Archive for category: Developing Countries

Information and stories about developing countries.

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7 Ways 5G Internet Could Reduce Poverty

5G Internet Could Reduce Poverty
With the “fourth industrial revolution” underway as technology rapidly advances and changes the global outlook, fifth-generation (5G) internet has proved to be a breakthrough that could potentially pull millions out of poverty. One can characterize 5G internet by its high speed, high capacity and low latency with a bandwidth almost 10 times more than fourth-generation (4G) internet. Peak download speeds for 5G internet are around 20 gigabits per second, allowing users to download full movies, videos, advanced Internet of Things (IoT) software or artificial intelligence (AI) in minutes. 5G internet could reduce poverty significantly if countries implement the correct infrastructure for it.

Many countries have already begun building 5G networks. According to a report by Cisco, at the end of 2019, 26 countries were commercially selling 5G programs, 14 of which were developing countries. Countries with high rates of poverty could especially benefit from 5G internet as it would provide a stable internet connection and allow them to access a wealth of online resources. Below are seven ways 5G internet could reduce poverty.

7 Ways 5G Internet Could Reduce Poverty

  1. 5G internet could further advance the Sustainable Development Goals set for completion by 2030, especially surrounding “inclusive and equitable” education for all. The communities that live in rural locations most commonly face difficulties accessing educational resources. According to the World Economic Forum, construction of a school would have to happen every hour for 11 years in order to ensure enough schools for all of the children living in sub-Saharan Africa. 5G internet could connect those in unreachable locations to online teaching resources and remote learning opportunities. The speed of 5G internet could allow students to tune in live to classrooms globally.
  2. Healthcare, which has lagged far behind in many developing countries, could see massive reforms as part of 5G internet access. New AI and IoT devices could revolutionize the industry. New surgeons in training can wear haptic gloves that track hand movement to send to professionals across the globe so they can correct and mentor them. Virtual reality and 3D imaging allow medical professionals to aid in surgeries in rural areas. AI could even enable remote surgeries or checkups.
  3. Compared to 4G networks, 5G can reduce energy consumption by 50% to 95%, said the European Investment Bank. Energy poverty is already a prevalent issue, which is a lack of access to energy as a result of its high cost. Reducing energy usage further would allow 5G to be more affordable and sustainable.
  4. The internet has already allowed massive globalization to take place which has expanded global output by millions of dollars. 5G will continue this revolution – by 2035, IHS economics and technology has determined that 5G internet will enable $12.3 trillion in global economic output. In addition, it should allow the creation of 22 million jobs, meaning a vast new market could open up for employment in all countries.
  5. With new AI and IoT devices monitoring factors, such as rainfall, water content, nutrients in the soil, ground temperature and more, 5G internet should encourage the rise of “smart” agriculture. This technological push to increase farmer efficiency has already begun but faster data speeds and larger bandwidth that allow the installation of more sensors and larger-scale technology should accelerate it. Intel estimates that the global smart agriculture market will rise to $23.44 billion by 2025 and that 55% of data on farms will come from IoT devices. Impoverished countries could especially benefit from these advancements as they will allow higher crop yields, saving money and feeding a larger portion of people.
  6. People could use unmanned aerial vehicles (such as drones) in combination with 5G internet to supply a larger area. Especially in rural areas where built-in infrastructure would not provide for all of the people who need it, traveling drones could circulate 5G networks to all that need it. A farmer who is trying to use a cellular device on a large plot of land could have a personal unmanned aerial vehicle that would travel with them as they inspect the whole field, ensuring that their 5G network never experiences an interruption.
  7. Emerging countries are especially willing to build 5G infrastructure as it is more affordable than previous internet structures and proves to have a large payoff. The implementation of 4G networks is often more expensive with less energy efficiency, sustainability and economic increase, causing developing countries to jump straight into adding 5G infrastructure. India, Turkey, Brazil, Saudi Arabia, Mexico, Russia, Qatar, Oman and Uruguay have been some of the first countries to modify their industrial transformation programs. In addition, due to the fact that many western developed countries have banned or restricted 5G data networks until recently, major 5G players such as China have increasingly marketed to developing nations.

Currently, 5G internet is accessible mostly in urban areas due to population density, but rural areas will not lag far behind if areas put the right infrastructure in place. South African cities and Cape Town were the first in Africa to see 5G due to the growth of Rain, a South African company. These seven facts about how 5G internet could reduce poverty show that it holds a bright future for many of the developing countries and will be a key player in the coming years.

– Nitya Marimuthu
Photo: Flickr

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10 Health Care Apps in Developing Countries

Healthcare Apps
The relationship between phones and medical care evolved rapidly with the rise of smartphones. Not only do people now have an effective means of communication at their fingertips, but they also have information and, lately, an increasing number of medical tools as well. Here are ten health care apps making a significant impact in developing countries.

10 Health Care Apps in Developing Countries

  1. Peek: Peek has its sights set on helping people with vision impairment issues and blindness, a problem exacerbated in developing countries by a lack of resources. Peek can identify people with vision problems and work with health care providers to pinpoint an economically feasible way to supply the treatment they need. Currently, the International Centre for Eye Health uses Peek at the London School of Hygiene. Tropical Medicine is also administering a population-based survey of blindness and visual impairments in Cambodia.
  2. SASAdoctor: SASAdoctor is making health care consultations more accessible in Kenya, where only 12% of the population is insured. The app is available to all Kenyans with an Android smartphone or tablet (65% of the population). For the uninsured, using SASAdoctor is cheaper than an in-person consultation, bringing costs down to the equivalent of $4.66. Patients have their medical history, list of medications and other medical notes in the app. This ensures that the consulting professionals will have the information they need to create an informed medical opinion. A projected 80% of Kenyans will have smartphones in the next few years, making the app increasingly beneficial.
  3. iWander: The purpose of iWander is to help keep track of dementia patients. Set with tracking technology that can be discretely worn by the patient, the app gives users more control over the care of loved ones, which can be vital in countries where health care may be less accessible. By helping families be proactive to crises, iWander can help cut costs, as home care for dementia patients is often expensive.
  4. Kenek O2: Kenek O2 allows the user to monitor their oxygen levels and heart rate while they sleep. Built for iPhones, the app also requires a pulse oximeter which connects to the phone. Together, the cost for these two items is around $100. In contrast, a regular hospital oximeter and similar products could cost upward of $500. Having been used effectively in North America, South America, Asia and Africa, Kenek O2 is currently working on developing a special COVID-19 device to watch for early signs of hypoxia, or the deficiency of oxygen reaching tissues.
  5. First Derm: First Derm also requires a smartphone-connected device called a dermatoscope. This enables patients to take detailed pictures of skin conditions for effective teleconsultations. In places where patients have little access to health care facilities, this makes getting a second medical opinion much easier. So far, First Derm has helped in more than 15,000 users from Sweden, Chile, China, Australia and Ghana. Of these, 70% could be treated without a doctor, most often by over-the-counter treatments available at local pharmacies.
  6. Ada: Functioning as a personal health assistant, Ada provides medical advice to users who input their symptoms. The app is intended to assist those who don’t have the means to seek an in-person consultation right away. Currently, 10 million people around the world are using Ada for symptom evaluation.
  7. Babylon: Another app that’s intended to mitigate the obstacle of going to see a doctor in person, Babylon allows users to input their symptoms. The app specializes in non-emergent medicine, allowing patients to skip a trip to the doctor’s office entirely if their condition allows it. This is beneficial in places where doctors are sparse, or the patient lacks the financial means to get to the hospital. Babylon caters to users across the U.S., U.K., Canada, Rwanda and several countries across Asia-Pacific and the Middle East. The goal is to expand to even more countries in the coming years.
  8. MobiSante: When connected to its ultrasound device, MobiSante provides quality diagnostic imaging. The ultrasound is then sent directly to the patient, enabling them to receive health care outside the confines of a hospital or clinic. The app brings more holistic and informed treatments to people who may have previously struggled in finding a place with the proper resources to diagnose them.
  9. Go.Data: Go.Data is a tool released by the WHO specifically for collecting data during global health emergencies. During the Ebola outbreak in Africa, Go.Data, praised for tracing points of contact, also tracked infection trends and helped in arranging post-contact follow up.
  10. Mobile Midwife: A digital charting app that stores information in the cloud, Mobile Midwife ensures midwives have access to pertinent patient information. Mobile Midwife is designed to function even where an internet connection isn’t reliable. It is beneficial in areas with high mother and infant mortality, helping health providers give high-quality care.

Bridging health care with smartphone apps isn’t a perfect solution, as it often comes with accessibility issues of its own. However, these apps can help people connect virtually with medical professionals, increasing access to health care and often reducing costs. The result is a more equal distribution of power between the health care system and the patient, empowering a healthier (and more health-conscious) population.

– Catherine Lin
Photo: Flickr

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Preventing Hearing Loss in Developing Countries

Hearing Loss in Developing CountriesAs of 2018, an estimated 466 million people around the globe suffer from hearing loss. Access to technology and medical care to aid those with hearing loss is rather limited in developing nations. Language barriers, stemming from a lack of sign language interpreters, prevent communication between patients and doctors. By identifying the signs of hearing loss earlier, individuals may have opportunities to receive medical help and progress in their communities. Addressing hearing loss in developing countries through public health measures and advocacy will aid the economy and overall well-being of developing countries.

Causes of Hearing Loss in Developing Countries

The two primary kinds of hearing loss in developing countries are congenital and acquired. Congenital causes can come from a family history of hearing loss, prenatal factors or complications during childbirth. Severe infection during pregnancy often passes onto the baby. Low birth weight, a lack of oxygen during birth, premature birth or preeclampsia are all contributors to hearing loss in newborns.

Acquired causes of hearing loss happen at birth, during childhood or from aging. Old age or exposure to loud noises during one’s lifetime can destroy sensory cells in the ear. Trauma from an accident or even severe, recurring ear infections can also lead to deafness in one or both ears. For example, chronic ear infections in South-East Asia, the Pacific Islands and Africa affect up to 46% of their populations. In a study in Brazil involving 70 subjects, the Zika virus caused hearing loss for 7% of the children between 0-10 months.

Effects on Children

Unlike further developed countries, mothers and families are unable to screen their newborns during and after pregnancy. Approximately 34 million children have disabling hearing loss, and the majority of these children suffer socially and emotionally. Without the ability to communicate effectively, these children end up isolated within their homes. They can not receive an education, so in their adult life, they remain illiterate. A lack of education means higher unemployment rates throughout the country.

Some forms of prevention against disease may also put newborns at risk of developing deafness. Around 660,000 out of 219 million people die each year from malaria. Chemoprophylaxis is one of several forms of medication to prevent contracting the illness. Malaria can lead to low birth rate and deafness, but so can antimalaria medication such as Chemoprophylaxis. Other medicines used for infections during pregnancy or tuberculosis can similarly result in deafness for newborn children.

Organizations and Advocacy

Children must be immunized against severe diseases to aid hearing loss in developing countries. Mothers must be encouraged to take medications needed during their pregnancies properly, and earlier screenings on newborns need to be readily available. World Wide Hearing provides affordable hearing aids to countries lacking hearing clinics. With less than 10% of hearing aid distribution worldwide, World Wide Hearing ensures the deaf’s social inclusivity.

Partners for a Greater Voice built a school for the deaf in the Dominican Republic and also provides hearing aids to those with lower incomes. The trained teachers prioritize oral education and thus communicate effectively with students. Grand Challenges Canada pairs with Hearing Access World to distribute hearing loss diagnostic kits, and provide affordable screenings coupled with hearing aids. Along with donations and massive investments, projects involving Audio Techs also refer some patients to doctors that will cater to severe needs.

By preventing disease and providing needed resources, these organizations can limit the detriment of hearing loss in developing countries. Starting with the youth will benefit the economy as more children go to school and have jobs readily available. Age-related hearing loss must be managed through implementing active communication catered towards the deaf. Young or old, the deaf community will attain a better quality of life and socioeconomic confidence with accessible programs.

– Sydney Stokes
Photo: Wikimedia Commons

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10 Facts About Poverty in Niger

Poverty in Niger
Niger is a country in West Africa and is one of the world’s most impoverished nations. Although the country has made a significant effort in poverty reduction, Niger’s extreme poverty rate was 41.4% in 2019, affecting 9.5 million people. Here are the top 10 facts about poverty in Niger.

Top 10 Facts About Poverty in Niger

  1. Niger’s fast-growing population adds to its high poverty rate. The United Nations expects Niger’s population to triple by 2050. As a result, the country’s inability to break the cycle of poverty for impoverished families will increase.
  2. Population Services International (PSI) Corporation promotes family planning resources in Niger. In 2019, PSI partnered with the Nigerien Ministry of Public Health to administer an outreach mission for voluntary family planning to rural areas of Niger. For example, the operation provided long-acting contraception methods and health education.
  3. Niger battles hunger. As of 2015, with a population of 18 million, 81% of Niger’s population lives in rural areas. Due to the rurality, most of the community does not have access to a food market. This exacerbates the problem of food security for the 20% of citizens who do not have enough food.
  4. Action Against Hunger aided 429,301 Nigeriens in 2018. The program provided better access to food markets and seasonal cast-for-work opportunities. Action Against Hunger assisted families by donating seeds and agricultural tools to those in need.
  5. Niger encounters climate challenges. As a country in West Africa, the Sahara Desert covers 80% of Niger, causing challenges for agriculture. The dry climate and minimal crop growth force 40% of Nigerien children under the age of five to experience malnutrition.
  6. Frequent droughts harm Niger’s economy. Niger’s economy relies heavily on agriculture, accounting for more than 40% of its GDP. As a result, when the country faces continuous short rainy seasons, there are food and job shortages.
  7. The World Food Programme (WFP) assists Niger’s farmers. The WFP buys produce from local Niger farmers and connects the farmers with corporate markets. This program helps the farmers to gain a steady income and reduce poverty.
  8. CARE Niger transforms the lives of Nigerien citizens. Since 1973, CARE Niger has reduced hunger through its Food Security and Nutrition and Management of Natural Resources Program. The plan established farmer field schools that advocated for markets and nutrition.
  9. Conflicts near Niger’s borders affect its citizens. Thousands of Nigerians have fled Nigeria to Niger due to violent extremism. As a result, almost 23,000 Nigerian refugees arrived in Niger in April 2020 alone.
  10. The United States Agency for International Development (USAID) establishes nutritional opportunities for Niger. In April of 2020, USAID announced a five-year plan titled the Yalwa Activity, which plans to bolster the capabilities of Nigerien farmers by mandating access to affordable, safe food. Additionally, the Yalwa Activity will enhance food storage for farmers, allowing farmers to sell their produce at markets across Niger.

With its growing population, harsh climate and troubled borders, Niger remains one of the world’s most impoverished nations. Nevertheless, through outreach and international aid, Niger hopes to reduce its extreme poverty rates.

– Kacie Frederick 
Photo: Flickr

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Hidden Hunger in Georgia

Hidden Hunger in GeorgiaLocated in the Caucasus Mountains of Eastern Europe, Georgia is a transcontinental country in Asia and Europe, where 15.6% of the population lives below the poverty line. While the people of Georgia receive enough food, some suffer from stunted growth and undernourishment due to the quality of their diet, leading to hidden hunger in Georgia.

Background

Hidden hunger in Georgia results from a lack of essential vitamins and minerals in its accessible food. It occurs when people do not consume enough protein, iron and vitamin A consistently, which can cause tangible issues. For example, half a million Georgians are malnourished and infant mortality is twice the EU average. Additionally, a significant number of children under 5 years old are anemic.

Most of the foods that Georgians eat are high in starch and have little nutritional value. The two most popular dishes in rural Georgia are fried potatoes and lobio, which are made of boiled beans. Overreliance on these types of foods has made cardiovascular disease the most common chronic disease in the country. Currently, it accounts for 69% of Georgia’s mortality.

The leading cause of the dietary insufficiencies in Georgia is a lack of access to meat and meat-based products. Unfortunately, these products are relatively expensive in local markets. The average household income is just $6 per day (⅓ of the population earns only $2.5 per day), so meat consumption is impractical for most people.

Furthermore, the gross domestic product of Georgia was just $16.21 billion in 2018, with a per capita GDP of $4,723. For comparison, the 2018 GDP per capita for the European Union was $35,616.

Although the country’s GDP is growing overall, economic downturns, such as the 2008 Russo-Georgian War, the 2015 stagnation, the 2020 pandemic and the Russia-Ukraine war, have reduced the value of the Georgian Lari. These shifts can create vulnerable conditions for Georgia’s population and reduce food security.

The Impact of COVID-19 and the Russia-Ukraine War

Amid the global pandemic, widespread lockdowns and food shortages significantly impacted local markets in Georgia. While the country has subsistence farmers, most of the population relies on purchasing food from street markets or bazaars. The combination of lockdowns and supply chain disruptions posed a severe risk of food insecurity for the population. However, the government took prompt action to mitigate this risk by implementing the following measures

  • Provision of subsidies to local farmers
  • Government procurement of food from private companies to prevent shortages.
  • Subsidizing the import of food items such as pasta, oil, wheat, milk powder, and sugar.

Georgia relies on neighboring countries Russia and Ukraine for its wheat, sunflower oil, milk and dairy products. The disruption of the supply chain has reduced imports and increased food prices in the country, leading to an inflation rate of “17.9% in 2022”. 

Solutions

Fortunately, governmental and nonprofit organizations worldwide are taking steps to improve dietary standards and combat hunger in Georgia. Action Against Hunger has had a Food Security Program in the country since 1994, established shortly after the dissolution of the USSR and the collapse of collective farming in the region. It helped 5,937 people in 2018.

BRIDGE is a Georgia-based NGO that publishes comprehensive studies detailing Georgians’ dietary habits. It also publishes policy recommendations, ranging from developing the Georgian diet monitoring systems to embedding nutrition into the Ministry of Education’s agenda.

The Georgian Agricultural and Rural Development Alliance (GAARD), of which BRIDGE is a member, registered a “Food Security Bill” in Parliament in 2017. This bill aims to reduce Georgia’s reliance on imported food and improve the country’s nutrition self-sustainably.

Hidden hunger manifests in various symptoms and diseases in Georgia, including obesity and cardiovascular issues. Cardiovascular disease represents 69% of Georgia’s mortality, and rising food prices could worsen this situation. While Georgia grapples with hidden hunger, organizations such as Action Against Hunger, BRIDGE and GAARD are actively working to enhance food quality in the country and make a positive impact.

– Christopher Bresnahan
Photo: Flickr
Updated: October 9, 2024

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What to Know About Tuberculosis in Somalia

Tuberculosis is a disease caused by bacteria that spreads through the air. While it can also be spread through the consumption of unpasteurized milk contaminated with the bacteria, the most prevalent form of the TB infection is pulmonary TB. In rare cases, TB can also affect the lymphatic system, central nervous system, urogenital region, joints and bones.

In Somalia, one of the world’s most poverty-stricken nations, less than half of estimated cases of TB are detected. Not all tuberculosis strains are equal, making diagnosis and treatment more difficult. While antibiotics typically treat TB, studies have shown that the prevalence of drug-resistant TB has increased. Somalia has a recent history of a tumultuous political climate, exacerbating obstacles that might prevent the delivery of efficient healthcare, like fund allocation and accessibility.

Diagnosis

In a cultural profile of Somalia conducted in 2006, many believed the disease was spread through airborne particles resulting from coughing or sneezing. These same people often believed that the contraction of TB also comes from a variety of things including it being inherited or the result of a loss of faith, creating stigmas around the disease.

Many people distinguished TB from other ailments with respiratory symptoms through weight loss and the presence of blood in the mucus. Until these symptoms are found in addition to an existing cough, it is assumed to be a chest infection. In cases when a fever is apparent, some confuse TB with malaria.

While the primary symptoms (cough, weight loss and bloody mucus) follow the same way the west symptomatically views TB, Somalians understand the progression of symptoms and the disease a little differently. For example, they separate coughing as a symptom into different phases based on the nature of the cough. They focus on whether or not chest pains accompany a cough, or how it sounds. Based on what phase the symptom is in, it might dictate different treatment plans.

Drug-Resistant Tuberculosis

As of 2011, 5% of first-time infected tuberculosis patients had a drug-resistant strain of TB. In comparison, 41% of previously infected patients had this more robust form of TB. These strains are resistant to several drugs used in the treatment of TB. This resulted in the highest recorded instances of multidrug-resistant TB in Africa at the time.

World Vision

World Vision is a global poverty mitigating initiative with boots-on-the-ground efforts. The organization provides healthcare resources, clean water and education to impoverished communities around the world.

Partnering with the Global Fund to Fight AIDS, Tuberculosis and Malaria, the organization has created 33 tuberculosis grants valued at a total of $160.6 million. World Vision has been the primary recipient of tuberculosis grants in Somalia.

In Somalia, World Vision works to fight the frequency of tuberculosis and its drug resistance. With the help of the Global Fund, the organization has treated more than 115,000 people. Additionally, it has trained 132 health professionals in DOTS, the directly observed treatment, short course, as recommended by the WHO. The organization has also helped 30 laboratories with TB microscopy, which resulted in the national health authority documenting 6,505 cases. World Vision continues to strive to strengthen resources within Somalia so that the government and community have a better capacity in which to deal with TB.

– Catherine Lin 
Photo: Flickr

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Tackling Tuberculosis in Cambodia

Tuberculosis In Cambodia To the nearly 17 million people living in Cambodia, tuberculosis is no stranger. In 2007, it was the seventh leading cause of death in the country. In 2012, it caused nearly 8.6 million Cambodians to fall ill. Today, despite the ongoing threat of tuberculosis in Cambodia, eradication efforts continue to prove that solutions to complex health problems can oftentimes start with the simplest of interventions—take, perhaps, a new washing machine.

A Clean, New Discovery

For the staff at the Khmer Soviet Friendship Hospital in Cambodia’s capital, such a realization came around because of Nhib Chhom. Nhib Chhom, the Deputy Infection Control Coordinator, asked nurse educator Kareeen Dunlop to test the bacterial residue of hospital linens. She discovered an extremely minor reduction in the amount of bacteria on washed laundry. This was a surprising finding no doubt, but to the hospital’s many employees, less than so.

“Staff have been pleading with me in regards to their laundering,” describes Dunlop in a 2019 report. “Nhib Chhom again said how the washing was coming back from the laundry dirtier than it went.”

Seeing as the hospital specializes in the treatment of infectious diseases, the nurses’ frustration is particularly understandable. Without the proper means to sanitize linens, curbing disease transmission is made unnecessarily more difficult. Furthermore, the lack of sanitization unnecessarily ignites yet another outbreak of tuberculosis in Cambodia.

What to Know About Tuberculosis in Cambodia

Globally, the WHO approximates that 1.8 billion people have TB. Cambodia in particular is still home to one of the largest TB infection rates in the world. Cambodia has approximately 13,000 TB-related deaths per year. Cases of tuberculosis in Cambodia have decreased by 45% between 2002 and 2011. Despite this decrease, however, Cambodia continues to remain among the world’s 22 high-burden tuberculosis countries. The Pasteur Institute in Cambodia estimates a TB prevalence of 36,000 cases out of a population of 16 million in 2015 alone. Coupled with an estimated 40% TB under-diagnosis rate according to research at the National University in Singapore, the TB threat in Cambodia is certainly far from passed.

Thankfully, however, such staggering numbers have not gone unchecked. In fact, together the national TB program and international partners have achieved an 85% TB treatment success rate. They continue to address eradication efforts. In the case of the Khmer Soviet Friendship Hospital’s laundry problem, the officials involved were Michael and Jodie Flowers. Michael and Jodie Flowers, managers of Commercial Laundry Solutions LTD., who volunteered to install four washing machines and donate a drier to the hospital. Aided by $6,000 worth of spare parts from Electrolux, the Flowers spent three weeks refurbishing their washing appliances. They ultimately granted nurses the ability to deliver sparkling clean laundry for the first time.

How the Cambodian Health Committee is Combatting Tuberculosis in Cambodia

Many others works to empower healthcare providers with the materials necessary to deter global health threats. A nonprofit NGO, the Cambodian Health Committee (CHC), has also been working long hours to eradicate tuberculosis in Cambodia. Additionally, they also strive to eradicate HIV/AIDS from Svay Rieng, Kompot and Kandal, three of Cambodia’s poorest and most war-affected provinces.

Founded by research immunologist Dr. Anne Goldfeld, in collaboration with healthcare professional Dr. Sok Thim, the CHC has treated more than 32,000 people with tuberculosis in Cambodia since its founding in 1994. The CHC has also screened over 2,000 people for drug-resistant TB infection. With an integrated emphasis on healthcare, clinical research and education, the CHC implements a community-based healthcare model to provide direct TB care, in addition to investigating the effectiveness of new innovations.

For example, the CHC designed a research study regarding the effects of treatment timing in outcomes for TB and HIV-infected patients. The study, CAMELIA, found that beginning TB drug therapy two weeks prior to administering AIDS medications decreases mortality by 34%.

The Borgen Project recently spoke with Dr. Sarin Chan, a clinical investigator for CAMELIA. According to Dr. Chan, the study has since progressed out of the experimental phase and into the clinical one. The study is involved with early ARV treatment for co TB and HIV-infected patients now recognized in the national guidelines for clinical care of HIV patients. The National Center for Tuberculosis and Leprosy Control’s development of a TB prevention strategy is similarly a promising step forward in the fight against tuberculosis in Cambodia, says Chan.

Looking Ahead

At the end of the washing cycle, much good can be said about the progress against tuberculosis in Cambodia. Despite the country’s high TB infection rate, increased access to community-based healthcare as provided by the CHC and improvement of hospital sanitation practices all point towards a brighter future.

– Petra Dujmic 
Photo: Flickr

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6 Facts About Technological Improvements in Ghana

technological improvements in GhanaGhana is a nation located just west of Nigeria, with a population of 31 million people. Of those people, six million are food insecure, most living in rural areas. However, Ghana has been working harder than many of its neighbors to use technology to combat food insecurity. Over the last decade, the country has worked to improve its technologies and sustainable food sources. These are six facts about technological improvements in Ghana.

6 Facts About Technological Improvements in Ghana 

  1. Ghana has made plans to boost economic growth. Ghana aims to achieve low- to middle-income status in the upcoming decade. Agriculture is the ticket to a sustainable living environment. The issues hindering productivity in Ghana are related to inadequate infrastructure, as well as a lack of fundamental training in land management and equipment. Ghana has been investing in this future through eduction; around 6% of Ghana’s gross domestic product goes toward education, one of the highest percentages in the world.
  2. Productivity in Ghana is at a higher rate than neighboring nations. Ghana is a member of the United Nations and is a part of world trade. Gold, cocoa and oil are three of the country’s primary exports, and this keeps profits high enough to continue to educate and train younger citizens to farm and harvest. Ghana is one of the first countries in the region to achieve these milestones, with neighboring countries looking up to them. The GDP of neighbor country Togo is lower than that of Ghana. About 30% of the population in Togo live below the poverty line. In comparison, Ghana’s poverty percentage is 23.4%.
  3. Ghana must shift to incentive-driven economic policies to improve leadership. In order to do this, smaller land rural farmers must be able to identify and voice their needs, such as crop production, needing improvement on harvest and post-harvest procedures and finding the value in their commodities. When farmers feel heard, their incentive to increase productivity will grow. A non-governmental organization (NGO) project was conducted to open sustainability training centers in Ghana to expand knowledge. This project resulted in the improved health and livelihood of everyone involved.
  4. In 2017, there was a breakthrough in the development of a solar-powered vehicle for transportation. The breakthrough, called “aCar”, was developed by students at the Kwame Nkrumah University of Science and Technology. The prototype was developed to further explore the transportation-related needs of the country. This did astronomical things for the environment and farmers alike. The vehicle caters towards the farmers’ local needs. The aCar has become a convenient way to transport goods and trade with other farmers at markets in town. The car is solar powered and does not require fuel, which, in turn, saves farmers money. Furthermore, the vehicle is affordable and has the ability to use local materials to maintain the car.
  5. Accra is becoming a hub for technology advancement and the future of the nation’s development. The capital city of Ghana is the home of many tech firms and startup ideas. The city of Accra boasts companies such as mPedigree, a pharmaceutical company, and Rancard, which provides telecommunication services with other companies in the region. It has helped thousands of students growing up in Ghana find a path and way of learning.
  6. Meltwater Entrepreneurial School of Technology in Accra is providing complete IT training, funding for software startups and even mentorships for all students. Having more young people trained in IT is helpful for the growth of technology and productivity within the nation. These schools and programs give young Ghanian innovators hope and inspiration, ultimately giving hope for the future of their nation. As a result, students in cities are learning skills that they can use internationally or locally to solve environmental and technological problems. Tech companies like hubAccra, Ispace and MEST are a working to hone the skills of those who want to learn to develop their communities.

Technology improvements in Ghana continue to increase today. Ghana is shaping the future by instilling all the skills and foundations into its youngest citizens to continue growing, developing and improving. The median age for Ghana’s capital city is 21 years old. The Ghanaians are young and flourishing, constantly learning new things and adding programs to their hub for technological development.  In the next decade, Ghana hopes to be a self-sustaining, middle-class economy through advanced technological improvements.

– Kimberly Elsey

Photo: Flickr

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Treating Tuberculosis in Liberia

Tuberculosis in Liberia
As COVID-19 spreads across the world, it is still not the leading cause of death from a single infectious agent. According to the CDC, that title belongs to tuberculosis, a respiratory illness that the bacteria species Mycobacterium tuberculosis causes. It usually targets the lungs but can attack any part of the body. Tuberculosis in Liberia, among other impoverished countries, remains a predominant issue that the country needs to address.

While tuberculosis is largely curable, it can be lethal if left untreated. The disease still affects populations of developing nations due to their lower capacity health care systems. According to the CDC, tuberculosis is the eighth leading cause of death in Liberia. The disease infects over 300 people per 100,000 Liberians.

Poverty in Liberia

 An article in the Lancet explains that tuberculosis is the “archetypal disease of poverty,” remaining prevalent largely in developing nations such as Liberia. Over 90% of the Liberian population lives under the international poverty line of $5.50 per day. Poverty not only makes treatment costs excessively burdensome for many people, but it also contributes to risk factors that further the spread of the infection.

According to Dr. Saurabh Mehta, Associate Professor of Global Health, Epidemiology and Nutrition at Cornell University, conditions that weaken the immune system are risk factors for tuberculosis transmission. These conditions include HIV infection, diabetes and malnutrition, all of which correlate with a lower socioeconomic status.

Dr. Mehta explains that overcrowding is another risk factor that facilitates TB transmission. In a crowded setting, a person infected with tuberculosis has a higher potential to interact with susceptible people.

Both malnutrition and overcrowding could contribute to the impact of tuberculosis in Liberia. One in three Liberian children experience stunting due to malnutrition, and over half of Liberia’s urban population lives in slums. The World Food Program is working to alleviate hunger in Liberia by providing meals in schools, supporting refugees through direct food aid and creating food reserves in food-insecure communities. The World Food Program provided over 66,000 pounds of rice as an initial reserve, which community members can access at a low-interest rate.

Rebuilding Health Care System Capacity

In order to treat tuberculosis in Liberia, the Liberian government needs a robust health system. However, civil war and outbreaks of other illnesses, such as Ebola, have weakened Liberia’s health system leaving fewer than four physicians per 100,000 people.

From 1989 to 2003, a civil war wreaked havoc throughout the nation, killing more than 250,000 people. Because many either died or fled, the number of trained doctors in Liberia declined from 237 to less than 20 by the end of the war.

While training programs that the country established after the war helped increase the number of nurses, Liberia only had a few dozen of its own doctors at the outset of the 2013-2016 Ebola outbreak. Ebola killed 4,809 people and further damaged Liberia’s health systems, among other West African countries. In a few years, the disease killed at least 600 health care workers across Liberia, Sierra Leone and Guinea.

To expand and safeguard its health care system’s capacity, Liberia collaborated with the WHO and other organizations to invest in Ebola treatment units as well as training for over 21,000 health workers.

Multidrug-resistant Tuberculosis Treatment

Drug-resistant pathogens are a serious public health concern globally. As existing medications become less effective, previously treatable illnesses become more deadly.

Over 2.5% of people with tuberculosis in Liberia have a multidrug-resistant form of the illness, making their condition higher risk and their treatment more expensive. Additionally, according to Mehta, treatment for multidrug-resistant tuberculosis is less effective and takes two to four times as long to complete as the treatment for tuberculosis that is not drug-resistant.

Taking an incomplete course of tuberculosis treatment increases the risk that someone could develop multidrug-resistant tuberculosis. This risk would decrease, however, if patients had more affordable treatment options.

The Liberian National Leprosy and Tuberculosis Control Program has worked to expand access to the international standard of care for tuberculosis, DOTS (Directly Observed Treatment Short courses). Although the treatment success rate for those who received treatment was at 80%, less than half of people with tuberculosis obtain treatment.

Tuberculosis Comorbidity with HIV/AIDs

The World Health Organization reports that 53 out of every 100,000 people in Liberia have a particularly lethal combination of tuberculosis and HIV/AIDs. People who have both diseases face a higher risk of their tuberculosis becoming active rather than remaining latent/asymptomatic. This is because HIV/AIDS weakens the immune system. As a result, tuberculosis causes 40% of deaths in HIV/AIDS patients.

While treatment to prevent tuberculosis for HIV/AIDs patients exists, only 21% of HIV positive patients receive such treatment. Expanding access to preventative treatment has the potential to significantly reduce mortality for people with tuberculosis in Liberia who also have HIV/AIDs.

– Tamara Kamis
Photo: Flickr

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Decreasing Poverty in Ethiopia

Decreasing Poverty in Ethiopia
There have been both strides and setbacks in recent years in the process of decreasing poverty in Ethiopia. Poverty in the region has been steadily falling. Several factors, including increased agriculture and a decreasing fertility rate, are responsible for this decline. However, the developing nation needs to do much more to stay on track.

The poverty rate in Ethiopia has been on a steady decline for the last 10 years. As a result, the country’s health and quality of life have been improving. The World Bank reported that the national poverty rate decreased from 29.6% to 23.5% between 2011 and 2016. Here is a breakdown of what is decreasing poverty in Ethiopia. 

The Agricultural Factor

One of the main ways that Ethiopia has improved its poverty rate is through increased agricultural activities, which are the backbone of its economy. Data from 2018 shows that the majority of the population, approximately 80%, live in rural areas. Additionally, the World Bank estimated that in 2018, approximately 67% of employment was in agriculture. For Ethiopians, agriculture is a vital part of their income. As a result, one of the most effective ways of targeting poverty in Ethiopia is stimulating the agricultural industry. 

The Ethiopian Agricultural Transformation Agency has been identifying and remedying obstacles in Ethiopia’s agricultural industry since 2010. According to the ATA’s website, it operates “in order to provide a platform to address the most critical systemic bottlenecks constraining fulfillment of agriculture sector goals and targets identified by the government.”

Another project that is positively impacting Ethiopia’s agricultural industry is the Second Agricultural Growth Project. This project began in 2015 and aids in commercializing and increasing agricultural production.

All of this work has been paying off. According to a report published by the International Food Policy Research Institute, Ethiopia’s total agricultural output in 2013/14 had risen an impressive 124% since 2004/5. With agriculture playing such a large role in Ethiopia’s economy, a continued focus on expanding and commercializing this sector of the economy should continue to help eradicate poverty in the country.

The Fertility Rate Factor

Another factor affecting Ethiopia’s poverty rates is a decrease in the fertility rate. The fertility rate is a measure of the average number of children per woman. In Ethiopia, the fertility rate has fallen from approximately 6.5 children in 2000 to 4.2 children in 2018. Fertility rates often correlate with poverty because the birth of fewer children results in a smaller drain on the nation’s resources. Countries with lower fertility rates can often offer better resources to citizens because more resources are available to each child.

Setbacks

While the nation is working towards overcoming poverty, it still plagues daily life in many ways. One particular effect of poverty on public health is a lack of resources for maintaining hygiene, which is particularly vital in the era of COVID-19. A lack of running water in the country has led a chunk of the population, around 22%, to practice open defecation. This practice has many health risks for the Ethiopian public, as it often leads to people coming into contact with fecal pathogens.

Another hygiene-related issue tied to poverty in Ethiopia is a lack of running water to wash hands. In Ethiopia, approximately 30% of the population is without a facility in which they can practice basic hand washing. During the era of COVID-19, hand washing is more important than ever, and this lack of washing facilities could be detrimental to the country.

Steps Forward

The Water, Sanitation and Hygiene Project at World Vision Ethiopia has made great strides in providing clean drinking water and sanitation to Ethiopia. WVE’s project “principally aims to reach children and families with a holistic suite of WASH interventions.”

WVE has made a big difference since it started the WASH project in 2011. Between 2011 and 2018, WVE successfully provided 2.4 million Ethiopians with dignified sanitation. In addition to this success, it was also able to make sure that 2.45 million Ethiopians are practicing good hygiene.

In addition to the WASH project, WVE also works to fight disease and sickness. The organization’s programs contribute to the health of more than 3.5 million vulnerable children in Ethiopia. Over the past 10 years, the organization has successfully built a hospital, 55 health centers, 257 health posts and 131 additional maternity blocks. The programs also renovated 11 outdated facilities and worked to provide the facilities with the necessary equipment.

WVE has also committed itself to combat illiteracy in Ethiopia, a necessity in any developing country. It offers a literacy program to children in Ethiopia, which is to help the children further their reading skills.

Over the past 10 years, there have been great steps forward towards decreasing poverty in Ethiopia. While these improvements are cause for celebration, it is also vital to address the poverty that still exists in the developing nation. All too often, people see progress as a sign that efforts are working and that they can simply maintain them or even cut them back. Ethiopia’s recent success is an encouraging sign, but one that needs to spur, not curtail further action.

– Sophia Gardner
Photo: Flickr