The NIFTY Cup: a Lifesaving Alternative to Breastfeeding

Millions of newborn babies in developing countries face death due to the inability to feed properly. These infants may be born prematurely, have facial abnormalities or other special needs that impacts their ability to effectively suckle and nurse.

According to the World Health Organization (WHO), newborn deaths account for 45% of all deaths among children under five, the majority in developing countries. It is estimated that two-thirds of newborn deaths can be prevented, if effective measures are implemented within the first week of life. One such effective measure to prevent neonatal deaths is to ensure that babies receive adequate nourishment.

Michael Cunningham, who leads craniofacial  medicine at Seattle Children’s Hospital, experienced firsthand children dying from the inability to receive nutrition within their first few days of life. He came up with the idea for the NIFTY cup to solve this issue, and partnered with PATH, a nonprofit organization specializing in global health technologies, to design it.

The NIFTY part of this nifty solution stands for Neonatal Intuitive Feeding Technology. This cup is a simple, yet brilliant device that can have major impacts on children worldwide.

The cup is designed to replace the act of breastfeeding while allowing infants to receive adequate nutrition. It is a soft, plastic cup that has a unique reservoir for holding milk. Mothers collect their breastmilk in the 40- milliliter cup and then feed it to their baby. The cup allows the baby to eat at its own pace, with minimal spilling.

“We just knew that there had to be a simple intervention that could be life-changing for this population,”Cunningham said.

The NIFTY cup would not be truly impactful if it was expensive and unavailable. The NIFTY cup resolves this, too. The cup only costs one dollar. They have been used successfully in India, and are becoming accessible in many African birthing institutions.

This creation has the potential to save millions of babies from the effects of malnutrition at birth. It may even save their lives.

– Sydney Missigman

Photo: Flickr

Effects of Poverty on the Brain Development of Children

Of all the social issues faced by a developing country, poverty often feels especially overwhelming. Of the many factors working against the poor, the effects of poverty on the brain development of children is probably the most daunting yet.

Researchers have long suspected a correlation between a child’s behavior and cognitive abilities and their socio-economic status. This correlation becomes even more apparent among people living in extreme poverty. In a 2015 study published in Nature Neuroscience, a team led by neuroscientists Kimberly Noble from Columbia University in New York City and Elizabeth Sowell from Children’s Hospital Los Angeles, California, imaged the brains of 1,099 children, adolescents and young adults in several U.S. cities. Their findings revealed that children from the lowest income bracket of less than $25,000 had up to six percent less surface area than children from families making more than $150,000. Within the poorest families themselves, income inequalities of a few thousand dollars were associated with major differences in brain structure and cognitive skills.

Within countries that live on less than a dollar a day, researchers have found other developmental problems such as stunted growth and cognitive issues. In an unprecedented study conducted in 1960, a team of researchers began giving out nutritional supplements to young children in rural Guatemala. The study was aimed at collecting data to test the theory that providing enough supplements during a child’s formative years would help in reducing stunted growth. This theory was proved in the early 2000s, when the researchers returned to check on the children who had received the supplements in the first three years of their life. They found that not only did the children grow one to two centimeters more than the control group; they even scored higher in cognitive tests. This experiment proved the effects of poverty on the brain development of children.

In 2006, the World Health Organization (WHO) published a study into the heights and weights of children between birth and age five in Brazil, Ghana, India, Norway, Oman and the United States. The results showed that healthy children, regardless of their home countries, follow a very similar growth trajectory. Based on these results, the WHO established benchmarks for atypical growth. In countries like Bangladesh, India, Guatemala and Nigeria, over 40 percent of children meet the definition of stunted growth. In light of the growing awareness and consensus around effects of stunting, the WHO included the reduction in the number of children under five with stunted growth by 40 percent as one of its six global nutritional targets for 2025.

Similar studies were conducted in Brazil, Peru, Jamaica, the Philippines, Kenya and Zimbabwe, all with the same conclusion. However, pediatric cognitive development is a complex multidimensional problem and not all stunted growth, which affects an estimated 160 million children worldwide, is connected to malnutrition. Malnutrition is one side of this multifaceted problem; poor sanitation, stressful home environments, exposure to industrial chemicals, lack of access to good education and income disparities are other possible factors.

It would not be an overstatement to say that all research points to an urgent need to address the problem of world poverty. Factors such as lack of education, poor hygiene, lack of pre-post-natal care, nutritional deficiency, exposure to chemicals and stressful childhood are some of the paralyzing issues faced by those in extreme poverty. The daunting effects of poverty on the brain development of children have already been proven by researchers and new research and studies are further fortifying what is already known. In essence, even as officials start to take action in providing adequate nutrition, research cannot be clearer in building the case for the urgent need to eliminate world poverty.

– Jagriti Misra

Photo: Flickr

How Humanitarian Organizations are Helping Women and Children in Kasai

Over the past year, the Kasai region of the Democratic Republic of the Congo (DRC) has experienced extreme violence since the rise of the rebel Kamwina Nsapu fighters. This conflict is disproportionately affecting women and children, as forces recruit child soldiers and women face gender-based violence. Fortunately, humanitarian organizations are helping women and children in Kasai both recover and remain safe.

Since this conflict began last year, over 1.4 million have been displaced from their homes, 850,000 of which are children. The death toll of this tragedy is still being debated, with the Catholic Church claiming at least 3,300 individuals have been killed, while the UN estimates the number is around 400. Both acknowledge, however, that there are many deaths still unaccounted for, as mass graves continue to be discovered.

In addition to the mass displacement of 1.4 million people, civilians are also subject to horrible human rights abuses. These abuses range from mutilations and abductions to sexual violence including rape. The victims of these attacks are most often women and children, as they are most vulnerable to age- and gender-based violence. These abuses are amplified by the lack of access to nutrition, especially for children. UNICEF estimates 400,000 children are at risk for severe acute malnutrition.

Besides the direct assaults on women and children, the militias have also destroyed more than 200 healthcare centers as well as a multitude of schools and villages. The destruction of these centers makes it even harder for victims to find aid. Fortunately, humanitarian organizations are working to reach those in need.

Working to aid in recovery, UNICEF has played a significant role in humanitarian relief for Kasai. So far, UNICEF has reached over 150,000 people with essential nutrition, health, education, water and sanitation goods and services. A program has also been implemented by UNICEF to provide $100 cash grants to displaced families for bare necessities, and so far 11,225 families have benefitted from this. The humanitarian community has also launched an appeal for $64.5 million U.S. for an emergency response plan.

Although humanitarian organizations are helping women and children in Kasai as best they can, the severity and abruptness of this crisis make it difficult to always provide the amount of aid needed. UNICEF recently released a statement acknowledging, “unless this violence stops, our best work will never be enough.”

– Kelly Hayes

Photo: Flickr

Social Circus Brings Joy to Children in Need

Nothing brings a smile to a child’s face more quickly than watching the circus. Except, perhaps, being able to perform the feats themselves.

Sirkhane Social Circus School in Turkey trains refugee children from Syria in the art of circus performance as a way of bringing joy into a very difficult situation. A typical day of classes consists of children juggling, spinning multicolored plates, doing tricks on a trapeze and walking on stilts.

But the school is dedicated to more than just teaching practical skills. For the Syrian refugee children, circus arts have become a way of dealing with the trauma they have witnessed. They practice peace and harmony in a safe environment.

Located in an old house in Mardin, a city on the Turkish-Syrian border, the school serves students from Turkey, Afghanistan and Iraq as well as refugees from Syria. The children learn teamwork and form friendships with children from different backgrounds.

Older children are often inspired to give back to the community by becoming mentors to the younger students in a program called Circus Heroes. These older students also put on their own performances and participate in larger festivals.

Sirkhane School was founded by the Turkish organization Art Anywhere, an NGO which works to bring art to communities. Over the past three years, Sirkhane has trained more than 600 young circus performers. According to co-founder Pinar Demiral, the school’s main goal is to give these children a second chance to experience childhood.

Sirkhane is part of the social circus movement, a global movement that uses circus arts to reach children and youth who are considered at-risk. Social circus organizations work not only with refugees and victims of war trauma, but also with children from impoverished backgrounds.

The Red Nose Foundation in Indonesia welcomes children from two of the most impoverished areas in Jakarta, a fishing community and a trash pickers’ slum.

Kids describe the classes as a way to fill free time, and parents say that spending time at the learning centers teaches the children to be patient and polite. The foundation hopes that circus performance will inspire the kids to be more confident, responsible and aware of the world around them.

Besides teaching basic juggling, clowning and acrobatics, Red Nose also offers more traditional education classes, particularly in English and math, all through the lens of the creative arts.

For these children, science lessons might involve drawing pictures of the solar system or of a particular ecosystem. English is taught through the medium of creative drama. The organization also offers scholarships to help cover schooling expenses for children who have participated in the program for two or more years.

For students who continue to attend a social circus, their acrobatic and artistic skills sometimes become a source of income. The Cambodian non-profit Phare Ponleu Selpak, a social circus organization whose name translates to “The Brightness of the Arts,” specializes in training students who wish to work professionally in creative fields.

The organization runs a Visual and Applied Arts School, which trains Cambodian youth in fine arts, graphic design and animation, and a Performing Arts School, which teaches theatre, dance and music as well as circus techniques. Graduates of the program have gone on to study in Europe, the United States and Canada.

The movement is still growing. The first Social Circus Day in April of 2016 brought together organizations from 32 countries, including Zambia, Myanmar, Afghanistan, El Salvador and Italy. Entire communities came together to celebrate and enjoy the performances.

This is perhaps the most important lesson of social circus, a lesson the children already know: regardless of setting or circumstances, the power of laughter prevails.

– Emilia Otte

Photo: Flickr

Children with Disabilities in Developing Countries

Worldwide, between 93 million and 150 million children have a disability. While research is lacking, children with disabilities in developing countries are common because of disability’s links to poverty. Poverty reduces access to treatment and illness may disallow working abilities. Coupled with a childhood disability, a person may be faced with a life of poverty.

One current study screened for developmental disabilities in low- to middle-income countries. It cited past studies stating the prevalence of developmental disability varied from 0.4 percent to 12.7 percent. The variance is from different definitions of disability and the use of different screening tools. This particular study found that, across 16 developing countries, 20.4 percent of children screened had a developmental impairment.

Children with any disability tend to be the most stigmatized population in many countries. Some cultures shun those with them, believing the ailment is a result of sin or bad luck, or that a disability can be contagious. This leads to the discrimination of disabled children. Additionally, these children are often excluded from programs, education, healthcare, society and family because of the lack of resources and the inability of poor societies to accommodate them.

Access to healthcare is a known issue in low- to middle-income countries. Children with disabilities in developing countries have a higher mortality rate due to lack of basic healthcare. While many medical advances have been made, they are mostly seen in wealthier nations. These nations have seen reductions in disability mortality; however, in developing nations, wealthy families can afford treatment and much of the poor cannot afford assistive devices or treatment needed. There is also little literature on care specific to the disabled population.

Children with disabilities are less likely to attend or finish primary school. Only 10 percent attend and five percent complete primary school. Families may not enroll their disabled child because of low expectations. Schools may be unable to accommodate a disability whether the child is unable to see the blackboard or access the bathroom. Reasons like these prevent children from finishing or attending school.

Poor children are faced with malnutrition, dangerous work conditions, conflict and lack of clean water, making them vulnerable to disabilities. Disability leaves these children excluded from education and job-training opportunities, setting up a cycle of poverty for life.

Despite the injustice children with disabilities in developing countries are experiencing, the social norms are changing positively. Disability is now being seen as a human rights issue. International organizations, such as UNICEF, state that children should not be discriminated against based on disability and that these children have the right to freedom and happiness as others do. Governments are beginning to advocate for the disabled, too. The U.S. and U.K. both have legislation making it illegal to discriminate based on disability.

The World Health Organization (WHO) created specific guidelines to include people with disabilities in the Millennium Development Goals. It recognized that those with disabilities are impacted differently and therefore need different resources. For instance, women with disabilities face more severe discrimination, as do mothers of the disabled. The WHO noted that extra supportive programs are needed for these populations. This trend is continuing in the Sustainable Development Goals.

It is important to see a child with a disability as a child first, to focus on raising the child as a part of society. Childhood is a critical time for development and sets the foundations for adulthood. Building these children up creates stronger adults and better futures for the world.

– Mary Katherine Crowley

Photo: Flickr