solar-powered sewing machinesIn rural India, where many people lack sustainable energy sources, there has been a recent emphasis on clean energy. This means focusing on decentralized, renewable energy (DRE) over “brown” energy, provided through sources such as coal. Clean energy is especially important in India because it may not only produce more sustainable energy systems but also create more jobs and higher incomes. Solar-powered sewing machines are just one example of how sustainable energy can help lift people out of poverty.

Energy in India

India is the second-highest coal consumer in the world, consuming around 966,288,693 tons per year since 2016. This amount has decreased, however, due to COVID-19. In April 2020, Coal India Ltd.’s shipments decreased by 25.5% to 39.1 million tons. This drop in coal use greatly impacts rural areas, which lack reliable electricity.

More than four million rural micro-businesses struggle with this lack of sustainable energy sources. In rural areas, where 29% of people are below the poverty line, micro-enterprises make up a large portion of people’s incomes. These enterprises provide a service costing less than 10 lakh rupees. To combat their challenges with electricity, these businesses have begun to harness solar power on a smaller scale through sewing machines, printing machines and lighting. Many NGOs have also begun to help these businesses set up major infrastructure to do so.

A Solution in Solar-Powered Sewing Machines

Clean energy could not only produce sustainable energy, but it also has a higher potential for efficient outcomes, increasing average income and creating more jobs. The workforce could increase to at least 330,000 people using green energy, compared to the 300,000 employed with coal in India.

A concrete example of this phenomenon is solar-powered sewing machines. These machines, developed by Resham Sutra, use 90% less power than standard machines. In addition to creating more jobs, these sewing machines’ increased efficiency could also benefit rural areas by reducing the effects of pollution from coal. Rural women will especially benefit from solar-powered sewing machines. In the state of Maharashtra, around 21% of women with micro-enterprises are tailors.

Additionally, the Selco Foundation has looked to make small but sustainable improvements to pre-existing machines. By attaching a permanent magnet DC motor, the organization allows solar energy to power sewing machines. This mechanism increased efficiency by 25%. A study conducted by The Council on Energy, Environment and Water (CEEW) on the impacts of the Selco Foundation found that the annual income of tailors increased by 39% on average after adding solar power to sewing machines. Tailors’ income rose from a median value of INR 65,000 to INR 90,000.

Using Solar-Powered Sewing Machines to Combat COVID-19

As COVID-19 supplies have been scarce in many parts of India, some female tailors have stitched masks to disperse, supporting their businesses while fighting COVID-19. Smart Power India, powered by the Rockefeller Foundation, has shifted its mission to address COVID-19 in India. The NGO has placed 250 mini-grids across India to provide electricity to over 230,000 people. The foundation now supplies money to seamstresses to stitch face masks to various districts for protection from COVID-19. Each tailor uses solar-powered sewing machines powered by the mini-grids placed by the Rockefeller Foundation. Over a two-month period, the 25 women funded by Smart Power India have sewed over 125,000 masks, receiving $400 to $500 for their work.

For those in poverty, sustainable energy continues to be an obstacle to increasing wealth. Clean energy can both reduce efficiency and pollution as well as help people find a consistent source of income. Rural tailors in India, encouraged by solar-powered sewing machines, can thus climb out of poverty while helping their communities.

Nitya Marimuthu
Photo: Flickr

Poverty eradication in ItalyMany programs are working toward innovations in poverty eradication in Italy. These programs include an income program instated by the government, a fuel poverty program partnership between two companies and charities that provide assistance to the needy. Here are four facts about innovations in poverty eradication in Italy:

4 Facts About Innovations in Poverty Eradication in Italy

  1. Italy’s welfare program: In 2019, Italy introduced a €7 billion income welfare program to help reduce poverty. As of 2018, 5.1 million people in Italy lived in poverty. This program targets those people, as well as Italian citizens, EU citizens and legal residents living in Italy for 10 years or more. Households whose annual income is equal to or below €9,360 are eligible. Those eligible receive €780 a month, which can help pay for essentials such as grocery, rent and utilities. In the program, individuals who are able-bodied are also required to sign up for job placement and training programs. Employers who hire individuals taking part in the program receive financial incentives.
  2. Reducing fuel poverty: Fuel poverty is present in Italy, but so are programs to help tackle it. Fuel poverty is defined by the European Energy Poverty Observatory as “the inability to keep the home adequately warm at an affordable cost.” This affects more than 3.9 million Italians per year. A U.K.-based company called PricewaterhouseCoopers (PwC) partnered with an international organization, Ashoka, to reduce low-income families living in fuel poverty in Italy. The project relies on social innovators and entrepreneurs to find novel methods of tackling fuel poverty and reducing it in Italy.
  3. Food stamps: Italian programs for food assistance are giving out free meals and food stamps. Particularly during the COVID-19 crisis, many Italians are facing unemployment, and about one million are in need of food assistance. Programs such as the Ronda della Solidarieta charity, which offers free dinners twice a week in Rome to those in need, and the Nona Roma association, which drops off boxes filled with food necessities to low-income Roman families, are helping reduce the amount of people who go hungry. In 2020, the prime minister of Italy, Giuseppe Conte, delegated €400 million for food stamps.
  4. Charities: Charities for the homeless and low-income are attempting to provide resources such as food and health items to those in need. The COVID-19 crisis can be especially difficult for homeless Italians, as closed restaurants and bars provide less access for them to wash their hands. Similarly, it can be difficult to obtain food while social distancing, and homeless people are sometimes stopped by the police for not abiding by quarantine laws. The Community for St. Egidio is a charity that keeps their soup kitchen open, and they distribute 2,500 meals per week. They are also seeking donations for face masks, hand sanitizers and food. 

There is still a long way to go in eradicating poverty in Italy, and COVID-19 may worsen the plight of low-income families in Italy. However, it is still important to note these programs as they help families in need and create innovations in poverty eradication in Italy.

– Ayesha Asad
Photo: Unsplash

Healthcare in the Pacific
The COVID-19 crisis has cemented itself as a problem that all countries in the world must face. Complicating matters is the fact that circumstances surrounding COVID-19 are quite dynamic — changing by the day. As such, experts release new information and studies about the new coronavirus, constantly. Therefore, healthcare workers need to stay informed. For small, proximal nations in the Pacific, this is especially important. Healthcare in the Pacific faces a unique set of challenges. As Fiji’s Hon. Minister for Health and Medical Services, Dr. Ifereimi Waqainabete, says, “The global spread of COVID-19 to countries and territories indicates that ‘a risk somewhere is a risk anywhere’ and as a global village, the increasing incidence of the disease in some countries around the world is a threat to the entire Pacific.”

The Challenge

In many Pacific nations, it is challenging to ensure that all healthcare workers remain updated. “The majority of nurses and midwives in the Pacific are located in remote rural areas and outer islands, which means they often miss out on regular trainings and updates,” says UNICEF Pacific Representative, Sheldon Yett. These remote workers service more than 2 million people in the Pacific.

The Solution

To address this problem regarding healthcare in the Pacific, governments of nations therein have recently collaborated with UNICEF, the U.S., New Zealand and Japan to launch a new program called Health Care on Air. This is the first regional training program of the sort. The United States Agency for International Development (USAID) has invested $1.85 million in this program.

Health Care on Air consists of 33 half-hour-long episodes to be broadcasted on the radio and other communication channels. While standard communication platforms like TV and online training are available in the Pacific — they do not reach all workers. Importantly, radio is the only form of media that reaches every corner of the Pacific. These episodes will teach healthcare workers skills and give them the necessary knowledge to deliver effective services, during the pandemic. In addition to the training sessions, participants will be able to ask questions and share information through UNICEF’s RapidPro platform. Notably, the platform works with free SMS and other smartphone messaging apps.

Project Scope

The project is especially concerned with reducing human-to-human transmission and limiting secondary impacts of COVID-19. Secondary impacts, i.e. the additional burden and expense on healthcare systems caused by COVID-19. Efforts to limit these secondary impacts focus on preparing healthcare centers to quickly adapt to new knowledge and specializations. The focus on reducing transmission and increasing adaptability is key for Pacific Island countries. This is because they cannot handle large-scale infections in the same way that larger, developed countries do.

The first episode aired on July 10, 2020, in Fiji. The program will eventually show in 14 additional countries in the Pacific — including the Cook Islands, Samoa, Federated States of Micronesia, Palau, Tuvalu, Niue, Vanuatu, Solomon Islands, Kiribati, Nauru, Tonga, Republic of Marshall Islands and Tokelau. Notably, more than 5,000 healthcare providers will benefit from this program.

Applying Lessons Learned

In the future, the lessons learned from the Health Care on Air program will be integrated into national nursing accreditation programs as well. While the COVID-19 pandemic is a major world crisis, it is the hope that these new and innovative communication systems will continue to serve communities in the Pacific for years to come.

Antoinette Fang
Photo: U.S. Indo-Pacific Command

Homelessness in GhanaGhana has a population of 30.4 million people, and over 100,000 of these people are homeless on any given night. Though most of the population does have access to safe, affordable housing, not every Ghanaian does. Here are five facts about homelessness in Ghana.

5 Facts About Homelessness in Ghana

  1. Around 39% of Ghana’s urban population lives in slums. This equates to roughly 5.5 million people. Poor households and domestic violence victims are at higher risk for homelessness. In urban areas, single women with children are also at risk for homelessness. Obtaining ownership of a house can be difficult for some women because in matrilineal tribes when a man dies, there are limits for women regarding inheritance of spousal property.
  2. In urban areas, there is a shortage of housing. These shortages are caused by a lack of adequate financing, costly building materials and delays in getting permits to build. It is also challenging to gain access to urban land in order to build there. There are not enough governmental rental properties available, and those that do exist are mostly inhabited by government workers.
  3. COVID-19 has made things worse. Many homeless Ghanaians cannot comply with lockdown orders, and do not always have access to masks, gloves and hand sanitizers. Their previous jobs of carrying shoppers’ wares or helping to load passengers became obsolete during the pandemic. Some volunteers are helping to distribute food and water to the homeless, though others argue that the government should distribute raw ingredients and money instead of cooked food.
  4. Housing policies and programs are being implemented. One such project is the Tema-Ashaiman Slum Upgrading Facility (TAMSUF). This project aims to upgrade slums, develop low-cost housing and facilitate urban development projects. TAMSUF completed its first housing project in 2011, which involved constructing a building that contained 31 dwelling units and 15 commercial shops. In addition, it also involved a commercial toilet and bath facility. TAMSUF also constructed a sanitation facility containing six bathrooms, which can hold 12 people. Similarly, The Ghana Federation of the Urban Poor Fund (G-FUND) seeks to grant homeless Ghanaians access to funds in order to provide for themselves. Created in 2010, this fund provides low-income households in Ghana with credit for housing and business development. This funding also improves infrastructure.
  5. The Urban Poor Fund International is working to improve living conditions. UPFI has built over 60,000 houses and improved 3,000 dwelling units in various countries. Examples of their projects include a community-led waste management initiative and also a housing construction in Amui Dzor, Ashaiman, in Ghana. The Amui Dzor housing project has housed 36 families and provided many dwelling units, bathrooms and rental stores since its creation in 2009. One of the project’s most famous sponsors was the Bill and Melinda Gates Foundation.

Many of Ghana’s homeless require help from the government and housing projects to get back on their feet. Efficient rental control laws and housing for low-income individuals are just some of the many policies that can help lower or diminish rates of homelessness in Ghana.

– Ayesha Asad
Photo: Flickr

Healthcare in Panama
Healthcare in Panama currently exists as a two-branch system in order to both minimize cost and wait times. Private healthcare exists for those who can afford it, but Panama also provides a universal public option to keep healthcare affordable and attainable. Such a system also accommodates citizens of varying financial standings.

Panama’s social security administration, Caja de Seguro Social (CSS), and the Ministerio de Salud (MINSA) cover the publicly administered arm of the healthcare and insurance systems. A private arm is also available for citizens who are not beneficiaries of social security or who would prefer to opt into a privately administered healthcare service.

CSS

CSS operates as both a healthcare provider and an insurance system, funded by taxes. Due to the low unemployment rate in Panama, CSS provides extensive coverage to all those who pay their taxes and acts as a universal healthcare system. It is the largest in the country and covered and estimated 3.4 million poeple in 2013. CSS operates 80 health systems.

MINSA

MINSA also operates 830 health facilities. While their services are not completely free, they are still the least expensive option for low-income Panamanians. MINSA is also the organization that oversees the national health systems and therefore is an important institution for policy formulation and administrative services.

Private Sector

Finally, there are four major health facilities operated privately in Panama, serving primarily highest-income Panamanians. Those with the ability to opt into private hospitals and services experience shorter wait times than those in the public facilities. Patients are reportedly able to schedule surgeries within 2 days, and American recipients of Panamanian healthcare have found that services cost roughly 10% of their American equivalent. The cost of healthcare remains affordable across the board with the cost of a doctor’s visit to Panama City being $50.

Public Sector Expansion

Starting in 2012, the CSS began the largest expansion of the public health system in Panama by breaking ground on a new medical city, dubbed Cuidad Hospitalaria in Panama City. This project will add 1700 beds, 40 surgery rooms, and 200 emergency room beds. Originally estimated to be completed in 2015, a series of delays have pushed back the completion of the project, with 65% completed as of 2020. Current estimations project completion and operation by 2022.

COVID-19

Like many countries around the world, Panama has been particularly hard-hit by COVID-19. The pandemic has put immense strain on Panama’s health systems, particularly the public hospitals. As of July 11, Panama has reported 42,000 cases with 839 deaths. This is the most reported of any country within the region.

Authorities report that roughly 20% of infected people need hospital treatment, meaning that hospitals admit about 200 people a day in Panama due to COVID-19.

This health crisis is putting unbearable stress on Panama’s public health system with hospitals experiencing PPE shortages, burnout among health professionals and the need to create temporary health treatment campuses to compensate for the overpopulation of beds in established hospitals.

This system provides affordable services to every Panamanian, regardless of income level, with the public arm undergoing a dramatic expansion to provide for the public health of the population even further.

Ian Hawthorne
Photo: Flickr

COVAX InitiativeThe COVID-19 pandemic arrived on the world scene at an inopportune time in terms of international relations, given the current state of global division and isolationist nationalism. Cooperation between nations is extremely important in containing a pandemic. However, this sentiment was sparse during the early stages of the virus’ spread due to the prevailing geopolitical climate. Now that COVID has expanded across the world and endangered millions, international cooperation is perhaps more important than ever in the urgent search for a vaccine. The World Health Organization, GAVI and the Coalition for Epidemic Preparedness Innovations (CEPI) have united to form the COVAX Initiative: a program providing promise for both global teamwork and COVID mitigation.

What is the COVAX Initiative?

According to the WHO, COVAX is a coalition designed to “…accelerate the development and manufacture of COVID-19 vaccines, and to guarantee fair and equitable access for every country in the world.” The goal of the COVAX Initiative is twofold: to facilitate the creation of a vaccine and to ensure any eventual vaccine is made available to as many people as possible, regardless of national identity or socioeconomic status.

While many wealthy countries may succeed in vaccinating their populations without assistance from COVAX, all nations would still benefit from the Initiative: recent events have proven that in order to guarantee true safety from COVID-19, the disease must be eradicated worldwide. Thus, it is in everyone’s interest to provide access to as many people as possible. COVAX is working to create a coalition of member nations, both wealthy and poor, to achieve this mission.

Current Member Countries

A total of 172 countries have joined the COVAX Initiative so far. 80 wealthy countries have made commitments to the Initiative, including the UK, Norway and Japan. Additionally, 92 lower-income countries including Afghanistan, the Philippines and Yemen have become involved. According to the Director-General of the WHO Dr. Tedros Adhanom Ghebreyesus, COVID presents a challenge that necessitates an unprecedented level of international cooperation.

Life-Saving Potential

COVAX aims to deliver two billion vaccine doses by the end of 2021. Currently, the COVAX Initiative has nine vaccines under development and is evaluating nine more. According to the WHO, these innovations imply that the Initiative has “…the largest and most diverse COVID-19 vaccine portfolio in the world.”

Healthcare workers will recieve the first round of vaccinations; higher-risk patients will receive the second round. Member nations will recieve doses in amounts proportional to their population. To ensure widespread delivery of the vaccine, the Initiative plans to help fund infrastructure development as necessary in poorer member countries.

The COVAX Initiative is built on the idea that, for anyone to be safe from COVID-19, everyone must be safe. The Initiative represents a positive step towards international cooperation, a crucial aspect of effectively eradicating this destructive and deadly pandemic. Once a functional vaccine is in circulation, the world’s poor will likely have the least access. This structural inequity means that projects like COVAX could save countless lives and prevent future resurgences of COVID.

– Dylan Weir
Photo: Wikimedia

DouyinWhen the novel coronavirus (COVID-19) first emerged in Wuhan, a metropolitan city located in China’s Hubei province, the Chinese government took strict measures to contain the infection. Less than two weeks after the first recorded death linked to COVID-19 occurred, Chinese authorities declared the entire city under lockdown with the rest of the province following suit in just a matter of days. This caused a severe economic downturn, but the Douyin app presents an unlikely solution.

Despite Chinese health officials now deeming the country fit to reopen, many small and medium-sized businesses worry that they cannot resume business as usual after suffering from the unexpected closures. Considering that these small and medium-sized businesses make up more than 60% of the country’s overall gross domestic product (GDP), their potential failure sets China’s economy at a severe decline.

ByteDance, a Chinese multinational technology company, devised a method to assist small-business owners affected by the COVID-19 outbreak. Using the popularity of ByteDance’s most well-known app, Douyin, to their advantage, small and medium-sized business owners will be allowed to reopen their markets to a broader audience. And in turn, Douyin can help reignite China’s economy.

What is Douyin?

Douyin is a Chinese social media app that allows its users to create and share brief clips that often include people lip-syncing, playing practical jokes, or participating in viral challenges. The app was developed by ByteDance, the aforementioned Chinese multinational technology company, and released into the Chinese market in September 2016. The app rapidly gained popularity and now has more than 1 billion downloads worldwide, with 500 million monthly active users. In 2017, ByteDance released TikTok, another social media app with a similar function to Douyin but for global markets.

How Does Douyin Differ From TikTok?

Despite having similar logos and content, Douyin and TikTok are indeed two different applications geared towards different audiences. On the one hand, TikTok was intended for global markets, while Douyin was only aimed at Chinese markets. This is why Tiktok is not available for download within Chinese app stores in the same way that Douyin is not available on app stores outside of China, such as the Google Play Store or Apple’s App Store. Additionally, the apps have different policies regarding censorship on specific topics. While you may find countless parodies mocking U.S. political leaders on TikTok, no such mockery exists within Douyin. Instead, propaganda that promotes the overall message of the Chinese Communist Party (CCP) and attempts to rally nationalistic sentiment populates Douyin.

How Can Watching Short Videos Rebuild an Entire Market?

As mentioned previously, Douyin has a massive fanbase with more than 500 million monthly active users. Of these 500 million people, 52.8% are less than 24 years of age. Often, these millennials will share ideas and products that they think others will find appealing. Thus, when merchants have a platform integrated within Douyin that allows them to advertise and sell their products quickly, they will be able to reignite their businesses. As a result, Douyin can help China’s economy by allowing these small and medium-sized businesses to promptly resume their operations.

Why Douyin Instead of Conventional E-Commerce Platforms?

Popular e-commerce platforms are notorious for their high commission rates. Hence, when ByteDance first established its online group buying function, it aimed to create a “zero threshold” environment for the small and medium-sized online business platforms. This meant that ByteDance’s technical service commission would be as low as 1%, a significantly lower rate than the usual 20% charge traditional e-commerce platforms would require. This way, the businesses will be able to restore themselves quickly.

Despite the hardships China had to endure in the wake of the initial COVID-19 outbreak, companies like ByteDance continue to use their influence in order to help those who have suffered the most. As a result, the Chinese economy continues to steadily improve, showing the world how powerful social media can be.

Heather Law
Photo: Flickr

Food Security and Innovation ProgramAs the world encounters one issue after another, food insecurity increases in countries with inadequate resources or less-than sufficient agriculture systems. With the pandemic at the helm and climate change an ongoing phenomenon, to survive these stressful times, innovative strategies are necessary. In this advanced society, new ways are necessary to process, distribute and reshape food production. Connections between food security and innovation seem far-fetched, but the United Arab Emirates/UAE’s food security and innovation program has found state-of-the-art techniques that relieve their people of this struggle.

Key Constraints Facing Food Security

The UAE aims to rank in the top 10 in the Global Food Security Index by 2021, and number one by 2051. In this arid region, however, traditional farming is next to impossible from limited water for irrigation and an unequal ratio between people and the UAE’s production. Due to these hardships, the country is reliant on its imports. For a food-dependent country, when disaster hits, food systems are unstable.

While there are several reasons for poor food production in the UAE, the scarcity of water contributes heavily. Most of the water in the country is recycle and reused, but this process can only occur for a given amount of time. Given that traditional agriculture utilizes a significant amount of water, UAE’s food security and innovation program is the answer. . To combat the issue of their unstable food system, the UAE has set up the FoodTech Challenge. This global competition seeks out innovative solutions for the country to address food production and distribution.

Vertical Farming: An Innovative Farming Technique

In response to the FoodTech Challenge, the company Smart Acres has provided a technique that utilizes vertical farming to support the UAE’s food security and innovation program. Vertical farming consists of vertically stacked plants, providing more produce per square area, resembling green walls as displayed in shopping centers. Smart Acres used South Korean vertical farming technology to decrease water usage and monitor temperature and nutrients. Regarding the UAE’s water issue, vertical farms save over 90% of the water in comparison to conventional farming methods. The constant flow of water across the plants provides the necessary nutrients for all the plants to grow. This high-tech design allows the company to produce clean crops without any chemicals and negligible interference.

Although the farm has not been implemented yet, this form of food production is expected to produce 12 cycles of crops annually; the farm will expand from Abu Dhabi to the rest of the country gradually. By using vertical farming, this technique expects to produce approximately 8,000 kilograms of lettuce and other leafy greens per cycle. In addition to the increased number of crops, the variety is also expected to increase and include items, such as strawberries, arugula, potatoes, etc.

Aquaculture Farming: Decreasing the Dependence of Imports

On average, the UAE consumes 220,000 tons of fish annually. However, imported food is 90% of the UAE’s diet, suggesting that advancements in the country’s aquaculture would be beneficial. To aid the seafood industry in the UAE, the Sheikh Khalifa Marine Research Center has taken the responsibility to use advanced technology to harvest marine organisms. The center utilizes photo-bioreactors to generate food for juvenile fish.

In addition to manufacturing primary live food for marine organisms, UAE’s food security and innovation program also include water recycling technologies, where water is cycled through fish tanks to reduce water consumption. To make aquaculture a more efficient and sustainable system in the country, the center is establishing a disease diagnostic laboratory, which will reduce the number of disease-related deaths associated with marine life.

While many countries face tumultuous times currently, UAE’s food security and innovation program seems to be a ticket out of poverty. Through the FoodTech Challenge, the country has found multiple viable options to strengthen its food system. With water scarcity, a large problem regarding food production, both vertical and aquaculture farming, has found a way to recycle the limited water and attend to other problems the UAE faces, such as dependence on imports from other countries. The challenge is open to the entire country, increasing the country’s opportunity in establishing a sustainable system. Through these systems, the UAE’s food security and innovation program is well on its way to stabilizing its food security and achieving its goal as a titleholder in the Global Food Security Index.

Aditi Prasad
Photo: Flickr

Health Workers in Sub-Saharan Africa
Johnson & Johnson announced a new collaboration in June 2020, to provide training and knowledge to health workers in sub-Saharan Africa in the wake of COVID-19. They will partner with The World Continuing Education Alliance, The Aga Khan University School of Nursing and Midwifery East Africa and the International Council of Nurses to provide up-to-date information and resources to those on the front lines of the pandemic in sub-Saharan Africa.

The training program will be delivered through an application and aims to reach 600,000 healthcare workers — mainly nurses, doctors and midwives. The program includes six different modules available in three different languages: English, French and Arabic.

Partnering in 10 Different Countries

Johnson & Johnson will fund the programs’ introduction to 10 countries that it deems as a priority. These countries include Kenya, Uganda, Ethiopia, Tanzania, Rwanda, Nigeria, Ghana, Ivory Coast, Senegal and South Africa. Programs have since become available in Egypt, Haiti, Bangladesh, Afghanistan, Jordan, Guyana, Malawi and Tanzania — among others. Furthermore, there is a training option for countries not specifically listed.

Aga Khan University developed the modules and the World Continuing Education Alliance digitized and customized the curriculum. Its website now hosts two options for the workshops: one is for doctors and the other is for midwives and nurses. Through their collaborations with similar and broader-scope organizations, the International Council of Nurses has offered its support. The School of Nursing and Midwifery ensures those professionals in urban and remote areas alike have access to the modules.

Support For Front-Line Healthcare Workers

The new program’s introduction comes as the new coronavirus infections grow across Africa. The virus continues to infect more healthcare workers. While there are still scant resources available about infections among healthcare workers, the World Health Organization (WHO) estimates that over 10,000 health workers have been infected in 40 countries across Africa.

At least 10% of all infections are comprised of health workers in sub-Saharan Africa, concerning four specific countries. In 10 additional sub-Saharan countries, that figure is at least 5%. This puts a strain on the resources these countries have since several countries have less than one medical doctor for every 10,000 people. According to the WHO, countries that fall under this category include Mozambique, Tanzania, Guinea, Sierra Leone, Senegal, the Democratic Republic of the Congo, Somalia, Chad, Central African Republic and Niger — again, among others.

According to the WHO, some of the causes of rising infections among health workers include lack of access to personal protective equipment (PPE), lack of education programs (and lack of implementation of such programs with health workers) and lack of medical infrastructure. Additionally, more than 90% of 30,000 healthcare facilities analyzed throughout Africa could not establish quarantine or triage units. According to WHO, 84% of facilities did not have adequate infection and control measures in place.

Training Workers and Providing PPE

As a result, the WHO trained 50,000 healthcare workers and arranged for 41 million tons of PPE to be shipped to 47 countries in Africa. Moreover, the WHO plans to train 200,000 additional workers. The organization notes that from May to July 2020, Sierra Leone went from 16% of all infections being among health workers to just 9%.

Similar to the WHO, Johnson & Johnson’s collaborative effort seeks to educate health workers in sub-Saharan Africa by providing them with the knowledge they need to treat patients and stop the spread of a pandemic.

– Bryan Boggiano
Photo: Flickr

End Tuberculosis Now Act
Kosovo is a country in southeastern Europe that declared independence from Serbia in February 2008. It is Europe’s youngest nation, but also one of its smallest and poorest. Kosovo ranks 137th in the world for GDP per capita and the country’s overall budget is just above $2 billion. Despite the fact that Tuberculosis (TB) is a completely preventable, treatable and curable airborne infection, the virus continues to spread throughout developing nations—including Kosovo—killing more people per year than any other infectious disease. The End Tuberculosis Now Act seeks to address this silent pandemic by refocusing U.S. efforts towards effective TB prevention and treatment in Kosovo and other developing countries. Neither the House nor Senate has held a vote on the End Tuberculosis Now Act since its introduction in August 2019. Kosovo demonstrates the importance of this act and why Congress needs to address it.

Kosovo’s Tuberculosis Rates

Among its neighbors in southeastern Europe, Kosovo has one of the highest TB infection rates, trailing only Moldova and Romania. From 1999 to 2006, total TB cases in Kosovo were declining. This progress has since stopped, with infection rates plateauing at the rate they were in 2006. A limited budget has severely hampered Kosovo’s efforts to combat and eradicate TB.

Kosovo’s insufficient health system is one reason behind the country’s spread of TB. A majority of Kosovo’s residents are dissatisfied with their health service. In addition, the nation’s top health authority is not responsible for contact tracing, testing, treatment or any other method that people use to combat TB. Instead, non-governmental organizations have received this responsibility, resulting in a lack of central planning. The End Tuberculosis Now Act would refocus USAID efforts on TB prevention and treatment in developing nations like Kosovo, providing a unified example of how to properly stop the spread and financially support affected individuals.

Kosovo and COVID-19

For some of the same reasons it struggles with TB, Kosovo is also struggling to stop the spread of COVID-19. Compared to its neighbors, the country’s pandemic response is falling short. Kosovo is much smaller than Albania, Montenegro and Greece, but has many more COVID-19 cases and deaths than these nations.

The COVID-19 pandemic has further exposed the aforementioned weaknesses in Kosovo’s healthcare system. For example, temporary medical facilities built to increase the nation’s hospital capacity have not been properly set up to prevent COVID-19 transmission between healthcare workers and infected patients.

No matter how valiant Kosovo’s efforts to combat COVID-19 are, the country is ultimately limited by its $2 billion yearly budget. The same is true when it comes to their fight against TB. Kosovo simply lacks the capital to properly test, treat and prevent the spread of both COVID-19 and TB. The End Tuberculosis Now Act will give developing nations like Kosovo a better chance of defeating TB while teaching them how to tackle similar pandemics.

Putting the Tuberculosis Fight on Hold

As the COVID-19 pandemic takes center stage, the fight against TB has been put on hold across the world. Despite this, TB has continued its spread. Approximately 80% of worldwide programs to combat the disease have experienced disruptions in their supply chains since the beginning of the COVID-19 pandemic.

Manufacturers of TB tests have pivoted to developing COVID-19 tests, reducing the overall availability of TB testing. This means massive drops in diagnosing TB. In one year, an infected individual can spread the virus to 15 people, making the diagnostic process extremely important. As testing capacities decrease, TB will continue its spread unabated in developing nations. Kosovo was already struggling to contain TB before the COVID-19 pandemic, but it could now get much worse. The End Tuberculosis Now Act is a critical component in increasing testing capacities in Kosovo to combat the spread of TB.

More Important Than Ever

TB is a preventable and treatable disease, yet it continues to kill more people worldwide than any other infectious disease. The End Tuberculosis Now Act would increase investments in TB prevention and treatment measures while saving countless lives in developing nations like Kosovo.

Furthermore, the bill would ensure that nations and non-governmental organizations receiving aid from USAID would stand by their commitments to eradicate TB. This refocusing of aid would provide the World Health Organization and the Stop TB Partnership with more resources to fulfill their missions.

Moving Forward

Kosovo’s continued fight against TB demonstrates the importance of the End Tuberculosis Now Act. The bill, introduced in August 2019, would save lives in developing nations and help combat a completely preventable and treatable disease. Congress must pass this bill to increase the quality of life for the world’s poor and help eradicate TB in developing nations.

Marcus Lawniczak
Photo: Flickr