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Archive for category: Developing Countries

Information and stories about developing countries.

Developing Countries, Development, Global Poverty

Want to Alleviate Global Poverty? Start by Making Nature Accessible

Making Nature AccessibleWith children now better at identifying their following on social media than common plant and wildlife species, there is increasing concern that they are losing touch with their natural environment. In fact, these worries were affirmed in a 2016 longitudinal study by Natural England which found that more than one in every nine children today had never been to a park, forest or other natural environments over the course of the previous year. Children from low-income families are also less likely than their peers from high-income households to frequent urban or rural wild places due to lack of access and training in these spaces. Making nature accessible to all will help alleiviate global poverty.

How Making Nature Accessible Alleviates Poverty

When so many people live in poverty, it is especially important to care and be aware of the environment around us. The lack of knowledge about a degraded environment in nations, which rely on their natural resources for economic prosperity, actually exacerbates poverty conditions.

Furthermore, it is the poorest people from the poorest nations that are most affected by environmental degradation when they contribute the least to environmental pollution. Individuals from developing countries have to make a living from marginal lands, forests and coastal waters. This exposes them to critical levels of air and water pollution. Despite 96 percent of urban dwellers having access to improved drinking water sources, the bacteriological quality of water in urban populations are poor and cause over 4 percent of deaths around the world.

Nevertheless, while the world’s poor suffer the most from bad environmental management, the environment will affect the pace and pattern of overall international economic growth. Despite the equal importance of the environment to all, it is often the fact that the poor, who rely most heavily on natural resources, also have the least capacity to influence political processes and decision-making. Women, in particular, suffer from weak and insecure rights of access to the resources they depend on.

However, many community efforts in developing nations that aim to alleviate poverty and increase proper environmental management prove to be successful. For instance, in the Nam Pheng village of Laos, villagers communally join to expand markets for edible bitter bamboo and cardamom, two high-value traditional products. Through sustainable environmental management, villagers were able to increase sales and obtain higher prices. Similarly, the World Resources Institute reported that in Madagascar, a shrimp processing company established in a remote part of the Island created 1,200 permanent jobs for rural people, many of whom had never had a paid job.

Poverty reduction, economic growth and access to nature are all closely linked. With aid flows growing in recent years, it is important to include the environment in creating development initiatives. Such initiatives can include the improvement of modern energy sources for the poor and the reformation of policies to help improve forestry, fishery as well as water and sanitation systems.

The issue of access to nature to the future generation is imminent, particularly with the level of disengagement that is seen between children and the natural world today. This disengagement is reflective of a larger, broader issue, a disconnection with nature. Making nature accessible needs to be addressed in order to create a future generation that focuses on the importance of the natural world and uses pre-existing natural resources to end poverty.

– Monique Santoso
Photo: Flickr

July 15, 2019
https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg 0 0 Kim Thelwell https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg Kim Thelwell2019-07-15 09:49:432024-05-29 22:58:24Want to Alleviate Global Poverty? Start by Making Nature Accessible
Activism, Children, Developing Countries, Development, Education, Global Poverty

Sofia Carson’s Role in Fighting Poverty

Carson’s role in fighting povertyActress Sofia Carson, while actively immersing herself in her career, equally immerses herself into charitable projects. She is credited as a global ambassador or active supporter of many organizations. Through her partnerships with organizations such as the United Nations International Children’s Emergency Fund, WE and the Latin GRAMMY Cultural Foundation, she has shown that when it comes to her charitable deeds, she embraces the importance of education for women and children and women’s empowerment. Here are some examples of Sofia Carson’s role in fighting poverty.

Latin GRAMMY Cultural Foundation

Carson was recently named the first-ever global ambassador of the Latin GRAMMY Cultural Foundation. Her role as a global ambassador will be to advocate for, increase and promote awareness of the foundation’s overall mission and educational programs. Carson’s role in fighting poverty with the organization will also include participating in events to help with fundraising and to stimulate the primary focus of the Latin GRAMMY Cultural Foundation, which is to provide scholarships and grants to students around the world who are interested in Latin music, donate musical instruments to schools in need and to preserve different genres of Latin music as well as music education programs. The foundation’s philanthropic program efforts spread among 24 countries and since its establishment in 2014, the Latin GRAMMY Cultural Foundation has donated $5 million in grants, scholarships, musical instrument donations and education events in the United States and Ibero-America.

Recife, Brazil

In June 2019, Carson traveled to Recife, Brazil with UNICEF. In Brazil, 31 children are killed every day, and 90 percent of the violence is aimed toward young girls and women. An average of 51 cases involving violence is reported per day, though the majority of cases are usually not reported because violence toward females is considered normal and expected. Carson’s role in fighting poverty during the trip was to promote and ensure the rights and well-being of all the children, by meeting with the children of Recife as well as their families, to learn about the impactful work that UNICEF is doing in terms of education, empowering girls and early childhood development.

One of the visits Carson made in Recife was to visit the children at COMPAZ, which is a community center, partner with UNICEF Brazil, that emphasizes keeping adolescents away from street activity and works to provide a space for them that embodies peace, education and inclusion. Since COMPAZ and UNICEF have partnered in educating young women, violence in Recife has decreased by 35 percent. Also in Carson’s role in fighting poverty with UNICEF, she undertook a workshop with young women and men that were a part of a program implemented by UNICEF Brazil called Empodera- Today Girls, Tomorrow Women, which is committed to the social and economic empowerment of girls and adolescents by promoting gender-responsive public policies. Carson workshopped with the children to have a dialogue about how to continue to empower women for the upcoming generations. Also, while in Recife, Carson visited the Altino Ventura Foundation, a clinic that offers emergency services and assistance to low-income patients, specifically children and families that have been impacted by the Zika virus.

We, and Me to We Charity

Carson’s role in fighting poverty as a supporter of the WE charity and its partner ME to WE has been long and impactful. ME to WE works to aid employment and economic empowerment to the underprivileged communities around the world, through artisanal and Fairtrade products, as well as global service trips.

Carson’s role in fighting poverty with ME to WE has involved travelling abroad with the charity and developing a Rafiki bracelet where 50 percent of the proceeds from each bracelet will go toward providing young girls access to education, by building educational facilities such as school rooms and libraries, providing the girls with education essentials like pencils and textbooks and nourishing the girl’s leadership and public speaking skills. Rafiki bracelets are a Kenyan tradition, handmade by women. Carson was inspired to help design the “Unstoppable” Rafiki bracelet after going to Kenya with ME to WE and seeing firsthand the impact that the charity is having on the women in the country.

It is evident that with each philanthropic endeavor Carson involves herself with, the safety and education of underprivileged women and young children are at the forefront of her what matters to her.

– Cydni Payton
Photo: Wikimedia

July 13, 2019
https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg 0 0 Jennifer Philipp https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg Jennifer Philipp2019-07-13 18:08:062019-10-30 08:39:58Sofia Carson’s Role in Fighting Poverty
Developing Countries, Disease, Global Poverty, Health

Fighting Breast Cancer in Developing Countries

Breast Cancer in Developing CountriesWomen in developing countries lack access to safe and cost-effective breast cancer screening practices, leaving cancer frequently undetected. As a result, three times as many women in low-income, developing countries die each year due to breast cancer compared to developed countries. A team of young women from John Hopkins University is working to change this disparity and save lives through the creation of a new biopsy device.

Early Detection: A Better Chance for a Cure

Great strides have been made in the prevention and treatment of breast cancer in developed countries. More than 80 percent of women diagnosed in North America, Sweden and Japan survive. However, the situation is far different for women in the developing world. Less than 40 percent of women diagnosed in developing countries survive the disease, according to the WHO. This disparity in fatalities can be attributed to a lack of early detection. Studies in Europe and Canada found that the risk of breast cancer death decreased by more than 40 percent among women who underwent early diagnostic screening. In the U.S., data reveals the widespread use of early detection procedures and a 39 percent decrease in U.S. breast cancer fatalities after the 1990s.

Screening for Breast Cancer in Developing Countries

In 2003, the World Health Survey found that only 2.2 percent of women aged 40 to 69 years received breast cancer screening in low- to middle-income nations. More than half of women newly diagnosed with breast cancer in those nations have already progressed to stage III or IV disease. In the United States, 71.5 percent of women aged 50-74 have been screened within the past two years and over 90 percent of recently-diagnosed women have locoregional breast disease.

Why Aren’t Women Screened?

One of the main factors preventing women in low- to middle-income countries from early breast cancer detection is the high cost of screening procedures. Core needle biopsy (CNB) is a common diagnostic procedure that allows doctors to test a sample of breast tissue from the area of concern. In high-income countries, doctors use efficient and expensive disposable CNB drivers for breast biopsies. Low-income countries often cannot afford the same expense, relying instead on reusable drivers. These drivers are easily contaminated and the cleaning process is extremely time-consuming and costly, rendering breast cancer biopsies unavailable to most women in developing countries.

Ithemba: Hope for Women with Breast Cancer

A group of Johns Hopkins undergraduates won a 2019 Lemelson-MIT Student Prize for their creation of a safe, low-cost, reusable breast cancer biopsy device. After learning of the unsafe and inefficient diagnostic methods in developing countries, the team of four young women set out to create a safe and cost-effective CNB driver. Their device is named Ithemba, the Zulu word meaning “hope.” the CNB driver is centered around increasing women’s access to early breast cancer diagnosis. The device’s disposable needle contains a chamber that traps contaminants and is easily sterilized with a bleach wipe, ensuring safe reuse. Ithemba is expected to last up to 20 years before replacement is necessary.

The Johns Hopkins students have conducted over 125 stakeholder interviews. They predict that within the first five years on the market, Ithemba will impact the lives of 300,000 women in developing countries. In May of 2018, the team filed for a patent and are now searching for low-cost manufacturing methods and finalizing estimated costs.

Valerie Zawicki, one of the four undergraduates on the team, insists that the location of a woman’s home should not determine her odds of surviving cancer. The mission of Ithemba is to give all women—no matter where they live—hope with the chance to fight and survive breast cancer.

– Sarah Musick
Photo: Wikimedia

June 28, 2019
https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg 0 0 Kim Thelwell https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg Kim Thelwell2019-06-28 07:15:532019-06-28 07:15:53Fighting Breast Cancer in Developing Countries
Developing Countries, Global Poverty

10 Facts About Farming in Africa

10 Facts About Farming in AfricaAfrica is home to 54 countries, with 36 percent of people living on less than one dollar a day. Farming is how a large majority of Africans feed their family and generate revenue. Although the sweeping plains of East and South Africa are abundant in natural resources, there are still high levels of poverty among farmers. These 10 facts about farming in Africa will explain why farmers in Africa fall below the international poverty level.

10 Facts About Farming in Africa

  1. The Sahara Desert is growing. A future threat to farmers is the Sahara, the world’s largest hot desert. While most deserts’ boundaries expand and contract seasonally, data collected over the past 100 years shows that the Sahara grew by at least 11 percent and now takes up 3.6 million square miles of Northern Africa. As the places where people farm grow drier, famine and drought become more of a risk.
  2. Sub-Saharan Africa contains 19 of the 25 poorest countries in the world. This includes the Central African Republic, which is nearly self-sufficient in crops but ranks as the poorest country in Africa (681 GDP) due to poor livestock quality. Overall, this “horn” of the African continent contains a population of 626 million people, and 384 million—or 61 percent—of them are farmers.
  3. Roughly 65 percent of Africa’s population relies on subsistence farming. Subsistence farming, or smallholder agriculture, is when one family grows only enough to feed themselves. Without much left for trade, the surplus is usually stored to last the family until the following harvest. While subsistence farming is appealing to rural farmers because it allows families to be self-sufficient, it is heavily susceptible to climate change and works best when there is no drought or flood, which usually isn’t the case.
  4. Farmers suffer from Africa’s loss of share in world trade. Unfortunately, there are higher trade taxes placed on the continent compared to other regions. This is due to roads that lead toward ports rather than other countries, as well as rigorous tariffs and inspection laws between borders. Working to boost intra-African trade, regional economic communities (RECs) face immense challenges and policymakers are focusing on RECs in order to increase regional integration.
  5. Africa’s common cash crops are cocoa, cotton and coffee. Initially, cocoa was as a smallholder crop but has grown in popularity due to global demand. Robusta is a typical coffee bean grown in Africa, commonly used for instant coffee. It faces competition with the higher quality Arabica beans exported from Asia and South America. Overall, the exposure of cash crops to the world market has expanded growth in Africa but also slowly eroded farmer incomes. Cash crop farmers receive very small proportions of the final traded price.
  6. Women make up the largest share of the agricultural labor force in Africa. Although they produce 80 percent of the continent’s food, they are excluded from determining agricultural policies and certain laws deprive them of their land and livelihood. The UN’s Food and Agriculture Organization has estimated that if women were given the same access to productive resources as men, crop yield could be increased 20 to 30 percent—in turn, reducing the number of world hunger up to 17 percent. https://www.farmafrica.org/what-we-do-1/women-in-the-field
  7. Africa has the largest number of child labor, and the agriculture sector accounts for most of it. In sub-Saharan Africa, child labor increased over the 2012 to 2016 period, in contrast to continued progress in the rest of the world. Most child labor is unpaid, going on in family farms and not between employment with a third-party.
  8. Countries with high child labor rates, like Cote D’Ivoire and Ghana, also report high school attendance rates at 90 percent. Families that do subsistence farming anecdotally report high career aspirations for their children. The high child labor rates are not necessarily an alternative to school, but an act performed for the necessary family income that leads to subsistence and high attendance rates. In a sense, child work often contributes to improving the family farm that they may eventually inherit.
  9. Focus on agribusiness can help improve the lives of farmers. The African Center for Economic Transformation (ACET) promotes a focus on the chain of process: land tenure, farming technology, markets and pricing. Agribusiness also involves technology, such as mobile apps used as a means to reach farmers and track data on land conditions. By turning farming into an entrepreneurial endeavor, agribusiness could create the mass number of jobs needed for Africa’s youth.
  10. By increasing local production of chemical fertilizers, the lives of African farmers could improve. Globally, Africa consumes only one percent of fertilizer and produces even less. With high costs and short supply, African farmers pay up to six times the average price for fertilizer. If a farmer is living on one dollar a day, imported fertilizer is unaffordable. Increasing local production of fertilizer would reduce costs and shorten the supply chain to farmers.

Improving the lives of African farmers is possible through education and outside funding. USAID can focus on improving transportation networks for rural areas, as well as expanding the infrastructure of suppliers and markets. Through gender-equalizing laws and lowering tariffs, African farmers can also increase their benefits from their work. These 10 facts about farming in Africa show that African farmers make up a large majority of the world’s poor, and there is much to be done when it comes to improving their future.

– Isadora Savage
Photo: Flickr

June 27, 2019
https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg 0 0 Kim Thelwell https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg Kim Thelwell2019-06-27 12:58:012024-05-29 23:00:4410 Facts About Farming in Africa
Developing Countries, Global Poverty

Efforts to Improve the Maternal Mortality Rate in Malawi

Maternal Mortality Rate in MalawiThe maternal mortality rate in Malawi is one of the highest in the world. The country ranks at number 13 for the highest number of maternal deaths during pregnancy or after birth.

The maternal mortality rate in Malawi has decreased over the years, but it is still an alarming issue that the country is addressing. It is estimated that per every 100,000 live births, over 600 mothers die from mostly preventable causes.

In Malawi, the circumstances of maternal mortality are complex but preventable. Like most countries in sub-Saharan Africa, the health care system in Malawi is not as developed as the rest of the world. Having better access to health care and qualified personnel will save the lives of mothers and children in developing countries.

Causes of High Maternal Mortality

There are several causes related to the high maternal mortality rate in Malawi. Poverty is one of the main contributing factors. Given that half of the country’s population lives in poverty, most women cannot afford conventional health care.

The majority of the population live in remote, rural areas, making it difficult for mothers to find access to quality maternal health care. In many cases, they cannot travel long distances on foot to the nearest available clinic. According to a 2014 study, 44 percent of women in rural areas attended at least 4 antenatal care visits whereas, in urban regions, the figure jumped to 51 percent.

In Malawi, women have historically given birth in their homes due to cultural beliefs and practices. In most cases, traditional birthing attendants were present. However, many of them were not trained to respond if something were to go wrong. This most commonly occurred in impoverished families. Today, the country recognizes the need for professionally trained personnel. In 2015-2016, 91 percent of women were recorded giving birth in a healthcare facility.

Most maternal deaths are related to diseases or complications during pregnancy or childbirth. The most common direct causes of maternal death are:

  • hemorrhages,
  • infection,
  • eclampsia,
  • obstructed labor and
  • abortion.

The indirect causes include malaria, anemia, HIV/AIDS and tuberculosis. In most cases, these diseases or complications would have been preventable if there was better access to health care.

Improving Malawi’s Maternal Mortality

Due to foreign aid, and the dedication of the Malawian government, the maternal mortality rate in Malawi is improving with every year. In 2001, out of 100,000 live births, 868 mothers died. Today, that number is significantly lowered to just over 600.

Former Malawian president, Joyce Banda made maternal health her top priority in 2014. Through her influence, the government of Malawi constructed new maternal health facilities in rural areas, created a new system to better train birthing attendants and changed cultural norms and attitudes regarding maternal health and pregnancy.

Banda also believed in the importance of educating young women about their reproductive health. A survey on Maternal and Perinatal Health has shown that women with lower levels of maternal education are at risk of high maternal mortality even if they have access to health care facilities.

Banda made lasting changes in Malawi for the women and children of today and the generations to come.

USAID Investments to Improve the Maternal Mortality Rate in Malawi

The United States financially supports Malawi by investing in maternal and child care. USAID is investing in maternal health facilities and quality care interventions in order to progress the country’s healthcare system. USAID is also supporting national family planning programs that promote maternal education and informed decision-making for the mothers of Malawi.

As the country continues to develop, the maternal mortality rate in Malawi is decreasing.

Due to more accessible facilities, better-educated mothers and the addition of trained professionals, the status of maternal health care in Malawi has made significant strides.

– Marissa Pekular
Photo: Flickr

June 20, 2019
https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg 0 0 Kim Thelwell https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg Kim Thelwell2019-06-20 10:32:192024-05-25 00:32:23Efforts to Improve the Maternal Mortality Rate in Malawi
Developing Countries, Global Poverty, Women, Women and Female Empowerment, Women's Empowerment

5 Examples of Social Entrepreneurship in Developing Countries

Social Entrepreneurship in Developing CountriesToday, social entrepreneurship is growing rapidly in size, scope and support. An unprecedented number of organizations are using entrepreneurship as a strategy to address social problems like poverty, at-risk youth and hunger. Social entrepreneurs are developing creative and innovative organizations that give people the tools, education and resources to become an entrepreneur. As entrepreneurs, they can serve their own communities, improving health, decreasing hunger, creating safer environments and accessing clean water. Here are five organizations using social entrepreneurship to help create jobs in developing countries.

5 Examples of Social Entrepreneurship in Developing Countries

  1. The Adventure Project
    The Adventure Project works in developing countries seeking out partnerships with organizations creating jobs for their communities. Some organizations include KickStart, LifeLine, Living Goods, Water for People, and WaterAid. The organization chooses partners based on their measurable social impact, a proven track record of success, and readiness to scale. Since its inception, the Adventure Project has empowered 798 people to find a job. This has led to thriving local economies, improved environmental conditions and even reduced mortality rates. In Kenya, cooking over an open fire posed a huge health risk to both people and the environment. Now, stoves are made and sold locally. Masons create stoves and vendors earn commissions for their sales. And because they’re using 50 percent less charcoal, families are saving 20 percent of daily expenses. In other countries, villagers have been trained as health care agents, selling more than 60 products at affordable prices. These health care agents also care for more than 800 people in their communities.
  2. Indego Africa
    Indego Africa is a nonprofit social enterprise that supports women in Rwanda through economic empowerment and education. This enterprise aims to break intergenerational cycles of poverty. To do so, Indego Africa provides female artisans with the tools and support necessary to become independent businesswomen and drive local development.Partnering with 18 cooperatives of female artisans, Indego Africa sells handcrafted products through an e-commerce site, collaborations with designers and brands and at boutiques worldwide. To develop their entrepreneurial skills, Indego Africa provides artisans with training in quality control, design and product management. Indego currently employs over 600 women, 58 percent of whom make over $2 a day. According to the World Bank, $2 a day marks the entry point into Africa’s growing middle class.
  3. Mercardo Global
    Mercardo Global is a social enterprise organization that links indigenous artisans in rural Latin American communities to international sales opportunities. As a result, this organization helps provide sustainable income-earning opportunities, access to business training and community-based education programs. Mercado Global also increases access to microloans for technology, such as sewing machines and floor looms. Mercado Global believes income alone cannot solve long-term problems. Therefore, the organization focuses on both business education and leadership training. In doing so, Mercado Global enables artisans to address systemic problems within their communities. Artisans are given microloans, ideally to purchase equipment that allows them to work more efficiently. They then pay back their loans, allowing another artisan to attain one. Forty-four percent of Mercado Global entrepreneurs held a leadership position within their cooperatives in the last three years. Ninety-six percent participate in the finances of their households. And 77 percent of women voted in their last community election.
  4. Solar Sister
    Everyone should have access to clean energy. And the team behind Solar Sister believes women are a key part of the solution to the clean energy challenge. In sub-Saharan Africa, more than 600 million people have no access to electricity. Moreover, more than 700 million must rely on harmful fuels. However, women bear the majority burden of this energy poverty and disproportionately shoulder the harmful effects. In order to address this issue and create more equity around clean energy and economic opportunities, Solar Sister invests in women’s enterprises in off-grid communities. By doing so, the Solar Sister team builds networks of women entrepreneurs. Women are first given access to clean, renewable energy. Then, they participate in a direct sales network to build sustainable businesses. Centering local women in a rapidly growing clean energy sector is essential to eradicating poverty. This allows helps achieve sustainable solutions to climate change and a host of development issues. Evidence shows the income of self-employed rural women with access to energy is more than double the income of those without access to energy. For rural female wage or salary workers, access to energy is correlated with 59 percent higher wages. Solar Sister is currently helping over 1,200 entrepreneurs. The team is also partnering with Global Alliance for Clean Cookstoves, Sustainable Energy for All, U.N. Women and Women in Solar Energy.
  5. United Prosperity
    United Prosperity is a nonprofit organization providing an online lending platform connecting lenders to poor entrepreneurs across the globe. A Kiva-like peer-to-peer loaning system allows anyone with spare cash to guarantee loans to entrepreneurs in need. Lenders select the entrepreneur they want to support and lend any amount they wish. United Prosperity then consolidates the loan amount and passes it on to the entrepreneur through a local bank. For every $1 given by the lender, the bank makes a nearly $2 loan to the entrepreneur through a partner Microfinance Institution (MFI). Once a loan or a loan guarantee has been made, the entrepreneur’s progress is tracked online. When loans are repaid, lenders get their money back. They then have the opportunity to recycle it by lending or guaranteeing the loan to another entrepreneur. These microloans aim to help entrepreneurs, mostly women, grow their small businesses. United Prosperity has transferred more than $280,000 in loans to 1,300 entrepreneurs. Moreover, MFI helps build entrepreneurs’ credit history with local banking systems, thus encouraging more banks to lend to them.

These organizations are wonderful examples of how social enterprises have effectively empowered locals in the social entrepreneurship space. Through innovation, investment in local resources and talent, and measurement practices, these organizations have helped social entrepreneurs around the world to scale and grow. In doing so, they also address social problems like poverty, at-risk youth and hunger in their community. The results have been improved health, increased economic opportunities, safer environments and increased access to clean water and energy.

– Leroy Adams
Photo: Flickr

June 19, 2019
https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg 0 0 Kim Thelwell https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg Kim Thelwell2019-06-19 08:26:582024-05-29 23:00:255 Examples of Social Entrepreneurship in Developing Countries
Developing Countries, Global Poverty, Health

The Continued Fight to Improve Maternal Health in The Gambia

Maternal Health in the Gambia

Maternal health continues to be a concern in developing countries around the world. Although overall maternal mortality decreased by 44 percent from 1990 to 2015, many nations still have a long way to go if the goal of fewer than 70 deaths per 100,000 live births is to be reached by 2030. Of note, despite improvements, the maternal mortality in The Gambia remains one of the highest in the world, with 706 maternal deaths per 100,000 live births.

Maternal mortality is a reflection of the disparities between the rich and the poor, with 94 percent of all maternal deaths occurring in developing countries. The fact that 50 percent of The Gambia’s population lives below the poverty line contributes to the high rates of maternal mortality in the nation.

A majority of the complications that lead to maternal deaths are preventable or treatable. However, either because the mother is giving birth outside of a health care facility or due to a lack of supplies or expertise, the necessary care is not always provided.

The main causes of maternal deaths are severe bleeding, infections, high blood pressure and delivery complications. Other deaths are caused by malaria, AIDS and other diseases.

Contributing Factors

In The Gambia, the national maternal mortality ratio decreased by 46 percent between 1995 and 2015. This can, in part, be attributed to an increase in antenatal care coverage, as 86.2 percent of Gambian women now receive antenatal care from a skilled health professional.

For deliveries, however, only 57.2 percent take place in the presence of a skilled health professional. Most women deliver at home with a traditional birth attendant; the main barriers to giving birth in a health care facility being insufficient time to travel and lack of transportation.

Maternal health in The Gambia is further complicated by social and cultural factors that contribute to pregnancy complications and the low percentage of women who give birth at a health facility or with a health professional. A study done in rural Gambia found that there were four interrelated factors that impacted maternal health:

  • Pregnant women’s heavy workload
  • The gendered division of labor
  • Women’s inferior status in the household
  • Limited access to and utilization of health care

Women in rural Gambia generally work alongside their husbands on farms, a fact that does not change even with pregnancy. Gambian women described being physically and emotionally exhausted from physical labor in the field and the house, noting that they did not get sufficient rest at any point during their pregnancy.

This is connected to the way labor is divided between men and women, as women often work longer hours than their husbands, regardless of whether they are pregnant or not. Social practices prevent men from doing certain household chores while their wives are pregnant to allow them to get more rest, which contributes to poor maternal health in The Gambia.

The activities that women continue to perform can also have negative impacts. Women noted that they had to fetch and carry water from long distances, pick groundnuts and cook with firewood, all of which are health risks for pregnant women.

Additionally, women have less control than their husbands, largely because they are economically dependent on them. Despite doing equal work in the field and more work in the house, women receive no financial benefits. This keeps them from becoming economically independent and forces them to rely on their husbands, giving their husbands more power.

As a result, many women who wanted to stop working could not unless their husbands allowed it. They also could not make certain decisions, including where to give birth, without the oversight of their husbands, contributing to a lack of utilization of health care facilities. As women are often required to work up until they give birth, their workload prevents them from being able to travel to a health care facility in time for delivery.

Improving maternal health in The Gambia, therefore, is connected to women’s autonomy. In addition to improving access to health care facilities and ensuring adequate supplies are available, work needs to be done to ensure that families are educated about the dangers of working during pregnancy and that women have the ability to make decisions for themselves about where to give birth.

Improvement Efforts

Other efforts are also important to decreasing maternal mortality in The Gambia. Within the last decade, the Horizons Trust Gambia and The Gambian Ministry of Health partnered with an organization called Soapbox to launch the Maternal Cleanliness Champions Initiative aimed at reducing infections from childbirth.

One of the main projects of this initiative is the distribution of Clean Birth Kits, which include soap, a clean blade and a clean plastic sheet to help ensure that expectant mothers have sanitary materials regardless of whether they are giving birth at a hospital or at home.

The Maternal Cleanliness Champions Initiative also worked to create a manual for cleanliness standards at health care facilities in The Gambia, adapting the manual to work with the local context of each hospital. The program also supported the training of facility staff to ensure that they knew how to adequately clean to prevent infections and other health complications.

These important efforts need to be combined with others to form a holistic approach to improving maternal health in The Gambia. Only coordinated efforts that are adapted to cultural and social contexts will be successful in significantly reducing maternal mortality in the nation.

– Sara Olk
Photo: Flickr

 

June 17, 2019
https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg 0 0 Kim Thelwell https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg Kim Thelwell2019-06-17 01:30:472024-05-29 23:00:34The Continued Fight to Improve Maternal Health in The Gambia
Advocacy, Children, Developing Countries, Global Poverty, Health

Strides in the Race for Vaccine Accessibility

vaccine accessibility
Vaccines are second only to clean water in reducing the rate of infectious disease. Vaccines prevent about 6 million deaths every year, and those that have been in use for decades show a 99 percent decrease in the rates of people contracting those diseases. Unfortunately, vaccines are not affordable for many people living in poverty throughout the world, making them much more vulnerable to infectious disease. Several factors contribute to the current lack of vaccine accessibility in many parts of the developing world. However, there are also significant improvements that are being made in decreasing the financial gap between those who receive vaccinations and those who do not, helping make vaccines more accessible to everyone.

The Current Situation

The price of the vaccine doesn’t always reflect the cost: People in developing countries are not only paying for the cost of manufacturing the vaccine, but also for expensive shipping costs, refrigeration, tariffs on imports, and taxes on medical supplies. These additional costs are often much more than the cost of the actual vaccine, and they make what would otherwise be an affordable vaccine inaccessible to a lot of people.

Clinic visits cost money too: In addition to buying the vaccine with all of its fees piled on top, people also have to pay to visit a clinic to receive these vaccines. The hours of health clinics are often inconvenient as well, forcing people to forgo wages from work in order to see a doctor.

Many vaccines require multiple rounds: A lot of vaccines, such as RTSS for malaria, MMR for measles and the HPV vaccine require multiple rounds of vaccination in order to be effective. This simply compounds all of the other barriers to vaccine accessibility; those receiving the vaccine have to pay for treatment again as well as take time off of work to visit a clinic.

Doctors are few and far between: In many parts of the developing world, there are very few doctors, and these doctors are limited in the number of patients they can treat each day. Therefore, even if one can afford to pay for the vaccine and can make it to a clinic, there is no guarantee that they will be able to be seen by a doctor.

Improvements to Vaccine Accessibility

Local health centers’ capacities are being strengthened: Gavi, a non-governmental organization dedicated to providing vaccines to the developing world, is working to strengthen the capacity of existing health centers to deliver immunizations. Gavi is working to increase the proportion of people who are receiving a full cycle of vaccines rather than “dropping out” after the first dose by providing sustainable funding to health clinics across the developing world.

Foreign aid decreases the price of vaccines: Providing foreign aid specifically for vaccines decreases the cost to those receiving treatment, and in turn, spares families from having to pay far more for treatment if someone contracted an infectious disease. Foreign aid for vaccinations has the highest return on investment of any type of aid besides education.

People are going beyond wanting to vaccinate to actually vaccinating: The Poverty Action Lab at MIT is implementing research on how to motivate people from desiring to vaccinate to doing it. This research is increasing the numbers of people receiving preventative immunizations in the developing world and reducing the rates of disease.

Infrastructures to keep vaccines cold for cheaper: The governments of Ethiopia and Gambia have created cold chain infrastructures in order to reduce the cost of transporting vaccines that need to be refrigerated. These infrastructures are far from perfect, as some cold storage facilities in Ethiopia have not been kept as cold as they need to be in order to protect the vaccines.

However, progress is still being made in reducing the cost of vaccines and allowing them to be more accessible to those living in poverty. Gavi is working to implement more cold chain infrastructures in other countries in Sub-Saharan Africa.

Moving Forward

There is clearly still a long way to go in ensuring vaccine accessibility to everyone who needs it, but a lot of progress has been made in breaking down the current barriers to accessibility. Vaccines are much cheaper than the cost of treatment for those who have the diseases vaccines aim to prevent, and investing in vaccinations relieves the world’s poor of the additional burden of treatment costs. Vaccines are one of the greatest assets in our toolbox to fight poverty, and great strides are being made in the effort to make accessibility a reality.

– Macklyn Hutchison
Photo: Flickr

June 15, 2019
https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg 0 0 Kim Thelwell https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg Kim Thelwell2019-06-15 16:34:022024-05-29 23:01:03Strides in the Race for Vaccine Accessibility
Children, Developing Countries, Development, Education, Global Poverty, Health

The Vietnamese Water Crisis

vietnamese water crisis
Vietnam, a southeastern Asian country whose coastline stretches 12 nautical miles, imminently struggles with providing clean water to those living there. The country has over 2360 rivers and about two-thirds of its population resides near one of Vietnam’s three water basins. Even so, most of this aquatic supply is unusable and undrinkable. The ongoing Vietnamese water crisis is so threatening that it is a focal point of national policy and international concern.

Background

Both government and industrial issues exacerbate the Vietnamese water crisis. Poor regulation coupled with irresponsible handling of waste has led Vietnam’s ponds, lakes, and canals to shortages and contamination.

In March of 2018, the Coalition for Clean Water and the Centre for Environment and Community Research released a report detailing how industry has altered the water quality in Vietnam. The report revealed that about 70 percent of waste released from industrial parks is directly released into the environment. These tainted waters carry dangerous chemicals and cause illnesses.

The World Bank’s estimations concerning the crisis show that it is no diminutive issue. The organization notes that rising threats against Vietnam’s water supply could reduce the nation’s GDP by six percent by the year 2035. Pollution presents itself as the biggest hazard to water basins, which drain into water outlets all over the country. In the most highly polluted areas, wastewater has poisoned the air to the point that it has become odorous and toxic.

Impacts of the Crisis

Those living in rural areas suffer the most from water sanitation issues. Only 39 percent of rural individuals have access to clean water. Furthermore, most of these individuals must use water wells that tap into underground aquifers to compensate for the lack of a clean water source at the surface.

The absence of clean water does not only deprive rural Vietnamese of their basic needs, but it also affects their ability to efficiently participate in the economy. Agricultural production is a precious monetary asset that takes up 80 percent of Vietnam’s water supply. The infrastructure needed to transport clean water to farms is unstable.

The Vietnamese water crisis has created national health issues, as well. The Ministry of Natural Resources and Environment estimates that up to 80 percent of diseases in Vietnam is directly caused by water pollution. Nearly six million citizens have contracted a waterborne illness, the most rampant being cholera, typhoid, dysentery, and malaria.

Impacts on Children

Children are the main concern for the international community as dirty water affects the growth and development of a new generation.

UNICEF reports that more than 9.5 million Vietnamese still release excreta into their surroundings, further contaminating the water supply. Children lack the matured immune system needed to fight off the problems generated by this unhygienic practice, such as diarrhea, pneumonia, and parasitic infection. Diarrhea is responsible for nearly 10 percent of the deaths of children under the age of five.

USAID Intervention in the Ha Lam Commune

USAID has routinely provided donations and grants to the Vietnamese government to solve humanitarian issues. A recent project launched on March 30, 2019, is aimed at assuaging the problems perpetrated by water pollution.

The project, called the Vietnam Local Works for Environmental Health, focuses on the Ha Lam commune in the Thanh Hoa province. Small scale water supply systems are currently being entrenched in the region to provide clean water to kindergarten, primary, and secondary schools. The new infrastructure is estimated to benefit over 20,000 individuals living in this northern province.

The Ha Lam commune, however, is not the only area where children are at risk. Education institutions in other parts of Vietnam are also in need of effective water supply systems, as more than 80 percent of schools around the nation lack fully operating water sanitation facilities.

Looking Ahead

Due to the awareness and concentration on the Vietnamese water crisis, it is possible that this problem will soon be overcome. By 2025, the Vietnamese government hopes to attain the clean water standards needed to revive an unhealthy public and a feeble economic production. Specifically, the government has launched a national plan directed at hindering the open defecation that so commonly contaminates the country’s water supply.

With six years to go until Vietnam’s standard is hopefully achieved, it is imperative that this issue remain persistent in the global mind. The government and participating groups must remain resilient through the growing population and industry in Vietnam that work to destabilize existing plans. Clean water is required if the human and environmental body is to exist comfortably.

– Annie O’Connell
Photo: Flickr

June 8, 2019
https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg 0 0 Kim Thelwell https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg Kim Thelwell2019-06-08 15:15:492024-05-29 23:10:42The Vietnamese Water Crisis
Developing Countries, Development, Economy, Global Poverty

The Role of STEM in Developing Countries and Potential Benefits

Role of STEM in Developing CountriesScience, Technology, Engineering and Mathematics are important for building and maintaining the development of any successful country. From the medical scientists, who develop treatments for diseases, to the civil engineers, who design and build a nation’s infrastructure, every aspect of human life is based on the discoveries and developments of scientists and engineers. The importance of STEM today should not be underestimated as its role is becoming increasingly significant in the future. The technology produced today is altering people’s lives at a rate faster than ever before. Consequently, it is vital for countries seeking to reduce their poverty levels to adopt new scientific research and technology. In doing so, these countries can improve their economy, health care system and infrastructure. As this impacts all aspects of society, the role of STEM in developing countries is of significant importance.

STEM and Economic Progress

STEM education fosters a skill set that stresses critical thinking and problem-solving abilities. This type of skill set encourages innovation among those who possess it. Similarly, a country’s economic development and stability are dependent on its ability to invent and develop new products. Technological innovation in the modern age is only obtainable through the expertise of specialists with knowledge of recent STEM research. Therefore, the role of STEM in developing countries is important because a country’s economy is completely dependent on new developments from technology and science.

Overall, the economic performance of metropolises with higher STEM-oriented economies is superior to those with lower STEM-oriented economies. Within these metropolises, there is lower unemployment, higher incomes, higher patents per worker (a sign of innovation), and higher imports and exports of gross domestic products. According to many experts, this holds true at a national level as well. The world’s most successful countries tend to efficiently utilize the most recent scientific developments and technologies.

In recent years, there is a major increase in the number of science and engineering degrees earned in India. India now has the largest number of STEM graduates in the world, putting the country on the right track for economic development. This has led to widespread innovation in India and a consistent increase in its gross domestic product. The role of STEM in developing countries can thus improve its economy. As of early 2019, India has seen an increase of 7.7 percent in its total GDP.

STEM and Health Care

Over the past 50 years, the Western world has made remarkable progress in medical science. With new breakthroughs developed through vaccinations and treatment, many serious diseases in developing countries are now curable. Common causes of death for children in developing countries are diseases such as malaria, measles, diarrhea and pneumonia. These diseases cause a large death toll in developing countries, but they have been largely eradicated from developed countries through proper vaccinations. As a result, these diseases take a large toll on the children of developing countries. In developing countries, a high percentage of the population is under 15 years of age. As such, it is important to prevent diseases that affect children under 15.

Lately, Brazil has seen an epidemic level of yellow fever which has resulted in numerous deaths. Brazil has addressed this by implementing a mass immunization campaign. In particular, this program will deliver vaccines to around 23.8 million Brazilian citizens in 69 different municipalities. The role of STEM in developing countries with preventable diseases will be vital to improving health and life expectancy rates.

Engineering and Infrastructure

Engineers build, create and design machines and public works to address needs and improve quality of life. Engineers construct and maintain a nation’s infrastructure, such as its fundamental facilities and systems. This includes roads, waterways, electrical grids, bridges, tunnels and sewers. Infrastructure is vital to a country, as it enables, maintains and enhances societal living conditions.

Subsequently, poor infrastructure can seriously hinder a nation’s economic development. This is the case in many African countries. Africa controls only 1 percent of the global manufacturing market despite accounting for 15 percent of the world’s total population. Ultimately, poor infrastructure, such as transportation, communications and energy, stunts a country’s ability to control a larger share of the national market.

Afghanistan has improved its energy infrastructure, using a large portion of the assistance received from the U.S. Through this effort, they have been able to reduce electricity loss from 60 percent to 35 percent. Consequently, they have improved long term sustainability and created a reliable energy system for their citizens. The role of STEM in developing countries is important on a large scale, improving infrastructure to impact their citizens’ daily lives.

STEM and the Future of the World

Societies seeking new scientific knowledge and encouraging creative and technological innovations will be able to properly utilize new technologies, increase productivity, and experience long term sustained economic growth. The developing societies that succeed will be able to improve the living standards of its population. As our world becomes more interconnected, countries prioritizing STEM education and research will make significant advances in alleviating poverty and sustaining economic, cultural and societal growth. Undoubtedly, the role of STEM in developing countries is of significant importance, just as it is in our modern world.

– Randall Costa
Photo: Flickr

May 31, 2019
https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg 0 0 Kim Thelwell https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg Kim Thelwell2019-05-31 06:06:292019-05-31 06:06:29The Role of STEM in Developing Countries and Potential Benefits
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