Archive for category: Global Health

Information and stories about global health.

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The Global Health Council Advances International Health Programs

Global Health
On August 2018, The Global Health Council welcomed the President’s Emergency Plan for AIDS Relief (PEPFAR) Extension Act of 2018 by the House of Representatives. This legislation reauthorizes PEPFAR for 5 years and is an example of bipartisan support for ending the HIV/AIDS epidemic and was sponsored by Representatives Barbara Lee (D-CA), Karen Bass (D-CA), Ed Royce (R-CA), Chris Smith (R-NJ), Ileana Ros-Lehtinen (R-FL), and Eliot Engel (D-NY).

Since 2003, PEPFAR has increased the likelihood of an AIDS-free world by providing more than 13.3 million people around the world with HIV treatments. This is but one example of The Global Health Council’s efforts to work with policymakers and community stakeholders to improve health worldwide.

What Is The Global Health Council?

Global Health Council is a nonprofit membership organization in The U.S. that identifies priority global health problems and reports them to an international and domestic audience. Formed in 1972 and originally called The National Council for International Health, The GHC’s primary intention is to ensure that all who strive to improve global health have the resources they need to do so. The initiatives and programs for which The Global Health Council advocates are funded primarily through membership dues, grants, and sponsorship funding.

Danielle Heiberg, Senior Manager, Policy & Advocacy of Global Health Council told The Borgen Project that The Global Health Council contributes to the implementation of health programs worldwide by supporting its members, who, in turn, work to implement the necessary programs. “Specifically, GHC provides its members with key resources, advocates on their behalf and amplifies their work through its varied communications channels,” Heiberg told The Borgen Project.

GHC is a membership-oriented organization that offers key stakeholders a platform for coordinated global health advocacy. Membership is offered to global health organizations and to individual global health professionals. Members receive important benefits, such as “high-level delegations and networking opportunities,” according to Heiberg. By creating a platform for the unification of global health issues and using the power of collaboration and collective action, The GHC uses advocacy to advance international health programs and policies, such as PEPFAR.

What Does The Global Health Council Do?

Since its inception, The GHC has worked towards advocating for strong global health policies, organizing and mobilizing stakeholders across geographic regions and improving health worldwide by building support. Although The GHC represents a range of global health issues, according to Heiberg, it makes global health security, global health financing, and health systems strengthening” a priority.

In addition to its current initiatives, The GHC’s efforts to advance global healthcare programs are noted in its organized calendar of events. The Global Health Council promotes awareness of global health issues by sharing news via social media, a bi-weekly newsletter, its website and by hosting events. “GHC also meets with U.S. Congressional staff and other government offices to advocate for sound policy and investments,” Heiberg said.

Most recently, The GHC has worked with the global health community to ensure there are U.S. investments going toward global health initiatives to have the maximum impact. The organization intends to implement and maintain a successful global health program by publishing join global health recommendations, promoting member or partner grassroots campaigns and consolidating global health funding.

“With the current administration placing less of an emphasis on foreign assistance, demonstrating how these investments and policies not only save lives around the world but also benefit Americans is crucial,” stated Heiberg. If organizations such as the Global Health Council continue to advocate for international health programs and policies, like PEPFAR, there is hope for improved health worldwide.

– Kara Roberts

Photo: Flickr

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Top Five Improvements in Global Health Trends

Global Health
With the many advances in science and medicine over the last century, it is no surprise that overall global health has been positively impacted. From the discovery of penicillin to the creation of the X-Ray machine, dedication to healthcare and these advancements have proved beneficial for both scientists and patients. The following is a discussion of the top five improvements in global health trends and their impacts on the global health conversation.

Top Five Improvements in Global Health Trends

  1. HIV/AIDS is no longer the leading cause of death in Africa. There has been a long-standing notion that the transmission of HIV was among the worst diagnoses imaginable and, furthermore, that the disease was becoming more and more rampant in many areas, especially poorer ones. However, many advancements have been made for prevention and treatment, which include newer and more effective medications, sexual education and safer sexual practices. These advancements have been used in poorer communities in African countries, where the epidemic is the greatest in severity. Thankfully, the prevention and treatment methods have been so effective that HIV/AIDS is no longer the leading cause of death in Africa. This advancement not only impacts health but restores communities’ economic success with more resources available for infrastructure and households.
  2. Vaccines are more varied and accessible. Over the last century, vaccines have not only become more varied, as well as more accessible, but their usage has risen. While vaccines have prevented diseases such as measles, polio and smallpox, a vaccine recently came out in 2011 that protects against the shingles virus. The shingles virus is a painful, blistery skin rash that originates from certain strains of the chickenpox virus, which is most common among children. However, unlike the chickenpox virus, the shingles virus is a higher risk for contraction in elders. The shingles vaccine greatly improves quality of life and has already made a huge impact. While vaccines are less standard in more disadvantaged areas, improvements are being made to include more vaccinations for more people, oftentimes cost-covered by charity organizations such as UNICEF.
  3. Mortality associated with childbirth has decreased significantly. Both infant mortality and maternal mortality rates were historically high compared to modern day rates. These statistics are an outstanding improvement from 25 years ago when infant mortality rates were as high as six and a half percent of all births and maternal mortality rates were around four-tenths of a percent. In 2017, a mere one-third of a percent of all children born did not survive past one year and an even lower percentage of mothers died during childbirth (two-hundredths of a percent). However, due to an increased overall implementation of sanitary health practices globally, these percentages continue to drop. In developed countries, where per capita income is higher, sanitary practices are at their most prevalent. Meanwhile, the opposite is true for countries with lower per capita income where there is lessened sanitary practice adherence. This, in turn, allows for a higher survival rate of both infants and mothers, leading to more families to have fewer children as they know infants have a greater chance of survival.
  4. Diabetes is no longer a “life sentence.” As recent as one hundred years ago, by the time diabetes was detectable, a person had mere months or years to live. Among the amazing improvements in global health, specifically thanks to the discovery of insulin in 1920 and all the advancements made in treatment as a result, diabetes will now have little to no impact on a person’s life expectancy. While people living in impoverished nations may have a harder time accessing treatment, great strides have still been made and are being made to provide treatment to people in disadvantaged regions such as sub-Saharan Africa, the Middle East and South Asia, including the provision of diabetes education.
  5. Water-related illnesses are reduced by better access to clean water. Clean water, once a scarcity, has been augmented by greater attention, funding and resources for water sanitation. There is a connection between poverty, health and reduced access to clean water, where poverty exacerbates the situation and makes clean water harder to access, adding an extra layer to both poverty and decreased health. Over the last 18 years, world access to clean water jumped from 76 percent to 91 percent. This improvement has prevented illnesses such as malaria, diarrhea and dehydration.

The above list merely scratches the surface of recent improvements in global health. There is much more left in the healthcare conversation and many more advancements that are being enhanced, discovered and yet to be discovered. Improvements in global health afford people the opportunity to dissolve their poverty, allowing them to live a longer and better life.

– Alexandra C Ferrigno
Photo: Flickr

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Transparent Hands: Providing Life-Saving Healthcare in Pakistan

Poverty contributes to poor health and prevents people from access to treatment, which traps the world’s poor in a vicious cycle. The inverse is true as well. Poor health often forces people to purchase expensive care and medications, which over time reduces spending money on anything other than healthcare. Additionally, poor health can limit a person’s ability to work and earn an income, which, combined with the cost of healthcare, can lead to poverty. This has been the case with healthcare in Pakistan.

A study by the World Bank reported that 100 million people worldwide are forced to survive on merely $1.90 a day because of healthcare expenses for themselves or a family member. This problem is exacerbated in developing countries where healthcare services are underfunded and understaffed. Millions of families are being pushed into poverty for less than ideal care. Poverty is both a cause and consequence of poor health, especially in developing countries, which makes finding a solution crucial to ending the cycle of poverty caused by poor health. Affordable and accessible healthcare in Pakistan can help end this cycle.

Healthcare in Pakistan

Pakistan is one of the developing countries searching for a way to alleviate poverty for its citizens. Healthcare in Pakistan needs a great deal of improvement. In June 2016, the Ministry of Planning, Development and Reform found that 39 percent of the country lived in poverty. While poverty rates in the country are declining, there are still over 70 million Pakistanis living on less than $2 a day.  The majority of families living on $2 a day do not have the resources to afford expensive life-saving treatment.

The problem is compounded by the lack of adequate care for the families that can afford health expenses. Less than 3 percent of Pakistan’s domestic budget is targeted towards healthcare, which has impeded medical research and infrastructure from flourishing. The public Pakistani healthcare system has a current backlog of more than 2 million people who are waiting to get surgery due to this lack of infrastructure and funding. Affordable and accessible healthcare is almost nonexistent for poor Pakistanis. This has motivated several non-governmental organizations (NGOs) within Pakistan to work to improve health care and make it more affordable.

Transparent Hands

One of the NGOs in Pakistan is Transparent Hands.  Transparent Hands seeks to make life-saving surgery more affordable and accessible for poor Pakistanis by crowdfunding expensive surgeries and building medical camps where patients can receive these surgeries. Currently, the organization has performed 342 surgeries, spent over $350,000 and developed 25 medical camps that have served 8133 patients. Each of these surgeries has had a life-changing impact on different poor Pakistani families.

A representative for Transparent Hands told The Borgen Project that “most of the patients who reach us suffer from serious health conditions due to which they are unable to even perform their household chores. After they undergo surgical treatment, not only do they become active again, they also start working and earning for their family.”

As an example, they shared the story of a patient who actualized this incredible recovery process. “There was a patient who was unable to sit and walk due to Ankylosing Spondylitis. He was dependent on his family for every little need. After the surgery, he is not only able to walk and sit, but he has also started working and is now an independent person.” This alone shows how proper access to healthcare could have a positive impact on the economy.

Affordable and accessible surgery can change someone’s life for the better. It is crucial to bolster the efforts of organizations like Transparent Hands in order to expand their impact throughout the country. Transparent Hands plans to eventually expand their operations from the province of Punjab to all provinces of Pakistan. Affordable and accessible healthcare in Pakistan will help 70 million Pakistanis escape the devastating cycle of poverty and poor health.

– Anand Tayal
Photo: Flickr

Monaco Tackling HIV Prevention and Awareness

Monaco Tackling HIV Prevention and Awareness
The number of newly infected individuals with HIV has halved since the mid-1990s. This is in large part due to the significant increase in care and treatment for HIV. The UNAIDS Program Coordinating Board called on UNAIDS for its support for new initiatives in country and new targets for combatting HIV.

These efforts branched out globally to arrive at the 90-90-90 targets. By 2020, this goal aims to have: 90 percent of all people living with HIV be aware of their HIV status; 90 percent of all people diagnosed with HIV receiving sustained antiretroviral therapy; and 90 percent of all people receiving therapy to have viral suppression.

To date, over 250 countries have joined the 90-90-90 plan in an attempt to properly care for those individuals with HIV, as well as improve treatments already in place. The movement is a part of the Paris Declaration which is implemented to outline a practical, action-oriented way of improving the quality of aid.

As of July 2018, Monaco became a part of the initiative to enhance the lives of those with HIV and treatments by 2020. By becoming part of the fast-track initiative, Monaco also became the first city-state to commit to the assurance of rapid decrease in HIV infections.

Monaco tackling HIV as a priority is not necessarily new news. Monaco has actually advocated for HIV treatment previously in its endeavors. Monaco’s Princess Stephanie created the Fight AIDS Monaco nonprofit organization which works to improve HIV treatment, promote prevention, and reinforce the Test in The City campaign. However, by focusing on the 90-90-90 plan, Monaco tackling HIV is vastly improving on fast-tracking treatment and prevention.

Monaco tackling HIV by joining the 90-90-90 program is also monumental because it is a developed, progressive city. Cities play a crucial role in innovation and research and can therefore better treat those infected with HIV or those who are at risk of infection. Such cities also have the capacity to branch out their methods to the less developed areas that need the treatments but do not have the resources available to access them.

The ultimate goal of the 90-90-90 plan is to end the AIDS epidemic by 2030. Part of Monaco’s signing of the Paris Declaration was to create a “Monaco without AIDS”. The eradication of AIDS will ultimately spark broader global health and development endeavors that will improve the quality of life for all countries including the underdeveloped. Its work will also inspire global solidarity and partnerships which will be beneficial to many countries when it comes to aid.

In the fourth quarter of Monaco’s campaigns for better HIV prevention and treatment is a communication-focused campaign based around the U = U; undetectable = untransmittable. Communication is a very important part of fast-tracking and spreading proper information about HIV, as well as ensuring proper prevention and treatment.

Monaco was already progressive in its efforts for better HIV care but the 90-90-90 movement has put those efforts on the fast track. With the help of more than 250 countries that signed the Paris Declaration and agreed to the 90-90-90 plan, the possibility of AIDS eradication is near.

– Samantha Harward

Photo: Flickr

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The Rise of Cardiovascular Disease in India

The Rise of Cardiovascular Disease in India
In recent years, India has been faced with a rapid increase in cardiovascular disease. Between the 2005 and 2016, the rate of premature death due to heart disease in India rose by over 41 percent. The risk of stroke has similarly increased, and cardiovascular disease in India is now extremely prevalent.

Cardiovascular Disease in India

In fact, cardiovascular disease is now the leading cause of death in the country, with a quarter of all deaths attributed to it. This is greater than the average rate of cardiovascular disease-related deaths across the globe. The high rate of cardiovascular disease resulting in high mortality is a growing concern in the country.

There are many risk factors attributed to cardiovascular disease. A significant portion of mortality from cardiovascular disease is brought on by smoking, which has a high prevalence among young adults and lower-income households.

Another risk factor for cardiovascular disease is a lack of nutrition from fruits and vegetables in a diet. Approximately half of all people in India consume one serving of fruit or less a week. In addition to the loss of nutrition from fruit and vegetables, there has been a significant rise in the consumption of unhealthy foods such as fat, particularly among Indians of the lowest incomes.

Treatment

Part of the larger problem of rising cardiovascular disease is treatment. People who have limited or insufficient education are less likely to identify the symptoms of hypertension that could lead to cardiovascular disease.

This population is also much less likely to treat hypertension. In addition, higher smoking rates are correlated to lower education levels. Lack of information and access to treatment significantly increases the danger of the development and fatal progression of cardiovascular disease.

In the face of these growing problems with cardiovascular disease in India, health improvement efforts have begun in earnest. These efforts include a foundation known as Swasth India. Swasth India sets up healthcare centers in low-income housing within urban areas. They provide physicians, diagnostics and treatment. The cost of care in these medical centers is significantly less than the average cost of the same care in the market.

Services and Organizations

In fact, the majority of services are provided at half the market rate. The medical centers also promote awareness on topics such as the management of hypertension. Swasth India provides affordable and easy-to-access treatment for people who would not ordinarily have access or be able to pay for the tests and medication they receive.

Another enterprise working to end the danger of cardiovascular disease in India is known as the Global Hearts Initiative. The Global Hearts Initiative was launched in 2016 in an effort to address the worldwide growth of cardiovascular disease. The initiative’s three focuses are:

  • The reduction of tobacco use
  • The reduction of salt intake
  • The improvement of management of cardiovascular disease within healthcare systems

The Global Hearts Initiative’s main purpose is to help countries implement new protocols and improve access to necessary health care. India is among the 14 countries focused on by the Global Hearts Initiative.

A Healthier World

Swasth India and the Global Initiative show that in spite of the daunting rise of cardiovascular disease in India and the high rates of mortality, efforts in play continue to improve lives.

Many people who ordinarily would not have access to information and care for cardiovascular disease are given the opportunity of treatment and methods of prevention through these initiatives. The increase of cardiovascular disease is a negative worldwide development, but progress continues to be made to offset such an occurrence and strive for a better, healthier world.

– Lindabeth Doby
Photo: Flickr

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The Significance of Cuts to Global Healthcare Funding

Global Healthcare Funding
President Trump’s budget request for the fiscal year of 2018 includes drastic cuts — 32 percent — from foreign aid. The drop of 4.6 billion in humanitarian assistance and global health spending comes along with a call for “the world to pay their fair share” in terms of global healthcare funding.

While the U.S. did contribute nearly one-third of the global spending on Development Assistance for Health in 2016, foreign aid makes up less than 1 percent of the national budget; that same year it was only 0.22 percent.  Looking at countries’ spending as a percentage of gross national income, the U.S. ranks 23rd for foreign aid and healthcare funding.

What Would Cutting Aid Mean?

Cutting foreign aid would lead to:

  • Less disease surveillance
  • Decreased diagnostic testing and vaccines
  • A shortage of research
  • Less life-saving medications
  • Fewer healthcare facilities
  • Instability
  • Decreased economic productivity
  • More deaths from curable or treatable diseases
  • Mitigated interest from local governments
  • Increased risk of domestic disease
  • Diminished soft power and global influence

The Brookings Institute forecasts that the domestic cut to foreign aid would drop healthcare funding from 39.2 to 28.8 billion, marking the lowest American investment in the last decade.

How Does Foreign Aid Help Global Healthcare?

Since pathogens such as zika, influenza, and Ebola are prone to spread across borders, aid cuts threaten the health of U.S. citizens. The Ebola breakout killed over 11,000 people; an additional 21,000 died due to a reduction in access to healthcare services.

Investment in surveillance programs greatly reduces the risk of a pandemic and eliminates the spending that an outbreak necessitates. The entire Ebola outbreak cost a total of $3.6 billion — $2.3 billion of which came from the U.S.

Foreign investment also inspires a response from local governments and organizations. By prioritizing health, global support helps to foster expectations that governments should do the same. Funding for HIV/AIDS research, testing and education have resulted in every African country possessing a national AIDS strategy and commission. Between 2011 and 2015, African countries increased their own funding by 150 percent.

How Does Promoting Healthcare Help the World?

Supplying vaccinations promotes prevention and may lead to a complete eradication of deadly diseases. Every dollar invested in childhood immunizations begets $44 in economic benefits, which includes saving money that families lose when a child is sick and the parent is unable to work.

Global healthcare funding and other types of humanitarian spending tend to increase a nation’s soft power — supporting basic human rights and humanitarian causes generally garner influence and respect. In aiding global healthcare funding, the U.S. is able to look out for foreign policy priorities, address national security concerns, and bolster global economic productivity and development.

A healthy individual will become a more productive member of society at large than his/her sick or dead peer; health is a direct determinant for economic stability.

Waves of Improvement

Bill and Melinda Gates sum up the importance of global healthcare funding in saying: “By preventing the spread of disease, we save lives in other countries and at home. By stimulating economic development, we open new markets for our country’s goods. By making conflict less likely, we advance our own national security. And by lifting up the poorest, we express the highest values of our nations.”

Global healthcare funding relates to each point, and thereby creates waves outside of the medical sector.

– Jessie Serody
Photo: Flickr

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Top 10 Causes of Death in Guyana

Causes of Death in GuyanaIn Guyana, the life expectancy is anywhere from 64 to 69 years-old. However, the probability of death occurring before the age of 60 is much higher due to a number of health issues affecting the people of Guyana every day. The World Health Organization and The Pan American Health Organization have made substantial progress in lowering fatality rates caused by communicable disease and have since shifted focus to more chronic conditions. These are the top 10 causes of death in Guyana as listed by the HealthData.

10 Causes of Death in Guyana

  1. Ischemic/ Coronary heart disease (CHD) – CHD is characterized by narrowed arteries that disrupt the flow of blood and oxygen to the heart leading to heart attacks. This disease is caused by poor health habits such as drinking, smoking and inactivity. In Guyana, coronary diseases make up 32 percent of all deaths. To combat this issue, The Public Health Ministry of Guyana, The Canadian High Commission and Guyana Program for Advanced Cardiac Care are using PSAs to educate the population.
  2. Cerebrovascular disease (Stroke) – Strokes are attacks on the brain because oxygen and nutrients can’t reach the brain, which leads to the death of brain cells. The most common way to prevent a stroke is by adopting healthy dietary habits such as not smoking, exercising regularly and eating a predominantly vegetarian diet. A stroke doesn’t always result in death, but it can still cause a number of physical problems that require the availability of rehabilitation treatments.
  3. Diabetes Mellitus – In 2017, there were 52,400 cases of diabetes in Guyana, putting the prevalence of this disease at about 11.3 percent. Those most affected by diabetes are individuals between the ages of 45 and over. One strategy that has been taken to reduce the number of patients getting diabetes is the introduction of a tax on sugary beverages.
  4. Lower Respiratory Infection – According to The Guyana Budget & Policy Institute, respiratory infections make up for 31 percent of all child deaths between the ages of 0-1 in Guyana. Lower respiratory infections like pneumonia and bronchiolitis are the result of poor living conditions such as lack of hygiene, inaccessibility of clean water or sanitation as well as contact with unvaccinated individuals, which is common in Guyana.
  5. Self-harm/Suicide – Guyana has the third highest suicide rate in the world. In Guyana, the rate is 29 suicides per 100,000 deaths. It is also the second leading cause of death for youths between the ages of 15 and 24. Organizations like The National Suicide Prevention Plan and The Suicide Hotline are making efforts to improve mental health services, opening lines of communication and raising awareness about related factors such as alcohol abuse and mental health issues that can lead to suicidal thoughts.
  6. Hypertensive Heart Diseases – These are conditions that are caused most often by high blood pressure and include conditions such as heart failure, coronary artery disease and thickening of the heart muscle. According to an assessment study in Charleston, Guyana, hypertension is the major cause of death for individuals 45-64 years old. In the study, it was shown that 7 of the 22 subjects, who were between the ages of 27 and 78, had high blood pressure readings and benefited from receiving medication. Certain cases of hypertension can be greatly reduced through long-term efforts. Creating awareness through education such as seminars and workshops and making more heart-healthy foods can contribute to the reduction of these conditions.
  7. HIV/AIDS – In 2016, it was reported that 8,500 people were living with HIV. Almost 100 of those infected were children who had contracted it from their mother. To combat this, Guyana has received more financial support, which allowed for the development of treatment sites and more resources for Voluntary Counselling and Testing clinics. As a result, the availability of antiretroviral drugs had increased to 83.5 percent in 2008, and the prevalence of HIV/AIDS had decreased to 1.1 percent in 2011.
  8. Chronic Kidney Disease – This is on the list as one of the causes of death in Guyana because of associated costs. Screening and identification are insufficient to detect chronic kidney disease. As such, many Guyanese people end up being checked into emergency rooms for kidney failure. The Georgetown Public Hospital Corporation is able to provide transplants at no cost to patients, but patients have to pay the cost of cross-matching tests to find a suitable donor. These tests are currently done in the U.S. and cost least $1 million. In order to avoid kidney failure, it has been recommended to drink sufficient amounts of water and avoid the consumption of large amounts of alcohol.
  9. Road Injuries – According to World Health Rankings, road injuries have accounted for 2.05 percent of all deaths in Guyana. Furthermore, survivors of road accidents are left disabled and, therefore, can’t work, which creates financial instability. The estimated cost of care for accident victims is $100 million. Identified major factors include unlit roads, inexistence of sidewalks and bad driving habits.
  10. Interpersonal Violence – Guyanese people are encouraged to learn how to protect themselves and to seek help from authorities, especially since the police force has undergone a number of reforms such as modernization and more detailed instructions on how to deal with violence. The highest form of violence in Guyana is domestic violence towards women. The First Lady revealed that domestic partner violence has risen from 74.8 percent to 89 percent in just 6 years. As a result, she is increasing efforts to conduct research to find and address the root cause of this violence. She is also calling to educate and empower women in regions of Guyana where domestic violence is high. She is planning to enact The U.K. National Action Plan on Women, Peace and Security to accomplish these goals.

Despite the efforts made to decrease communicable diseases, there still remains a number of conditions that are in need of attention since they continue to claim the lives of many Guyanese people. The goal, therefore, is to achieve higher life expectancy through the elimination of these non-communicable diseases as well as education and awareness of health risks due to violence, mental health issues, unsafe road conditions and preventable illness.

– Stephanie Singh
Photo: Flickr

Six Facts About Healthcare in Honduras

Healthcare in Honduras
In a nation that suffers from high levels of poverty, adequate healthcare and access to medical services have taken a hit. Honduras has long suffered from frequent maternal and infant mortality, and an estimated 1.5 million people are unable to receive healthcare at all. Why is healthcare so insufficient in Honduras? And what is being done to help?

Six Facts About Healthcare in Honduras

  1. Access to healthcare for families in Honduras is determined by poverty level, socioeconomic status and whether or not they live in a rural or urban environment. Poverty is a major issue in Honduras where over 66 percent of the population lives in poverty with one in five people living in extreme poverty. In rural environments, healthcare is much harder to access despite efforts to improve these conditions. The Ministry of Health in Honduras provides care to almost 90 percent of the population, but these services are mainly available in developed cities making it hard for rural populations to receive good care.
  2. One of the major barriers to receiving good healthcare in Honduras is lack of access to physicians. The CDC reports that there are around 0.37 physicians per 1,000 people in Honduras. This number is far too low according to The Millennium Development Goal’s estimates for providing sufficient primary healthcare to a nation. Although primary healthcare is insufficient in Honduras, the country still has high immunization coverage for children with between 88 to 93 percent of children receiving vaccinations.
  3. The Honduran health system is made up of a private and public sector. The public sector includes the Ministry of Health, which provides services to the majority of the population, and The Honduran Institute of Social Security. There is also a private sector that includes nonprofit organizations as well as for-profit businesses.
  4. Unfortunately, the current health system is experiencing a crisis due to poor management, weak government leadership and poor human resource administration. This has led to bad coordination between different institutions providing health and has only made gaining access to healthcare harder. A shocking nine out of ten people are not covered by any health insurance and at least 18 percent of the population cannot access healthcare.
  5. As a result of the challenges mentioned above, Honduras implemented a different national health model in 2015. This model would provide services to impoverished and rural areas and use preventative care to improve health. Care has improved in some ways but the use of this model has been sporadic and not consistent enough to have a big enough impact. However, there is good news.
  6. The Millennium Challenge Corporation (MCC) has started a $15.6 million Threshold Program in Honduras that is trying to improve government efficiency and transparency. Part of this program includes social audits of healthcare clinics in rural areas by nonprofits and grassroots organizations in Honduras. These audits show whether or not clinics are providing adequate care to communities then the results are delivered to health center managers who come up with new plans to fix these problems. Real change has been seen as a result of these audits and clinics are starting to be more transparent about what they offer and improve doctor-patient relationships. This has also allowed for a more successful and consistent implementation of the new health model in many rural communities.

Although the social audits have certainly helped many rural communities, the Honduran government still has room for improvement to make sure that everyone has equal access to healthcare in Honduras. Healthy citizens are able to better contribute to society and economic growth making healthcare an important and relevant issue.

– Alexandra Eppenauer
Photo: Flickr

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Heat-Stable Carbetocin Could Stop Postpartum Hemorrhaging

postpartum hemorrhaging
In the advanced world, a postpartum hemorrhage is a very manageable and preventable condition; however, postpartum hemorrhaging is a leading cause of maternal mortality. A staggering 99 percent of all deaths resulting from postpartum hemorrhaging occur in lower income countries. Postpartum hemorrhaging is responsible for 59 percent of maternal deaths in Burkina Faso, 43 percent in Indonesia and 52 percent in the Philippines.

Why Postpartum Hemorrhaging Is Common

In these developing countries, the increased frequency of postpartum hemorrhages is due to a lack of experienced obstetricians and caregivers who can properly treat the condition. There is also a lack of access to proper medications as well as care for those medications.

Oxytocin is currently the most common drug prescribed for preventing postpartum hemorrhages. The World Health Organization recommends that oxytocin be routinely administered and actively managed; however, oxytocin must be stored and transported at two to eight degrees Celsius, two conditions of which developing countries cannot accommodate.

A Possible Solution

A rival drug has been in the works to be as efficient as oxytocin in preventing excessive bleeding post childbirth as well as be more manageable in the living conditions of developing countries. The drug is a heat-stable carbetocin. This type of drug does not need refrigeration and can maintain its efficacy for at least three years when stored at 30 degrees Celsius. These requirements are far more realistic and achievable in developing communities.

The World Health Organization conducted a comparative study between the heat-stable carbetocin and oxytocin for prevention of postpartum hemorrhages. Approximately 30,000 women were sampled and given either drug to study the effects each had on prevention. It was concluded that the heat-stable carbetocin was not inferior to oxytocin.

Saving Mothers’ Lives

With such a high rate of deaths from postpartum hemorrhaging in developing countries due to the strict requirements for oxytocin that cannot be met, the heat-stable carbetocin will drastically improve the mortality rates. The new drug will be readily available and easily managed where it was once not.

Permitting the usage of the heat-stable carbetocin has many benefits that will better developing countries in a multitude of ways. If used widely, the drug could very possibly put an end to this tragically common occurrence.

– Samantha Harward
Photo: Flickr

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The Fight for Improved Maternal Healthcare in Mexico

Maternal Healthcare in Mexico
Eight years ago, The Economist, a British business publication, described maternal healthcare in Mexico as “a perilous journey.” Although deaths in labor had decreased by over a third in the past 20 years, they still remained among the highest in Latin America. Preventable complications were common among women, especially those of indigenous descent, largely as a result of infrastructural and social challenges.

Maternal Mortality

Since then, substantial effort has been put into solving this problem, especially in anticipation of the 2015 Millennial Development Goals. Globally, maternal mortality is often the result of wider social problems related to extreme poverty. It especially affects poor rural women who lack access to modern medical facilities. Solving maternal mortality in Mexico requires implementing a wider health infrastructure that serves these disenfranchised groups.

In Mexico, one of the groups most vulnerable to labor complications is girls under fifteen years old. This is not a generational issue, but rather a result of the dangers of underdeveloped girls giving birth. Twenty percent of Mexican births annually are a result of teenage pregnancy. Half of the sexually active teenage girls in Mexico become pregnant and 11,000 of Mexico’s births each year are to mothers between 10 and 14 years old.

While a proportion of these teenage pregnancies are the result of consensual encounters, some of them are the result of chronic child sexual abuse. One study found that a third of Mexican girls (and about a fifth of Mexican boys) had experienced sexual assault. Unfortunately, comprehensive statistics on the sexual abuse of children are relatively rare for developing countries, but it is likely that these high rates contribute to the phenomena of teenage pregnancy in Mexico.

Teenage Pregnancy and Healthcare Improvements

Ultimately, the key to achieving better maternal healthcare in Mexico lies in preventing teenage pregnancy and providing healthcare infrastructure. On the latter, the Mexican government has already established several programs targeting the country’s rural poor such as the Oportunidades (Opportunities) program, and additional support from the Mexican social security program. Specific programs, such as PRONTO, train hospital staff to intervene in dangerous labors and have shown to help reduce maternal mortality.

However, the Mexican government has taken little action against ending teenage pregnancy. This represents a major blindspot in the path towards achieving improved maternal healthcare in Mexico.

Maternal mortality and labor complications are especially common among young mothers; mothers under 15 are twice as likely to die in labor as older mothers. Their babies are more likely to die as well. Many of these teenage pregnancies could be prevented with education and awareness programs, but most of Mexico’s initiatives are geared towards older girls.

Supporting Maternal Healthcare

Several NGOs have taken initiative in reducing Mexican maternal mortality both by tackling infrastructure issues and generational sexual abuse. Conferences such as this year’s International Best Practices Meeting bring together experts from various fields and international organizations to discuss the issue.

Specifically, the role of midwives in the prevention of labor complications has also been reinforced in Mexican society. Such a prioritization could increase women’s access to maternal healthcare in Mexico, especially in rural areas.

Ultimately, despite the challenges facing Mexican mothers, there is hope that the danger of pregnancy in the country can be further reduced. Improved maternal healthcare in Mexico can be achieved with infrastructure and education, factors that also help combat extreme poverty in the country; only then, can Mexico truly achieve its development goals.

– Lydia Cardwell
Photo: Flickr