Archive for category: Developing Countries

Information and stories about developing countries.

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A Pandemic in a Refugee Camp

A Pandemic in a Refugee Camp
Since the Venezuelan refugee crisis began in 2015, over 360,000 Venezuelans have fled to Ecuador where they have sought political and economic asylum away from the tumultuous governing in Venezuela. In Ecuador, Venezuelan refugees have created camps and have attempted to rebuild their lives to little avail due to xenophobia, limited job opportunities and harsh living environments. While these harsh living conditions have continued for the Venezuelan refugees for years, the beginning of the COVID-19 pandemic has intensified hardships. Spending the pandemic in a refugee camp involving cramped and overflowing shelters has caused refugees to become extremely vulnerable to contracting and dying from COVID-19.

No Access

For the hundreds of thousands of impoverished and unemployed Venezuelan refugees living in cramped refugee camps, it is challenging to social distance or to retrieve information on COVID-19. Moreover, with limited money focused on food, shelter and provisions, refugees have little left to spend on personal hygiene or personal protective equipment. As a result, refugees do not have access to much-needed medical supplies to keep safe from virus transmissions such as masks, sanitizers, gloves or vitamins. Consequently, transmission rates in refugee camps are disproportionately higher than their urban Ecuadorian city counterparts, yet the medical care is disproportionately lower.

As hospitals in Ecuador have become overrun by sick patients and Ecuadorian first responders have become absorbed with endless virus-related emergencies, Ecuadorian healthcare workers have had to choose which patients they will actually provide medical care to. This decision oftentimes coincides with heavy racism against Venezuelan refugees. Consequently, first responders have often chosen to respond to the rich Ecuadorian citizens living in urbanized areas over the far away, impoverished Venezuelan refugee camps. Similarly, Ecuadoran doctors prefer to provide medical care to the more affluent Ecuadorian citizens who can surely pay their hospital bills rather than the refugees. In turn, Venezuelan refugees are not always able to use Ecuadorian healthcare and instead have to fend for themselves without medical supplies, information about the virus or the ability to social distance.

A Solution for Refugees Surviving a Pandemic in a Refugee Camp

Because solving xenophobia in Ecuador or empowering and enriching refugees could not rapidly happen in time so that they could receive proper treatment during the pandemic, refugees had to take matters into their own hands by looking to new initiatives to prevent the spread of COVID-19. Alongside the United Nations High Commissioner for Refugees (UNHCR), Venezuelan refugee communities in Ecuador developed the Community Epidemiological Surveillance System in an attempt to rapidly discover COVID-19 cases in refugee camps. The system can detect individuals with COVID-19 for quarantine purposes and consequently reduce the risk of COVID-19 transmission amongst refugee communities.

Once the system detects them, patients receive information about their diagnosis along with referrals for proper treatment. The system reports all cases to the national health authorities so that Venezuelan refugees can identify who they were in contact with so that all parties can undergo quarantine and testing for the virus.

How it Works

Since launching in July 2020, the Community Epidemiological Surveillance System has detected hundreds of cases and has prevented the further spread of the virus for thousands of refugees. By identifying a suspect COVID-19 case, the system is able to assess a localized community point of potential exposure for other refugees. Once discovered, the system registers all information upon a public health database that records exposed individuals and provides them with information and medical treatment for the virus. Furthermore, the Community Epidemiological Surveillance System records if a COVID-19 patient or exposed individual has access to personal protective equipment, has preexisting conditions or lives in overcrowded environments that would make them and their neighbors more susceptible to the virus.

UNHCR taught six refugee camps across Ecuador the process of contact tracing. Trained refugees can utilize the Community Epidemiological Surveillance System. This results in using telephone hotlines, community visits by healthcare workers and providing medical provisions. The system is curbing COVID-19 spread in a pandemic in a refugee camp for vulnerable Venezuelans who would have very few medical opportunities otherwise.

– Caroline Largoza
Photo: Flickr

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3 Standout Children’s Programs in Vietnam

Children's Programs in VietnamChildren’s programs in Vietnam are vital to the country’s development. The country is home to 26.2 million children, 21.1% of whom currently live in multidimensional poverty, according to UNICEF. Vietnam has made progress on child welfare since 1990 when it was the first Asian country and the second global country to ratify the Convention on the Rights of the Child. The majority of children in Vietnam attend primary and secondary school, have access to adequate healthcare and have a longer life expectancy than their parents had. But, a significant population of Vietnam’s children still live in impoverished conditions and are deprived of basic needs. Fortunately, there are several standout children’s programs in Vietnam addressing this issue.

Children of Vietnam

Children of Vietnam was founded in 1998 by two friends bringing essential items to children and families by scooter. These two individuals, Ben Wilson and Luong Thi Huong, rode all the way to the Vietnam countryside. They brought food, medicine and clothing to ensure a brighter future for children growing up in poverty.

Today, Children of Vietnam has grown into an NGO that aims to “assist children, families and communities in breaking the cycle of poverty, ill health and homelessness.” It has several initiatives offering aid to children in Vietnam including education, healthcare, housing and nutrition. It also offers support systems for struggling single mothers and children with disabilities.

In 2019, Children of Vietnam successfully completed its Cycling Out Child Poverty tour. The organization was able to raise $146,974 to help Vietnamese children living in poverty.

Room to Read

Room to Read is an organization that aims to empower millions of children in low-income communities by improving literacy and gender equality in education. It operates in developing countries like Tanzania, South Africa, Bangladesh and Cambodia. Almost 90% of the staff are from the countries the organization works in. The organization particularly prioritizes the education of girls, ensuring girls receive equal opportunities for education, no matter their financial background. Room to Read supports young girls so that they can finish secondary school and learn essential life skills that can help them progress and advance.

The organization launched in Vietnam in 2001. Since then, 1.1 million children in Vietnam have benefited from the program. Almost 1,000 schools in Vietnam partnered with the Room to Read Literacy Program and 98% of students passed the program’s “gatekeeping exam” and advanced to the next level in their schooling.

Save the Children

Another organization that works to help children in multiple countries is Save the Children. Founded in 1919, the mission of Save the Children is to ensure a future for children where they grow up healthy, safe and educated. Working in more than 100 different countries, Save the Children has helped more than 144 million children around the world in 2019 alone.

Working in Vietnam since 1990, Save the Children has launched several initiatives to give Vietnamese children the opportunity for quality education, a healthier life and protection from harm. Save the Children has positively affected more than seven million Vietnamese children in 2020. In specific, Save the Children ensured:

  • Roughly 7,110,000 children were healthy and nourished
  • About 179,000 children were educated and empowered
  • Approximately 64,000 children were protected from harm

These standout children’s programs in Vietnam have made significant strides in improving the lives of Vietnamese children over the years. From health to education and safety, organizations have committed to protecting vulnerable children.

– Celia Brocker
Photo: Flickr

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The Need for Telemedicine in Brazilian Communities

Telemedicine in Brazilian Communities
Brazil is using telemedicine to change the way the country’s most vulnerable interact with the healthcare system. Brazil is a South American democratic power that has over 211 million people living within its borders. A 2010 census indicated that over 11 million Brazilians lived in favelas. Those living in favelas have an economic disadvantage and limited access to quality healthcare. In the favelas, many Brazilians lack a healthy water supply to maintain hygiene. Additionally, the clustered homes in favelas are increasing the chances that infectious diseases will spread through them. As a result, these communities need better access to public health resources and telemedicine in Brazilian communities must improve.

Brazil’s Unified Health System suffers from geographic disparities in access and a lack of funding. The Brazilian health system already had issues meeting the needs of the people in poor urban and rural areas. However, once the COVID-19 pandemic hit, the health system became strained even more. Luckily, for the most vulnerable people of Brazil, there are organizations trying to bridge the gaps in Brazilian healthcare.

SAS Brazil’s Mission to Bring Telemedicine to Brazilian Communities

SAS Brazil describes itself as “a [nonprofit] and itinerant Brazilian social organization, which believes in technology and invests in health innovation.” Eight friends formed the nonprofit in 2013 when they attended an international rally. In 2019, it received over $120,000 and had an operating budget of around $200,000 in the same year. However, its expenses for the same year were $200,000. It runs on a budget that relies on multiple sources of revenue including donations to continue its mission of providing the healthcare needed in Brazilian communities.

In the organization’s founding year, it helped 1,500 people. Meanwhile, in 2019, it helped 13,000 people. SAS Brazil’s work consists mostly of expeditions to communities in 14 Brazilian states. Cocos is a municipal region in the northeast of Brazil. The nonprofit has served over 840 individuals in that area alone as of 2019. A major change in Brazilian healthcare regulations has expanded its mission.

Brazil’s Remote Healthcare Regulation Changes

Brazil has 79 telemedicine-related laws and regulations. However, these many attempts to create a whole and codified framework for healthcare services in Brazil have fallen short. Up until the year 2020, SAS Brazil faced this problem as Brazil only allowed remote healthcare services between medical professionals. However, the Ministry of Health with the Federal Council on Medicine revised the rules to allow contact between healthcare professionals and patients. SAS Brazil can now bring medical expertise to more remote and poor areas throughout Brazil.

Looking Ahead

Numerous factors in Brazil’s favelas and impoverished communities play a role in making healthcare technology expansion vital to these regions. The lack of medical professionals, transportation and high need has created a disparity in access to telemedicine in Brazilian communities like favelas. Moreover, the COVID-19 pandemic has exasperated the disparity tremendously. However, new developments are decreasing the access gap for many Brazilians. Nonprofit organizations, like SAS Brazil, are providing “free medical free basic medical consultations and guidance for residents of favelas in different cities in Brazil.”

– Jacob Richard Bergeron
Photo: Flickr

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Economic Policies in Africa Reduce Poverty

Economic Policies in AfricaCOVID-19 has had disastrous effects on Africa’s fight against poverty. After a 25-year streak without a recession, sub-Saharan Africa now faces a new uphill battle. In spite of the challenges posed by the global pandemic, several economic policies in Africa are being quickly implemented by African governments stepping up to combat pandemic-induced poverty.

Impacts of COVID-19

Projections in 2020 indicated that the economic effects of COVID-19 would lower Africa’s GDP by three to five percentage points. A lower GDP is projected to increase the number of Africans living below the international poverty line by 13 million people. In sub-Saharan Africa, a projected loss of $37-79 billion is expected in output losses.

Facing a dire economic situation, several African nations are implementing comprehensive policies and strategic partnerships with key financial institutions. These economic policies in Africa come with the goal of providing much-needed economic support for individuals and families hit hardest by the pandemic.

Cameroon’s Joint Initiative

In late November 2020, French multi-international bank, Société Générale, and the European Investment Bank (EIB) confirmed a new joint initiative to support economic development in Cameroon. The new initiative aims to provide support for private sector development to help increase the economic resilience of companies across Africa that have been impacted by COVID-19.

Among the initiatives is the SocGen-EIB COVID-19 economic resilience financing program. It will allow working capital expenses, and most importantly, payment of salaries and social security and tax, leaving out a minimum maturity requirement to help ease the economic effects of COVID-19. By increasing backing for financial investment through more flexible disbursement conditions, the initiative hopes to support the economic challenges faced by Cameroon and the Central African economy.

Rwanda’s Economic Recovery Fund

Among the most effective economic policies in Africa, Rwanda’s government finalized an Economic Recovery Fund in June 2020 to increase the number of businesses eligible for economic support. The recovery fund initially included approximately RWF100 billion aimed at supporting local businesses most financially impacted by COVID-19. Benefiting the most from this recovery fund has been hotels. Through refinancing initiatives, hotels are able to restructure loans and working capital to avoid lay-offs and ultimately keep their doors open.

Although only a portion of the total funds (roughly RWF50 billion) was slated for hotel refinancing, the portion looked to restructure at least 35% of total outstanding loans of the hotel industry for some 571 borrowers by close of February 2020. The mark has already been met, resulting in John Rwangombwa, Rwanda’s central bank governor, approving RWF43 billion more in additional funds for hotel loans. The hotel refinancing loans are disbursed at a 5% interest rate compared to present market rates of 16%.

Zimbabwe’s Economic Blueprint

Zimbabwe’s President Emmerson Mnangagwa recently launched a five-year economic blueprint called the National Development Strategy (NDS). Targeting a 5% growth rate per year, the plan intends to establish the country as an upper-middle-income economy by 2030. The NDS will look to accelerate economic growth, improve infrastructure and improve investments and usage in information and communications technology.

The plan takes over from the now outdated Transitional Stabilization Program (TSP), which managed to help the country take steps toward a more stable economy. The NDS hopes to improve and bolster the economy even further through improved quality of life and more equitable and equal distribution of wealth. It was projected that the Zimbabwean economy would contract by 4.5% in 2020 due to the effects of COVID-19. Fortunately, the NDS is expected to expand the economy by 7.4% in 2021 and an estimated 760,000 formal jobs are to be created.

African Continental Free Trade Area Agreement (AfCFTA)

Malawi is working to finalize the ratification of the African Continental Free Trade Area (AfCFTA) with other key stakeholders in the African Union (AU). The AfCFTA went into effect on January 1, 2021, and will bring together 55 African countries, affecting 1.2 billion people. The initiative has ambitious goals such as boosting the region’s income by a projected $450 billion. If accomplished this would bring 30 million people out of extreme poverty and increase the incomes of 68 million Africans.

In the short term, the measure will help mitigate the immediate effects of COVID-19 by supporting regional trade and value chains. In the long term, it will lay a new foundation and framework for cooperation among AU members and policy reform needed to curb the shocks felt on the African economy after COVID-19.

The Road to Recovery

Unfortunately, COVID-19 is still a major global issue that continues to pose serious threats to the economic and social stability of Africa. The situation calls for government action, and fortunately, many African nations are stepping up to the plate. Strategic partnerships and expedient economic recovery plans put in place by Cameroon, Rwanda and Zimbabwe hope to set an effective precedent for other African nations to follow. More importantly, pan-African agreements that require continent-wide cooperation such as the African Continental Free Trade Area Agreement can lay the potential groundwork for a prosperous and strengthened Africa.

– Andrew Eckas
Photo: Flickr

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Tackling The Taboo of Menstrual Hygiene

Taboo of Menstrual Hygiene
The American Medical Women’s Association defines period poverty as “the inadequate access to menstrual hygiene tools and education.” This includes limited accessibility to menstrual products like tampons, pads, washing stations and the ability to properly dispose of used products. The World Bank reports that “at least 500 million women and girls globally” lack the basic necessities for healthy menstrual management, making it difficult to combat the taboo of menstrual hygiene.

The inaccessibility of hygienic resources causes several problems for menstruating women and girls around the world. The U.N. states that in sub-Saharan Africa, 10% of school-aged girls will miss days for 20% of the school year due to menstruation. Their cycles, unfortunately, isolate them from their families and loved ones. These girls have to eat alone,  sleep outside and wear the same clothes daily. Society claims they are “unclean” because of their cycles. Studies in Kenya found that it is not uncommon for girls to trade sex to pay for period supplies. Period poverty is a widespread issue. Countries frequently do not address it because of stigmas surrounding menstruation.

Entrepreneurs in the Making

In 2016, South Australian high school students Eloise Hall and Isobel Marshall attended a leadership conference that would start them on a journey of empowering women all over the world. The two young women left the conference with the motivation to do something impactful.

Eloise and Isobel decided that creating a social enterprise would be the most impactful. This is a result of making menstrual hygiene their target objective. They catered to a market that spent $300 million on period supplies annually.

As Isobel and Eloise researched menstrual hygiene, “they were shocked to learn that 30% of girls in developing countries will drop out of school once they start having periods.” They also researched “that far too many reproductive complications stem from the lack of appropriate menstrual health care and education.” They felt a responsibility to contribute to reducing period poverty. Isobel and Eloise launched their company, Taboo, over the next few years with an immense amount of effort, fundraising, persistence and heart.

Team Taboo

Taboo makes organic cotton period products, pads and tampons. Taboo sells them online and in stores throughout Australia. The Taboo team consists only of volunteers. Taboo has a commitment to using ethically sourced materials in its products. It also donates 100% of its profits. The money goes straight to One Girl, a nonprofit organization that “…break[s] down the barriers that girls face in accessing an education. [They] do this by running girl-led programs in Sierra Leone and Uganda to drive positive change for girls and their communities.” One Girl teaches on menstrual hygiene, which is a frequent topic. Taboo also donates menstrual products, thus,  assisting the program with spreading awareness. One Girl distributes its products to its program members. It also combats the taboo of menstrual hygiene.

Eloise and Isobel sought to help their local community. In addition to their support of One Girl, they offer their consumers an option to subscribe to Taboo’s menstrual hygiene products on behalf of “disadvantaged” women in South Australia. They make a monthly trip to a women’s crisis center called Vinnie’s to hand deliver all donated supplies.

Taboo’s first products released in 2019. This company has made a huge impact in this short time. This contributes to Australia’s desire to combat the taboo of menstrual hygiene. In January 2021, co-founder Isobel Marshall became the recipient of the Young Australian of the Year award. The Taboo team is hopeful this recognition will spread awareness of the period poverty crisis.

– Rachel Proctor
Photo: Flickr

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A Closer Look at HIV/AIDS in Liberia

HIV/AIDS In LiberiaAround 4.9 million people are currently living with HIV in western and central Africa, including a percentage of those living in the small African country of Liberia. With a population of 5.1 million, roughly 1.5% of Liberians aged 15-49 live with HIV/AIDS. While this sounds like a small percentage, this equates to an estimated 47,000 people currently living with HIV/AIDS in Liberia, including 3,600 children.

HIV/AIDS in Liberia

While the percentage of HIV/AIDS in Liberia is lower than in surrounding countries and other regions of Africa, the country still struggles with treatment plans, education on the disease and breaking down stigma that could help prevent further spread. In 2019, UNAIDS released a comprehensive report detailing the spread and effect of HIV/AIDS in the country. The report states that only 33% of those living with HIV are receiving ART treatment. This amounts to 15,000 people currently receiving antiretroviral therapy (ART), a daily medication that reduces HIV in the system. Persons with HIV who do not receive ART treatment are more likely to develop AIDS and spread the virus. Of the 15,000 receiving treatment, 763 are children, which amounts to only 21% of all infected children in the country.

Additionally, only 58% of those living with HIV know their status. Lack of education on HIV testing and little access to testing centers has led to only a little more than half of those infected knowing their status through accurate testing. This lack of education heightens the threat of further spread, putting the health and safety of the entire population at risk. HIV/AIDS is not limited to sexual encounters. It also spreads through shared drug injections and even spreads to infants through breastfeeding. Unfortunately, stigma and discrimination continue to prevent progress.

According to UNAIDS’ 2019 report, roughly 53% of those surveyed in Liberia answered no when asked if they would purchase produce from a vendor who was HIV positive. This kind of stigma and cultivated ignorance around HIV and AIDS further inhibit people from getting tested as they may fear public ridicule. The fear of a positive test prevents the country from creating accurate and beneficial response plans.

Programs and Progress

In 2017, the African Union, in partnership with UNAIDS and others, implemented a series of “catch-up plans” for countries in western and central Africa to combat these issues. These plans included a 90-90-90 goal by 2020, meaning 90% of the people will know their HIV positive status, 90% of HIV positive people will have access to ART treatment and 90% will have viral suppression. The UNAIDS’ full 2020 report for Liberia is not available yet but the 2019 report already showed improvements in the country’s fight to eradicate the disease.

Compared to a 2016 report, the percent of children receiving ART treatment rose from about 17% to 21% in 2019.  Additionally, the percentage of HIV-positive pregnant women receiving ART treatment has increased from 19.3% in 2015 to 90% in 2019. This massive increase helps prevent infants born with HIV and decreases the risk of spread through sexual partnerships. The U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) has supported the African Union and UNAIDS’ efforts in Liberia and significantly aided in the reduction of HIV-related issues. Therefore, PEPFAR supports health and treatment facilities in four Liberian counties and supported ART treatment for 15,000 HIV-positive persons in 2020.

All these improvements show progress toward the eradication of HIV/AIDS in Liberia. These advancements bring optimism as hope for an HIV/AIDS-free country remains strong.

– Kendall Couture
Photo: Flickr

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The OPEC Fund Fights Poverty in Tanzania

OPEC FundThe OPEC Fund for International Development fights against poverty by funding projects that improve poverty and spur development. On February 19, 2021, it continued this effort by sending a $50 million loan to Tanzania. The funding supports the Fourth Tanzania Poverty Reduction Project. The project intends to focus on boosting the economy through rural development. It will also improve access to social services for more than 900,000 people. Tanzania has certainly made progress in reducing poverty over the past decade, but around 26 million Tanzanians still live on less than $1.90 per day. The efforts of the OPEC Fund intend to address the issue of poverty in Tanzania.

The Goal

The fourth phase of the plan aims to build rural infrastructure for education, health, water, agriculture and transportation. By improving these conditions, employment opportunities will arise for those who are struggling. Additionally, this project will provide people with income opportunities such as growing vegetables and farming animals. The OPEC Fund Director-General Dr. Abdulhamid Alkhalifa states that the organization has committed to improving poverty in Tanzania for years. He explains that the current loan will empower communities to help themselves by strengthening food resilience and household incomes as well as developing social amenities to encourage growth and development.

The Partnership

The partnership between the OPEC Fund and Tanzania has existed for 45 years. During the partnership, the OPEC Fund has given the country more than $370 million for the current project and 37 other public sector operations. The OPEC Fund most recently granted assistance toward transportation. Tanzania received $26 million for the Kazilambwa-Chagu Road Upgrading Project. The road built will connect two of the country’s main ports. Improving the accessibility of these ports will ultimately lead to an increase in both agricultural and tourism-related activities. Additionally, it will enable trade with neighboring countries, therefore spurring economic growth.

Plans for Development

The OPEC Fund’s mission is to stimulate economic growth in low to middle-income countries. The OPEC Fund provides financing to both member and non-member countries. Established by member countries in 1976, it sought to increase development and strengthen communities, all while empowering the people of the country. The OPEC Fund has approved more than $25 billion for 135 countries, showing many that development is possible for everyone. With help from the OPEC Fund, Tanzania has greatly reduced poverty levels over the past 10 years. As the OPEC Fund fights against poverty, the Tanzanian government is implementing programs to eradicate poverty and developmental issues. Exemplary programs include three previous phases of this project co-financed by the OPEC Fund.

Importance of Agriculture

Agriculture is the center of Tanzania’s economy, contributing around a quarter of GDP and employing three-fourths of the country. Increasing droughts and harvest losses, however, present a threat to food security and the agriculture sector. Tanzania’s GDP growth of 6–7% annually over the past decade stems largely from the agriculture sector. A majority of the agricultural success has come from improvements and progress in farming and harvesting.

Tanzania also struggles to expand modern energy access, with two-thirds of the population still without access to modern energy. Similarly, only 9% of Tanzania’s population has access to formal financial services and only 4% has ever received a loan from a bank, factors clearly stagnating economic growth and development in the country.

The assistance provided by the OPEC Fund alongside community members and the Tanzanian government has allowed Tanzania to make great strides toward eradicating poverty and improving developmental growth.

– Jai Phillips
Photo: Flickr

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Children with Disabilities in Kyrgyzstan

Disabilities in Kyrgyzstan
Kyrgyzstan is a small nation in Central Asia. It is west of China and south of Kazakhstan. In 2019, this former Soviet country ratified the United Nations Convention on the Rights of Persons With Disabilities (CRPD). Kyrgyzstan is now part of it along with 180 other countries. The approval of the CRPD showcases the progress that various organizations have made in recent years toward creating a more inclusive Kyrgyzstan. This is of vital importance to more than 31,000 registered children with disabilities in Kyrgyzstan who often lack basic civil rights.

Barriers to Inclusion

Since Soviet rule, the prevailing mindset in Kyrgyzstan is that people with disabilities require fixing. This has led to the development of stigmas against people with disabilities, and in turn, their exclusion from daily life. This can take the form of the children not receiving an education, and having limited access to health and rehabilitation services and institutional placement. According to UNICEF, in 2012, more than 3,200 children and teenagers with disabilities were living in institutions. Here, they often face inhumane treatment. For example, Human Rights Watch documented that staff use “psychotropic drugs or forced psychiatric hospitalization to control children’s behavior and punish them.” This kind of treatment is harmful and can result in an overdose.

Learning Better Together

In 2018, the Kyrgyzstan government launched several initiatives with the intention of fostering inclusion. One of these initiatives is the Learning Better Together Initiative. This is a partnership between USAID, the Ministry of Education and Science of Kyrgyzstan and UNICEF. UNICEF is responsible for placing children with disabilities or special needs in local schools. Teachers received training on how to work with children with disabilities and how to identify areas in which students need extra help.

There were 20 schools that participated in the pilot program. Each one received grants to use as they best saw fit. For example, the school in Kok-Sai used the grant to build a dance room and purchase exercise equipment to help children with disabilities improve their physical health.

While the main focus of the Learning Better Together Initiative is children with disabilities, it also implemented multilingual education. At least 20 school settings practiced this concept during the pilot program. These programs are important for a multiethnic nation like Kyrgyzstan.

Open the Door to the Child!

“Open the door to the child!” is a UNICEF public campaign. It is in partnership with the Osh and Bishkek Mayor’s office that informed the public about children with disabilities in Kyrgyzstan. Billboards displayed advertisements that talked about accepting those with disabilities. Similar posters and banners hung on bus stops and city lights. The stories of children with disabilities in Kyrgyzstan, including their trials and victories, aired on local television throughout the Osh Oblast (region).

Additionally, kindergartens handed out bilingual pamphlets to parents, outlining how to connect with children with disabilities. Psychology and sociology students came to kindergartens to teach how to make friends with others, including those who have disabilities.

UNICEF’s Early Identification and Early Intervention Programme for Children with Disabilities is a program that sends health care workers to homes with newborns and children to screen for health issues and disabilities. Currently, UNICEF is striving for early detection in children 8-years-old and under to ensure they get adequate health services. UNICEF is also aiming to prevent a child’s health from worsening.

Buchur

Buchur is a daycare center in Osh, Kyrgyzstan, which specializes in working with children with disabilities. Founded by UNICEF, the city now runs and finances the daycare center itself. Here, children with disabilities between the ages of 2 and 16 can learn skills and interact with one another instead of facing isolation at home. Furthermore, it facilitates a smooth integration into kindergarten or school. Buchur also tutors children from mainstream schools who need help with homework. Similar facilities are uncommon in Kyrgyzstan.

Basketball for All

Inspired by a similar Ukrainian program, Basketball for All teaches kids with down syndrome or autism the skills and teamwork needed to play basketball. Administered by World Link and FLEX alumni, this is the first project of its kind in Kyrgyzstan. Organizers integrate parent and student feedback into the program to ensure it has the desired effect on students. Though the COVID-19 pandemic cut the initial run of the program short, the organizers have expressed interest in continuing the program after the pandemic.

Kelechek Plus

Kelechek Plus is an organization that focuses on issues surrounding children with disabilities in Kyrgyzstan. One of its programs focuses on building inclusive playgrounds for children. These playgrounds help expose non-disabled children to children with disabilities and vice versa. This is important to the mental and emotional needs of the children. Kelechek Plus has built playgrounds in various cities around Kyrgyzstan, such as Osh and Karakol. A wheelchair-accessible merry-go-round is an example of the type of structures that parents could find at one of Kelechek Plus’ playgrounds.

The progress that Kyrgyzstan has made over the last few years has been valuable in regard to the inclusion of children with disabilities in Kyrgyzstan. However, most NPO and government initiatives affect mainly the cities, leaving the rural areas in need of social and academic services. Government assistance in rural areas needs to occur. However, the success of current inclusive programs could serve as a roadmap throughout Kyrgyzstan.

– Riley Behlke
Photo: Flickr

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Caribbean Nations Unites on Storm Resilience

storm resilienceThe Caribbean region is facing an accelerated amount of devastating storms and severe weather incidents. With the Atlantic hurricane season becoming longer and more aggressive, as well as the additional crippling effect of the COVID-19 pandemic, Caribbean nations are struggling to persevere. It was predicted that from June 2020 to November 2020 there would be as many as 19 named storms, with up to six potentially becoming major hurricanes. In the Caribbean, a typical hurricane season has 12 named storms and three major hurricanes. Caribbean nations have united on storm resilience in the face of disaster in order to strengthen their disaster response.

COVID-19 and Caribbean Storms

The COVID-19 pandemic has already made it difficult to rebuild from past storms. Economies have been critically damaged as many regions depend on tourism. Furthermore, the government has to now prioritize already minimal resources for the public health crisis instead of disaster relief efforts.

With more devastating storms to come, the well-being of these Caribbean nations is a critical concern. Amid the uncertainty, Caribbean nations have united on storm resilience to implement effective emergency preparedness and response.

Initiating Institutional Reform

Nations throughout the Caribbean are acknowledging the obstacle of insufficient investments in National Disaster Management Organizations (NDMOs) that stem from deficiencies in their institutional frameworks. In January 2021, The Caribbean Disaster Emergency Management Agency (CDEMA) launched an initiative to augment disaster preparedness and enact institutional evaluations for Eastern Caribbean countries like Dominica, Saint Kitts and Nevis, Grenada, Saint Vincent, the Grenadines and St. Lucia. These evaluations, conducted by in-person interviews and questionnaires from national disaster experts and program representatives, will find weaknesses in each countries respective NDMOs. From there, the initiative will create a foundation that will support future regional cooperation.

During these institutional assessments, a reoccurring fault was the inadequacy of the NDMOs ability to collect and manage triable data and information. In response, the project received further funding to implement data collection training workshops that cover managing COVID-19 and the oncoming hurricane season. To guarantee the sustainability of these reforms, the project needs to engage policymakers and stakeholders within the government as well as gain input from ministries of finance in the countries involved.

Mobilizing Finance and Insurance Coverage

Caribbean nations have united on storm resilience by developing the Caribbean Catastrophe Risk Insurance Facility (CCRIF) in 2007 which provides the region with insurance coverage for hurricanes and earthquakes. This “sovereign parametric” insurance method is bought by the government and relies on risk modeling instead of on-the-ground damage evaluations to estimate the cost of disasters. The insurance policy automatically pays out when pre-agreed conditions like wind speed, rainfall and modeled economic losses meet or exceed a certain limit.

This creates fast payouts that avoid time-consuming damage evaluations. This also allows businesses to reopen sooner, roads and airports to quickly start operating again and affected communities to recover faster, preventing further long-term damage.

USAID Collaboration in Disaster Response Training

The United States Agency for International Development (USAID) has continued to support the International Federation of Red Cross and Red Crescent Societies (IFRC) to expand the Red Cross national societies in Caribbean countries. USAID allocated more than $43.1 million in 2020 to support disaster risk reduction activities in Latin America and the Caribbean. These tools will empower communities to adequately prepare for, respond to and recover from disasters.

Setting an Example During Turbulent Times

Preventing future destruction from violent storms and natural disasters will require serious commitment and collaboration among Caribbean nations. In addition, these circumstances call for increased international support during a time where pre-existing vulnerabilities have been intensified by a threatening pandemic. Witnessing how Caribbean nations have united on storm resilience in face of disaster can provide a positive example for other countries during a time where global unity is most essential.

– Alyssa McGrail
Photo: Flickr

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10 Facts About the Ervebo Ebola Vaccine

ErveboIn 2014, an outbreak of Zaire ebolavirus in the West African countries of Guinea, Liberia and Sierra Leone resulted in more than 28,000 cases and 11,000 deaths. Ebola virus disease (EVD) outbreaks were documented since the 1970s. However, the widespread nature of the 2014 epidemic caused global fear. Many countries responded by imposing travel restrictions against West African nations. Fortunately, the U.S. Food and Drug Administration approved the first Ebola vaccine (Ervebo) in December 2019.

10 Facts About the Ervebo Ebola Vaccine

  1. Trials began in 2018. The World Health Organization (WHO) and the Democratic Republic of the Congo (DRC) began to trial Ervebo in 2018 as an investigational vaccine under an expanded access program. The DRC experienced the world’s second-largest Ebola outbreak. The vaccine use aimed to prioritize people most at risk such as healthcare workers.
  2. Roughly 290,000 people received vaccinations. In response to the Ebola outbreak in the DRC, more than 290,000 people have received the Ervebo vaccination under compassionate use protocols. Compassionate use allows for the limited allocation of an unlicensed vaccination due to a dangerous public crisis.
  3. Ervebo is 100% effective. A study in Guinea during the 2014-2016 outbreak indicates that Ervebo was 100% effective for individuals 18 and older. In a comparison of cases, Ervebo was 100% effective in preventing cases of Ebola with symptom onset more than 10 days after inoculation. The comparison involved 2,108 participants in an “immediate” vaccination group and 1,429 participants in a “delayed” vaccination group.
  4. Trials outside of West Africa. In addition to West Africa, trials of the Ebola vaccine occurred in Canada, Spain and the United States. Because Ebola is not endemic to Europe or North America, researchers wanted to measure the antibody response among individuals with no history of previous exposure. The antibody responses among participants in Canada, Spain and the U.S. were close to that of individuals in Liberia and Sierra Leone.
  5. Ervebo is safe for all participants. Roughly 15,000 individuals in Africa, Europe and North America were part of vaccine trials. The trials determined that the vaccine is safe and effective for all individuals. Individuals reported only minor side effects.
  6. Ervebo is a single-dose vaccine. Ervebo is a single-dose injection that does not require boosters. This allows for faster distribution and protection against EVD. The vaccine is a “live, attenuated vaccine that is genetically engineered to contain protein from the Zaire ebolavirus.”
  7. The vaccine received priority review. Due to the importance of developing an Ebola vaccine as a public health measure, Ervebo received a priority review and a tropical disease priority review voucher by the FDA under a program supporting the development of new drugs for the prevention and treatment of tropical diseases. Ervebo also received a breakthrough therapy designation to assist with the development of the vaccine. The FDA worked closely with the company, Merck & Co., Inc., and completed the evaluation in less than six months.
  8. The vaccine will be available to those most in need. Due to limited supplies of Ebola vaccines, Ervebo will be available as part of a ring vaccination strategy during future outbreaks. This strategy means that those most at risk will receive first priority. Vaccination efforts will start with people like healthcare workers and extend outward to other members of the community.
  9. A global stockpile will be available in January 2021. Beginning in January 2021, a global stockpile of the vaccine will be available through the International Coordinating Group (ICG) on Vaccine Provision. The ICG also manages stockpiles of cholera, meningitis and yellow fever vaccines and will be responsible for decision-making on allocation.
  10. Four African countries have licensed the vaccine. In February 2020, the Democratic Republic of the Congo (DRC), Burundi, Ghana and Zambia licensed the Ervebo vaccine. The license means the manufacturer can stockpile and widely distribute the vaccine within these countries. No further research or clinical trials are necessary with a license.

The Future

One cannot undo the damage of past outbreaks but the Ervebo Ebola vaccine may be a valuable tool for future Ebola prevention efforts. As the vaccine becomes widely available in future years, the World Health Organization hopes the population of West Africa will achieve herd immunity against the disease, eradicating the spread of EVD. The technology used in the development of the Ebola vaccine will also aid in the quick development of vaccines for future global outbreaks. As the world continues to struggle against COVID-19, the success of Ervebo provides a blueprint for the prevention and mitigation of future epidemics.

– Eliza Browning
Photo: Flickr