How Does Bhutan Run its Government and Healthcare System?
Bhutan, a Buddhist nation of just over 750,000 people, is between China and India. After a long period of underdevelopment, with legalized slavery until 1958, Bhutan has dramatically progressed through the course of 12 Five Year Plans (FYPs), currently scheduled through 2023. In 2008, the nation adopted a constitutional monarchy.
Bhutan is famous for its use of the Gross National Happiness Index. Every Five Year Plan discusses what changes the nation must make, as well as what priorities it should adopt, in order to maximize the GNH index. Bhutan’s entire government, along with its healthcare system, runs with the goal of promoting nationwide happiness and well-being. Bhutan utilizes a system of universal free healthcare, which it finances with approximately 3.5% of its GDP. There have been many significant health breakthroughs in Bhutan, between the near-eradication of vaccine-preventable diseases and the provision of an equitable healthcare supply. However, the system has encountered and continues to face several difficulties.
Issues Regarding Healthcare in Bhutan
Modern health struggles have accompanied Bhutan’s modernization; instead of malaria and polio, Bhutan now faces addiction, mental illnesses, HIV/AIDs and other serious problems. Specifically, the three most pressing concerns are systemic healthcare problems, noncommunicable diseases and mental health issues. Bhutan’s healthcare system faces challenges itself. Most prominent is a lack of proper recordkeeping, unequal access to care (despite having equal supply) and inadequate providers.
First, Bhutan does not properly record most of its health difficulties. This lack of data leads to increased difficulty in making progress. The Five Year Plans cannot satisfactorily address problems that the Bhutanese government does not know are occurring. Second, facilities face large discrepancies in their quality of care and certain settlement areas do not receive enough information about the nation’s healthcare options. Just because there is equitable supply does not mean that all in the nation have access to or know to utilize the care that Bhutan’s government provides.
Third, Bhutan employs underqualified healthcare workers. While a lack of reports means that the international community is unaware of the exact problems the Bhutanese population encounters, as well as how many in Bhutan die due to dangerous healthcare, the World Health Organization (WHO) estimates that millions die globally because of unsafe medical care and that around half of these deaths are preventable. A study that the British Medical Journal Open (BMJ) published found that Bhutan’s healthcare system’s most prominent failings have been due to inadequate skills, training and attitudes among providers.
Health Problems in Bhutan
Furthermore, non-communicable diseases account for 53% of all deaths, and they are the leading cause of death across all age groups. Cancer, diabetes and traffic injuries have replaced the falling number of deaths from STIs. Despite working out of a framework dedicated to happiness, Bhutan ranks 20th on a list of countries regarding their rate of suicide. Combined with addiction and other mental health struggles, this is an area where Bhutanese healthcare faces an extreme care deficiency.
Bhutan did not employ its first psychiatrist until 1999 when Bhutan-born and Sri Lanka-trained Dr. Chencho Dorji returned to the nation. As of 2013, the majority of more than 5,300 Bhutanese psychiatric patients have fallen onto the shoulders of Dr. Chencho. As of the 2020 survey, Bhutan only employs 116 in the department of therapy — that is, barely more than 0.015% of its population. To put this number in context, 0.03% of the United State’s population are licensed therapists. Nevertheless, plenty of reasons exist for one to be optimistic about Bhutan’s healthcare system.
Optimism About Bhutan’s Future
Bhutan has multiple ways to resolve the healthcare problems it is currently facing. For example, the BMJ study focused on collaboration, resources and governance, but a better way of looking for optimism could be to investigate what the Five Year Plan prioritizes. Prioritization in the FYPs produced all of Bhutan’s historical healthcare successes, and there is no reason to predict otherwise for current crises. The 12th Five Year Plan, in effect from 2018 to 2023, provides solutions to the struggles of healthcare in Bhutan.
About the 12th Five Year Plan
First, the 12th Five Year Plan addresses problems in data recording as discussed at the 11th FYP’s mid-term review, prioritizing proper data collection for the new term to accurately perceive what problems need attention. Bhutan’s excellent COVID-19 response showcased success in this area. Second, the fight against non-communicable diseases (NCDs) worked its way into the forefront of Bhutan’s healthcare policy and is clearly a priority in the 12th Five Year Plan. Bhutan shares the international goal of eradicating tuberculosis by 2035 and recognizes both cures and treatments of NCDs as a dire need. Third, the FYP expanded from its four pillars of a just society to nine domains. The new domains include living standards, education, health, psychological well-being, cultural resilience, ecological diversity, among others.
The plan accounts for other systemic issues in the Bhutan healthcare system as well. One of the central means of progress that the FYP outlined is decentralization. By allocating funding to local governments to more comprehensively provide care throughout the nation, Bhutan will see a rise in equitable access to care — not just supply. Additionally, the 12th FYP details increased provider training.
Some of the new domains, including creating a charitable culture and regulating time allocation between work, sleep and other activities, work directly to combat mental illness. Psychological well-being places focus on providing adequate treatment to those who are still struggling despite those domains. New policies and priorities outlined in the 12th FYP provide hope for one of the fastest developing healthcare ministries globally.
Looking Ahead
There are certainly kinks in healthcare in Bhutan that the country must work out. However, with the changes in the Five Year Plan, the system of healthcare seems to be leading the way to a very bright future.
The only factor holding back this optimism is Bhutan’s limited resources. But, Bhutan underwent a great economic change, raising its GDP at an annual average of 7.5% just two decades after emancipation. As one of the fastest-growing economies in the world, its health services have seen great progress and continued to grow with time.
If a small, underdeveloped country with a great resource shortage can successfully implement a healthcare system that specifically focuses on its citizens’ happiness, perhaps this system could inspire a seismic shift in the way government runs. Bhutan has set a precedent for designing a world where the population’s happiness is the government’s main priority and, with adequate funding, it could more thoroughly achieve these goals. Now, it is time for the U.S., France, Germany, the U.K. and other global democratic superpowers to step up and do the same.
Lockdowns Reduce COVID-19’s Impact on China
Strict Lockdowns
On January 23, 2020, Beijing imposed strict lockdown measures in Wuhan. For 76 days, the city remained in quarantine, and the lockdown eventually expanded to include large swaths of the country. Although some experts greeted these efforts with skepticism, the world eventually enacted similar lockdowns.
However, few lockdowns were able to match the aggressiveness of China. In the United States, lockdowns were met with skepticism and protest, allowing the virus to rage through the country unhindered. But, on the other side of the Pacific, COVID-19’s impact on China was effectively curtailed. Despite the virus originating from Wuhan, China recorded no official daily deaths for multiple months in 2020.
Yet, experts remained doubtful of China’s COVID-19 performance. The CIA questioned the validity of Chinese COVID-19 statistics, seeing the data as a vast undercount of the actual total. But, the issue of undercounting was widespread outside of China as well, presenting itself in countries all over the world. Despite discrepancies in the official counts, a general narrative had taken shape by the end of 2020 that China successfully contained COVID-19.
COVID-19’s Economic Impact
The COVID-19 lockdown slowed the virus around the world but created new issues. Businesses shuttered, and the economy contracted without consumer spending. As a result, the world found itself in the most severe economic crisis since the Great Depression. China was hardly immune to these economic impacts. Output took a historic blow during the first few months of 2020, adding to Beijing’s larger concerns about its economic health. Despite its position as the world’s second-largest economy, China faces major obstacles to growth, from an aging population to ballooning levels of debt. COVID-19 lockdowns exacerbated these pressures, with the potential to curtail China’s decades of growth.
Positive Economic Growth in China
The speedy enactment of lockdowns allowed Beijing to repudiate its critics once again. While other great powers, including the United States, saw their economies contract, China was the “only major economy” in 2020 to register positive GDP growth. Far from leading to broader economic collapse, COVID-19’s impact on China appears to be a net positive geopolitically, accelerating the shift in power from the West to the East. China’s economy is now slated to be the world’s largest economy by the end of 2028, five years ahead of schedule.
China’s continued efforts to combat extreme poverty are notable. Before COVID-19, the government had laid out an ambitious pledge to completely eliminate extreme poverty, defined as $600 or less in yearly per capita income, by 2020. In 2019, decades of sustained economic growth led to less than 1% of Chinese people living in extreme poverty.
COVID-19 threatened to derail poverty reduction plans. But, instead of adversely impacting China’s stated objective, the rapid lockdowns engineered by Beijing allowed for a fast economic recovery and the completion of the original objective. By the end of 2020, Chinese President Xi Jinping proudly reported that the country had officially eliminated extreme poverty.
COVID-19 Vaccination Efforts
China initially lagged in the area of COVID-19 vaccinations. Pharmaceutical companies in the United States pushed out highly effective COVID-19 vaccines in record-breaking time, quickly inoculating sizable swaths of the population. With this aggressive drive, a return to normal reopening seemed to be within reach.
China initially encountered struggles in vaccinating the population. Its early vaccination program was slow and vaccine hesitancy presented a barrier to inoculation. However, this changed recently as China’s state apparatus manufactured hundreds of millions of COVID-19 vaccinations for rapid distribution. Now, China is taking the lead in vaccinations as the U.S. lags behind. To date, China has administered more than one billion COVID-19 vaccine doses.
This does not mean that China is out of the woods though. The efficacy of Beijing’s vaccines compare poorly to other vaccines, and many nations that received Chinese vaccines have still seen COVID-19 cases skyrocket. Nonetheless, China’s vaccine efforts are certainly commendable.
As the only economy with positive economic growth in 2020, China’s efforts to curb COVID-19 have proven effective. Aside from its COVID-19 response, China’s efforts to combat poverty have also positively contributed to increased prosperity and stability within the nation.
– Zachary Lee
Photo: Unsplash
Solving the Food Insecurity Crisis in Somalia
Causes of the Food Insecurity Crisis in Somalia
Typically, heavy rains strike Somalia between April and June and again between October and December. During the two rainy seasons, extreme rainfall and flooding regularly displace Somalis across the country. However, in 2021, the rainy season ended in May instead of June. This early end caused intense droughts in Somalia.
Rainfall in some areas of Somalia has amounted to only half of the year-to-date average. As a result, deficit farmers in the south and northwest of Somalia have not been able to access water supplies adequate to plant Somalia’s staple crops. Moreover, pastoral households’ inadequate access to water has decreased the size and productivity of livestock herds. The subsequent meat, milk and crop shortage might surge food prices in Somalia.
The Famine Early Warning Systems Network projected that the Somali yield of cereal crops in 2021 will be up to 40% less than the yearly average. The drought has already decreased the food and water intake for farmers and pastoralists across Somalia, and low crop and livestock yields in the late summer harvest will lead to lower incomes for farmers and pastoralists. This will limit the purchasing power of Somalis employed in the agriculture sector. Altogether, the drought and subsequent low-yield harvests could extend the risk of a food insecurity crisis in Somalia past the summer.
The State of the Somali Food Insecurity Crisis
The Integrated Food Security Phase Classification (IPC) scale is a system that governments, non-governmental organizations and the U.N. uses to analyze the severity of food insecurity situations. The IPC scale ranges from minimal (IPC Phase 1) to famine (IPC Phase 5). By the middle of 2021, the IPC expects 2.7 million Somalis to encounter at least the crisis level of food insecurity (IPC Phase 3). Specifically, the analysis expects 2.25 million Somalis to be at the crisis level of food insecurity while another 400,100 will be at the emergency level of food insecurity (IPC Phase 4).
COVID-19 in Somalia
While the COVAX initiative and the Somali Federal Government have started the vaccination campaign against COVID-19 in Somalia, the virus continues to devastate the fragile economy. Even before the COVID-19 pandemic, the poverty rate (percent of the population below $1.90/day, 2011 PPP) in Somalia was at 69%. The poverty rate among Somalis in rural areas was at 72%.
Further, the worldwide COVID-19 induced lockdowns have limited employment opportunities for Somalis working in foreign countries. Consequently, Somalis working internationally are not able to send much money back to their families in Somalia, which heavily supports consumption in the country. Moreover, Somali businesses have reduced their full-time staff by an average of 31% since the pandemic first struck Somalia.
Lastly, a global reduction in demand for Somali livestock has decreased Somali livestock exports by 50% since the beginning of the pandemic, which further weakens the income of already impoverished Somali pastoralists. Thus, the global economic downturn resulting from COVID-19 threatens to intensify the food insecurity crisis in Somalia.
US Aid to Somalia
On June 24, 2021, the United States Agency for International Development (USAID) announced a pledge of $20 million in assistance to Somalia. USAID’s aid pledge to Somalia was part of a larger USAID plan to provide a total of $97 million to African countries to combat the health and socioeconomic ramifications of the pandemic. The U.S. aid plan will focus on tackling the food insecurity crisis in Somalia and will supply the country with staple crops like sorghum and yellow split peas. The funding also aims to limit the malnutrition of children and pregnant women.
The aid package builds on a U.S. commitment of $14.7 million in June 2021 to provide drinking water, fight malnutrition and support victims of gender-based violence.
While Somalia’s struggle with poverty and malnutrition is a longstanding and complicated issue, assistance from the U.S. and the rest of the global community could prevent a famine in the short term and boost the country’s economic development in the long term.
– Zachary Fesen
Photo: Flickr
Optimism Regarding Healthcare in Bhutan
The Bhutan healthcare system worked wonders during the COVID-19 pandemic, only experiencing one death by January 2021. Its rapid-fire contact tracing, reliance on science and trust in government led to one of the best pandemic responses the world has ever seen. The success of healthcare in Bhutan indicates great progress in a healthcare system that has seen more than its fair share of struggles.
How Does Bhutan Run its Government and Healthcare System?
Bhutan, a Buddhist nation of just over 750,000 people, is between China and India. After a long period of underdevelopment, with legalized slavery until 1958, Bhutan has dramatically progressed through the course of 12 Five Year Plans (FYPs), currently scheduled through 2023. In 2008, the nation adopted a constitutional monarchy.
Bhutan is famous for its use of the Gross National Happiness Index. Every Five Year Plan discusses what changes the nation must make, as well as what priorities it should adopt, in order to maximize the GNH index. Bhutan’s entire government, along with its healthcare system, runs with the goal of promoting nationwide happiness and well-being. Bhutan utilizes a system of universal free healthcare, which it finances with approximately 3.5% of its GDP. There have been many significant health breakthroughs in Bhutan, between the near-eradication of vaccine-preventable diseases and the provision of an equitable healthcare supply. However, the system has encountered and continues to face several difficulties.
Issues Regarding Healthcare in Bhutan
Modern health struggles have accompanied Bhutan’s modernization; instead of malaria and polio, Bhutan now faces addiction, mental illnesses, HIV/AIDs and other serious problems. Specifically, the three most pressing concerns are systemic healthcare problems, noncommunicable diseases and mental health issues. Bhutan’s healthcare system faces challenges itself. Most prominent is a lack of proper recordkeeping, unequal access to care (despite having equal supply) and inadequate providers.
First, Bhutan does not properly record most of its health difficulties. This lack of data leads to increased difficulty in making progress. The Five Year Plans cannot satisfactorily address problems that the Bhutanese government does not know are occurring. Second, facilities face large discrepancies in their quality of care and certain settlement areas do not receive enough information about the nation’s healthcare options. Just because there is equitable supply does not mean that all in the nation have access to or know to utilize the care that Bhutan’s government provides.
Third, Bhutan employs underqualified healthcare workers. While a lack of reports means that the international community is unaware of the exact problems the Bhutanese population encounters, as well as how many in Bhutan die due to dangerous healthcare, the World Health Organization (WHO) estimates that millions die globally because of unsafe medical care and that around half of these deaths are preventable. A study that the British Medical Journal Open (BMJ) published found that Bhutan’s healthcare system’s most prominent failings have been due to inadequate skills, training and attitudes among providers.
Health Problems in Bhutan
Furthermore, non-communicable diseases account for 53% of all deaths, and they are the leading cause of death across all age groups. Cancer, diabetes and traffic injuries have replaced the falling number of deaths from STIs. Despite working out of a framework dedicated to happiness, Bhutan ranks 20th on a list of countries regarding their rate of suicide. Combined with addiction and other mental health struggles, this is an area where Bhutanese healthcare faces an extreme care deficiency.
Bhutan did not employ its first psychiatrist until 1999 when Bhutan-born and Sri Lanka-trained Dr. Chencho Dorji returned to the nation. As of 2013, the majority of more than 5,300 Bhutanese psychiatric patients have fallen onto the shoulders of Dr. Chencho. As of the 2020 survey, Bhutan only employs 116 in the department of therapy — that is, barely more than 0.015% of its population. To put this number in context, 0.03% of the United State’s population are licensed therapists. Nevertheless, plenty of reasons exist for one to be optimistic about Bhutan’s healthcare system.
Optimism About Bhutan’s Future
Bhutan has multiple ways to resolve the healthcare problems it is currently facing. For example, the BMJ study focused on collaboration, resources and governance, but a better way of looking for optimism could be to investigate what the Five Year Plan prioritizes. Prioritization in the FYPs produced all of Bhutan’s historical healthcare successes, and there is no reason to predict otherwise for current crises. The 12th Five Year Plan, in effect from 2018 to 2023, provides solutions to the struggles of healthcare in Bhutan.
About the 12th Five Year Plan
First, the 12th Five Year Plan addresses problems in data recording as discussed at the 11th FYP’s mid-term review, prioritizing proper data collection for the new term to accurately perceive what problems need attention. Bhutan’s excellent COVID-19 response showcased success in this area. Second, the fight against non-communicable diseases (NCDs) worked its way into the forefront of Bhutan’s healthcare policy and is clearly a priority in the 12th Five Year Plan. Bhutan shares the international goal of eradicating tuberculosis by 2035 and recognizes both cures and treatments of NCDs as a dire need. Third, the FYP expanded from its four pillars of a just society to nine domains. The new domains include living standards, education, health, psychological well-being, cultural resilience, ecological diversity, among others.
The plan accounts for other systemic issues in the Bhutan healthcare system as well. One of the central means of progress that the FYP outlined is decentralization. By allocating funding to local governments to more comprehensively provide care throughout the nation, Bhutan will see a rise in equitable access to care — not just supply. Additionally, the 12th FYP details increased provider training.
Some of the new domains, including creating a charitable culture and regulating time allocation between work, sleep and other activities, work directly to combat mental illness. Psychological well-being places focus on providing adequate treatment to those who are still struggling despite those domains. New policies and priorities outlined in the 12th FYP provide hope for one of the fastest developing healthcare ministries globally.
Looking Ahead
There are certainly kinks in healthcare in Bhutan that the country must work out. However, with the changes in the Five Year Plan, the system of healthcare seems to be leading the way to a very bright future.
The only factor holding back this optimism is Bhutan’s limited resources. But, Bhutan underwent a great economic change, raising its GDP at an annual average of 7.5% just two decades after emancipation. As one of the fastest-growing economies in the world, its health services have seen great progress and continued to grow with time.
If a small, underdeveloped country with a great resource shortage can successfully implement a healthcare system that specifically focuses on its citizens’ happiness, perhaps this system could inspire a seismic shift in the way government runs. Bhutan has set a precedent for designing a world where the population’s happiness is the government’s main priority and, with adequate funding, it could more thoroughly achieve these goals. Now, it is time for the U.S., France, Germany, the U.K. and other global democratic superpowers to step up and do the same.
Child Poverty in Guinea Persists
Guinea is a country located on Africa’s west coast. While it is small, Guinea has some of the largest deposits of iron in the world and has a valuable amount of agricultural and natural resources. However, the country continues to have high poverty rates, with 43.7% of Guineans living below the poverty line in 2018. This situation is primarily due to political unrest and a lack of investment in the country’s infrastructure. Child poverty in Guinea also became exacerbated by poor healthcare and a lack of protection against labor and trafficking.
Health in Guinea
Health in Guinea has been a constant issue that contributes to poverty. The average life expectancy for men is 53 and the average life expectancy for women is 56. Moreover, the infant and maternal mortality rates are high because there is a lack of medical resources in Guinea. Numerous children die from curable and preventable diseases, such as yellow fever, polio, measles and malaria.
Furthermore, the Ebola outbreak in 2014 shed light on other healthcare issues in Guinea. Guinea was one of the Ebola epicenters and, unfortunately, there were not enough doctors, nurses, beds or equipment to aid those in need. With every available resource needed to fight the outbreak, treatments for preventable medical conditions were often not available. Additionally, child malnutrition rose because of the Ebola epidemic, as food prices went up and many families could not afford to eat. Roughly 320,000 children under the age of 5 need medical treatment for malnutrition.
Child Labor and Trafficking
It is estimated that there are about 5.6 million children under the age of 18 in Guinea. Roughly 670,000 of them are growing up without their parents. Many of these children have lost their parents because of AIDS. The significant number of orphans has forced children to work, which is a violation of human rights. There is a lack of oversight for mining activities, so children often end up working in the dangerous conditions of the mines. The harmful substances in mines are dangerous and unsuitable for adults, let alone children. Additionally, children who work in the mines generally drop out of school because they are not able to work and receive an education at the same time.
Child poverty in Guinea has also resulted in child trafficking and sex trafficking. However, there is a concerning lack of data on this topic. Child trafficking remains a big concern in Guinea. In court cases, many of the alleged perpetrators go unpunished. Furthermore, the victims of trafficking are not given the support they need to reintegrate into society.
SOS Children’s Villages
To improve the lives of children in Guinea, it is imperative that support, healthcare and education are provided at an early age. SOS Children’s Villages is an organization that supports children who do not have parental care. With the help of donors, governments, communities and other organizations, it assists impoverished communities and disadvantaged children. SOS Children’s Village’s strategy is solely geared toward sustainable development goals in areas such as child protection, poverty, education, health, inequality and proper work hours. The organization works with locals to aid families that are vulnerable to poverty, so young children can grow up with their families
– Candice Lewis
Photo: Flickr
8 Facts About Elderly Poverty in Greece
Elderly poverty in Greece is growing at an alarming rate. The government has been unable to address this issue. As a result, nonprofits are stepping up to alleviate some of the burdens carried by the elderly. Here are eight facts about elderly poverty in Greece.
8 Facts About Elderly Poverty in Greece
The Way Forward
Only after substantive institutional changes have been made will the issue of elderly poverty in Greece decrease. Government officials should work in collaboration with nonprofits in order to address the needs of the elderly and set up long-lasting systems of support and aid to reduce the number of those suffering from poverty.
– Manasi Singh
Photo: Flickr
The Impact of COVID-19 on Poverty in Afghanistan
Since the first confirmed case of COVID-19 in Afghanistan in February 2020, the total number of confirmed cases rose to 93,288, with deaths reaching a toll of 4,871 on July 1, 2021. Low government capacity and limited public health resources have hampered Afghanistan’s ability to contain the virus, amounting to only 0.9% of the population becoming fully vaccinated. The impact of COVID-19 on poverty in Afghanistan has been a domino effect across the country as many have fallen below the poverty line.
COVID-19 and Afghanistan
As COVID-19 continues to spread, Afghan citizens grapple with increased instability in the form of Taliban attacks on national security. The reduction of U.S. troops and decreased NATO assistance resulted in a 29% increase in civilian casualties and heightened corruption.
One of the most extreme effects of the pandemic is the impact of COVID-19 on poverty in Afghanistan. In 2020, the economy contracted by 1.9%, and poverty levels rose from 41.6% to 45.5%, with more than half of the population living under the poverty line. These higher levels correspond with a significant rise in food insecurity, as suppliers raised prices in response to trade restrictions. However, the World Bank and USAID initiatives promise enhanced development of humanitarian aid efforts for Afghan citizens.
The Domino Effect: How Poverty Affects Food Insecurity
Food insecurity is part of a domino effect. As COVID-19 in Afghanistan continues to spread throughout, poverty levels climb as more civilians fall into unemployment, resulting in them being unable to purchase sufficient amounts of food because of a rise in prices.
According to the office of the Special Inspector General for Afghanistan Reconstruction (SIGAR), the combination of COVID-19 and rising urban poverty levels are resulting in 16.9 million Afghans facing crisis and emergency levels of food insecurity. Of these 16.9 million, 5.5 million are experiencing emergency levels of food insecurity, severely threatening their health.
The surge and impact of COVID-19 on poverty in Afghanistan, along with food insecurity, is partly due to the early closing of borders. In March 2020, one of Afghanistan’s primary food import and export sources––Pakistan––closed its routes to and from suppliers to prevent the spread of COVID-19, resulting in a food shortage.
Relief Efforts
To combat the impact of COVID-19 on poverty in Afghanistan, various organizations implemented insecurity-reduction measures. In July 2020, the United States government designated more than $36.7 million to support COVID-19 relief efforts in Afghanistan through USAID. The United States allocated these funds primarily toward refugee assistance, health and disaster assistance and support for the Afghan government. This contribution proved helpful, as Afghanistan’s domestic revenues increased by 1.4% in the first quarter of 2021.
Additionally, the World Bank approved and issued a grant of $97.50 million in February 2021 to support Afghan civilians suffering the effects of droughts and COVID-19. By extension, a portion of this sum will go toward improving nutritional and food insecurity, which worsened as a result of widespread droughts and disease. This grant will also finance the Early Warning, Early Finance and Early Action Project (ENETAWF). The project aims to aid approximately 2.2 million impoverished Afghans and 78 districts struggling with poverty, drought and food insecurity.
Individuals in and outside of the United States can also support COVID-19 humanitarian aid efforts in Afghanistan by supporting Afghan businesses. Greater demand for goods will result in the creation of companies and jobs and the economy’s growth, so more funds go toward alleviating the impact of COVID-19 on poverty in Afghanistan.
– Riya Sharma
Photo: Flickr
5 Facts About Rheumatic Fever
Every year there are nearly 470,000 new cases of rheumatic fever across the globe. Approximately 305,000 people die every year from rheumatic heart disease, which rises from rheumatic fever. The U.S. and other developed countries have been able to provide access to medicine to prevent and treat rheumatic fever. However, many people living around the world don’t have access to the medicine they need. This leaves them and their children vulnerable to rheumatic fever and rheumatic heart disease. Here are five facts about rheumatic fever and how it affects communities across the globe.
5 Facts About Rheumatic Fever
Looking Ahead
These five facts about rheumatic fever highlight that through widespread access to quality healthcare and overall better living conditions, communities can stop the spread. This will help save children the pain of replacing heart valves, blood clots, severe joint pain and other effects of rheumatic heart disease.
While doctors currently have no cure for rheumatic heart disease or the complications that come from rheumatic fever, the preventative treatments are plenty. Right now, there may be 470,000 new cases of rheumatic fever every year, but that can change with education, healthcare and access to a better quality of life.
– Holly Dorman
Photo: Flickr
The Fight Against Human Trafficking in India
With its current population of 1.3 billion people, India is the second-largest country in the world. However, with its size comes a myriad of human rights issues. With so many people in one country, many of them can easily fall under the radar. Human trafficking in India is one of the most prominent human rights issues within the country.
In India, kidnappings for labor and sexual needs have been constant. In 2020, a U.S. Department of State report identified India as a Tier 2 country. In spite of many genuine efforts, the country remains hindered by its inadequate solutions to alleviate the problem and the department feels that India did not sufficiently ensure the mitigation of the issue. Enslavement has also been a common issue. In 2016, the Global Slavery Index found that 18 million people out of 46 million people are enslaved in India.
Trafficking of Women
Within the system of human trafficking in India, most of those victimized are either women or minors. In 2016, The National Crime Records Bureau estimated that 33,855 people in India have been victims of kidnapping for the purpose of marriage. Half of this percentage consisted of individuals under 18 years of age. Kidnappers most commonly force women into commercial sex and indentured servitude.
Bride trafficking has also been a consistent commodity due to skewed sex ratios in certain areas. There has been a lack of women for the larger male population to marry, so many buy their partners. A UNODC report in 2013 found that of the 92 villages of the Indian state of Haryana, nine out of 10 households bought wives from poor villages in other parts of the country. The report also mentioned that most of the women experienced abuse and rape as well as working like slaves.
Child Kidnappings
Alongside the trade of women, many child kidnappings occur. Kidnappers force many of the victims into servitude within industries of agriculture and manufacturing. In 2016, the Central Bureau of Investigation estimated that 135,000 children become victims of human trafficking in India annually. Many of the Indian train stations, such as Sealdah in the city of Kolkata, have had reports of youth kidnapping. Due to the frantic environment of the station, most of these disappearances go unnoticed. A lot of these children either live near the station due to poverty and abuse at home or travel out to work despite the danger and illegality of child labor. Children have also experienced kidnapping during natural disasters. During an earthquake in Nepal, traffickers targeted children whose parents had lost their lives. Wherever traffickers send these children, they work in brutal conditions and receive little pay or nothing at all.
Action in Legislation
Despite the magnitude of the issue and the bleakness it presents, there are glimmers of hope. The government and the public have pushed to mitigate these problems. Prosecution and the tracking of victims are becoming a focus of legislation creation. The Ministry of Women and Child Development has worked to develop a new law to combat the issue. The draft law will include measures to make placement agencies compulsory and rules to monitor where workers are from and where they are going. The 2020 Department of Justice report recommended that increased prosecutions and legislation are necessary to combat the issues.
There are also Non-Governmental Organizations (NGOs) that can give outside assistance in helping trapped women escape. One such group is Chetanalaya, which is the social action group of the Archdiocese of Delhi. Started in 1970, the organization focuses on mobilizing volunteer groups and state and union governments to assist in its efforts. The group has managed to liberate more than 800 enslaved domestic workers in the past two decades.
Helping Faceless
With the rise of technology in India, many have looked to use new innovations to assist in their cause. An example of this is the app Helping Faceless. Created in 2013, it helps fight child kidnapping and trafficking through the use of search engines that use facial recognition to help find wandering youth. To assist in helping women, the website is available for anonymous documentation of sexual assaults and other horrific experiences. By 2015, 5,000 downloads had occurred and the app continues to grow with attempts to improve the technology. Moreover, some are proposing to bring it to other countries that have similar human rights issues.
Going Forward
While the current issues regarding human trafficking in India are immense, the information and technology available can help alleviate the problem. Looking into a problem is one of the best steps in creating a good future and, while it may take a while, there is reason to hope. With the large population in the country, there are many individuals who have survived these experiences and are ready to fight to ensure that others will not endure them.
– John Dunkerley
Photo: Flickr
Community Development Programs in Togo
Togo, a country located in West Africa, has a population of more than 8.2 million. Since 1998, the country has created many community development programs. Its first Agence d’Appui aux Initiatives de Base (AGAIB), which is a Grassroots Initiative Support Agency, was in the Maritime region. AGAIBs aims to help communities develop more income-generating activities and community infrastructures. In 2001, four more AGAIBS began. Since then, the country has continued establishing different community development programs that target impoverished populations. Here is some information about community development programs in Togo.
Poverty in Togo
The United Nations considers Togo one of the Least Developed Countries (LCD) and a Low Income Food Deficit Country (LIFDC). It is one of the poorest countries in sub-Saharan Africa. As of 2018, more than 50% of the population was living below the poverty line. The government’s National Development Plan for 2018-2022 has aimed to promote social and infrastructure services to reduce poverty and improve the overall quality of life. Although the country has high poverty rates, its economy has continued to grow.
Togo’s Economic Development
In the past five years, Togo’s gross domestic product (GDP) has averaged 5.5% growth. The country’s government has created public investment programs to help alleviate demand. Agricultural production and trade have also contributed to this GDP growth. Agriculture makes up 40% of the GDP and more than 60% of employment in Togo. Due to the COVID-19 pandemic, economic momentum could slow as a result of trade tensions and the threat of security. However, its economy still performed well in 2019 with an estimated GDP growth rate of 5.3%. Economists predict that Togo’s GDP growth rate declined to 1% in 2020. Despite this stunt in economic growth, the government and other global partnerships have helped Togo fund different community development programs to reduce poverty rates.
Community Development Programs Fight Poverty Through Microprojects
A microproject is a small-scale project that looks to improve a specific aspect of life for a targeted population. Togo’s Projet de Développement Communautaire (PDC), which began in 2008, is working to improve access to social services for impoverished populations through microprojects in various communities. Its goal was to fund 350 micro-projects in different sectors, like education and health. This project also sought to develop more income-generating activities. PDC was very successful and many consider it Togo’s first big community development program since 1998. After the 2008 global food crisis, PDC provided solutions, specifically agricultural tools, to help alleviate starvation and improve food security. This community project also provided funding to 233 groups to partake in various economic activities in different impoverished communities. The project officially ended in 2013, but still impacts the country today.
Emphasis on Education
PDC helped fund a school feeding program. In 2018, this project reached 85,000 primary school children in 308 schools. One year later, the project increased its availability by 5%, reaching 91,000 children in 314 schools in 2019. Other community development projects have created school canteen programs. These programs not only employ more citizens but also allow for impoverished children to get an education. At least 36,000 children receive benefits from this program. As a result, dropout rates in primary and secondary education have decreased. Although they focus specifically on education, education-community development projects work to reduce poverty in Togo since increasing education allows for more future economic opportunities.
An Expanded Version of PDC
The Community Development and Social Safety Nets Project (PDCplus) formed in 2012, four years after the initial PDC began. Togo’s government and the World Bank help fund this project that works to improve the social and economic situations of impoverished populations in the country. Its strategy, known as the strategy for accelerated growth and the promotion of employment (SCAPE), worked to increase community participation and involvement in the program’s microprojects.
PDCplus completed its mission in 2017. In total, it created 346 micro-projects to improve social infrastructures, 208 micro-projects to develop more income-generating activities, 305 schools with school canteen programs and 196 school buildings. PDCplus was successful like its predecessor PDC, showing how Togo’s community development programs continue to work to reduce poverty rates in the country. The government has continued developing new projects that are similar to PDC and PDCplus due to their successes. As a result, the country has made progress toward mitigating its poverty levels through similar programs.
The Involvement of Impoverished Communities
These community development programs seek to increase citizen participation, specifically through microprojects that provide training for community members. The Borgen Project spoke with Dr. Theresa Davidson, a professor and Sociology Program Director at Samford University. She mainly focused on how participation in these programs could impact how effective they are: “If community development is a process that is led by the people there, it will likely be more effective […] because they know what they need.”
These impoverished populations know how these projects will impact their community. Projects like PDC and PDCplus are so impactful in alleviating poverty since its microprojects worked within these communities and relied on their participation. The active involvement of communities with PDC helped make these community development programs so successful in reducing poverty rates. New projects that the government has created need to continue community participation in order to be as successful as its predecessors.
There are many nonprofit organizations in Togo that seek to expand on the progress that these community development programs made. One nonprofit, Education Leadership Community Development, known as EDULCOD Togo, works to improve quality and accessibility to education for impoverished populations. The mission of this organization echoes outcomes from PDC and PDCplus.
This West African country has created many community development programs. PDC and PDCplus have been its most successful projects. These programs range from microprojects aimed at improving social infrastructure and involvement to improving accessible education and feeding programs. Although it ended more than a decade ago, Togo’s government is continuing to enact similar projects to improve its economy. Overall, the community development programs are reducing poverty rates in Togo.
– Mia Banuelos
Photo: Pixabay
Electrifying the Rural Amazon
In the Brazilian Amazon rainforest, communities of people currently live on islands with no electricity. The Tucuruí hydroelectric dam on the Tocantins River in the Amazon provides electricity to countless people but not to those living in the area. In 2013, nearly a quarter of those living in this region lived in “favelas” or slums and 12,000 people were without electricity. Electrifying the rural Amazon could improve the conditions of those living there.
Bringing Power
The Brazilian government’s original plan was to connect isolated communities to the national power grid. However, this was not feasible due to Brazil’s difficult terrain. The landscape made it very challenging to reach certain remote regions. Oftentimes, these remote areas have plenty of renewable resources, such as the sun, wind and water. This means that off-grid solutions, such as individual solar panels, can be much more effective in reaching these areas. Thus, a new plan emerged.
Omexom, through its Brazilian branch (VINCI Energies), plans to install mini photovoltaic power plants to bring electricity to these isolated communities. From January 2019 to January 2020, Omexom was supposed to install 1,361 solar panel systems to the islands surrounding the dam. Each of these solar panels has a capacity of 1.8 MWp, which is enough power to run lights and household appliances on the farms. This is all part of the Brazilian government’s program “Luz Para Todos.” This endeavor aims to provide electricity to more than 10 million people living in the rural areas of the country without access to the grid. Electrifying the rural Amazon and other rural areas in Brazil can help the country in a multitude of ways, including poverty.
How Electricity Helps Poverty Reduction
Very few farms on these islands have access to diesel generators for power as they are expensive. Many families use oil lamps for light and preserve food using ice they must bring back from the mainland daily. Renewable resources could help increase the quality of living for these families through sustainable development. In turn, this could reduce poverty overall.
According to an environmental research letter, “Electrification provides a solid basis for development of local communities.” Access to electricity aids communities in accessing other vital resources. Safe potable water, improved health conditions and food security are all linked to available electricity. By-products, such as time saved and less pollution, also aid the community.
Electrifying the rural Amazon can help improve Brazil’s Human Development Index (HDI) score. Studies have shown a clear connection between HDI and electricity consumption. One study even concluding that electricity consumption promotes human development. In the case of Brazil specifically, the states with the highest HDI score were also the states with the highest electrification levels in the country.
Lighting Up the Future
Brazil can help improve the lives of the rural populace by simply giving these communities access to electricity. Electrifying the rural Amazon will help the people isolated by the Tucuruí dam and many others across the rainforest. With increased access to electricity, inhabitants can obtain a higher quality of life and have more opportunities in life. Electricity for those who live off-grid can help to decrease poverty levels. It is time to bring poverty-reduction efforts to the rural areas; it is time to electrify the rural Amazon.
– Courtney Roe
Photo: Flickr