complex ophthalmic conditions such as retinoblastoma.
  3. Unaffordable cost of treatment: A study in 2018 found the average cost of treatment for retinoblastoma in sub-Saharan Africa amounted to $1,954. With an estimated 40% of the population living below $1.90 a day, the cost of life-saving health care is unachievable for many.

What is the VISION 2020 LINKS Program and its Efforts to Curb Retinoblastoma?

The VISION 2020 LINKS program was established to correct the disparities in ophthalmic care in low-resource settings, such as Africa, with the goal of preventing and managing avoidable blindness.

The VISION 2020 LINKS program was founded by the London School of Hygiene & Tropical Medicine’s International Centre for Eye Health in 2004. The aim of the program is to build long-term partnerships between eye health care workers in the U.K. and low- and middle-income countries (LMICs). These partnerships aid the development of skills and knowledge of eye care workers in LMICs and U.K. eye care workers. Through skills and knowledge training, the VISION 2020 LINKS program is addressing the lack of adequate ophthalmic care in LMICs.

Currently, 30 partnerships exist between the U.K. and LMICs, predominantly in Africa. VISION 2020 LINKS has 16 partnerships working to improve pediatric eye health care and establish retinoblastoma as a priority within this.

Though retinoblastoma is viewed as curable in high-income countries, the consequences in sub-Saharan Africa can be devastating. The VISION 2020 LINKS program aims to minimize the disparities in ophthalmic care, with retinoblastoma as a key focus of many of their partnerships.

– Jess Steward
Photo: Flickr

April 10, 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 Philipp2023-04-10 01:30:242023-04-06 03:27:06Retinoblastoma in Sub-Saharan Africa
Global Poverty, Humanitarian Aid

7 Facts About Charles Henry de Soysa’s Humanitarian Efforts

de Soysa's humanitarian Efforts
Charles Henry de Soysa (1836-1890) was an ambitious entrepreneur from Ceylon, known now as Sri Lanka. He was very wealthy and invested in many businesses, including tea plantations, transportation and oil mills. Deeply involved in his country, de Soysa built several profitable buildings in Ceylon and stood as the country’s first banker. However, aside from his business-related capabilities, Sri Lanka has celebrated de Soysa for his humanitarianism. To further illuminate his positive impact on Ceylon, here are seven significant facts about de Soysa’s humanitarian efforts.

7 Facts About Charles Henry de Soysa’s Humanitarian Efforts

  1. Efforts to Reduce Infant/Maternal Mortality. Determined to decrease the infant mortality rate, de Soysa assembled a team of trained midwives to tend to mothers and their infants. In addition, de Soysa established a maternity hospital, the De Soysa Lying-In-Home in Ceylon, and stood as “the first person in Asia” to found a maternity hospital. De Soysa’s childhood home became the hospital’s first building. The De Soysa Lying-In-Home is the “second oldest maternity home in Asia,” and currently, it provides maternity services to more than 14,000 mothers a year.
  2. A Commitment to Addressing Impacts of Ceylon’s Famine. When Ceylon endured famine during the financial crisis of 1868, de Soysa not only donated a large amount of money for famine relief but he also coordinated and delivered carts with rice and other rations to crowds of people throughout the island.
  3. An Anti-Discrimination Advocate. The first large-scale political gathering in Ceylon took place on November 11, 1871, in Moratuwa at the de Soysa manor. This meeting objected to discriminatory plans included in the Village Councils Ordinance 1871 and advocated for minority groups. A petition, urging that authorities issue the ordinance in the native language, distribute it to everyone and record its advantages and disadvantages, was handed over to the governor. De Soysa’s signature stood at the forefront of the document.
  4. Action to Further Education in Sri Lanka. De Soysa founded the Prince and Princess of Wales’ Colleges in 1876 to provide cost-free education to children regardless of caste, status, ethnicity and religion. The Princess of Wales College initially registered more than 350 female students — this was the first notable attempt in Ceylon to provide a non-religious education to girls. The schools still exist today but the state fully governs the facilities.
  5. Efforts to Establish Medical Facilities in Sri Lanka. De Soysa and his family gifted several medical facilities to Sri Lanka — the Lunawa Hospital Moratuwa, the Panadura Hospital, Marawila Hospital, the Hanguranketa dispensary, the Ingiriya Hospital and the Bacteriological Institute (Medical Research Institute).
  6. Donations to Facilities. In 1886, during a trip to Britain, de Soya made significant donations to 20 major hospitals. He also contributed to running and maintaining a nursing home for the Buddhist clergy.
  7. Supporting the Marginalized. When authorities evicted more than 100 families of Walapane due to their inability to pay the grain tax, de Soysa presented them with land for them to relocate and start over. In addition, de Soysa provided support as a significant donor to the Indian and Irish famine funds. Moreover, when thousands of impoverished people in Moratuwa could not pay the full amount for the Poll Tax, to assist them, de Soysa graciously paid the expected total.

Remembering Charles Henry de Soysa

De Soysa made countless charitable donations toward establishing infrastructure and facilities, advancing education and supporting the marginalized. De Soysa passed away at the age of 54 on September 23, 1890, but was honored posthumously as Ceylon’s first Knight Bachelor.

These specifics about Charles Henry de Soysa do not encompass all of his altruistic acts. In fact, de Soysa also made confidential donations that are not documented. These facts about de Soysa’s humanitarian efforts ensure the world continues to remember a historic humanitarian who significantly contributed to uplifting Sri Lanka’s impoverished.

– Megan Roush
Photo: Wikipedia Commons

April 10, 2023
https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg 0 0 Kim Thelwell https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg Kim Thelwell2023-04-10 01:30:082023-04-06 02:40:467 Facts About Charles Henry de Soysa’s Humanitarian Efforts
Global Poverty, Women

The Vulnerabilities of Afro-Colombian Women

Afro-Colombian WomenAs a marginalized group, Afro-Colombian women are more vulnerable to experiencing racism, discrimination, violence and poverty. For decades, these issues have led to the disempowerment and marginalization of these women. Afro-Colombian women are especially vulnerable to experiencing human rights violations, particularly sexual violence, due to multiple forms of discrimination based on their race, gender and low social ranking. Government estimates indicate that “72% of the Afro-Colombian population is in the country’s two lowest socio-economic strata.”

Poverty and Inequalities Impacting Afro-Colombian Women

According to a 2020 report issued by the Immigration and Refugee Board of Canada, Afro-Colombians, in general, inordinately lack access to food, health care, education, economic opportunities and other resources necessary to escape poverty and live an improved quality of life. Factors including civil armed conflict and gender inequality have compounded with racism to exacerbate the injustices that Afro-Colombian women, specifically, face.

Between 1958 and 2015, Colombia’s ongoing conflict internally displaced more than 5.8 million people, with women accounting for about 58% of these displacements. Women, in general, not only face higher risks of displacement and poverty but also of abuse and exploitation. These risks increase among Afro-Colombian women and women belonging to other marginalized groups.

Colombia is one of the most monetarily unequal countries in the world and 19.6 million people in Colombia (about 39% of the population) lived in poverty at $6.85 or less per day in 2021. While the overall rate of poverty in Colombia has fluctuated throughout the years and the country has noted poverty declines, marginalized groups did not experience this relief and some faced an increase in poverty. Rural populations, which consist of many Afro-Colombian and Indigenous communities, had an increase in poverty from 2020 to 2021 (42.9% to 44.6%) while an estimated 1.4 million people “working in urban services and commerce” rose out of poverty in 2021 due to Colombia’s economic recovery.

In 2015, approximately 41% of the Afro-Colombian population lived in poverty in comparison to 27% of non-Afro-Colombian or non-Indigenous Colombians.

Lack of Access to Resources and Services

Certain factors, such as gender and racial discrimination, contribute to a greater risk of poverty among Afro-Colombians and exacerbate existing conditions of poverty. The racism that Afro-Colombian women face impacts every aspect of their lives and keeps them from accessing resources that would place them in positions of economic and social advancement. Research shows that nations can raise their GDP by US$2.1 trillion annually by dissolving racial income gaps.

When speaking with the United Nations Rapporteur in 2001, groups of Afro-Colombian women stated that they had little access to many basic resources, such as work and income, as a result of racism.

“Groups of women in Quibdó, where 85% of the population is Afro-descendent, indicated that most of the population lives in extreme poverty. Quibdó is the locality with the least water supply coverage in the country, 81% of homes have no sewage, illiteracy is up to 19% and maternal mortality rates are high,” according to the Inter-American Commission on Human Rights.

This lack of accessibility that is caused by internal national racism leads to the perpetual disenfranchisement of this community and causes them to live in the most impoverished cities. For example, the Choco region of Colombia is the most impoverished area of the country and approximately 85% of its population is Afro-Colombian.

Indigenous Peoples and Afro-Colombian Empowerment Activity (IPACE)

Several organizations and activist movements work toward empowering and helping Afro-Colombian communities. Among these is the United States Agency for International Development through its most recent plan: Indigenous Peoples and Afro-Colombian Empowerment Activity (IPACE).

Beginning in 2011, USAID has worked closely with Colombia’s Afro-Colombian population to promote inclusion and empowerment. In December 2021, USAID implemented IPACE, which is a $60 million initiative that connects with locally-led organizations to further their goals and elevate their voices on the national scale. IPACE’s mission is to help implement and uphold the 2016 Peace Accord in Colombia, specifically focusing on peacebuilding and inclusivity.

IPACE also aims to sustainably help economic development by providing training and job placements, risk management through emergency preparedness and services and diversity and inclusion support through acknowledging ancestral practices and building awareness of cultural differences. What sets IPACE apart from other initiatives is the commitment to a locally-led approach through an alliance of 10 partner organizations, all of which are either indigenous or Afro-Colombian. These organizations help IPACE lead and make decisions that are in the best interest of these populations.

Looking Ahead

Afro-Colombian women face multiple vulnerabilities as a result of marginalization and discrimination, which keeps them stuck in the depths of impoverishment. The intersection of racism, poverty and violence creates a cycle of inequality that the government and organizations must address at the root. Fortunately, organizations such as USAID and other locally-led groups are committed to changing the narrative and upholding the rights of Afro-Colombian women.

– Kellyjohana Ahumada
Photo: Unsplash

April 9, 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 Philipp2023-04-09 05:21:052023-04-25 02:26:05The Vulnerabilities of Afro-Colombian Women
Clean Water Access

Takeaways from the UN 2023 Water Conference

UN 2023 Water ConferenceFrom March 22-24, 2023, the first U.N. conference on water in the last 46 years took place in New York. With a doubling of the global population since the last conference in 1977, the need for access to clean water has skyrocketed, making this event all the more crucial.

Ensuring access to water and sanitation is one of the 17 interlinked sustainable development goals (SDG) to transform our world, set in 2015 by the United Nations as a call for action by all countries to end poverty.

However, despite the importance of water, the U.N.’s data on SDG 6 shows a bleak reality. According to the data released prior to the water conference, if current trends persist, by 2030, 1.6 billion people will still lack access to safely managed drinking water, 2.8 billion will not have access to safely managed sanitation facilities and 1.9 billion will be deprived of basic hand hygiene facilities.

Water is not only essential to health but also to food security and ecosystems, so it is closely connected to poverty reduction. It is essential to all industries and needs to be valued and treated as the vital resource it is. The United Nations Conference on Water is just the beginning of a global effort to ensure access to clean water for all.

U.N. 2023 Water Conference Takeaways

Five key themes were addressed during the conference: water for health, water for sustainable development, water for climate, resilience and environment, water for cooperation and Water Action Decade. Here are some of the most important takeaways:

  1. The Secretary-General of the United Nations, Antonio Guterres, emphasized the urgent need to modernize infrastructure and explore new public-private partnerships to manage the water crisis of the 21st century. He called for greater private sector investment in water and sanitation: regulating private sector participation would mean benefitting from data, management techniques and other resources previously unavailable. This was an idea echoed throughout the conference by most delegates.
  2. Water sanitation and hygiene (WASH) is a salient issue in promoting gender equality. In many countries, girls and women handle the oftentimes dangerous responsibility of retrieving water for their families, sometimes at the expense of their education. Delegates have agreed to massively invest in water and sanitation systems.
  3. Water is a crucial issue for achieving sustainable development goals, as 90% of natural disasters are water-related, and none of the other goals can be achieved without addressing the water crisis. Guterres also confirmed that water-linked natural catastrophes can be a source of heightened geopolitical and international tension, as they cause forced migrations and displacement of communities. The World Bank’s Groundswell report shows that disasters linked to water could cause up to 216 million people to move within their countries by 2050. Some of these tensions could be mitigated by putting water at the forefront of the political agenda.
  4. Water is rarely contained by borders; however, solutions often are, as they exist in geographies that are very local. Transboundary water cooperation is essential to scale up technological solutions globally, such as updates to wastewater and storm management systems to better handle sudden surges in water levels.
  5. Finally, after a mention by most, if not all, delegates, the conference concluded with the appointment of a U.N. special envoy for water to keep the issue high on the political agenda and raise awareness of SDG 6 and investment opportunities in water.

Importantly, contributing internationally to improve a capacity for water security is not about aid. Rather, it is an investment that is going to pay off for donor countries as well. Clean water supports lives, creates jobs and drives inclusive economic growth, all while ensuring sustainable development. It should be seen as a fundamental platform for economic prosperity and development, rather than an environmental issue.

Overall, the U.N. 2023 Water Conference provided invaluable insight into the most pressing water-related issues facing our planet, such as water sanitation and hygiene, climate resilience and transboundary cooperation. It has also emphasized the need for public-private partnerships and innovative financing mechanisms to support the development of water infrastructure.

To achieve Sustainable Development Goal 6 by 2030, global leaders need to remain ambitious and continue to work together to ensure that all individuals have access to sustainably managed water and sanitation services. The appointment of a U.N. special envoy for water is a promising step in the right direction to ensure that no one is left behind.

– Hanna Bernard
Photo: Flickr

April 9, 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 Philipp2023-04-09 01:30:532024-12-13 18:02:51Takeaways from the UN 2023 Water Conference
Global Poverty

Fighting Period Poverty in Colombia 

Period Poverty in ColombiaAround 500 million women and girls worldwide face period poverty, where the lack of access to menstrual products due to financial constraints and inadequate water, sanitation and hygiene (WASH) facilities is a common issue, hindering girls and young women from attending school.

Colombia, a South American country, is making strides toward addressing period poverty. In 2018, it became the “first country in the region to eliminate the tax on tampons and menstrual towels.” International organizations such as the United Nations Population Fund (UNFPA) are working to combat period poverty in Colombia by providing education and financial aid for menstrual products.

Period Poverty in Colombia

Menstruation, a normal bodily function for half the world’s population, is still considered a taboo topic in many conservative societies. As a result, young people often lack access to proper education regarding period health and management. According to a survey by UNICEF, 34.8% of girls in rural Colombia had no prior knowledge of menstruation before experiencing it.

Financial constraints reportedly prevented more than 683,000 women in Colombia from accessing menstrual products, according to a 2021 report by El Pais. On average, towels and tampons cost Colombian women 180,000 pesos or $45, which accounts for a fifth of the country’s minimum wage. The report also revealed that 312,000 Colombians struggle to access clean and private toilets, further complicating the challenges of managing menstrual health and hygiene.

Period poverty poses challenges beyond economic, health and hygiene issues. According to the World Bank, in “developing countries, two of five girls who have reached menstruation age miss an average of five school days per month due to a lack of access to necessary facilities.” Unfortunately, this can lead to widening the gender gaps in the affected communities by slowing educational progress for girls.

In recent years, there has been a rise in open discussions regarding menstrual health and education, exemplified by the passing of the 2018 bill that eliminated the tax on period products. This move towards greater affordability of such products is a step towards ending period poverty in Colombia.

SRH Efforts

Since 1974, the United Nations Population Fund (UNFPA) has been operating in Colombia, where it has helped local governments manage reproductive health and gender equity issues. In 2020, the UNFPA provided Sexual and Reproductive Health (SRH) services to 4,473 women of reproductive age. Additionally, the organization distributed dignity kits to approximately 1,200 women, offering essential menstrual products at no cost. In 2021, it spent $2,449,976 solely on SRH services. Moreover, it has been assisting national women’s organizations in advocating for women’s rights concerning SRH.

There has been a surge of national organizations fighting period poverty in Colombia. One such organization is Princesas Menstruantes, based in Medellin. It aims to transform the conversation around menstruation by providing workshops and education to young girls. The group has become a prominent player in Colombia’s political landscape, facilitating research and discussions on menstrual health. Through donations, the organization is expanding beyond Medellin to reach rural and urban areas. In 2019, Princesas Menstruantes reached 3,532 people, including men who were included in the dialogue.

Moving Forward

The issue of period poverty continues to gain attention in international conversations, thereby altering the political landscape for good. Organizations tackling the issue are pushing for a world where girls and women have access to menstrual products and as a result, pursue educational and career success without limitations. And with more Latin American countries like Colombia taking action against period poverty, the world continues moving closer in that direction.

– Eva Cairns O’Donovan
Photo: Flickr

April 9, 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 Philipp2023-04-09 01:30:252023-04-05 10:20:11Fighting Period Poverty in Colombia 
Global Poverty

Open Defecation in Sub-Saharan Africa

Open Defecation in Sub-Saharan AfricaThe United Nations’ Sustainable Development Goal 6 calls for the elimination of open defecation practices by 2030, and sub-Saharan Africa remains the greatest challenge in achieving this objective. With this goal in mind, concerted global efforts are being made to ensure success.

Open Defecation

According to the U.N., open defecation is the practice of excreting in an open space such as a field, river, or street, rather than using a toilet. The U.N. also reports that in 2017, despite open defecation rates nearly halving since the turn of the century, around 670 million people still practiced open defecation.

Two main issues surround the practice. Firstly, open defecation leads to the spread of diarrheal diseases, through the contamination of drinking water and crops. Diarrheal diseases are the leading global cause of child deaths, leading to around 800 children under the age of 5 dying each day.

Secondly, the practice leads to an increased risk of sexual violence against women. In 2016, UNICEF estimated that 50% of rapes that took place in India happened whilst women were defecating in the open.

Successes in India

India has been the focus of efforts to end open defecation for many years, due to the proportion of the large population that were practicing it. Between 2000 and 2017, the number of people practicing open defecation in India fell by 55%. While many question the government’s claim that India became “open-defecation-free” in 2019, there have undoubtedly been huge successes in reducing the rates of this practice across the country.

Global support and government funding under Prime Minister Narendra Modi led to a rapid and widespread rollout of toilets across India. Modi’s “Clean India” campaign began in 2014 and led to the building of 110 million toilets; one initiative led by LIXIL built 47,000 toilets each day.

Despite the successful roll-out of toilets across India, open defecation remains a common practice. Many researchers put this down to cultural barriers; rather than being the result of a lack of toilet, open defecation is most commonly an “ingrained cultural norm,” according to the U.N. Consequently, any long-term solution requires a focus on community perception and behavior alongside the construction and maintenance of proper toilets and sanitation services.

A 2020 study highlighted the successes of a community-based information campaign in Uttar Pradesh, India, aimed at rebranding the use of toilets and instilling new beliefs around the importance of sanitation. The social beliefs that are behind the persistent open defecation in India are twofold: beliefs that no one in the community uses toilets, and beliefs about rituals of purity and cleanliness. By directly tackling these social beliefs, the information campaign saw an increase of 11% in toilet use in villages across Uttar Pradesh.

Applying These Lessons in Africa

Open defecation in sub-Saharan Africa has become an increasingly significant focus in global health efforts. Based on the most recent data available, nine of the 10 countries with the highest percentage of the population practicing open defecation were in sub-Saharan Africa.

Furthermore, between 2015 and 2018, most of the countries with the highest proportion of the population exposed to community open defecation and its impacts were found in Africa, reaching a high of around 90% of the population in Benin and Ethiopia.

As in India, many of the reasons for open defecation in sub-Saharan African nations surround socio-cultural beliefs and values. Therefore, the successes and limitations of the approach taken in India have the potential to inform more effective practices across this region.

In Niger, 68% of the population was practicing open defecating as of 2020, according to the World Bank and only 13% of the population had access to basic sanitation services such as a toilet. Therefore a rapid and widespread roll-out of these sanitation services, as seen in India, has the potential to drastically change open defecation rates in Niger.

Practical and Cultural Approach

There are some examples of practical and cultural approaches to reducing open defecation rates. Between 2017 and 2018, UNICEF partnered with the Government of Niger to develop a plan to end open defecation by 2030. In 2020, the Bagaroua commune became the first Open-Defecation-Free community in Niger. The community chief put the success down to the roll-out of toilets in the region, which saw access to latrines increase from 10.3% to 100%, as well as the “sensitization” program which promoted behavior change. As a result of the work done by UNICEF and the Government of Niger, many parents in the Bagaroua commune reported that they realized the need to change their behaviors to keep their children safe.

Armed with lessons from India and other countries paired with a practical roll-out of sanitation facilities with a culturally-sensitive education initiative, the international community could more effectively work towards ending open defecation in sub-Saharan Africa.
– Polly Walton
Photo: Flickr

 

April 8, 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 Philipp2023-04-08 01:30:152023-04-04 15:50:07Open Defecation in Sub-Saharan Africa
Refugees

Fishermen to the Rescue: Refugees in Indonesia

Indonesian FarmersIndonesia is estimated to currently host 9,991 refugees and 3,158 asylum seekers, with 57% from Afghanistan, 10% from Somalia and 5% from Myanmar. During 2022 alone, more than 2,000 people are thought to have taken the dangerous journey across the Andaman Sea and the Bay of Bengal in the hope of reaching Indonesia. In 2022, almost 200 individuals reportedly died on this journey. But despite this tragedy, there is an underlying story of hope and humanity from the people of Indonesia. A report from the United Nations showed that in the last six weeks of 2022 alone, Indonesians helped save 472 people from four boats.

In a collaborative effort between the United Nations High Commissioner for Refugees (UNHCR), the Indonesian Government, other U.N. agencies and local people, the country has attempted to protect refugees and asylum seekers by identifying solutions for their situation. This has included provisions for emergency assistance and attention to the specific needs of individuals arriving on their shores.

Rohingya Refugees in Indonesia

A huge proportion of those refugees reaching Indonesia are Rohingya men, women and children. In 2017, nearly 800,000 Rohingya fled persecution from their homeland of Myanmar, where they experienced segregation, discrimination and removal of their citizenship. Since then, thousands of refugees make the perilous journey to reach Muslim-majority regions like Malaysia, Bangladesh and Indonesia. While residing in these Bangladeshi refugee camps, the Rohingya face overcrowded, unsanitary and crime-ridden conditions, which is resulting in greater numbers taking the extremely dangerous trip across the sea, where the likelihood of death increases.

Since November 2022, there were 918 Rohingya refugees registered in Indonesia, in comparison to 180 in the entirety of 2021. In a case from December 2022, over 180 Rohingya refugees arrived in a wooden boat on the shore of western Indonesia, supposedly from Bangladesh, including a pregnant woman and children. These journeys are made in poor-quality boats and often increase between November and April when the seas are supposedly calmer. The UNHCR described 2022 as “one of the deadliest years at sea in almost a decade for the Rohingya” which is predicted to continue into 2023.

Generosity of Indonesian Fishermen

Despite the increasing numbers of refugees making this journey, there is an underlying story of hope and kindness in the actions of some Indonesian fishermen. At the end of 2022, Indonesian fishing crews were praised for their part in rescuing over 200 people adrift at sea, in what has since been described by the UNHCR as an “act of humanity.” In doing so, they have provided urgent medical care for survivors suffering from exhaustion and dehydration. The compassion of these Indonesian fishermen has, according to UNHCR Indonesia Representative Ann Maymann, undoubtedly helped to save people from “certain death, ending [the] torturous ordeals for many desperate people.”

In a case from late June 2020, 99 Rohingya asylum seekers arrived on the shore of Aceh after being stranded at sea for more than 120 days, and local fishermen from nearby villages were quick to help them to safety. The Rohingya have been welcomed by the Indonesian people, even being invited to participate in festivities celebrating the 75th anniversary of Indonesian independence.

There have been numerous explanations as to why the people of Indonesia, particularly the Acehnese residents, have demonstrated such acceptance and humility toward those in need, when so many others have refused to act. For example, the Acehnese people abide by the customary maritime law called Panglima Laot, which obliges all fishermen in the region to help those in distress at sea. This is a central part of village life in coastal communities across Indonesia. Similarly, they honor the cultural tradition of Peumulia Jamee, which encourages them to demonstrate kindness and hospitality, particularly towards children.

Supporting the Humanitarian Effort

The International Organization for Migration (IOM) has supported the Indonesian Government along with their humanitarian partners, by aiding the huge numbers of Rohingya refugees arriving on the coast. This includes provisions for water, health care and COVID-19 testing. Moreover, the IOM has worked with local authorities to obtain approval to transfer refugees to a new site in Peunteut, Lhokseumawe, which will greatly improve safety and security. The assistance provided by the IOM to the Rohingya refugees is funded by the U.S. Department of State’s Bureau of Population, Refugees, and Migration (PRM) and the European Civil Protection and Humanitarian Aid Operations (ECHO).

Steps are being taken to help the Indonesian people assist those arriving on their shores, but it is indicative of a much larger problem. Nevertheless, Indonesian fishermen are aiding refugees by showing kindness.

– Bethan Marsden
Photo: Flickr

April 8, 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 Philipp2023-04-08 01:30:082023-04-05 06:30:21Fishermen to the Rescue: Refugees in Indonesia
Global Poverty

State of Health care in Vietnam

Health care in VietnamVietnam’s public health system has faced significant challenges in recent years, from diseases including tuberculosis, HIV/AIDS and COVID-19. With the help of organizations including USAID and the CDC, however, Vietnam has also achieved a great deal of success in addressing these issues. Here are some important things to know about health care in Vietnam, and how foreign aid programs have contributed to its development.

The Centers for Disease Control and Prevention (CDC)

The CDC’s partnership with the Vietnamese government celebrates its 25th anniversary in 2023. Since 1998, the CDC has supported Vietnam in establishing programs to improve the treatment of diseases including TB, HIV and influenza. The number of HIV sentinel surveillance sites, for instance, which help Vietnam detect and monitor patterns of infection have doubled since 2003. Furthermore, a clinical trial for a new TB treatment conducted by the CDC in Vietnam reduced the length of treatment from six months to only four; it was the first new treatment regimen, in any country, for the disease in three decades. The CDC has also aided in the creation of five emergency operations centers to support the country’s health care system in times of crisis, such as the COVID-19 pandemic.

The World Bank

In 2013, the World Bank funded a $126 million project to protect and improve the public hospital system in 13 provinces in North Vietnam. The North East and Red River Delta Regional Health System Support Project aimed to solve the overcrowding problem that many Vietnamese hospitals were experiencing. It was a success — nearly half of the 74 hospitals included in the program were awarded the Vietnamese Ministry of Health’s upper hospital classification, and patient satisfaction rates experienced a marked increase, reaching 88.5% at the district level. Almost 5,000 local doctors received training from Vietnam’s top medical specialists, learning around 3,000 new techniques to use in their own communities.

USAID

In an effort to ensure an effective response to the COVID-19 pandemic, USAID provided Vietnam with $12 million in aid in 2020. This included $4.7 million in funding for laboratory systems, public health screenings, infection prevention in health care settings and 100 ventilators. USAID also provided $5 million in support of the country’s economic recovery.

Other programs financed by USAID that support health care in Vietnam include Erase TB. This initiative has improved the country’s ability to detect and treat tuberculosis, contributing to a decline in cases of the disease in Hanoi and Ho Chi Minh City. Additionally, USAID’s Local Assistance to Develop and Deliver Excellence, Resilience and Sustainability in Vietnam (LADDERS) program helps high-risk people living with HIV, often living in remote areas, to access testing and treatment services.

The World Health Organization (WHO)

The WHO has supported Vietnam with the goals set out at the ninth Global Conference on Health Promotion, held in 2016. These are:

  • Good governance – promotes an approach in which health care is central to government policy and policies that protect citizens’ health and wellbeing are prioritized
  • Health literacy – ensures that citizens have the information they need to make healthy choices and to access health care.
  • Healthy cities – reinforces the need for high-quality health care services and planning at the local level, to improve the state of the country’s overall health care system.

Vietnam’s 1,332 hospitals, alongside its community services and laboratories, have significantly improved patient access to higher quality health care in recent decades. The work done, and aid given, from both American and global organizations has been vital to this record of success and continues to help Vietnam improve the standard of care that its citizens receive. Health care in Vietnam is more effective thanks to the enduring partnerships established between these organizations and the Vietnamese government.

– Martha Probert
Photo: Flickr

April 7, 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 Philipp2023-04-07 07:30:412026-04-16 10:09:12State of Health care in Vietnam
Global Poverty, United Nations

LDC5 Conference Brings Support for the Least Developed Countries

Least Developed Countries
The fifth United Nations Conference on the Least Developed Countries (LDC5) took place in Doha, Qatar from March 5 to March 9, 2023. It was an amalgamation of political leaders, the business sector, civic organizations and youth. The conference’s main aim was to build a framework of support for the current 46 least developed countries in the world through the Doha Programme of Action (DPoA). Between 2022 and 2031, DPoA will aid LDCs in six key areas, driving investment and innovation in these countries and hopefully leading to their graduation from the LDC status.

LDC Classification

LDC or a least developed country is a U.N. classification of an impoverished country bereft of economic and human resources. The Committee for Development Policy meets every three years to review the LDCs and their inclusion and graduation criteria. These criteria are based on a country’s gross national income, human assets and economic and environmental vulnerability.

There are currently 46 countries on the LDC list, most of which are in Africa. Asia also has a significant number of LDCs. The U.N. put the first group of countries (25 nations) in this category in 1971. Today, the number has risen to 46 countries. However, since 1994, six countries have graduated from the LDC list and seven more are on the path to graduation by 2026, with Bhutan next in line.

Challenges LDCs Face

The combined population of all the world’s least developed countries is 1.1 billion. According to the U.N., “more than 75% of those people still live in poverty.” Due to low economic and human resources, LDCs are more vulnerable to deprivation. Many of the current LDCs are indebted. The U.N. states that out of the 46 countries, “four are classified as in debt distress” and “16 LDCs are at high risk of debt distress.”

The U.N. states that in 2019 “almost half of the children out of school worldwide” lived in LDCs. This shows that children in these countries have a higher chance of growing up without proper education, leaving them more vulnerable to economic instability. Poor enrollment and completion rates along with low education budgets in LDCs leave much to be desired. “Clearly, the education systems in the LDCs require significant development to equip their young people with the skills they need for the future,” said Rabab Fatima, secretary-general of the LDC5 at the conference.

LDCs face a multitude of challenges including “limited fiscal space, high external debt, macroeconomic imbalances, widespread poverty and underdeveloped or no social protection systems,” U.N. Deputy Secretary-General Amina Mohammed stated at the LDC5 conference.

LDC5 and DPoA

The LDC5 conference is the U.N.’s effort at uniting people that can make a difference in order to build a strategy for driving positive change in LDCs. This was the fifth such decennial conference, with the first taking place in Paris in 1981. The LDC5 conference hosted 9,000 people, including 46 heads of state and comprised many events and discussions.

The main focus of LDC5, however, was the DPoA. It “manifests a new generation of renewed and strengthened commitments between the least developed countries and their development partners, including the private sector, civil society and the governments at all levels,” the U.N. says. The DPoA provides a framework and guiding principles for LDCs to improve their socioeconomic standing and graduate from the category.

There are six key areas of focus in DPoA, including increased investment in human assets, driving technological advancements and increasing trade. In particular, the DPoA promises “an online university, a graduation support package, a food stock holding solution, an investment support center and a crisis mitigation and resilience building mechanism,” the U.N. reports.

Agrifood Systems Transformation Accelerator (ASTA)

The U.N. Industrial Development Organization and the Food and Agriculture Organization (FAO) launched the Agrifood Systems Transformation Accelerator (ASTA) at LDC5. ASTA aims to revitalize agricultural food production in LDCs by combining investment from the public and private sectors as one of its methods. ASTA had been successfully operating as a pilot scheme in 15 countries since 2018. It predicts more than $300 million in investment from the private sector in the future.

Many countries officially announced support packages at the conference. According to the U.N., Germany pledged €200 million to support LDCs. Qatar pledged $60 million while Canada dedicated $59 million toward ecosystem conservation and delivering vitamin supplements in LDCs.

With a blueprint ready, LDCs have way ahead of making socioeconomic progress and graduating from the category. The LDC5 conference proved that the world is full of people who are committed to improving the situation in these 46 countries and beyond. The U.N. General Assembly President Csaba Kőrösi said, “Through science, technology and innovation, we have the tools to build sustainable recoveries.”

– Siddhant Bhatnagar
Photo: Flickr

April 7, 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 Philipp2023-04-07 07:30:092024-05-30 22:30:56LDC5 Conference Brings Support for the Least Developed Countries
Global Poverty, Women's Empowerment

How Tackling SDG1 and SDG5 Simultaneously Can Eradicate Poverty

SDG1 and SDG5In 2015, the leaders of 191 United Nations (U.N.) member states came together to develop the Sustainable Development Goals (SDGs). The United Nations’ Sustainable Development Goals (SDGs) are a set of 17 global objectives that aim to end poverty, protect the planet and ensure peace and prosperity for all by 2030. Among these goals, SDG1 and SDG5 are particularly interrelated and mutually reinforcing. SDG1 focuses on eradicating extreme poverty and reducing inequality, while SDG5 promotes gender equality and women’s empowerment. According to the U.N., by tackling these two goals simultaneously, the world can achieve a more inclusive and sustainable development that benefits everyone, especially the most vulnerable and marginalized groups.

Patterns of Progress 

According to the U.N., global poverty has vastly decreased since the 1990s, with 44% of the population living below the poverty line in 1991 compared to 15% in 2016. However, the pandemic significantly reversed this progress, increasing global poverty by 9% between 2019 and 2020.

The progress of SDG5 mirrors this pattern. The U.N. reports that since 2000, there has also been a vast improvement globally regarding gender equality. For instance, women’s role and representation in parliament have increased from 9.1 % in 2000 to 20.9% in 2020. However, much like with SDG1, the pandemic significantly pushed progress backward. 

To achieve SDG1, U.N. Women emphasizes the importance of working toward a future free of gender inequalities and inequities. Ending poverty “in all its forms everywhere”, requires countries to make efforts towards reaching SDG1 and SDG5 simultaneously.

Country Insight: Bangladesh

According to the World Bank, Bangladesh is a developing country. One of the fastest-growing economies in the world, Bangladesh aims to become an upper-middle-income country by 2031. Regarding SDG1 and SDG5, Bangladesh has “significant challenges” along the way. Whilst encouraging progress has been made to eradicate poverty in the country, progress on achieving gender equality is slower. To achieve SDG1, Bangladesh must improve its score for SDG5. There were 1627 rapes reported throughout the country in 2020 alone, though it is widely known that many instances of assault go unreported.

Links Between SDGs in Bangladesh

Reports suggest that one of the ways that SDG1 and SDG5 can work hand in hand is through the introduction of women into an equitable and inclusive workplace. However, in the context of employment in Bangladesh, there are many instances of gender-based violence in the workplace. For instance, a report detailing the experiences of women working in the Ready-Made Garments sector in Bangladesh reveals that it is an industry rife with “sexual harassment, pay inequity and improper benefits”. Links between poverty reduction and equal opportunities for women are widespread in the literature, and women in Bangladesh have the opportunity to work. This highlights a need for the country to focus on women’s equality of voice and equality under the law.

Looking Ahead

In striving to achieve the Sustainable Development Goals (SDGs), the interlinkage between SDG1 and SDG5 is crucial, as emphasized by the United Nations. While progress has been made globally in reducing poverty and promoting gender equality, the COVID-19 pandemic has posed significant setbacks. Bangladesh, a developing country, faces challenges in achieving both goals, with the need to address issues of gender-based violence and empower women in the workplace. Overall, acknowledging how SDG1 and SDG5 synergize could open up the path to a more sustainable and inclusive future.

–        Eloïse Jones

 

Photo: flickr

April 7, 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 Philipp2023-04-07 04:49:282024-05-30 22:30:57How Tackling SDG1 and SDG5 Simultaneously Can Eradicate Poverty
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