Archive for category: Global Poverty

Key articles and information on global poverty.

How WHO is Fighting Congenital Anomalies

Congenital Anomalies
Worldwide, congenital anomalies cause approximately 295,000 deaths of children within their first 28 days of life. Every year, about 7.9 million children are born with life-threatening defects and 3.3 million children under the age of five5 die from congenital disabilities. According to the World Health Organization (WHO), congenital anomalies are structural or functional aberrations that occur during intrauterine life. The most common congenital disabilities include heart defects, cleft lip (palate), down syndrome and split spine (also known as spina bifida). Although 50% of all congenital disabilities do not have a single definite cause, common causes include genetic mutation, environmental factors and various other risk factors.

Geographic Disparities

Although congenital disabilities are widespread globally, they are particularly prevalent in developing countries. Developing countries account for 94% of worldwide congenital disabilities.

The level of income -both individual and national- in developing countries is a crucial factor that indirectly influences the high incidence of congenital disabilities. Low income affects the incidence of congenital disabilities in developing countries in the following ways:

  • Poor Access to Adequate Maternal Healthcare for Women During Pregnancy: About 99% of the global maternal mortality cases occur in low-income countries due to inadequate maternal care.
  • Poor Maternal Nutritional Condition: Deficiency of vitamin B can, for instance, escalate chances of birthing a baby with neural tube defects.
  • Excessive Prenatal Alcohol Consumption: Pregnant mothers’ consumption of alcohol increases their risks of giving birth to a child with Fetal Alcohol Syndrome (FAS). FAS is a total of the damage – both physical and mental – to an unborn child as a result of their mother’s alcohol consumption.
  • Presence of Other Infections: Some sexually transmitted diseases can transfer from a pregnant mother to her child. For example, syphilis during pregnancy accounts for an estimated 305 000 fetal and neonatal deaths annually. It also jeopardizes 215,000 infant lives due to congenital infections, prematurity or low-birth-weight.

How WHO is Taking Action

The World Health Organization has taken and implemented various measures to fight congenital anomalies. In the 2010 World Health Assembly, WHO took on a resolution encouraging its member states to fight against congenital anomalies by:

  • Raising awareness throughout governments and the public about congenital disabilities and the risk they impose on children’s lives
  • Developing congenital disabilities surveillance systems
  • Providing consistent support to children affected by congenital anomalies
  • Ensuring that children with disabilities have the same rights and equal treatment as children without disabilities
  • Assisting families whose children have congenital disabilities

In addition to the resolution, WHO designed a manual that showed illustrations and photographs of selected birth defects. The manual’s primary purpose was to foster further development of the surveillance system, especially in low-income countries.

The Global Strategy for Women’s and Children’s Health

In 2016, WHO went an extra mile and published the Global Strategy for Women’s, Children’s and Adolescents Health 2016-2030, an updated version of the Global Strategy for Women’s and Children’s Health devised five years prior. The Global Strategy’s grand theme was “Survive, Thrive, Transform.”

  • Survive: “Survive” encompassed various goals that the Global Strategy hoped to accomplish. These include ending preventable deaths, lowering maternal mortality rates and newborn deaths among others.
  • Thrive: The main target was promoting health and wellbeing by responding to the dietary needs of children, adolescents and pregnant & lactating women.
  • Transform: This objective’s primary goal was to create a safe and nurturing environment by terminating extreme poverty. Poverty one of the leading causes of congenital disabilities.

Results

Over the years, the World Health Organization’s relentless efforts in battling against congenital disabilities have made remarkable progress in alleviating the issue. For instance, the number of newborn deaths has plummeted from 5 million to 2.4 million between 1990 and 2019, thanks to the various innovations and programs put in place. Although the current state of affairs is far from ideal, past accomplishments lay the groundwork and identify clear steps for future progress.

– Mbabazi Divine
Photo: Flickr
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RUTF and CMAM: Reducing Malnutrition in Children

Malnutrition in Children
The first 1,000 days of pregnancy to the infant’s second birthday are the most important for the children’s growth. The effects of malnutrition in children between the first two years of birth are irreversible. Malnourished infants are more prone to dying during infancy, susceptible to chronic health issues and likely to face development issues. Additionally, acute hunger has a serious effect on infants. Poor nutrition is responsible for 45% of the causalities of children under the age of 5. That is 3.1 million children each year.

However, hope exists. A dynamic duo –RUTF (Ready-To-Use Therapeutic Food) and CMAM (Community-Based Management of Acute Malnutrition)– has revolutionized the way healthcare systems function in low-middle-income countries.

Life Before

During the hunger crisis of the 1980s and 1990s, centralized Therapeutic Feeding Centers (TFCs) emerged to nurse malnourished children back to health. The TFCs delivered nourishments through therapeutic milk, which needed clean water and on-site preparations. Additionally, the TFCs had to operate around the clock, making them scarce and distant from local communities as it was difficult to find 24-hours staffing. Mothers would often have to leave home for weeks, endangering their livelihood and possibly the lives of their other children.

TFCs proved ineffective as mothers would withdraw their kids in between treatments to return home in time for work. The children in the centers were also more vulnerable to infections due to unsanitary conditions, resulting in millions of relapses. Consequentially, some died due to the shortened treatments and exposure to deadly diseases.

Also, for countries going through civil unrest, it is dangerous to set up feeding centers out in the open. The centers could fall victim to airstrikes or ground attacks. Thus, the idea of centralized systems appeared increasingly self-defeating.

What is RUTF?

RUTFs are energy-dense, micronutrient-rich pastes used in therapeutic feeding. These soft foods are a homogeneous blend of lipid-rich foods that have a nutrient profile close to the WHO-recommended therapeutic milk formula that some in patient therapeutic feeding services use. Typical ingredients for RUTF include peanuts, oil, sugar, milk powder, vitamin and mineral supplements. RUFTs are a safe and cost-effective therapeutic food. It provides malnourished children with the essential nutrients needed for development in a single serving.

Not only does it provide all of the nutrients necessary for recovery, but even after opening it has a long shelf life and does not spoil quickly. Since RUTFs are not dependent on water, the chance of bacterial growth is very low, making it safe to use at home without refrigeration. Youngsters enjoy RUTF, being healthy and convenient to use without medical supervision. Finally, people should use it in accordance with breastfeeding and other baby and young child feeding best practices.

What is CMAM?

The primary objective of therapeutic food was to spare mothers from traveling long distances and instead enable them to feed their children at home. Therefore, the former system underwent decentralization and became fragmented into community-based programs.

This approach became known as the Community-Based Management of Acute Malnutrition (CMAM), which transformed the entire healthcare system, along with RUTF. The primary purpose of this scheme was to bring food closer to the communities so that the children who were not suffering from serious complications could receive treatment at home. As a result, the system became safer, less crowded and hassle-free.

Typically, healthcare workers diagnosed malnutrition in children using the weight and height ratio. However, this is very time-consuming, expensive and labor-intensive to do on a community level. The solution to this problem was using a simple plastic strip that measured the mid-upper-arm circumference to inspect for malnutrition. Usage of the plastic MUAC tape made it increasingly easier to carry out the diagnosis quickly.

Helping Malnourished Children

After the initial skepticism upon the efficacy of the treatment, the idea of quick and easily accessible treatments grew popular among mothers. Together, CMAM and RUTF were able to curb the impact of famine. Usually, during a famine, the standard aim is to keep the child mortality rate under 10%. However, it commonly exceeds the goal, recording a 20% to 30% child mortality rate. But with the combination of CMAM and RUTF, the child mortality rate reduced to below 4.5%. The World Health Organization (WHO) declared CMAM as an effective system to fight malnutrition, which spurred a revolution in the healthcare system, saving the lives of millions of children worldwide.

Malnutrition in children can have a lifelong impact on their well-being if not treated properly. Luckily, the invention of RUTF, teamed up with the efficiency of the CMAM, is helping save the lives of millions of children while ensuring they live healthy and prosperous lives.

– Prathamesh Mantri
Photo: Flickr

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Healthcare: Telemedicine Clinics in Guatemala

Telemedicine Clinics in GuatemalaNew telemedicine clinics in Guatemala are providing vital resources to women and children living in remote areas with limited access to healthcare specialists. This advancement in healthcare technology increases Guatemala’s healthcare accessibility and follows a trend of a worldwide increase in telemedicine services.

Guatemala’s New Telemedicine Clinics

Guatemala’s Ministry of Public Health and Social Assistance (MSPAS), in conjunction with the Pan American Health Organization (PAHO) and the World Health Organization, launched four new telemedicine clinics in Guatemala in December 2020.

The clinics were designed to improve accessibility to doctors and specialists for citizens living in rural areas, where unstable or lengthy travel can deter patients from getting the care they need. Lack of staff is another barrier telemedicine hopes to overcome. Special attention will be given to issues of child malnutrition and maternal health.

The funding of the program was made possible through financial assistance from the Government of Sweden and the European Union. aimed at increasing healthcare access in rural areas across the world.

Guatemala’s State of Healthcare

Roughly 80% of Guatemala’s doctors are located within metropolitan areas, leaving scarce availability for those living in rural areas. Issues of nutrition and maternal healthcare are special targets for the new program due to the high rates of child malnutrition and maternal mortality in Guatemala.

Guatemala’s child malnutrition rates are some of the highest in all of Central America and disproportionately affect its indigenous communities. Throughout the country, 46.5% of children under 5 are stunted due to malnutrition.

Maternal death rates are high among women in Guatemala but the country has seen a slow and steady decline in maternal mortality over the last two decades. The most recently reported maternal death rate is 95 per 100,000 births.

Guatemala does have a promising antenatal care rate, with 86% of women receiving at least four antenatal care visits during their pregnancies. By increasing the access to doctors through telemedicine clinics, doctors can better diagnose issues arising during pregnancy and prepare for possible birth difficulties that could result in maternal death.

Guatemala’s COVID-19 rates have also impacted the ability of patients to seek healthcare. The threat of the virus makes it difficult for those traveling to seek medical treatment due to the risk of contracting COVID-19.

Trends in Worldwide Telemedicine

The world has seen a rise of telemedicine clinics as the pandemic creates safety concerns regarding in-person visits with doctors. Doctors are now reaching rural communities that previously had little opportunity to access specialized medicine. Telemedicine is an important advancement toward accessible healthcare in rural areas. While the telemedicine clinics in Guatemala are limited in numbers, they set an important example of how technology can be utilized to adapt during a health crisis and reach patients in inaccessible areas.

– June Noyes
Photo: Flickr

Africare: Promoting Sustainable Development in Chad

Sustainable Development in Chad
Chad, a landlocked country in Sub-Saharan Africa, is one of the poorest countries in the world. With a poverty rate of around 40%, Chad’s life expectancy is only 58.3 years. Only two million of the roughly four million people in dire need of assistance are actually receiving any. Additionally, Chad is surrounded by countries undergoing civil wars, putting further pressure on its infrastructure through refugee flows and inhibiting sustainable development in Chad.

Chad was also hit especially hard by the HIV/AIDS epidemic, with 120,000 people living with HIV in 2018. HIV/AIDS in Chad spread quickly due to a lack of healthcare infrastructure. The country has very few healthcare workers. There are only 3.7 doctors for every 100,000 people throughout the entire country. This is even worse in rural areas, given that healthcare workers are concentrated in just 1 region. In this 1 region, 65% of the entire country of Chad’s doctors practice medicine.

Africare Background

Fortunately, some organizations are stepping in order to try and solve this problem through sustainable development. These organizations believe that the best way to ensure that Chad can grow and reduce poverty is to build business infrastructure locally to create long-term growth. One such organization is Africare. Founded as a partnership between Africans and Americans in 1970, this organization has since grown to span much of the continent. Overall, they have donated approximately $2 billion dollars since 1970 towards developing the economies of 38 African countries.

Africare in Chad

The focus of Africare is on sustainable development, attempting to build enough capacity within countries to make sure the country can sustain itself and reduce poverty in the long term. One notable program in Chad is the Initiative for the Economic Empowerment of Women Entrepreneurs (IEEWEP). The IEEWP, founded in 2008 seeks to uplift communities by providing education, skills training, and economic assistance to women in order to allow them to start businesses. The ultimate goal is to foster sustainable development in Chad.

Success Stories

The IEEWP has been a big success. The projects to develop human capital have already generated returns. Within the first three years of its existence, 1,600 women were trained by the IEEWP, increasing their incomes by 60%. Africare has also encouraged women to become more involved and take more of a leadership role at a local level. One important way they accomplish this is by making sure that 95% of their field staff are women, thus ensuring that women possess a voice within the communities they serve. Putting women at the forefront of the organization, Africare hopes, can help create sustainable development in Chad.

The IEEWP works by partnering with local communities and entrepreneurs in order to support them. In one program, the IEEWP worked with a group of 18 existing entrepreneurs in order to start a restaurant. In 2006, 18 women, calling themselves “Mbailassem” or “God help us”, partnered to produce cassava together on a farm. Seeing their drive, the IEEWP decided to help Mbailassem start a restaurant in Southern Chad.

After initially assisting in running the restaurant, and helping with some financial objectives, the restaurant eventually became economically sustainable and paid their loans back within a year. The women of Mbailassem also succeeded in starting a new location of their restaurant, further improving both their own economic situation and the economic situation of the communities they are working in. Africare hopes that entrepreneurs like Mbailassem can help build sustainable development in Chad, and ultimately all across Africa.

Moving Forward

Overall, Chad is struggling to see long-term growth across the country. However, progress on a smaller scale in individual communities concerning the growth of businesses shows some promise. Applying this same model in various communities across the country could help foster sustainable development in Chad.

– Thomas Gill

Photo: Flickr

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How AJWS Delivers on COVID Aid

COVID Aid

The coronavirus pandemic has exposed the tenuous position of large swathes of the developing world as upwards of 100 million additional people could be pushed into extreme poverty this year. Consequently, the invaluable impact of humanitarian aid organizations in providing COVID relief has become clear. One such organization is American Jewish World Service (AJWS). AJWS is a leading Jewish aid organization focused on global poverty and human rights.

AJWS is a major contributor in the humanitarian field, investing more than $30 million annually to improve the lives of the world’s most vulnerable citizens. Using a collaborative, transnational approach, AJWS identifies grassroots organizations in 18 countries around the world to become grantees. However, the relationship between AJWS and its partners is far from simply monetary; the organization has staff on the ground in all 18 countries to provide hands-on support and expertise. In an interview with Sam Wolthuis, the associate vice president of programs at AJWS, says, “We get to know [partners] very well before we even talk about funding and supporting the organizations.”

Four domains make up the main focuses of all AJWS partners: Land, Water, and Climate Justice; Civil and Political Rights; Sexual Health and Rights; and Disaster Response. The latter of these domains encompasses COVID aid. Since the onset of the pandemic, it has proven to be hugely significant.

Filling in the Gaps

AJWS and its partners have attempted to compensate for the insufficiency of governmental actions towards coronavirus. A common shortcoming AJWS has identified is rampant misinformation about the virus, an issue the World Health Organization has dubbed an “infodemic.” In response, AJWS’s staff assembled an infection prevention toolkit for partners to disseminate vital information on the ground. Translated into 10 languages, the toolkit has been delivered via loudspeakers, billboards, and community radio programs.

In addition to quashing misinformation, AJWS’s partners have worked to eliminate more tangible threats. The Southern Peasant Federation of Thailand has created community farming projects. These projects aim to reduce food insecurity and provide additional income for ailing Thais. In India, a tidal wave of coronavirus cases crushed the healthcare system. This has left pregnant women seeking care in limbo. For example, the New York Times published an article this past summer about an Indian woman who died during labor after being turned away from eight hospitals. Sama Resource Group for Women and Health, an AJWS partner, has filed a petition in Delhi’s High Court. This petition aims to prevent such horror stories and ensure pregnant women receive care.

While protecting citizens from the universal dangers and disparities of the pandemic, AJWS has also focused on the plight of the marginalized. For example, the organization has worked with Estrellas del Golfo (“Stars of the Gulf”) to establish community kitchens in LGBTQI communities within El Salvador which suffer from discrimination and violence. Wolthuis (Who specifically is this person?  She was not formal introduced in the context of this paragraph) expresses pride in this essential form of COVID aid. She says this crisis has disproportionately affected these groups, but they have remained a constant focus for the organization.

Fighting for the Vulnerable

AJWS-focused countries such as Uganda have scapegoated and demonized LGBTQI individuals. Homosexuality is criminalized there, and Ugandan authorities have repeatedly conducted mass arrests of such individuals. The latest crackdown occurred when 19 LGBTQI youths staying inside a shelter in the city of Kampala were arrested. “Negligent act to spread disease” is the charge they all face. The Human Rights Awareness and Promotion Forum (HRAPF), a legal aid organization and AJWS partner, mobilized to secure the prisoners’ release. However, obstructionist authorities and strict lockdown procedures stymied them at every turn. Only after a 52-day legal blitz by the HRAPF were the 19 youths released from prison.

Organizations like the HRAPF have had an especially difficult task during pandemic-induced shutdowns. However, their work has arguably never been more important. Take Kenya, for example, where the Pastoralist Girls Initiative (PGI) has been working to empower young girls in the Tana River and Garissa counties for two decades. In response to rising reports of rape, domestic violence, female genital mutilation, and child marriage since the pandemic began, PGI has pivoted its focus toward engagement with local enforcement. By communicating with government officials and judges about cases of gender-based violence, the initiative is working to ensure justice is served for survivors.

Wolthuis says that such flexibility is the norm among partner organizations. This is because AJWS defers those on the ground who determine the most pressing issues demanding attention. “Partners dictate what the gaps are, and what the needs are and how they’re going to solve them. And we support them in their vision to do that.” This vision may have blurred at the onset of the pandemic, but AJWS extended a crucial lifeline to its partners through its COVID aid.

Keeping the Vision Alive

The incredible work of AJWS’s partners during the pandemic obscures the enormous difficulties they have had to battle themselves. The movement-building of AJWS partners typically involves a good amount of face-to-face interaction. This interaction had to move online when the pandemic struck, despite barriers to technology access. AJWS prioritized the safety and economic well-being of partners’ staff first in its COVID aid. Then, they worked to help them re-open digitally by helping with Zoom set-ups and moving advocacy efforts online.

Such adjustments proved to be critical in providing COVID aid as the pandemic unfolded. However, AJWS and its partners have also extended their focus to the long-term. Wolthuis points to rising global hunger and disruptions to vaccine campaigns for other illnesses as effects of the pandemic that could sting for years to come. At the very least, the world’s most vulnerable can rest assured that AJWS will continue to support organizations that tirelessly work on their behalf.

– Jack Silvers
Photo: Flickr

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Helping Coca Farmers Transition to Cacao

Coca Farmers Poverty traps Colombian coca farmers in an unsustainable, unethical and sometimes dangerous occupation. During the country’s half-century-long civil war, rural communities were built up around the cultivation of coca to be used in the production of cocaine.

The Peace Deal

Militant guerrilla groups such as Revolutionary Armed Forces of Colombia (FARC) were reliable buyers of coca crops as they used the cocaine trade to finance the war with the Colombian government. However, in 2016, a peace deal was agreed upon between the Colombian government and FARC that officially put an end to the civil war in Colombia. The peace agreement included a plan to wean rural communities off of the cultivation of coca by asking them to uproot their own coca plants and then providing them a monthly stipend as well as technical assistance in order to assist them in transitioning from coca to other crops. Due to organizational and financial oversights, however, many coca farmers have not received their full stipends nor have they received the technical assistance to change crops. Despite this, the Colombian government continues to carry out forced coca crop eradication efforts that leave these communities with no viable source of income.

Impoverished Farmers in Colombia

Even though the Colombian civil war is officially over, armed groups still vie for control of the cocaine trade, often employing violent, coercive methods to secure a steady supply of coca from impoverished farmers, putting coca farmers’ families and communities at risk due to the production of coca.

Often struggling to make ends meet, farmers rely on the steady income that coca cultivation provides them, despite their concerns about ethics and danger. With the implementation of the government’s coca replacement program falling flat, coca farmers were given little choice but to continue to cultivate coca crops or watch their families go hungry. Colombian law enforcement officials say 40% of forcefully eradicated coca crops are replanted. Voluntary replacement of coca crops with other crops is much more promising, with replanting rates near zero.

The Voluntary Replacement of Coca Crops

The voluntary replacement of coca crops with cacao allows farmers to provide themselves with a reliable income without having to endanger themselves or contribute to the narcotics industry. The National Federation of Cacao Farmers (Fedecacao) has been helping farmers to make this transition. With yields of up to 800kg per hectare, a cacao farmer can earn up to double the minimum wage of Colombia, making coca cultivation a less attractive alternative due to its illegality and the violence that the coca industry brings about. On top of this, the cacao industry in Colombia is growing with 177,000 hectares devoted to cacao­­, 25,000 of which were transitioned from coca cultivation. The increased production of cacao has resulted in Colombia becoming a cacao exporting country.

Joel Palacios Advocates for Cacao Transition

One particular example of a successful transition from coca cultivation to cacao is taking place in the department of Chocó in western Colombia where 60% of people live below the poverty line. Joel Palacios, a native of Chocó, has been devoted to advocating for the replacement of coca by cacao since 2011. For years, Palacios ran a chocolate training center for coca farmers who desire to grow cacao and turn it into chocolate. Palacios then launched Late Chocó, his own artisanal chocolate company based in Bogotá.

Helping Farmers Transition to Cacao

Stories like that of Palacios show the benefits of working with coca farmers to replace dangerous and illegal crops with more legal, profit-earning alternatives such as cacao. Whereas forcible, nonconsensual uprooting of coca produces inefficient results, the prospect of a steady, legal source of income incentivizes coca farmers to make the transition to cacao on their own.

– Willy Carlsen
Photo: Flickr

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10 Facts About Human Trafficking in the Netherlands

human trafficking in the NetherlandsHuman trafficking in the Netherlands is a serious issue and one that the Dutch government is attempting to alleviate. According to the Human Traffic Victims Monitor, there were 958 registered trafficking victims from 2013 to 2017. Hopefully, with aid from the government and help from organizations, the Netherlands can see a decrease in human trafficking.

10 Facts About Human Trafficking in the Netherlands

    1. Tier 1 Category: Local government officials are not ignorant of the prevalence of human trafficking in the Netherlands. The U.S. Department of State designated the Netherlands as Tier 1, meaning the Dutch government fully complies with the minimum requirements for eliminating trafficking as set forth by the Trafficking Victims Protection Act, passed by the U.S. government in 2000.
    2. Legalizing Prostitution: The prostitution industry has been legal in the Netherlands since 2000. Once it was legalized, the demand for services increased but the supply did not. Human traffickers bring in international women to meet the demand.
    3. Labor Exploitation: In addition to sexual exploitation, human trafficking also takes place in economic fields where victims are subject to employment under deplorable conditions. It is not uncommon for these jobs to involve human rights violations.
    4. Criminality: Another form of human trafficking involves forcing individuals to commit crimes. Criminal exploitation is when an individual is forced to steal, beg or otherwise illegally acquire goods or monies and hand them over to the individual doing the exploiting. Perpetrators are often members of highly organized criminal organizations.
    5. Underreporting: The number of victims of human trafficking in the Netherlands is nearly five times the reported estimate. More than 6,000 individuals fall victim to human trafficking each year in the Netherlands, with roughly two-thirds of cases involving coerced sexual exploitation.
    6. Police Officer Training: It is standard practice in the Netherlands to complete training on how to handle human trafficking before passing the police academy. There are also officers who specialize in the handling of human trafficking. These officers must pass an examination before completing the academy.
    7. Sheltering Victims: The Dutch government has funded shelters for victims of human trafficking. It offers victims of human trafficking a stay of up to three months in a shelter. During this time, victims are provided with a safe space to begin the healing process. Here, victims also think about pursuing legal action against their trafficker. After three months, victims who agree to work with police to pursue their traffickers are permitted to stay longer in the shelter.
    8. Human Trafficking Task Force: In 2018, the Dutch government implemented its new anti-trafficking plan. It focuses on identifying victims, strengthening communication between shareholders, encouraging governments to take anti-trafficking action at a local level and amping up the work done to prevent labor trafficking. Since then, the task force has moved into inspecting brothels, training community leaders to identify human trafficking in order to safely intervene and has increased efforts against child trafficking.
    9. Not For Sale Campaign: Born in the early 2000s, the Not For Sale campaign is based in the heart of Amsterdam. The organization works with victims of human trafficking. It works especially with those victimized by sexual exploitation. The organization helps victims gain job experience and life skills needed to support themselves financially. Not For Sale also works to provide food, housing, healthcare and education for victims.
    10. GRETA: The Group of Experts on Action against Trafficking in Human Beings is an organization responsible for monitoring the implementation of anti-trafficking legislation. In 2018, GRETA published a report making note that even though the trafficking situation in the Netherlands requires much focus, the Netherlands is making significant improvements in the battle against trafficking.

By working at a local level to examine economies and conditions that perpetuate the cycle of human trafficking, the government and organizations can successfully alleviate human trafficking in the Netherlands.

– Jessica Raskauskas
Photo: Unsplash

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Female Genital Mutilation in Iraq 

Female Genital Mutilation in Iraq
In 2008, Gola told her story of female genital mutilation in Iraq to reporters with The Human Rights Watch. It was a story of silent pain. “My family took me and told me nothing, I never went to the doctors, my family was never concerned.”

About Female Genital Mutilation

Female genital mutilation or FGM has been going on for centuries. The World Health Organization (WHO) defines FGM as “all procedures involving partial or total removal of the external female genitalia or injury to the female genital organs for non-medical reasons.”

Iraq’s older generations believe that cutting a woman’s clitoris will ensure the preservation of her virginity and push the prevalent practice of female genital mutilation in Iraq. Additionally, the women do not receive any anesthesia beforehand. FGM consists of three types including type one which is the removal of the labia minora and the labia major, the protective layers surrounding the vaginal orifice. Meanwhile, type two is the removal of the clitoris and the labia minora and type three is the narrowing of the vaginal orifice. However, all reproductive parts of a woman are important to her maintaining physical and mental health, and expulsion of one or more of these parts puts women’s lives at risk.

FGM is a silent practice that has been going on for decades. Female genital mutilation in Iraq occurs across Iraq without religious, lawful or ethical reasoning. Mutilation begins on girls as young as 3 although grown women may also experience it.

Solutions

Wadi, an NGO, finds solutions for women in crisis. In early 2004, Wadi began visiting villages after learning of the high number of women that FGM affects. After interviewing several women in the area, it found that 907 out of the 1,544 women it questioned were victims of FGM. Wadi has launched a campaign to educate women about the harmful consequences of FGM. In 2011, the parliament of the Kurdish region passed a bill banning domestic violence against women thus banning FGM. However, even though the Kurdish region has banned this practice, women’s voices are continuing to cry out against it to prevent future injustices.

A Light at the End of the Tunnel

In July 2012, Wadi launched an FGM hotline to provide social, mental, medical and reproductive advice to FGM-affected women throughout the region. By mainstreaming gender rights and working on educational programs, Iraq should be able to make headway to eradicate FGM. To fully eliminate this practice, the Wadi team began to visit local villages and midwives to educate them that these mutilations do not preserve a woman’s virginity, the wounds are not self-healing and the practice causes harm that is often permanent. Hadiya, who experienced FGM at the age of 5-years-old, spoke of pain 20 years after the mutilation occurred. FGM can cause infertility, incontinence, complications in labor and even death.

 

With all endings come new beginnings. Iraq has been the home to unlawful practices and prevalent mistreatment of women, but women are steadily pushing back to reclaim their freedom and honor. Some who have undergone FGM are now refusing to let their daughters experience the same fate, disallowing their clerics from approving practices of FGM. They band together in face of an ancient ritual that tears the body apart. Gola told her story so that women born after her will not have to tell theirs.

– Nancy Taguiam
Photo: Flickr

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Access to Water and Sanitation During COVID-19 

Access to Water and Sanitation
The U.S. investments that have been working toward improving access to water and sanitation have been particularly focussed on building a more water-secure world during the coronavirus pandemic. So far, the pandemic has affected the lives of billions all over the world and the most vulnerable in particular, already struggling with health and sanitation challenges. According to the OECD, before COVID-19, the African continent had already faced a slowdown in growth and poverty reduction. The organization added that “the current crisis could erase years of development gains.”

The pandemic could impact people already struggling with hunger and poverty. Several international organizations estimated that the number of starving people could have increased to 132 billion by the end of 2020.

To support countries struggling with water and sanitation access during the global pandemic, USAID re-configurated the priorities the Water for World Act of 2014 listed.

How does the global pandemic challenge water security and, in turn, how does USAID respond to these challenges? Before tackling these two questions, this article will give a brief background on the Water for World Act of 2014 and discuss its reconfiguration in light of the recent events regarding sanitation.

The 2014 Water for World Act and WASH Programs

The Water for World Act of 2014 is a reform bill that emerged from the 2005 Water for the Poor Act which made water, sanitation and hygiene – conveniently called WASH – top priorities in the federal foreign aid plan. In an attempt to make data more transparent, optimize aid strategies and improve water support, Congress voted for the Water for World Act in 2014. However, in 2020, the pandemic accelerated the need for global access to water and sanitation.

To address this concern, USAID re-designated 18 high-priority countries according to criteria such as lack of access to water, inadequate sanitation conditions and opportunities to make progress in these areas. Some of the high-priority countries are the Democratic Republic of Congo, Haiti, India, Kenya and South Sudan. In doing so, USAID intended to leverage WASH programs and enable vulnerable populations to have continual access to clean water during this critical period.

Current Challenges to Water Security

Access to water and sanitation is a basic human right and the current pandemic underscored the emergency to settle this right in the most vulnerable countries. Populations receive daily reminders to wash their hands and keep a healthy diet to prevent the propagation of the virus and save lives. However, the lack of clean, drinkable water is not only amplifying the already precarious living conditions of vulnerable populations, but it is also making it harder for these countries to stop virus transmission.

COVID-19 tends to affect vulnerable populations the most: poor communities, minorities and people living in crowded areas. According to UN-Habitat, it is clear that the pandemic affects the world’s most vulnerable populations the hardest because they lack sustainable access to water and sanitation.

For instance, India is the second-leading country in the world for most cases of COVID-19. It had almost 11 million cases on February 21, 2021. This number directly links to the country’s crowded rural areas and the lack of access to running water. At the end of 2020, more than 21% of the Indian population showed evidence of exposure to the virus. Meanwhile, in Bangladesh, Rohingya refugees living in a refugee camp are crowded with a population density four to seven times more than New York City, putting them in high-risk situations.

How WASH Programs Help

WASH programs helped high-priority countries respond to the pandemic in 2020. In the Democratic Republic of Congo, USAID and the World Bank financed WASH campaigns to improve the population’s handwashing behaviors.

Meanwhile, in Ethiopia, they collaborated with the local authorities to improve access to water and sanitation in health care facilities. In Haiti, WASH services included purchasing chlorine to clean water and installing water supply in markets, health centers, orphanages and prisons. According to the World Bank report, ensuring that these countries have safe access to water and sanitation is a necessary medium-term response to the pandemic.

US Investments and Improving Access to Water and Sanitation

U.S. investments aim to provide financial support for water service providers. For instance, in June 2020, USAID partnered with UNICEF in Mozambique to provide subsidies covering the cost of private water providers.

USAID also financed programs that relay information about handwashing. In April 2020, U.S. investments financed radio campaigns in Burkina Faso promoting a new handwashing system expanding access to hygiene in more areas. Data has shown that these programs made a difference in terms of transmission. In fact, transmission levels went down in both Mozambique and Burkina Faso from June to December 2020.

USAID also focused on health care facilities and on supporting health care workers in priority countries by training and protecting them. WASH programs trained more than 16,000 workers in diverse locations such as Senegal, India, Bangladesh, Ghana and Cote d’Ivoire. USAID support in Senegal was one of many successes: 447 officers and 549 health workers received training while the programs also resulted in the installation of 497 public handwashing stands in health facilities and high-risk places. They also distributed 2,423 handwashing kits to families with COVID-19.

Looking Ahead

Despite the crises of the past year, one can spot at least one positive outcome: global leaders have had to rethink access to water and sanitation. The pandemic increased global awareness about the importance of water and sanitation security, all over the world. U.S. investments to improve water and sanitation accessibility under the Water for World Act provide help during sanitary and water emergencies, even during these challenging times. The recent update about the high-priority status for designated countries is not the only positive news on the horizon. USAID administrator John Barsa has also signed the Sanitation and Water for all World Leaders call to action. His signature confirms what many have come to realize over the past year; international collaboration is key to fight the pandemic and secure better living conditions for all.

– Soizic Lecocq
Photo: Flickr

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Increasing Mobile Data Traffic in sub-Saharan Africa

Mobile Data TrafficMany poverty-stricken individuals do not have access to the internet, creating a digital divide. The COVID-19 pandemic has revolutionized mobile data traffic around the globe, particularly in sub-Saharan Africa. Mobile broadband supports access to education, work, healthcare, goods and services. It plays an imperative role in reducing poverty. With nearly 800 million people in the region still without access to the mobile internet, it has never been more urgent to close the digital divide.

The Need for Mobile Broadband

According to Fadi Pharaon, president of Ericsson Middle East and Africa, the increasing demand for mobile broadband provides an unprecedented chance to improve economic conditions for Africa. Currently, Africa is one of the quickest growing technology markets.

In addition to younger populations requiring technology to develop practical computer skills, during the COVID-19 pandemic, access to the internet is also crucial for remote learning and remote work to continue development and economic progression.

In response to the pandemic, sub-Saharan African countries that were able to implement telework adaptations had considerably greater access to the internet, as much as 28 % of the population, as opposed to countries that were not implementing telework, at 17 %.

Due to the increase of digitalization during the pandemic, these developments are expected to positively contribute to the region’s economic recovery post-pandemic. Research suggests that expanding internet access to cover an additional 10% of the region’s population has the ability to increase gross domestic product (GDP) growth by one to four percentage points.

The Mobile Broadband Demand

Fixed Wireless Access (FWA) delivered over 4G or 5G is a more affordable alternative to providing broadband in areas with limited access. By 2025, FWA connections are expected to reach 160 million, accounting for 25% of global mobile data traffic.

The estimated total growth of mobile data traffic is from 0.87EB per month in 2020 to 5.6EB by 2026, an increase of 6.5 times the current figures.

To keep up with the demand, service providers are predicted to continue upgrading their networks to meet their customers’ evolving needs.

Additionally, networks expect to see an increase in customers purchasing mobile data subscriptions. Long-term evolution (LTE) was predicted to amount to 15% of subscriptions at the conclusion of 2020.

Novissi Digital Cash Transfers

The Novissi cash transfer program in Togo is an example of why mobile broadband access is important in developing countries. To support struggling people in Togo during COVID-19, instant mobile cash payments were made to their mobile phones to address urgent needs. The program provided more than half a million people with financial assistance during a crisis.

Closing the Digital Divide Reduces Poverty

Experts suggest that funding infrastructure, increasing electricity access and developing approaches to support digital businesses will aid in economic recovery and continue to close the digital divide. While sub-Saharan Africa has seen an acceleration of mobile data traffic during COVID-19, more action still needs to be taken to support its citizens post-pandemic. Providing affordable access to mobile phones, mobile broadband subscriptions and internet access will help support the recovering economy and alleviate poverty in the region.

– Diana Dopheide
Photo:Flickr