Archive for category: Global Poverty

Key articles and information on global poverty.

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How the Global Fund Is Fighting HIV/AIDS

The Global FundThe Global Fund is a “Global Health Partnership” that receives funds from different sources, including the private sector, foundations and governments, to fight human immunodeficiency virus (HIV) and acquired immune deficiency syndrome (AIDS), Malaria and Tuberculosis. The partnership was established in 2002 and has saved 59 million lives by investing more than $60 billion in global health care systems to help ensure equal access to care across the world. The Fund’s HIV/AIDS goals include, but are not limited to, fulfilling the World Health Organization’s “Treat All” guidance and the United States Agency for International Development’s (USAID) 95-95-95 strategy.

What Is HIV/AIDS?

HIV is a virus that damages a person’s immune system, making them more susceptible to infections and other diseases. AIDS, on the other hand, is used to describe the often life-threatening infections and illnesses that occur after damage to the immune system has been caused by HIV.

HIV can be contracted by anyone through the body fluids of an infected person, through unprotected sex, sharing needles or transmission from mother to baby (via pregnancy, birth or breastfeeding). When discussing these interrelated terms, it is important to note that while HIV can be transmitted, AIDS cannot be.

With HIV treatment, “most people” can be prevented from developing AIDS-related illnesses and can get to the point of having an “undetectable viral load.”

WHO’s Treat All Guidance and USAID’s 95-95-95 Strategy

HIV is a global health care problem and as such, global organizations have set strategies in place. In 2016, the WHO launched the “Treat All” plan to tackle the number of people living with HIV, where it recommended that “all people living with HIV be provided with antiretroviral therapy (ART)” with the aim of reaching all 37 million with the virus.

Furthermore, USAID has set out another global strategy. Its 95-95-95 strategy is an HIV plan that has the following aims for 2025:

  • 95% of women in their reproductive years receive comprehensive HIV and sexual and reproductive health services.
  • 95% of pregnant and breastfeeding women diagnosed with HIV achieve viral load suppression.
  • 95% of children born to HIV-positive mothers undergo testing for potential exposure to the virus.

The Global Fund says it is “making significant progress” toward fulfilling both the WHO and USAID guidance.

Key Populations and Why They Matter

The WHO defines a key population as a group that “frequently face legal and social challenges that increase their vulnerability to HIV, including barriers to accessing HIV prevention, treatment and other health and social services.” According to USAID, 70% of new HIV infections occur in key populations and can go unresolved due to factors like stigma, human rights violations and violence.

The Global Fund has found that due to COVID-19, progress in the prevention and treatment of HIV/AIDs was reduced, with key populations being left behind, including children, adolescent girls and young women. For instance, there is a high disparity in care between children and adults, with 43% of HIV-positive children being unable to access lifesaving treatment compared to 23% of HIV-positive adults. Targeted health care tailored to these populations is crucial. Failure to address their infection rates undermines the long-term goal of eradicating HIV and AIDS.

What Has the Global Fund Done?

So far, the Global Fund has invested more than $25.5 billion in global HIV/AIDS care, providing more than a quarter of all international financing for this disease. Furthermore, in 2022, the organization provided antiretrovirals for 24.5 million people. In the same year, more than 15 million people, including 710,000 HIV-positive expectant mothers, received preventative care as a result of the partnership.

In fact, in the countries where it provided care, 82% of mothers were able to prevent the spreading of HIV to their babies. Moreover, due to the high number of HIV tests carried out, 53.1 million, the Global Fund was able to create a 72% reduction in AIDS-related deaths in countries where it operates.

The partnership has also identified 13 countries that have been made a priority, where key populations such as young women and adolescent girls are specifically targeted to benefit from HIV prevention programs. This is because they are “more than three times as likely” to contract HIV than their male counterparts.

Looking Ahead

In July 2021, the Global Fund released its 2023-2028 strategy, a continuation of all the work that it has done so far to improve health care outcomes globally. Its mission is officially to “To attract, leverage and invest additional resources to end the epidemics of HIV, tuberculosis and malaria, reduce health inequities and support attainment of the Sustainable Development Goals.” Ultimately, it aims to create a world that is healthier and better for all.

– Rachael Denton-Snape

Rachael is based in High Wycombe, UK and focuses on Global Health for The Borgen Project.

Photo: Flickr

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Combating Child Marriage in Bhutan

Child Marriage in BhutanChild marriage remains a pressing concern in Bhutan, casting a shadow over the lives of countless girls and perpetuating cycles of poverty and inequality. Despite efforts to address this harmful practice, cultural norms, poverty and gender disparity continue to fuel its prevalence.

Child Marriage Statistics in Bhutan

According to a report from the United Nations Children’s Fund (UNICEF), 26% of women aged 20 to 24 in Bhutan were married before the age of 18, with 6% of them getting married before age 15. These numbers translate to more than 79,000 child brides in the country, with 1 in 4 young women experiencing marriage during childhood. Particularly prevalent in regions like Samdrup Jongkhar, Dagana, Sarpang and Mongar, child marriage persists as a deeply entrenched social issue.

Factors Driving Child Marriage

Poverty emerges as a significant driver of child marriage, as families from less educated and economically disadvantaged backgrounds often resort to marrying off their daughters early. Limited education among teenage girls exacerbates the problem, with more than 70% of child brides having received minimal or no formal education. Although urban areas have seen a decline in child marriage rates, rural regions continue to grapple with the practice, perpetuated by traditional customs like cross-cousin marriages and arranged unions among children.

Consequences of Early Marriage

The consequences of early marriage are dire, particularly concerning girls’ health, education and overall well-being. Shockingly, 90% of women (who were married before age 18) aged 20 to 24 in Bhutan have given birth before the age of 18 or 20, posing significant risks to maternal and neonatal health.

Moreover, early marriage erects formidable barriers to accessing education and socioeconomic opportunities for young women, further entrenching cycles of poverty and inequality. Married girls are also at heightened risk of domestic abuse and pregnancy-related complications and are more prone to dropping out of school, with far-reaching implications for their prospects.

Initiatives to Combat Child Marriage

Bhutan has taken steps to address adolescent health issues and combat child marriage through initiatives like the Youth Friendly Health Services program. The program, active from 2013 to 2018, aimed to improve youth access to health care while discouraging early marriage and increasing community awareness.

Grassroots efforts, supported by the United Nations Population Fund (UNFPA), have also seen 20 communities publicly commit to eradicating harmful practices, including child, early and forced marriage. In alignment with these efforts, Bhutan’s Marriage Act of 2017 establishes the legal marriage age at 18 for both genders, with no exceptions.

Furthermore, the Child Care and Protection Act (CCPA) deems engagement in marriage or sexual activity with a child as statutory rape. However, enforcement of these laws remains lacking, particularly in remote rural areas.

Call for Comprehensive Strategies

However, it is imperative to recognize that lasting change requires sustained commitment and collaboration from all stakeholders involved in addressing this critical issue. To effectively combat child marriage, concerted efforts are needed from governmental, civil society and international entities to enforce existing laws and address underlying factors such as poverty and gender disparity.

By advocating for change at multiple levels, a world where every girl has the opportunity to realize her full potential and lead a life of dignity and empowerment can be created.

– Sandeep Kaur

Sandeep is based in Manchester, UK and focuses on Global Health and Politics for The Borgen Project.

Photo: Wikimedia Commons

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3 Organizations Helping People With Disabilities in Burundi

Disabilities in BurundiAccording to the World Health Organization (WHO), around 15% of Burundi’s population has a disability. This group of people endures societal exclusion and a lack of consistent investments, inhibiting their opportunities to succeed and contribute to the economy. However, many organizations are working to help people with disabilities in Burundi work their way up the economic ladder and stay out of poverty.

The United Nations Children’s Fund in Burundi

The United Nations Children’s Fund (UNICEF) in Burundi is assisting individuals with disabilities in the country, specifically regarding the accessibility of essential items, such as toilets, for daily activities. Also, this organization continues to train teachers to use LEGO Braille Bricks to effectively and successfully teach children who are blind or who have low vision through educational games.

UNICEF Burundi is also working on expanding access to resources and services, particularly for people with disabilities. In 2022, the organization planned to guarantee health care access for thousands of women and children, provide clean water access for 150,000 people, offer mental health services to more than 100,000 children and ensure educational resources for nearly 100,000 children.

RCPHB

The Network of Centre for Persons With Disabilities in Burundi (RCPHB) continues to be acknowledged by the African Disability Rights Yearbook for its work in protecting the rights and liberties of people with disabilities in Burundi. The organization does this by defending the right of people with disabilities to access education, health care, job training and the chance to contribute to their neighborhoods and communities. After providing people with disabilities with these programs, RCPHB works to get them acclimated in the real world regarding holding a job and maintaining their residence. Another program that this organization offers is helping both children and adults with orthopedic conditions access rehabilitation programs and treatments.

CARE Burundi

CARE International, established in Burundi in 1994 after the “assassination of Burundi’s first elected President in 1993,” delivers humanitarian aid and anti-poverty resources to people with disabilities in the country. The organization does this by focusing on women and ensuring that they have the resources and tools needed to achieve their own economic independence, including health care services. CARE Burundi also ensures that vulnerable people, especially women and girls, have adequate access to nutritious food. This is because such groups are even more susceptible to the health implications of starvation due to their pre-existing conditions.

Final Remark

Apart from these organizations, the Government of Burundi has also made efforts to strengthen and increase the number of individuals with disabilities participating in the country’s political affairs. One of these is the establishment of a national body, the National Committee of the Rights of People with Disabilities (CNDHP), that addresses the violation of persons with disabilities’ rights.

– Ryan Patrick

Ryan is based in Brooklyn, NY, USA and focuses on Good News for The Borgen Project.

Photo: Wikimedia Commons

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Niger’s HIV/AIDS Prevention Strategies and Government Initiatives

Niger's HIV/AIDSNiger is a landlocked country in West Africa that boasts a youthful demographic, with 58% of its population aged less than 18. Compared to many other sub-Saharan African countries, Niger has made notable strides in addressing its disease burden indicators. Presently, Niger’s HIV/AIDS prevalence rate stands below 1%, with 0.2% among adults aged 15 to 49.

According to reports by Global Fund, the rise in new cases has significantly fallen by three-quarters since 2002. This progress can be attributed to the collaborative efforts of the government and international nongovernmental organizations (NGOs), which have played pivotal roles in advancing Niger’s fight against HIV/AIDS over the years.

Efforts by Niger Government

In 2011, the Niger government committed to preventing mother-to-child transmission (PMTCT) of HIV, with the aim to eliminate HIV infections in infant children by 2015. This commitment is evident in the increased funding allocated to expand Niger’s PMTCT services, which rose from 2.6% of its total budget in 2010 to 15.9% in 2011. Similarly, Niger expanded its PMTCT pilot sites from seven in 2003 to 651 in 2012. Currently, HIV/AIDS infection among exposed infants is nearly non-existent, with 26,000 children born to HIV-positive mothers remaining uninfected and the current HIV prevalence rate among infants is 5%.

Additionally, condom social marketing was introduced in Niger in 2003 as part of the government’s efforts to combat HIV/AIDS. Targeted distribution of condoms has been a key strategy, with mobile vendors and kiosks providing access to condoms even along major transportation routes. The provision of free condoms has led to positive changes in sexual behavior. Between 2006 and 2011, there was a significant increase in the percentage of young men engaging in protected casual sex, rising from 38% to 66%.

Furthermore, in Niger, the health care sector offers HIV counseling and testing (HCT) as an integrated part of health services, available at blood transfusion centers and PMTCT sites. In 2008, the country had 172 HCT sites. However, by 2012, only 7-8% of females and 3% of males had undergone HIV testing. The higher percentage among women is attributed to PMTCT-related HCT services. The same year, the government allocated specific resources for provider-initiated counseling and testing (PICT). This initiative aimed to target individuals who were already in contact with the health sector and those at risk of HIV infection due to factors like multiple sex partners, unprotected sex or a history of sexually transmitted infections (STIs).

Efforts by External Support

The Global Fund plays a critical role as a significant grant provider for Niger’s HIV/AIDS initiatives. Out of the total active grants amounting to €153.50 million (about $165 million) from 2021 to 2024, about 10% is directly allocated for HIV interventions in the country. Despite the relatively low prevalence of HIV/AIDS in Niger, specific key populations, such as prisoners, sex workers and homosexual individuals, remain disproportionately affected. Testing rates also continue to be low, with approximately 25% of adults and 50% of children unaware of their HIV status.

Between 2007 and 2012, the Global Fund grants accounted for 28% of the country’s spending on HIV/AIDS interventions. The Global Fund grants aim to achieve ambitious targets such as reducing new HIV infections and mortality rates, enhancing living conditions for people living with HIV and strengthening both the demand for and supply of quality health care and services for the entire population.

The United Nations Children’s Fund (UNICEF) also supported the Niger government in its fight against HIV and AIDS in 2018. UNICEF worked on a plan to increase HIV testing, treatment and PMTCT. By the end of the year, 96% of health facilities were providing PMTCT services. However, only 10% of babies born to HIV-positive moms were tested for HIV within two months of birth. This was because of limited medical equipment to carry out the tests.

To address this issue, UNICEF intervened by promoting the use of GeneXpert Point of Care machines already present in 12 laboratories nationwide. UNICEF also provided training and materials to 24 laboratory technicians, which enabled all regions of Niger to test HIV-exposed babies. UNICEF’s support to the government has led to 342,820 out of 417,393 women attending their first antenatal consultation to receive counseling and testing for HIV.

– Teniola Yusuf

Teniola is based in Norwich, UK and focuses on Global Health for The Borgen Project.

Photo: Flickr

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Participatory Photography and Poverty Documentation

Participatory PhotographyParticipatory photography emerged in the last 20 years as a response to the ethical inquiries posed by advocacy photography. It reflects and proposes a solution to the promises expressed by advocacy and documentary photography. Participatory photography recognizes the medium’s potential as a strong tool for advocacy and documentation of the world’s poor.

The idea, however, is to place the cameras in the hands of those you wish to document. Participatory photography and poverty documentation seek more organic results, as they represent not just the livelihoods of the participants but also the specific needs and issues that they deem important. Participatory photography often yields results that de-dramatize livelihoods and offer depictions that leave the aesthetic narrative of victimization.

The emphasis is also placed on ownership and control of the dissemination of photographs. Not only are participants meant to be in control of their image and what they want to show, but they also become active actors in the economic benefits mediatization might offer.

Organizing Participatory Photographic Projects

Photovoice, founded in 1999, based its practice on the 1997 research paper written by Wang and Burris, which highlighted participatory photography as an effective research method to document needs as perceived by a community. With its methodological approach and ethical statement, Photovoice blends advocacy and research insight to promote social change for marginalized and poor communities. Although the organization started with projects in the United Kingdom (U.K.), it has now branched out internationally. It has worked with the likes of Save The Children and Oxfam.

In 2017, Photovoice trained rural impoverished communities in Zimbabwe in participatory photographic and poverty documentation methods as part of a joint project with the British Red Cross and the Zimbabwean Red Cross to evaluate the impact of the Food Security and Livelihood (FSL) program. With the help of participatory photographic methods, the community was empowered to identify key program areas that mattered greatly to their well-being, such as the development of micro-finance institutions or livestock security.

Most participants also highlighted the positive impact the project had on the community’s cohesion and cooperation environment. All participants also agreed that the project had successfully raised awareness about best practices and important issues in their community.

The Future of Participatory Photography

Participatory photography and poverty documentation fit right together. The practice’s development is already granting local impoverished communities worldwide more and better agency to voice their situations and concerns that are particularly important to them. Participatory photography is confined to policy evaluation and programs that work in NGOs, needing more reach and impact than traditional photography has in media coverage. However, the ethical benefits and effectiveness in raising awareness for the right issues show that participatory photography has a bright future in advocating for the world’s poor.

– Felix Stephens

Felix is based in London, UK and focuses on Business and Politics for The Borgen Project.

Photo: Flickr

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Alleviating Child Poverty in Eswatini

Poverty in EswatiniThe kingdom of Eswatini is a small country in Southern Africa. It is a landlocked nation surrounded by South Africa to its north, west and south and Mozambique to its east. While it takes only three hours to travel from Eswatini’s western to eastern borders, this country’s intriguing traditions, wildlife, festivals, ceremonies and public events are some of the primary reasons tourists frequent it. Nevertheless, around 58.9% of the population of Eswatini lives below the national poverty line. Within this population, 56.5% of Swazi children are multidimensionally poor, meaning they lack adequate nutrition, housing, clothing, sanitation, water, health care, education and information and communication technology (ICT). Fortunately, many organizations are working to serve children in Eswatini.

HIV Infections Among Swazi Children

HIV is a particularly cruel form of child poverty in Eswatini. With one of the highest rates of HIV infections globally, the country is grappling with the devastating impact of this disease. Currently, approximately 26% of Swazis suffer from this disease. In 2020, more than 13,000 children between the ages of 0 and 14 were living with HIV.

Fortunately, Eswatini has made significant progress in its war on HIV. It is one of two African nations in history to not only meet but exceed the 95-95-95 global HIV treatment targets in 2020 and the number of HIV infections is declining every year. In 2022, the Pact organization reported that more than 6,000 Swazi children were supported with HIV services through its Ready, Resourceful, Risk Aware project.

Further, in 2023, through a mobile clinic, the World Food Programme (WFP) provided treatment literacy training to 135 caregivers and 1,800 children at 46 neighborhood care points (NCPs) in Eswatini. Working with Eswatini’s government, the WFP created safety nets for Swazis affected by poverty and HIV/AIDS. The target of these safety nets was 27,000 at-risk children at NCPs and specific Swazi schools.

Malnutrition Among Swazi Children

Malnutrition is a prevalent issue among children in developing countries, representing a significant aspect of child poverty in Eswatini. One consequence of chronic malnutrition among Swazi children is stunting, which occurs when a child is shorter than average for their age. In 2022, the stunting rate for Swazi children stood at 20%. Additionally, malnutrition contributes to child wasting, a condition characterized by thinness relative to height and a weak immune system. About 2% of Swazi children aged less than 5 experience wasting and one in 20 is underweight.

Many nongovernmental organizations (NGOs) are helping Swazis fight against child malnutrition, with one standout leader being the WFP. In 2023, the WFP played a pivotal role in addressing child malnutrition in Eswatini through various initiatives. By identifying the most undernourished populations across the country, the WFP targeted its efforts where they were most needed.

Through the innovative home-grown school feeding program pilot, nutritious meals were provided to NCPs, which serve as a combination of soup kitchens and informal preschools offering food, daycare and education to orphaned and vulnerable children. By implementing this program and working with Eswatini’s Ministry of Education, the WFP provided 23,000 school children with healthy food.

Clean Water and Sanitation for Swazi Children

One in three Swazis does not have access to clean water. Consequently, more than 200 Swazi children aged less than 5 die yearly from diarrhea caused by poor toilets and dirty water. Therefore, to attain number six on the United Nations (U.N.) list of Sustainment Development Goals, Eswatini has determined to provide all Swazis with fair and universal access to clean, safe, affordable water, sanitation and hygiene by 2030.

Further, many organizations, such as World Vision and WaterAid, are working to provide Swazi children with clean water and better sanitation. In 2022, World Vision and WaterAid provided clean water to local regions throughout Eswatini, enabling more children to enroll in Eswatini’s schools and spend more time learning.

Final Remark

Many Swazi children continue to find everyday life difficult. However, men and women in and outside Eswatini work night and day to create a brighter future for these children.

– Jacob Stubbs

Jacob is based in Indianapolis, IN, US and focuses on Good News for The Borgen Project.

Photo: Flickr

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Helping Schoolchildren in Uganda Using Simple Technology

Schoolchildren in UgandaIn 2014, South Korean Park Joong-Ryeol created a small company in Uganda. He aimed to alleviate the problems that schoolchildren in Uganda face while traveling for water. This company is Jerrybag. It makes lightweight but sturdy bags to make transporting water more accessible and safer. Since its inception, the company has donated more than 18,000 Jerrycan bags to 30 schools in Africa.

Water Problems in Uganda

In Uganda, water is a scarce resource. In rural areas, it is difficult for citizens to get any water. Some estimates state that one in four people lack access to clean water. Women and children usually travel long distances to collect water for themselves and their families to survive. On average, they trek six kilometers and spend two hours each day getting water.

This grueling task deprives children of education, as they must prioritize fetching water over schooling and poses serious health risks. Schoolchildren in Uganda burdened with transporting heavy 10-kilogram jerrycans of water unaided suffer from spinal pain, with a study revealing that 62% of them experience such discomfort.

Moreover, the lack of paved sidewalks on rural roads exacerbates the dangers faced by these children. Forced to walk alongside cars, they are constantly at risk, with statistics highlighting the alarming rate of fatalities due to road accidents. In Uganda, for instance, an average of 12 people per day lost their lives in car accidents in 2022, compared to five per day in Britain during the same period. The unsafe conditions of these roads further compound the challenges encountered by children in their daily lives.

Jerrycan Bags

The Jerrycan bag is a waterproof backpack that fits a Jerrycan. It eases the burden for kids while they are transporting water. The bag features a reflective “SLOW DOWN” sign to notify drivers to combat the dangerous roads. Jerrybag adopts a holistic approach by empowering local women in Kampala through employment opportunities. By hiring these women to produce the bags, the company not only improves the lives of children but also contributes to economic empowerment in the community.

In recognition of its impactful work, Jerrybag received the prestigious Seoul Design Award in 2023. The award is given to projects that create sustainable solutions to everyday problems, underscoring the significance of Jerrybag’s work. Funding its operations in Uganda through its South Korea website, Jerrybag sustains its mission by selling merchandise and allocating a portion of the proceeds to its studio in Uganda. As the company’s popularity grows, it can scale up production to provide more bags for children in need. Jerrybag currently produces more than 400 bags monthly, exemplifying its commitment to making a tangible difference in the lives of children and communities in Uganda.

Jerrybag’s impact extends beyond providing water-carrying solutions in Uganda; the company has also played a significant role in supporting the nation during the COVID-19 pandemic. Demonstrating its commitment to community welfare, Jerrybag generously donated 4,870 hygiene kits and 14,160 masks, aiding the country’s efforts to combat the spread of the virus. Furthermore, Jerrybag engages in initiatives to empower disadvantaged children through design workshops, fostering creativity and skill development.

Final Remark

Jerrybag is a simple but creative solution to the struggle schoolchildren in Uganda face. The company’s success shows how basic changes like a new backpack can make a difference.

– Richard Sartor

Richard is based in London, UK and focuses on Technology and Solutions for The Borgen Project.

Photo: Wikimedia Commons

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How International Child Care is Transforming Lives in Haiti

International Child Care Transforms Lives in HaitiInternational Child Care, a nonprofit organization, is committed to enhancing the lives of children and families in Haiti’s vulnerable communities. Working collaboratively with local governments, organizations and communities, to provide a holistic approach to tackle issues like child health, education, nutrition and protection. International Child Care aims to break the cycle of poverty and create sustainable change in the long term, through its programs, grassroots efforts and advocacy work.

Since 1967, International Child Care has dedicated itself to transforming the lives of Haiti’s children and families through various programs centered on health and wellness. With one in 11 children dying before the age of 5 due to malnutrition and disease, the organization prioritizes health care and empowerment. Its programs aim to prevent illness, promote health and facilitate restoration.

Grace Children’s Hospital

Grace Children’s Hospital, operated by International Child Care, is Haiti’s premier medical facility, serving about 400 patients daily. It features both inpatient and outpatient clinics. The inpatient clinic, staffed entirely by Haitian professionals, provides essential care for children facing various health issues, including malnutrition, tuberculosis, HIV/AIDS and general health care needs, as well as maternal health services. Children typically stay for three months, during which they receive comprehensive medical care, nutritious meals and support from nurses’ aides. Some children, as they begin to recover, have the opportunity to attend school at the hospital, often receiving their first formal education.

The outpatient clinic at Grace Children’s Hospital delivers essential health care services to the local community, offering treatments and support for conditions such as tuberculosis in children and adults, HIV/AIDS, as well as providing eye exams, reproductive health care, nutrition advice and pediatric care. The hospital’s pharmacy ensures that patients receive the necessary medications. Additionally, the hospital operates the Urban Community Health program, which delivers health care services directly to residents of Port-au-Prince and its tent cities. Committed to the community’s health and well-being, the hospital guarantees care for all patients, regardless of their ability to pay.

Integrated Community Health

International Child Care operates Integrated Community Health programs that significantly impact vulnerable communities in Haiti by empowering residents to enhance their health and well-being. The organization partners with local communities to provide education and promote health and wellness, equipping them with the necessary knowledge and resources to fight disease and malnutrition. Through initiatives such as immunization and child health clinics, these programs extend aid to even the most remote areas. Emphasizing grassroots participation, the program aims to guide and lead communities toward improved health outcomes.

Education Programs

International Child Care actively combats poverty in Haiti by emphasizing education alongside health care. The organization operates a simulation laboratory (SimLab) and training center that offers hands-on experience to students, nurses and health care workers. These facilities equip them with the skills necessary to provide high-quality care to children and families in Haiti, allowing them to practice crucial skills in a controlled environment where mistakes carry no severe consequences. Funded by the United Methodist Women, the SimLab features CPR manikins for infants, children and adults, French-speaking automated external defibrillators (AEDs) for rapid response training in cardiac emergencies and specialized training provided by U.S. volunteers, including nurses and doctors. These educational programs ensure health care workers are well-prepared to meet the health care needs of Haitian communities.

Looking Forward

International Child Care continues to make strides in fostering sustainable health and education solutions for Haiti’s most vulnerable. By providing comprehensive care and education through initiatives like Grace Children’s Hospital and the Integrated Community Health programs, the organization plays a critical role in breaking the cycle of poverty. These ongoing efforts not only enhance immediate health outcomes but also build the foundation for long-term community resilience and empowerment.

– Isabella Green

Isabella is based in Aylesbury, UK and focuses on Good News for The Borgen Project.

Photo: Flickr

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Doctors Without Borders’ Impact on Women’s Health in the DRC

Women’s Health in the DRCIn the vast and diverse landscapes of the Democratic Republic of Congo (DRC), women’s health has long been a pressing concern. The DRC presents a formidable challenge with a history of conflict, limited health care access and staggering maternal mortality rates. This narrative explores the profound impact of Doctors Without Borders on women’s health in the DRC, a story encompassing life-saving interventions and women’s empowerment woven intricately into the fabric of this remarkable journey.

Maternal Health and Sexual Violence

The Democratic Republic of Congo (DRC) grapples with a profound and interconnected women’s health crisis, characterized by two critical dimensions: maternal health challenges and the scourge of rampant sexual violence. This crisis paints a harrowing picture, with the DRC consistently ranking among the countries with the highest maternal mortality rates globally. The startling figure of 547 maternal deaths per 100,000 births, as classified by the World Health Organization, underscores the severity of this issue, marking it as “very high” on the global scale.

Factors contributing to this dire situation include a shortage of skilled health care providers, limited access to quality maternal care in remote regions and the enduring consequences of armed conflict that have ravaged the nation’s health care infrastructure. These barriers encompass health care infrastructure, socio-economic hurdles and weak health governance, making it a multifaceted challenge.

Unfortunately, many women continue to depend on traditional birth attendants, resulting in critical delays when complications arise. These delays often lead to devastating outcomes such as stillbirths and obstetric fistulas, inflicting severe health consequences on mothers and infants. Moreover, the lack of timely access to cesarean sections remains a significant challenge, further underscoring the urgency of improving maternal health care services in the region. 

In tandem with maternal health issues, sexual violence has cast a long shadow over the DRC, leaving countless women physically and psychologically scarred. Shockingly, one in two women in the DRC reports having experienced physical or sexual abuse at least once. 

Rape, disturbingly, has been weaponized as a tool of war, with dire consequences resonating throughout communities, perpetuating cycles of trauma and stigma. Indeed, multiple warring factions, including the Congolese Army and various rebel groups, have employed rape as a deliberate warfare strategy, amplifying the urgency of this complex and interconnected women’s health crisis. 

Doctors Without Borders’ Approach to Women’s Health

In the face of the escalating conflict in 2022, Doctors Without Borders (Médecins Sans Frontières or MSF) exhibited unwavering commitment to women’s health in the DRC. Operating in challenging environments, MSF embarked on a multifaceted approach to address women’s pressing health care needs. 

In the conflict-affected regions of Rutshuru, Binza, Kibirizi and Bambo, MSF provided crucial support to local health facilities. Their interventions spanned a wide spectrum of medical activities, including providing intensive care, surgical procedures, therapeutic nutrition and specialized treatment for survivors of sexual violence. The organization’s presence and dedication were instrumental in ensuring that women in these regions had access to life-saving medical care despite the challenging circumstances. 

Moreover, MSF’s commitment extends beyond immediate medical needs. They focused on the comprehensive well-being of women, including their sexual and reproductive health. This focus encompassed vital services such as HIV and tuberculosis treatment, sexual and reproductive health care, safe abortion care and mental health services. By providing a holistic range of services, MSF aims to address existing health issues and empower women to make informed decisions about their bodies and well-being.

In Salamabila, MSF introduced innovative programs such as “husband schools” and awareness sessions on sexual violence. These initiatives aimed to tackle the root causes of gender-based violence and promote gender equality. By engaging with both women and men in the community, MSF sought to challenge traditional norms and behaviors contributing to sexual violence and discrimination.

The Organization’s Impact

Doctors Without Borders has made an indelible impact on women’s health in the Democratic Republic of Congo (DRC), exemplifying their commitment to saving lives and empowering women. In their tireless efforts, MSF treated a staggering 10,000 patients for sexual violence, a testament to their unwavering dedication to addressing this critical issue. 

Since the resurgence of conflict in 2022, MSF’s teams have remained steadfast in their mission. Between April 17 and 30, 2023, they provided critical care to 314 victims of sexual violence in Bulengo, Lushagala, Kanyaruchinya, Eloime and Munigi camps — areas that have faced a shortage of humanitarian assistance. This timely intervention offered much-needed medical and psychological support to survivors and underscored MSF’s commitment to reaching the most vulnerable, even in the most challenging environments. 

With a dedicated team of over 2,670 full-time staff, Doctors Without Borders’s impact on women’s health in the DRC has been monumental. Their holistic approach, spanning medical care, trauma support, community engagement and awareness initiatives, has saved lives and nurtured empowerment and resilience among women. MSF’s unwavering dedication and adaptability in the face of evolving health care challenges continue to be indispensable in pursuing a brighter and healthier future for Congolese women. Their work is a source of inspiration, illuminating the path toward improved women’s health and gender equality in the DRC. 

Moving Forward

However, comprehensively addressing the crisis goes beyond infrastructure development. Political change and reform are vital components of a sustainable solution. In certain African nations, like Mauritania and Kenya, governments have taken bold steps by prohibiting home births to reduce serious complications due to home deliveries in remote areas, a doctor working for the organization explained in the interview. Such policies aim to ensure safer deliveries and reduce maternal mortality, highlighting the potential impact of political initiatives in addressing the challenges faced by women in health care access.

Doctors Without Border’s work exemplifies the path to a brighter and healthier future for Congolese women. This collective effort, driven by compassion, dedication and a commitment to justice, is essential for progress in the challenging health care landscape of the DRC.

– Hannah Klifa
Photo: Flickr

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Women’s Rights in Timor-Leste

Women's Rights in Timor-LesteWomen in Timor-Leste were pivotal in the war for independence from Indonesia, with many actively involved in “FALINTIL” armed resistance groups from as early as 1974. Despite this, there is a distinct lack of recognition for women’s contributions in political, economic and social spheres in the country, alongside a hierarchical culture of abuse. However, the work of organizations such as the United Nations (U.N.) Women and the International Women’s Development Agency (IWDA) has allowed Timorese women to gain agency. Still, much more progress must come to see a safe and prosperous environment for women’s rights in Timor-Leste to blossom.

The History of Timor-Leste

Under Indonesian Occupation, Timorese people were brutally repressed through “military forces detaining, torturing, executing and forcibly disappearing tens of thousands of people.” Amnesty International estimates that 200,000 out of the then 600,000 population were killed between 1975 and 1999. Human rights groups documented systemic violence throughout the ’80s and ’90s.

The conflicts left 70% of the infrastructure decimated by the time of their independence in 2002 and much of the rural infrastructure that provides people with adequate food, water, health care provisions and more remains unusable. Women had a crucial role during the war for independence, making up 60% of the Clandestinos, a secret support network that smuggled supplies and information to the rebels.

What Problems Are Women Facing?

  1. Deep poverty: Despite a low unemployment rate of 1.5% (2022 estimate), 29.7% of the employed population lives below $2.15 a day and more than 40% of the entire population lives below the national poverty line. This disproportionately affects women, as due to the patriarchal nature of the rural areas, there is widespread inequality and discrimination toward women, resulting in only 20% of Timorese women being a part of the paid workforce.
  2. Domestic violence: In Timor-Leste, sexual and gender-based violence and domestic violence are rife, with the IWDA finding that 59% of women have experienced intimate partner violence. This epidemic of violence is the legacy that the Indonesian occupation left, as tales of sexual violence toward women by Indonesian soldiers are frequent. This continued into modern life, as 40-60% of Timorese women have experienced “some type of violence.”
  3. Lack of recognition of women in social, economic and political spheres: The conflicts in Timor-Leste before its independence left nearly half of Timorese women as the sole providers for their families, as they had become widowed. However, there remains a significant gap in the number of women who get paid for their labor compared to men, with 80% of women working without pay. Politically, women only lead 5% of the country’s village councils despite making up almost half of the country’s population.

Progress for Women in Timor-Leste

In the last two decades, massive progress has been made despite the legacy of violence and injustice toward women. In 2012, in response to the gender disparities prevalent in society, the new government mandated that parties’ lists include at least 33% of women in the new constitution. This demonstrates a growing commitment to women’s rights in Timor-Leste, resulting in a remarkable surge in female representation in politics, with women now occupying 38% of the seats in the National Parliament, the highest proportion in the Asia Pacific region. The Gender and Constitution Working Group, established by U.N. Women, has played a pivotal role in advancing women’s rights by advocating for their inclusion in the new constitution.

The 2010 Law Against Domestic Violence represents a significant step in acknowledging and addressing the issue of domestic violence against women in Timor-Leste. By recognizing domestic violence as a criminal offense, the law grants essential rights to women. Although the full implementation of this law is still underway nationwide, efforts are being made to raise awareness and educate the public. Organizations like the Covalima Community Centre (CCC) are actively involved in these efforts, contributing to progress in informing and empowering communities regarding domestic violence.

This group is dedicated to empowering women in the Covalima district of Timor-Leste by providing education on leadership and enhancing their skills, enabling them to make meaningful contributions to the social, political and economic spheres. Established by IWDA, this organization has played a pivotal role in its work. By 2016, its efforts had a tangible impact, with the number of Village Chiefs elected to Suco or village-level government, nearly doubling. This increase can be attributed, at least in part, to the diligent work of the CCC in providing leadership training to candidates.

The Future of Women’s Rights in Timor Leste

Timorese women have advocated for their own future, through innovative grassroots organizations like East Timor Women Australia (ETWA), which supports women in the handicrafts industry. Additionally, nongovernmental organizations such as U.N. Women have played a crucial role in successfully enshrining women’s rights in the new constitution. While strides have been made, the journey toward achieving equal rights for women in Timor-Leste remains incomplete.

A pervasive culture of domestic violence persists as a significant challenge, demanding ongoing attention and action. Nevertheless, there are signs of progress as the government of Timor-Leste has taken steps to address this issue. The approval of a National Action Plan on Gender-Based Violence in 2017, with another awaiting governmental approval, demonstrates a commitment to combatting gender-based violence. While progress may be slow, it is clear that the hard work and self-advocacy of the Timorese women is working.

– Elizabeth Keith

Elizabeth is based in Lancaster, UK and focuses on World News for The Borgen Project.

Photo: Flickr