Archive for category: Global Health

Information and stories about global health.

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Ethos of Global Health Initiatives

Global Health InitiativesGlobal Health organizations play a crucial role in alleviating the suffering caused by poverty worldwide. However, as a paradigm rooted in colonialism with a history of racial bias, many receiving communities complain of the ineffectual nature of improperly conducted health care aid. Hence, professionals contributing to modern-day initiatives have to work hard to make sure that their global health interventions consider ethics at every step of implementation.

Leading the Charge for Ethics in Global Health

The Abdul Latif Jameel Poverty Action Lab (J-PAL) brought eth0s to the forefront of global health. This was achieved through its proven success in supporting other organizations in measuring the impact of interventions to avoid funneling money into unsuccessful or unethical initiatives. J-PAL focuses on tracking and analyzing program outcomes by training specialists in surveying for community feedback through “randomized evaluations and scoping studies.”

The initiative conducts impact evaluations in partnership with actors on the global health stage to highlight the most cost-efficient and largest-impact interventions and report on local community review and feedback. This article will delve into current programs run by the World Health Organization (WHO) and the Bill and Melinda Gates Foundation to demonstrate the critical role of impact evaluation in assessing the success and ethos of global health initiatives, improving services and informing policy for a more impactful future.

Taking Responsibility

In 2024, the WHO announced it is pushing forward its 2022 One Health initiative, emphasizing its goal to incorporate a holistic approach to intervention that focuses on collaborative efforts between environmental and public health entities in targeted regions. The spearheads of the initiative express goals that echo tones from J-Pal-supported programs, understanding the importance of regional participation and feedback in sustainable and ethical health development.

Under this new program, WHO believes it will “[empower] countries, [strengthen] health systems and [foster] cross-sectoral collaboration to drive transformative change from the ground up to achieve improved health and well-being globally.” This emphasis on collaboration at a local level, across all agencies involved in health development programs, is a crucial aspect of modern success in ethical development within the global health sector. Moving forward, prominent actors on the scene, such as the WHO, are stepping up to set an example of cultural relativism, distancing themselves from global health’s foundations in ethnocentrism.

Holistic Approach

An example of this holistic approach is the WHO’s recent initiative in Côte d’Ivoire to “reduce avoidable maternal deaths by 75% between 2022 and 2024.” By analyzing historical evidence pointing to the most common causes of maternal deaths in the region, including postpartum hemorrhage, high blood pressure and infections, the WHO staff in Côte d’Ivoire realized that the simplest solution is training hospital staff and local midwives. This training focuses on a structured birth plan and “key life-saving clinical skills.”

The initiative will implement sustainable change by working with regional birthing professionals in the formal and informal sectors and considering environmental and cultural factors. This change aims to be passed down through generations, facilitating obstetric and midwife practices in the region and decreasing maternal mortality rates.

On the other hand, nongovernmental organizations (NG0) like the Bill and Melinda Gates Foundation are demonstrating this same implementation plan by funding J-PAL’s research into previously unregulated direct cash transfers for child health programs in India. In this context, J-PAL research is conducted by residents of India, which is a crucial part of ethical global intervention.

By avoiding sending foreigners to do the jobs that can be provided to locals, organizations like J-PAL positively contribute to regional economies and generate a more sustainable and community-accepted impact due to a deeper connection to and understanding of the people they are serving. Moreover, by analyzing evidence of cash transfer impact over the years, J-PAL will offer the Indian government a blueprint to upscale the most successful cash transfer programs efficiently and effectively.

Looking Ahead

While many unregulated organizations continue to ignore the ethical implications of their work, increased awareness surrounding best practices in the field makes it easy to identify bad ethos. By fostering positive examples of sustainable and culturally relevant initiatives, global health professionals can contribute to the phasing out of organizations that do more harm than good.

– Kiera Gorman
Photo: Flickr

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Đổi Mới: Vietnam’s Rapidly Evolving Healthcare System

Đổi MớiFollowing the economic development precipitated by the launch of Đổi Mới in 1986, Vietnam has achieved status as a “middle-income economy in one generation.” The heightened demand for improved health care services has prompted a rapidly developing health care system transforming lives in Vietnam.  

How the Health Care System Has Developed

The Vietnamese Ministry of Health provides services at three levels: the district and commune levels, the provincial level and national institutions under central government control. This hierarchical system is employed to efficiently distribute services, extending them effectively from the grassroots level. As a result of such comprehensive progressions, there are many notable successes of the rapidly developing health care system transforming lives in Vietnam:

  • Hospital Infrastructure: The modernization and renovation of facilities in both public and private hospitals have created a myriad of opportunities for the establishment of new departments specializing in advanced treatments. This progress has not only led to improvements in addressing fundamental health issues like nutrition, immunization and hygiene but has also extended to more advanced areas of research. Consequently, Vietnam has successfully developed its vaccines for COVID-19, which have undergone clinical trials.
  • Medical Equipment: The rapidly developing health care system transforms lives in Vietnam through life-changing technologies, allowing for “breakthroughs in diagnostics, medical devices, medicines and nutrition.” By implementing “Alinity,” a system designed for simplifying diagnoses, in 18 hospitals, the Chicago-based company Abbott has made high level treatment accessible to the entire population.
  • Universal Health Coverage (UHC):UHC aims to provide affordable, high-quality services to all levels of society. Offering a “spectrum of services,” UHC goes beyond health promotion through education, treatment and rehabilitation, incorporating a “legal framework” and other interdisciplinary approaches. Through these comprehensive measures, the rapidly advancing health care system in Vietnam continues to bring about transformative changes in people’s lives.
  • Education: Vietnam’s commitment to health care development extends beyond providing treatment. It has also led to the establishment of a new medical school. Founded in 2018, VinUniversity achieved a “5-star QS rating in seven categories” within two years of operation, making it the “youngest university in the Asia-Pacific region” to accomplish this feat. Entering into a “formal alliance with the University of Pennsylvania in 2018,” VinUniversity is evidence of Vietnam’s efforts to utilize globalization and international support to bolster its health care services.

How Health Care Developments Help To Overcome Poverty in Vietnam

Health care is one of the most significant factors that affects poverty rates in any country. Given that “poor health is disproportionately concentrated among the poor,” Vietnam can seldom achieve poverty reduction without improved health care. Through its efforts to revolutionize the health care system, Vietnam has expanded high-quality services to those most impacted by poor health nationwide. This initiative not only improves the overall health of the population but also enhances economic opportunities for those severely affected by poverty, increasing their “ability to work” and potential for “educational attainment.”

Vietnam, significantly assisted by its rapidly developing health care system, has “attained its Millennium Development Goal (MDG) of halving its poverty rate 10 years before the deadline set by the U.N.” Poverty reduction has occurred so rapidly that, whereas in 2021, 4.4% of the population lived below the national poverty line, by 2023, this figure has dropped to 2.93%.

Challenges Facing Vietnam’s Health Care 

Although the rapidly developing health care system is transforming lives in Vietnam, many areas require further attention, evidencing the need for continued funding and support from both within the country and outside.

Vietnam’s health care system continues to operate through “manual, paper-based reporting systems.” Consequently, data integration and distribution are currently inefficient processes. 

Despite a significant increase in the number of health care workers, rising from 15,000 in 1986 to 109,500 by 2021, the distribution of workers is not “relative to population density,” resulting in the neglect of more rural populations by the rapidly developing system.

However, strategies are in place to tackle this issue, including the increased implementation of “telemedicine,” offering consultation and diagnosis online. This, however, requires technological improvements in the rural communities themselves, demanding increased funding and subsequent international support. 

Underfunding

The Vietnamese health care system faces challenges in sustainability and further development without an augmentation of funding. “In particular, insufficient resources are allocated to health care infrastructure, equipment and staff training.” Therefore, many patients have no choice but to resort to “out-of-pocket payments,” which can be a “significant financial burden for low-income families.” Increased international aid is necessary to support the health care system, supporting the Vietnamese government in achieving UHC and reducing the need for low-income patients to subsidize their own medical demands.

Conclusion

The rapidly developing health care system transforms lives in Vietnam by providing innovative, highly advanced treatments and financing research into preventative methods. Largely government-funded, Vietnamese health care is now accessible to all demographics and can tackle both basic health needs and more complex issues.

– Chloe Thomas
Photo: Flickr

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WOBA: Addressing Period Poverty in Vietnam

Period Poverty in VietnamThe 2018-2022 Vietnamese program, Women-led Output-Based Aid (WOBA), aimed to tackle poor water sanitation, reducing period poverty in Vietnam and cultural taboos surrounding menstruation. First established by the key Vietnamese network East Meets West (EMW), the female-led force wished to tackle gender inequality and attitudes to menstruation in Vietnam’s poorest communities.   

With the help of the Vietnam Women’s Union (VMU), an organization with more than 13 million members nationwide, EMW’s program WOBA has expanded to the most marginalized households and women. Their collaboration has continued to make positive changes to period poverty in Vietnam. 

Vietnam’s Stigma Towards Menstruation

Medical News Today defines period poverty as the political, cultural and socio-economic “barriers to menstrual products, education and sanitation.” Period poverty in Vietnam may have harmful impacts on women’s lives. This includes their mental health, health and hygiene, work balance and education. Further, lacking access to menstrual products may result in dangerous infections and an increase in possible toxic shock syndrome. The stigma surrounding menstruation often results in women’s exclusion from the community. 

WOBA’s Support

WOBA sought to decrease the gender inequalities that have disproportionately disadvantaged women’s access to sanitary water. The program’s primary objectives include increasing access to water, sanitation and hygiene (WASH) in marginalized communities and reducing menstrual stigma and exclusion targeted at women. Its fight against period poverty in Vietnam focused on the poorest areas, including Hoa Binh, Thanh Hoa, Nghe An, Ha Tinh and Ben Tre.

By 2022, WOBA had set several crucial objectives to enhance water, sanitation and hygiene (WASH) initiatives. These goals encompassed reinforcing governmental efforts in implementing WASH policies, improving accessibility and utilization of WASH facilities in marginalized communities, empowering women and advocating for hygienic practices. A significant focus was also placed on delivering clean water to female-led households. 

Noteworthy accomplishments of the program included assisting 52,580 women and girls in managing menstrual hygiene challenges. Additionally, installing hygienic latrines for 18,000 marginalized households and establishing new water connections benefiting 8,000 households facing economic hardship. 

Truong Thi Hoa’s Story

Truong Thi Hoa is the “President of the Tan Xuan Commune Women’s Union in Nghe An province.” She fights to tackle harmful taboos and empower women to engage with menstruation hygiene safely in her Vietnamese communities. In a conversation with Water for Women in 2023, she opened up about her experience with menstrual stigma. She recalls feeling “ashamed and afraid to meet others or go to school during her period.”

Truong Thi Hoa wishes to bring dignity to women affected by period poverty in Vietnam. Her training sessions educate women on the appropriate use of sanctuary products. In the same conversation with Water for Women, she believes inviting men into the conversation “is an efficient way to support, understand and share the health care burden with women and girls.”

Truong Thi Hoa feels that an essential step in breaking cultural taboo is for women to invite their husbands to her organized training sessions. For Truong Thi Hoa, men are vital allies who help bring gender equality to Vietnam’s attitudes toward menstrual hygiene.

Long-Term Improvements

Period poverty in Vietnam has dramatically improved with the aid of the  WOBA program. During the program, EMW collaborated with Australia’s Department of Foreign Affairs and Trade (DFAT), which funded “national consultants on menstrual health and hygiene.” Its educational sessions continue the work of individuals like Truong Thi Hoa, providing informative conversations and practices with women about their “hygiene and sanitation needs” and menstrual health.

Furthermore, EMW’s WASH program has continued to aid schools in Vietnam. Due to challenging weather conditions, families are often deprived of clean water. In response, the initiative “installs water filtration systems and hand washing basins” in rural and mountainous schools where access to clean water may be a daily struggle. Additionally, the program’s educational initiative continues to raise awareness about the importance of personal hygiene in schools. Its conduction of “a behavior change campaign promoting hand washing” continues to reduce period poverty in Vietnam.

UNICEF’s Report on Menstrual Health in East Asia

In 2023, the United Nations Children’s Fund (UNICEF) released a regional progress review on Menstrual Health in East Asia. UNICEF commended the positive observance of Menstrual Hygiene Day by Thrive Networks/East Meets West Foundation Vietnam as an ongoing effort to combat period poverty in Vietnam. The report underscored that the foundation’s work “contributed to increasing menstrual health awareness.” As well as helped “gain attention from one of the high-ranking government officials.”

Looking Forward

While many women struggle with period poverty in Vietnam, integral organizations such as EMW and its projects, such as WOBA, have successfully aided the improvements of menstrual hygiene for many women.

– Kasia Flisiuk
Photo: Unsplash

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How ActionAid International Is Improving Public Health in Kenya

ActionAidDespite Kenya being one of the largest and most developed countries in Eastern and Central Africa, it still grapples with significant challenges, particularly regarding food security, access to clean water, health care and education. The country is currently reported to have made strides in economic development. Still, persistent issues such as poverty, inequality and corruption continue to hinder progress, especially in rural and marginalized communities. Addressing these challenges requires a comprehensive approach involving government intervention and collaboration with important organizations such as the ActionAid International nonprofit.

ActionAid: An Overview

ActionAid is a global movement working toward improving public health in Kenya. It also aims to eradicate poverty and injustice by supporting people and communities to claim their rights and achieve sustainable change. The organization was founded in 1972 and focused on empowering developing communities and marginalized groups to advocate for access to health care resources. At the heart of the group’s approach is the belief that poverty is not simply based on lack of income but is also about community marginalization. The organization works in various Kenyan locations to address the root causes of poverty, including unequal distribution of resources, discrimination and lack of access to education and health care.

ActionAid’s methods and programs differ from the standard nonprofit approach, encompassing many overlooked issues, including women’s health rights, climate justice, humanitarian responses and economic justice. Through grassroots mobilization, advocacy campaigns and partnerships with other impactful organizations, the nonprofit is improving public health in Kenya. This society seeks to amplify the voices of affected populations by creating community-led initiatives and providing essential resources to influence policy changes that address the systemic inequalities faced by marginalized communities in the country. The organization focuses on three critical areas for improving public health in Kenya: empowerment, solidarity and campaigning for social justice.

The Response to Poverty and Rights

In addition to its programmatic work, ActionAid also conducts research plans, policy analysis and public awareness campaigns to raise awareness about the fundamental causes of poverty and advocate for changes at the national and international levels. One of these impactful plans, labeled “Strategic Objective 2,” involves facilitating young people and communities living in poverty and exclusion to advocate for their rights with democratic governance for access to the advancement of economic opportunities for young people. This plan aims to build capacity among youth and marginalized communities, providing them with the necessary skills, knowledge and resources to effectively engage with policymakers, demand accountability and participate in decision-making processes that affect their lives.

The organization also works with various impoverished communities to provide them with essential resources, capacity-building initiatives and support to address specific needs and challenges. One of these impactful plans, labeled “Strategic Objective 3,” involves:

  • Implementing sustainable development projects.
  • Facilitating access to education and health care services.
  • Promoting economic empowerment through livelihood programs.
  • Advocating for policy changes that advance the rights and well-being of marginalized populations.

Through these collaborative efforts, the organization strives to foster resilience, self-reliance and dignity among communities facing poverty and exclusion. Furthermore, ActionAid is committed to maintaining long-term partnerships with local organizations such as the Foreign Ministry of Affairs of Denmark to ensure that interventions are culturally sensitive, contextually appropriate and sustainable in improving public health in Kenya.

Addressing Food Insecurity and Access To Clean Water

ActionAid, recognizing the critical importance of addressing food insecurity and lack of clean water access, has implemented several initiatives across Kenya to tackle these pressing issues. The organization aims to empower communities to secure their right to food and clean water through grassroots mobilization, advocacy campaigns and educational strategies. The organization has implemented these sustainable solutions in multiple locations nationwide, including Turkana, Garissa and Baringo.

In addition to addressing the immediate need for resource accessibility, ActionAid also recognizes the importance of education in influencing communities to break the cycle of poverty and achieve sustainable development. One of the most notable programs developed to address this issue is the “Education For Life Project (EFL),” which equips marginalized youth and adults with the essential skills and knowledge for personal and developmental growth.

The EFL project goes beyond traditional classroom education by incorporating practical, hands-on learning experiences tailored to participants’ and their communities’ specific needs and aspirations. The initiative is currently implemented in five regions of Kenya (Kisumu, Garissa, Kilifi, Migori and Isiolo) in partnership with Voluntary Services Overseas (VSO) and Leonard Cheshire (LC) to influence positive school and life skills for the most marginalized populations.

– Caleb Ilayan
Photo: Unsplash

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How LFAM in Sierra Leone is Reducing Maternal Mortality

LFAM in Sierra LeoneSierra Leone has one of the highest global rates of maternal mortality and an overwhelming number of these maternal deaths are due to preventable factors. In 2020, the maternal mortality ratio was 443 women’s deaths per 100,000 live births. Although this is incredibly lower than the rate in 2000, where 1,682 women died per 100,000 live births, there is still a way to go in reducing this number.

The Life for African Mothers Charity (LFAM) has been actively working on reducing the maternal mortality rate in Sub-Saharan Africa since 2005. LFAM is helping Sierra Leone through its essential programs and projects to lower the maternal mortality ratio.

What LFAM Does

In 2020, nearly 800 preventable maternal deaths occurred daily worldwide. A maternal death took place every two minutes; a further 95% of these deaths took place in low and lower-middle-income countries. LFAM provides tailored training to midwives in Sub-Saharan Africa through various means, such as skill-sharing workshops and medication distribution. The nonprofit has trained around 1,000 midwives and shipped five million tablets to date, contributing to the approximately one million women saved by the organization.

LFAM’s 15-Year Journey in Sierra Leone

In 2008, LFAM was called by the United Nations Population Fund to assist Sierra Leone and Liberia in reducing their Maternal Mortality Ratio. The U.N. had designated Sierra Leone as one of the most dangerous places on earth to have a baby. In 2009, LFAM started helping; medications to treat and prevent hemorrhages were sent to Sierra Leone and U.K.-based midwives traveled to share their skills and complete training programs.

LFAM is helping in Sierra Leone through its contribution to the resilience of the communities by empowering midwives and preventing post-partum hemorrhage. The initiative is positively impacting the country’s maternal health care.

LFAM’s Recent Workshop in Sierra Leone

In Sierra Leone, less than half of pregnant women receive care from experienced birth attendants. In response, the program has been helping the nation through several methods, including midwifery workshops. LFAM held a two-day event in January 2024, for midwives to attend. The event occurred at Kailahun District Hospital and 20 midwives and nurses participated in the workshop. This intense training event covered postpartum hemorrhage management, resuscitation scenarios and labor care guidance. The focus of these workshops is empowering individual midwives to save lives in low-resource settings.

Enhancing Service Reach

LFAM is helping Sierra Leoneans by distributing life-saving medications such as Misoprostol. However, this has been challenging. The nonprofit encountered challenges when ensuring these medications’ timely and safe delivery. Additionally, transporting supplies from the airport to the hospital and distributing them across the country posed logistical hurdles for several reasons, such as the state of the roads.

In a positive turn of events in January 2024, the organization received a contribution from a U.K. foundation for a new vehicle. This donation has allowed LFAM to revolutionize the way it transports medication and midwives as distribution efforts are simplified and accessibility is increased. This donation will hopefully lead to a further reduction in Sierra Leone’s maternal mortality rate as the effectiveness of LFAM’s work continually increases.

– Arabella Wood-Collins
Photo: Flickr

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The Silent Health Issue: Period Poverty in Panama 

Period Poverty in PanamaPeriod poverty is an overlooked global health issue that directly interrelates with global poverty. Worldwide, 500 million girls lack menstrual products and/or proper sanitary conditions. With 2.2 million women in Panama, period poverty in Panama is a real threat to the nation’s national health.

Four key indicators monitor a country’s menstrual health:

  1. Awareness and education. Girls who are unprepared for their menstrual cycles are more likely to feel a sense of shame and social isolation.
  2. Regular access to menstrual products. Tampons, pads and cups are crucial for women’s health. Without access to these products, many women and girls resort to unsanitary practices, which result in dangerous health issues.
  3. A sanitary space for females to change and dispose of their products, which helps them avoid shame and maintain proper menstrual hygiene.
  4. The ability to continue with education and other important social/cultural activities despite menstruating, which is crucial to women’s well-being.

When assessing Panama’s limited data regarding menstrual health through the lens of these four indicators, the results are disappointing. Kelly Hernandez, a Panamanian advocate for ending period poverty, estimates that more than 150,000 Panamanian girls do not meet these four indicators.

The Enemy? Poverty.

Panama’s overall poverty is continuing to exacerbate these health issues, particularly in rural and indigenous communities. In 2019, the poverty rate was only $6.85 a day in 2017 PPP and primarily impacted indigenous communities such as Ngäbe-Buglé. Children and adolescents are also primary victims of the enemy of poverty, with an estimated 32.8% living in poverty, 25% of which live on Indigenous land.

In a world of increasing natural disasters and pandemics, the instability of equitable health care only gets worse. During the COVID-19 pandemic, it was quoted that “women have to choose between buying a pound of rice or a pack of feminine sanitary pads.”

Days for Girls in Panama

Ending poverty in Panama is not simple; there needs to be major changes in education, governance, distribution and more. While these facts and figures may seem overwhelming, one can begin to help put a stop to period poverty in Panama.

The aforementioned Kelly Hernandez is a women’s health ambassador for an organization called Days for Girls. Days for Girls is a global nonprofit that seeks to “eliminate the stigma and limitations associated with menstruation so that women and girls have improved health, education and livelihoods.” Its work spans 145 countries where it introduces and donates reusable and sanitary pads, provides health education services, and encourages local leadership and community programs. The organization also advocates for better policy and health research. Because Days for Girls is a nonprofit, it depends on donor support for money and supplies. Evidently, Days for Girls is not a permanent solution, but it is a promising start.

Endeavors for a Bright Future

While there is no overnight solution to combating period poverty in Panama, one can help make a difference by learning more about powerful organizations like Days for Girls, as well as educating oneself and others and staying updated with the latest developments. By sharing information, we can encourage others to learn more about powerful NGOs like Days for Girls and help boost their outreach. 

Poverty is the number one enemy of Panama, but to go to war with poverty, humans need to first examine who is primarily being affected and how poverty is being inflicted on the 4.4 million Panamanians who call it home. Women and girls in Panama struggle to gain and maintain access to quality health care. This lack of necessary care exacerbated other existing issues relating to poverty, such as discrimination toward Indigenous people and a decline in school attendance. Period poverty in Panama is deserving of global attention. Regardless of one’s identity or background, everyone deserves basic human rights, including access to menstrual products and sanitary services. 

– Piper Jenkins
Photo: Flickr

Strategies for Eradicating Global Health Threats

Global Health ThreatsInfectious diseases cast a shadow over the health and well-being of communities around the world. The intersection of poverty and infectious diseases is a challenge that demands attention. Significant strides have been made in medical science to address this issue. This article will delve into the intricate relationship between poverty and global health threats while offering insight into strategies to combat them.

The Link Between Poverty and Global Health Threats

The connection between poverty and infectious diseases presents a vicious cycle. People in impoverished communities are susceptible to infectious diseases, exacerbating poverty. Poor communities often lack clean water, sanitation facilities and nutritious food. This lack weakens the immune system and makes individuals more susceptible to infection. 

Overcrowded living conditions are often common among poorer communities, and they can foster the spread of diseases. Limited access to health care is another reason disease can spread among a community. Many diseases, like malaria, HIV/AIDS or tuberculosis, disproportionately affect low-income communities. 

Among the poor, communicable diseases cause the most deaths and disabilities. Each year, approximately 1.5 million people die from tuberculosis. 77% of malaria deaths involve children, and 36 million people have died from HIV/AIDS globally. 

On average, low-income countries spend about $23 per year per person on health. Health services and medicines are too expensive for many people in low-income countries, with 35% of the expenses handled by donors. 

How to Address Global Health Threats

Addressing the cycle of poverty and infectious diseases requires a multi-pronged approach. This approach should not only target infectious diseases but should also address social and economic disparities. The following strategies include methods for addressing poverty and infectious diseases.

  1. Create Access to Clean Water and Sanitation – Access to clean drinking water and improved sanitation facilities is foundational to disease prevention. Waterborne diseases like cholera can be significantly reduced by ensuring access to safe water sources and proper sanitation. In 2022, the Water Project rehabilitated a well in Santiguiya Forie in Sierra Leone. This rehabilitation improved the drinking water for the community, and occurrences of waterborne diseases like typhoid and cholera were diminished.
  1. Introduce Vaccination Programs – Vaccination has been one of the most effective tools in controlling infectious diseases. The International Vaccine Access Center (IVAC) has helped provide vaccines to low- and middle-income communities around the world. IVAC helped establish vaccine knowledge hubs that educated communities in India about the importance of vaccination and helped train health workers in immunization advocacy. Widespread immunization campaigns can curb the transmission of diseases like measles, polio and hepatitis, even in resource-limited settings.
  1. Build Health Care Infrastructure – Strengthening health care systems in impoverished regions is crucial. This strengthening includes building clinics, training health care workers and ensuring the availability of essential medicines and diagnostic tools. Doctors Without Borders has delivered medical care in Gaza for 20 years. In addition to medical treatment, the organization has arranged for medical equipment to be delivered to clinics in Gaza.
  1. Provide Health Education – Empowering communities with knowledge about disease prevention and hygiene practices is pivotal. Educational initiatives can promote behaviors that reduce the risk of infection. Through its Sustainable Development Goals (SDGs) initiative, the United Nations emphasizes health education as a fundamental component of global development. Various U.N. agencies and local partners collaborate to empower communities with knowledge about disease prevention and hygiene practices. These educational initiatives, conducted worldwide, promote behaviors that significantly reduce the risk of infection, contributing to improved public health outcomes
  1. Conduct Research and Development – Investment in research to develop vaccines, treatments and diagnostic tools tailored to the needs of impoverished regions is vital. Multiple entities engage in research and development initiatives tailored to the needs of impoverished regions. Institutions like the Bill & Melinda Gates Foundation allocate resources to research new vaccines, treatments and diagnostic tools. Their efforts are focused on addressing diseases prevalent in low-income areas, ensuring that health care solutions are specifically designed to cater to the unique challenges faced by impoverished communities.

Although poverty and infectious diseases are inextricably linked, it is possible to overcome them. With concerted effort, governments and communities can address the root causes of disease and poverty to help create a world where impoverished communities no longer have to suffer from either issue. Access to clean water, sanitation, health care and education are basic human rights that can help eradicate poverty and infectious diseases. By investing in these areas, countries can collectively work towards improving the lives of millions of people and creating a healthier, more equitable future for all.

– Joy Loving
Photo: Flickr

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The USAID Budget for 2024

The USAID Budget for 2024
In March 2023, the President released a Fiscal Year 2024 Budget, reserving $63.1 billion for foreign aid, as well as $32 billion specifically for the United States Agency for International Development (USAID). The USAID Budget for 2024 is an important step up, with an increase of $3 billion, or roughly 10% from the Fiscal Year 2023 Budget. This allows the agency to further address the important development goals that it has set, bettering the lives of those globally and domestically.

The Budget

The USAID Budget for 2024 addresses a wide range of topics with regard to global poverty and quality of life. The largest portion of this budget is reserved for food security and humanitarian aid, $10.5 billion to address rising crises and natural disasters around the world as well as $1.11 billion to Feed the Future to address food insecurity throughout the world, specifically Ukraine.

With the war in Ukraine, more than 14 million families have had to flee their homes and cities from February 2022 to February 2023. This has had an increasingly detrimental effect on Ukraine’s economy, which shrunk by roughly 30% last year, forcing millions into food and economic insecurity. The USAID budget reserves an additional $522 million to address the food and economic insecurity in Ukraine. 

Additionally, the budget aims to address health insecurity, which is an important part of addressing global poverty, with $4.1 billion for USAID programs aimed at addressing health issues around the globe, where vaccines and prenatal care may be difficult to find. 

Implementation

This money is deployed in a variety of ways, and implementation is an important aspect of the USAID Budget for 2024. Feed the Future, which is administered by USAID, works to reduce food security in 20 countries throughout the world. In many of the world’s developing countries, agriculture is integral to food security as well as the economy, and resiliency is imperative to feed rural communities. Feed the Future’s efforts in Mali, where 80% of the country relies on agriculture in some form, including improving resiliency through supplying better seeds for farmers as well as improved water conservation, can make sure that farmers can continue to earn a living, feed their families and feed the community. These efforts have been extremely successful, and in 2021, more than 2 million children under 5 were helped through Feed the Future’s efforts in Mali.

Since the beginning of the war, USAID has spent more than $1.4 billion on humanitarian aid to the Ukrainian people. One of these ongoing efforts is the AGRI-Ukraine initiative. AGRI-Ukraine is meant to provide assistance to farmers, who may have difficulty growing, storing and transporting their crops due to the war. This will help maintain an important sector of the economy, as well as assist in feeding millions of Ukrainians. An additional, often overlooked, impact of the war is access to important, life-saving medications for Ukrainian citizens. USAID efforts have helped to ensure that Ukrainians still have access to those medicines. 

Outlook

USAID’s efforts throughout the world have been imperative in helping many efforts to eliminate global poverty. It has addressed food, health and economic insecurity throughout the world, ensuring that millions of the world’s poor have access to lifesaving medications, inventions and technologies. This helps to reduce poverty globally, while also working towards U.S. interests around the world. The USAID Budget for 2024 will ensure that these efforts are able to continue in full.

– John Rooney
Photo: Flickr

Reducing Cancer-Related Deaths in Infants

Cancer-Related Deaths in InfantsOut of the 7 million cancer-related deaths worldwide, 5 million occur in low and middle-income countries (LMCs), according to a National Library of Medicine study. Cancer accounts for 10% of the yearly death toll in LMCs. Yet, it is not acknowledged as a grave threat because diseases such as AIDS, Malaria and other infectious diseases run rampant in these countries and pull the focus away from the crucial problem of cancer-related deaths in infants.

Communicable and Non-Communicable Diseases

Due to an increase in awareness of diseases, especially in infants, there have been significant strides in the development of vaccinations against childhood infections. Other initiatives have helped provide antibiotics to fight bacterial infections in LMCs, and with heightened awareness, the general cleanliness of places of residence has also improved in many areas. All these factors have lowered the infant mortality rate from infectious childhood diseases, but in turn, have increased the mortality rate for cancer and cardiovascular-related deaths in infants.

LMCs Lead in Cancer-Related Deaths

According to The Cancer Atlas, “The childhood cancer burden is strongly related to the level of development.” Better-developed countries have lower cancer-related deaths in infants. According to a dataset that measured the frequency by which infants undergo cancer tests, North America ranked highest at 97.2%, while Asia and Africa scored 6.3% and 5.3% respectively. Unfortunately, this factor contributes greatly to the growing threat of cancer in Africa.

The Lancet Global Health conducted a study on cancer mortality in LMCs and found that sub-Saharan African countries are the most vulnerable to cancer-related deaths in infants. The study also revealed the following:

  • “Significant associations between childhood cancer mortality and numbers of hospital beds per capita, external beam radiotherapy units, nuclear medicine physicians, pathology services and transplantation services.” Most of these resources and facilities were not sufficient in most places.

  • An increase in resources and money led to an increase in diagnosis and treatment as well.

  • Other factors such as maternal education and lowered health care costs also boosted the frequency of cancer diagnosis and treatment in infants.

Poverty and a lack of education and some of the leading factors that contribute to the increasing ‘cancer burden’ in LMCs. Focusing on educating individuals and alleviating poverty, along with providing access to medical facilities is a crucial step toward increasing successful diagnosis and treatment of cancer in infants.

Cancer Preventions

Between 30% and 50% of cancers are preventable by avoiding risk factors such as tobacco, ultraviolet radiation and pollution, according to the World Health Organization (WHO). Additionally, 1 million cases of cancer are preventable through vaccination against HPV and Hepatitis B. Early diagnosis, before the cancer spreads, is essential to the treatment process according to WHO. “In [the] absence of early diagnosis, patients get their diagnoses at late stages when curative treatment may no longer be an option.”

Advanced Initiatives

Among initiatives that aim to improve the frequency of testing in LMCs and for the overall benefit of patients, are the following:

  • Specialized medical training: Providing specialized medical training and increased resources can improve patient outlook, as cancers such as leukemia and lymphoma in children have a high cure rate with effective treatment.

  • Palliative care: This is a treatment that focuses on relieving symptoms of cancer. It is an imperative aspect of cancer-related treatments. Palliative care serves to reduce the suffering of cancer patients and improve their quality of life. Due to the low diagnosis rate in sub-Saharan Africa, many individuals get their cancer diagnosis when curative treatments are no longer viable, and have to rely solely on palliative care.

These advanced initiatives are carried out by WHO, along with the Agency for Research on Cancer (IARC) and other U.N. Organizations under the banner of ‘the U.N. Interagency Task Force on the Prevention and Control of Non-communicable Diseases.’

This task force aims to reduce premature mortality from cancer and other non-communicable diseases by 25%. It was established in 2013 by the U.N. Secretary-General and over 40 U.N. agencies, encompassing developmental banks and intergovernmental agencies, are a part of it. The task force provides direct medical aid to LMCs by mobilizing resources to inaccessible areas. It also advocates for the necessary global governmental aid required to fight cancer and other non-communicable diseases.

Looking Ahead

Through various avenues such as monitoring the global “cancer burden,” conducting detailed research on causes of cancer and providing technical assistance in LMCs, WHO and the U.N. hopes to significantly reduce cancer-related deaths in infants. Success in this endeavor will help many more children enjoy good health and long life.

– Vahisté Sinor
Photo: Flickr

3 Video Games That Aid Global Health

When it comes to health care, video games do not typically come to mind. There has been some research about the positive impacts on the brain, or scientists developing smaller research games. While this suggests positive signs, the overlap between video games and science is not well-known. Nevertheless, here are three video games that aid global health.

Borderlands 3

In recent years, Borderlands 3 made an impact on the science community with the introduction of Borderlands Science in 2020. An arcade cabinet in the comedic first-person shooter game allows players to try out Borderlands Science. Each level has a target score and players get rewards as in-game accessories if they achieve this score or higher.

The minigame works to map out the microbiome of the human gut. It does this by translating each strand of DNA as a color or block, then players solve puzzles involving these blocks and colors. The goal is to use this data to combat disease, as some microbes in the human gut are associated with diabetes, Parkinson’s, Alzheimer’s and much more. Scientists may be able to treat these diseases with more insights about which microbes are the underlying factors. This could save scientists many hours of research and also assists genomic sequencing. Player behavior demonstrates the most effective way to solve these puzzles, which is being studied for its ability to help the task of genomic sequencing.

In developing countries, there is much difficulty with accessing health care for the aforementioned diseases. There is a combination of poor access to care and high rates of disease. For example, there were 309,000 prevalent cases of Parkison’s in the Middle East and North Africa in 2019. This was alongside 80% of diabetics and 58% of people with dementia living in developing countries. Diseases like Parkinson’s have no known cure, whereas the risk for Alzheimer’s is highest in countries with challenges in access to education.

Finding treatments for these diseases could lead to better health globally, especially in countries with difficulties accessing health care. For this reason, Borderlands 3 has become a popular example of video game that can aid global health efforts.

World of Warcraft

World of Warcraft is a multiplayer online roleplaying game, where players are given free will in an immersive setting. A 2005 update introduced an infectious status debuff known as Corrupted Blood which caused players to lose health over time. Originally, this debuff only existed in one area of the game and would be deleted when players left the area. The problem was that players could have pets and they would retain the debuff, infecting players outside of that area.

This situation has drawn the eye of many scientists as a way to study human behavior, as every player reacted organically. Since gamers are invested in the world, which John Kirkland described as an “economy,” it created pandemonium. While this specific instance was uncontrolled, many scientists investigating video games that aid global health still use it as a reference.

Professor Jodie McVernon noted the similarities between how players reacted to Corrupted Blood and how people reacted to COVID-19; some ran, some went to densely populated areas and some tried to help others. Ran Balicer considers it a place to study the spread of disease and others related it to Avian flu. National Science Foundation (NSF) believes the behaviors exhibited during the Corrupted Blood pandemic will be similar to real-life scenarios.

Epidemiologist Nina Fefferman believes partnering with video games to simulate real human behavior is an excellent idea since it reveals factors not initially considered in epidemiological modeling such as empathy or curiosity. She continues to study similar virtual spaces to model infectious diseases in her lab.

Pokemon Go

Pokemon Go is an augmented reality game that encourages players to go outside to capture Pokemon and battle each other. It quickly became one of the most popular mobile phone games. People were quick to ask if it had a positive impact on health.

From a review, 76% of tweets suggested that the app had a positive effect. It benefitted physical health with players increasing their step count by 25% to 35% and they were more likely to engage in physical activity like walking their dog. The social health benefits include players strengthening bonds with friends and reducing their anxiety. Mental health benefits were considered more neutral, though still skewed positive as it reduced anxiety and improved cognitive performance.

Looking Ahead

As video games continue to become a popular form of entertainment, there are growing questions about the global health implications. Institutions like McGill University see the value of using video games to collect difficult-to-gather data. Scientists find value in its ability to model human behavior. These trends suggest that video games carry the potential to advance global health efforts. 

– Lachlan Griffiths

Photo: Flickr