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Global Poverty, Health

The Untold Story of Russia’s AIDS Epidemic

Russia’s AIDS EpidemicAmid a global pandemic, Russia is fighting a medical war on two fronts; as Russia deals with the spread of COVID-19, Russia’s AIDS epidemic is worsening. As the HIV  infection rate continues to decline in the rest of Europe, the transmission rate of HIV in Russia has been increasing by 10 to 15% yearly. This increase in transmission is comparable to the yearly increase in transmission of HIV in the United States in the 1980s at the height of the AIDS epidemic.

The AIDS Epidemic in Russia

Among other factors, the erosion of effective sexual health education and a rise in the use of opioids has led to a stark increase in the transmission of HIV/AIDS in Russia. The epidemic of AIDS in Russia has received little attention from the Russian Government and the international community, partly because of the nation’s social orthodoxy and the stigma surrounding drug use and HIV/AIDS.

The Silent Spread of HIV

A significant number of Russians infected with HIV are those who inject drugs. Roughly 2.3% (1.8 million) of Russian adults inject drugs, making Russia the nation in Eastern Europe with the highest population of those who inject drugs. Due to the stigma associated with drug use as well as the threat of harsh criminal punishment, few drug users who have been affected by HIV seek treatment. A study from the Society for the Study of Addiction found that in St. Petersburg only one in 10 Russians who inject drugs and are living with HIV currently access treatment.

A large part of the stigma surrounding AIDS in Russia comes from the return of traditionalism to the Russian government following the election of Vladamir Putin in 2012 and the strong connection between the traditionalist Russian Orthodox Church and the Russian Government. The Orthodox Church, in particular, has blocked efforts to instate sex education programs in schools and campaigns to give easier access to safe sex tools like condoms. While methadone is used worldwide to treat opioid addiction to lower the use of drug injection and therefore HIV transmission, the Russian Government has banned methadone. Any person caught supplying methadone faces up to 20 years in prison.

HIV During the COVID-19 Pandemic

Studies conducted during 2020 have shown that Russians living with HIV and AIDS have faced difficulties in accessing treatment. According to UNAIDS, 4% of Russians living with HIV reported missing medical treatment due to the pandemic and roughly 30% of respondents reported that their treatment was somehow impacted by the pandemic.

The same study found that HIV-positive Russians had a positive COVID-19 diagnosis at a rate four times higher than HIV-negative Russians. However, HIV-positive Russians were less likely to seek medical attention for COVID-19 despite the high health risks, such as a weaker immune system that can accompany HIV. More Russians are contracting HIV yearly but the stigma of living with HIV is preventing HIV-positive Russians from seeking medical treatment.

Destigmatizing HIV/AIDs in Russia

With little national attention paid to the epidemic of AIDS in Russia, the movement for change has come from individuals looking to give visibility to and destigmatize HIV/AIDS. In 2015, after television news anchor, Pavel Lobkov, announced on-air that he had been living with AIDS since 2003, Russian doctors including Lobkov’s own doctor, saw a surge in people seeking HIV tests and treatment. In a nation where AIDS is highly stigmatized, a national celebrity showing that one can live a normal life with AIDS brought comfort to many Russians living with HIV/AIDS.

More Russians living with HIV/AIDS have made efforts to shed light on Russia’s HIV epidemic and destigmatize HIV to the public as well as in the medical community. Patients in Control, a nongovernmental organization run by two HIV-positive Russians, Tatiana Vinogradova and Andrey Skvortsov, set up posters around St. Petersburg that read “People with HIV are just like you and me,” and encourage HIV-positive Russians to seek antiretroviral treatment. HIV-positive Russians like Skvortsov and Vinogradova are trying to bring national attention to a health crisis that is seldom discussed, hoping to create a national conversation and put pressure on Russian officials to take action on the worsening epidemic.

A Call for Urgent Action

HIV-positive Russians and AIDS activists like Skvortsov have argued that until the Russian Government puts forth an “urgent, full forced response” to Russia’s AIDS epidemic, the rate of transmission will continue to climb. Many Russians on the ground are making public campaigns to destigmatize and normalize living with HIV, hoping to persuade the government to take action.

In 2018 alone, AIDS took the lives of 37,000 people across Russia. As of May 2020, more than 340,000 Russians have died of AIDS. While the social atmosphere of Russia, influenced by Putin’s government and the Orthodox Church, has created a shroud of secrecy and shame surrounding the AIDS epidemic, many HIV-positive Russians hope that the intensity of the epidemic will force the Russian Government to make a concerted effort to address Russia’s AIDS epidemic.

– Kieran Graulich
Photo: Flickr

February 23, 2021
https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg 0 0 Lynsey Alexander https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg Lynsey Alexander2021-02-23 00:36:292024-05-30 07:56:17The Untold Story of Russia’s AIDS Epidemic
Global Poverty, USAID

Colombia Needs Help Helping Venezuelan Refugees

Helping Venezuelan Refugees
Colombia is helping Venezuelan refugees following instability in Venezuela. Colombia has received over one million Venezuelan refugees and the Colombia-Venezuela border has been relatively porous. These Venezuelans are escaping hunger, hyperinflation and generally poor living standards while Colombia faces many problems of its own.

Background

Colombia and its people, although needing humanitarian aid for their own country, have continued to allow Venezuelans to come in. Colombia far surpasses other countries as the number one receiver of Venezuelan refugees. The government provides them services in refugee camps such as orthodontic treatment, legal assistance, psychological guidance, haircuts, manicures and food. This has been described by various Venezeulen refugees to be beneficial. However, there are concerns that Colombia might not sufficiently meet the demands for this new mass influx of people considering its existing problems with its own people.

Colombia today sees high rates of terrorism and crime, from dissidents of the Revolutionary Armed Forces of Colombia (FARC) and groups like The National Liberation Army (ELN). Armed robberies are also common there, and Colombia’s social systems and law enforcement have failed to address this issue. This results in events like a car bomb incident in January 2019 in Bogota which killed 22 people and injured 66 more, a bomb in January 2018 when a bomb exploded in front of a police station in Barranquilla, a bomb in June 2017 when three people were killed in a shopping mall and an incident in 2018 where two Ecuadorian journalists and their driver were killed along the Colombia-Ecuador border. The U.S. State Department rates Colombia with a Level 3: Reconsider Travel rating, citing these issues as well as health concerns from COVID-19.

Current Sources of to Help

Despite this news, there are things people can do to aid in helping Venezuelan refugees. The USAID program in the country is one example of helping Venezuelan refugees and aiding Colombia’s effort for this task. USAID has provided ventilators as well as $30 million of aid to Colombia amid the COVID-19 pandemic and humanitarian aid after Hurricane Iota struck the region in November 2020. But most of all, it is the Colombian people who are helping Venezuelan refugees.

At border towns, people have taken Venezuelan refugees into their homes, often indefinitely at no cost at all. In the 1980s and 1990s, Colombia was experiencing a decade-long conflict with FARC. This destructive conflict displaced more than seven million people, and groups of Colombians migrated to the then prosperous Venezuela. The Venezuelans during this conflict took Colombians in the same way as Colombians are taking in Venezuelans now. The Colombian border state of La Guajira is the perfect example of this, as over 160,000 Venezuelan refugees have taken refuge in La Guajira. Venezuelans now make up one-fifth of the population. The selfless help from local Colombians has made a difference in helping Venezuelan refugees.

Aid outside the Colombian government does a lot in helping Venezuelan refugees. This is true whether it goes directly to the local people or arrives through sources like USAID. The intertwining between Venezuelans and Colombians, promoted by Venezuelan refugee events hosted by Colombians before COVID-19, can also help alleviate anti-Venezuelan sentiment and provide the region more stability.

– Justin Chan
Photo: Flickr

February 22, 2021
https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg 0 0 Lynsey Alexander https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg Lynsey Alexander2021-02-22 16:05:502024-12-13 18:02:20Colombia Needs Help Helping Venezuelan Refugees
Global Poverty, Health

The Prevalence of Suicide in Greenland

Suicide in GreenlandBetween 1970 and 1980, the suicide rate in Greenland was seven times higher than that of the United States. The high incidences of suicide in Greenland stemmed from the devaluing of local Inuit culture which occurred when Denmark pushed to modernize the island. Due to a lack of adequate resources, improvements have been slow. However, as mental health has become destigmatized, various NGOs and government programs have appeared over the last decade with promising solutions to address suicide in Greenland.

Suicide in Greenland Today

In 2016, the global average annual suicide rate was 16 persons per 100,000. In Greenland, the annual suicide rate was 82 persons per 100,000.

Suicide is not evenly distributed across Greenland’s population. Teenagers and young adults are at the highest risk of suicide. According to the Nordic Centre of Welfare and Social Issues, the prevalence of suicide in Greenland is three times higher among 20 to 24-year-olds than 25 to 65-year-olds.  Additionally, 23% of teenagers and young adults reported that they have self-harmed.

Recognizing Risk Factors

Due to the rapid modernization of the 1970s and 1980s, many people emigrated to the cities and larger settlements for economic and educational mobility. However, once there, they needed to assimilate to appear more Danish. The loss of identity that followed saw communities turn to alcohol, which in turn led to child abuse and neglect — two major risk factors for suicide. This erosion of family structure made it hard for individuals to cope with emotional and psychological hardships.

Combating Suicide in Greenland

Over the last couple of decades, the government and several NGOs created programs to combat this endemic.

  • SAAFIK – Established in 2011, this nation-wide counseling center extends medical, psychological, social and legal support to child victims of sexual abuse.
  • Break the Silence, End the Violence – In 2014, The Ministry of Family, Gender Equality and Social Affairs launched a three-year campaign to raise awareness about domestic violence. To this end, the Ministry established a web page about violence and information campaigns.
  • SAPIIK – This peer mentoring program is focused on reducing the number of children who drop out of school. Through social activities and outings, SAPIIK focuses on improving a child’s intrapersonal and interpersonal skills.
  • School Fairy System – This program places a social worker, known as a School Fairy, in schools to help students who need social support. The School Fairy engages students through conversation and activities. The School Fairy also reports concerns and observations to the school when he or she deems that special interventions are required.
  • TIMI ASIMI –  Founded in 2011, this is an outdoor-based intervention program geared toward at-risk teens and young adults, ages 13 to 21. Throughout the course of three months, participants engage in educational courses, community service, academic counseling and physical activities.
  • Project CREATes – Over the course of two years, this project utilized storytelling as an effective way of eliciting personal experiences related to both suicide and resilience. These workshops were safe spaces for the arctic’s youth to come together and share their experiences with suicide and mental health. Facilitators worked with youth to help them to write, audio record, photograph or film their own stories as a way of healing. Though Project CREATeS ended in 2019, it was just one part of a series of programs created by the Arctic Council to combat suicide in the arctic. It was succeeded by Local2Global, another suicide prevention program focused on fostering community and creating digital projects for storytelling.

Greenland has come a long way since the 1980s. People are now able to talk about suicide and get help for mental issues. With more initiatives and resources, suicide in Greenland can decrease to match the global average or even undercut it.

– Riley Behlke
Photo: Flickr

February 22, 2021
https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg 0 0 Yuki https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg Yuki2021-02-22 07:42:072021-02-22 07:42:07The Prevalence of Suicide in Greenland
Global Poverty

What to Know About Mental Health in Latvia

Mental Health in Latvia
Latvia is located in the Baltic region. This northern European country’s active involvement in many international organizations allows for it to have diverse approaches to its policies. However, Latvia still has a long way to go when it comes to societal issues such as mental health. In fact, poor mental health in Latvia was one of the leading contributors to disease burden in 2017.

The World Health Organization (WHO) defines mental health as a balance between an individual’s potential, community interactions and everyday stressors of life. A high number of mental health disorders in a country results in social and economic burdens. Therefore, mental health treatment plays a crucial role in the overall health of a country’s citizens.

The population at risk of experiencing poor mental health are citizens who report a low level of social connection and household income. As the WHO’s definition of mental health describes, community and everyday stressors, such as economic issues, correlate to overall life satisfaction.

Societies typically measure mental health to increase diagnosis and treatment. Compared with other European countries, Latvia has lower indicators of mental health. Here are four key facts to know about mental health in Latvia.

4 Key Facts About Mental Health in Latvia

  1. The Progression of Mental Health Care: When Latvia was a part of the Soviet Union, patients took on a more passive role in their mental health medical treatment. Since then, Latvia restored its independence in 1991 and joined the European Union and NATO (North Atlantic Treaty Organization) in 2004. With its global involvement, Latvia not only gained allies but was also able to learn more diverse ways of treating mental health. Before joining the Organisation for Economic Co-operation and Development (OECD) in 2016, Latvia had to follow criteria related to quality health care such as giving patients a more active role in their treatment. As a result of these guidelines, Latvia is now moving toward better psychiatric care
  2. Rate of Diagnosis: A 2012 study assessed depression in a general population of Latvia for one year. It then measured how many people with this mental illness sought out health care. Results indicated that depression is under-diagnosed in Latvia. Latvia has improved its efficiency despite the health care system remaining underfunded. Changes like these are a part of a larger plan to increase mental health care.
  3. Progress Toward the Sustainable Development Goal 3: The United Nations has a 2030 Agenda for Sustainable Development, which includes encouraging mental health and well-being. Overall, the U.N. developed 17 goals to achieve prosperity. Despite the COVID-19 pandemic, Latvia is still making progress toward these goals through its parliament’s push for civic engagement. With an increase in political participation, more policies will develop that reflect the needs of its citizens, including in the mental health sector.
  4. Latvia’s National Development Plan: Latvia currently has a National Development Plan for 2021-2027. The country developed this primarily economic policy in accordance with the U.N. Agenda for Sustainable Development. Among these goals, Latvia included a section on quality of life, which stresses the importance of mental health along with physical health. In order to accomplish this, the country plans on having targeted cooperation between rural and urban areas and municipal cooperation between the economies in different regions. This cooperation will allow for participation that will recognize the various needs of its citizens.

Ritineitis

A nonprofit organization called Ritineitis has a foundation called the Adult Non-formal Education Center Azote that focuses on mentoring for educational and professional needs. One project, “ASNI,” allowed young people to come up with proposals that would help the daily life of Latvia’s citizens. The goal of this project was to promote youth civic participation. Numerous projects came out of this competition, including the promotion of youth sports, exercising and even weaving. Participating in civic participation at a young age will most likely lead to continuing this practice later in life. This participation will increase policies aimed at the societal needs of Latvian citizens, in turn, increasing mental health awareness.

Latvia may have lower mental health indicators than other European countries, but its current policies are working to improve ways to record this type of data. Its National Development Plan recognizes the need to promote “health literacy [as] a national priority.” Overall, Latvia is moving forward in its plans to increase the social and physical well-being of its population.

–  Mia Banuelos
Photo: Pixabay

February 22, 2021
https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg 0 0 Jennifer Philipp https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg Jennifer Philipp2021-02-22 07:30:452024-06-04 01:18:00What to Know About Mental Health in Latvia
Global Poverty, Human Trafficking

7 Facts About Human Trafficking In Tunisia

Human Trafficking in Tunisia
Human trafficking in Tunisia is prevalent, while also existing in several other countries. Trafficking has three parts including the act of moving an individual, manipulating an individual’s free will and using an individual for exploitation.

The Situation

Between April 2019 and February 2020, the National Authority identified 1,313 trafficking victims from among the potential victims that some government agencies referred to it along with 780 victims that the previous reporting period identified. Tunisia is a destination for human trafficking involving forced labor and forced prostitution, where traffickers coerce or manipulate individuals to work under no contract for less than minimum wage.

Trafficking is a large topic of world discussion. Most victims in Tunisia are children, women and people with disabilities. Women and young girls are the most at risk of becoming victims of trafficking in Tunisia. Traffickers force the victims into a domestic servitude partnership or involvement in criminal activities. Due to the severity of human trafficking in Tunisia, many new tactics have emerged to tackle the issue. Here are seven facts about human trafficking in Tunisia.

7 Facts About Human Trafficking in Tunisia

  1. Tunisia passed an anti-human trafficking law. In July 2019, the government of Tunisia started making procedures and guidelines for the National Authority and four other trafficking commissions to put more focus on monitoring, testing, studying, developing and tracking trafficking victims’ cases. The new law will criminalize sex and labor trafficking. Thus far, the new law has helped identify victims of human trafficking in Tunisia and push victimizers into the courtroom to undergo prosecution. The Tunisian government is also making efforts to address human labor trafficking recruitment practices. The Agency for Placement Abroad in Private Establishments (EPPA) filed 30 complaints to private employers for cases of fraud, extortion or abuses of Tunisian workers. The Tunisian government has officially requested that the Ministry of Women shut down the seven private employers that are recruiting Tunisian workers without proper EPPA registration.
  2. The National Authority created an anti-trafficking efforts website in February 2020. This online platform helps to provide education on how to stop and fight against human trafficking. This website is open to anyone who is a victim of human trafficking or has witnessed someone be a victim of human trafficking. The website includes a human trafficking hotline, education for health care professionals on red flags, shelter resources and more. To date, the website has aided trafficking victims so that they can receive medical and social support.
  3. More accountability exists for traffickers in Tunisia. Tunisia has implemented an increase in trafficking investigations. Tunisia increased its investigations in 2016 due to the passing of new legislation in July of that year. Human trafficking in Tunisia now has a punishment of 10 years in prison and a 50,000 Tunisian dinar fine, or $16,620 USD for cases with adult victims. Meanwhile, trafficking cases involving children in Tunisia are now punishable with 15 years in prison and a fine of 50,000-100,000 Tunisian dinar or $16,620-$33,230 USD. Tunisian law enforcement has worked on the implementation of several anti-trafficking laws as well.
  4. Human trafficking victims in Tunisia can receive legal assistance with protection and medical care. When Tunisia adopted legislation in August 2016, it started providing medical and social help for victims of all types of human trafficking. Tunisia is currently working on providing employment to victims as well. It has also assured rights to protection and medical services for human trafficking victims. The Ministry of Health runs hospitals in Tunis that have units with trained personnel committed to helping victims of trafficking in Tunisia. Additionally, Tunisia has dedicated 79 centers to trafficked youth in Tunisia and another three for men. These centers have provided health care to 69 foreign and local trafficking victims. Moreover, the Ministry of Social Affairs gave psychological and socio-economic assistance to 83 victims.
  5. The U.N. and Tunisia hosted workshops to aid in the fight against human trafficking. The Tunisian Ministries of Justice and Interior worked along with the United Nations Office of Drug and Crime (UNODC) to hold three-day workshops called “Capacity-Building for the Fight against Human Trafficking and Migrant Smuggling in Tunisia.” These workshops operated from April 16, 2013, to December 31, 2018, with the purpose of addressing topics like identifying human trafficking, judicial considerations, protection and help for victims and international assistance in fighting the problem of human trafficking in Tunisia. The meetings tried to dismantle the trafficking systems by implementing new tactics. The session of meetings led to Tunisia drafting anti-trafficking legislation.
  6. National victims referral mechanisms aid in rescuing Tunisian trafficking victims. The new national victim’s referral mechanism in Tunisia is helping trafficking victims. These new centers, which work to specifically target victims of human trafficking in Tunisia, utilize national hotline systems. Tunisia has used the network to rescue over 150 victims.
  7. Governmental efforts create positive changes for trafficking operation investigations. From 2014 to 2018, the number of victims Tunisia identified increased from 59 cases to 780 cases with a significant number of those cases being foreigners. A judge ended up overseeing 31 of the cases with one case ending with a conviction. Four of the cases against human trafficking in Tunisia will now undergo criminal prosecution, while the rest require further investigation.

Looking Ahead

The Tunisian government is steadily working toward reducing human trafficking. Tunisia is making victimizers more accountable and providing victims with further protective resources, while national organizations like the U.N. are stepping in to lend a helping hand. The fight to ending human trafficking is long but Tunisia is headed in the right direction.

– Libby Keefe
Photo: Flickr

February 22, 2021
https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg 0 0 Jennifer Philipp https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg Jennifer Philipp2021-02-22 07:30:132021-02-18 11:07:407 Facts About Human Trafficking In Tunisia
Global Poverty

How Solar Power Can End Global Poverty

Solar PowerAs the world strives to move away from fossil fuels and other non-renewable energy sources, solar power continues to increase in popularity. It is free, clean and abundant. There is no harmful by-product, private companies do not control it and no drilling is required.

Geographic luck is a large part of what has allowed today’s developed nations to become economic powerhouses. Some countries were settled on pieces of land that were abundant with resources, like oil. Others were not so fortunate. This is what allowed some countries to rapidly advance and others to remain stagnant. There is one resource, however, that many developing nations have a tremendous supply of: sunlight.

The Geography

A large majority of developing nations are located in Africa and Southern Asia. Both of these areas receive more sunlight than almost anywhere else on the planet. Large swaths of land, particularly in the Sahara Desert, can serve as the perfect location for solar panels. The sand and scorching sun make it arduous and expensive to build structures on an urban scale. However, solar panels are relatively inexpensive to install and require little maintenance.

In sub-Saharan Africa, where two-thirds of the population lacks electricity, 89% of the days every year are sunny. With concentrated sunlight like this, it is projected that if just one in every 100 square miles of desert around the globe had solar panels, they would provide enough energy for every country on Earth. The Sahara is the largest desert in the world. Therefore, it is more than capable of supplying the energy needed by rural communities in Africa.

Why Solar Power Is The Ideal Energy Source

The reason why solar power is so crucial to developing nations, particularly in Africa, is because there are several rural communities that live far away from the power grid. While it is possible to extend the grids out to rural areas, it is often expensive. It is also time-consuming and does not resolve the larger problem at stake: the world’s dependence on non-renewable energy sources. Solar power is renewable, does not require connection to a major grid and has all the same applications as a power plant. The biggest application is their ability to generate electricity.

The Power Africa Off-Grid Project

In 2018, USAID in conjunction with the U.S. government launched the Power Africa Off-Grid Project (PAOP). Phase one of the plan is simple: produce enough solar power to bring electricity to six million inhabitants living in rural areas of Africa by 2022. The project spans 20 African nations and has already gained $1 billion in funding. Once phase one of the plan is achieved in 2022, phase two will begin which entails expanding electricity access to reach an additional 60 million people by 2030.

What This Means For The Future

The reason why solar power is so important to developing nations, aside from its eco-friendliness, is because solar power means electricity. Electricity is fundamental to any society trying to advance. Without it, productivity is largely limited due to the lack of light, access to clean water and the inability to keep food fresh via refrigeration. With access to electricity, an African school teacher who grades papers at night can flip on a light. Families can refrigerate food so that they do not have to spend time searching for fresh meat every day. Water can be cleaned through solar-powered purification systems. When the quality of life increases, productivity increases.

With solar power expansion through projects like POAP, developing nations are on the brink of becoming fully developed economies. Hopefully, these nations can serve as an example to the rest of the world of how fossil fuels do not have to be the end game. There are alternative solutions out there, they just need to be given a chance.

– Jake Hill
Photo: Flickr

February 22, 2021
https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg 0 0 Yuki https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg Yuki2021-02-22 07:06:312024-05-30 07:56:41How Solar Power Can End Global Poverty
Developing Countries, Global Poverty, Health

5 Facts About Mental Health in Rwanda 

 Mental Health in Rwanda Rwanda is a small country in sub-Saharan Africa. Rwanda has struggled to become a stable country economically and politically since it became independent in 1962. As a developing country, Rwanda is still trying to develop its healthcare system. With years of conflict and instability, people especially struggle with mental health in Rwanda.

5 Facts About Mental Health in Rwanda

  1. The Rwandan Genocide plays a significant role. Roughly 25% of Rwandan citizens struggle with PTSD and one in six people suffer from depression. The reason why so many Rwandans have mental health conditions can be explained by one key event in Rwandan history. During the Rwandan genocide of 1994, members of the Hutu ethnic majority murdered as many as 800,000 people, mostly of the Tutsi minority. The mass genocide caused severe trauma to survivors who still suffer from mental health issues 26 years after the event.
  2. Rwanda has very few resources. According to the World Health Organization, Rwanda has only two mental health hospitals, zero child psychiatrists, and only 0.06 psychiatrists per 100,000 people. With a large amount of the population plagued by mental health issues, Rwanda needs more resources to help the mentally ill.
  3. Suicide rates have greatly decreased in Rwanda. In 2016, the suicide rate in Rwanda was 11 deaths per 100,000 people. This is a great improvement compared to the 24.6 suicides per 100,000 people in 2000. An increase in mental health resources contributes to the lowering of the suicide rate in Rwanda.
  4. Increased mental health funding is essential. The average mental health expenditure per person in Rwanda is 84.08 Rwandan francs. Most citizens of Rwanda do not have the financial resources to afford mental healthcare. The government currently uses 10% of its healthcare budget on mental health services. Considering how large the mental health crisis is, the government should increase its expenditure to address the crisis. Since citizens cannot afford to pay for mental health resources, the government will need to help provide more free or affordable resources.
  5. The Rwandan Government is updating policies to address mental health. In 2018, Rwanda’s updated strategic plan for its health sector set new targets for expanding mental health care services. Its purpose is to help increase access to mental health resources by decentralizing mental health and integrating it into primary care. Also, this plan calls for a decrease in the cost of mental healthcare and an increase in the quality of care. The plan hopes to accomplish strategic goals by 2024. If successful, this plan may be used as a method to help other countries establish a quality mental health plan.

The Road Ahead for Rwanda

Considering Rwanda’s violent history, it is no surprise that the population struggles with mental health. Over the years, progress has been made with regard to mental health in Rwanda. However, many more resources are needed to help address the mental health crisis in Rwanda. With Rwanda’s updated strategic plan to address the issue and an increase in expenditure, the well-being of Rwandan’s will be positively impacted.

–Hannah Drzewiecki
Photo: Flickr

February 22, 2021
https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg 0 0 Jennifer Philipp https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg Jennifer Philipp2021-02-22 06:10:332024-05-30 07:56:035 Facts About Mental Health in Rwanda 
Development, Global Poverty, United Nations

Vanuatu’s Graduation From the LDCs List

Vanuatu's Graduation From the LDCsSince the United Nations created the least developed countries (LDCs) list in the 1970s, only six nations have moved off of the list to a higher ranking of development. Vanuatu, an island nation in the South Pacific, became the sixth country to do so on December 4, 2020, after being designated an LDC in 1985. Vanuatu’s graduation from the LDCs list can serve as a beacon of hope for more LDCs to achieve higher rates of development.

Economic Growth

The U.N. Committee for Development Policy (CDP) identifies LDCs based on their level of human assets, environmental and economic vulnerability and per capita income. Since 1991, Vanuatu has met the CDP’s income per capita threshold and was recommended for graduation in 2012, having more than twice the income per capita threshold and also meeting the threshold for human assets. In an effort to pursue graduation, Vanuatu began shifting its economic policies to decrease reliance on imports, increase exports and create employment and income-generating opportunities. Vanuatu’s rural economy grew after improvements in the livestock sector in addition to the country’s diversification of agricultural activities to include timber, kava, coconut oil and copra. The tourism industry and real estate investments were also an aid to Vanuatu’s economic growth as income per person increased by more than 2.5 times between 2002 and 2017.

Vanuatu’s Setbacks

Throughout Vanuatu’s progress in economically developing the country, the nation has also been stymied by recurring natural disasters. The U.N. Conference on Trade and Development estimates that Vanuatu is affected by an average of two to three natural disasters per year and noted that Vanuatu is uniquely affected by natural disasters as its size causes the entirety of the country to be affected as opposed to just specific regions. In 2015, Vanuatu was hit by Cyclone Pam, a Category 5 cyclone that destroyed 50-90% of the country’s shelters and 95% of crops. Cyclone Pam delayed Vanuatu’s previous progress toward graduation and warranted an extension of the country’s grace period to 2020. Additionally, the onset of the COVID-19 pandemic has caused a decrease in the country’s tourism industry. While Vanuatu’s first case of COVID-19 was reported only in November 2020, the pandemic has impacted the nation and its economic sectors.

A Pathway for LDCs

While Vanuatu is the third country in the Asia-Pacific region to graduate from LDC status, following Samoa in 2014 and the Maldives in 2011, it is only the sixth country to graduate overall. On track to move up from LDC status are Angola in 2021, Bhutan in 2023 and São Tomé and Príncipe and the Solomon Islands both in 2024. Vanuatu’s graduation can bring hope to the other 46 countries on the LDC list, especially given the global circumstances in which Vanuatu achieved this feat. The COVID-19 pandemic has effectively stalled worldwide markets and further excluded many LDCs from international supply chains. With the encouragement of Vanuatu’s graduation from the LDCs list during a global pandemic, hope for the four countries scheduled for graduation in the near future increases alongside support from the international community to ensure an eventual zero countries on the LDCs list.

– Caroline Mendoza
Photo: Flickr

February 22, 2021
https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg 0 0 Kim Thelwell https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg Kim Thelwell2021-02-22 04:53:452024-05-30 07:56:02Vanuatu’s Graduation From the LDCs List
Developing Countries, Global Poverty, Health

Improving Bipolar Awareness in India

Bipolar Awareness in IndiaIndia is the second-most densely populated nation in the world, with more than 1.3 billion people. Of that number, more than 82 million citizens suffer from bipolar disorder, according to data from 2019. Bipolar disorder in India often goes undiagnosed and untreated for reasons ranging from ancient superstitions to the cost of treatment, but, bipolar awareness in India is steadily progressing.

Bipolar Disorder in India

Improved bipolar awareness in India exemplifies how a concerted effort can reduce stigma and create an affordable and readily available avenue for treatments such as therapy and medication. Indians, mostly women, have been disowned and abandoned by family or a spouse after receiving a bipolar diagnosis. In a country where the consequences of a mental condition are isolation and disconnection, the need for awareness and education is paramount.

A nation that once attributed bipolar disorder to demonic spirits, planetary alignments or a sinful past life, has come extremely far in its understanding of the illness. But, the stigma surrounding the disorder is still prevalent in India, and many, especially those from rural locations, believe bipolar disorder is a choice or an illness reserved for the rich and privileged.

BipolarIndia Organization

One resource improving bipolar awareness in India is the organization BipolarIndia. The community was created in 2013 by Vijay Nallawala, an Indian man that suffers from bipolar disorder, and his mentor and friend, Puneet Bhatnagar. BipolarIndia’s mission is to create an empathetic, judgment-free environment for bipolar people to find information, treatment, and most of all, support from those that can relate to their struggle.

BipolarIndia hosts a National Conference every year on World Bipolar Day to create awareness for the illness and educate residents from all over the country. In 2015, the organization began hosting monthly support meetings for individuals to speak with peers that can understand their struggle. It has also recently developed a way for patients to receive real-time support through the Telegram App when they feel they may need immediate help. Resources such as the Telegram App are invaluable due to the lack of mental health professionals in India.

The Mental Health Care Bill

Data from a 2005 report shows that there are only three psychiatrists per million citizens and only 0.06% of India’s healthcare budget goes toward improving mental healthcare. The Indian Government passed a Mental Health Care Bill in June of 2013 laying out a mission to improve bipolar awareness in India as well as reduce stigma surrounding all mental health issues. The bill has been undergoing revisions and policy modifications based on the guidance given by the Indian Association of Psychiatry.

Efforts to Raise Awareness

The government’s efforts to raise awareness about the complexity of bipolar disorder and the number of Indians that suffer in silence is vital to the disorder being understood. The Indian government aims to provide communities with adequate care and reliable information, leading the nation to a better understanding of a complicated mental disorder.

Bipolar awareness in India has improved with private organizations such as the International Bipolar Foundation (IBPF) funding research on effective treatments and raising awareness across the globe.

Also fighting for bipolar awareness, Indian celebrities, including Deepika Padukone, Rukh Kahn, Yo Yo Honey Singh and Anushka Sharma, have stepped forward and opened up about their personal battles with bipolar disorder, combatting the stigma surrounding the illness.

The Road Ahead

Bipolar awareness in India has slowly improved but still has a long way to go. If the government aims to change the attitude toward bipolar disorder and improve treatment, a significant investment in research is vital as well as a comprehensive understanding of the disorder.

–  Veronica Booth
Photo: Flickr

February 22, 2021
https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg 0 0 Jennifer Philipp https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg Jennifer Philipp2021-02-22 01:30:522021-02-18 05:05:35Improving Bipolar Awareness in India
Global Poverty, Health

Rural Australians: Cancer and Poverty in Australia

Cancer and Poverty in AustraliaThe nation of Australia suffers from the highest rates of cancer in the world, but, the disease takes a significant toll on the disadvantaged and rural residents in particular. Impoverished and disadvantaged Australians are 60% more likely to die from cancer due to a lack of finances for a timely diagnosis and proper treatment. The connection between cancer and poverty in Australia can be clearly seen.

The Link Between Cancer and Poverty

The cost of treatment is only one part of the problem. The importance of prevention cannot be overstated and because of a disadvantaged situation, many poor Australians are more likely to smoke cigarettes, be overweight and not get screened for cancers. This leads to more impoverished residents developing a range of cancers that reach later stages before they are diagnosed.

While the country has a decent healthcare system, the connection between cancer and poverty in Australia is significant. Poor citizens are more likely to develop cancer and are the least financially prepared for it. One out of every three Australian cancer patients has to pay out-of-pocket for treatment ranging from a few hundred dollars up to $50,000 AUD. Patients that have private health insurance rather than public medicare often pay far more out-of-pocket, sometimes double, in addition to their regular insurance payments.

Rural Residents in Remote Areas

Residents of Australia’s rural areas often face the worst financial obstacles as they must incur travel expenses and be far from home for extended periods. In 2008, only 6% of oncologists practiced in rural areas, leaving a third of Australians that live in remote regions without immediate access to decent treatment. There were 9,000 more cancer deaths in rural areas than in urban areas over a decade, a 7% higher death rate compared to city residents.

Due to the extensive travel time, many cancer patients from remote regions are forced to quit their jobs increasing the financial burden of treatment. Those that can keep their jobs, often force themselves to continue to work despite their illness and during treatments in order to pay the bills. In many instances, cancer patients must take loans from friends or family. creating further financial obligations.

Indigenous Australians

In addition to rural residents, indigenous citizens also disproportionately die from cancer compared to other residents. Indigenous Australians have a 45% higher death rate from cancer compared to non-indigenous patients. Cancer is extremely underreported by indigenous people in remote or rural areas resulting in a lack of proper data for the government to act on.

Addressing the Link Between Cancer and Poverty

To reduce the mortality rates of cancer patients, the government must address the correlation between cancer and poverty in Australia. As of 2017, only 1.3% of Australia’s health budget is allocated for cancer prevention, screening and treatment. The country must invest in prevention as well as rapid-access cancer aid for both patients and caretakers.

The Clinical Oncology Society of Australia and Cancer Council Australia are working to improve cancer treatment in rural areas of Australia. Solutions to diminish the connection between cancer and poverty in Australia include new methods of diagnosis and treatment. Telehealth and shared care, in which the patient’s primary physician works with an oncologist to limit travel for treatment, help cut down on costs for struggling patients.

Cancer organizations in Australia have worked with the government to set up the regional cancer center (RCC) initiative across the country to make cancer care more accessible for residents living in rural areas. Since 2010, 26 regional cancer centers have opened to help patients living in remote locations.

Prioritizing the Health of Rural Residents

For the mortality rates of impoverished or rural cancer patients to lessen, the government must invest in prevention as well as access for rural residents. Above all, for Australia to successfully provide aid for cancer patients there must be accurate data collection on cancer and poverty in Australia to properly allocate funds for all demographics.

— Veronica Booth
Photo: Flickr

February 22, 2021
https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg 0 0 Kim Thelwell https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg Kim Thelwell2021-02-22 01:30:172021-02-18 04:29:35Rural Australians: Cancer and Poverty in Australia
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