Archive for category: Global Poverty

Key articles and information on global poverty.

Healthcare in Nicaragua: Unsung Heroes

Healthcare in NicaraguaNicaragua is a developing country in Latin America. After the successful expulsion of Spanish imperialists in 1821, the country began the arduous task of nation building. Domestic conflict and foreign intervention, however, has long inhibited its growth. Such obstacles have severely impaired the development of crucial institutions, including healthcare in Nicaragua.

The Rise and Fall of Socialism in Nicaragua

For decades, conflict and political disorganization have stunted the development of healthcare in Nicaragua. After the overthrow of dictator Anastasio Somoza in 1979, the installation of a revolutionary left-wing regime, the Frente Sandinista de Liberación Nacional (FSLN), gave Nicaraguans hope for social and economic advances.

Yet civil war, along with U.S. anti-socialist intervention, forced a weakening FSLN to neglect the development of necessary social programs in favor of national defense. After years of conflict, the FSLN finally lost power in 1990.

Healthcare in Nicaragua

The Nicaraguan healthcare system fell victim to this political instability. Preoccupied with bolstering the regime against its political opponents, the FSLN failed to bring their plans for universal healthcare to fruition. Instead, later regimes erected a fragmented, underdeveloped system that has left thousands of citizens without regular access to care.

Nicaragua’s Ministry of Health (MINSA) directs the country’s public health system through its regulation and provision of patient care. Under MINSA, Local Comprehensive Health Care Systems (SILAIS) lead health facilities such as departmental hospitals. SILAIS also oversees healthcare on the municipal level, which includes health centers and health posts. These public facilities provide affordable services to patients, including free emergency care.

Despite this sturdy framework, healthcare in Nicaragua faces significant challenges. Health education is shockingly low. Doctors and hospitals are in short supply. Millions lack any form of health insurance.

Moreover, public health services are disproportionately distributed. The rural Caribbean region of the country, home to roughly 40% of the population, is severely underserved. In 2011, only three of Nicaragua’s 32 public hospitals were located in the Caribbean region, an area that accounts for 55% of the country’s territory.

Without incentive for medical professionals to practice in remote areas, governmental neglect compounds the health issues of rural populations. In 2011, PATH, a nonprofit committed to health equity, reported these striking figures on rural populations’ health:

  • 70% of maternity-related deaths occurred in rural regions

  • 39.6% of children in rural areas were malnourished

  • Treatable diseases such as pneumonia posed a serious threat to children living in rural areas

Worse still, 35% of rural health facilities in 2011 lacked a reliable electricity source, making it more difficult for medical workers to treat these conditions.

Brigadistas, Midwives and Voluntary Collaborators

Nicaragua’s community-based health network addresses this rural health crisis. Comprising over 4,000 in-home health facilities, this immense network of clinics is staffed entirely by volunteers, ‘brigadistas,’ midwives and volunteers.

MINSA trained these 26,000 “brigadistas,” midwives and voluntary collaborators to offer vital care to rural populations without pay. Brigadistas’ roles include identifying pregnancy and malnutrition, referring patients to local health centers and providing health education to the public. Additionally, midwives’ work in child delivery and family planning helps to alleviate Nicaragua’s severe maternal health crisis. Finally, voluntary collaborators administer malaria tests and medication to monitor and reduce its spread.

Impact

In a country laden with poverty, the community-based health network has found an innovative way to enhance healthcare in Nicaragua. Though much progress remains to be made, the incorporation of volunteers into the healthcare system ensures rural communities receive basic medical attention without wasting resources on sparsely populated areas.

As COVID-19 has hit Nicaragua, these individuals have become more essential than ever. The Nicaraguan government, led by Sandinista President Daniel Ortega, has understated the severity of the virus and continuously reported unrealistically low case numbers. When hundreds of doctors decried their lax response, Ortega’s government fired 25 of the whistleblowers, even as suspected cases among healthcare workers rose.

In the absence of a government-led COVID-19 response, thousands of volunteers have taken the lead in raising awareness and stopping the spread. In the course of the outbreak, brigadistas have completed 4.6 million home visits to educate the public about the virus. Such massive displays of proactivity and community action can be the difference between 1 million cases and 10,000.

Years of political instability and misaligned priorities have delayed the development of adequate healthcare in Nicaragua. Despite such disadvantages, however, the community-based healthcare system has begun to correct the gaping inequalities in the healthcare system. Its volunteers, through their service to rural populations, exhibit true, unbridled compassion.

– Rosalind Coats
Photo: Wikimedia Commons

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The Impact of the COVID-19 Response in Developing Countries on Essential Health Services 

The COVID-19 response in developing countries has become the primary focus for health workers all over the developing world. The volume of COVID-19 patients is placing a strain on hospitals and health systems globally. This trend is especially notable in developing countries that already have limited health resources, medical supplies and medical staff.

Other major global health focuses such as other infectious diseases, diarrheal diseases, cholera, Ebola and so many more are not getting the same level of attention. Basic health services such as maternal care, family planning and vaccination programs are being impacted. Health workers are being reassigned to COVID-19 patients and resources are redistributed to prioritize the pandemic. While lessons can be drawn from previous health crises such as the 2014 Ebola outbreak in West Africa, COVID-19 has spread on a global scale and will have a large impact on essential health services.

Immunization Programs

According to GAVI, the Vaccine Alliance, vaccine shortages due to border closures and limited air travel have been reported in at least 21 low- and middle-income countries. Additionally, 14 vaccination campaigns supported by GAVI have been delayed. These programs would have vaccinated 13.5 million people for diseases including polio, measles, cholera, HPV, yellow fever and meningitis. GAVI expects these numbers to increase as more programs are delayed. Outreach vaccination programs, where health workers travel to various communities with vaccines, and routine immunization programs are also negatively affected. Lockdowns and distancing efforts, as well as hygiene guidelines, are contributing to program delays. GAVI is planning to support large immunization programs as soon as the COVID-19 safety measures are no longer in place in order to address these disparities.

PATH Solutions

PATH proposes three steps to ensure the continuation of essential health services during the pandemic. The first action item is to appoint an “Essential Health Services Coordinator” per COVID-19 task force. This coordinator would make sure that COVID-19 distancing guidelines are not preventing individuals from accessing basic services. They would also identify any health service interruption from health management data and collaborate with directors and social groups to act based on community concerns. Second, PATH proposes that COVID-19 public updates should include information about essential health services. This is crucial so that people are aware of what services are available and do not stop requesting medical help for non-COVID-19 related issues. Finally, international agencies such as WHO, UNICEF and Africa CDC should supply developing countries with strategies for the most pressing issues such as protecting health workers, how to provide medical care for the most vulnerable in the population and how to maintain basic health services during the pandemic.

WHO Guidelines for Maintaining Essential Health Services

The World Health Organization has outlined important ways of maintaining essential health services during COVID-19 in developing countries. These guidelines include access to emergency health care 24/7, removing financial barriers that limit access to patients, identifying which services are essential and which can be delayed and taking advantage of telemedicine and digital methods of providing health care. Additionally, the WHO highlights the importance of identifying which individuals are most vulnerable in society, such as marginalized groups and ensuring these individuals have access to health care. The WHO has also outlined several essential health categories to specifically address during the COVID-19 pandemic. These include ethics, health financing, mental health, non-communicable diseases, nutrition and food safety, older people, tuberculosis and sexual and reproductive health and rights. The COVID-19 response in developing countries must ensure the continuation of essential health services.

– Maia Cullen
Photo: PATH

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4 Cornerstone Technologies of Indian Healthcare

India is the second-largest country in the world and covers an area of over 1.269 million square miles of land. With agriculture being the main occupation in India, 66% of the country’s population inhabit the rural landscape, and only 34% of the population lives in the urban regions. There are very few doctors and healthcare providers who volunteer to relocate to villages to provide healthcare. While 67% of the doctors live in cities, only 33% of the doctors serve the rural population. Therefore, healthcare is not equally accessible to the entire country. People from various remote places still have to travel several miles before reaching a healthcare provider. The WHO recommends the doctor to patient ratio to be 1 doctor for every 1000 people, while a government doctor in India, on an average, attends to 11,082 patients. To make healthcare available evenly to the entire population and to prevent overburdening of the doctors, technologies have become indispensable. Major cornerstone technologies of Indian healthcare have been used to improve equity in healthcare access.

4 Cornerstone Technologies of Indian Healthcare

  1. Mobile AI radiology inferences: One-fourth of the world’s tuberculosis patients live in India and are more concentrated in the villages. NCR, a renowned hospital in Delhi, along with the government of Haryana, developed a mobile van that conducts digital chest x-rays as it travels through several villages. These x-rays are later processed using Artificial Intelligence (AI). This initiative was successful in identifying 244 tuberculosis patients in the first three months. This technology played a vital role in providing a timely diagnosis to people with inaccessible and unaffordable healthcare beyond geographical barriers.
  2. Smart clinics: Biocon, an Indian pharmaceutical company, has developed smart clinics named ‘eLAJ’ in rural areas of Karnataka and Rajasthan. When a timely diagnosis of diseases occurs at the primary healthcare centers, the burden on the secondary and tertiary healthcare centers will reduce significantly, and ailments in several patients can be proactively diagnosed before they become severe. Hence, these smart clinics specialize in primary healthcare by digitizing medical records (Electronic Medical Records) of the patients and making them available on distinctive, real-time dashboards. These EMRs help monitor the outbreak of diseases over various regions so that a clinic or relief camp can be set up where it is most needed. The records are also connected to the Aadhar cards (government-issued unique identification number) of the patients so that their health history over long durations are centrally available to any physician at any given place or time.
  3. iBreastExam: iBreastExam is an FDA-cleared tool that has been in operation since 2015. It consists of a small wireless sensor, marginally bigger than a barcode scanner, with 16 sensors to detect tissue stiffness in women’s breasts. The results are relayed in real-time to a mobile app. The test costs only four dollars and isn’t painful or time-consuming. The effectiveness of this tool was established in a study involving 900 women in Bangalore.
  4. e-Aushadi: e-Aushadi is a drug procurement, storage and distribution company. The company keeps real-time, electronic data about the quality and quantity of drugs stored in several warehouses of various districts. These records ensure that no medicine is in deficit and that they are continually restocked, so quality medicines reach the customers on time.

The Indian government has realized the potential and indispensability of technology in healthcare. It has proposed to increase the healthcare expenditure from 1.3% of the GDP to 2.5% of the GDP by 2025. The Rajiv Arogyasri program in Andhra Pradesh requires all hospitals to have computers with an internet connection to maintain electronic medical records. This program provides interest-free loans to make sure that all the hospitals are equipped with the necessary technology. Nearly 5000 startups are involved in developing healthcare technologies in India and raised a total of $504 million from 2014 to 2018. Despite being a developing country, India is advancing in healthcare technologies and has room for more innovative ideas to evolve. These four cornerstone technologies of Indian healthcare are just a start.

– Nirkkuna Nagaraj
Photo: Unsplash

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Zimbabwe challenges cultural gender normalities

USAID and UNESCO are working to change gender normalities in Zimbabwe by normalizing men’s contributions to household activities that are traditionally perceived as feminine. Equal division of domestic duties leads to improved child health and nutrition, as well as advancements in women’s rights. These social benefits are instrumental in alleviating poverty in Zimbabwe.

Zimbabwe and Gender Norms: An Overview

A country of 14 million, Zimbabwe has recently faced declines in public health, education, infrastructure and standard of living. Of the population, 63% of households live in poverty. Government policies and climate issues hamper farming and impact food insecurity. In addition, the country has a high burden of HIV/AIDS, tuberculosis, malaria and maternal and childhood disease.

Women traditionally hold an inferior position in Zimbabwean cultures, which are often patriarchal. Women often work for no pay in the home or in subsistence agriculture; alternatively, they perform low-paid wage work. Women cannot own or claim land except through their male relatives or husbands.

Gender Norms and Food Security in Zimbabwe

USAID and UNESCO are working to transform gender normalities in Zimbabwe, and the positive effects of these efforts extend far beyond women’s rights. Empowering women and normalizing men’s participation in the domestic sphere effectively increases the household labor force and children’s access to nutritious food. In rural Zimbabwe, one-third of children are malnourished, largely because of gender norms that lead to unhealthy feeding practices for young children.

As USAID reports, there is a close connection between women’s lack of assistance in the domestic sphere and child nutritional status. USAID wrote, “In a typical day in rural Zimbabwe, a mother must collect water, search for firewood, make a fire, cook and wash dishes, repeating this cycle for every meal. She must also spend a large proportion of the day tending to the family’s crops. Mothers simply do not have the time in the day to focus on all their responsibilities, including the childcare and nutrition necessary for the healthy growth and future productivity of their children.”

USAID’s program Indoda Emadodeni (“A Man Among Men”) holds monthly dialogues in which advocates, or Male Champions, challenge social norms and discuss the benefits of expanding men’s roles with both traditional leaders and the community as a whole. Participants in the program reported great pride in their domestic skills, including cooking, feeding and dressing infants and doing their daughters’ hair. The fathers enjoyed the closer relationships that they developed with their children. 

The program has yielded excellent results in many areas. A survey found statistically significant improvement in behaviors and support like fetching water and firewood, childcare, taking their wives to medical (including prenatal) appointments and cooking. There was also a 52% increase in joint decision-making among spouses. Rather than being stigmatized, these supportive and beneficial behaviors now elicit high praise in their communities, “uyindoda emadodeni” which translates to “you are a man among men.”

UNESCO’s Impacts

The United Nations Scientific and Cultural Organization agency is also running a project entitled “Challenging constructions of masculinity that exacerbate marginalization of women and youth,” in which the organization focuses on women’s empowerment through male engagement with gender issues. By conducting trainings and dialogues, the program leads men to reframe masculinity and reconsider their behavior.

One participant, Tichaona Madziwa, described how he “started to see [his] wife as a partner, a shareholder in this household…[and] really started to respect [his] wife’s decisions and perspectives—something that was not considered the norm.”

As he began to cook and care for his daughter, his relationship with her grew stronger. Madziwa, like the other program participants, found that the change of perspective greatly benefited him and his family.  

Normalizing men’s performance of domestic work lightens women’s workload. This, in turn, both empowers women and improves child nutrition. These USAID and UNESCO programs are effectively addressing the issues of both food security and gender normalities in Zimbabwe.

– Isabelle Breier 
Photo: Wikimedia

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Why Food Insecurity and Hunger Persist in Afghanistan

hunger in AfghanistanAmidst a country recovering from drought and conflict, COVID-19 threatens to increase the severity of food insecurity in Afghanistan. Food insecurity and hunger persist in Afghanistan; many people do not have the resources or access to consistently obtain enough nutritious food to live a healthy life. Many causes of this issue have accumulated over the years, such as a lack of education, underemployment, conflict, natural disasters and the poverty that accompanies food insecurity. Currently, more than 50% of Afghanistan’s population—over 17 million people—live under the national poverty line.

A lack of income results in less purchasing power and thus a decreased access to food, especially nutritious food. In Afghanistan, around 11 million people live with severe food insecurity; kids aged five and under account for two million of those living with food insecurity. Without access to proper nutritious food, starvation and malnutrition can stunt children’s growth, hindering brain development and causing growth and developmental impairments.

Three Main Reasons for Hunger in Afghanistan

  1. Drought: In 2018-2019, Afghanistan faced such a severe drought that the country is still struggling to recover from. This drought affected 22 out of the 34 Afghan provinces, causing major population displacement because people could not feed themselves. The majority of Afghans typically rely on subsistence agriculture. However, the drought destroyed crops, and markets can be hard to access. Ordinarily, 12% of the population cannot easily reach markets. This influx of people, as well as halting agricultural livelihoods, placed pressure on the cities people fled to.
  2. Floods: Floods are a common disaster during the rainy season and are a reason food insecurity and hunger persist in Afghanistan. Since March 2020, flash floods have caused damage to infrastructure and contributed to the loss of lives across 18 provinces, affecting around 15,300 people. The flooding destroyed thousands of houses and decimated thousands of crops; displaced families lost their livelihoods and precious possessions all at once. Close communities usually host those displaced while waiting for the rain to cease. However, given the current circumstances with COVID-19, this allows for an easier transmission of the virus. With farmland and crops destroyed, people still recovering from an intense drought now have even less to live off of.
  3. Conflict: A war spanning nearly two decades has also contributed to mass hunger in Afghanistan. Since 2001, the conflict between the Taliban and the United States, allied with the Afghan Northern Alliance, has killed tens of thousands of civilians and intensified problems of food insecurity, poverty and poor sanitation. As a result of the war, Afghanistan became isolated, unable to really participate in the global economy, meaning agriculture remained the main source of livelihoods—nearly 70% of Afghans depend on agriculture. However, agriculture alone is not reliable. War, along with drought and floods, have destroyed farmland and obstructed markets, leaving people without income and nourishment.

Added Pressure of COVID-19 Causes Hunger in Afghanistan to Worsen

COVID-19 makes the hunger problem much worse, exacerbating an already grim situation. Because of the virus, the price of food is rising. Due to heavy demands and little supply, prices for items like wheat flour and cooking oil increased by 23%. Additionally, the cost of rice and sugar increased by 12% more than it was previously valued. With a lockdown in place, most of those who work in Afghanistan’s large informal sector are not getting paid, so they have no way to purchase food, especially with the inflated prices.

Additionally, more than 115,000 Afghan migrant workers also returned from Iran due to lockdowns to rejoin their communities. These returning workers could potentially carry COVID-19, but also add even more strain to those trying to bring relief to the hunger problem.

Amidst the fight for food security, The World Health Organization (WHO) is sending aid to Afghanistan. The organization operate sites where people can collect food or cash, up to $40, to cover their food needs for two months at a time. Without a way to earn money, this gives people a reprieve from worrying about how to feed families.

The World Bank is also working with the Afghan government to create a warning system to recognize droughts in order to deal with the impending water shortage beforehand. An early response will allow people to prepare instead of struggling to survive during the crisis.

Since 2017, the government’s Citizen’s Charter Program has created community grain banks to help prevent food insecurity during the winter. The grain banks are located in 4,000 villages across the country.

Food insecurity and hunger persist in Afghanistan. Droughts, flooding, and conflict only exacerbate the problem, and the COVID-19 pandemic only threatens to worsen the situation. While there is still work to be done, organizations like The WHO and the World Bank, as well as Afganistan’s Citizen Charter Program, are working to help those facing hunger in the country. 

– Zoe Padelopoulos 
Photo: Pixabay

Rise of Solar Energy in Africa Fuels the Future

Rise of Solar Energy in AfricaThe future is bright for Africa. The continent is beginning to tap into an energy source that is plentiful, clean, renewable and self-sustaining. Unlike other energy sources such as coal or oil, solar energy is a path to energy independence for African nations developing their economies. This desire for energy independence has led to the rise of solar energy in Africa.

Growth Potential

Since sunlight is the most intense closest to the equator, Africa has a great opportunity when it comes to solar energy. The equator runs through the center of the continent, earning Africa the nickname, “The Sunshine Continent.” Companies such as Kenyan-based M-KOPA are tapping into the abundant resource. M-KOPA has, so far, created 2,500 jobs in East Africa. Although the rise of solar power is relatively new, Africa’s access to sunlight could fuel the future.

Independence

Other energy sources are often imported and therefore create a reliance on other nations, whereas solar energy is often independently operated. Nations with vast oil reserves are able to consolidate control over the resource, but not all citizens benefit from the nation’s wealth. The average citizen is not able to drill for oil and process it. Although oil and coal provide money for the nation, only a few wealthy people can control the resource. Individuals cannot build dams or nuclear reactors, but they can install their own solar panels and power their homes. M-KOPA helps foster self-reliance by supplying 750,000 homes and businesses with solar panels to produce electricity.

Additionally, 46% of households that are powered by M-KOPA solar panels generate income from their solar panels. They can essentially sell their excess energy back to the grid. Solar power empowers individuals because they have control over their energy. The ability to sell excess energy allows the people of Africa to collect passive income and invest in their future. Most importantly, electricity is a requisite for many activities and is necessary to live a more autonomous life. Access to electricity allows people to be more productive with their time, as they can see and work at night. Unfortunately, only 43% of Africa has access to electricity.

Companies such as SolarNow provide solar power systems for people that live off the grid. Considering 60-80% of people in Uganda and Kenya live off the grid, companies like SolarNow have an enormous market to serve. SolarNow has sold more than 50,000 units in East Africa. The rise of solar power in Africa will continue to grow the economy of African nations and allow people to take control of their lives and energy.

Clean and Renewable

Unlike other resources, solar power is clean and does not pollute the atmosphere. Solar power is renewable, utilizing energy from the sun, which is relatively infinite. Since much of Africa lacks electricity, it is important that the continent develops sustainably. This way, people do not suffer from the harmful effects of pollution. The rise of solar energy in Africa has been successful so far, considering M-KOPA has conserved 1.7 million tonnes of CO2 since 2011. Although solar panels are expensive, they are a cleaner and more sustainable option than the coal that is currently burned to produce electricity.

A Bright Future

Despite having room for further improvement, the future is bright for the people of Africa. Investing in solar power is a key component to reducing poverty because it empowers individuals to harvest their own energy and potentially profit from it. Far too many African people lack access to the electrical grid, and solar energy is a viable path to powering the continent. The rise of solar energy in Africa will continue to create jobs and produce clean, renewable energy that can help grow the economies of African nations.

– Noah Kleinert
Photo: Flickr

8 Facts about Healthcare in Norway

Healthcare in NorwayWhile many countries struggle to create and maintain an effective healthcare system, Norway has become a symbol of what a successful national healthcare system can look like. Norway is one of the kingdoms of the Scandinavian subregion of Europe. The country of 5.2 million people borders Sweden on the west and is east of the Shetland Islands. “Norwegian values are rooted in egalitarian ideals,” meaning that everyone should have equal opportunities. These principles are reflected in the country’s healthcare system.

Healthcare in Norway is designed for equal access, but it is by no means free. The country’s universal healthcare system is heavily subsidized by the government through taxation. Such high taxes have allowed Norway to run a broad welfare system that provides sickness coverage, unemployment coverage, social security and pension benefits that often allow even those who are low-income or impoverished to participate in healthcare. Here are eight facts about healthcare in Norway.

8 Facts About Healthcare in Norway

  1. All participants in the Norwegian healthcare system must cover all medical expenses up to 2040 krone (about $210) before they receive an exemption card. Then their treatment for the rest of the year is free.
  2. Norwegian spending on healthcare on a per head basis, which is currently at $6,187 per person, is the fourth highest in the world. The United States is highest at $10,600 per person.
  3. The Norwegian National Insurance Scheme is centrally controlled by the Norwegian Health Economics Administration (Helseøkonomiforvaltningen, HELFO); the administration of healthcare, however, is decentralized and handled by local municipal authorities. When Norwegians are traveling or living abroad, the country’s membership in the European Economic Area (EEA), a similar economic agreement to the European Union, and possession of the European Health Insurance Card allows them the same healthcare as the country they are staying in. After six months in Norway, documented immigrants can access healthcare. Visitors to Norway who are not members of the EEA are expected to pay in full.
  4. People can opt-out of the public system and choose private insurance instead. People will sometimes choose private insurance if they want to have certain procedures done quicker than the public system can handle. Nine percent of Norway’s population has private insurance at an average cost of 508 krone ($56) a month, and 91% of this insurance is covered by their jobs — making it relatively affordable.
  5. The Norwegian government has created a “Qualification Program” to deal with extended joblessness and poverty that might restrict affording healthcare. The program is designed to overcome social obstacles and a lack of skills through various activities. Participants usually find employment after four years.
  6. In Norway, life expectancy is 81 years old for men and 84 years old for women. This ranks the country 17th in the world. This longevity is attributed to a generally active lifestyle, a diet high in fish — specifically salmon —and a strong healthcare system.
  7. Although healthcare is robust in Norway, there are still areas of concern. Tobacco smoking has decreased, but there has been an increase in the use of a smokeless tobacco powder called snus, which is inhaled and can potentially increase the risk of oral cancers. In addition, childhood obesity is on the rise in Norway. Obesity among five to 19-year-olds has increased by more than 50% over the past decade.
  8. From 2013 to 2017, spending on pharmaceuticals increased by 40% in Norway, as national prescription drug use has increased. The Norwegian Health Economics Administration handles the reimbursement of the cost of pharmaceuticals. Distribution is highly regulated, as only community and hospital pharmacies can distribute medicine in the Norway health system.

Norway’s egalitarian and progressive ideals have helped make its healthcare system one of the best in the world. The country still faces challenges, including high rates of childhood obesity and cancer risk from smokeless tobacco. Norway is working to address these problems, for example by prohibiting the advertising of all tobacco products. The heavy taxation required for funding many public programs, including healthcare, often falls more heavily on those in lower-income brackets, but the government provides a thorough safety net to assist them. Norway has made great advances. The country remains a model of what a strong welfare state and an effectively run universal healthcare system can achieve.

– Joseph Maria
Photo: Flickr

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9 Facts About Sanitation in the Czech Republic

Sanitation in Czech Republic The Czech Republic, or Czechia, is a bordered country in Central Europe with a population of 10.69 million. Around 98% of the population has access to sewerage systems which the country has carefully manufactured so that the water is clean and safe to drink right away. Even some of the people with lower social and ethnic status have access to this water. Here are nine facts about sanitation in the Czech Republic that detail how its sanitation has evolved.

9 Facts About Sanitation in the Czech Republic

  1. Clean Water Access: In 2017, calculations determined that 98% of the population had access to clean water. Since Czechia is a landlocked county, all of its water flows out of the country and into neighborhoods. New water sources are dependent on the atmosphere’s participation. Drinking water is dependent on ground sources which are based on hydrologic basins.
  2. Health Care: With highly qualified staff in hospitals, private care is usually more expensive than regular public health care. Many of the private hospitals are more equipped to work with patients and have a service-oriented approach to medical care. This allows patients the advantage of getting medications faster. Although it takes longer to receive medical treatment in public care, some health care workers speak English. This serves as a high advantage to expats and hospitals that receive heavy subsidies, however, hospitals are equally accessible to all insured persons. The health care system also offers mental health care through inpatient facilities. With healthy sanitation, the hospitals are better equipped and have a high rate of patient recovery especially with good water sanitation.
  3. Soil Sanitation: With good precipitation and weather changes, the growing season is in good condition and produces quality vegetation. Growing quality produce keeps the population healthy and the precipitation helps prevent the spread of diseases.
  4. Sanitation in Schools: Kids in the Czech Republic have good sanitation in schools, and because of this, they have actually encouraged other schools to improve their hygiene. The Czech Republic Embassy in Phnom Penh, Cambodia provided support to the Girl Friendly Schools: improving sanitation, hygiene and health education in the Cambodia project in 2018. To date, this project has helped 2,415 students in 12 different schools gain higher quality sanitation.
  5. Waste Sanitation: Czechia has a waste problem. Households do not produce as much garbage as the U.S. but still need some improvements considering that most waste comes from schools and neighborhoods.
  6. Waterborne Illness: Between 1995 and 2005, only 33 outbreaks of waterborne illness occurred, affecting a small amount of the Czech Republic’s population. Only 27 outbreaks of unsafe drinking water caused them, coming from sources like pools and mineral water springs. There were reports of some small cases but no serious cases seem to have occurred.
  7. Food Safety: A microbiological compliance test on food supplies occurred in 2018 and showed that 146 batches were unsafe for human consumption. The foods that this test found unsafe were mostly vegetables, dairy and meat products. About 67 catering facilities shut down because of poor hygiene. Since the country still must make progress to ensure food safety, it is discussing laws to help improve food safety. These laws will make it easier to control food safety and ensure that catering businesses meet standards going forward.
  8. Sustainable Development of Sanitation: The Czech Republic ranks as the seventh most developed country. Because Czechia has always had clean water and overall decent sanitation, the country has fostered sustainable communities and maintained healthy economic growth since the beginning, causing it to rise in the rankings. It has already met one of the goals for the SDGs (sustainable development goals) and is on track to complete more. The country hopes to meet more goals by 2030.
  9. Safely Managed Sanitation Services: In 2017, four out of 10 people used sanitation that was safely managed. In 2015, 3.4 billion people used a safely managed sanitation service in comparison to only 2.1 billion in 2000. Though some areas still lack managed sanitation, safe sanitation services serve most of the population.

These nine facts about sanitation in the Czech Republic show how the population has gained quality sanitation. There are still areas that are in the process of improvement. In general, the country’s sanitation is in good condition and is safe for both citizens and visitors.

– Rachel Hernandez
Photo: Flickr

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The State of Homelessness in Lesotho

Lesotho is a parliamentary constitutional monarchy in southern Africa. Formerly known as Basutoland, the country was renamed the Kingdom of Lesotho in 1966, after gaining independence from the U.K. Following a period of political instability and turmoil, Lesotho is now at relative peace, and its level of homelessness is low. Even still, homelessness and housing are issues that Lesotho’s government must address.

Effects of Rapid Urbanization

As in many developing countries, homelessness in Lesotho reflects one downside of urbanization and development. Lesotho went through a period of rapid economic growth in the last two decades. From $775 million in 2002, Lesotho’s GDP rose to $2.739 billion in 2018. Lesotho’s population has increased rapidly, as well, growing to more than 2 million in 2018 compared to 837,270 in 1960. Lesotho’s economic growth seems largely a result of its economic ties with South Africa. However, Lesotho’s poverty rate still stands at 49.7%.

Following Lesotho’s economic development, rapid urbanization has contributed to homelessness. According to the World Bank, the urban population in Lesotho rose from 3.512% in 1960 to 28.153% in 2018. This increase means that urban development in Lesotho has proceeded uncontrolled, overcrowded and unplanned.

Shortage of Infrastructure and Housing

According to UN-Habitat, recording Lesotho’s urbanization rate is a challenge. This is partly because different agencies within Lesotho’s government disagree on what constitutes an urban area. The Department of Lands, Surveys and Physical Planning, which is responsible for town and regional planning, defines an urban area as any area that has legal proclamation. On the other hand, the Bureau of Statistics defines an urban area as any administrative district headquarters or other settlement of rapid growth where people engage in non-agricultural activities. Such inconsistencies seem to contribute to unplanned urban expansion in Lesotho, which leads to insufficient infrastructures for water, sanitation, energy resources, transportation and social amenities.

A shortage of formal housing also contributes to homelessness in Lesotho. The Lesotho Housing and Land Development Corporation (LHLDC), a major state-owned developer, is mainly responsible for supplying homes in Lesotho. While LHLDC delivered an estimated 76% of formal housing in Maseru, Lesotho’s capital, U.N.-Habitat notes that LHLDC has not supplied adequate rental housing for low-income residents. In its report on Lesotho’s urban housing, UN-Habitat points out that the housing market in Maseru is saturated with expensive two-bedroom houses. The LHLDC tried to reduce prices by lowering construction standards. However, the organization’s high building costs, along with rising land prices in Maseru, limit LHLDC’s ability to help Lesotho’s homeless.

Help for the Homeless

There are certain organizations working to alleviate homelessness in Lesotho. Habitat for Humanity launched a vulnerable groups housing program in 2001, servicing seven of the country’s ten districts. Primarily, Habitat for Humanity helps build two-room homes to house orphans, the elderly and persons with disabilities. In addition to building homes, the organization educates and trains prospective homeowners on inheritance rights and legal rights, to protect against property grabbing. Meanwhile, AVANI Lesotho Group, a hotel in Maseru, commemorated World Homeless Day in 2016 by providing food for homeless children.

Homelessness in Lesotho is defined by unplanned rapid urbanization and a lack of affordable housing for low-income residents. By addressing the country’s homelessness problem, organizations like Habitat for Humanity and AVANI Lesotho Group are creating hope for a better future for the citizens of Lesotho.

– YongJin Yi
Photo: Flickr

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The Continued Fight Against Hunger in Myanmar

Hunger in Myanmar
Myanmar, also known as Burma, is a nation with a diverse population of approximately 53 million people of at least 135 different ethnic groups. While it is the second-largest country in Southeast Asia, Myanmar remains one of the least developed nations in the world.

Progress in the fight against hunger in Myanmar

The country of Myanmar has made significant progress in the fight against hunger in the past few decades. The rate of under-five overweight children fell from 2.6% in 2009 to 1.5% in 2016. Myanmar’s low birth-weight prevalence also decreased slightly from 13.9% in 2000 to 12.3% in 2015.

The proportion of undernourished people in the population also declined remarkably. In 2019, around 1 in 10 Burmese were undernourished, which shows significant progress compared to 2000 where almost half of the population was undernourished.

Myanmar is also performing well among developing countries in reducing wasting in children. Wasting in children means having a low weight for height ratio, which is a strong predictor of under-five child mortality. Compared to the average developing country rate at 8.9%, Myanmar’s national under-five wasting prevalence stood at 6.6%.

Despite these achievements, more than a third of Myanmar’s population who live in poverty spend a significant amount of their limited income on food, and they are still struggling with malnutrition.

Malnutrition burden

Malnutrition among the under-five population is a serious factor when it comes to the state of hunger in Myanmar, as it hinders the children’s growth and development. This issue also exposes these children to various illnesses.

Approximately 29.4% of the children under five were stunted in 2016. While this percentage is indeed an improvement from the national prevalence of 35.1% in 2009, it is still significantly high when compared to an average of 25% in other developing countries. In some states or regions, the prevalence could be upwards of 41%, indicating that 4 in 10 children will not be able to reach their full potential in life.

Malnutrition also disproportionately affects children from the poorest households. While the rate of stunting in children from the wealthiest group is 16%, the rate is more than doubled for the poorest group of children, with 38% of them stunted.

Malnutrition due to poor diets not only negatively affects the children, but is also a great burden to the adult population in Myanmar. A staggering 46.3% of women of reproductive age have anemia, while 7.9% of adult women and 6.9% of adult men are diabetic. Meanwhile, 4% of men and 7.3% of women are obese, leaving them at risk of different cardiovascular diseases and other serious health consequences.

Rohingya crisis

The Rohingya people are among those who are the most at risk of poverty and hunger in Myanmar, a predominantly Buddist nation. The Rohingya population, a large majority of whom are Muslims, has long been experiencing discrimination, restrictions from basic services and denial of citizenship by local authorities despite condemnation from the international community.

In 2017, after attacks from the Rohingya insurgents killed several members of Myanmar security forces, the Myanmar military ferociously retaliated by massacring and destroying villages in the western Rakhine state. This forced nearly 700,000 Rohingya Muslims to flee to Bangladesh. After the army crackdown, the World Food Programme (WFP) estimated that more than 80,000 children under 5 years old living in parts of western Myanmar were wasting and may need treatment for malnutrition.

Withholding food supply or forced starvation are other strategies being used against the Rohingya Muslims to drive them away from their homes. The Rohingya refugees interviewed by Amnesty International reported that soldiers blocked them from accessing rice paddies and other food resources, stole their harvests, and gave their food and livestock to non-Rohingya neighbors. Sometimes they would have to go for several days without food.

Hundreds of thousands of Rohingya Muslims who have been displaced due to violence in previous years must live in makeshift shelters with appalling living conditions and under direct threat of dangers caused by monsoon rains. Surveys show that 38% of children living in these camps are stunted, and at least 12% are suffering from severe malnutrition.

Assistance from the international community

High exposure to natural disasters, armed conflicts or inter-communal clashes are just some of the numerous challenges that Myanmar faces. These factors combined leave a large proportion of Myanmar’s population suffering from poverty and hunger. It is estimated that nearly 1 million people are in need of humanitarian assistance.

Since 1994, Action Against Hunger has worked to fight hunger in Myanmar by improving nutrition, food security, water quality, sanitation and hygiene in vulnerable communities where ethnic minorities reside. In 2018, the organization’s nutrition and health programs reached 26,751 people. Another 19,461 people benefited from the water, sanitation, and hygiene programs, while 23,790 people were helped by the food security and livelihood programs. In just 2018 alone, Action Against Hunger has reached 76,312 in vulnerable communities across Myanmar.

The organization also works to respond to the urgent needs of the displaced Rohingya people who fled from violence in Myanmar. In just one year, Action Against Hunger has helped more than 700,000 displaced people with food security and livelihoods, mental support and care practices, water quality and access, and hygiene and sanitation.

 

Despite the challenges, Myanmar has achieved the 2015 Millennium Development Goal of halving hunger and reached the status of a lower-middle-income country in the past decades. Many organizations are working hard alongside the government to alleviate poverty and hunger in Myanmar. However, with the conflicts between Myanmar’s authorities and the Rohingya Muslims remains ongoing inside the nation, there is still a lot of work to be done.

– Minh-Ha La
Photo: Flickr