Archive for category: Global Poverty

Key articles and information on global poverty.

Cataclysmic Flooding in Pakistan 

Flooding in Pakistan Pakistan experiences a yearly monsoon season typically beginning in mid-June and lasting until late August. An abnormally extreme monsoon season in 2022, primarily affecting the Sindh, Balochistan and Khyber Pakhtunkhwa provinces, has led to torrential rainfall. This 2022 rainfall has led to disastrous flooding in Pakistan, reportedly killing at least 1,700 and displacing 7.9 million.

As living conditions rapidly decline for those in the most heavily affected regions, the people that have been historically discriminated against receive the most serious repercussions. The provinces hit hardest by the flooding were housing an estimated 800,000 Afghan refugees. Given the falling value of their currency, coupled with the destruction of their homes and schools, many in most affected areas, 70% of which are women and children, have no options to reconstruct their lives, UNICEF reports. Waterborne diseases are raising concerns in these areas, as many are unable to leave despite the destruction.

Why Does This Keep Happening? 

Global climate change was not the only factor that led to the flooding, nor was this the first instance of extreme flooding in Pakistan’s recent history. In 2010, Pakistan experienced similarly extreme flooding. Since then, Pakistan has done little to reinforce its natural disaster prevention infrastructure and on top of this, Pakistan faces an imminent economic crisis. The inflation rate in Pakistan approached 27% in August 2022 and the Pakistani rupee crashed, causing Pakistan to require aid from wealthier countries to pay for the immense amount of damage caused by the flooding.

Solutions

The UNHCR is spearheading the efforts to provide tents, blankets and other necessities to those affected most by the flooding in Pakistan. In September 2022, the UNHCR delivered over 10,000 metric tons of goods to those affected, with a special focus on the Afghan refugees. Additionally, UNHCR ran rapid needs assessments with the aid of the Pakistani government, along with mobilizing female-centered support, as women and children are among the most affected by the floods.

In addition to the UNHCR, the U.N. World Food Programme (WFP) has been working to provide food to those Pakastani flood victims, including those in relief camps. The WFP has “reached more than 400,000 people with food assistance in Balochistan, Khyber Pakhtunkhwa and Sindh provinces.” The WFP has also provided especially nutritious food to children and pregnant women in an effort to push back against increasing levels of malnutrition in the wake of widespread crop destruction.

A post-disaster that the Ministry of Planning, Development and Special Initiatives led has begun in an effort to develop a recovery plan for the government moving forward. 

How Does the Future Look for Pakistan?

Though climate change played an important role in causing flooding in Pakistan, it is important to note that Pakistan contributes “less than 1% of the world’s greenhouse gas emissions,” The New Humanitarian reports. Because of this, Sherry Rehman, Pakistan’s climate change minister, has suggested that Pakistan has plans to demand climate reparations from the countries that play a much larger part in global climate change, according to The New Humanitarian. Efficient and productive strides have been taken in the direction of recovery for Pakistan in the wake of these cataclysmic floods. 

– Christopher Dickinson
Photo: Flickr

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3 Facts About Measles

About MeaslesMeasles is a communicable disease caused by a virus. Persian physician and scholar Abū Bakr Muhammad Zakariyyā Rāzī discovered the disease in the ninth century but it became a global term in the 16th century. In 1757, measles-infected blood was transmitted to healthy donors where Scottish doctor Francis Home discovered that a highly infectious bacterium causes measles. Measles only become a nationally recognized disease in the United States in 1912, when there were 6,000 deaths annually. To this day, measles is considered to be one of the world’s deadliest diseases, especially in developing nations, despite treatment efforts. Here are three facts about measles.

3 Facts About Measles

  1. In 2022, the creator of the measles vaccine Samuel L. Katz passed away at the age of 95. Before the development of the vaccine, almost every child had measles by the age of 15 and nearly 4 million people were infected every year. Five hundred people died from measles each year, there were 48,000 hospitalizations and 1,000 people had swelling of the brain due to the infection, according to the Centers for Disease Control and Prevention (CDC). In 1956, there was a disease breakout at a school in Boston, Massachusetts, where John F. Enders and Dr. Thomas C. Peebles collected blood samples from infected students and isolated the disease within David Edmonton’s blood. In 1963, they developed Edmonton’s virus into a vaccine and it officially received a license in the United States, where Maurice Hilleman and his research team further improved it in 1968.
  2. Before the vaccine, there was an epidemic every two to three years that caused around 2.6 million deaths each year worldwide, according to the World Health Organization (WHO). Even after the vaccine, in 2018, 140,000 people died from measles, most of which were children under 5. Unvaccinated children, pregnant women and non-immune people are most at risk of getting measles, though it is particularly common in developing nations, such as countries in Africa and Asia. In addition, more than 95% of deaths happen in low-income households and countries with underdeveloped health services, WHO reports. Once one has measles, there is no anti-treatment available. However, vitamin A can reduce the complications and risk of death from measles after taking two doses a day apart. The vaccine is a routine procedure in the U.S. and costs $1 per vaccine. However, many developing nations cannot afford the vaccine. This has led to 19.2 million infants not receiving a single dose in 2018. Around 6 million of these infants were from India, Nigeria and Pakistan, where the number of cases is significantly rising.
  3. According to the WHO, measles spreads through coughing, sneezing and being in close contact with infected patients. It can stay airborne and on infected surfaces for as long as two hours and can infect people four days before and after a rash occurs. The first symptoms of measles show 10 to 12 days after exposure to the virus, lasting for four to seven days. It initially has cold-like symptoms, such as a runny nose, cough, red and watery eyes and a fever. Patients also develop small white spots on their cheeks. This develops into a rash after 14 days, which could last for six days. Without treatment, complications could occur, such as blindness, brain swelling, diarrhea, dehydration and ear and respiratory infections. Though, complications occur more in malnourished children with a lack of vitamin A or those who have weak immune systems from other diseases.

Looking Ahead

In 2010, the World Health Assembly stated three targets to eradicate measles by 2015. First, to enable more first-dose vaccines during routine coverage to more than 90%. Second, to reduce case numbers to less than five cases per million annually. Third, to reduce measles-related deaths by at least 95%. Furthermore, in 2012, the World Health Assembly supported the Global Vaccine Action Plan of “eliminating measles in four WHO regions by 2015 and five regions by 2020,” the WHO reports. These goals were successful and as of 2018, mortality rates had decreased by 73% with the development of the vaccine coverage. The Measles and Rubella Initiative, founded in 2001 and the Gavi Vaccine Alliance also supported this by preventing 23.2 million deaths, where most of the deaths would have been in Africa and the countries that the Gavi Alliance support.

– Deanna Barratt
Photo: Flickr

The Borgen Project Podcast Ep. 1: Why Starving Kids Have Big Bellies

The Borgen Project PodcastEver wondered why starving kids have big bellies? The answer is somewhat simple and the solution even more so. Starving kids’ bellies appear bloated due to a lack of protein in their diets. The premiere episode of The Borgen Project Podcast explores this phenomenon in more detail as well as efforts to fight child malnutrition globally.

At The Borgen Project, we fight for the world’s poor and write about preventable issues. Global hunger is one of them. Today, 828 million people are going to bed hungry and over 34 million people in 14 countries are facing emergency or catastrophic levels of hunger.

Listen to the inaugural podcast episode from The Borgen Project below.

 

 

Solutions to Addressing Starvation in Children

In 2022, the global hunger crisis forced one child into severe malnutrition every 60 seconds in 15 most-affected countries around the globe. More than 14 million children worldwide were projected to be severely malnourish by the end of the year. Historically, in order to bring a child back from the brink of starvation, the child would need to receive medical care from a doctor. However, RUTF (ready-to-use therapeutic food) offers a more accessible way for malnourished children to get the essential nutrients they need to recuperate. Plumpy’nut is an example of one such tool. It is a ready-to-use food paste that is packed with vitamins. Mothers are able to administer Plumpy’nut directly to their children at home. turning barely surviving children into functioning toddlers. This goes to show that global hunger is a solvable problem.

Moreover, by providing these solutions, children everywhere will have the opportunity to contribute to their communities and become productive members of society in their adulthood.

Helpful Links

Photo: Flickr

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How Food Insecurity in Sri Lanka Impacts Women and Children

Food Insecurity in Sri Lanka
Food insecurity in Sri Lanka has increased amid the country’s economic crisis, with disproportionate impacts on women and children. The World Bank says the poverty rate in Sri Lanka is 25.6% (based on the poverty line of $3.65 per person per day) in 2022, almost doubling from 13.1% in 2021. The World Food Programme (WFP) and the United Nations are taking action to meet the nutritional needs of these vulnerable groups.

Women and Children

According to WFP, as of August 2022, 30% of Sri Lankans are enduring food insecurity, equating to about 6.3 million people. As such, about 66% of households are reducing their food portions and are consuming “less nutritious food,” the WFP website says.

Among those suffering the most from food insecurity in Sri Lanka are pregnant and breastfeeding mothers as well as those with physical or intellectual disabilities and children younger than the age of 5.

The economic crisis has caused a significant increase in food prices as well as a shortage of fuel. The spike in food prices means pregnant women and new moms are struggling to secure three balanced meals a day. Proper nutrition is crucial not only for their health but for the health of their babies.

In August 2022, a doctor at a hospital in Sri Lanka told BOOM journalism that “pregnant women who have visited the hospital in the last few months are all showing signs of anemia.”

Gayani Dilrukshi, who is 23 years old and seven months pregnant, only eats two meals every day with her 4-year-old daughter because she does not have the budget to afford three meals, according to an interview with BOOM journalism. The meals that Dilrukshi can afford are not nutrient-dense and, as such, she is not in overall good health at a critical point in her pregnancy, according to doctors.

Taking Action to Address Food Insecurity in Sri Lanka

The WFP is taking action to meet the nutritional needs of the most vulnerable groups in Sri Lanka. However, the WFP requires $63 million worth of funding to adequately respond to the crisis in Sri Lanka. As of August 2022, the WFP’s response plan includes providing “3.4 million people with food assistance.”

In addition to this, WFP is looking to strengthen social safety-net programs that already exist. For instance, through the existing national school feeding program, the WFP aims to help 1 million Sri Lankan children. Through an existing state initiative that provides “fortified food to pregnant and breastfeeding mothers and young children,” the WFP hopes to impact an additional 1 million individuals.

In November 2022, the United Nations amended its Humanitarian Needs and Priorities (HNP) Plan to further help vulnerable citizens throughout Sri Lanka. The HNP raised $79 million in funds from different organizations and countries such as the United States and Australia. Organizations such as Brandix Apparels and the Citi Foundation also contributed funds for Sri Lanka. The United Nations has revised the HNP plan, which will last through 2022, calling for an additional $70 million.

The revised HNP plan would give food aid to 2.4 million vulnerable Sri Lankans, plus assistance, such as fertilizer supplies, to at least 1.5 million farmers in Sri Lanka. Pregnant women and schoolchildren would be included in nutrition support efforts. This plan will also supply more than 900,000 people with clean and safe drinking water. As many as 867,000 people will receive aid in the form of integral medicine and health care.

Fortunately, organizations are addressing food insecurity in Sri Lanka, especially among vulnerable groups. Through aid, Sri Lanka can recover from its current economic crisis.

– Yonina Anglin
Photo: Flickr

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Minecraft: Building a New Reality Via the Digital World

MinecraftWhen thinking of Minecraft most people will associate it with kids playing something akin to digital Legos, building worlds and if everything goes according to plan, defeating the Ender Dragon. At its core, this view effectively captures the game at the surface level. Partnering with U.N.-Habitat, Minecraft developer Mojang has harnessed the game concept and applied it to sustainable solutions for developing public space and addressing global Sustainable Development Goals (SDGs).

Since 2012, the aim has been to integrate Minecraft into urban planning on a local level, prioritizing the involvement of community members, particularly those that lack a voice in public development initiatives such as women, children, refugees and the elderly. The space they are working with is for the people and designed by the people. Behind the success of the Block by Block methodology lies the simplicity of Minecraft, providing an exceptionally effective lens for visualizing a three-dimensional environment that an untrained eye can make sense of, and propter hoc contribute to.

Block By Block

Pilot ventures in Nairobi and Mumbai in 2013 evolved the methodology into what it is today, built on the central tenet of collaboration. Block by Block provides community residents with the training, tools and platforms to develop and share their ideas on how best to transform public space. The exchange of ideas broadens the considerations of all those involved in the collaborative planning process.

Co-created public spaces come into existence, designed by different people and as such take into consideration the needs and concerns of all those involved in the process, resulting in a ubiquitously accommodating locality. Furthermore, what develops as a by-product is a shared sense of ownership and responsibility for the area, increasing the likelihood of maintenance and endurance, whilst simultaneously strengthening the bonds of the community.

Block by Block selects projects based on financial sustainability, accessibility and potential impact. They tend to target youth empowerment, refugee rights, climate change, accessibility, cultural heritage, social inclusion and human rights involving health and safety.

Kosovo

Following the success of a 2015 project in Pristina, Kosovo, that saw the transformation of an abandoned marketplace into a vibrant public space with a range of facilities including children’s playgrounds and Kosovo’s first skatepark, the Block by Block methodology was implemented once more in Mitrovica, some 40 km north of Pristina.

Located on the banks of the Iber river and divided by The New Bridge, the administrative center of the district is burdened by the ethnic divisions between the Serbian and Albanian communities on either side of the river. A symbol of division, the bridge separates the 80,000 Kosovo Albanians living in the north and the community of 20,000 Serbians in the south. In 2016, Block by Block hosted a workshop bringing together residents of both communities to explore ways how to transform the area and collaboratively design their ideas using Minecraft. The approach aimed to negate the divisions between the communities, changing social attitudes towards the city’s unity through democratizing urban planning’s development process. Construction began in 2017, focused on community interaction and urban redevelopment and has had knock-on effects on intercity cooperation to bring about enduring changes across Kosovo’s socio economic landscape.

Nepal

Dey Pukhu, literally translated to “state pond,” as found in the Kirtipur settlement of the Kathmandu Valley in Nepal, is as one would expect, a pond, typically used for daily gathering and steeped in tradition, having been designed for socio-religious functions. Rapid urbanization across the area threatened the water systems and affected the use of Dey Pukhu for social and traditional gatherings, with other public spaces similarly experiencing some form of deterioration as well. In 2013 Block by Block selected it for restoration with the aim to sustainably revitalize the area and for the methodology to gain traction and lead to further development initiatives across Nepal.

Gathering local stakeholders to propose ideas for restoration and development, the initiative noted the rise in youth engagement with the project and the notion of public space. As Pontus Westberg of U.N.-Habitat outlined, the young people’s confidence, effort and pride in their work was perhaps the most rewarding outcome from the project. The positive response led to further development programs put in place across the Kathmandu metropolitan area.

Noteworthy is the 2015 Kirtipur project that proposed the development of a site with a school, temple and a water system amidst large open areas of green and vegetation. Following designs and finalized models of the site, the earthquake hit Nepal in April 2015, delaying implementation. U.N.-Habitat allocated $50,000 in emergency response, repairing a damaged local school and providing essentials for survival including water tanks and emergency shelter. By June 2016 the project was running again, with a trash-covered hillside converted into an open park with recreational space and access to clean water as well as a Public Space Revitalisation Plan put in place for the entire municipality of Kirtipur.

Successful Stories

The Block by Block applied its methodology to other cities across the Kathmandu Valley and is active in over 35 countries. The examples above have set off a chain reaction in the areas of implementation. More recent projects include the likes of public gardens as safe spaces for women and children in Beit Lahia. The successes are a momentous use of technology for the public good and make one wonder what other global concerns can have a solution in something as simple and commonplace as video games.

– Bojan Ivancic
Photo: Unsplash

Improving Rural Development In Rwanda

Rural Development in Rwanda
Rwanda’s agricultural sector is the main driving force behind its economic growth and development. About 70% of its population is directly involved in agriculture. With few natural resources and a small mining industry, the landlocked country relies heavily on agriculture. Despite the large involvement and employment of people in agriculture, Rwanda’s agricultural sector accounts for only 33% of its GDP. Smallholder farmers are responsible for producing 75% of Rwanda’s total agricultural production. Most of them are in rural areas, which constitute nearly 98% of the total land area. Although 61% of Rwanda’s soil is ideal for agriculture, several challenges have affected its agricultural sector. Here is some information about how a company called OX Delivers is aiding rural development in Rwanda and improving life for those in rural communities.

Challenges in the Agriculture Sector

Land degradation and soil erosion are existing challenges to Rwanda’s agricultural sector. Land degradation is largely due to human activity as farmers use land multiple times to cultivate different agricultural products. On the other hand, steep slopes partly create soil erosion. It is particularly challenging for Rwanda because 90% of the country’s territory comprises slopes, according to the Food and Agricultural Organization of the United Nations (FAO).

Erosion displaces soil due to the heavy rain that carries away soil particles from one area to another. Large involvement and dependency on agriculture result in forests becoming farm fields. According to World Wildlife Fund (WFF), agricultural crops like coffee, soybeans and wheat that replace trees cannot hold onto the soil which increases soil erosion. Rwanda’s principal crops include coffee and wheat among many others. Most smallholder farmers also struggle to find and access markets for their goods. Rural areas often have poor infrastructure. Roads of poor quality present challenges in making markets more accessible to smallholder farmers. Changing its agrifood market structure is an important task for Rwanda as the country aims to transform its agricultural sector into a value-creating and market-oriented food sector.

Terrace Fields and Market Access

Rwanda has been able to solve its own challenges in the agricultural sector. An innovative solution to land degradation and soil erosion is changing the structure of fields. Instead of working on the steep hills and farmlands, farmers in Rwanda have adapted reverse slope bench terracing. It is a soil and water conservation measure that moves soil to build a reverse slope with bench-like structures. Stable soils characterize the terraces which reduce the risk of landslides. Smallholder farmers also use grass and small trees to stabilize the bench-like structures. Farmers have benefited from higher yields as a result of farming crops on steep slopes.

Delivery companies like OX Delivers are also transforming Rwanda’s agricultural sector. OX Delivers was established in 2020 to improve farmers’ access to rural markets in Rwanda. It uses fully-electric trucks to transport goods in rural areas where transportation is challenging due to rough terrain. OX trucks are reliable for their clean and affordable transport. The company has identified the high transportation costs associated with rural areas and thus, charges customers for only what they need.

Customers, most of whom are smallholder farmers, pay on a per kg per km basis. Customers book space on a truck with the drivers and make payments face-to-face. According to the founder, Simon Davis, OX Delivers is able to charge affordable prices as running on electricity costs 50% less per day compared to diesel engines. What makes OX Delivers unique is that it is solely focused on rural development in Rwanda. The company serves rural smallholder farmers and small-scale traders looking to access markets in Rwanda.

An Improved Agricultural Sector

Innovative solutions like the reverse slope bench terracing method and the electric truck services are transforming Rwanda into a nation with a rich market-oriented food sector. These solutions help to counter problems like soil erosion, land degradation and lack of access to markets in Rwanda. Rural smallholder farmers are able to contribute to rural development in Rwanda by not only farming for their own consumption but also by supplying to markets. Small-scale traders are able to increase their profits as electric trucks improve their access to markets. Farmers are also able to grow their production by successfully farming on steep slopes. With more participation in markets, they can increase production, profit from commercial activities and improve their household incomes.

– Hans Harelimana Hirwa
Photo: Flickr

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Child Marriage in Liberia

Child Marriage in LiberiaChild marriage in Liberia is not uncommon. According to Girls Not Brides, 36% of girls in Liberia enter into marriage before reaching their 18th birthday and Liberia ranks 20th in the world for the highest rates of child marriage.

UNICEF defines child marriage as “any formal marriage or informal union between a child under the age of 18 and an adult or another child” and warns that the effects extend not only to the girl’s health and future prospects but also to the economy through economic detriment on a national level. A 2017 study by the World Bank and the International Center for Research on Women (ICRW) projects that the prevalence of child marriage “could cost developing countries trillions of dollars by 2030 – the year by which the U.N., through its Sustainable Development Goals (SDGs), calls for the elimination of the practice.”

Child brides are more likely to face domestic violence and early pregnancy before their bodies have even fully developed. Child marriage also increases the risk of HIV among young girls.

The prevalence of child marriage in Liberia will continue to hinder progress toward gender equality in Liberia unless the government introduces legislation and improvements in policy. For as long as child marriage exists, Liberia will not see significant strides in education or the economy.

Reasons for Child Marriage in Liberia

Plan International describes the generalized reasons for child marriage prevalence in countries as systemic gender inequality, poverty and societal customs/traditions, among other reasons. In terms of poverty, according to the World Bank, 34.6% of the population in Liberia lives under the international extreme poverty line ($2.15 per person per day in 2017 PPP). Due to entrenched gender discrimination and inequalities, impoverished families often view daughters as economic burdens. Parents push young daughters into marriage to ease the household’s financial burden and bring in finances in the form of the “bride price.”

Regarding customs, Plan International details that some families push their daughters into child marriage to safeguard family honor by ensuring that sexual relations outside of marriage do not occur. Child marriage in Liberia persists despite domestic legislation setting the legal age of marriage for girls as 18. Humanium explains that “the lack of consistency of customary and statutory laws” and engagement with traditional leaders means people routinely break these laws and forced marriage practices persist.

It is also important to note that while 36% of girls younger than 18 enter into marriage, this figure stands at 5% for boys in Liberia, highlighting obvious gender inequality and disparities that need to be addressed. Gender-based violence and inequality in Liberia extend to female genital mutilation (FGM). According to Equality Now, Liberia is one of the three remaining West African countries that have not legislated FGM as a criminal offense.

Organizations and NGOs Striving to Reduce Child Marriage in Liberia

BIRD-Liberia (Brighter Initiatives for Revitalization and Development) was founded by Sammenie O. Sydney in 2014. The organization’s latest efforts include working with youth activists to eliminate child marriage. BIRD-Liberia began the Power to Girls campaign, in collaboration with Girls Not Brides, to raise awareness of child marriage.

“The activists will go around the country to speak to students and school administrators,” Emmanuel Quiqui, BIRD’s Office Administrator, said to Girls Not Brides. “They’ll go to radio stations around Liberia and meet with the national legislature to spread the campaign message.” Bird-Liberia has trained 10 activists to educate fellow Liberians on the detriment of child marriage with the aim of ending the practice entirely.

Though child marriage persists, activists and organizations on the ground are showing their commitment to ending the practice and safeguarding children’s rights.

– Priya Maiti
Photo: Flickr

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Counterfeit Pain Relief in Côte d’Ivoire

Counterfeit Pain Relief in Côte d'IvoireCôte d’Ivoire — the world’s largest cocoa producer has beautiful landscapes that attract thousands of yearly visitors. It is also a breeding ground for the distribution of counterfeit and illicit drugs. Though the use of counterfeit medicines carries many risks, many Ivorians still seek them out. The growing need for counterfeit pain relief in Côte d’Ivoire has resulted in the expansion of a new sector dominated by adolescents and those in need of a different form of relief.

The Dilemma

In sub-Saharan Africa, counterfeit drugs run rampant, but in Côte d’Ivoire, they run everything. Pharmacies produce only 30% of the drugs circulated in Côte d’Ivoire while the other 70% are counterfeits. Overall, about 42% of the world’s counterfeit drugs were found in Africa, a continent whose inhabitants are the most susceptible to poverty. Since 1998, Côte d’Ivoire’s percentage of counterfeit drug usage has increased by 50%, but the rate of health care availability has remained stagnant.
A 2020 World Bank report found that 33% of Ivorians did not live in close proximity to a hospital or clinic. In two regions, this percentage exceeded 50%. Health care specialists mainly work in major, more developed cities and government spending typically goes for the more developed parts of Côte d’Ivoire. Furthermore, many Ivorians do not have health insurance to aid payments towards their medical bills. As a result, they are at risk of adopting high health expenditures— 74% of it due to their overspending on medications, according to a World Bank report.

Availability

Non-branded or generic medications cost seven times higher than the international standard. Brand-named medications cost 18 more than the international guidelines, according to the same report. The quantity and variety of available medications differ depending on the sector. Just 32% of drugs essential to Côte d’Ivoire’s population made their way into the public sector while 57% of essential drugs are available to the private sector— one that comprises 80% of wealthy Ivorians.

Getting medications after obtaining prescriptions is a time-consuming process. At times, drugs are not readily available for patients. Sometimes, restocking and transferring to neighboring pharmacies can take a while. Consequently, patients will purchase counterfeit drugs from local street vendors as it is a more convenient alternative.
Over a two-year span, law enforcement seized almost 400 tonnes of counterfeit pain relief in Côte d’Ivoire and pharmacies suffered a $173 million loss that was later attributed to the presence of counterfeits. Authentic medications will run the average Ivorian 10,000 CFA or $15. For most, this is too much to pay. Ivorians typically bring in $200 a month.

A Cheaper Alternative

Unlike pharmacies, counterfeit drug markets are open around the clock. Due to the unregulated nature of the informal sector, people in need of medications can purchase any quantity of their desired drug, according to a 2021 research article. A patient in need of just a few pills of their prescription can buy medications individually instead of buying them in a pack like most pharmacies require, further lowering their expenses. However, there are some who take advantage of the cheapness of the drugs and the illegality of counterfeits, buying them to fulfill an addiction, according to the same article. Others buy from counterfeit drug markets because they can’t find traditional forms of medicines in pharmacies, due to cultural or religious reasons.

Many street vendors sell counterfeit pain relief in Côte d’Ivoire to relieve themselves of poverty. Among them are children and teens who function similarly to cashiers, negotiating prices with customers and finding drugs that match a given description.
Counterfeit drugs present buyers with what they perceive to be a cheap alternative with good enough quality. In reality, these drugs are adulterated. Meaning an active pharmaceutical ingredient is present, but is coupled with inferior substance(s). The most common replacement for starchy components found in drugs is flour with water being the substitute for liquid components. Or the counterfeits consist of entirely different substances.
Taking poorly made counterfeits result in the annual deaths of more than 100,000 people in Africa. The cultivation of counterfeit drug products has allowed their effects to go undetected and has started to show signs of the fostering of antimicrobial resistance, according to a WHO study.

Encouraging A New Côte d’Ivoire

Ten years ago Côte d’Ivoire’s government launched a new initiative that provided affordable health care to millions. Unfortunately, it ended up downsizing after government spending exceeded the allocated amount, limiting coverage to women and children under the age of 6.
But in recent years, Côte d’Ivoire began with a universal health coverage plan that is said to broaden the scope of health care and increase its accessibility. The plan includes financial reforms, medical assistance schemes, larger medicinal access and an increased budget to ensure that every Ivorian receives quality health care.
Meditect is a social enterprise that aims to put an end to counterfeit drugs by increasing access to ones of quality. The app tracks the medicine supply from the time it hits the pharmacy to the time it reaches the street, ensuring that the drugs in circulation are authentic and of good quality. It directs patients to a nearby pharmacy that presents them with the best financial and medical options.

Currently, Meditect is available in three francophone countries in West Africa, providing services to the Senegalese, Cameroonian and Ivorian people. Its goal is to expand this initiative to more countries until no African country is facing the issue of the presence of counterfeits.

– Dorothy Quanteh
Photo: Unsplash

USAID’s Economic Support in Chad

USAID's Economic Support in ChadIn Chad, extreme flooding has caused a massive amount of damage, affecting over 1 million people across the nation. On December 14, 2022, USAID announced that it will be providing an additional $2.5 million in financial support, building on the initial amount of $100,000.

Flooding in Chad

Many countries in Africa are challenged by dry weather conditions and therefore struggle to find resources of water. However, in Chad, heavy rainfall is common in several regions due to the equatorial location of the country. In 2022, it recorded the, “heaviest rainfall in the past 30 years, resulting in rivers overflowing, rupturing the dikes.” This led to extreme flooding in the latter half of the year, affecting 200,000 households by October 31. Rivers running through the country’s most populated regions have a tendency to overflow in times of extreme rainfall, drastically affecting nearby towns.

Damages and Lasting Consequences

On October 19, 2022, Chad’s President Mahamat Idriss Deby declared a state of emergency in reaction to this extreme flooding. At this point, floods destroyed 465,030 hectares of farmland. The destruction of fertile land is a drastic consequence, especially due to the fact that Chad had already been suffering from severe food insecurity. In addition to this, “16,756 households had to flee their homes.” In total, more than 1 million people have been affected in 18 out of Chad’s 23 provinces, according to UNICEF Situation Report.

Inadequate Funding

As a result of the flooding, Chad is in desperate need of humanitarian assistance to support citizens in their time of distress. This funding is necessary for food, housing, and health support on the ground. Because of this, Chad’s government called for additional economic assistance from outside actors.

USAID Economic Support in Chad

At the beginning of the flood, USAID provided $100,000 in support of the country’s relief efforts. However, as the damages continued, it became clear that economic support in Chad was needed to a larger extent. On December 14, 2022, USAID announced that it would provide an additional $2.5 million. In conjunction with UNICEF, the International Organization for Migration (IOM) and the U.N. World Food Program (WFP), this assistance will be able to act as a multifaceted humanitarian effort. The press release states that “This assistance will support broader response efforts providing flood-affected families with cash-based transfers, mental health and psychosocial support services, relief items, shelter supplies, and water, sanitation and hygiene assistance.”

During 2022 alone, USAID’s economic support in Chad reached $73.6 million. This type of funding, coupled with the emergency funding in reaction to the flood, has been able to better the quality of life for those in a struggling country and support them in a time of need.

Overall, economic humanitarian assistance is important to aid countries in states of distress. USAID’s economic support in Chad is an excellent example of the importance of monetary support and has helped the country react to dangerous conditions produced by flooding. This support will lessen the drastic consequences of the flood and allow the country to aid its inhabitants as well as rebuild in the future.

– Hailey Dooley
Photo: Wikimedia Commons

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Human Trafficking in the Maldives

 Human Trafficking in Maldives
The Maldives is a small island nation in the Indian Ocean that is known for its luxurious vacations. Behind its image of pristine waters and resorts, the country fights against the human trafficking of its people and foreigners. Since 2012, when the Maldives became a member of the International Organization for Migration (IOM), the government has increased efforts to meet international standards in eliminating human trafficking in the Maldives. In 2013, it built on this initiative by passing a bill that criminalized human trafficking and identified fraudulent recruitment, forced labor and sex trafficking as human trafficking.

Human traffickers in the Maldives target and exploit both domestic and foreign workers. Nearly one-third of the Maldives’ population are migrant workers, mainly from Bangladesh and India, who serve in the construction and service sectors. The fraudulent recruitment of undocumented and documented migrant workers leads to the confiscation of identity and travel documents and debt. These false recruitment agencies work with employers and agents in the Maldives to force migrant workers to work with little to no pay. Other victims of human trafficking include Maldivian children and women. They end up in criminal enterprises in which criminal gangs use them to transport drugs. Maldivian and other South Asian women end up in the Maldives under the false pretense of tourism experience.

The Effects of COVID-19

When COVID-19 hit the Maldives in 2020, the inhumane working conditions and treatment of migrant workers worsened. According to the U.S. Department of State’s 2020 Trafficking In Persons report, there were approximately more than 230,000 migrant workers in the Maldives in 2020. Migrant workers often live in cramped collective living accommodations with limited access to water, sanitation and health care. One of those shared accommodation blocks in the capital of Malé experienced 95 positive COVID-19 cases all at once.

As COVID-19 relief rolled out, the government redirected financial and personnel resources away from anti-trafficking efforts as operations focused on the pandemic. This delayed the prosecution of trafficking crimes and the Maldivian government did not convict any traffickers for the second consecutive year. According to the 2022 Trafficking In Persons Report, 27 recruitment agencies were under investigation by the Maldives Police Service (MPS) and Anti-Corruption Commission (ACC). Maldivian authorities are working now with fewer resources due to the pandemic. Hence, foreign and national companies have been called upon to support human rights and stop human trafficking in the Maldives.

A New Action Plan

On March 30, 2020, the Maldives designed the Anti-Human Trafficking National Action Plan to adapt to the reduced resources and accelerate efforts to eliminate human trafficking in the Maldives. The National Anti-Human Trafficking Steering Committee (NAHTSC) oversees the national action plan and focuses on coordinating with the government in its efforts to combat human trafficking. The International Organization for Migration (IOM) and the United States government are both international partners to the NAHTSC. These organizations provided technical assistance and guidance in the formulation of the Anti-Human Trafficking National Action Plan. The action plan’s goal is to achieve three outcomes:

  1. Enhance Anti-Trafficking in Persons Legislation & Policies
  2. Enhance Anti-Trafficking in Persons Sensitization & Awareness
  3. Enhance Anti-Trafficking in Persons Monitoring, Enforcement & Training

Status as of 2022

The U.S. Department of State’s Office to Monitor and Combat Trafficking In Persons categorizes the Maldives as a Tier 2 country. This means that although the government is making significant efforts to eliminate trafficking, it still has not met minimum standards. The Government of Maldives’ efforts during the year 2022 includes criminalizing all forms of sex and labor trafficking, increasing prosecutions of government officials and regulating the presence of foreign workers in the Maldives.

The Maldivian government remains dedicated to implementing anti-trafficking and prevention efforts. However, they still have work to do as the number of foreign workers (specifically the Bangladeshi and Indian workers) trafficked to the Maldives remains high. This persists despite a decrease in the number of overall trafficking investigations and zero reported convictions for the second consecutive year. In addition, a shelter for trafficking victims created in 2021 remains inoperable with no official standard operating procedures (SOPs) to refer victims for support and care services.

Moving Forward

In the 2022 Trafficking in Persons Report for the Maldives, the U.S. Department of State laid out recommendations to further reduce human trafficking in the Maldives. Currently, the areas of victim identification and protection remain weak. It recommends establishing a working trafficking victim shelter with consistent protection services and support for foreign victims. Recommendations include anti-trafficking materials and the availability of support in appropriate languages for migrant workers. Other recommendations for 2023 also involve identifying indicators of human trafficking and holding employers and recruitment agencies accountable for labor violations. Some have also asked the government to increase its cooperation with migrant source countries by establishing memoranda of understanding (MOUs) and monitoring resort and guest homes.

The laws that are already in place serve as a solid foundation for increasing preventative, protective and prosecutive measures that the U.S. Department of State recommends. In addition to these laws, the government’s work is also supported by Non-Governmental Organizations (NGOs) like Mission for Migrant Workers Maldives (MMWM), the first NGO to work exclusively with migrant workers experiencing human-rights violations. With the foundational laws, the incorporation of recommendations and the work of local NGOs, the Maldives can make significant moves toward eliminating human trafficking.

 – Arden Schraff
Photo: Flickr