Mental Health in ArmeniaHundreds of thousands of civilians fled in search of safety when violence broke out in Nagorno-Karabakh on Sept. 27, 2020. Following these first violent clashes, organizations stepped up to provide humanitarian assistance for displaced civilians arriving in the capital Yerevan. The extensive damage to infrastructure and disruption of daily life, coupled with a harsh winter climate and COVID-19, will require help from the international aid community for many months to come. One area that this incoming aid will go to is mental health education and support. In 2019, the World Health Organization reported that one in five people in conflict-affected areas lives with a mental health issue. The longer a person lives with acute stress, anxiety or other mental health challenges, the more difficult it is for them to successfully secure basic needs. Aid groups are addressing the issue of mental health in Armenia with various programs.

Mental Health Support for Armenia

The Armenian Red Cross Society is providing humanitarian assistance to help people with basic necessities. This includes psychosocial support for returning soldiers and civilians. As of late December 2020, it had provided around 1,000 psychological services to wounded soldiers and their families.

The International Medical Corps, another emergency aid response group, is working with the Armenian Ministry of Health to assess current needs. In October 2020, the organization expressed its plans to provide training in psychological first aid for frontline healthcare workers. The organization will also provide mental health and psychosocial assistance to people who need it.

UNICEF Addresses Child Trauma

The UNICEF Armenia team and a local arts and music school called the Nexus Center for the Arts offer art and music-based support groups. These support groups give children and teenagers a chance to express themselves without having to talk. UNICEF reported testimonials of students who upon arriving were too afraid to open up but after participating in the support groups felt ready to talk about the trauma they had experienced. The groups also give students a chance to hang out, decompress and enjoy music in a comfortable and safe environment.

To help school teachers, UNICEF partnered with several civil society organizations to teach them how to address trauma in the classroom. UNICEF offered virtual lessons on trauma-informed teaching. The lessons gave 150 school psychologists and 900 public school teachers the skills to work in high-pressure situations and strategies to provide better psychological support to their students.

UNICEF Armenia also put together a psychological first aid guide. This guide has clear and concise information on how to respond to children in a mental health crisis. It emphasizes the importance of responding to children in an age-appropriate and individualized way.

The Increased Need for Mental Health Support in Armenia

Mental health in Armenia, especially following the conflict, is an issue that requires prioritization. The conflict and displacements have left 39,000 children out of school. The trauma caused by displacement has affected children in multiple ways. Ensuring the well-being of these children is a top priority for UNICEF and other organizations addressing mental health in Armenia. The hope is that these initiatives will combat the negative impacts of traumatic experiences in conflict-ridden areas like Nagorno-Karabakh.

Caitlin Harjes
Photo: Flickr

Humanitarian Aid in Nagorno-KarabakhNagorno-Karabakh is a region in the country Azerbaijan and is home to an Armenian majority. While the region is within Azerbaijan’s borders, Armenia has claimed the region for itself. The first intense conflict between Armenia and Azerbaijan over the Nagorno-Karabakh region was in 1988 when the Soviet Union was nearing the end of its existence. Recently, conflict in the region began again in late September 2020 and lasted for about a  month until a ceasefire was brokered by Russia. Additional ceasefires were brought into fruition by France with the help of Russia and the United States. Despite the ceasefires, the conflict in the region is continuing. The fighting in the region has drastically impacted the civilian population of the region. This has in turn created a strong need for humanitarian aid in Nagorno-Karabakh.

The European Union Assists

The European Union (EU) is actively providing aid to the civilian populace affected by the conflict and has done so since early October 2020. The initial amount of aid provided by the EU was €900,000. Then, in November, the EU commissioned an additional €3 million to the civilians in the Nagorno-Karabakh region. According to the EU, this humanitarian aid will provide the necessary assistance that humanitarian organizations partnered with the EU need to carry out their duties. This includes providing food, winter clothing and medical assistance.

The United States’ Aid

The United States is also providing its share of financial assistance. In total, the United States has provided around $10 million in humanitarian assistance to Armenia and Azerbaijan since the 2019 fiscal year. Of the $10 million, $5 million has been allocated to the International Committee of the Red Cross and similar humanitarian organizations to help civilians caught in the crossfire of the conflict. Assistance coming from the U.S. Department of State and the U.S. Agency for International Development (USAID) will also be used for humanitarian aid in Nagorno-Karabakh. The support these two institutions will be providing will come in the form of food, shelter and medical support for the people impacted by the conflict.

People in Need

There are also NGOs that have provided humanitarian aid in Nagorno-Karabakh as well. One organization, People in Need, has done just this. People in Need is an organization dedicated to providing immediate aid to countries should a natural disaster or war take place.

People in Need has provided support, not to Nagorno-Karabakh, but to the city of Goris in Armenia. People in Need directed its humanitarian aid to this Armenian city because many of the displaced civilians in Nagorno-Karabakh have gone there for refuge. The displaced people either move on or stay in the city. People in Need have been able to provide hygienic supplies to 1,200 displaced families in Goris. Additionally, People in Need have provided 480 children, 600 women and 110 seniors with their own individual hygienic kits. People in Need have also taken into consideration the psychosocial needs of children impacted by the conflict. To help these children, People in Need opened a child-friendly space in the city library where children can engage with other children and partake in other activities.

While the conflict in Nagorno-Karabakh continues, international institutions, individual countries and humanitarian organizations are trying to provide all the support possible to help the civilians impacted by the conflict.

– Jacob E. Lee
Photo: Flickr

Central African RepublicOne year after repatriation efforts began, refugees from the Central African Republic are returning home. Although repatriation operations began in November 2019, the return of refugees from the Central African Republic was delayed by the COVID-19 pandemic. Enhanced health and safety precautions made their return possible. The United Nations Refugee Agency, a U.N. agency responsible for protecting refugees, organized the implementation of health and safety precautions. Measures included the use of masks and temperature screening. Handwashing stations were also installed to prevent the spread of disease.

Central African Republic Refugees

Repatriation efforts began after security conditions in the Central African Republic improved. Stability in the country has developed at a slow pace. Less violence in regions of the Central African Republic known for volatile shifts prompted the voluntary return of refugees.

Beginning in 2012, violent confrontations between armed factions throughout the Central African Republic forced more than 500,000 people to flee. Thousands more went into hiding, often in the wilderness, where access to food and clean water is scarce. A staggering rate of poverty among citizens of the Central African Republic reflects years of political instability.

Poverty in the Central African Republic

Both domestically and abroad, refugees from the Central African Republic experience rates of extreme poverty and hunger. The Central African Republic was one of the last two countries on the 2018 Human Development Index ranking. Combined with the political instability of the nation, the Central African Republic’s low development score contributes to the nation’s high rate of poverty.

With a population of a little less than five million people, almost 80% of the country’s people live in poverty. While political instability is a major factor that contributes to the high rate of poverty in the country, meager production rates, insufficient markets and pronounced gender inequality also contribute to the high rate of poverty. Additionally, it is estimated that nearly half of the population of the country experiences food insecurity.

Alarmingly, almost 90% of food insecure individuals in the country are classed as severely food insecure, which is nearly two million people. This has particularly devastating effects for children aged between 6 months and 5 years old. More than one-third of all children within that age range are stunted due to lack of appropriate dietary nutrition.

The World Food Programme Alliance

In partnership with the government of the Central African Republic and other humanitarian organizations, the World Food Programme (WFP) provided emergency food and nutritional assistance to nearly 100,000 people, in 2018. This assistance was delivered to individuals who were affected by the violence that resulted from the coup in 2013, the civil violence that was unleashed by competing factions after the coup and the violence that continued through 2017, as hostility between armed groups was reignited. This method of the WFP’s humanitarian aid involves the distribution of food packages and the implementation of nutrition activities for children and pregnant mothers.

Time will tell whether refugees are returning to a country that will eventually provide for them. Through various initiatives, including Food Assistance for Assets and Purchase for Progress, the WFP hopes to turn civic, humanitarian functions over to the country’s government.

Food Assistance for Assets and Purchase for Progress

Both the Food Assistance for Assets and Purchase for Progress initiatives were designed by the United Nations to help partner nations achieve objectives set by the ‘Zero Hunger’ Sustainable Development Goal. Food Assistance for Assets “addresses immediate food needs through cash, voucher or food transfers.” Its response to immediate needs is paired with a long-term approach. Food Assistance for Assets “promotes the building or rehabilitation of assets that will improve long-term food security and resilience.”

Purchase for Progress works in tandem with Food Assistance for Assets. It is a food purchase initiative, whereby the WFP purchases more than $1 billion worth of staple food annually from smallholder farms. This food is used by the WFP in its global humanitarian efforts. Meanwhile, its ongoing investment in smallholder farms contributes to national economies.

Through the initiatives of the World Food Programme and its dedicated efforts for humanitarian assistance and hunger eradication, the Central African Republic will hopefully reach a point where its citizens never again have to flee the country they call home.

– Taylor Pangman
Photo: Flickr

Foreign Aid efforts in AfghanistanAfghanistan’s evolution after two gruesome decades of immense adversity has caught the attention of countries all over the world. The South Asian nation has made breakthroughs in infrastructure, getting millions of girls in school and improving community development. Nonetheless, foreign aid efforts in Afghanistan are still crucial for the further development of the country.

Foreign Aid Skepticism and COVID-19

The world wants to see Afghanistan succeed, but despite willing donors, definitive complications hinder the level of aid that Afghanistan is severely reliant on. The imminent withdrawal of U.S. troops has caused violence from the Taliban to spike while pressures of long-awaited peace talks between the two powers unfold, making donors wary of sending money that could be wasted due to corruption based on past events.

On top of that, COVID-19 is running rampant and bruising economies all over the world, cutting aid efforts in half compared to previous years.

Afghanistan’s rooted systematic issues will continue to undermine any reconstruction and development efforts unless a clear and mindful plan is made that addresses the topical concerns affecting the nation and motions toward this kind of growth are beginning to come to fruition. There are several important facts to note about foreign aid efforts in Afghanistan.

Cuts to US Forces Links to Cuts Toward Aid

To end the United States’ longest war, the Pentagon announced that a cut to U.S. forces in Afghanistan from 4,500 to 2,500 will be underway by mid-January 2021. This decision has already sparked vigilance and tensions between the Afghanistan government and the Taliban, as there is a great concern that the Taliban will feel invited to expand its influence and interfere with hopes of peace and progress. United Nations High Commissioner for Refugees, Filippo Grandi, urges that Afghans are in “acute need” of humanitarian support, stating that nearly 300,000 Afghans have been displaced by conflict in 2020.

Deadly attacks on Afghan forces show the Taliban’s intentions during a time where peace talks are being strained after months of stagnance and it has made donors feel uneasy about whether the Taliban could abuse any funding meant for aid. Even amongst suspicions, foreign donors like Germany are still showing support, urging the international community “not to turn their backs on Afghanistan.”

Ensuring Prosperity is an International Effort

After 19 years of promised reforms and attempts to grow the economy after the U.S. ousted the Taliban in 2001, Afghanistan will still be reliant on international support for the foreseeable future. Ministers from about 70 countries and officials from humanitarian organizations have pledged a total of $12 billion to the war-torn country over the next four years, at Afghanistan’s international donor conference held on Nov. 23 and 24 of 2020.

Germany has pledged $510 million in civilian assistance, the United Kingdom pledged $227 million in civilian and food aid, Norway pledged $72 million in development assistance and humanitarian aid and the United States pledged $600 million in civilian aid but made half of it conditional on the progress of Taliban peace talks. The U.S. was not alone in donating with specific conditions. All donors stressed that aid would only come as long as Afghanistan shows that it is committed to the peace process and that all parties to the Afghan conflict must respect human rights.

COVID-19 Causes Donation Restraints

Afghanistan is one of many countries taking an economic plunge due to COVID-19. The poverty level jumped from 54% last year to 70% during the pandemic, with more than half the population living on $1.14 a day, despite the billions of dollars devoted to the country over the last two decades.

A global pandemic combined with fragile circumstances emphasizes the need for foreign aid in Afghanistan, but with the heavy burden of COVID-19, most international donors have made significant restrictions on how much they can give. At the last donor conference in 2016, countries pledged a total of $15.2 billion for the years 2017-2020 compared to the $12 billion for 2021-2024.

Past Corruption is Obstructing Development

The U.S. government’s independent oversight authority on Afghan reconstruction, the Special Inspector General for Afghanistan Reconstruction (SIGAR), reported on October 20, 2021, that $19 billion of the total $63 billion that the U.S. has spent on Afghanistan’s reconstruction since 2002 was lost to waste, fraud and abuse.

With corruption forming such a stain on Afghanistan’s reputation and leaving remnants of distrust amongst potential donors, it is apparent why obtaining the necessary aid for growth and development has been such a hindrance for the war-torn country. That is why it is vital to ensure that future investments being made toward reconstruction are not lost and exploited.

Prospects for Peace

The Afghan government and the Taliban have endured a three-month impasse regarding peace talks that were finally brought to a close on November 2, 2020. The Afghan government and the Taliban are now expected to implement an agenda on how they can be partners in developmental changes and advancing realistic and sustainable peace plans.

As the world carefully watches the peace talks unfold, there is hope for a new start. Afghanistan is ready to transform into what it has envisioned for decades, and with realistic compromises set in place, there is an assurance that donors and the international community will feel less wary about foreign aid efforts in Afghanistan.

– Alyssa McGrail
Photo: Flickr

Economic Decline in the DRCThe Democratic Republic of the Congo, otherwise known as the DRC, is blessed with abundant natural resources, advantageous geographical trade points and a booming youth population. It is also a nation struggling with economic and political tensions that threaten to tear it apart. Conflict within the sub-Saharan African continent is not new, as with many developing regions. Yet when it comes to the DRC, its current conflict takes on several different forms; from systemic economic mismanagement to tense ethnic divisions. The DRC has a series of underlying problems that both its leaders and regional partners need to resolve to make progress. One key issue, however, is the systemic economic decline in the DRC.

As noted by the U.N. Economic Commission for Africa, economic woes point out several grievances against the current government. For example, concerns highlight the hoarding and mismanagement of natural resources and inefficient governmental models. The models focus more on federal power rather than balancing out authority to local government. As the DRC borders conflict-ridden neighbors such as Rwanda and Sudan, it has to deal with incoming migrants and persistent border security threats. When analyzing the economic decline in the DRC, one must also consider the direct implications of the current escalating conflict.

A Flawed Economic Policy and Aid Agenda

One of the central weak points of the DRC is its flawed economic policy. The issues of the policy include the disproportionate distribution of natural resources, lack of adequate investments in capital and infrastructure and lackluster trade agreements. In addition, the DRC has a long way to go before it can overcome its systemic economic woes.

The DRC’s inefficient federal government barely understands the complexity of localized economies. The federal economy and general stock market are important. However, local markets and financial growth are also vital, if not more important. For instance, while the DRC is one of the largest suppliers of natural resources such as diamonds and cobalt, it is one of the top eight countries struggling with hunger and humanitarian assistance deficits.

Analysts argue that conflict and hunger are interdependent. This is due to conflict limiting agricultural production and disrupting one’s income. As a result, it is increasingly difficult for economically challenged nations such as the DRC. Due to recent wars in the Eastern Congo and a series of political conflicts around its borders, the DRC bears a severe brunt in its ability to generate ample economic income.

Violence and Conflict

Violence and conflict contribute to the economic decline in the DRC. Ethnic violence, the spread of Ebola and high levels of corruption hurt the overall economic benefit of cobalt mining. In contrast, it sponsored those who benefit from the current conflicts in the DRC. The U.N. Economic Commission found that despite an increase in prices for rare minerals, the DRC still struggles economically due to inadequate pro-poor development programs and mass unemployment.

Nigerian economist, Dambisa Moyo, argues that the fatal flaw in international aid and intervention is a lack of focus on regional infrastructure projects, targeted educational and job skill programs and communal credit programs. Moyo states further that when it comes to the DRC specifically, the IMF has a history of giving more than $700 million to the developing nation, only for it to be misused by kleptocrats.

The individuals are susceptible to several factors that escalate conflict and increase the influence of conflict entrepreneurs. The economic decline in the DRC creates an environment most profitable for conflict entrepreneurs and profiteers. The mass hunger and poverty in the DRC feed into several factors that contribute to conflict. For example, corrupt warlords who prey on struggling workers to militias who target local villages further worsen the issue.

A prime example is the Allied Democratic Forces (ADF), an armed group that has terrorized the Eastern Congo for years, brutally murdering more than 100 people. The ADF feeds off of two main causes. The first is the lack of governmental authority. The second is the DRC’s insecurity, armed groups with murky agendas and the government’s failure. It is more important than ever that international aid groups take action to put a stop to mass poverty and the violence it causes.

Policy Reforms for the Future

Although the DRC is in a dark spot, the reforms of the government and international community can help improve the situation. First, the DRC needs to localize its credit lines and monetary policy. A big issue for state factions and communal governments is a lack of financial authority. Ensuring a gradual decentralization process will increase income flow and help legitimize local elections and state power.

The International Finance Corporation, a branch of the World Bank, recently started a program that gave small credit loans and financed new investment credit lines in local areas within West Africa. This initiative helps fund hundreds of small and micro-businesses and shake off the potential risks of debt or inflation.

Another potential solution is to focus more directly on local infrastructure investments. Recent studies show the four most effective ways to combat poverty in the DRC. These include emphasizing the accumulation of job creation, macroeconomic stabilization, rehabilitation of key infrastructure and structural reforms for a healthy market environment. Thus, if the government undertakes the following reforms, the aforementioned goals will be within reach.

Economic recovery amid conflict in the developing world is difficult. Oftentimes, nations like the DRC must resolve a series of ethnic and political conflicts before they can become top-tier economies. However, the DRC’s leaders must be aware of the role the declining economy plays in the escalating conflict. They should also acknowledge the necessity of reforming key policies. Reaching out to regional NGOs, the African Union and working with international partners is a step in the right direction. Additionally, supporting bills such as the International Affairs Budget and the Girls Lead Act also promotes transformative growth and provides essential resources and support.

Juliette Reyes
Photo: Flickr

Syrian Mental Health crisisIn London in the United Kingdom, both Syrian children and adults seeking refuge in the nation are grappling with mental health challenges and post-traumatic stress disorder (PTSD) as a result of the conflict in Syria. Syrian refugee children are at high risk of depression, anxiety and other forms of mental illness after experiencing high levels of trauma. These untreated trauma-related mental and behavioral disorders that form the Syrian mental health crisis serve as threats to physical well-being, academic performance and economic prosperity.

The Syrian Mental Health Crisis

The Syrian conflict has caused harm that may not be fully understood for years. More than 511,000 Syrians have lost their lives since the start of the war and around 6.6 million Syrians have faced internal displacement. Syrian refugee children who have suffered during the war are most likely to have mental health issues. The U.N. Refugee Agency notes that almost 80% of Syrian refugee children had suffered a family death and 60% have endured physical attacks. More than half of all Syrian children have PTSD symptoms. They are also facing intellectual and cognitive difficulties. The U.S criminal justice system indicates that the 1.2 billion people who live in conflict exhibit frequent witness to killings and gender-based violence.

Education for Syrian Children

Syrian children face a variety of disruptions that prevent them from receiving an adequate education. Only half of these children were enrolled in schools when they arrived in countries for refuge. In Turkey and Lebanon, the enrollment rates dropped to 20%. Children have also struggled to overcome gaps in their learning. Children are more likely to obtain failing grades or drop out due to untreated psychological trauma. These mental and behavioral disorders also lead to economic productivity losses and substance abuse.

Current Mental Health Treatment

A report issued by Amnesty International in 2006 shows that 117,000 Syrian refugees living in Jordan camps have access to education, health care, food and water provided by the government. Those who live outside of these refugee camps rely on humanitarian aid and private donors. Refugees in Turkey receive free basic health care once registered with the government. However, the language barrier is still a concern, especially with regard to mental health facilities.

Therefore, the International Medical Corps (IMC) has established several ways to enhance the level of mental health care for Syrian refugees in Turkey. This includes bridging the Turkish-Arabic language divide. The IMC will also bundle mental health care with general health care and educate/license more practitioners in mental health. Furthermore, the IMC will identify developmental disabilities in children and improve the provision/policy of national mental health programs.

Humanitarian Response

The humanitarian response in Syria will strongly consider mental health care through coordination with foreign Non-Government Organizations (NGOs) that can offer urgent assistance to those in need. Sustainable capacity needs to be built by degree projects that can incorporate mental health services into the primary health system of Syria.  The aim is to improve the region’s mental health workforce.

Improvements in the general accessibility, affordability and consistency of mental health resources offered to Syrian refugees are necessary. Worldwide support is essential to provide adequate mental health care to Syrian refugees. Mental health care providers trained by the World Health Organization need to extend to Syria and countries with high populations of refugees. National budgets for welfare are necessary for more funds for mental health programs. There are inadequate numbers of psychologists in Jordan, Lebanon and Syria due to the absence of academic psychology programs. Therefore, it is essential to train mental health professionals and social workers in the delivery of validated psychological services to communities impacted by the crisis throughout the region.

Children of the Future

When an entire population must concentrate on remaining alive, it becomes difficult to focus on children’s development. But, these children are the future of Syria. Thus, it is crucial to focus on the Syrian mental health crisis today, with refugee children as a priority. More comprehensive emergency and long-term services will help avoid a “lost generation of children” for Syria’s future state-building prospects.

Aining Liang
Photo: Flickr

Silent Truth About Mental Health in ColombiaColombia is home to some of the most unyielding forms of violence, such as assassinations, assaults and homicides. Significant acts of violence and conflict first came about during the La Violencia period. This occurred in 1948 when territorial and civil issues arose between property owners and impoverished farmers. Historically, violence has been a prevalent theme in Colombia and has heavily impacted many families and communities. Colombia’s low mental health rates increase in rural areas due to trauma, substance abuse and gang violence. Colombia has the largest population in the world of expatriates by an armed conflict, which can have a significant influence on the population’s mental stability. This article will discuss the silent truth about mental health in Colombia.

Trauma Causes Indefinite Effects

According to a scientific research report, the displacement process can cause “physical and psychological consequences associated with exposures to harm and loss during disasters and complex emergencies.” Crime and acts of violence predominantly occur in rural areas; however, displacements then require significant adjustments to life in urban areas. Internally displaced individuals are often victims of armed conflict, often having to flee their own homes. These adjustments to new locations can increase the chances of mental disorders such as “depression, anxiety and post-traumatic stress.”

According to a study, anxiety disorders are prominent in victims who have experienced more vile acts of violence. Even so, side effects and symptoms begin to subside after nearly five years. Individuals also experience more side effects if they have suffered trauma due to the actual act or witnessing of violence rather than the loss of a loved one. Furthermore, pursuing or witnessing violent actions causes behavioral issues. These events induce physiological trauma, which then affects others directly or indirectly.

Substance Abuse Takes Full Control

There are many factors as to why individuals experience mental health issues. However, a pattern has developed among the type of issues between genders. According to a psychological survey conducted in Colombia, women experience a significant increase in depression while men experience increased alcohol addiction due to violent behavior or witnessing violent acts. In terms of the drug market economy, Colombia is well known for supplying cocaine internationally. However, on average, alcohol is the most popular drug of choice, beginning at the age of 14, which increases the risk of alcohol abuse.

The continuous rise in drug addiction can lead to a lack of financial stability, which leads to poverty. In 2018, the poverty rate was 27.8%, a 0.09% decrease from 2016. The lack of finances can lead to more stress on individuals, which exacerbates mental health conditions and proves that the silent truth about mental health in Colombia has a continuous domino effect.

The Aftermath of Gang Violence

Violent gangs are a prominent vessel for drug transportation within Colombia, and according to the United Nations, “violence by criminal gangs battling over drug trafficking areas” has led to the displacement of more than 800 people. After the repercussions of La Violencia in 1948, a peace treaty emerged. Nonetheless, it caused many Colombian natives to break apart into two political groups: paramilitary and guerrillas — both involved in drug trafficking. Gangs are the primary group engaging in drug trafficking and members typically acquire deadly weapons for many purposes. Moreover, weapons can cause years of psychological trauma for gang violence victims.

Street crimes such as robberies are currently the most predominant type of crimes in Colombia. However, gang members usually commit these criminal acts and increase the crime rate countrywide. Although crime rates increase for multiple reasons, including gang activity, Colombia’s government must take further action. The government must take measures to ensure that no more citizens fall victim to gang violence or the aftermath. The consequences of these experiences cause mental disorders for those involved in criminal acts and those associated with the individuals involved.

Addressing the Issue

Although there is a lower rate of conflict in Colombia currently, according to a research report, 8 million people have faced internal displacement since 1985. The Children of the Andes Foundation is an organization working toward protecting the rights of Colombian children and creating a positive environment for children suffering from exposure to violence. The organization is founded on the belief that every at-risk child should have the opportunity to better themselves, standing as a home to “62 boys and girls between the ages of 7 and 18.”

Furthermore, many health institutes have developed in Colombia to combat mental health disorders in hope of decreasing acts of violence. Nevertheless, until the government develops a solution for the ongoing violence, the silent truth about mental health in Colombia will remain.

–  Montana Moore
Photo: Flickr

The HALO TrustRussian intervention may have ended the latest bouts of fighting in Nagorno-Karabakh on November 10, 2020, but landmines from the region’s post-Soviet independence war, coupled with the recent use of cluster munitions by Azeri forces, make the mountainous region one of the most perilous areas to inhabit in the post-Soviet world. Luckily, de-mining initiatives led by The HALO Trust, a British charity, are steadily working to make everyday life safer.

The Bloody History of Landmines in Nagorno-Karabakh

Nagorno-Karabakh, also known as Artsakh, has been a site of geopolitical contention since the Soviet collapse. When the region seceded from Azerbaijan by referendum in 1988, neighboring Azerbaijan and Armenia engaged in protracted fighting to wrest control of the border. The two former Soviet Republics each lay rival territorial claims to Nagorno-Karabakh. While a majority of its 130,000 inhabitants are ethnically Armenian, Soviet districting placed it within Azerbaijan’s borders for decades, which Azerbaijan has sought to maintain.

Because of prolonged fighting between 1988 and 1994 and intermittent skirmishing since, tens of thousands of landmines in Nagorno-Karabakh remain scattered throughout the region. Estimates from 2005 placed the count at upwards of 50,000. Unexploded ordinance (UXO) and abandoned munitions were also noted. Meanwhile, fighting from October and November of 2020 introduced unexploded rockets and cluster munitions to civilian areas including the capital, Stepanakert, which Azerbaijan repeatedly shelled with artillery.

An Explosive Threat

Together, the explosives riddling Nagorno-Karabakh pose a serious public health risk to its local population. Tens of thousands fled the latest fighting as refugees, but the danger is residual and longstanding. The World Health Organization (WHO) calls landmines “a health threat not to be ignored” and claims that the global burden of disease linked to them is historically underreported. WHO estimates that landmines cause 11 to 12 casualties daily worldwide.

In Nagorno-Karabakh, there are more landmine accidents per capita than anywhere else in the world. When victims of these accidents survive, they are often missing limbs and can take months, or even years, to recover. These dangers force communities to disband as families relocate to safer areas. They also cause food insecurity. Nagorno-Karabakh is mountainous and many of its flat, open areas are unworkable minefields that farmers must avoid.

Because children are less educated or tend to engage in riskier behavior than adults, they make up more than a quarter of all landmine victims in Nagorno-Karabakh.

The HALO Trust: Relief Efforts

To address this longstanding public health risk, a British charity, The HALO Trust, has carried out operations targeting landmines in Nagorno-Karabakh. With teams often made up of local volunteers, it has surveyed thousands of acres and organized the removal of nearly 500 minefields since 2000. HALO teams have also supported communities in the wake of border skirmishes between Azerbaijan and Armenia that have left explosives in streets, homes and backyards.

In the latest bouts of fighting, Azerbaijan fired cluster munitions on residential areas in four separate incidents, as reported by Human Rights Watch. Cluster munitions are banned in international humanitarian law because they cannot be directed at a legitimate target, harming civilians and combatants indiscriminately. HALO teams have been responding to local alarms in the wake of these attacks. “In the last five days alone,” HALO reports, “our team has used its expertise and equipment to safely destroy over 150 explosive items.” Teams also delivered relief supplies to sheltering families throughout the fighting, including hygiene kits, blankets and fuel.

In addition to providing relief from landmines in Nagorno-Karabakh, HALO volunteers educate local communities on how to remain safe around landmines and other explosives. Its members frequent schools because of landmines’ disproportionate impact on children.

Landmine Removal Success

Conflict, unexploded ordinance and 30-year-old landmines in Nagorno-Karabakh, continually threaten lives in the mountainous region. Thanks to the work of the HALO, however, de-mining projects have worked to mitigate the risk of explosives and serve local communities. The 4,000 landmines and 8,000 items of ordinance removed since 2000 are a testament to the success of de-mining efforts.

– Skye Jacobs
Photo: Flickr

How Ethnic Violence in Ethiopia Deepens PovertyOver the past two decades, Ethiopia has experienced explosive economic growth, lifting millions out of poverty in the process. Between 2000 and 2016, the share of citizens living in absolute poverty dropped from 40%, the highest in Africa, to 24%. Under Prime Minister Abiy Ahmed who was appointed in 2018, the nation has also opened up politically. However, a persistent scourge for the country that has continued under Ahmed is ethnic violence.

Ethiopia is a melting pot of more than 80 ethnolinguistic groups all living under one multi-ethnic federation. Long-simmering conflicts over access to land and political power have frequently boiled over into violence. While ethnic conflict is tragic, it also has tangible and concrete impacts on the economic prospects of impoverished Ethiopians. Ethnic violence in Ethiopia is endemic in Oromia, the country’s most populated region, and the Amhara region, home to some of the most impoverished people on the planet.

Ethnic Strife in Oromia

Oromia makes up approximately one-third of Ethiopia’s total area and is home to 37 million people. The region has achieved significant food insecurity reductions in recent years. Still, an astonishingly high number of people, especially children, face impoverishment. In Oromia, 90% of children younger than 18 experience multidimensional poverty. This high number of vulnerable residents pairs poorly with the area’s history of ethnic tensions.

Despite being the largest Ethiopian ethnic group, the Oromos have not held power in modern Ethiopia. Consequently, Oromos have banded together within ethnic-nationalist movements, such as the Oromo Liberation Front, in order to push for political empowerment. The narratives promoted by such outfits have often been accusatory and hostile toward other ethnic groups. Ethnic resentment is baked into the Oromia region’s identity.

In 2018, the outlook in Oromia became particularly fraught. In the spring of that year, a scarcity of productive farmland led to an intense conflict between Gedeos and Gujis, two smaller ethnic groups. In the fall, Oromos clashed with other communities in two neighboring provinces. Just in the first seven months of the year, more than 800,000 Oromian residents had been forced to flee their homes due to conflict and become internally displaced.

Internally displaced persons (IDPs) is a label that covers far too many Ethiopians in Oromia and beyond. Ethiopia was home to 2.9 million IDPs in 2018, the most in any country. Unfortunately, becoming internally displaced is often a precursor to falling into poverty. Farmers who fled Oromia in 2018 left their land behind, abandoning their entire livelihoods and becoming entirely dependent on outside humanitarian support. A World Bank report on the world’s forcibly displaced observed that displacement-induced poverty “condemns generations — mostly women and children — to a life on the margins.”

Luckily, Ahmed’s government has managed to break through some of the major fault lines, including between Oromos and southern Somali groups. The thousands of Gedeos facing displacement within Oromia two years ago have mostly been able to return. Yet to the north, the struggle of one ethnic group demonstrates that a steady home is no guarantee of prosperity.

The Plight of the Amhara

Under the Ethiopian monarchy, Amharas dominated the country’s government. However, since the overthrow of the emperor in 1974, the community has suffered a steep fall from grace. Similar to Oromia, poverty is inescapable for many in the Amhara region with 26% of the population living below the poverty line and 91% of children suffering multi-dimensional deprivation.

Due to poverty’s catastrophic toll, the Amharans lead the world in one undesirable area: The prevalence of trachoma, a disease that blinds millions of the world’s impoverished. Spread by flies and poor hygiene, the disease thrives in Amhara, where 84% of the population lives in rural areas and 47% of households lack access to safe drinking water. Entire villages complain of poor eyesight and intense pain that, without treatment, leads to blindness.

Adding to their misfortune, other ethnic groups demonize the Amharas for their involvement in the country’s imperial history, inspiring a sense of victimhood among Amharas that only creates new waves of conflict. In 2018, authorities of the neighboring Benishangul-Gumuz region accused ethnic Amharas of killing 200 people over a land dispute. One year later, Amhara’s regional president was murdered by the region’s own security chief, who had links to Amharan ethnic-nationalist groups, in a suspected coup attempt. This shocking development vastly destabilized the region and emboldened radical ethnic armed groups.

The aftermath of the assassination demonstrates another upshot of ethnic violence in Ethiopia that can worsen poverty: Profound instability. Following the coup attempt, a harsh crackdown on Amhara ensued, including the arrest of 250 people and, dismayingly, a total internet shutdown. Growing internet access across Ethiopia and other African nations is hailed as a major step forward developmentally, but internet shutdowns reverse this progress and exact millions of dollars in economic losses.

A More Inclusive Future

While the government’s efforts to quell ethnic violence in Ethiopia and its resulting human impacts have not always been successful, Ahmed has inspired hope that peace is achievable. The creation of a national commission focused on ethnic reconciliation is a step forward, as is the prime minister’s promise to reform the country’s federal system. In Amhara, the distribution of antibiotics has led to a major decrease in trachoma prevalence. Hopefully, Amharans who had their vision saved can soon open their eyes to a brighter future ahead— for them and all Ethiopians.

– Jack Silvers
Photo: Flickr

Investing in Peace
The World Bank recently estimated that, by 2030, up to two-thirds of the world’s extreme poor would live in fragile and conflict-affected situations (FCS). FCS have serious impacts on poorer countries: conflicts reduce GDP growth, on average, by 2% a year and force millions of people to flee their homes. The number of forcibly displaced people worldwide has more than doubled since 2012, exceeding 74 million in 2018. Of these people, almost 26 million are refugees, the highest percentage ever recorded, with developing countries hosting 85%. This puts a financial and social strain on host countries while also devastating generations of refugees. Constant displacement makes it difficult for refugees to maintain a stable source of income, have consistent access to basic necessities and receive an education. In fact, one in five people in countries that FCS affects suffers simultaneously from inadequate monetary, educational and basic infrastructure resources, making social mobility difficult. As a result, investing in peace is very important.

The Correlation Between FCS and Poverty

There seems to be a correlation between living in FCS and poverty, as the 43 countries with the highest poverty rates in the world are in FCS in Sub-Saharan Africa. World Bank data shows that economies in FCS have maintained poverty rates of over 40% in the past decade, while economies that have escaped FCS have cut their poverty rates by more than half. On an individual level, a person living in FCS is 10 times more likely to experience poverty than a person living in a country that has not experienced fragility or conflict in the past 20 years.

A solution to poverty might be investing in peace: invest in businesses, organizations or development agencies that work to lessen the prevalence of FCS around the world. While humanitarian interventions may bring about peace in the short term, they often do not address development after the establishment of peace. In addition, many conflicts around the world have become protracted and complicated, making humanitarian interventions less effective in the long run. Development agencies, on the other hand, work to establish peace in three-time frames: before, during and after conflict.

Before Conflict

One important step in lessening the prevalence of FCS around the world is to prevent conflict before it begins. This means identifying and addressing a point of conflict within a country or community before it becomes widespread, complex and potentially violent. Antonio Guterres, Secretary-General of the United Nations, emphasized the importance of investing in conflict prevention: “Instead of responding to crises, we need to invest far more in prevention. Prevention works, saves lives and is cost-effective.” Estimates have determined that for every $1 the United States spends on conflict prevention, it saves $16 in future response costs. On a larger scale, this finding emphasizes the importance of investing in peace to curb the need for an expensive humanitarian intervention when the conflict is widespread, complex and violent.

One example of an American law promoting investments in conflict prevention is the Global Fragility Act of 2019. It focuses on U.S. foreign aid to prevent violent conflict in fragile countries and strengthens research to identify foreign assistance programs that are most effective at preventing conflict and violence. The act authorizes $1.15 billion over the next five years to fund violent conflict prevention and peacebuilding efforts in countries in FCS. The act also benefits U.S. taxpayers, since violent conflict prevention is much more cost-effective than containing a conflict through humanitarian intervention.

During Conflict

Some development agencies around the world make medium-term to long-term investments in countries with ongoing, protracted conflicts. The investments aim to preserve human capital and strengthen local institutions working to promote peace and protect civilians. These investments serve as a social safety net for those at risk, providing them with basic necessities and services such as access to water, food and education. Violent conflicts can significantly affect the accumulation of human capital in a population, and the effects can be long-lasting if the conflict is prolonged across generations. Thus, it is important to provide people with this social safety net to ensure that they can rebuild their lives economically and socially after the conflict ends.

A successful example of investment in a country amid conflict is the World Bank’s investments in Yemen. Yemen has been in crisis for nearly a decade, since the Houthis overthrew its government, resulting in what the U.N. has called “the worst [humanitarian crisis] in the world.” Millions of people have been internally displaced while suffering from medical shortages and threats of famine. The World Bank’s International Development Association has allocated $400 million to creating jobs and providing refugees with essential resources under its Emergency Crisis Response Project (ECRP). As a result, 4.3 million people have received access to community services (water, sanitation, better roads, etc.) and 9.5 million workdays have emerged. Another component of the ECRP is a $448.58 million cash transfer to poor and vulnerable households. As of April 9, 2020, the transfers had reached 1.42 million households or 9 million individuals. The World Bank’s Engagement Strategy for Yemen 2020-2021 will continue funding for the ECRP and other initiatives to provide essential services, preserve Yemen’s human capital and strengthen local organizations helping those in need. 

After Conflict

Investing in post-conflict peacebuilding is another way in which development agencies can help those living in FCS. Investments in peacebuilding can supplement humanitarian and peacekeeping efforts by promoting economic and social growth after a conflict has ended. An important part of promoting economic growth is investing in micro to medium-sized businesses as a means to create jobs and jumpstart the local economy. It is also important to invest in the government to ensure that it can provide its citizens with essential services and resources well after the conflict has ended.

One agency investing in post-conflict peacebuilding is the United Nations (U.N.) Peacebuilding Fund (PBF). The PBF is a financial instrument used to sustain peace in countries in FCS. The PBF invests with other U.N. entities, governments, multilateral banks, NGOs and national multi-donor trust funds. Since its inception, 58 member states have contributed to the fund, with the allocation of $772 million to 41 recipient countries from 2006 to 2017. The Secretary General’s PBF 2020-2024 Strategy calls for the investment of $1.5 billion to countries in FCS over the next five years. The largest distribution of funds (35%) will go towards facilitating transitions from humanitarian missions to peacebuilding and future development. 

Looking Forward

Preventing, creating and maintaining peace in FCS is a daunting task that may take years to accomplish in certain areas. It is important to invest in peace at all three stages of conflict to save lives, save money and preserve resources. There are currently numerous multilateral aid agencies investing billions of dollars into countries in FCS, and one would hope that these efforts, along with humanitarian interventions, will lessen the prevalence of FCS around the world. Investing in peace could be the beginning of the end of global poverty, and if the world works together to lessen FCS, it could lift millions of people across out of poverty globally.

Harry Yeung
Photo: Flickr