homelessness in El Salvador
In 2001, a major earthquake struck El Salvador leaving many helpless and on the streets. El Salvador is the smallest country in Central America despite having a dense population of 6 million people. Now, homelessness in El Salvador is at an all-time high. Currently, over 40% of the population live in run-down homes with dirt for floors. This roughly translates to upwards of 2 million people living in disheveled and decrepit homes. Luckily, there are organizations working towards rebuilding El Salvador.

3 Organizations Combatting Homelessness in El Salvador

  1. Habitat for Humanity: Through two large-scale community projects, Habitat for Humanity has helped homelessness in El Salvador by building homes and making improvements to current houses. Juntos Construyendo mi Casa (Building my House Together), is a project that primarily focuses on constructing new homes for those who are currently in inadequate living situations. It also helps to improve existing homes by replacing dirt floors with tile or wooden flooring. Its second project, Construyendo Empoderamiento con Mujeres (Building Empowerment with Women), works on building new homes while also teaching women about their rights. This project teaches women to perform in jobs typical for males, thus providing career opportunities as well. Around 97,760 Salvadorans have received help through Habitat for Humanity’s programs.
  2. New Story Charity: In 2018, New Story Charity printed its first 3D house in Austin, Texas in under 24 hours. New Story partnered with the robotics construction company, ICON. Together, they began working to expand this construction to countries that need it most, such as El Salvador. Currently, a 3D house costs around $10,000, but New Story Charity’s goal is to reduce that price to $4,000. New Story is raising $1 million to be able to begin the construction of more homes. Though the introduction of 3D homes is new, New Story Charity has constructed over 850 non-3D homes in Haiti, El Salvador, Mexico and Bolivia. 3D homes in Tabasco, Mexico have already created an entire community of these low-cost homes. In the upcoming years, New Story Charity will begin bringing 3D homes to El Salvador. Through the development of 3D homes, homelessness in El Salvador could drastically reduce.
  3. La Carpa: Tim Ross and Erica Olson founded La Carpa, meaning “The Tent,” in the summer of 2018. Though being a Christian based organization, Ross welcomes any religious backgrounds. La Carpa provides food for many of the homeless in the community. It began with distributing coffee, food and water, but is now expanding to creating hospitality houses with the hopes of building a better and closer community. On average, 30 people visit La Carpa daily to receive coffee and a meal. La Carpa aims at not only provide food and housing to the most vulnerable but also friendship and a sense of belonging.

Though El Salvador faced great destruction in the past, it is working towards rebuilding. Through organizations like Habitat for Humanity, New Story Charity and La Carpa, homelessness in El Salvador is reducing and many of the displaced are moving off the streets and into homes.

– Erin Henderson 
Photo: Flickr

Hepatitis B in ChinaHepatitis B is an infection of the liver that is passed through blood, sexual contact or from mother-to-child during pregnancy. The cause of the disease is unknown, but hepatitis B affects about 350 million people in the world. It is dubbed as a “silent epidemic” because many people may be carriers, but remain unaware that they have the disease. Particularly, hepatitis B is prevalent in China, where there has been an extensive focus to curb the spread. To better understand this, here are five facts about hepatitis B in China.

5 Facts about Hepatitis B in China:

  1. There are approximately 80 million cases of hepatitis B in China. Further, one in every three people infected around the world is located in China. These numbers are largely due to the nature of the disease spreading from mother-to-child in the womb. A study conducted by Peking University in China found that around 30-50 percent of new hepatitis B virus (HBV) transmissions are through pregnancy.
  2. The “floating population” has been found to spread hepatitis B in China through sexual contact and blood. This population consists of people who frequently move between rural and urban parts of the country for family and work. Hepatitis B in China is found in rural populations 2.57 percent more than urban populations.
  3. The Chinese Foundation for Hepatitis Prevention and Control has developed the ‘Shield Project’ to immunize pregnant women with HBV. Though it does not cure the women, the vaccine succeeds in preventing almost 100 percent of the babies from being born with hepatitis B in China. Additionally, the Shield Project uses a mobile app to spread information to expecting families about HBV and the treatments available. The project has been implemented in 124 hospitals as of February 2019.
  4. For existing and chronic hepatitis B in China, the ‘Chinese 2010 chronic hepatitis B guidelines’ help physicians to develop treatment techniques to help those suffering. As it affects liver functioning, hospitals must keep the symptoms under control to avoid organ failure. Doctors use different antiviral medications and other methods of treatment because of the current knowledge provided in the guidelines.
  5. Unfortunately, due to the economic burden of treatment and the stigmatized culture around hepatitis B in China, many people do not seek out help. A study conducted in Shandong, China, found that patients with illnesses related to hepatitis B had to pay around 40 percent of their income for treatment. There has also been widespread misinformation about the disease and how it is spread. People discriminate against those infected with hepatitis B in China because they are afraid of contagion. Alternatively, communities see the disease as something that can only be sexually transmitted. Doctors can prevent and treat hepatitis B in China if the person is willing to seek treatment. However, some people do not want to face families and communities after diagnoses.

There is a constant struggle in the medical community regarding the availability of resources to curb an outbreak. The World Health Organization (WHO) calls for hospitals and organizations to provide more information about possible treatments to those that lack education on the topic. WHO also urges hospitals to sign up for projects providing immunizations to newborns and pregnant women with hepatitis B in China. With these efforts, WHO maintains the goal of eliminating hepatitis B in China by 2030. As the epidemic continues, China has made innovative strides to combat the spread.

– Ashleigh Litcofsky

Photo: Flickr

Since the beginning of the COVID-19 crisis, Zimbabwe has faced crippling issues of hunger, starvation and high malnutrition rates. The World Food Programme (WFP) recorded in December 2019 that 7.7 million people living within Zimbabwe were food insecure. Moreover, Global Citizen reported that approximately 90% of children between the ages of 6 months and 2-years-old may die without food aid. Here is some information about intensified hunger in Zimbabwe.

COVID-19 is Intensifying Hunger

The population of people lacking sustenance in Zimbabwe–half of its total population–has only grown since the conception of COVID-19. There has been an increase of nearly 10 million people surviving on less than one meal a day since COVID-19.

Reginald Moyo, a resident of Cowdray Park, Bulawayo, Zimbabwe told The Borgen Project that the “majority of the people don’t have permanent jobs and they [live] by hand to mouth, so [with] a month without working[,]…they are now facing starvation.” Many people are working to address this growing crisis. The people of Zimbabwe, international organizations and the Chinese government have provided aid to Zimbabweans in need.

Efforts from International Organizations

On May 4, 2020, the U.N. entities of Zimbabwe, working with the Food and Agriculture Organization of the United Nations (FAO), released an official food analysis report in response to the growing hunger in Zimbabwe. The report stated that “The total funding required to assist the 3.7 million people by the international humanitarian community for July 2019 to April 2020 amounts to USD 331.5 million.” The effects of COVID-19 have intensified hunger in Zimbabwe and increased the need for assistance. The Global Humanitarian Response Plan (GHRP) requested an additional 6.7 billion USD to combat hunger in order to protect lives.

However, aid is not only monetarily based. In 2002, the nonprofit group Action Against Hunger set a goal to provide food aid, healthcare, sanitation/hygiene needs and water to countless Zimbabweans in need. It estimated in 2018 that its efforts aided 25 Zimbabweans through nutrition and health programs; gave 52 people water, food and healthcare; and dispensed 3,187 people with food. Action Against Hunger not only gave the required resources for survival but also provided education on how local Zimbabwe efforts could improve hunger in their country.

Response from Zimbabwe’s Government

On March 30, 2020, President Mnangagwa reopened the markets to aid small-scale farmers and traders in the difficulties they faced since the beginning of the COVID-19 pandemic. While this may seem to not directly address hunger in Zimbabwe, the decision has determined their survival in the upcoming months. Prior to this change, farmers and traders could not go outside or attend to their crop which limited their income as well as their food supply.

The Borgen Project interviewed Nkocy Thando, a farmer living in rural areas within the Bulawayo area of Zimbabwe. Thando stated that since the markets have opened up again, locals have been able to “work when they open in the morning to three [in] the afternoon.” He expressed his immense gratitude for this change and stated that he felt that “all would be okay soon.”

Aid from China

The Chinese Embassy and the private sector are also combating hunger in Zimbabwe by addressing COVID-19 needs. RFI, a worldwide French news and current affairs broadcast reported that China’s efforts have included:

  1. Completing an upgrade worth $500,000 to the Wilkins Infectious Diseases Hospital, which is the main COVID-19 center in Harare, Zimbabwe.
  2. Two Chinese firms providing 1,000 goggles, 50,000 masks and 510 protective suits to a charity that the First Lady, Auxillia Mnangagwa, runs.
  3. The Chinese Embassy equipping Zimbabwe with 7,600 suits for protection, 166,000 masks, 20,000 testing kits, 12,000 pairs of gloves and five ventilators.
  4. The China International Development Cooperation Agency donating $3 million to UNICEF Zimbabwe.

Diverse Responses

There are many organizations working to address the existing and intensifying issues of hunger, starvation and high malnutrition rates in Zimbabwe. However, their solutions range from governmental mandates reopening markets to increased funding for poverty-reduction organizations in the United Nations (UN). While the current responses to hunger in Zimbabwe seem mainly focused on COVID-19 efforts, they still are making a difference in combating intensified hunger in Zimbabwe.

– Alexis LeBaron
Photo: Flickr

Uganda has been noted as an African country that is on the rise out of poverty. This is partly due to foreign assistance coming from countries like the United States. The United States Agency for International Development (USAID) has carried out work in Uganda excelling improvements in economy, health care, education, and the state of democracy.

Economic Growth

USAID has been engaged in Uganda’s efforts to reduce poverty and hunger. Among many other goals, Uganda and USAID are working with public and private sectors to promote investment, agriculture production, food security and efficient energy usage. US based programs like Development Credit Authority, Feed the Future Youth Leadership for Agriculture and Global Development Alliances, have assisted in Uganda’s success of lowering the poverty rate. By connecting Ugandans with businesses to market their products, USAID is helping to improve household incomes as well as stabilize the country’s gross domestic product. Investments in the future are also being made by training youths for the job market and connecting farmers, refugees, and workers with agricultural resources and trade opportunities.

State of Democracy

USAID works with the Ugandan government to bring up issues regarding transparency, human rights, and justice for citizens. USAID’s democracy program in Uganda particularly focuses on women and youths as a voice to be heard. The USAID’s overall objective of promoting civil society encompasses the opportunity for citizens to part-take in the governing process while leaders are working for the people. Improving the democracy of Uganda will help build a strong and independent country, which in turn will partake in flourishing the entire region.

Education and Training

With a high number of vulnerable children, USAID is working with the Ugandan government to implement plans providing education for young children, while focusing on teaching languages and educating on health, HIV/AIDS and violence. USAID is also striving to develop the future workforce with the Better Outcomes for Children and Youth activities, which helps youths cultivate the skills needed for success, both in work and in life. There is also new training available for teachers, with improved computer technology.

Health and HIV

USAID’s effort in addressing health care issues in Uganda includes eliminating HIV/AIDS through the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR), reducing tuberculosis infection rates, and eradicating malaria under the U.S. President’s Malaria Initiative (PMI). Other health care programs include child and maternal health, family health, and disease prevention, as well as educating young women on sexual violence and HIV/AID protection. Since many diseases are spread through poor sanitation, USAID’s work in Uganda also focuses on improving water sanitation and hygiene practices.

Humanitarian Transitions

Through USAID, the U.S. is helping Uganda with emergency food supplies, health care assistance, and conflict resolution in democracy to improve the country’s status and enhance people’s quality of life. The continuing basis of humanitarian aid effort has made the U.S. the “largest single honor of humanitarian assistance in Uganda,” according to Anne Ackermann, a photojournalist with USAID.

USAID’s continuing work in Uganda, along with the positive outcomes seen by the country so far, underscores the effectiveness of overseas involvement and the power of foreign aid in general. Foreign aid will always have an important role in country development and growth.

– Hung Le

Photo: Flickr

10 Facts About The Sanitation In Zambia Zambia is a country with a population of more than 16.5 million. It neighbors Zimbabwe, Tanzania, the Democratic Republic of the Congo, Angola, Botswana, Mozambique and Malawi in the Southern-Central region of Africa. In 2011, Zambia achieved middle-income country status, reflecting the country’s substantial economic growth of an average of 7.4% per year from 2004-2014. However, as of 2015, more than half of Zambians earn less than the international poverty line and only 26% of the population has access to safely managed sanitation services. Here are 10 facts about sanitation in Zambia.

10 Facts About Sanitation in Zambia 

  1. According to the World Bank, the Water Sector Performance Improvement Project advanced the Lusaka Water and Sewerage Company (LWSC) in the Lusaka, Kafue, Chongwe and Luangwa districts of Zambia. The project reduced interruptions to clean water supplies from 5,000 to 333 from 2007-2013 and increased the water collection ratio from 70% to 90%. The Water Sector Performance Improvement Project was crucial to improving Zambia’s public health resources by developing clean water resources and advancing the area’s sewerage systems.
  2. In 2003, a community-driven water and sanitation project delivered nine boreholes and 40 Ventilated Improved Pit-Latrines (VIPs) to the rural Chibizyi area of Zambia. The Zambia Social Investment Fund (ZAMSIF) aided this and benefited over 4,000 members of the community. Before the project, the people of the Chibizyi region walked vast distances in search of water, usually collecting water from polluted streams.
  3. After receiving better access to clean water, the Chibizyi community of Zambia then formed water, sanitation and health education committees in each village. The committees formed construction sites to build sufficient sanitation facilities to keep the water clean. Additionally, ZAMSIF used the Ventilated Improved Pit-Latrines (VIPs) sites as stations for distributing information on HIV/AIDS and malaria control.
  4. From 2011-2015, the Schools Promoting Learning Advancement through Sanitation & Hygiene (SPLASH) initiative implemented its program in 495 Zambian schools. Before SPLASH, Zambian schools faced limited drinking water and sanitation facilities, causing harsh learning environments for the students. SPLASH installed 662 handwashing facilities and 386 female washrooms in the schools. This allowed 133 schools to achieve a WASH-Friendly status and attract more students.
  5. In 2012, the National Rural Water Supply and Sanitation Program of the Ministry of Local Government and Housing developed national guidelines for Community-Led Total Sanitation in Zambia. These guidelines reached over 2.5 million people across the country by 2015. Officials implemented the guidelines through Zambia’s District Health Information System 2 (DHIS2) digital software, which enabled real-time monitoring and feedback via computers. Communities following these guidelines and switching from open defecation to toilet use received verification as Open Defecation Free (ODF).
  6. The Water and Development Alliance (WADA), along with its partners United States Agency for International Development (USAID) and Coca-Cola, are working to improve sanitation globally. Since 2005, they have improved avenues in more than 30 countries, giving more than 580,000 people access to clean water. WADA aids Zambia in improving water and sanitation access by implementing latrines and handwashing stations across the country.
  7. The Partnership for Integrated Social Marketing (PRISM), a marketing program for health services and products, instigated a distribution project in 2014. PRISM administered over 13,000,000 bottles of chlorine at Zambian hospitals. Zambians were then able to use the chlorine to disinfect and clean 9.27 billion liters of drinking water in all 10 provinces of Zambia.
  8. Only 18 percent of women in Zambia are able to obtain modern, feminine hygiene products. In response, Maboshe Memoria Centre in Mongu, Zambia, began producing sanitary napkin kits in 2019, modeled after the Days for Girls sanitary kits. The sanitary napkin kits are washable pads that can last up to three years. Previously, many Zambian girls skipped school during their menstrual cycle due to inadequate supplies. These kits enabled them to attend school during their menses and obtain hygienic and long-lasting products.
  9. The United Nations Children’s Fund (UNICEF) has aided in enabling 44% of Zambia’s population to achieve improved sanitation. UNICEF allowed Zambian villages to receive acceptable latrines and in 2015, around 75% of Zambia’s villages became Open Defecation Free (ODF). By 2020, UNICEF expects every Zambian to have an adequate latrine–ones that have handwashing facilities, offer privacy and dispose of matter effectively.
  10. The United States Agency for International Development (USAID) is currently aiding Zambia by investing in plans that encourage sustainable outlets for safe drinking water. The Global Water Strategy and USAID Agency Specific Plan aim to provide 1.7 million Zambians with sustainable water and sanitation resources by 2020. They plan to invest in significant infrastructure improvements that will strengthen water supply, sanitation and drainage in Zambia’s capital, Lusaka.

Zambia has made substantial progress in sanitation since the early 2000s. It has developed plans to decontaminate drinking water and replace poor sanitation facilities. However, as Global Waters has indicated, there is still a considerable need for improved sanitation guidelines across the country to ensure every citizen has access to clean water. These 10 facts about the sanitation in Zambia shed light on these issues.

– Kacie Frederick
Photo: Flickr

Hunger War and an American Dream
The Borgen Project has published this article and podcast episode, “Hunger, War and an American Dream,” with permission from The World Food Program (WFP) USA. “Hacking Hunger” is the organization’s podcast that features stories of people around the world who are struggling with hunger and thought-provoking conversations with humanitarians who are working to solve it.

 

In the early 1990s, Abdi Nor Iftin was a child. Just like other children across the globe, he loved playing outdoors, bickered with his brother and dreamed of being a Hollywood star. Unlike most other children, however, Abdi was starving – simply because he was living in Somalia during a time of drought and civil war.

Abdi lived through the unthinkable, but he was one of the fortunate ones; he survived. Rescued from the brink by perseverance, luck and humanitarian aid, he’s now a successful author living in the U.S. with a story he’s eager to tell.

“I want the world to know both what I went through and how I was helped,” Abdi says. “Maybe then, we can prevent these tragedies from happening again.”

Click on the link below to learn more about Abdi’s inspiring journey.

 

Photo: Flickr

8 Facts About Tuberculosis in Russia With COVID-19 emerging as a global pandemic, attention has centered on alleviating its effects. However, this has posed challenges to combating other respiratory illnesses, like tuberculosis, due to the lack of control efforts. Russia has been particularly hit by this, where it has a higher sensitivity to respiratory issues. To better understand this and the solutions that might be used to fight both COVID-19 and tuberculosis, here are eight facts about tuberculosis in Russia.

8 Facts About Tuberculosis in Russia

  1. Tuberculosis (TB) is endemic, or regularly found, in Russia. In fact, Russia has the world’s 11th highest burden of TB. Compounding its status as a major public health problem is a rising incidence of multidrug-resistant TB (MDR-TB). This means that TB does not respond to many of the antibiotics that are most commonly used to treat the disease. Russia has the third highest number of MDR-TB in the world.
  2. The severity of Russia’s TB epidemic stems from historical, social and economic factors. When the Soviet Union collapsed, health infrastructure and the economy declined dramatically. Poverty and crime rates increased, leading to higher incarceration rates. As TB is airborne, it spreads best in cramped and crowded conditions, just like those in prisons. These factors contributed to the rapid spread of both TB and MDR-TB. The Fall of the Iron Curtain also led to unstable living conditions, increased mass migration and exacerbated the TB epidemic with a 7.5 percent annual increase in new cases from 1991 to 1999.
  3. There is a close synergy between the TB and HIV/AIDS epidemics in Russia. The TB notification rate of individuals living with HIV infection is approximately 1,700 per 100,000 HIV-infected. Because HIV attacks the immune system, HIV infection leaves patients more vulnerable to infection with all sorts of pathogens, including TB.
  4. In the early to mid-2000s, the Russian government increased its budget allocation for tuberculosis control. Russia also received a $150 million World Bank loan, two thirds of which was designated for tuberculosis. Additionally, it received a $91 million grant from the Global Fund To Fight AIDS, Tuberculosis and Malaria.
  5. In recent years, there have been some improvements in TB infection rates in Russia. Cases of TB in Russia decreased by 9.4 percent to a rate of 48.3 per 100,000 people in 2017. In the same vein, Russia has recently experienced a steady decline in TB morbidity and mortality. Since 2012, morbidity or disability due to TB has decreased by more than 30 percent, and mortality has decreased by more than 48 percent.
  6. The COVID-19 pandemic is interfering with TB diagnosis, prevention, treatment and control efforts worldwide. It is grimly clear that Russia will not be exempt. A recent report based on analyses of several countries, including neighboring Ukraine, predicts an additional 6.3 million cases of tuberculosis by 2025 as a result of COVID-19’s disruption of TB control efforts. Progress in the fight against TB could be set back by five to eight years. Russia is facing its TB epidemic in a world where TB kills 1.5 million people a year, more than any other infectious disease. Five years ago, world leaders pledged to end the TB epidemic by 2030. In addition, in 2018, they pledged to double TB funding by 2022. However, the COVID-19 pandemic’s diversion of attention, funding, and resources makes the realization of these TB goals unlikely.
  7. Partners in Health, a nongovernmental organization, treats TB and uses a comprehensive model of ambulatory care. They treat every patient free of charge and provide care as it is most convenient to patients, bringing medication to each patient individually twice a day. Their close relationship with patients in this community based model gives their patients up to a 90 percent cure rate. Particularly, Partners in Health established The Sputnik Initiative, where it provided social and clinical support for poor MDR-TB patients in Tomsk, Russia. This initiative allowed Partners in Health to treat 70 percent of its total 129 participants who would otherwise not receive adequate medical care.
  8. Partners in Health has success in curbing TB by integrating TB treatment with the provision of other medical care. They have established TB clinics within HIV treatment centers, which is strategic as the HIV and TB co-infection rate among the patients they treat is five percent. Additionally, they have incorporated mental health and drug addiction services into their TB treatment program in Russia. A similar integrative model could conceivably be deployed for COVID-19 once a treatment becomes available.

Tuberculosis and COVID-19 pandemics present unique challenges both individually and as they co-occur. However, existing community based treatment models for tuberculosis in Russia may contain useful lessons as we learn to treat COVID-19.

– Isabelle Breier

Photo: Flickr

Reducing Energy Poverty in Italy Through Solar PV MarketItaly ranks third in Europe for utilizing renewable energy sources to provide for its citizens. With 36% of renewable energy generating electricity, other country leaders are looking towards Italy for the blueprint when it comes to making a greener change. However, Italy’s absolute poverty rate is close to 10%, equating to more than 5 million people. With the help of nonprofit organizations and energy companies, Italy will make green energy accessible to low-income families and guide them through the transition.

Energy Poverty in Italy

Energy poverty has become a serious concern for government officials in Italy, especially since the war between Russia and Ukraine began. The Russia-Ukraine war pushed Italy to work relentlessly towards providing itself with other power sources to become independent of Russian gas. This included record highs of solar panel and heat pump installments to adapt to the crisis.

The elderly, immigrants, low-income and single families have been greatly affected by these circumstances. Especially in places like Naples that have some of the highest poverty rates in the country. According to PresnaLatina.com, “nearly 1.4 million children” live in absolute poverty.

The effects of energy poverty include declining health, inability to pay bills, loss of electricity in the home due to poor energy efficiency, little to no knowledge about renewable energy and inflated prices. This has led to an increase in people having very little access to green living.

Combatting Energy Related Poverty

Italy has introduced the National Resilience and Recovery Plan (NRRP) to increase the usage of renewable energy. The aim is to eliminate coal by 2025 and increase electricity production from renewables by up to 72%. Trade.gov states that “Italy has devoted €59 billion to incentivize renewables between 2021–2026”.

Organizations such as Enco, Fondazione Famiglia di Maria and Legambiente Campania have been working with families to educate them on how to utilize green energy. For example, Fondazione Famiglia di Maria has provided workshops for the children of low-income families to learn about recycling, the difference between fossil fuels and renewable energy, and assisted the children with making plans for creating a greener friendly environment. Meanwhile, Legambiente Campania showed families how to monitor their energy consumption, how to read bills and gave them tips on when to use electric appliances. Also, Enco functions as a start-up that supports renewable energy communities in the making.

The works of Fondazione Famiglia di Maria and Legambiente Campania have allowed neighborhoods like San Giovanni the opportunity to transition into using clean energy for little to no cost. In addition, Fondazione con il Sud, a nonprofit organization, donated over 100,000 dollars to Fondazione Famiglia di Maria and Legambiente to install solar panels in San Giovanni in 2020 which generated about 65,000 kWh for the year which was enough to power 20 homes.

Looking to the Future

Acts of service from organizations like these will help uplift low-income families out of poverty. Increased usage of green energy means more jobs. Plus, the workshops children have been attending will give them the skills needed to be designers, installers, engineers and planners to continue to build green-friendly neighborhoods like those they are creating for themselves.

In addition, it gives families a chance to generate income. With the excess energy produced from their solar panels, they can sell them to local utility companies. This is just the beginning for San Giovanni and similar neighborhoods. The move towards increasing households’ connection to solar power will allow more families to improve their quality of life.

Zyairah White
Photo: Flickr

Maternal health in Nepal Nepal, a landlocked country bordering India and China, has a population of approximately 30 million. In 2015, close to 41 percent of births occurred at home in Nepal. Of those home births, just under half were carried out without a trained professional. Due to the alarming rate of maternal deaths seen in the early 2000s, maternal health in Nepal has been a focal point for many years. Even though complications during births at health centers still occur, the presence of trained professionals during birth remains the best way to avoid preventable deaths. Many organizations have partnered with the Nepalese government and are working hard to bring these numbers down even further every year.

4 Facts About Maternal Health in Nepal

  1. Nepal’s maternal mortality rate decreased about 71 percent between 1990 and 2015. The decline is attributed to free delivery services and transport in rural areas, access to safe delivery services and medicines that prevent hemorrhaging. In rural parts of Nepal, it has historically been much more difficult to receive proper healthcare. Through the combined efforts of various organizations and the Nepalese government, the number of facilities in remote areas has increased. Additionally, the incentive to travel to these facilities has risen. In 2005, the government began giving stipends to pay for transportation costs. Four years later, the government passed the Safe Motherhood Programme, which allowed free delivery services to pregnant women. In 2011, the government continued to promote safe pregnancies by adding another incentive of $5 for attending antenatal checkups. Through these efforts, the government has had an enormous impact on the development of maternal health in Nepal.
  2. Midwifery is one of the most important services for maternal health in Nepal. Fast intervention and postnatal suggestions from a skilled midwife allows for better postnatal care for both mother and child. In Nepal, only about 27 percent of women receive care within 24 hours of giving birth. This increases risk of hemorrhaging and heavy-lifting related injuries shortly after giving birth. It also increases risk of possible complications for the baby during and directly after birth.
  3. Midwifery education ensures that midwives are up to date on the most current practices and procedures for successful pregnancy and birthing. Institutions have partnered with the United Nations Fund for Population Activities (UNFPA) to offer combined education for nursing and midwifery. In 2011, Nepal and the UNFPA committed to training 10,000 birthing attendants. However, in a report about midwifery authored by the UNFPA, midwives do not have specific legislation for their work. Midwives are not completely recognized under the law nor are they regulated, which results in issues with proper training and resources. Therefore, greater recognition and accessibility will allow midwives the resources, training and encouragement that they need for success.
  4. Women of lower socioeconomic status have more complications surrounding maternal health. The National Medical College Teaching Hospital in Nepal published an extensive report of the challenges surrounding maternal health in Nepal. A specific challenge mentioned in this report includes the socioeconomic influencers of maternal health. Due to poor nutritional health in women of lower economic status, issues such as anemia can cause mortalities. Additionally, rural areas record about 280 birth complications per day. Although there has been significant work since then to expand access to cesarean sections and birthing centers in rural areas, there are still around 258 women dying per 100,000 live births.

As maternal health in Nepal becomes more of a focus in the healthcare system, there are certain policies and programs that must be expanded upon. Midwifery education and access to services are the most important programs for successful maternal health in Nepal. Many experts in the field continue to push for individual programs that focus primarily on methods for successful midwifery education and overall increased care for maternal health in Nepal.

– Ashleigh Litcofsky
Photo: Flickr

Poverty in Indonesia
Since the devastating impact of the 1997 Asian Financial Crisis (AFC), Indonesia has shown profound economic growth. Since 1998, it has boasted a greater than 5% compound annual GDP growth rate, ahead of the global average of below 3%. Indonesia now ranks as the 16th largest economy in the world, up from 36th in 1998. Concomitant with this economic improvement has been a noticeable reduction in poverty in the country. Most recently, poverty in the country is below 5% of the population versus 67% 30 years ago. By comparison, approximately 10% of the global population lives below the international poverty line. Yet despite this promising data, poverty in Indonesia remains a major issue. Here are six facts about poverty in Indonesia.

6 Facts About Poverty in Indonesia

  1. The rate of poverty reduction is slowing, but poverty is low. Indonesia’s efforts to grow its economy showed great results in the years immediately following the AFC. Rapid industrialization, increased global integration and a focus on domestic infrastructure all helped in this regard. This resulted in relatively dramatic improvements in poverty. After an eight-year period of decline, however, the rate of reduction has slowed to 9% in recent years. Despite a slowing in the rate of reduction, the percentage of the Indonesian population living in poverty is at the lowest level since 1984 (4.6%).
  2. CARE, an international humanitarian agency, has been working to assist Indonesia’s poor particularly during emergencies. Indonesia is prone to natural disasters like earthquakes and floods, so CARE has worked to provide Indonesians with food, shelter, water and medical supplies. After the 2004 Indian Ocean tsunami, CARE aided 350,000 Indonesians and helped them rebuild their communities. Non-governmental organizations like CARE are key to assisting the government in protecting Indonesia’s poor after frequent disasters and emergencies.
  3. Income disparity is growing. Indonesia’s economic growth has flowed disproportionately to the wealthy. The country’s Gini coefficient, a measure of a country’s income disparity, has increased from 28.5 in 2000 to 38.1 in 2017 (lower is better). Oxfam reported that in 2014, the richest 1% of Indonesians owned 50% of the nation’s wealth. Not surprisingly, Indonesia’s rural inhabitants are worse off than their urban counterparts, with about 1.5 times more incidences of poverty on an absolute basis. One can also see this in the geographic distribution of poverty. Eastern Indonesia, the more rural part of the country, fares worse. President Joko Widodo has noted that improving income inequality is one of his top priorities. He has taken some steps to decrease income disparity, including providing direct cash transfers through its Program Keluarga Harapan, creating more social assistance programs, investing in infrastructure and creating health and education protections.
  4. The near-poor are a significant group in Indonesia. While Indonesia’s reduction in poverty is impressive when including those who are near-poor, the results are not as positive. Many in Indonesia live precariously close to the poverty line and are at risk of falling back into poverty. The Asian Development Bank highlights that over half of the poor in Indonesia were not poor the year before. Furthermore, a quarter of Indonesians will suffer from poverty at least once every three years. Even though only 5% of Indonesians live below the poverty line today, as many as 25% live just above it.
  5. Indonesia must watch inflation. Since 2016, inflation in Indonesia has been below 4%. The government and the Bank of Indonesia established the range of 3% to 4%. However, with so many living at or close to poverty, changes in prices can have deleterious impacts, disproportionately so on the poor. Statistics Indonesia notes that food represents a 43% weight in Indonesia’s CPI basket, putting a degree of focus on food prices, especially given their historical volatility. The Indonesian government has focused in this area, recognizing that stable rice prices are essential for steady economic prosperity. Nevertheless, food prices remain exposed to exogenous shocks.
  6. COVID-19 is having a huge impact. The Indonesian government did not impose restrictions relating to the COVID-19 pandemic until April 10, 2020, almost six weeks after the identification of the first case in West Java. Unfortunately, the economic fallout from COVID-19 will have material effects on Indonesia’s poor and near-poor, underlining the fragility of the last 30 years of Indonesia’s efforts. In mid-April 2020, Indonesia’s finance minister predicted that Q2 GDP growth could fall to about 1%, after the weakest rate of growth in nearly 20 years in Q1. COVID-19 cases surged rapidly after President Widodo hesitated to implement a nationwide lockdown. In response, he declared a national health emergency and worked to increase the number of test kits, personal protective equipment and ventilators available in the country. Additionally, he passed a stimulus package worth $8 billion to stimulate the economy, with $324 million going towards helping low-income households.

These six facts about poverty in Indonesia have shown that Indonesia’s government has put much effort into improving the conditions for its poor. Against a backdrop of economic growth, President Widodo increased spending on social assistance, health, education and infrastructure. Additionally, CARE’s continual aid has substantially reduced poverty in Indonesia since the AFC.  However, with so many near the poverty line, those results are fragile. With the unprecedented impact of COVID-19, much of that work could become obsolete.

– Harry Yeung
Photo: Flickr