Although Malaria remains at the forefront of global health issues, malaria in Southeast Asia represents a success story in terms of mobilizing aid in the fight against the disease. In 2018, the World Health Organization (WHO) reported 8 million malaria cases, a decline of 69% since 2010, marking the largest decline of all WHO regions.
Direct Aid Strategies
Southeast Asia has been the target of hefty aid strategies from a variety of organizations. The aid primarily comes from the WHO and the Global Fund to Fight AIDS, Tuberculosis and Malaria. As the Global Fund puts it, “The fight against malaria is one of the biggest public health successes of the 21st century.” The multi-pronged strategies used by these organizations begin with a tactic known as surveillance.
Surveillance involves testing, record-keeping and reporting malaria cases. Surveillance systems have become more efficient. As a result, health care systems maintain a much more refined picture of malaria cases in any given region. This eventually gains “near real-time individual case data in small areas.”
Vector control is limiting contact between people and the mosquitos that transmit the disease. It has also helped eliminate malaria in Southeast Asia. One of the most effective means to achieve this is the wide-scale distribution of insecticidal mosquito nets. So far, the Global Fund has donated 142 million nets, providing a simple means for those in rural and urban areas alike to protect themselves.
Strengthening Local Health Care Systems
Besides direct aid, many organizations also turn to bolster already-existing local health care systems in the fight against malaria in Southeast Asia.
Malaria Consortium is a nonprofit organization specializing in addressing the disease. It began working in Myanmar in 2016 to train locals in rural areas to administer essential health services. Malaria Consortium also taught local health workers to treat malaria, working to close the gap in rural health care.
In one village, 13 health care workers received training in the treatment of malaria and other diseases common to the area. These workers went on to teach local mothers and adolescents, expanding the web of health care knowledge even further. By the end of the program, 90% of trainees could diagnose malaria cases correctly. Trainees were also able to run malaria diagnostic tests and administer Artemisinin. Artemisinin is the most widely used drug to treat the disease.
Concerns with Treating Malaria
Aid has been successful in treating malaria in Southeast Asia. However, a new drug-resistant strain on the rise reignites concerns around the disease. Artemisinin-resistant malaria has the potential to undermine malaria prevention and was first recorded in the Mekong River region of Vietnam, Thailand and Cambodia. In 2014 and 2015, studies conducted by Vietnam’s National Malaria Control Program found treatment failure rates ranging from 26% to 46%.
From the perspectives of nonprofits and medical experts, the rise of this new Artemisinin-resistant malaria in Southeast Asia means surveillance efforts must be bolstered to prevent global spread. Likewise, instead of merely treating already-present cases, the goal must be to prevent transmission in the first place. Chris Plowe, the director of the Duke Global Health Institute, is using all the tools available to the institute to eliminate aggressive malaria in the Greater Mekong subregion.
Overall, direct aid, community mobilization and the bolstering of health care systems have transformed a region once fraught with malaria. As these efforts continue, malaria in Southeast Asia moves closer toward its extinction.
– Jane Dangel
Photo: Flickr
UNiTE Campaign to End Violence Against Women
Key Achievements and Milestones
Since its launch, the UNiTE campaign has sparked a revolutionary change across the globe in the following ways:
Current State of Affairs: Violence Against Women During the COVID-19 Pandemic
Over the years, efforts to fight violence against women have generated remarkable results, but in 2020, reports show that the rate of violence against women has skyrocketed at a shocking rate due to the stay-at-home measures that most governments implemented to reduce the spread of COVID-19.
In the report “Shared Responsibility, Global Solidarity: Responding to the socio-economic impacts of COVID-19,” the U.N. Secretary-General António Guterres says, “Accompanying the crisis has been a spike in domestic violence reporting, at exactly the time that services, including rule of law, health and shelters, are being diverted to address the pandemic.”
Another early 2020 U.N. report reveals that in the last 12 months, a total of 243 women and girls aged 15-49 have experienced sexual and/or physical violence by an intimate partner.
UNiTE Campaign: “Fund, Prevent, Respond, Collect!”
In response to the intensifying rates of violence during the COVID-19 pandemic, UNiTE has increased its efforts and is kickstarting this year’s campaign in partnership with the theme, “Orange the World: Fund, Prevent, Respond, Collect!”
The main goal of this theme is to fund essential services that include gender-based violence (GBV) prevention in COVID-19 fiscal stimulus packages, the implementation of a zero-tolerance policy for GBV, putting in place measures to strengthen services that support GBV victims and collecting the necessary data to ensure the effectiveness of GBV services and programs.
The Battle Continues
Over the years, transformative action, such as the creation of the Spotlight Initiative, the conviction of major war criminals, a majority of whom had violated women’s rights, and the deployment of Gender Advisers across areas in dire need, has taken place.
There is no doubt that there is still much work to do to diminish the high rates of violence plaguing the world, but the past success that the UNiTE campaign has achieved is not only worth celebrating but is also a guarantee of an even higher leap in the coming years.
– Divine Mbabazi
Photo: Flickr
5 Facts About Child Poverty in Lebanon
Conflict has impacted Lebanon over the past few decades, including civil war, revolution and occupation. As a result, many children in Lebanon grow up and live in harsh conditions. Here are five things to know about child poverty in Lebanon.
5 Facts About Child Poverty in Lebanon
Children in Lebanon are still heavily affected by poverty, whether it is through health care, education or labor. Refugee children and girls are particularly vulnerable as they lack basic rights under law. Although strides have been made in recent years to eradicate poverty, the government and other organizations must prioritize addressing child poverty in Lebanon.
– Claire Brady
Photo: Flickr
9 Successful Distance Learning Programs in Developing Nations
As a result of the pandemic, world leaders are rethinking how education is delivered to an estimated 2.2 billion children. The speed of internet connections, online infrastructure and security all pose unique obstacles in expanding distance learning programs. Here are nine successful distance learning programs in developing nations that can serve as a model for other countries.
9 Successful Distance Learning Programs in Developing Nations
The pioneering programs listed above have an emphasis on equitable learning opportunities, emerging technological advances and passionate leaders. This puts them at the forefront of bringing quality education to millions of students now learning from home. Moving forward, these programs will likely become even more widely used, as digital learning transforms the future of education.
– Katrina Hall
Photo: Flickr
Addressing Mental Health in Kenya
Kenya is a lower-middle-income country with a population of about 52.5 million and a physician-patient ratio of 0.2 to 1,000 people. The psychiatrist-population ratio is 0.19 to 100,000. The most common mental illnesses in Kenya are depression, substance use disorder, bipolar disorder, schizophrenia and other forms of psychosis. It is estimated that of all persons seeking health services in Kenya, a quarter of the inpatients and almost half of all outpatients suffer from mental illness. Fortunately, health organizations are working to make mental health in Kenya a priority.
Kenya’s Mental Health Policy
According to the 1989 Mental Health Act, Cap. 248 of the Laws of Kenya, all general hospitals are required to treat and admit persons with mental illness. Kenya’s 2015-2030 Mental Health Policy outlines a strategy for achieving mental health reform in the country. Using a multidisciplinary approach and guided by the Ministry of Health, the policy underscores the need for collaborative interventions. The policy also recognizes human rights in treating persons with mental, neurological and substance use disorders. Finally, the policy aims to provide quality, accessible and equitable mental healthcare services in accordance with WHO standards.
Mental Health Services in Kenya
There are at least 14 general and provincial hospitals in Kenya offering mental healthcare and psychiatric services. Mathari Teaching and Referral Hospital is the national psychiatric hospital with a 700-bed capacity. There are also various private clinics and rehabilitation centers as well as professional bodies and organizations whose members work together to provide mental health services.
The Kenya Psychiatric Association (KPA) is a professional body for psychiatrists. Its mission is to promote mental health in Kenya through training, governance, empirical research and mental health services. The Association contributed to the 2015-2030 Mental Health Policy and the 1989 Mental Health Act and has established national and international networks in the field. It also continues to provide mentorship to upcoming mental health professionals.
Another organization regulating mental health services is the Kenya Counseling and Psychological Association, which governs counselors and psychologists. The organization seeks to offer professional counseling psychology services in the country based on set standards in training, practice, research and advocacy.
The National Authority for the Campaign Against Drug and Alcohol Abuse (NACADA) is an organization under Kenya’s Government that tackles drug and alcohol abuse in the population, particularly among the youth. To achieve its goals, NACADA uses public education and advocacy, undertakes research surrounding alcohol and substance use in the nation, regulates the alcohol industry and offers counseling and rehabilitation services. As of 2020, NACADA had established 100 accredited rehabilitation centers, offered 20 life skills training programs and saved 8,000 lives.
Mental Health Research in Kenya
In November 2019, a task force was set up to report on the status of mental health in Kenya; the report was released in July 2020. The team was drawn from healthcare professionals, cabinet members, security service providers, politicians and youth representatives around the country. The task force detailed recommendations for mental health reforms, citing changes in administration, legislation and criminal justice systems.
Recommendations include declaring mental illness a public health emergency and increasing funding for the mental health sector to make services more widely accessible. The report also proposed providing healthy workspaces and mental health services in learning institutions and incorporating mental health literacy across school curricula.
Moving forward, it is essential that the Kenyan government and other mental health organizations in the nation utilize this research to improve policies and practices. Through research, collaboration and informed interventions, mental health in Kenya will hopefully improve.
– Beth Warūgūrū Hinga
Photo: Flickr
4 Facts About The Safe Delivery App
4 Facts about the Safe Delivery App
Since the launch of this maternal healthcare app, researchers have seen great improvements in healthcare knowledge. While maternal mortality is still an issue around the world, innovations like the Safe Delivery app can eradicate the dangers of childbirth.
– Sara Holm
Photo: Flickr
The State of Malaria in Southeast Asia
Direct Aid Strategies
Southeast Asia has been the target of hefty aid strategies from a variety of organizations. The aid primarily comes from the WHO and the Global Fund to Fight AIDS, Tuberculosis and Malaria. As the Global Fund puts it, “The fight against malaria is one of the biggest public health successes of the 21st century.” The multi-pronged strategies used by these organizations begin with a tactic known as surveillance.
Surveillance involves testing, record-keeping and reporting malaria cases. Surveillance systems have become more efficient. As a result, health care systems maintain a much more refined picture of malaria cases in any given region. This eventually gains “near real-time individual case data in small areas.”
Vector control is limiting contact between people and the mosquitos that transmit the disease. It has also helped eliminate malaria in Southeast Asia. One of the most effective means to achieve this is the wide-scale distribution of insecticidal mosquito nets. So far, the Global Fund has donated 142 million nets, providing a simple means for those in rural and urban areas alike to protect themselves.
Strengthening Local Health Care Systems
Besides direct aid, many organizations also turn to bolster already-existing local health care systems in the fight against malaria in Southeast Asia.
Malaria Consortium is a nonprofit organization specializing in addressing the disease. It began working in Myanmar in 2016 to train locals in rural areas to administer essential health services. Malaria Consortium also taught local health workers to treat malaria, working to close the gap in rural health care.
In one village, 13 health care workers received training in the treatment of malaria and other diseases common to the area. These workers went on to teach local mothers and adolescents, expanding the web of health care knowledge even further. By the end of the program, 90% of trainees could diagnose malaria cases correctly. Trainees were also able to run malaria diagnostic tests and administer Artemisinin. Artemisinin is the most widely used drug to treat the disease.
Concerns with Treating Malaria
Aid has been successful in treating malaria in Southeast Asia. However, a new drug-resistant strain on the rise reignites concerns around the disease. Artemisinin-resistant malaria has the potential to undermine malaria prevention and was first recorded in the Mekong River region of Vietnam, Thailand and Cambodia. In 2014 and 2015, studies conducted by Vietnam’s National Malaria Control Program found treatment failure rates ranging from 26% to 46%.
From the perspectives of nonprofits and medical experts, the rise of this new Artemisinin-resistant malaria in Southeast Asia means surveillance efforts must be bolstered to prevent global spread. Likewise, instead of merely treating already-present cases, the goal must be to prevent transmission in the first place. Chris Plowe, the director of the Duke Global Health Institute, is using all the tools available to the institute to eliminate aggressive malaria in the Greater Mekong subregion.
Overall, direct aid, community mobilization and the bolstering of health care systems have transformed a region once fraught with malaria. As these efforts continue, malaria in Southeast Asia moves closer toward its extinction.
– Jane Dangel
Photo: Flickr
Accessible Energy in Burundi
An Unsustainable Lifestyle
Most Burundians live an agrarian lifestyle; approximately 80% of the population is employed in the agricultural sector and more than 87% of the population lives in rural areas. Of the 11.7 million people, only 3% have access to electricity and 90% of energy access in Burundi is dependent on biogas via the burning of firewood. Unfortunately, 50% of the population remains food insecure and the country’s total annual food production only covers 55 days per person each year. Burundian families spend on average four hours each day sourcing firewood for basic tasks like food preparation. However, this practice comes at the expense of:
The SAFE Initiative
Thankfully, the Burundian government joined the World Food Programme in 2017 as a part of the Safe Access to Fuel and Energy (SAFE) initiative. The initiative introduces fuel-efficient stoves to more than 18 countries in the region, promoting energy accessibility for impoverished communities in Burundi.
So far, this development has sparked great progress in Burundi:
However, the country is still primarily dependent on biogas from firewood. Fortunately, the location and climate of the country lend themselves to the renewable generation of energy in Burundi, mainly through hydroelectric and solar energy. The government of Burundi partners with energy investors to build its private sector. Hopefully, this partnership will boost Burundi’s economy, sparking expansion in the commerce, health, education, tourism, fisheries and transport sectors. Ultimately, expanding beyond an agrarian society will lift Burundians out of poverty.
Hydroelectric Power Energy in Burundi
Burundi has only utilized only 32 MW of its 1700 MW hydroelectric energy potential. The country is located in the heart of Africa’s Great Lakes region and is surrounded by potential energy sources such as the Malagarasi river (475 km). With only 29 of 159 potential hydropower sites already explored, hydroelectric power technologies only serve 9% of the population. But, Burundi is making strides with its new development projects:
Access to Solar Power Energy in Burundi
Burundi also holds unique potential for solar power energy development. The country is located on the equator, with temperatures ranging from 17 to 23˚C, altitudes varying from 772 meters to 2,670 meters and extremely sunny weather. The Burundian authorities look forward to exploring this option soon.
With success, millions of households and industries will soon have accessible energy in Burundi. Reliable and widespread access to electricity is improving the quality of basic services including health, education and security services. Additionally, there will be a reduction in carbon emissions. Hopefully, with help, more Burundians will escape the cycle of poverty.
– Rebecca Harris
Photo: Flickr
5 Facts About the Causes of Poverty in Tanzania
5 Causes of Poverty in Tanzania
Progress in Eradicating Poverty
The key to eradicating poverty in Tanzania is education. However, for more children to become educated, there needs to be an increase in access to education and school attendance. As of 2020, Tanzania’s literacy rate is 70.6%. However, the literacy rate has fluctuated over the last decade, hindering continuous growth.
Nevertheless, the organization Room to Read is taking the necessary steps to ensure that 14.3 million children are literate. The organization helps young children become educated, literate and aware of personal health and proper forms of family planning. Its work primarily targets young girls. Room to Read distributes its resources not only to Tanzania but also to more than 12 other countries around the world. If Tanzania’s government recognizes the importance of education, a better health care system and an increase in employment opportunities and receives funding to implement changes, the causes of poverty in Tanzania may dissolve sooner than expected. This, in turn, could help set an example for other impoverished countries.
– Montana Moore
Photo: Flickr
The HALO Trust in Nagorno-Karabakh
The Bloody History of Landmines in Nagorno-Karabakh
Nagorno-Karabakh, also known as Artsakh, has been a site of geopolitical contention since the Soviet collapse. When the region seceded from Azerbaijan by referendum in 1988, neighboring Azerbaijan and Armenia engaged in protracted fighting to wrest control of the border. The two former Soviet Republics each lay rival territorial claims to Nagorno-Karabakh. While a majority of its 130,000 inhabitants are ethnically Armenian, Soviet districting placed it within Azerbaijan’s borders for decades, which Azerbaijan has sought to maintain.
Because of prolonged fighting between 1988 and 1994 and intermittent skirmishing since, tens of thousands of landmines in Nagorno-Karabakh remain scattered throughout the region. Estimates from 2005 placed the count at upwards of 50,000. Unexploded ordinance (UXO) and abandoned munitions were also noted. Meanwhile, fighting from October and November of 2020 introduced unexploded rockets and cluster munitions to civilian areas including the capital, Stepanakert, which Azerbaijan repeatedly shelled with artillery.
An Explosive Threat
Together, the explosives riddling Nagorno-Karabakh pose a serious public health risk to its local population. Tens of thousands fled the latest fighting as refugees, but the danger is residual and longstanding. The World Health Organization (WHO) calls landmines “a health threat not to be ignored” and claims that the global burden of disease linked to them is historically underreported. WHO estimates that landmines cause 11 to 12 casualties daily worldwide.
In Nagorno-Karabakh, there are more landmine accidents per capita than anywhere else in the world. When victims of these accidents survive, they are often missing limbs and can take months, or even years, to recover. These dangers force communities to disband as families relocate to safer areas. They also cause food insecurity. Nagorno-Karabakh is mountainous and many of its flat, open areas are unworkable minefields that farmers must avoid.
Because children are less educated or tend to engage in riskier behavior than adults, they make up more than a quarter of all landmine victims in Nagorno-Karabakh.
The HALO Trust: Relief Efforts
To address this longstanding public health risk, a British charity, The HALO Trust, has carried out operations targeting landmines in Nagorno-Karabakh. With teams often made up of local volunteers, it has surveyed thousands of acres and organized the removal of nearly 500 minefields since 2000. HALO teams have also supported communities in the wake of border skirmishes between Azerbaijan and Armenia that have left explosives in streets, homes and backyards.
In the latest bouts of fighting, Azerbaijan fired cluster munitions on residential areas in four separate incidents, as reported by Human Rights Watch. Cluster munitions are banned in international humanitarian law because they cannot be directed at a legitimate target, harming civilians and combatants indiscriminately. HALO teams have been responding to local alarms in the wake of these attacks. “In the last five days alone,” HALO reports, “our team has used its expertise and equipment to safely destroy over 150 explosive items.” Teams also delivered relief supplies to sheltering families throughout the fighting, including hygiene kits, blankets and fuel.
In addition to providing relief from landmines in Nagorno-Karabakh, HALO volunteers educate local communities on how to remain safe around landmines and other explosives. Its members frequent schools because of landmines’ disproportionate impact on children.
Landmine Removal Success
Conflict, unexploded ordinance and 30-year-old landmines in Nagorno-Karabakh, continually threaten lives in the mountainous region. Thanks to the work of the HALO, however, de-mining projects have worked to mitigate the risk of explosives and serve local communities. The 4,000 landmines and 8,000 items of ordinance removed since 2000 are a testament to the success of de-mining efforts.
– Skye Jacobs
Photo: Flickr
How Livestock Can Alleviate Poverty
Oxfam: Livestock for Poverty Reduction
Oxfam, a nonprofit organization dedicated to fighting poverty, donates money, food and livestock to struggling communities for long-term success. Oxfam works with local organizations and coalitions in 70 countries both before and after crises occur to treat both the symptoms of systemic inequality as well as the systems themselves. Oxfam advocates for the rights of the impoverished and those facing oppression by challenging government leaders to do more for their constituency.
Feed the Future Campaign
Oxfam has worked with the U.S. food security initiative, Feed the Future, to help farmers in countries like Ghana, Guatemala, Ethiopia, Haiti, Senegal and Tanzania. Through intense research and direct communication with local communities, Oxfam has strengthened strategies for the success of female farmers, growth in the agriculture sector and maternal and child nutrition. Oxfam stresses the importance of aiding small scale farmers to end the cyclical nature of poverty and food insecurity. This initiative includes providing access to opportunities and resources that some families do not have, holding accountable the governments and businesses for the harmful policies that affect farmers and ensuring a positive relationship with local groups.
The Impact of Livestock
Part of Oxfam’s mission is to set communities up for success in the long-term by providing them with resources and tools to maintain these resources. Oxfam does not just provide livestock such as goats and sheep, but it provides farmers with resources and training for herds to be healthy and successful. Growth in agriculture directly leads to economic security and growth. It profits the entire community as it lowers the costs of food, creates wealth for producers and creates opportunities for other economic areas to flourish as more consumables become accessible. The work Oxfam does in bringing livestock to impoverished communities alleviates poverty and produces greater economic growth and opportunity. Livestock can alleviate poverty as it takes on laborious duties that lessen the strain on families. Livestock also produces and becomes a source of food and increases the flow of income and ability to work on other aspects of life.
Nyalit, a woman in South Sudan, was given two goats from Oxfam and has seen her life improve tremendously since the contribution. The goats provide a source of food and income, producing milk. The goats have also reproduced, allowing the farm to grow.
Livestock Programs Reduce Poverty
Oxfam has made considerable contributions to lessen the impact of poverty throughout the world and continues to do so with its programs. Its work is evidence that livestock can alleviate poverty and expand the socio-economic opportunities of the farmers. The organization has empowered female farmers, provided food security for mothers and children in developing areas and encouraged growth in the agricultural sector.
– Lizzy Herestofa
Photo: Flickr