Mental health is a disease that affects an estimated 792 million people worldwide. Yet when people live in poverty and lack the money to attain basic needs, mental health often falls on the back burner. This is especially true in Norway. Though the country has a low poverty rate coupled with substantial efforts to improve access to and quality of mental health care, about half of all people in Norway experience a mental health disorder at some point in their life, and these numbers are rising in the wake of COVID-19.
Health Care in Norway
Norway offers universal health care coverage to all of its citizens and extends this service to all citizens from the European Union. It receives funding through general taxes and payroll contributions by employees, and provides a variety of services, with mental health being one of them. In 1956, this system, called the National Insurance Scheme, became a right for all Norway citizens. Though it ensures access to local municipalities and general practitioners, patients that require long-term or outpatient care must pay a fraction of it, making services unattainable for some poorer citizens.
How Does Economic Status Influence Mental Health?
Mental health problems can arise in anyone, regardless of age, socioeconomic status or demographic group. The ways these disorders affect the individual vary. However, people in poverty are more susceptible, as a large factor fueling these disorders is one’s life situation. In fact, life factors like disability, unemployment, sicknesses and others drive common mental illnesses like depression and anxiety.
A study that the International Journal for Equity in Health published found “the prevalence of psychological distress increasing by decreasing social status,” and noted economic problems as a major factor of it. Life factors, like living in poverty, have proven to increase levels of mental health disorders, but so do perceived living situations. Another study, published in Science Direct, investigated Norwegian adolescents’ view of living status. It found that if people felt they were impoverished or living in a low-income household, they had higher instances of mental health disorders. This perception, it found, might even be more influential than actual living conditions.
Impact of Mental Health Disorders on Norwegians
Estimates have determined that nearly 15% of children worldwide suffer from a mental health disorder. In 2018, 16.5% of Norwegians 15 to 24 years old reported experiencing “severe psychological distress.” Typically, mental disorders manifest as early as 14 years of age, with personality and anxiety disorders developing as early as 11 years old. The Organisation for Economic Co-operation and Development said that “without early and effective treatment and inclusion in society, young people with mental disorders risk becoming lifetime users of adult mental health services.” On top of this, instances of mental illness in children and young adults are particularly concerning since they lead to poorer education and difficulty transitioning into the workplace. Consequently, affected individuals earn lower incomes as adults if not treated properly at a young age.
Concerningly, in the last decade, Norway experienced an increase in permanent poverty among children, a factor that directly relates to mental health. Oslo, the country’s capital, has notable disparities in income throughout the city’s districts. This impacts mental health in Norway since living in city districts with high-income inequality, like in much of Oslo, lowers the probability of accessing mental health services, according to a study by Jon Finnvold of Oslo Metropolitan University. The study also highlighted that kids living in lower-income households experienced a higher risk of behavioral, or mental, problems.
What is Norway Doing to Improve Mental Health Services?
Notably, in the past few decades, there has been substantial investment in mental health services in Norway. Between 1999 and 2008, it invested NOK 6.3 billion ($735, 739, 200) into the Escalation Plan for Mental Health. This investment lowered suicide rates and helped improve services already provided by municipalities and increased access to children.
However, there are still discrepancies in access to care for mental health in Norway, largely based on socioeconomic status. Any problems Norway faced with its mental health care system only became more pronounced during the pandemic: like all countries, it saw an increase in patients requesting mental health assistance, especially in early 2020, the onset of the pandemic. A lot of these increases, as scientists speculate in a study that VOX EU published, come from the effects of lockdown and movement restrictions. Scientists are looking to policymakers, as they enforced said lockdowns, and draw on this evidence to show the harm isolation has on people’s overall mental health.
In no way do mental health problems only affect Norway; they also affect the entire world without discrimination, planting its seeds in the minds of the richest and the poorest of citizens belonging to any race, ethnicity or income level. Yet, people with lower incomes and of a minority ethnicity are particularly vulnerable to feeling the weight of these illnesses, as they have less access to services.
In Norway, the government’s universal health care system calls for equal access to all health services, including mental health, but it is just not the case. Those needing more comprehensive care still must pay a portion out of pocket, a bill that not everyone can afford to pay. Oslo specifically is home to unequal access, a direct result of the stark income discrepancies throughout the city. Norway has made substantial progress through mental health investment, but there is always a need to reach more people, to focus on the vulnerable populations to ensure they have the same opportunity for care as everyone else. There are still people not receiving care, as costs remain a barrier for those needing extensive treatment.
– Cameryn Cass
Photo: Unsplash
4 Countries With Conditional Cash Transfer Programs
Conditional cash transfer (CCT) programs serve as poverty reduction tools. The government provides monetary support to individuals with low incomes on the condition that the individuals meet certain requirements. For example, an individual may receive a cash transfer on the condition that he or she keeps his or her child in school and ensures the child receives all necessary child immunizations. The aim of CCTs is to stop the transmission of poverty from generation to generation, which is why conditions, especially related to healthcare and education, are in place. CCTs have shown success as poverty reduction tools in many countries, especially in regions such as Latin America.
Benefits and Criticisms of Conditional Cash Transfers
A benefit of CCTs is that they allow people to use welfare to meet their specific needs. CCTs empower impoverished communities by giving them the choice, through the provision of cash, of how to use aid to best meet their individual needs. Other welfare programs are able to fulfill a specific need, but they also restrict the voice of impoverished communities to choose how to best fulfill their needs.
Another benefit is that giving individuals money is cheaper than providing people with goods. When paying for goods, the government must also pay for the secondary costs associated with the goods, such as storage and transportation. Therefore, direct cash payments are more cost-effective than programs that distribute goods.
A common concern with CCTs is that recipients will spend the money on alcohol and drugs instead of their basic needs. Researchers have conducted studies to learn more about how recipients spend CCT money and results show that most recipients spend the money on meeting their families’ needs.
4 Countries With Successful Conditional Cash Transfer Programs
The Role of CCTs in Reducing Global Poverty
Conditional cash transfers have gained prominence as a strategy to help impoverished families in real-time while also working to prevent future poverty through the transmission of intergenerational poverty. While CCTs positively impact families in multiple countries, improvements to education and health services must accompany the programs so that children can receive quality education and adequate health care services. Increased participation through CCTs in tandem with improved public services can have a more significant impact on the world’s impoverished than CCTs alone. The combined power of conditional cash transfer programs and public service improvements have the potential to create lasting change globally.
– Anna Ryu
Photo: Flickr
Vietnam’s Gender Equality Reforms in the Workplace
Vietnam’s gender disparities have come under scrutiny in recent years in part because of the global push for gender equality. Despite the nation’s progress in closing the gender gap in both education and labor participation, inequalities still persist. Recognizing this phenomenon, the Vietnamese government recently renewed its Labor Code, reaffirming its commitment to achieving gender parity through gender equality reforms. The reformed Labor Code aims to advance gender equality in the workplace. Vietnam drafted its revamped Labor Code in 2019 to go into effect in 2021. Here are five of its proposed reforms to promote gender equality in the Vietnamese workplace.
5 Gender Equality Reforms in the Vietnamese Workplace
Striving for Gender Equality in Vietnam
By combating gender equality in the workplace, Vietnam has the potential to better its economy while advancing women’s rights. With reforms to improve gender equality, Vietnam aligns with global goals as the fight for equality dominates the global discourse. Aiming to achieve a work-life balance for both men and women dissolves gender stereotypes. Business owners, employers and employees can now rely on a strong legal framework against sexual harassment. More importantly, the adjusted Labor Code empowers women and inspires more female workers to join the workforce. These efforts will inevitably help advance gender equality in Vietnam.
– Tri Truong
Photo: Unsplash
New COVID-19 Antiviral Pill Brings Hope to the Developing World
The developing world is fighting for greater access to lifesaving COVID-19 vaccines and therapeutics. If regulatory bodies approve it, a new COVID-19 antiviral pill called molnupiravir could bring relief in the next year because it would be affordable, easy to distribute and easy to administer. Approval is all but guaranteed, however, several NGOs and manufacturers are jumping into high gear to help ensure equitable access to the drug throughout the world.
The Current Situation
No nation, no matter how wealthy, is exempt from the heartache and struggle that COVID-19 brought. According to the World Health Organization (WHO), COVID-19 has led to the deaths of more than five million people worldwide. In addition to the many lives lost, the disease caused by the novel coronavirus, SARS-CoV-2, has also left many survivors with long-lasting negative health effects. Then, there is the economic toll — experts consider the global economic contraction that the pandemic caused to be the most severe since the aftermath of World War II.
Now, nearly a year after the arrival to the market of the first COVID-19 vaccines, the developed world is wondering if the end is near — if the world can get back to a pre-pandemic sense of normal. However, in the developing world, the end does not appear to be near because many developing countries have yet to gain adequate access to vaccines. For instance, in September 2021, WHO Chief Tedros Adhanom Ghebreyesus said that “more than 5.7 billion COVID-19 vaccine doses have been administered globally, but only 2% of them in Africa.” Africa, however, makes up nearly 16% of the global population, making it clear that the push for vaccine equity must continue.
However, the developing world is now finding some hope in a COVID-19 antiviral pill that a partnership between Merck and Ridgeback Biotherapeutics brought to market. Researchers invented the drug, called molnupiravir, at Emory University with research funding from the U.S. government. In the Phase 3 clinical study, the pill proved efficient in reducing risks of hospitalization and death by 50% in at-risk individuals when administered before symptoms increase in severity. Following these promising outcomes, Merck has applied for Emergency Use Authorization from the U.S. Food and Drug Administration (FDA) so that it can bring this promising COVID-19 antiviral pill to the market as soon as possible.
3 Advantages of Molnupiravir for the Developing World
Improving Production Capacity
There is some concern that ongoing COVID-19-induced supply chain disruptions could interfere with the mass global production capacity of molnupiravir should the disruptions result in inadequate supplies of the base ingredients needed for manufacture. For its part, the Bill and Melinda Gates Foundation has pledged $120 million to help ensure equitable distribution of molnupiravir. Part of the initiative is to fund research to look into the most efficient and streamlined manufacturing methods to maximize the production capacity of the drug. These efforts bring hope that production capacity goals will meet their mark. Only time will tell, but for many in the developing world, molnupiravir may bring COVID-19 relief before vaccines do.
– Jeramiah Jordan
Photo: Wikipedia Commons
4 Facts About Poverty in Egypt
Egypt is a place that inspires the imagination of many around the world. Located in northeastern Africa with a population of about 100 million people, Egypt was home to one of the world’s earliest urban and literate societies and continues to be an important political and economic power today. Furthermore, in recent years, Egypt has made a lot of progress in addressing poverty. Here are four facts about poverty in Egypt.
4 Facts About Poverty in Egypt
Looking Ahead
These facts about poverty in Egypt show that while it has had several challenges, it is also showing great progress in the fight against poverty. With the series of new reforms, the Egyptian government has implemented new policies to lift people out of poverty. Decreasing the poverty rate can bring improvements in various sectors such as education and health care. If the country continues to improve its social protection programs, then it can set an example for the countries in the region.
– Veronica Rosas
Photo: Unsplash
5 NGOs Promoting Gender equality in Mexico
The fight for women’s rights and gender equality in Mexico has come a long way but still needs improvement. Currently, the country still presents many challenges and obstacles for women to achieve equality. Mexican women face verbal and sexual abuse daily.
Recognizing the dire need for change, several non-governmental organizations (NGOs) are working hard to empower Mexican women. They are advocating for more women’s participation in politics and government. Here are some NGOs leading the fight for gender equality in Mexico.
Fondo Semillas
Fondo Semillas (“Seeds Fund”) is a nonprofit feminist organization based in Mexico. It focuses on improving Mexican women’s lives. The organization’s overarching mission is to create an equitable country where women can make their own decisions.
Launched during the 1968 student movement in Mexico City that represented a breakthrough for young Mexican women, Fondo Semillas seeks to mobilize domestic and international resources. To do this, it seeks institutional, corporate and individual donors. The organization also collaborates with other feminist groups to advance women’s rights.
Rather than coming up with short-term solutions, Fondo Semillas targets the roots of the problems and builds structural policies to address the issues. Through this work, Fondo Semillas has four key gender equity goals. These are protecting women’s bodies, preserving the women’s relationships with nature, advocating for job opportunities for women and preserving women’s identities in the country.
Simone de Beauvoir Leadership Institute (ILSB)
The Simone de Beauvoir Leadership Institute (ILSB) is a feminist Mexican non-governmental organization (NGO) that endeavors to strengthen social leadership and citizen participation for women. The organization’s goal is to enhance justice, equity and gender equality in Mexico by helping feminist leaders and activists influence policies. ILSB also focuses on empowering women to demand progress. To advance these goals, ILSB aims to build a culture of activism and knowledge for women. Further, it strives to establish alliances between leaders who value gender equality in Mexico.
Through its advocacy projects and digital campaigns, ILSB is notable as a gender equality trailblazer. In short, the NGO wants to create female leaders who have a commitment to social justice and gender equality. Through these activists, ILSB hopes to change of realities of discrimination and inequality in Mexico.
Nuestras Hijas de Regreso a Casa (“May Our Daughters Return Home”)
Nuestras Hijas de Regreso a Casa (“May Our Daughters Return Home”) is an organization that strives to fight against femicide in Mexico. Founded after the murders and disappearances of Mexican women in the State of Chihuahua, Nuestras Hijas de Regreso a Casa hopes to demand justice for women by focusing on returning the bodies of victims to their families for a proper burial. It also strives to bring aggressors to justice.
The organization attempts to advance these goals by providing legal guidance and social justice support for families whose daughters disappeared. It addresses both physical and mental health issues of affected family members. Not only does Nuestras Hijas de Regreso a Casa inform the state government about any human rights violations but it also demands more accountability from the government. It does this by asking the government to allocate resources for women who femicide affects. Through these works, Nuestras Hijas de Regreso a Casa addresses the ongoing problem of femicide and fights for advancing gender equality in Mexico.
Las Libres
Las Libres is a feminist organization with the primary mission to promote women’s human rights and to demand respect for women’s rights across Mexico. The organization specifically aims to provide women with access to legal and medical services. It also focuses on empowering indigenous, uneducated or low-income women.
Las Libres conducts educational workshops for women in marginalized communities. These aim to build awareness of women’s rights and create a safe environment for women to exercise their rights. They also offer legal and medical support for women who are victims of gender-based violence. Through this work, the organization envisions a future for gender equality in Mexico.
PSYDEH
PSYDEH is a feminist, grassroots Mexican nongovernmental organization (NGO) that empowers rural and indigenous people with training in human rights and citizen development. Further, it helps them to become leaders of their own marginalized communities. The NGO believes that change needs to come from the bottom up.
PSYDEH views women as central to families and societies. That is why the NGO presents women-led workshops to educate women on creating solutions to local problems. Further, the workshops teach women to utilize resources for improving their decision-making and their understanding of the law. By partnering with like-minded organizations, PSYDEH also helps women develop local projects for improving their quality of life. Through this work, the organization hopes to improve the self-awareness of Mexican women and foster solidarity between marginalized communities. Finally, it also aims to empower women to take action to better their own lives.
Moving Forward
Gender inequality continues to pose problems for Mexico. However, these five NGOs are working hard to provide services and competency so that Mexican women can promote gender equality in Mexico.
– Tri Truong
Photo: Flickr
How SHEF is Transforming the Lives of Girls in India
Numerous studies have indicated a strong association between poverty and education. Out-of-school rates are the highest in poor countries such as India. Poverty and a lack of education have an inextricable connection, creating a vicious cycle difficult to escape. Illiteracy and lack of schooling keep young people from obtaining better-paying jobs as adults, making it near impossible to ever rise up from poverty. In low-income countries, girls are more likely to withdraw from school — or never attend — than boys. However, the organization, Study Hall Educational Foundation (SHEF), is transforming the lives of girls in India.
Daughters Cannot Attend School
There are several reasons why many girls in India do not have access to education. In rural areas, even if school is free, parents must pay for books and transportation. Parents typically believe educating girls is a waste of money, and would rather have them contribute to family income.
Often, girls stay home to look after younger siblings. Additionally, many end up in early marriages as soon as they reach puberty against their will. These factors could explain why the literacy rate for males 15 and older in India is above 82%, while for girls and women, it is barely 66%. Yet just one extra year of schooling can increase a woman’s earnings by up to 10%, thereby helping to raise her out of poverty.
Help for Girls in India
A nonprofit organization is working to change these daunting statistics. Study Hall Educational Foundation has a history of transforming the lives of Indian girls. Through a network of model schools and outreach programs, it promotes girls’ rights, enabling their access to schooling. Foundation administrators believe a lack of education directly affects a girl’s future ability to earn good wages and to escape poverty.
Urvashi Sahni, Study Hall’s founder, is an activist who became married as a teenager. She had two daughters by her early 20s, and later lost her sister tragically — burned to death over a dowry dispute. It was that anger and frustration that inspired Sahni to found Study Hall. Her work to promote gender equality and education has impacted more than 5 million children, according to the Foundation.
A prime example of Study Hall’s pioneering work is the Prerna Girls School in Lucknow, Uttar Pradesh. Founded in 2003, its enrollment has grown to more than 1,000, providing accessible and affordable education to girls from marginalized, low-income communities — most of whom would not have the opportunity to study otherwise. Many of the girls come from local slums, working as domestic help for neighbors. Although many also come from abusive homes, that fact has not abated their excitement to study and eventually join the professional workforce.
From Slums to Orchards
Another Study Hall program is GyanSetu — or Bridge of Learning — a network of support centers operating from small huts in slums and rural mango orchards. Children attend an accelerated learning program before enrolling in formal schools while continuing to receive supplementary education and support.
Increasing schooling among those 15 or older by just two years would allow nearly 60 million to rise out of poverty, according to UNESCO. That has a better chance of happening thanks to programs like those administered by Study Hall Educational Foundation, helping Indian girls have a better life.
– Sarah Betuel
Photo: Hippopx
Energy Security in Armenia
Energy security in Armenia is a serious problem; the country experienced harshly cold and dark years in the early 1990s. It was a time when the newly independent Republic of Armenia experienced an incredibly severe energy shortage. The population only had access to electricity two hours a day, and even hospitals went without heat. The lack of internal energy sources, regional conflict in the Caucuses and the collapse of the Soviet Union contributed to the crisis. Though the country recovered, it has never forgotten the importance of energy security in Armenia.
Post-Energy Crisis Armenia
Today, Armenia depends on the external energy sources it imports from other nations. Having no known internal oil or natural gas sources of its own, these imports satisfy 75% of the country’s energy demand. In 2019, Armenia had a total natural gas energy supply of 89,423 terajoules, a nuclear energy supply of 26,967 TJ and a hydroelectric supply of 8,535 TJ.
Armenia sources its oil from Iran, Georgia, Europe and Russia. The natural gas largely comes from Russia via Georgia. The company Gazprom Armenia holds a monopoly on the imports and distribution of natural gas in Armenia. Gazprom Armenia is a subsidiary of the state-owned Russian gas giant Gazprom, the largest natural gas company in the world.
Because of its heavy dependence on imports and Gazprom Armenia’s monopoly, Armenia experiences price shocks that drive up the cost of energy for its population of nearly 3 million people. This dependence also puts Armenia in a weak position during price negotiations with Gazprom. When the government and the company cannot come to an agreement, it is the people who go without heat and power. The government-owned Metsamor nuclear power plant generates electricity within Armenia. However, Russia is also the country’s main supplier of nuclear fuel, so Armenia is still dependent on Russia.
Lighting the Way to Energy Security
Armenia is focusing on building and improving renewable energy infrastructure to achieve greater energy efficiency and energy security in Armenia. In January 2021, the government implemented the 20-year Energy Sector Development Program intended to boost energy efficiency and diversify the fossil-fuel-dominated power grid.
Additionally, in 2022, the government plans to implement amendments associated with the 2017 Law on Energy. This should liberalize the energy market, which in turn will increase competition between electrical suppliers. Ideally, it will break the monopoly held by Electric Networks of Armenia. The company currently has full control over the nation’s electrical distribution driving up prices for consumers.
With a solar energy flow of 1,720 kilowatt-hours per square meter, Armenia has a higher solar energy potential than most countries. To optimize this, the Armenian government wants to focus on the construction of new solar plants. By 2030, the goal is for solar power generation to have a minimum 15% share of the country’s capacity, at 1.8 billion kilowatt-hours. To achieve its desired level of energy security in Armenia, however, the government also recognizes the need to improve its use of geothermal energy. The country has a 150-megawatt potential regarding geothermal energy, only a fraction of which it is tapping into.
Other Players
The government is not the only one taking action to strengthen energy security in Armenia. In 2017, Shen NGO and the Geghamasar cooperative constructed a greenhouse and a biogas facility. These have been producing food and heat respectively for the community of Geghamasar during each winter since. They manufacture the biogas from manure, and when they are not heating the greenhouse, the biogas facility generates electricity. Both it and the greenhouse created jobs in Geghamasar in addition to inspiring other communities to build similar installations.
Power to the People
As of 2019, 12.3% of Armenians lived on less than $5.50 a day. Many cannot afford the current cost of energy, much less the rises in prices imposed by monopolies. Those who cannot pay go without heat and power because there is no alternative source of energy they can rely on. Energy security in Armenia is a necessity to consistently meet the needs of the people. However, thankfully, the country is working on becoming less dependent on external energy resources and diversifying its energy grid.
– Nate Ritchie
Photo: Flickr
End Time Worldwide Missions helps Nigerians Fight Poverty
For the past 10 years, Nigeria-native and missionary Abraham Sunday has used his empathy and deep understanding of poverty to help reduce poverty in Nigeria. He has since extended his work to helping people around the continent. Four years ago, he founded End Time Worldwide Missions to spread Christianity. However, he realized the urgency of first meeting basic needs. “You cannot preach to a hungry person,” Sunday said in an interview with The Borgen Project. As a result, he and his team focus on providing things like food, water and shelter for the people they serve. “I know what it means to be poor. I know what it means to be hungry. I know what it means to be homeless,” he said.
How it Started
Growing up in Nigeria, which is a country with a lot of poverty, Sunday had to drop out of secondary school. The way he grew up allows him to understand precisely what it means to live with nothing. He recalled a time when he turned to his mother and asked, “Why is there no one we can go to for help?” Then, she told him that he needed to be that help for other people.
Coupled with the profound poverty around him, the wisdom and encouragement from his mother are largely why he does what he does. Now, he offers the kind of help he desperately needed when he was younger.
Where End Time Worldwide Missions Works
End Time Worldwide Missions began its services in Nigeria. Within the immediate poverty around him, Sunday found an opportunity to do good and help reduce poverty in Nigeria. All of it began with small acts of kindness. For instance, when women came to his door hungry, he fed them. He recalls some widows in his community having nothing. After he gave them what was equivalent to $5, they fell to the ground and wept.
What might seem “small” in the United States is profound in a place like Nigeria, where 40% of the population lives on less than $381.75 each year. While $5 might not seem like much to a U.S. citizen, it can be everything to an impoverished person in Nigeria, or anywhere else in the world, for that matter.
Sunday bought books and taught himself mathematics and science. For years, he has taught at a local school despite not having a degree. When he goes on missions, he spreads knowledge to the children and adults he serves. Now that his organization has grown to about 30 individuals worldwide, Sunday is expanding his horizons. Because of the lack of access to health care in Africa, he wants to study medicine at a U.S. or Canadian university to reduce this issue. This way, he can additionally provide health care to the people in his own community and on missions.
The Organization’s Most Impactful Mission
Nigeria’s neighbor to the left, Benin, is a constitutional presidential republic with a population of 11.8 million people. It relies heavily on trade with Nigeria, which makes up 20% of its GDP. When borders temporarily closed in 2019, Benin’s economy suffered a major blow, likely reversing previous economic success. Poverty remains widespread, with a life expectancy of around 61.2 years old.
In February 2020, End Time Worldwide Missions went into Benin and completed what Sunday feels is its most impactful mission to date. When it got to the destination village, it realized that most of the children did not wear clothes and went around barefoot. Thanks to a U.S. partner that sent used clothes, the Mission distributed more than 1,000 pieces of clothing there. It was also able to provide people with food. Sunday and his organization works to uplift other Africans from poverty and spread the gospel.
Nigerian Poverty and COVID-19
A major factor in Nigeria’s poverty is the nation’s reliance on oil, which accounts for 80% of its exports and half of all government revenue. Consequently, when oil prices dropped during COVID-19, the country experienced the deepest recession it’s seen in decades.
Sunday describes the awful experience of living in Nigeria during the worst of COVID-19. The government enforced a lockdown, but many people staying home did not have food. During this time, Sunday did all he could to help neighbors and community members find a way to cope. Though he planned to go on a mission to Ghana, lockdown prevented that from happening. Still, he did what he could in Nigeria, helping his community in a continued effort to uplift other Africans from poverty.
An Inspiring Example
Sunday and his organization seek to help others, even if they have little to give. His profound empathy after having lived in poverty as a child mobilized him to help those suffering.
Abraham Sunday’s work is bringing the world a little bit closer to equity and prosperity. World powers like the United States also have this power vested in them, at a larger but equally significant scale. All acts of goodness are equally significant. If nothing else, Sunday emphasizes that “I want people to see the good in people. You have to learn to see the good.”
– Cameryn Cass
Photo: Flickr
The Impact of Poverty on Mental Health in Norway
Mental health is a disease that affects an estimated 792 million people worldwide. Yet when people live in poverty and lack the money to attain basic needs, mental health often falls on the back burner. This is especially true in Norway. Though the country has a low poverty rate coupled with substantial efforts to improve access to and quality of mental health care, about half of all people in Norway experience a mental health disorder at some point in their life, and these numbers are rising in the wake of COVID-19.
Health Care in Norway
Norway offers universal health care coverage to all of its citizens and extends this service to all citizens from the European Union. It receives funding through general taxes and payroll contributions by employees, and provides a variety of services, with mental health being one of them. In 1956, this system, called the National Insurance Scheme, became a right for all Norway citizens. Though it ensures access to local municipalities and general practitioners, patients that require long-term or outpatient care must pay a fraction of it, making services unattainable for some poorer citizens.
How Does Economic Status Influence Mental Health?
Mental health problems can arise in anyone, regardless of age, socioeconomic status or demographic group. The ways these disorders affect the individual vary. However, people in poverty are more susceptible, as a large factor fueling these disorders is one’s life situation. In fact, life factors like disability, unemployment, sicknesses and others drive common mental illnesses like depression and anxiety.
A study that the International Journal for Equity in Health published found “the prevalence of psychological distress increasing by decreasing social status,” and noted economic problems as a major factor of it. Life factors, like living in poverty, have proven to increase levels of mental health disorders, but so do perceived living situations. Another study, published in Science Direct, investigated Norwegian adolescents’ view of living status. It found that if people felt they were impoverished or living in a low-income household, they had higher instances of mental health disorders. This perception, it found, might even be more influential than actual living conditions.
Impact of Mental Health Disorders on Norwegians
Estimates have determined that nearly 15% of children worldwide suffer from a mental health disorder. In 2018, 16.5% of Norwegians 15 to 24 years old reported experiencing “severe psychological distress.” Typically, mental disorders manifest as early as 14 years of age, with personality and anxiety disorders developing as early as 11 years old. The Organisation for Economic Co-operation and Development said that “without early and effective treatment and inclusion in society, young people with mental disorders risk becoming lifetime users of adult mental health services.” On top of this, instances of mental illness in children and young adults are particularly concerning since they lead to poorer education and difficulty transitioning into the workplace. Consequently, affected individuals earn lower incomes as adults if not treated properly at a young age.
Concerningly, in the last decade, Norway experienced an increase in permanent poverty among children, a factor that directly relates to mental health. Oslo, the country’s capital, has notable disparities in income throughout the city’s districts. This impacts mental health in Norway since living in city districts with high-income inequality, like in much of Oslo, lowers the probability of accessing mental health services, according to a study by Jon Finnvold of Oslo Metropolitan University. The study also highlighted that kids living in lower-income households experienced a higher risk of behavioral, or mental, problems.
What is Norway Doing to Improve Mental Health Services?
Notably, in the past few decades, there has been substantial investment in mental health services in Norway. Between 1999 and 2008, it invested NOK 6.3 billion ($735, 739, 200) into the Escalation Plan for Mental Health. This investment lowered suicide rates and helped improve services already provided by municipalities and increased access to children.
However, there are still discrepancies in access to care for mental health in Norway, largely based on socioeconomic status. Any problems Norway faced with its mental health care system only became more pronounced during the pandemic: like all countries, it saw an increase in patients requesting mental health assistance, especially in early 2020, the onset of the pandemic. A lot of these increases, as scientists speculate in a study that VOX EU published, come from the effects of lockdown and movement restrictions. Scientists are looking to policymakers, as they enforced said lockdowns, and draw on this evidence to show the harm isolation has on people’s overall mental health.
In no way do mental health problems only affect Norway; they also affect the entire world without discrimination, planting its seeds in the minds of the richest and the poorest of citizens belonging to any race, ethnicity or income level. Yet, people with lower incomes and of a minority ethnicity are particularly vulnerable to feeling the weight of these illnesses, as they have less access to services.
In Norway, the government’s universal health care system calls for equal access to all health services, including mental health, but it is just not the case. Those needing more comprehensive care still must pay a portion out of pocket, a bill that not everyone can afford to pay. Oslo specifically is home to unequal access, a direct result of the stark income discrepancies throughout the city. Norway has made substantial progress through mental health investment, but there is always a need to reach more people, to focus on the vulnerable populations to ensure they have the same opportunity for care as everyone else. There are still people not receiving care, as costs remain a barrier for those needing extensive treatment.
– Cameryn Cass
Photo: Unsplash
Sanitation Facilities Empower Girls to Learn
About 2.3 billion people around the world lack access to basic sanitation facilities, according to UNICEF. A lack of sanitation facilities in schools can discourage girls from attending school. When girls have access to clean, enclosed sanitation facilities during their menstrual periods and potential pregnancies, they are less likely to skip school or drop out entirely. Sanitation facilities empower girls to attend school by allowing them to feel safer and more comfortable with access to adequate facilities to properly manage their menstruation. In turn, dropout rates decrease and girls’ education completion rates increase.
Private Changing Rooms
Private changing rooms for girls to bathe and change in can help girls feel more comfortable attending school and participating in lessons. Changing facilities with water supplies offer girls a place to change, wash and dry menstrual supplies during the school day. Some changing rooms may also provide students with free menstrual supplies, which is essential for impoverished girls who lack access to these products outside of school.
Without private changing rooms, female students may feel embarrassed to come to school during their periods, especially in countries where people stigmatize menstruation. According to a World Bank study in India, 80% of girls from rural areas in India thought menstrual blood carried harmful substances and 60% believed menstruation is a topic that people should discuss openly.
The availability of changing rooms in schools is also important for pregnant students who require privacy and good-quality sanitation. A lack of proper sanitation facilities stands as a barrier for many pregnant students who feel discouraged and uncomfortable coming to school otherwise. Hygienic sanitation facilities empower girls by helping them feel comfortable at school, even during menstruation or pregnancy.
Private Bathrooms
Much like changing rooms, private bathrooms in schools with modern urinals or toilets can benefit girls’ education. Private bathrooms may include menstrual supplies and waste disposal, which encourages girls to come to school even during their periods. In cultures that stigmatize menstruation, some girls pretend to be ill or come up with other excuses to avoid attending school during their periods due to shame or embarrassment. Many girls do not attend classes during their periods because their schools lack toilets with water facilities as well as discreet sanitary waste disposal areas. Enclosed and gender-specific bathrooms can also improve girls’ safety by giving them privacy when using the bathroom, which protects them from sexual assault and natural dangers such as snake attacks. Private bathrooms and sanitation facilities empower girls by increasing school attendance rates during menstruation.
Organizations Making a Difference
Many organizations around the world are helping girls remain in school during their menstrual periods by providing clean sanitation facilities and free menstrual hygiene products. For example, ZanaAfrica is a social enterprise that works in Kenya to provide girls with reproductive health education and sanitary pads. The enterprise also leads policy and advocacy programs to help break the silence and shame surrounding menstruation.
In Kenya, estimates indicate that 1 million Kenyan girls miss out on education every month due to a lack of menstrual products and sanitation facilities. ZanaAfrica’s approach to supporting girls in school consists of three key steps: integrating health education into schools, collaborating with local partners to provide sanitary pads and education and leading with advocacy and policy. Since 2013, ZanaAfrica has provided more than 50,000 Kenyan girls “with health education, sanitary pads, underwear and mentors.”
Sanitation facilities empower girls to attend school, dissolving barriers to education so that girls can develop the knowledge and skills necessary to rise out of poverty. Girls’ access to sanitation facilities in schools is a necessary step in fighting gender inequality. With an education, girls in developing countries can access skilled jobs and contribute to the growth of the economy, reducing global poverty overall.
– Cleo Hudson
Photo: Flickr