Archive for category: Global Health

Information and stories about global health.

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Revolutionize Healthcare, Revolutionize the World

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In order to improve and manage community health, health advocates help organize a plethora of services ranging from health events to educational experiences. Advocates come in many different forms and settings. For instance, health advocates are generally doctors and nurses though other health advocates may come from a different professional background, such as social work. However, health advocates can also come from a background unrelated to medicine, so long as the individual is burgeoning with a passion that centers on raising awareness of health-related issues.

Individuals who work as health advocates will typically aid clients in improving their health care experience by ensuring that clients not only learn about but also have an opportunity to access available programs and resources. According to SoCal Health Advocates, individuals in this field often endeavor to improve the lives of clients by breaking down barriers that prevent people from access to quality healthcare in order to prevent serious illness or prevent relapses.

However, health advocacy is not limited to only physical health. Due to its nature of stigmatization, great effort has been expended into improving mental health advocacy as well. According to the World Health Organization, it is crucial for advocacy efforts to continue educating the public about mental illness in order to truly revolutionize not only the manner in which mental health is perceived but also improve access to mental health treatments.

As part of its mental health advocacy efforts, the WHO has created MiNDbank, an online resource that has pooled together information regarding global policies and services regarding mental health. One of the goals of MiNDbank is to facilitate open debate and discussion about mental health topics in order to promote human rights for mental health patients as well as improving the mental healthcare system as a whole.

It is imperative for advocates to work towards eliminating the stigma and ignorance regarding mental illness, particularly since individuals with mental disabilities are subject to maltreatment and discrimination on a daily basis. Unfortunately, in many parts of the world, legal institutions have been unable to protect the basic human rights of these individuals.

Although the United States struggles with the burden of a stigmatized and under-funded mental healthcare system, many countries, lack adequate mental health facilities due to even greater stigma and a general lack of awareness. Therefore, mental health advocates strive to inform society about mental illness in order to reverse the disagreeable image of mental health patients, and ultimately, construct a more efficient, more understanding and more accessible global mental healthcare system.

– Phoebe Pradhan

Sources: SoCal Health Advocates, World Health Organization
Photo: IIR Healthcare

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5 Most Common Neglected Tropical Diseases

5 Most Common Neglected Tropical Diseases
Neglected tropical diseases (NTDs) affect 1 billion people, or one out of every six individuals, every year. Half a million people die from NTD related effects, the majority of whom are impoverished children, women and persons with disability. Although methods of prevention and treatment are available, these diseases remain extremely common in parts of Africa, Asia, Latin America and the Caribbean.

The following list of NTDs represents approximately 90% of the global NTD burden, along with methods of treatment and prevention.

1. Onchocerciasis

Also known as “river blindness,” this disease is transmitted via black flies carrying the onchocerca volvulus parasite. The parasite causes debilitating itching and upon reaching the eyes, visual impairment and eventually blindness. It is the second leading cause of infection-induced blindness, behind Trachoma, with 37 million people infected with the disease.

A single, annual dose of Mectizan controls the disease and relieves symptoms. Some countries in Latin America successfully eliminated disease transmission after administering the drug for twenty years which lends hope to its possible elimination in the African continent.

2. Trachoma

One of the oldest infectious diseases known to mankind and the leading source of global blindness, is caused by the bacterium Chlamydia trachomatis. Eye-seeking flies transmit the disease from an infected person’s eye discharge to uninfected hosts.

Repeated infections result in a scarred interior eyelid thereby forcing eyelashes to turn inward thus scratching the cornea, all of which is followed by blindness. It affects about 21.4 million people, of whom 1.2 million are blind.

It is hyperendemic in remote poor rural areas of Africa, Central and South America, Australia and the Middle East.
The World Health Organization (WHO) recommends the SAFE strategy (Surgery, Antibiotic treatment, Face washing and Environmental changes) to limit its spread.

3. Schistosomiasis

Or, snail fever, is a parasitic disease transmitted by freshwater snails to bathing or swimming humans. Urniary schistosomiasis progressively damages the bladder, ureters and kidneys. Intestinal schistosomiasis enlarges the liver and spleen, damages the intestines and creates hypertension of the abdominal blood vessels. It affects 200 million people, and in children can impair growth and cognitive development.

A single dose of praziquantel with repeated community distribution treats and controls the disease.

4. Soil-transmitted helminthes

Affects more than 880 million children around the world. The intestinal worms may result in diarrhea, abdominal pain, anemia, general malaise and severe infection can impair growth and cognitive development.

Improved sanitation, health education and the periodic administration of anthelminthics to at-risk groups limits the rate of transmission.

5. Lymphatic filariasis (LF)

Also known as elephantiasis, is a mosquito-borne disease which results in painful swelling of the limbs and genitals. Over 120 million people are currently infected and nearly 1.4 billion people are at risk in 73 countries.

The WHO recommends yearly large-scale Mectizan and albendazole doses for four to six years to interrupt transmission.

This information was compiled from the Neglected Tropical Disease NGDO Network, World Health Organization and the Center for Disease Control.

– Emily Bajet

Sources: Neglected Tropical Diseases (NGDO) Network, WHO, WHO Programmes, Center for Disease Control and Prevention(CDC)
Photo: Bullion Street

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Sanitation and Poverty

Sanitation and Poverty
Two and a half billion people – over a third of the entire world’s population – have no access to adequate sanitation facilities, which leads to the rapid spread of disease and heightened child mortality rates. Most commonly, poor sanitation practices lead to diarrhea: little more than an annoying byproduct of bad hygiene practices for first-world residents, it is often fatal in developing countries. In fact, it is estimated that 5,000 children die daily from complications related to the ailment. Consequently, one person dies every minute due to the lack of basic sanitation.

Why is the lack of well-formulated means of sanitation such a large problem in modern times, when technology has reached such an advanced stage? One reason is the negative stigma associated with it: the discussion of toilets simply feels dirty or inappropriate and is not as popular nor does it appear at first glance as urgent as, for example, the issue of access to drinking water. However, the two are related and equally pressing; disease control is an impossible goal without proper sanitation adjustments. In many places around the third world, toilet stalls are completely nonexistent. Essentially, this means that people are forced to defecate in public, populated areas, leaving waste behind which will remain on the ground spreading disease. Just a gram of human feces may contain as much as ten million viruses and a hundred parasite eggs.

Besides the obvious health benefits, according to the World Health Organization (WHO,) improved sanitation in developing countries would provide $9 economic benefit per $1 spent. The year of 2008 was dubbed by WHO as the International Year of Sanitation. Through various conferences and seminars, five key principles of sanitation were determined: 1. Sanitation is vital for human health. 2. It generates economic benefits. 3. It contributes to dignity and social development. 4. It helps the environment, and most importantly. 5. It IS achievable. South-East Asia and Sub-Saharan Africa are two regions most affected by poor sanitation practices. Coincidentally, they are also the two areas with the highest death rates from various diseases. It is especially prevalent in rural areas, where open defecation is six times more likely and use of unimproved sanitation is four times higher than in urban areas. Being one of the 2015 Millennium Goals, improved sanitation should not be taken for granted. To heighten the quality of sanitation is to improve the quality of life as well as economic efficiency for millions of individuals worldwide. In this day and age, no one should have to defecate publicly; not only for reasons of dignity and civility, but also due to personal awareness and dedication towards reducing of the spread of deadly disease.

– Natalia Isaeva

 

Sources: The Global Poverty Project, World Health Organization: International Year of Sanitation, UNICEF: Progress on Drinking Water and Sanitation

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Big Impact of Baby Footprints

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In one of the largest countries in Africa, a new program is working to change the outcome of premature births with a simple footprint.  Tanzania is home to an estimated 46,218,000 people who earn an average of $570 per year.  With about one third of its people living below the national poverty line, Tanzania is regarded as a ‘developing country.’  The term ‘developing country’ is described by Princeton as “a nation with a low level of material well-being.”  A common reality in developing countries is the limited or complete lack of access to medical assistance, whether a hospital, pharmaceuticals or a birth attendant.

The latter is an issue that can have devastating consequences.  In low-income countries, about 40% of births are unattended by a trained, medical professional.  Whether or not they are equipped with modern tools and resources, a trained professional is better able to determine the dangers and necessary steps to take before, during, and after birth, especially regarding premature babies.  Of the approximately 10% of infants worldwide born prematurely each year, about one million die, with over 80% of those deaths occurring in South Asia and Sub-Saharan Africa.

At present, Dr. Joanna Schellenberg and a team at Ifakara Health Institute (IHI) in Tanzania are researching a strategy with the potential to have a global impact.  The research began by attempting to solve how to reduce premature infant deaths without requiring entire health systems to be constructed (and funded) first. This is especially important since one of the greatest obstacles facing health care in rural areas is the absence of equipment.  However, the World Health Organization (WHO) estimates that 75% of preterm infant deaths could be prevented without the use of intensive care and modern resources.  Premature infant weights are under 5lb 5oz, yet since scales cannot be assumed to be available, the IHI team came up with another measurement: the size of a baby’s footprint.

Volunteer health workers visit villages with a laminated card picturing two footprints.  The health workers measure infants’ feet against the pictures and determine how to proceed based on their size.  If the infant’s footprint is the same size or larger than the bigger footprint, then the child is not premature.  If the footprint is between the two sizes, it may be premature but not necessarily in danger.

Health workers then proceed with suggestions on how to promote infant health such as holding the child skin-to-skin for warmth, or how to breastfeed effectively.  Finally, if the footprint is smaller than both samples, about 67mm or less, the mother is directed to the nearest health center where the infant can receive potentially life-saving care.

The strategy just described is called “Mtunze Mtoto Mchanga” which translates to “Protect the newborn baby,” a concept that local women have been quick to support.  With the persistent visits and encouragement by the project’s health workers, support has grown into a greater compliance by the public. Though the project will continue for another six months before clear results are available, the team is already poised to implement it throughout Tanzania.

The laminated-card system is not only relatively simple to duplicate, it also demonstrates potential self-sufficiency amongst rural women.  Moreover, once the procedure and subsequent actions are ingrained, the individuals could monitor their babies themselves without the need for health workers help with premature birth testing.

The versatility of the project only heightens anticipation for the results of the study.  If successful, the IHI project could mean saving up to three-quarters of a million infants each year with just a footprint.

– Katey Baker-Smith

Sources: World Health Organization, Princeton University, United Nations Data, The World Bank, BBC
Photo: Giphy.com

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Rwanda Redefines HIV Care

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In a country where just 20 years ago, genocide claimed nearly one million lives, the Rwandan government has revamped HIV treatment for the poor by reforming the standards of successful care.

In Sub-Saharan Africa, there are now over 7.5 million people receiving antiretroviral therapy, 150 times as many as a decade ago. Medications have become easier to manage and overall, more effective, forcing some patients to take no more than one pill each day. Also, HIV testing has become much more widely available and the virus is being detected at an earlier stage before the circumstances are too dire.

In Rwanda, many HIV patients are taking their medications as directed, medication which suppresses the virus in their bodies to the point where it is essentially non-detectable. Success here is achieved when the HIV positive individual can earn a living, support their family and care for their community no differently than uninfected individuals. Furthermore, patients who would have previously been hospitalized with severe complications of HIV are now receiving regular preventive care.

The steps forward being taken in this small country are undeniable. Compared with 54 percent of medical patients worldwide, 91 percent of Rwandan patients who require HIV medications have access to life-saving treatment. Even more encouraging, 98 percent of women undergo HIV testing during their prenatal visits. In a country with only one doctor for every 17,000 people, nurses and community health workers have been trained to provide HIV services that were before, only available from physicians. Aggressive media campaigns by the government and other international organizations remind and encourage the public to “Know Your Status” while targeted outreach programs concurrently focus on the high-risk groups.

Rwanda is one of the first sub-Saharan countries to nearly eradicate the transmission of HIV from mothers to their newborns. Due to this, the number of new HIV cases has been cut in half during the last decade, and perhaps soon, it will fulfill the dream of accomplishing an “AIDS free generation.”

– Sonia Aviv

Sources: The Atlantic, The World Bank, BWH Global Health
Photo: AIDS Health

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WISH Summit Innovates Health Care Systems

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The inaugural World Innovation Summit for Health (WISH) – a conglomeration of entrepreneurs, business leaders, academics and technicians in the health space – convened last week in Qatar. As its title suggests, WISH serves as an arena for international delegates to create and implement innovative, nontraditional solutions to pressing issues in global health.

One participant, Londoner Lord Darzi of Denham (chairman of the Institute of Global Innovation at Imperial College), succinctly stated after the announcement of the Summit that “WISH is about action.”

Qatar’s newfound consideration as a hub for frontline innovation- principally through the Qatar Foundation- landed the nation the opportunity to host the prestigious two-day summit event. The Foundation has been on the forefront of the nation’s “visionary national health strategy” and initiated a first-of-its-kind investigation into the healthcare systems of eight major world players, the United Kingdom, the United States, Spain, Australia, South Africa, Brazil, India and Qatar. The Global Innovation Diffusion Report, unveiled on the second day of the summit, presented a well-researched report card of how each nation fosters and incorporates innovation to maximize health outcomes for their citizens.

The report noted both victories and areas in need of improvement for the eight nations of study. Each succeeded on a general level in identifying and addressing doctors and involving patients in treatment. Unfortunately, however, every nation but Qatar fell short in matching research-based suggestions with real changes in the health care space. Expert assessments of appropriate technological or practical innovations were ignored for different reasons in each nation.

In Spain and the United Kingdom, the least innovative countries, funds for research and development are scarce. New ideas simply cannot get off the ground because there is no money to put wind in their sails to begin with. Australia, Brazil and South Africa were slightly more successful than their European counterparts, but need to improve incentives for academics and policymakers who spread innovation. The United States and India showed a consistent, but small, gap between the ideal and reality.

The thorough case study concluded that innovation is most successfully spurred in the United States when incorporated into (or alongside) insurance and the accompanying payment system. Incidentally, the report identified the rollout of Patient Centered Medical Home (PCMH) programs as a major success for the U.S. in terms of innovation implementation. PCMH programs encourage primary care providers to tailor payments around patient outcomes and foster cooperation between medical and social services.

Moving forward, hot areas of progress for medical innovation will likely include: the application of mobile technology to share and store medical information; policymaking that encourages clinicians to adopt new ways of working; mobilization of resources to allow coordination between researchers and clinicians; and the development of an “innovation culture” and leadership among front line health care professionals.

Delegates representing our nation will undoubtedly confer about these recent findings and carve out a designated space for innovation in discussions touching on future policies, programs and technologies.

– Casey Ernstes

Sources: Gulf News, NCQA, PR News Wire, World Innovation Summit for Health: Home, World Innovation Summit for Health: Global Diffusion
Photo: Vintage 3D

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Catalysts for Change

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A first of its kind, Catalysts for Change, an innovative and interactive online game, was run by the Rockefeller Foundation and the Institute for the Future last year in the beginning of April. The game prompted participants worldwide to discuss and come up with ways to battle the plentiful issues of poverty. The game itself was designed around four catalysts: new evidence, new capacities, new rules and new stories, all of which contributed to the card-based gaming platform.

Players could share ideas through Positive/Critical imagination cards – these had the potential to be built on by others through Momentum, Antagonism, Investigation and Adaptation cards. Leaderboards were also created, displaying points players had earned through using and gaining said cards. These could furthermore be categorized as Scenario Fail, Common Knowledge or Super Interesting based on the players’ personal perception of presented ideas. Achievements spanning across seven levels, going from Inspired to Legend, were available for unlocking before being recorded in player profiles.  Each card played was then cataloged by category, available for public viewing on a special dashboard.

A game blog recorded all progress and presented new missions and challenges in real time. Two weeks before the actual game start, several preparations were made including social media advertising and buzz-building, recruitment, email exchange between coordinators across the world and various sponsor partnerships which led to further awareness among people. Most follow-up cards played were either Investigation or Momentum; of the top-tier, Critical versus Positive imagination were played, the latter being more than twice as frequent. Around 53% of all cards had follow-up cards attached, spanning overall very optimistic and fruitful discussions. As expected from discussions concerning poverty, themes such as education, work and community were amongst the most common. A few top innovative ideas that were brought up include:

–  Alternative economic systems or a universal currency
–  Empathy, i.e. teaching children from an early age to perceive worldly problems
–  Entrepreneurial education and new business funding as a common endorsement for all
–  Socially engineered ways around corruption
–  Sharing to eliminate waste

Although the aim of the game was not to implement any policy for actual poverty reduction, it managed to fulfill its purpose: to motivate and bring together people in their desire to make a change. Several of the players, engaged among one another, even discussed ways they could contribute beyond playing the game, such as starting a non-profit together centered chiefly around their ideas. The attention on social media (Facebook and Twitter) that Catalysts for Change received helped further spread the cause. Thoughts shared by players are still accessible on the website today, providing ‘food for thought’ for anyone hungry for making a difference. Although the game spanned for only 48 hours, it attracted 1,616 players from 79 different countries who used a total of 18,207 cards.

– Natalia Isaeva

Sources: The Rockefeller Foundation: Catalysts for Change, Institute for the Future
Photo: Vimeo

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Palmetto Medical Initiative to Build Hospitals

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Palmetto Medical Initiative (PMI) — a global health nonprofit — announced its $1.5 million Revolutionizing Global Health campaign, which aims to build five medical centers in East Africa and Central America by 2015. $1.2 million has already been pledged from lead donors Darla Moore, Seacoast Church and others. The group of donors are counting on individuals and corporations to raise the remainder before Dec. 31, 2013.

Founded in 2009 by Dr. Ed O’Bryan, a physician at MUSC, and Matt Alexander, an entrepreneur and nonprofit executive, PMI was created as a permanent health care solution for impoverished regions.  In 2011, PMI opened its first hospital in Masindi, Uganda. Within 13 months of opening, the hospital achieved self-sustainability and has served more than 50,000 patients. The typical doctor visit costs patients $2, making it possible for more than 98% of all patients to cover the entire cost of their care.

“I invite our community to join me and support PMI’s campaign,” said Darla Moore, financier, philanthropist and one of the lead contributors to the current campaign. “On a mission trip with PMI in 2009, I saw firsthand the desperate health care needs of so many people. PMI has proven its ability to provide the same quality health care we value in the U.S.”

The regions selected by PMI for the Revolutionizing Global Health campaign lack basic quality health care and, all in all, are some of the poorest corners of the world. These areas have exceptionally high mortality rates, widespread disease and low life expectancy rates. With the contribution of generous donors, the campaign will be up and running for the new year, and represent a prominent step forward for the growth of global health.

– Sonia Aviv

Sources: Post and Courier, Moultrie News, ABC News
Photo: Giphy.com

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Obesity Growing in the Developing World

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The number of overweight and obese people has grown drastically in the past 30 years, going from 23% of the world’s population in 1980 to over a third today.  Surprisingly to some, the majority of overweight and obese people live in developing countries.  As globalization spreads and countries go from low-income to middle-income, people have more money to buy food.  At the same time the access to cheap junk food full of fat, carbohydrates, sugar and salt is becoming readily available.  As food gets tastier and cheaper, families in the developing world are consuming these products and steadily gaining weight.

Sharada Keats and Steven Wiggins from the Overseas Development Institute in London released a report on January 3rd called, “Future Diets.”  This report summarizes research that shows that diets are changing.  As incomes rise in the developing world people are moving from a diet that consists of cereals and tubers to diets that include meat, fat and sugar.

The portion sizes that people are eating are also going up.

These changes mean that the price of animal products will go up all over the world while prices for grains will go down.  The agricultural crisis of not having enough grains to feed the poor may be replaced by a public health crisis as more people move to eating unhealthy diets.

Obesity is increasing throughout the developing world.  Further, reports have noted that obesity has tripled in the developing world in the past 30 years.

Mexico is a good example of how globalization and higher incomes are impacting diets and waistlines of middle-income countries. In 1980, fewer than 40% of Mexicans were overweight or obese. Today that figure is more than 70%.  In 1980 there were 250 million overweight and obese adults in the developing world. In 2008 those numbers have grown to 904 million.

This is a global health concern as unhealthy diets and weight gain put people at a large risk for a wide range of health conditions including cancer, cardiovascular disease, and diabetes. This is going to place an increased burden on low and middle-income countries with already struggling health care systems.  It will also cause economic difficulties and increased health care costs.

At the moment there seems to be little interest among the public and leaders to take action against the growing obesity problem.  Keats and Wiggins suggest that as countries begin to face the serious health implications and economic problems associated with obesity they may consider investing in public education and policy changes as well.  Conclusively, Keats and Wiggins suggest for a resolution that is a moderate combination of education, prices and regulation measures.

– Elizabeth Brown

Sources: NPR, Overseas Development Institute (ODI), BBC

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Child Labor: An Overview

Child_Labor_an_Overview
“Millions of children are victims of violence and exploitation. They are physically and emotionally vulnerable and they can be scarred for life by mental or emotional abuse. That is why children should always have the first claim on our attention and resources. They must be at the heart of our thinking on challenges we are addressing on a daily basis. We know what to do, and we know how to do it. The means are at hand, it is up to us to seize the opportunity and build a world that is fit for children,” remarked Ban Ki-moon, Secretarty-General of the United Nations on November 20, 2009, on the Twentieth Anniversary of the Convention on the Rights of the Child.

Just as Ban Ki-moon mentioned, children are not physically or mentally ready to enter the labor force. With the lack of physical abilities, the safety of the workplace cannot be ensured, for both the children and other employees. In fact, children are more likely to be abused and mistreated in an environment centering around child labor.

“Few human rights abuses are so widely condemned, yet so widely practiced. Let us make (child labor) a priority. Because a child in danger is a child that cannot wait,” stated Kofi Annan, Former UN Secretary-General. Around the world, more than 211 million children between the age of 5 and 14 are being forced to work. Among these children, 120 million children are working full time.

To eradicate child labor, people should first understand what leads to such situations. For example, poverty is the first and foremost reason of child labor.  Since many parents do not have the capability to support their household, children end up working to help support the family’s daily lives. Another reason for child labor is a poor education system.

When education is expensive or not readily available, impoverished parents do not see the benefit of learning and think that working is a better alternative. In the United States, there are many laws that prohibit child labor, however, in some countries, child labor laws exist, but are not enforced. Companies can thus take advantage of the cheap labor and further exploit it.

On the other hand, many organizations have been striving to put a stop to child labor by various programs. For example, the United Nations has been running campaigns to raise the awareness of child labor across various nations and airing them in global events such as the World Cup. Moreover, in order to raise the level of education in poverty stricken areas, the Red Cross and governments of third world countries have been recruiting teachers to volunteer in remote areas.

– Phong Pham

Sources: Child Labor Public Education Project, UN: Agencies Urge Greater Action, International Labor Rights Forum, UN: Child Labor
Photo: Addicting Info

 

Facts about Child Labor