Poverty in Puerto Rico
Puerto Rico is a Caribbean island between the Caribbean Sea and the North Atlantic Ocean, east of the Dominican Republic. A population of 3.194 million resides in Puerto Rico and represents more than 0.04% of the world population, yet many are living in severe levels of poverty to this day. Puerto Rico has been dynamic and competitive when it comes to its local economies until recent years. Its economy now relies mostly on aid from the United States government. Here are seven facts about poverty in Puerto Rico.

7 Facts About Poverty in Puerto Rico

  1. More than 44% of the population of Puerto Rico lives in poverty, compared to the national U.S. average of approximately 12%. That is 1.4 million Puerto Rican citizens in comparison to 39.3 million U.S. citizens. Puerto Rico relies mainly on financial and federal aid from the U.S. government because it has ties to the U.S. as a U.S. colony. As a result, the country often struggles to independently support itself.
  2. Before the recent hurricanes, around 1.5 million of the Puerto Rican population suffered from food insecurity. The child food insecurity rate was 56%, which is 281,335 Puerto Rican children. The main reason for food insecurity is that hurricane season often hits Puerto Rico rather hard, and its access to imported goods only comes from the U.S. There are local countries and islands surrounding that are willing to help, but due to the ruling that Puerto Rico can only receive U.S. goods, these essential goods have higher tax rates. To improve this, the Puerto Rican governor organized committees to correspond with third party task forces in the U.S. to ship essential supplies over, especially after Hurricane Maria.
  3. Hurricane Maria, the strongest hurricane to hit Puerto Rico in nearly a century, made landfall on September 20, 2017. It compounded the destruction that Hurricane Irma caused just weeks before, affecting residential living, wildlife and everything in between. For example, areas that Hurricane Maria hit left homes without a proper roof, even over 600 days after the hurricane. Infrastructure damage can only receive so many repairs, as when hurricane season returns less than a year later, Puerto Rico often lacks proper recovery and preparation. An NGO aid project called All Hands Volunteers kickstarted to gut and remove debris, as well as demolish unsafe structures and repair cement roofing. It operates out of two cities, Barranquitas and Yabucoa.
  4. A year after Hurricane Maria, 10s of thousands in Puerto Rico are still living under blue tarps, designed as temporary roofs. This is the result of a lack of funds, resources and helping hands to Puerto Rico during its greatest and most desperate time of need. To improve this, task forces in U.S. states like Florida have been using small charter planes to import essential goods and supplies to bring relief and rebuild as best as possible. This is necessary even years after the initial storm.
  5. Families are struggling to find work to afford food, water, shelter and resources to rebuild their homes. Whether families have a solid income or not, it is apparent that most are food insecure to this day as a result of the storm. This is especially accurate when 80% of the island or 2.5 million people were without electricity for over a year after the hurricane. People also only have employment from establishments that are still standing or that people rebuilt.
  6. Due to the living conditions of the island, several thousand citizens have moved out of Puerto Rico and have yet to return. This could mean that they flew to stay with family in the U.S. or had to find work and shelter elsewhere with short notice. Some left temporarily, and others have yet to return to their homes due to a lack of funds for repairs. Puerto Rico wants to avoid further devastation and harm to its citizens during the season.
  7. While Puerto Rico is still recovering, the damage it experienced could have been much worse. The citizens still living on the island have shown compassion, resilience and teamwork toward one another. Without water or power, the people have shown great strength and support through waiting for recovery assistance, both financially and physically. This shows that against all odds, the citizens of Puerto Rico have managed to come back with all the strength they could muster to rebuild and recover.

Poverty in Puerto Rico is minimizing gradually and it is thanks to the help and assistance from the citizens of the United States standing alongside the island. These seven facts about poverty in Puerto Rico have shown that hurricane season will always have a destructive impact, but with continued assistance, poverty in Puerto Rico can reduce.

– Kimberly Elsey
Photo: Flickr

Reduce Poverty in Romania
Romania, like much of the former Communist Bloc, experienced extreme poverty under communism. Although communist rule ended more than 30 years ago, the country still experiences the lingering effects of communism on its economy and quality of life. In 2017, approximately 4.6 million Romanians lived at or below the Romanian national poverty line, a standard assessed by the cost of living and certain social policies. Poverty in Romania concentrates in rural areas, where about 46% of the population lives, according to recent estimates. Here are the ways in which the government seeks to reduce poverty in Romania.

The National Strategy on Social Inclusion and Poverty Reduction

In 2015, the European Union (EU) and the Romanian government devised the National Strategy on Social Inclusion and Poverty Reduction to help reduce poverty in Romania. The strategy aimed to lift 580,000 people from poverty by 2020 and increase employment for the poor and other vulnerable groups. It also provided financial support for poor or at-risk citizens. Additionally, it promoted social inclusion of marginalized communities such as the Roma people and improved social services like health care and education. In addition to this plan, Romania also passed a 47-point plan to combat poverty in 2015.

Many have regarded this plan as overly ambitious. Unfortunately, much of the National Strategy on Social Inclusion and Poverty Reduction remains only on paper. This is not to say, however, that it has not made an impact on reducing poverty in Romania. Since the creation of this plan, the percentage of Romania’s population at risk of living in poverty has dropped from 40.2% in 2015 to 35.7% in 2017. Since the implementation of the National Strategy on Social Inclusion and Poverty, the Romanian government has been able to allocate more funding for active labor market policies, including financial bonuses and job training. Additionally, Romania has received funding from the European Social Fund for projects to increase the effectiveness of the Romanian National Employment Agency. Despite these improvements, Romania still ranks as the second most impoverished nation in the EU, after Bulgaria.

Looking Forward

In addition to continuing the work on current programs, the country is looking forward to more improvements in the coming years. By 2023, the Romanian government has set a goal of improving access to education. Increasing educational opportunities in Romania is especially important. The country has the highest child poverty rate in the EU at nearly 50%. Children living in poverty are more likely to have to leave school, further perpetuating the cycle of poverty in Romania. By making education more accessible, children at risk of poverty have more opportunities to break the cycle.

Despite drastic improvements in the levels of poverty and social inclusion in Romania, millions of Romanians are still at risk. The Romanian government and EU implemented the National Strategy on Social Inclusion and Poverty Reduction in 2015. Unfortunately, problems obtaining funding have made it difficult to implement this plan in its entirety. However, some changes have occurred, improving the situation for a small portion of the Romanian population. The government’s future plans to reduce poverty in Romania, including improving access to education for impoverished children, aim to continue to improve the country’s poverty crisis.

– Jessica Cohen
Photo: Flickr

Sanitation in the Gaza Strip
The Gaza Strip currently suffers from a lack of consumable water. In 2012, this problem became so bad that when compounded with violent conflicts, displacement and high unemployment, the U.N. warned that Gaza could become uninhabitable by 2020. However, the Strip still remains home to approximately 1.9 million people who are living through the crisis regarding sanitation in the Gaza Strip and hoping for improvement.

What is the Gaza Strip?

The Gaza Strip is a small Palestinian territory on the Mediterranean coast bordering Egypt and Israel. Gaza and Israel share a complicated history, stemming from 1948 when the U.N. decided to split the British territory of Palestine into two separate countries: Israel and Palestine.

Both countries entered into conflict with each other and both occupied Gaza until Israel returned the territory to Palestine in 2005. In 2007, an Islamist Militant group named Hamas came into power. After more violence that eventually ended in 2014, tensions between Gaza and Israel remain high today. Here are 10 facts about sanitation in the Gaza Strip.

10 Facts About Gaza’s Sanitation Crisis

  1. “De-development” is hindering water treatment. According to UNCTAD, de-development is a “process by which development is not merely hindered but reversed.” Gaza faces deteriorating infrastructure and a negative economic growth, both of which feed Gaza’s sanitation crisis. Years of continuing conflict damaged Gaza’s infrastructure. Unfortunately, Gaza does not have the money or the supplies to rebuild. Businesses suffer from Israel’s stifling 11-year blockade of Gaza; their lack of options often forces them to close, driving up unemployment and the poverty rate. Rather than give much-needed support to Gaza, Israel also controls and hinders access to supplies and fuel, which Gaza needs for rebuilding and treating water at its desalination plants.
  2. The Gaza Strip has limited freshwater. In fact, 97% of freshwater in the Gaza Strip is unsuitable for human consumption.
  3. Only approximately 200,000 people have safe water. Only 10% out of the nearly 2 million people who live in Gaza have access to safe drinking water.
  4. Sewage filters into water plants. Every day, approximately 110 million liters of sewage, raw and untreated, go directly into the Mediterranean, which then feeds the desalination plants.
  5. A depleted aquifer is a contaminated water source. According to the U.N., 90% of the water from the underground aquifer is undrinkable because it now contains the seawater that untreated sewage has contaminated. However, a lack of options forces Gazans to use the contaminated aquifer water.
  6. Unaffordable water bills. According to the U.N., 38% of Gazans live in poverty. As a result, they simply cannot afford to pay water bills. The spread of poverty is largely due to Israel’s blockade. The blockade restricts imports and exports, migration and access to the land and sea. Since businesses cannot reach their markets, they shut down, causing a lack of employment opportunities. As a result, it is challenging for Gazans to provide for their families, especially without fishing or farming.
  7. Unsafe drinking water leads to health complications. Water pollution increases the number of kidney problems, diarrhea and blue baby syndrome, an illness that causes babies’ lips and skin to turn blue. The rising cases especially affect Gaza’s increasing child mortality rate.
  8. A lack of electricity immobilizes treatment plants. In Gaza, a $10 million desalination plant can only operate for four hours a day because Israel controls fuel and electricity. Even though Gaza has some functioning treatment plants, the lack of electricity decreases their reliability and output.
  9. Gaza receives less than 16% of items necessary to construct water infrastructure. Israel restricts equipment and supplies, such as cement, from entering Gaza. It does not want Gazans to have anything they could potentially turn against Israel.
  10. Cooperation is key. Political parties often use water and electricity as political instruments against another party. If Israel and Gaza work together, they may be able to solve the sanitation crisis in the Gaza Strip.

Improvements for Gaza’s Sanitation Crisis

An environmental NGO, EcoPeace, and the World Bank both have ongoing projects in Gaza. EcoPeace uncovered and publicized a satellite image of pollution coming from Gaza that affected the Ashkelon Plant. While this desalination plant is located in Gaza, it produces 15% of Israel’s domestic drinking water. Due to the level of pollution it faces, it sometimes has to close, shutting off production. EcoPeace used connections with mayors in the Gaza Strip and Israel to write to the Israeli Prime Minister, conveying that the water security of Israel has a connection with the Gaza Strip. As a result of EcoPeace’s efforts, the Israeli government agreed to sell more electricity to Gaza for water and sewage treatment.

In February 2020, the World Bank initiated the Associated Works Project. Phase one of this project gives a total of $117 million from various sponsors (the World Bank, Kuwait and members of the Partnership for Infrastructure Development Multi-Donor Trust Fund) to provide 30 million cubic meters of fresh water per year to 16 municipalities in Gaza, improving the quality and quantity of water accessible to Gazans. This grant also helps with the construction and rehabilitation of infrastructure.

While the sanitation crisis in the Gaza Strip is severe, with increased cooperation and accountability from Israel, projects like those of the World Bank and EcoPeace should be able to continue and succeed.

 – Zoe Padelopoulos
Photo: Flickr

Female Genital Mutilation in the Middle EastFemale genital mutilation, or FGM, is a practice that is most common in cultures with strict patriarchial structures. Many people believe that the ritual is only performed in Africa, but in actuality, thousands of girls undergo female genital mutilation in the Middle East every year. Though many claim the procedure is done for religious reasons, researchers have found that it predates Christianity and Islam. In fact, female Egyptian mummies have been found with FGM. This is a deep-rooted and harmful practice that still continues today. The United Nations formally recognizes FGM as a form of torture that oppresses women.

Female Genital Mutilation in the Middle East

  1. Where does FGM occur? FGM was previously believed to only occur in Africa, however, recent advocacy efforts revealed that the practice extends to many other countries, especially in the Middle East. In the Middle East, FGM is mostly concentrated in Southern Jordan, Iraq and Northern Saudi Arabia. There have also been cases of FGM in Qatar, Syria and the United Arab Emirates. The practice most often occurs in small ethnic enclaves where the ritual is considered tradition. It is important to recognize that FGM occurs in many places outside of Africa in order to stop the practice completely.
  2. Who is most impacted by FGM? In Egypt, about 87% of girls are affected by FGM. According to a UNICEF study from 2013, many of them are traumatized by the experience before the age of 14. In many other Middle Eastern and African countries, the majority of girls are cut before the age of 15. Current rates are certainly improving, but it is likely that one in three girls in Egypt, Iraq, Yemen, Sudan and Djibouti will experience FGM by 2030. In the United Arab Emirates, 34% of the women surveyed said they had experienced FGM. Twenty percent of women surveyed in Saudi Arabia are subject to the practice.
  3. What are the impacts of FGM? This practice has severe short-term and long-term negative impacts on women who undergo the procedure. Young girls are held and tied down while a local village cutter, usually not a licensed medical professional, performs the procedure with little or no anesthetic. In short, FGM can cause death, infections, hemorrhage and severe pain. In Egypt, there was a public outcry after a doctor performed FGM on a 12-year-old girl who then bled to death. The doctor was arrested, but the practice is extremely traumatizing and can cause severe psychological damage in the long run. It can lead to chronic infections and trouble with childbirth. Girls who undergo FGM are also more likely to drop out of school and become child brides.
  4. Steps are being made to reduce FGM. As information becomes more readily available, more and more people are speaking out against the procedure. It is finally being recognized as a violation of human rights. Though FGM is most common in Egypt, the country has made the most progress in the past 30 years, according to UNICEF. FGM is completely banned in Egypt and doctors can go to jail if they perform it. It has also been banned in Sudan. In Yemen, FGM can no longer be performed in medical facilities, but it has not been banned at home.
  5. FGM rates are decreasing. As can be inferred, many women are now against the practice of FGM. However, some more traditional cultures still advocate for the circumcision of women. In Egypt, Sudan, Yemen, Iraq and Djibouti, 70% of all women were affected by FGM 30 years ago. Today, half of all girls in those five countries undergo FGM. Although FGM is still allowed in Iraq, it is illegal in Iraqi Kurdistan. Many people against the practice explain that law is not enough and there needs to be stricter enforcement to ensure the end of female circumcision.
  6. A call to action: According to UNICEF, there has been a massive movement to end FGM in the last 25 years. There are many organizations, like the Orchid Project, that campaign against the traditional cutting in the Middle East and Asia. In 2013, UNICEF formally recognized that FGM is a problem that extends to areas outside of Africa. In addition, the United Nations celebrates International End FGM day every February 6, which is a huge step forward in spreading awareness. The U.N. also made it a goal to stop FGM in all countries by 2030.
FGM is a way to oppress women and makes girls feel like their body is a sin. It is a horrible practice that leaves long-lasting wounds in our global society. Not only is it a form of torture, but it strips women from basic human rights. Thankfully, more people are becoming familiar with female genital mutilation in the Middle East and elsewhere. Allies around the world are working hard to bring an end to the practice.

Karin Filipova
Photo: Flickr

facts about sanitation in ChadChad is a country highly dependent on agriculture with two-thirds of the population employed in such a capacity. For agriculture to thrive, water must be plentiful. However, for Chad, ensuring access to adequate water supplies has and continues to be a challenge. Additionally, the citizenry at large suffers from a lack of sanitized water, which increases the danger of disease transmission. Here are 6 facts about sanitation and access to water in Chad.

6 Facts About Sanitation in Chad

  1. Basic water services: In 2019, 61% of Chad’s population lacked access to basic water services. Many had to obtain drinking water from an improved source like a well or piped water.
  2. Open defecation: 69% of Chad’s population practices open defecation, a result of Chad being the country with the largest percentage of its population without access to a toilet. Among the poorest Chadians, access to toilets improved by 7% between 2000 and 2017. However, 88% of them still practice open defecation.
  3. Hand washing: Chad is one of 19 countries where more than 50% of the population does not have a handwashing facility. Additionally, 76% of Chad’s people have no handwashing facility in their home. This is especially salient today since the World Health Organization recommends hand hygiene as “the most effective single measure to reduce the spread of infections”.
  4. Lake Chad: This body of water borders Nigeria, Niger, Cameroon and Chad and supports the existence of 30 million people. This economically important source of water, however, has shrunk by 90% since the 1960s. For communities reliant on fishing, farming and herding, a diminishing Lake Chad translates into resource constraints and sometimes conflict.
  5. Refugee crisis: Conflict caused by Boko Haram and other insurgent groups in the region has displaced thousands of Chadians and others. For example, in Kobiteye, a refugee camp bordering the Central African Republic, 24,000 refugees live without adequate access to water.
  6. Lethality: The inability to consume clean water is costly, taking the lives of thousands in Chad. A U.N. report found children under five in conflict-affected states were “more than 20 times more likely to die” from unsafe water or lack of sanitation than from the conflict itself.

Solutions

In response to Chad’s water crisis, some organizations and governments have stepped up assistance. In 2019, World Vision Chad redirected 70% of its funding to providing safe water access. They reached 18,000 displaced refugees with 45 boreholes. A few years ago, USAID dug 113 wells that reached 35,000 people since 2008.

Other organizations are focusing on leveraging technology to improve water access. Chad’s Ministry of Water and Sanitation and the Swiss Agency for Development and Cooperation partnered to fund the ResEau project, a 10-year 3D mapping initiative designed to improve borehole drilling. Before ResEau began, boreholes successfully reached water 30 to 40% of the time. Now, boreholes successfully reach water over 60 percent of the time.

Additionally, ResEau also contributed to creating a master’s degree program in Hydrology and GIS at the University of N’Djamena in Chad. This program has benefited more than 100 students so far, many of whom work for Chad’s Ministry of Water and Sanitation. Leapfrog, the 3D technology company that ResEau used for its geological modeling, stated that the project “will enrich the livelihood of all those who live in Chad, by providing the skills and knowledge needed for a robust integrated water management system”. Steps like these represent successes that individual donors and donor governments need to build upon.

– Jonathan Helton 
Photo: Flickr

10 Facts About Sanitation in JamaicaBeing “the third-largest island in the Caribbean,” Jamaica boasts in both natural beauty and vibrant culture. Although many recognize the country for its white-sand beaches and crystal clear water, the native population still struggles for proper sanitation in some areas. While some regions of the country, like Montego Bay, are undoubtedly luxurious, the more rural areas lack sufficient sewage systems and drinking water. Below is a list of 10 facts about sanitation in Jamaica.

10 Facts About Sanitation in Jamaica

  1. Jamaica has several rich, natural water sources; however, it also has irregular rainfall. The drier regions of Jamaica suffer from the uneven distribution of rain, which contributes to a lack of potable water. Being in the Caribbean, tropical islands such as Jamaica rely heavily on the rainy season for drinking water. With the recent droughts, Jamaica has experienced a consequential water shortage, a significant factor in the island’s sanitation conditions.
  2. One of the solutions to the uneven water distribution is rainwater harvesting. Jamaicans in especially dry areas of the country will collect rainwater through a cistern. A household’s cistern will typically be a large room under the house capable of storing several gallons of water. In an effort to conserve this water, the government recommends minimal water usage for daily routines such as showering, dishwashing and even flushing the toilet.
  3. The Water Resources Act of 1996 requires the government to provide adequate water access to its citizens through proper management and allocation. Following the establishment of this law, the Jamaican government promised to have a sufficient sewage system accessible to all citizens by 2020. However, with the recent events following the COVID-19 pandemic, these efforts have been delayed. It is unclear whether this goal will still be reached this year or when the government plans to achieve the objective.
  4. At least 98% of urban areas of Jamaica have access to drinking water. That number falls to 88% in rural areas. These numbers have remained relatively steady for the past 10 years.
  5. While the numbers for potable water availability are relatively high, the numbers for piped water access are much lower. Only 45% of Jamaicans in rural areas have piped water access. The number for piped water access in rural areas is nearly half of that for potable water access. In urban areas, however, 70% of its population has piped water.
  6. Excessive trash is a common trait among Jamaican cities. With a lack of public sanitation facilities and curbside garbage collection in several areas, Jamaicans are faced with an ongoing sediment problem. Without effective waste removal procedures, a number of contaminants seep into the water.
  7. Vision Jamaica 2030 is a long term national development plan that aims to make Jamaica a fully developed country by the year 2030. Despite its size, Jamaica is still considered an underdeveloped nation. The main factors contributing to this status are its sanitation standards, political structure and the overall economy.
  8. Jamaica’s wastewater sector’s insufficient operations are primarily due to outdated technology faulty plant structures. These as well as a lack of proper maintenance and staff training have a substantial effect on the country’s sanitation conditions. A number of households and even the coasts suffer from the contaminated water culminated from these conditions.
  9. The National Water Commission (NWC) produces potable water to a majority of Jamaican citizens. During recent events of the COVID-19 pandemic, the company has waived all late fees for its customers for the next three months and established an assistance program that provides a “30% write off on outstanding bills.” They are continuing to evaluate the situation and make decisions that financially benefit the people of Jamaica.
  10. There are recommendations for people traveling to Jamaica. Taking steps can ensure that their available water is safe to drink. Waterborne diseases are especially common in Jamaica due to a lack of potable water maintenance. In order to combat this, Jamaicans make a habit of always boiling their water or treating it before consuming it. It is also a common practice to purchase bottled water for drinking to conserve cistern water for cleaning purposes.

Despite the country’s natural beauty, Jamaica’s natives still face daily obstacles that prevent them from living a healthy life. Sanitation issues in the country are a result of insufficient waste removal procedures, inadequate plant management and an uneven distribution of rainfall. The good news is that the country is a constant work in progress with the goal of dissolving its sanitation problem. Recent and unprecedented events have certainly interrupted the country’s advancement. However, Jamaicans are still determined to escape their title as an underdeveloped country. These 10 facts about sanitation in Jamaica reflect the country’s adversity and ability to improve its current conditions.

Brittany Carter
Photo: Flickr

Healthcare in Sierra LeoneSierra Leone is a small nation located on the coast of West Africa. While the country boasts an abundance of natural resources, it is also a poor nation, with a healthcare system in dire need of improvement. Here are 9 facts about healthcare in Sierra Leone.

9 Facts About Healthcare in Sierra Leone

  1. Sierra Leone has one of the lowest life expectancies on the globe. In 2018, the average life expectancy in Sierra Leone was 54.3 years. This places the nation among the bottom five in the entire world. In comparison, the average global life expectancy is 72.6 years.

  2. Sierra Leone faces high rates of infant and maternal mortality. Similar to life expectancy, infant and maternal fatality rates help gauge the quality of a nation’s health care system. In 2015, 87.1 infants died per 1,000 births in Sierra Leone, while 1,360 mothers died per 100,000 births. In the U.S., just 5.4 infants died per 1,000 births, and only 14 mothers died for every 100,000 births. Birth-related deaths generally occur when there are delays in women seeking, reaching and receiving care.

  3. All people living in Sierra Leone are at risk of malaria. Malaria is endemic to the nation, and poses a great health risk. In fact, four out of every ten hospital visits in Sierra Leone are due to malaria. Children are at particular risk, and the disease contributes to the nation’s high number of child fatalities. However, rates of the illness are falling across the country due to preventative practices such as sleeping under insecticide treated nets. Earlier diagnoses and treatments also contribute to the lowered rates of illness. By the end of 2020, the Ministry of Health and Sanitation in Sierra Leone hopes to have decreased cases by 40 percent.

  4. The Ebola outbreak of 2014 hit Sierra Leone particularly hard. Despite its relatively small population, there were more cases of Ebola in Sierra Leone than any other country. To be exact, there were a total of 14,124 cases in the country, including nearly 4,000 deaths. The first case was reported in May 2014, and Sierra Leone was not declared Ebola-free until February 2016. According to the World Health Organization, the virus was able to spread so widely due to the weaknesses of the healthcare in Sierra Leone. These weaknesses included too few healthcare workers, not enough oversight and a lack of resources.

  5. Disabled residents face tough conditions. Approximately 450,000 disabled people live in Sierra Leone, including those who were maimed in the decade-long civil war that ended in 2002. The government does not currently provide any assistance to the disabled. Those with disabilities resort to begging on the streets of Freetown, the nation’s capital. Disabled youth turned away from their families (due to the family’s inability to support the youth) often form their own communities on the streets. Employment can also be hard to achieve due to discrimination. Julius Cuffie, a member of Parliament who suffers from polio, brings awareness to the disabled’s struggles. Hoping to bring the disabled’s issues to the forefront, Cuffie pushes for the Persons with Disabilities Act.

  6. Corruption exists in Sierra Leone’s healthcare system. According to a 2015 survey, 84 percent of Sierra Leoneans have paid a bribe just to use government services. Additionally, about a third of the funds given to fight the Ebola crisis are not accounted for. This translates to roughly 11 million pounds, or almost 14 million dollars. Sierra Leone has a literacy rate of about 40 percent. As a result, many health care services overcharge unknowing residents for basic services. A new initiative, put together by the nation’s Anti-Corruption Commission, advises residents to report cases of bribery.

  7. In 2010, Sierra Leone began offering free health care. The Free Healthcare Initiative (FHCI) aims to decrease the nation’s high maternal, infant and child mortality rate. The government also hopes the initiative improves general health across the country. The ordinance provides a package of free services for pregnant women, lactating mothers and children under the age of five. The program has not been without its challenges, however, due to the aforementioned weaknesses of previous systems of health care in Sierra Leone. That said, the initiative has resulted in a number of positive changes. For example, there has been an increase in the number of healthcare staff, a larger willingness for parents to seek care for their children and a reduction in mortality for those under five.

  8. There has been an increase in efforts to strengthen emergency medical response in Sierra Leone. Road accidents kill thousands each year in the country. In response to this, the First Responder Coalition of Sierra Leone (FRCSL) was created in 2019 to improve the state of urgent medical care. Five national and international groups in Makeni, a city in northern Sierra Leone, founded the coalition. The group aims to provide emergency care, treat the high numbers of injuries and resolve the low amount of pre-hospital treatment in Sierra Leone. In its first two months, the FRSCL trained 1,000 Makeni residents, equipping each one with a first aid kit. The coalition hopes to train 3,500 more in the next six months. It also plans on expanding out of the northern province in the next five years. Hopefully, the FRCSL’s efforts will save thousands of lives from vehicle accidents in the coming years.

  9. CARE is working to improve sexual and reproductive health for women and girls in Sierra Leone. The humanitarian agency began working in the country in 1961. Goals of the organization include providing medical supplies and contraceptives, giving training to healthcare workers and working with the community to eliminate attitudes that prevent women from discovering their rights to sexual and reproductive health. CARE is currently present in approximately 30 percent of the country’s communities, particularly in areas that have high rates of HIV infection and teenage pregnancy. One Sierra Leonean mother, named Fanta, credits CARE with educating her about proper breastfeeding and health practices, leading to the survival and continued health of her daughter.

Healthcare in Sierra Leone is an issue that is complicated by the nation’s high rates of poverty, many endemic diseases and tumultuous political history. While shocking statistics, such as the country’s low life expectancy and high maternal and infant mortality rates paint a grim picture, there are signs of progress being made, and there is potential for much more change on the horizon.

– Joshua Roberts

Photo: Flickr

10 Facts about Life Expectancy in NauruNauru is an eight square mile island in the Central Pacific, located almost 2,500 miles northeast from Australia and with a population of nearly 13,000 people. Nauru has faced multiple major challenges in the past including diminishing all of its phosphate reserves and being the home of a controversial detention center for the refugees seeking asylum in Australia. However, in recent years, major improvements in the country’s quality of life have occurred, subsequently increasing the life expectancy of Nauru. These 10 facts about life expectancy in Nauru outline the progress the country has made in recent years.

10 Facts About Life Expectancy in Nauru

  1. Life expectancy in Nauru is increasing. In 2020, it reached 68.4 years in contrast with the average life expectancy in 2000 of 60 years old.
  2. The unemployment rate has dropped immensely. In 2004, 90% of the country did not have employment. Meanwhile, strip mining ravaged the island, rendering most of its land unusable for agriculture, forestry or recreation. Additionally, these practices almost caused the school system to collapse. Nauru mined all of its phosphate resources and shipped them off to other countries to use as fertilizer. The country was simultaneously combating corruption, climate change and money-laundering. Despite these issues, the unemployment rate in 2011 has dropped by almost 70%, and after nine years, it is currently sitting at 23%. As the unemployment rate decreases, more people should be able to sustain themselves despite the country’s slowly growing economy, consequently boosting the life expectancy.
  3. The health crisis directly correlates with Nauru’s social and economic circumstances. Extreme levels of heart disease, type 2 diabetes and obesity are dropping in Nauru. While more than 70% of people in Nauru were obese in 2018, the percentage dropped to 45% in 2014. Slowly, but surely, people are starting to decrease their alcohol and tobacco consumption and choose a healthier lifestyle.
  4. From 1960-1970, Nauru held one of the highest GDPs, conceding only to oil-rich Saudi Arabia. In 1973, Nauru’s Annual GDP was $26 million. Meanwhile, Saudi Arabia’s was almost $15 million. Nauru lost its rich economic potential during the crash of the phosphate industry and unfortunately, Nauru has exhausted all of its natural resources. Today, Nauru’s GDP is only $112 million and it is surviving with Australia’s help and ambitious plans for the future.
  5. Nauru has 1.24 physicians per 1,000 of the population. Meanwhile, 96.5% of people have access to improved drinking water sources, such as protected wells or public taps. Nauru has more physicians available for its population than countries like Chile, Egypt, Iran and Vietnam.
  6. Around 11% of Nauru’s federal budget or expenditure goes towards the health of its citizens. Nauru’s facilities include two big hospitals located on the island that provide free medical and dental treatments for Nauruans and employees of the Nauru Phosphate Corporation. Furthermore, while the risks of contracting bacterial diarrhea and malaria are high, Nauru is on its way to completing the Millennium Development Goals. The Millennium Development Goals, outlined by the World Health Organization (WHO), aim to reduce the prevalence of malaria and HIV as well as child mortality. It is also important to note that for a developing country, Nauru’s mortality rate from these diseases is low.
  7. Nauru is partnering with the Green Climate Fund to upgrade its maritime port. This partnership will directly boost Nauru’s food security, local economy, commerce and life expectancy. It will be easier for shipping vessels to disembark and for local business owners to have new opportunities due to incoming exports. Nauru is also advancing its Higher Ground Initiative, which will remove infrastructure from coastal areas and place them elsewhere. Both the Higher Ground Initiative and the new port facility will stimulate employment, create renewable energy and provide a stable income for many. These developments will, in turn, improve the citizens’ Human Development Index (HDI), which estimates the wellbeing, health and life expectancy in Nauru.
  8. Another partnership with The World Health Organization (WHO) resulted in the National Health Strategic Plan of 2018-2022, an attempt to revive Nauru’s healthcare system. This plan will implement high immunization coverage, improve mental health, monitor the drinking-water quality, strengthen systems that protect people from HIV, STIs and tuberculosis and create a national plan to increase life expectancy in Nauru. In 2019, the WHO discovered that Nauru had zero cases of bacterial diarrhea, influenza, donor lymphocyte infusions and pulmonary fibrosis. This suggests that the implemented health plan has made positive changes.
  9. The mortality rate of children under 5 years old has been decreasing. In 2018, the mortality rate was 32 deaths per 1,000 live births. In 2020, it dropped to 7.4 deaths per 1,000 births. The mortality rate has also decreased by more than 97% as skilled health staff now assist all births.
  10. Despite economic and health care progress, life expectancy for refugees in Nauru remains low. Medecins Sans Frontieres (MSF) reported that out of the 208 refugee patients that it served, 60% had suicidal thoughts and 30% attempted suicide.  The life expectancy of refugees living in detention camps is also low. The Guardian reported two dire instances of refugees’ desperation. In the first, a refugee set himself on fire out of despair and powerlessness. In the second instance, a 12-year-old boy was at risk of dying from a two-week-long hunger strike out of hopelessness.

While Nauru is making a lot of progress in its health care and economy, it must continue addressing its refugee crisis that leads to the loss of innocent lives. A coalition of prominent NGOs and Australia’s largest human rights organizations such as the Refugee Council of Australia and Australian Lawyers Alliance are working to re-locate refugee children from Nauru to Australia. In 2019, many resettled in the United States and Australia.

If Nauru continues to strive for financial independence, provide jobs for its people and create stable sources of income, it could eliminate many of the country’s health problems that come from smoking and alcohol addiction. This, in turn, should increase life expectancy in Nauru. By developing as an economically stable and self-sufficient country, it may also no longer need to support Australia’s controversial detention camps for asylum seekers.

– Anna Sharudenko
Photo: Flickr

Hydroelectric Power in ParaguayHydroelectricity is one of the few renewable energy resources that can be used to generate electricity. Many countries around the globe have used hydroelectricity to varying degrees. One country that has used this form of renewable energy to a largely successful degree has been the South American country of Paraguay. Hydroelectric power in Paraguay has proven quite successful.

Turning to Hydroelectricity

Paraguay uses massive amounts of hydroelectric power to produce much of its electricity. There are a few key reasons why Paraguay turned to hydroelectricity in the first place. One is that the country wanted to simply “increase domestic energy consumption”. Prior to this Paraguay was reliant on oil and diesel imports. Another reason Paraguay turned to hydroelectricity was out of an agreement that it made with Brazil in 1973. The result of this agreement was what became the Itaipu Dam, which was built on The Parana river.

The Itaipu Dam provides a large amount of hydroelectric power in Paraguay. In 2018, it produced 90.8% of the electricity for Paraguay. The Yacyreta Dam was also built for similar reasons. The dam was built in 1973 out of an agreement between Paraguay and Argentina to share the dam. The Parana River, where these dams are located, and the Paraguay River form what is called the Plata River basin, which runs along “Brazil, Bolivia, Paraguay, Argentina and Uruguay.”

Along with The Itaipu Dam and The Yacyreta Dam, Paraguay also has the Acaray Dam. All three of these dams contribute to providing hydroelectric power in Paraguay. Paraguay’s electricity is 100 percent produced from ample renewable resources within the country. In 2018, only 35% of the power production from hydroelectric resources was needed to meet the country’s domestic demand.

The Economy in Paraguay

The excess energy was then exported by Paraguay to other countries. Because of this excess supply of electricity, Paraguay is the fourth largest country to exports electricity. Of the country’s overall GDP, about 7.1 percent of it was attributed to electricity. The fact that Paraguay is able to meet its energy needs with hydropower and then use what electricity it has left over to sell to other countries is most beneficial to its economic situation. The three dams in the country also provide people with jobs.

Despite this abundance of hydroelectric power though, the domestic economy of the country still suffers system losses. The country is also strongly dependant on its agricultural sector, which can be unreliable depending on the weather. However, the situation is not entirely bleak. The Columbia Center on Sustainable Development has offered solutions to this problem. In the future, Paraguay can use its excess electricity to continue to diversify its economy. Doing so would also help in the further reduction of fossil fuel consumption. The country could also use past revenue streams to help predict the best way to maximize revenue in the future.

Hydroelectric power in Paraguay might not be seeing extreme economic gains yet. However, it is providing the country with a sustainable energy source. With the suggestions made by the Columbia Center on Sustainable Development, it is possible that it could improve even further in the future.

Jacob E. Lee
Photo: Flickr

sanitation in Ecuador
Located at the western top of South America, Ecuador has improved water regulation and overall sanitation within the last couple of decades. Here are 10 facts about sanitation in Ecuador.

10 Facts About Sanitation in Ecuador

  1. Before 2007, organic loads, toxic substances and hydrocarbons contaminated large bodies of water. Ecuador’s government devised a plan to increase overall healthy water flow. The plan consisted of using financial support to create sustainable water management. The lack of healthy water flow led to the exploitation of aquifers on Ecuador’s coast, which melted approximately 33% of the country’s glaciers. Moreover, the lack of water flow led to a reduction of at least 25% of Paramos’ regular water flow, which is a historical area. The improvement of water sustainability allowed Ecuador’s people to access healthy water easily.
  2. In 2019, Ecuador received an $87 million loan from the U.S. to improve water regulation. The loan from the U.S. allowed Ecuador’s government to expand and improve drinking systems. Ecuador has directed the loan towards the achievement of universal access to piped sanitation services.
  3. The country created a National Development Plan in 2007 which prioritized the integration of water management. Many saw Ecuador’s lack of easy access to clean water and sanitation as a detrimental factor that slowed the development of the country’s sustainability. The National Development Plan encouraged a more developed culture for Ecuador’s sanitation. One main goal was to build 1.5 kilometers of sewage networks in Quitumbe and 26 kilometers of interceptors for wastewater management in Checa and la Merced.
  4. Ecuador’s national sectoral strategy established that the country should reach equitable access to potable Water and Sanitation Services by 2030. In the national sectoral strategy, the country strived to divide loans into different sections with regards to water management. As a result, vast improvement has occurred in the country’s economy. In July 2019, approximately 39,197 additional citizens in urban areas obtained new access to improved sanitation services.
  5. The government’s new project hopes to achieve country-wide access to piped sanitation services. The Guayaquil Wastewater Management Project for Ecuador aims to install wastewater catch basins of the urban cities such as Guayaquil. As a result, 2 million citizens will gain access to proper sanitation. Ecuador’s government hopes to ensure that 100% of the wastewater within these basins receive treatment in an environmentally sustainable way.
  6. Currently, 93% of Ecuador has access to basic drinking water. Ever since 2007, there has been more focus on safely managing sanitation services as well as water waste treatment. Due to the implementation of basic sanitation needs in Ecuador’s sustainability plan, improvement is evident within urban and rural areas throughout the country.
  7. Ecuador upgraded and amplified the sewage system and sanitation networks throughout municipalities in Quitumbe, Checa and La Merced. By building several drinking water treatment plants, the government and local workers introduced 39 kilometers of raw water transmission lines from natural reservoirs. Within agricultural systems, Ecuador also installed and put over 400 flow meters for larger consumers. Installing hundreds of flow meters allow farmers and other agricultural workers to maintain and limit the amount of water needed for efficient agriculture.
  8. Ecuador’s improvement within sanitation allowed basic water regulation within schools to improve immensely. Before, numerous schools lacked access to clean sanitation, flushing water and dry toilets. The government’s development plan focused on nationwide sanitation, which involved the implementation of basic water and clean sanitation to just under 7,000 students.
  9. The overall share of people living in poverty in Ecuador has dropped to roughly 4%. Compared to 1998, the poverty line has dropped significantly. Approximately 10% of Ecuador’s population lived in poverty in the late 1900s. Today, only 4% of the population lives in poverty.
  10. Awareness of female sanitation has increased in the last decade. In 2015, the government responded to a higher demand for easier access to female products. Female products such as towels (pads), tampons and pantyliners are more easily accessible in grocery stores within urban and rural areas.

Throughout the last decade, sanitation and easier access to water has increased immensely. While sanitation within the country has improved, with over 90% of the country having access to clean water, the government hopes to close the entire gap and provide accessible water for the country as a whole by 2030.

– Elisabeth Balicanta 
Photo: Wikimedia Commons