CongoThe Democratic Republic of the Congo has one of the highest poverty rates and one of the worst healthcare systems in Sub-Saharan Africa. The country’s struggle with healthcare is related to many other socio-economic issues the country struggles with.

Healthcare in the Congo is not guaranteed for its citizens. This is due to long-lasting poverty and a lack of healthcare efficiency in the country. Since there are no hospitals in the Congo that offer free care, each patient must pay. Medical bills can range anywhere from $50 to $100. However, the average annual salary in the Congo is just $400, making the medical costs prohibitively expensive. And, in addition to 71% of the population living in poverty, the law does not require that people have access to healthcare despite their economic standing.

The Healthcare System in the Congo

Armed conflict has consistently damaged the country’s ability to improve healthcare facilities for decades. The lack of stability associated with the conflict has exacerbated the situation.

Per 10,000 people, the nation has 0.28 doctors and 1.91 nurses and midwives. In the Congo, the staff in the healthcare industry and the level of care have declined. There is no coordination structure in place to enable health worker training organizations to take current health system needs into account. In training schools, there is a lack of physical and financial resources. Patients must schedule an appointment with their physicians in order to be evaluated. In most cases, physicians see patients on specific days out of the week. Thus, patients must wait for lengthy periods of time to be treated due to the limited range of health centers with doctors.

There are currently 401 hospitals in the Congo. Moreover, small towns have limited access to primary treatment and, as such, many residents continue to struggle to access appropriate medical care. These hospitals also fail to maintain the tools and supplies needed to meet most of the patients’ health concerns. Because of armed conflict, among other reasons, hospitals often run out of critical prescriptions and materials needed for different services.

Plan for Improvement

The Republic of Congo has successfully developed a draft for a national strategy, Plan National de Développement des Ressources Humaines Pour la Santé (PNDRHS), with the ultimate goal of improving the medical staff development system, training and administration. This plan aims to expand the education programs for health workers and on-the-job practice to meet the community’s medical needs. It also aims to help motivate and encourage health staff to ensure their performance and accessibility.

Cordaid, a credible institution with significant experience in the Congo, gained a GPSA award for strengthening the consistency and accessibility of critical medical facilities in the country. As a result, hospitals and clinics have been able to receive new appliances. Additionally, Cordaid has successfully achieved upgrades to water pumps and prenatal care units for healthcare centers in recent years.

Overall, due to strengthened management, cooperation and investments in critical healthcare issues, the country has made significant progress in recent years. For example, the nation has been polio-free for four years. This is a significant accomplishment considering its scale and lack of healthcare facilities, and a sign of improvement yet to come.

– Rand Lateef
Photo: Flickr

Elderly Poverty in New Zealand
Like many other countries in the developed world, New Zealand has an aging population. Projections have determined that by 2036, one in 4.5 New Zealanders will be 65 and older. Although the COVID-19 pandemic presented a unique set of challenges for New Zealand’s elderly and exacerbated elderly poverty in New Zealand, programs exist to support this growing demographic.

The UN’s Sustainable Development Goal (SDG) 1 calls for an end to poverty in all forms. An important aspect of achieving this goal is addressing the specific issue of elderly poverty. The risk of falling into poverty increases with age because of a decreased ability to work, lack of savings and need for long-term care, among other factors. Public social security pensions and the availability of affordable health care are effective institutional solutions to respond to elderly poverty.

COVID-19 in New Zealand

In 2020, New Zealand has become the envy of the world for its swift and effective response to the COVID-19 pandemic. Recording only 25 deaths, daily life in New Zealand is essentially back to normal. However, the country’s elderly population suffered the most during the pandemic. They have died and become critically ill in greater numbers compared to other age groups. New Zealanders aged 60 and older account for 15.9% of all recorded COVID-19 cases in the country, and 23 of all COVID-19 deaths. Many of those deaths happened in residential care facilities that lacked adequate PPE, testing and training. In May 2020, the New Zealand Ministry of Health introduced a detailed questionnaire for clinical professionals to complete on behalf of new residents and residents returning from the community and hospitals to assess when they should receive a COVID-19 test. The Ministry of Health expects that this new measure to prevent the spread of COVID-19 in residential care facilities will reassure health care providers, residents and their families about the safety of these facilities.

Elderly Poverty in Indigenous Communities

Elderly poverty in New Zealand is prevalent in Māori communities. According to the UN expert on older people Rosa Kornfeld-Matte, older Māori living in both urban and rural areas are “extremely vulnerable and disadvantaged.” Reporter Jenny Ling writes about the “hidden homeless” of New Zealand’s Far North region. Here, many elderly Māori individuals live in conditions comparable to the developing world. Cardboard lines and corrugated metal panels line houses and are often without electricity or running water. Local nurse and businesswoman Rhonda Zielinski runs a program that provides cabins to these individuals who pay what they can each week, giving them a chance to become homeowners. At the time that Ling published her report, more than one dozen individuals received their own cabin, and more than 100 people were on the waiting list.

The Old-age Pensions Act

Multiple nationwide programs exist to respond to elderly poverty in New Zealand. In 1898, it led the world in championing the rights of the elderly by being the first country in the world to create a pension system that tax dollars funded via the Old-age Pensions Act. Then-Prime Minister Richard Seddon and his Liberal government approached this from the understanding that a country has the responsibility of providing for elderly citizens who cannot provide for themselves. Individuals aged 65 and older who have lived in New Zealand for at least 10 years since they turned 20 qualify for old-age pension, although monthly payments may vary depending on factors such as relationship status and living situation.

KiwiSaver

In 2007, the New Zealand government introduced another program called KiwiSaver out of concern that New Zealanders were not saving enough money for retirement through private arrangements. KiwiSaver is a voluntary, government-subsidized program that allows both the KiwiSaver member and their employer to pay into it. Unlike old-age pensions, when KiwiSaver members withdraw their funds at age 65, they receive a lump sum, not monthly payments. KiwiSaver has had a positive impact on New Zealand’s economy as a whole, with 60% of its funds invested in the country and raising exports, employment, and GDP as a result.

The Better Later Life Strategy

Acknowledging the country’s shifting demographics and the challenges that many of its elderly individuals face, New Zealand’s Minister for Seniors, the Hon. Tracey Martin launched the Better Later Life Strategy in 2019. The principles of valuing people as they age, keeping people safe and embracing diversity guide the strategy. It also emphasizes the importance of collective responsibility and a whānau-centered (the Māori word for one’s extended family) approach to aging.

Local efforts such as the one created by Zielinski in the Far North, as well as the government strategies of their longstanding pension program, KiwiSaver, and the Better Late Life strategy, are all steps in the right direction to prevent elderly poverty in New Zealand, ensuring that all New Zealanders, Māori and non-Māori alike, can age with dignity.

– Sydney Thiroux
Photo: Flickr

How 2 Organizations Are Improving Virtual Learning in the PhilippinesThe Philippines, a country with a weak education system, faces the issue of educating 28 million young students during the COVID-19 pandemic. Virtual learning in the Philippines is particularly difficult for students from lower-income households. These students face financial and technological hurdles. According to a Filipino Department of Education survey, 20% of students who have access to the internet still need to go outside of the home for computer access. Many more students lack an internet connection.

Isy Faingold, chief of education at UNICEF, reported that the Philippines already had low reading comprehension scores before the pandemic. Among 79 countries, the Philippines ranked last. According to UNICEF, national emergencies, such as the COVID-19 pandemic, increase the number of students who drop out of school.

Public schools have adopted modular learning and blended learning styles since transitioning to virtual learning in the Philippines. In modular learning, teachers print out class materials for students to fill out at home and turn in later. Blended learning uses both online and offline methods of teaching. Schools are struggling to find a way to efficiently use available resources amid COVID-19. Currently, printing module packets has amounted to $1.9 billion. According to the Teachers Dignity Coalition in the Philippines, a national association for teachers, teachers are unable to meet the printing costs. Communicating with students through Facebook and text messaging also wears teachers out emotionally.

The Philippines Schools Project

Fortunately, the Philippines has organizations helping navigate the difficulties of virtual learning. The Philippines Schools Project is a small charity run by a couple who have family ties to the village of Botao. The couple’s work focuses on two schools in this rural and low-income area. They donate school resources as well as raise funds through various friends and connections from the U.K.

The couple has also provided furniture, equipment, school supplies, clothes and help with home improvement projects. Their charity began when they visited the Philippines on vacation and noticed the need for classroom upgrades and better sanitation in restrooms. When they returned to the U.K., the couple started shipping useful resources to help the schools.

After some time, the couple registered their work as a charity, allowing them to send monetary donations to be used for scholarships to send students to school. As costs grew, they invited their friends to help hold fundraising activities for the couple’s childhood town. The couple has been adamant about funneling all monetary gains back into the area. One of their initiatives included arranging for local craftsmen to build any required furniture, such as stands for computers and chairs for students. In this way, the Philippines Schools Project contributes back to the community in its operations to aid children’s learning.

Read Right Now (RRN)

The Education Development Center (EDC) funds the RRN program in the Philippines. The program provides training for educators in areas where there are few resources and impacted classrooms. The strategies and training modules reach beyond the classroom to connect with communities and students’ families to achieve learning goals. Students’ reading comprehension increased by 24% since the program was implemented, providing the program with quantifiable results. Exams provided additional results. Comparing students who participated in RRN with those that did not, 17% more passed reading fluency exams in the RRN program.

Modular and blended learning come with unforeseen difficulties, but the students’ and teachers’ struggles are mitigated by these sources of aid that supplement their education. Communication between the government and Filipino schools is vital. The added support from the Philippines Schools Project and EDC’s Read Right Now program have contributed fundamentally to virtual learning in the Philippines.

– Alyssa Ranola
Photo: Pexel

Female Genital Mutilation in Egypt
In 2016, lawmakers in Egypt federally criminalized female genital mutilation. Yet, the practice still persists.

Data from the Egypt Health Issues Survey (EHIS) from 2015 shows that the prevalence of FGM among Egyptian girls and women aged 15-49 is 87.2%. As one of the most populous countries in the Middle East and Africa, Egypt likely has the greatest number of circumcised women and girls in the world. To combat the high incidence of female genital mutilation in Egypt, anti-FGM campaigns have gained traction in the past several years.

About Female Genital Mutilation

According to WHO, FGM “involves the partial or total removal of external female genitalia or other injury to the female genital organs for non-medical reasons.” There are four types of female genital mutilation, ranging from pricking or piercing the genitals to removing the clitoral glans, clitoral hood, labia minora and labia major.

There are no health benefits to female genital mutilation. In fact, FGM can cause health issues such as hemorrhaging, urinary problems, vaginal issues, menstruation difficulties, an increased risk of newborn deaths, psychological problems and death. Just in 2020, a 14-year-old Egyptian girl died while undergoing the procedure.

Reasons People Practice FGM in Egypt

The practice of FGM mostly persists due to tradition. Female genital mutilation in Egypt has existed for thousands of years. Evidence of FGM practices even dates back to the second century BCE and experts believe that FGM comes from a desire to guarantee the virginity of enslaved women. Today, people tend to practice FGM in order to keep women pure. Those who agree with the practice believe that removing the clitoris is essential to preventing women from becoming sexually aroused and having sex before marriage. They believe FGM benefits the girl or woman by saving them from impurity or uncleanliness.

While female genital mutilation occurs all over Egypt, girls with lower economic status tend to be more at risk. According to the EHIS data from 2015, 69.8% of women and girls aged 15-49 in the highest wealth quintile in Egypt have experienced FGM in comparison to 94.4% of women and girls in the same age range in the lowest quintile. Furthermore, girls in the highest wealth quintile are only 5.4% likely to undergo FGM, whereas girls in the lowest quintile are 22.8% likely to undergo FGM.

Egypt’s Efforts to End FGM

Egyptian leaders continue to take steps to end the practice of female genital mutilation in Egypt. Along with other world leaders, Egypt vowed to end FGM by 2030. In 2016, Egypt launched the National Committee for the Eradication of Female Genital Mutilation. The group, with support from UNICEF and under the guidance of the National Council for Women and the National Council for Childhood and Motherhood, seeks to end female genital mutilation in Egypt. Since 2016, the group has created campaigns that raise awareness of the dangers of FGM. One such project was the “Budour Month” radio campaign in June 2019.

In December 2020, the committee met with representatives from various medical councils and organizations to create a plan to fight against the medicalization of FGM. The medicalization of FGM instills the belief that female circumcision that a doctor performs is safe or medically necessary. Groups like the National Committee are not alone in fighting this falsehood. In 2020, Randa Fakhr El Deen, the head of the NGOs’ Union Against Harmful Practices on Women and Children, led a group of doctors to campaign against the practice. During this campaign, known as “White Shirts,” the doctors hung up signs that read “No to FGM” and “FGM is a crime” in a Cairo metro station. They also handed out pamphlets explaining the risks of FGM.

Hekayat Nehad

This group of doctors is just one of many citizen groups speaking out against female genital mutilation in Egypt. Artists and advocates have created plays and shows about the dangers of FGM. One popular show called “Hekayat Nehad” (Nehad’s Stories) that the UNFPA backed and Dr. Nehad Aboul Komsan, the chair of the Egyptian Center for Women’s Rights, created, discusses violence against women, including FGM. In just one month, the show’s Facebook page received 7 million views.

Although people still practice female genital mutilation in Egypt, more and more people oppose it. Advocates believe it will take a while to end a practice that is so deeply entrenched in Egypt’s society. However, government-supported education, task forces and harsher legislation are paving the way for a future without female genital mutilation.

– Sophie Shippe
Photo: Wikipedia Commons

Aquaculture for Poverty Reduction
Can aquaculture reduce global poverty while improving ocean health and the renewable energy crises? The short answer is that aquaculture for poverty reduction is possible. Aquaculture is the farming of aquatic animals and plants, such as fish or seaweed. Aquaculture is prominent in coastal communities, particularly in eastern regions of the world. Here is how such a simple concept could resolve the complex aforementioned issues.

Progressing the Sustainable Development Goals

In 2015, the United Nations established the 17 Sustainable Development Goals (SDGs) with the intent to create a “blueprint to achieve a better and more sustainable future for all.”

The first goal is to “end poverty in all its forms everywhere” and the eighth goal is to “promote sustained, inclusive and sustainable economic growth, full and productive employment and decent work for all.”

In order to fulfill both of these goals, countries must prioritize creating decent jobs and incentivizing productive employment to create sustainable economic growth. Aquaculture provides employment opportunities for those impoverished in coastal and rural communities across the globe and provides nutritious food that can often be hard to access without monetary resources. A prime example of aquaculture’s socioeconomic contribution to said communities is that of the Mwenezi district of Zimbabwe. Members of the district were facing decreased employment availability due to severe weather conditions. Their dilemma caught the attention of several NGOs that introduced fish farming as a way to increase employment opportunities. Not only did employment opportunities increase, but household income and food security increased as well.

Ocean Health: Nitrogen

In 2014, between 18.6 and 37.2 million tons of nitrogen that people used for global fertilization ended up in the ocean. As a result, 245,000 square kilometers of the ocean suffered from hypoxia. Hypoxic areas, also known as dead zones, cannot support marine life as there is not enough oxygen dissolved in the water.

If global production of seaweed reaches 500 million tons by 2050, the World Bank estimates that the ocean could absorb 10 million tons of nitrogen. That is just 30% of the predicted amount of nitrogen that enters the ocean. This would undoubtedly improve oceanic conditions for marine life by preventing dead zones.

Ocean Health: Carbon Sequestration

Part of carbon sequestration is the long-term storage of carbon to mitigate the effect of greenhouse gases on the ocean. Excessive carbon dioxide in the atmosphere causes ocean acidification and negatively impacts the health of marine life. Carbon dioxide lowers the pH of the ocean making it more acidic than usual, and in turn reduces the availability of minerals that corals, mollusks and other organisms use to form shells. Increased seaweed production would combat the amount of carbon dioxide added to seawater from greenhouse gas emissions. For example, 500 million tons of seaweed could absorb 135 million tons of carbon. Moreover, due to the positive effect of carbon sequestration, the profitability of seaweed farming could increase.

Renewable Energy

Seaweed farming, a subset of aquaculture, has the potential to create a highly efficient form of renewable energy called biomass. Biomass is material that comes from plants or animals and can be effective for energy production. In 2015, nearly 5% of the United States’ energy came from biomass, making it the largest form of renewable energy. According to the Advanced Research Projects Agency-Energy (ARPA-E), seaweed farming in the United States could reach production levels of up to 500 million tons of algae which would provide more energy than 23 billion gallons of gasoline.

Dry seaweed has a carbohydrate content of roughly 50%, which people can use for biofuel production. In concurrence with ARPA-E, the World Bank stated that if 500 million tons of dry seaweed underwent harvesting annually, it would produce around “1.25 billion megawatt-hour’s worth of methane or liquid fuel.” This amount of renewable energy would equate to 1.5% of the 85 billion megawatt-hours of fossil fuels used worldwide in 2012.

Global Aquaculture Alliance

The Global Aquaculture Alliance (GAA) is an international non-governmental organization (NGO) that began its operation in 1997. Its mission is to “promote responsible aquaculture practices through education, advocacy and demonstration.” The following are successful manifestations of this mission and shows the benefits of aquaculture for poverty reduction.

In 2019, GAA conducted an educational campaign called Aquaculture 101. The purpose was to spread awareness and inform people on the basics of aquaculture, particularly those skeptical of fish farming. GAA has also funded a joint project with the Marine Ingredients Organisation to better understand fisheries in Southeast Asia that are responsible for providing raw material for fishmeal production. While the fishmeal sector has grown exponentially over the course of 50 years, the two organizations seek to better understand the challenges undermining management practices so that they may make informed suggestions. Furthermore, Best Aquaculture Practices, a subset of GAA, has seen a 15% increase in producers operating in 36 countries from 2010 to 2019. Producers include processing plants, farms, feed mills, hatcheries and reprocessors. This is an incredible trajectory that shows the GAA’s impact on aquaculture across the globe.

Aquaculture for poverty reduction has proven to effective while providing decent employment opportunities to create sustainable economic growth. Moreover, it has shown its capacity to improve the health of the ocean and provide new forms of renewable energy so that the world may sustain its current energy standards. Organizations like the Global Aquaculture Alliance and the Marine Ingredients Organisation are working toward these goals so that the world may become a more habitable place for all.

Mary Qualls
Photo: Wikipedia Commons

Female Genital Mutilation in Ethiopia
In eastern Africa, NGOs are beginning to reverse public opinion on a bloody ritual. Female genital mutilation (FGM), a practice involving the non-medical removal of external female genitalia, is a procedure that roughly 200 million women have undergone worldwide. While the cultural premise for FGM varies depending on the region, the practice stems from broader themes of repressing the female sexuality prevalent in eastern African society. Women experience female genital mutilation in Ethiopia for marital or religious reasons, and the societal precedent for FGM threatens young women with public shame and ostracization if they refuse the operation.

Female Genital Mutilation (FGM)

Female genital mutilation usually involves the complete or partial removal of the clitoris, although the procedure varies in scope and can also include the removal of the labia minora or the closure of parts of the vaginal opening. This physical trauma can result in life-threatening infections and long term problems with menstruation and infertility. Additionally, the permanent disfigurement that FGM causes may instigate depression and low self-esteem.

The United Nations classified FGM as a priority of its Sustainable Development Goals (SDGs) in 2015, but the practice is still a problem in countries such as Ethiopia, where according to a 2016 study, 65% of women and 47% of girls between the ages of 15 and 19 have undergone the procedure. The Ethiopian government banned FGM in 2005, but the criminalization of the ritual has done little to change public support for it. This is due in part to the fact that in Ethiopia, areas that are rural and lack public education resources include the highest prevalence of female genital mutilation in Ethiopia. In these areas, traditional healers usually perform the operation rather than licensed medical practitioners, meaning that legal threats hold less weight than they do in formal medical settings.

Kembatti Mentti Gezimma-Tope (KMG)

One organization, however, is having a profound effect on reversing the prevalence of FGM in Ethiopia. Kembatti Mentti Gezimma-Tope (KMG), is an Ethiopian NGO dedicated to raising public awareness on the harmful effects of female genital mutilation in the region of Kembatta Tembaro. One can translate KMG’s name to “Kembatta Women Standing Together,” and in the 22 years since it began its work, it has reduced public approval of FGM in Kembatta Tembaro from 97% in 1997 to less than 5% today.

KMG employs several strategies to combat public support for FGM, including public education campaigns to uphold women’s human rights and build trust with local communities. It also mobilizes public pressure against FGM, with public weddings for uncircumcised women (who traditionally others would consider ineligible for marriage). Additionally, trained advocates spread throughout the region who inform men of the health risks FGM poses to women and their ability to give birth.

Rohi Wedu

In the Afar region, Rohi Wedu, another NGO focused on public education is having an impact. Pastoral clans characterize the Afar region, of which the majority of the population is Muslim. Rohi Wedu’s campaign to end female genital mutilation has necessarily tailored itself to the dynamics of information sharing between different clans in the area. The organization worked in conjunction with UNICEF to select leaders and prominent figures from different clans to lead “Community Dialogue” sessions, who then learned to understand the harmful effects of FGM. These trusted community leaders then went on to disseminate the information to their respective clans, as well as to provide counseling to young and prospective parents.

Rohi Wedu’s locally-led education campaigns were incredibly successful, with up to 94% of focus group participants believing that practitioners in their area had abandoned FGM. The organization’s success was largely due to the fact that religious leaders led community dialogue sessions, which eliminated the religious precedent for FGM in the Afari clans.

The work that NGOs like Rohi Wedu and KMG are doing is proof of the efficacy of locally-led public awareness campaigns in combating the practice of female genital mutilation in Ethiopia. While millions of young women still experience cutting each year, the cultural shifts taking place in Ethiopia demonstrate that long term change is possible when it happens in accordance with local communities.

– Kieran Hadley
Photo: Flickr

Child Pneumonia in sub-Saharan Africa 
Pneumonia is the greatest cause of death for children globally. About 16% of deaths among children under 5 relate to this deadly condition. Every year, 500,000 cases of child pneumonia in sub-Saharan Africa occur within this age group. Many of these fatalities occur due to incorrect or delayed diagnoses. Brian Turyabagye, a Ugandan inventor, has created a solution for these inconsistencies; enter  “MamaOpe,” a biomedical smart jacket.

What is Pneumonia?

Pneumonia is a type of respiratory disease that primarily affects the lungs. Within the lungs are small sacks called alveoli, which fill with air when one is healthy. However, when a person is sick with pneumonia, pus and fluid convolute the alveoli, making it very difficult to breathe. Minor side effects include chest pain, incessant coughing and fever.

Child Pneumonia in Sub-Saharan Africa

Despite the tragic death rates due to pneumonia, medical professionals often misdiagnose it as malaria. Particularly in remote areas, malaria is also common and has similar symptoms to pneumonia. Many times, medical professionals do not discover the pneumonia prognosis until after a child has died. Furthermore, many communities in sub-Saharan Africa lack the proper equipment and medicine to adequately provide treatment. Although pneumonia is the most dangerous disease among children, it receives very low funding. According to UNICEF, “for every global health dollar spent in 2011, only [two] cents went to pneumonia.”

Solution: MamaOpe

Ugandan inventor Turyabagye created a biomedical smart jacket that increases the speed and accuracy of detecting pneumonia. “MamaOpe” means ‘mother’s hope’; the device received the name to honor the 27,000 Ugandan children who die of pneumonia each year. Through the utilization of this jacket, treatment can begin before the patient is too far gone. While Turyabagye invented this jacket, MamaOpe Medicals, of which Turyabagye is a co-founder, represents it. This organization continues to research and create digital solutions for respiratory diseases.

How Does it Work?

The child wears the jacket and a health care worker operates the corresponding controller unit. All it takes is the simple push of a button, and within three minutes, the results display. The device can detect signs unique to pneumonia, such as rate of breath, the sound of lungs and temperature. This technology avoids human error and provides an accurate diagnosis three to four times faster than a medical professional. Eventually, the goal is to program the jacket to work long distance. With this added feature, the patient does not need to travel to a doctor’s office and doctors can monitor the results from a distance.

The Effects

Currently, most major hospitals in Uganda have implemented this jacket. Moreover, expectations determine that the jacket will help at least 50,000 pneumonia patients each year. This invention eventually won first prize at Pitch@Palace Africa in 2017. Moreover, CNN ranked it as one of the top 12 African innovations that could change the world. Ultimately, while pneumonia is a complex disease, MamaOpe is an effective start for lowering rates of child pneumonia in sub-Saharan Africa.

 – Ella Kaplun
Photo: Wikipedia Commons

Hemophilia in KenyaAround 5,000 Kenyans suffer from a blood disorder called hemophilia. Hemophilia prevents blood clots from forming after a wound and results in continuous bleeding. Many Kenyans with this disorder often pass away due to the inability to pay for treatment. Also, stigma from local communities makes individuals believe that hemophilia comes from witchcraft, which prevents affected Kenyans from seeking treatment through Western medicine. The World Federation of Hemophilia (WFH) Humanitarian Aid Program, Muranga Hospital and Save One Life offer free medical treatment to low-income patients, give grants to fund small businesses, host gatherings to encourage peer support and provide education and awareness about hemophilia in Kenya.

The World Federation of Hemophilia (WFH) Humanitarian Aid Program

WFH’s work in Kenya began in 2015 and strives to provide medical treatment to lower-income individuals with hemophilia. Since arriving in Kenya, the program donated more than 17 million international units of clotting factor to Kenyans. This treatment allows patients with acute bleeding to find temporary relief.

With the consistent flow of clotting factor coming into Kenya, young children qualify for prophylactic treatment. WFH offers prophylactic treatment to children with hemophilia to reduce the risk of bleeding and joint damage in the future. As a result, children on the verge of dropping out of school due to their disorders continued with their education after receiving treatment.

Muranga Hospital

Located in central Kenya, the Muranga Hospital dedicates a special clinic to treating patients with hemophilia in Kenya. Before the construction of this clinic, affected Kenyans traveled two hours to receive treatment in Nairobi and spent a significant portion of their income on travel expenses.

The clinic in the Muranga Hospital offers vials of clotting factor to stop acute bleeding. Medical professionals dispatch factor to the homes of patients who desperately need treatment. When the factor arrives, patients call the clinic and nurses teach the individuals how to properly inject themselves.

Because the clinic is located in a rural area with minimal education about blood disorders, the local community strongly believes that hemophilia comes from witchcraft. This false belief prevents affected individuals from seeking proper medical treatment. Health professionals from the clinic attempt to combat this myth by going out into the community and educating the public about hemophilia.

Save One Life

Save One Life came into existence in 2000 and aims to alleviate the financial burden of families in developing countries that hemophilia affects. More specifically, the organization helps patients by offering grants and emotional support.

Save One Life gives out grants of around $800 to low-income Kenyans with hemophilia to invest in their small businesses. The grant helps patients to expand their businesses and earn extra money to pay for their medical treatments. Grants fund a range of businesses, from ridesharing services to dairy farming.

Also, the organization hosts gatherings for women with children who suffer from hemophilia. In a meeting of almost 50 women, local Kenyan women discussed their experiences dealing with the stigma of hemophilia and the difficulties of raising children without help from their husbands. The meetings allow women to exchange advice and offer emotional support to each other.

With the help of nonprofit organizations and rural clinics, low-income individuals who experience hemophilia are able to obtain medical treatments and live more substantial lives. Raising awareness and educating the public about hemophilia in Kenya dissolves the shame associated with the condition so that affected individuals can seek out proper medical care.

– Samantha Rodriguez-Silva
Photo: Flickr

10 Facts About Sanitation in Cape Verde
Cape Verde is a country comprising a group of islands near Senegal and Guinea-Bissau. In Cape Verde, almost half of the population does not have access to clean water. As a result, the government founded initiatives to improve its water, sanitation and hygiene processes for everyone. Here are 10 facts about the water and sanitation situation in Cape Verde.

10 Facts About Sanitation in Cape Verde

  1. Cape Verde Compact II was a project that reached completion in 2017. The project cost $41.1 million and aimed to improve the services that delivered water to Cape Verde houses. The project also increased access to piped water and sanitation, creating a new water utility. The project creation started with a theory that increasing access to piped water would increase household productivity, especially for low-income families.
  2. A significant number of people in Cape Verde do not have access to sanitation systems. To expand, 54% of people in the country’s rural areas and 16% in urban areas do not have access to flushing toilets or other sanitation improvements. Moreover, the government does not have enough money to assure everyone has access to clean water. In Cape Verde, 20% of the population does not have access to a shower, meaning they have to use rivers and lakes to take baths.
  3. The shortcomings of the water and sanitation sector affects women. Women typically have the task of bringing home clean water. The United Nations Children’s Fund found that women in underdeveloped countries spend more than 200 million hours daily collecting water to provide for their families. Because women have to focus on bringing water to their families, they are more likely than men to stop receiving an education. If the country created new institutions that could provide water without having to walk miles to get it, women would have the same opportunities as men to get an education.
  4. There have been many improvements in the water and sanitation sector over the last two decades in Cape Verde. But Cape Verde still faces significant challenges in overcoming its water and sanitation crisis. Cape Verde relies on the energy-intensive process of desalinization for clean water. Only 59% of people have access to clean water in their homes or on their property. Just 20% of the population has access to a sewer, and 27% of the population has to resort to open defecation.
  5. In 2012, the government of Cape Verde started making reforms in the sanitation sector. The government created a Social Access Fund to help families access clean water more easily. The Social Access Fund has provided more than 3,000 new connections to the water network and more than 2,000 sanitation facilities. The government believes that more than 600,000 people would benefit from this program. The government also believes that if the country keeps making progress in the next 20 years, more than 80% of the population would have access to clean water.
  6. The government launched a National Agency for Water and Sanitation with the Office of Environment and Gender and Social Integration. The office works with departments to support data to improve access to clean water and affordability. The new department started working in 2013, and since then, the country has made a lot of progress.
  7. Aguas de Santiago, a corporation installed on the island of Santiago in 2017, is alleviating the country’s sanitation issue. Almost half of Cabo Verde’s population lives on the island of Santiago. With this new corporation, the Office of Information, Education and Communication has the data they need to know the number of families that do not have access to clean water. With this new corporation, the government is receiving real data and making changes in the country’s sanitation program.
  8. Sal is the driest inhabited island in Cape Verde. Sal receives less than 9 inches of rain on average each year. The island does not have enough water for the whole population, and it depends heavily on the desalinization process. The process is costing the island a lot of money, and the government is unsure of how long they will be able to afford it.
  9. Carlos Jorge Santos, the director-general of Oasis Atlantic Group’s hotel operations in Cape Verde, hopes that sooner than later, Cape Verde’s beaches will earn the prestigious Blue Flag certification. The Blue Flag is essential because it gives the country reputation so tourists would visit the country more. The Blue Flag means that all the beaches are safe and clean, improving Cape Verde’s tourism sector, local economies and its sanitation programs. Additionally, through this certification, the government would be able to build more water fountains and deposits so the whole country has greater access to clean water.
  10. Water consumption was deficient in the city of Santiago. In 2018, the average family in Santiago consumed 40 liters per person per day. Low-income families, who are less likely to have a connection to the piped water network, consumed less water than non-impoverished households at 24 liters per person per day. In Cape Verde, 30% of the population lives in poverty, meaning the families’ majority consume 24 liters per day.

Cape Verde is making a lot of progress in providing clean water to the population, but there is a lot that the country needs to do. Currently, more than half of the people do not have access to clean water in their homes and have to walk miles to gather clean water. Nevertheless, these 10 facts about sanitation in Cape Verde show improvement.

– Ainhoa Maqueda Castillejo
Photo: Flickr

SDG Goal 5 Continues to Steadily Progress in India
The 2020 Sustainable Development Goals (SDGs) report outlines a disappointing picture of the SDG 5 in India. The indicators for progress within this goal have either stagnated, decreased or increased at a very moderate rate since the last report in 2019. The phrase “major challenges remain” characterizes gender equality in India, the direst characterization of the steps the country could take toward improvement. However, India and other organizations are not ignoring concerns over stagnated progress. In fact, multiple efforts are underway in order to accomplish the U.N.-issued tasks. The journey toward improved standards in India continues across major sectors.

What is SDG 5?

It is important for one to understand the specificities of Goal 5 of the U.N. SDGs. There are several tasks within the ultimate goal of gender equality. Each of these tasks addresses a different area in which society or government can impact the fairness of treatment of different genders. A World Economic Forum article notes that women receive 34% less wages for the same work as men.

An additional point notes that girls in the bottom 20% of the socioeconomic system in India receive no education. Including everything from violence to economic security, the breakdown of SDG 5 covers a breadth of areas that disproportionately affect women and girls. The accomplishment of these targets is contingent on many factors. The combined efforts of the Indian government and humanitarian organizations around the country are essential.

The Government’s Efforts

One of the government’s efforts toward achieving SDG 5 in India includes a partnership between the Indian government and USAID. While this partnership covers a variety of issues together with a mix of public and private organizations, one of the most significant efforts is the Swachh Bharat Mission, or the Clean India campaign. This campaign addresses gender disparities in hygiene access, an issue that often prevents girls from attending school. The campaign, therefore, also addresses the longevity of a girls’ education in India.

Humanitarian Organizations’ Efforts

There are several humanitarian organizations fighting for gender equality in India, some of which connect with USAID’s efforts in the country. A large part of NGO work specifically targets women and girls experiencing poverty. For example, the Azad Foundation works with impoverished women who are victims of abuse. The Foundation educates on reproductive rights, self-defense and more.

Janodaya works with formerly imprisoned women as well as impoverished women to teach skills that will lead to better jobs. Snehalaya champions efforts for women and children by offering HIV/AIDS support and providing platforms for earning an income, such as those that allow for the making and selling of art.

Gender inequality in and of itself is a forefront issue that India must grapple with. However, the issue becomes even more pronounced when inequality causes shortcomings for women and girls in all aspects of their lives. All aspects of Sustainable Development Goal 5 connect with each other. As a result, addressing one issue has no doubt impacted another. To continue to advance in the fight against poverty, addressing gender equality must remain one of India’s foremost goals.

Riya Kohli
Photo: Flickr