Key articles and information on global poverty.

10 Facts about Life Expectancy in NauruNauru is an eight square mile island in the Central Pacific, located almost 2,500 miles northeast from Australia and with a population of nearly 13,000 people. Nauru has faced multiple major challenges in the past including diminishing all of its phosphate reserves and being the home of a controversial detention center for the refugees seeking asylum in Australia. However, in recent years, major improvements in the country’s quality of life have occurred, subsequently increasing the life expectancy of Nauru. These 10 facts about life expectancy in Nauru outline the progress the country has made in recent years.

10 Facts About Life Expectancy in Nauru

  1. Life expectancy in Nauru is increasing. In 2020, it reached 68.4 years in contrast with the average life expectancy in 2000 of 60 years old.
  2. The unemployment rate has dropped immensely. In 2004, 90% of the country did not have employment. Meanwhile, strip mining ravaged the island, rendering most of its land unusable for agriculture, forestry or recreation. Additionally, these practices almost caused the school system to collapse. Nauru mined all of its phosphate resources and shipped them off to other countries to use as fertilizer. The country was simultaneously combating corruption, climate change and money-laundering. Despite these issues, the unemployment rate in 2011 has dropped by almost 70%, and after nine years, it is currently sitting at 23%. As the unemployment rate decreases, more people should be able to sustain themselves despite the country’s slowly growing economy, consequently boosting the life expectancy.
  3. The health crisis directly correlates with Nauru’s social and economic circumstances. Extreme levels of heart disease, type 2 diabetes and obesity are dropping in Nauru. While more than 70% of people in Nauru were obese in 2018, the percentage dropped to 45% in 2014. Slowly, but surely, people are starting to decrease their alcohol and tobacco consumption and choose a healthier lifestyle.
  4. From 1960-1970, Nauru held one of the highest GDPs, conceding only to oil-rich Saudi Arabia. In 1973, Nauru’s Annual GDP was $26 million. Meanwhile, Saudi Arabia’s was almost $15 million. Nauru lost its rich economic potential during the crash of the phosphate industry and unfortunately, Nauru has exhausted all of its natural resources. Today, Nauru’s GDP is only $112 million and it is surviving with Australia’s help and ambitious plans for the future.
  5. Nauru has 1.24 physicians per 1,000 of the population. Meanwhile, 96.5% of people have access to improved drinking water sources, such as protected wells or public taps. Nauru has more physicians available for its population than countries like Chile, Egypt, Iran and Vietnam.
  6. Around 11% of Nauru’s federal budget or expenditure goes towards the health of its citizens. Nauru’s facilities include two big hospitals located on the island that provide free medical and dental treatments for Nauruans and employees of the Nauru Phosphate Corporation. Furthermore, while the risks of contracting bacterial diarrhea and malaria are high, Nauru is on its way to completing the Millennium Development Goals. The Millennium Development Goals, outlined by the World Health Organization (WHO), aim to reduce the prevalence of malaria and HIV as well as child mortality. It is also important to note that for a developing country, Nauru’s mortality rate from these diseases is low.
  7. Nauru is partnering with the Green Climate Fund to upgrade its maritime port. This partnership will directly boost Nauru’s food security, local economy, commerce and life expectancy. It will be easier for shipping vessels to disembark and for local business owners to have new opportunities due to incoming exports. Nauru is also advancing its Higher Ground Initiative, which will remove infrastructure from coastal areas and place them elsewhere. Both the Higher Ground Initiative and the new port facility will stimulate employment, create renewable energy and provide a stable income for many. These developments will, in turn, improve the citizens’ Human Development Index (HDI), which estimates the wellbeing, health and life expectancy in Nauru.
  8. Another partnership with The World Health Organization (WHO) resulted in the National Health Strategic Plan of 2018-2022, an attempt to revive Nauru’s healthcare system. This plan will implement high immunization coverage, improve mental health, monitor the drinking-water quality, strengthen systems that protect people from HIV, STIs and tuberculosis and create a national plan to increase life expectancy in Nauru. In 2019, the WHO discovered that Nauru had zero cases of bacterial diarrhea, influenza, donor lymphocyte infusions and pulmonary fibrosis. This suggests that the implemented health plan has made positive changes.
  9. The mortality rate of children under 5 years old has been decreasing. In 2018, the mortality rate was 32 deaths per 1,000 live births. In 2020, it dropped to 7.4 deaths per 1,000 births. The mortality rate has also decreased by more than 97% as skilled health staff now assist all births.
  10. Despite economic and health care progress, life expectancy for refugees in Nauru remains low. Medecins Sans Frontieres (MSF) reported that out of the 208 refugee patients that it served, 60% had suicidal thoughts and 30% attempted suicide.  The life expectancy of refugees living in detention camps is also low. The Guardian reported two dire instances of refugees’ desperation. In the first, a refugee set himself on fire out of despair and powerlessness. In the second instance, a 12-year-old boy was at risk of dying from a two-week-long hunger strike out of hopelessness.

While Nauru is making a lot of progress in its health care and economy, it must continue addressing its refugee crisis that leads to the loss of innocent lives. A coalition of prominent NGOs and Australia’s largest human rights organizations such as the Refugee Council of Australia and Australian Lawyers Alliance are working to re-locate refugee children from Nauru to Australia. In 2019, many resettled in the United States and Australia.

If Nauru continues to strive for financial independence, provide jobs for its people and create stable sources of income, it could eliminate many of the country’s health problems that come from smoking and alcohol addiction. This, in turn, should increase life expectancy in Nauru. By developing as an economically stable and self-sufficient country, it may also no longer need to support Australia’s controversial detention camps for asylum seekers.

– Anna Sharudenko
Photo: Flickr

Hydroelectric Power in ParaguayHydroelectricity is one of the few renewable energy resources that can be used to generate electricity. Many countries around the globe have used hydroelectricity to varying degrees. One country that has used this form of renewable energy to a largely successful degree has been the South American country of Paraguay. Hydroelectric power in Paraguay has proven quite successful.

Turning to Hydroelectricity

Paraguay uses massive amounts of hydroelectric power to produce much of its electricity. There are a few key reasons why Paraguay turned to hydroelectricity in the first place. One is that the country wanted to simply “increase domestic energy consumption”. Prior to this Paraguay was reliant on oil and diesel imports. Another reason Paraguay turned to hydroelectricity was out of an agreement that it made with Brazil in 1973. The result of this agreement was what became the Itaipu Dam, which was built on The Parana river.

The Itaipu Dam provides a large amount of hydroelectric power in Paraguay. In 2018, it produced 90.8% of the electricity for Paraguay. The Yacyreta Dam was also built for similar reasons. The dam was built in 1973 out of an agreement between Paraguay and Argentina to share the dam. The Parana River, where these dams are located, and the Paraguay River form what is called the Plata River basin, which runs along “Brazil, Bolivia, Paraguay, Argentina and Uruguay.”

Along with The Itaipu Dam and The Yacyreta Dam, Paraguay also has the Acaray Dam. All three of these dams contribute to providing hydroelectric power in Paraguay. Paraguay’s electricity is 100 percent produced from ample renewable resources within the country. In 2018, only 35% of the power production from hydroelectric resources was needed to meet the country’s domestic demand.

The Economy in Paraguay

The excess energy was then exported by Paraguay to other countries. Because of this excess supply of electricity, Paraguay is the fourth largest country to exports electricity. Of the country’s overall GDP, about 7.1 percent of it was attributed to electricity. The fact that Paraguay is able to meet its energy needs with hydropower and then use what electricity it has left over to sell to other countries is most beneficial to its economic situation. The three dams in the country also provide people with jobs.

Despite this abundance of hydroelectric power though, the domestic economy of the country still suffers system losses. The country is also strongly dependant on its agricultural sector, which can be unreliable depending on the weather. However, the situation is not entirely bleak. The Columbia Center on Sustainable Development has offered solutions to this problem. In the future, Paraguay can use its excess electricity to continue to diversify its economy. Doing so would also help in the further reduction of fossil fuel consumption. The country could also use past revenue streams to help predict the best way to maximize revenue in the future.

Hydroelectric power in Paraguay might not be seeing extreme economic gains yet. However, it is providing the country with a sustainable energy source. With the suggestions made by the Columbia Center on Sustainable Development, it is possible that it could improve even further in the future.

Jacob E. Lee
Photo: Flickr

sanitation in Ecuador
Located at the western top of South America, Ecuador has improved water regulation and overall sanitation within the last couple of decades. Here are 10 facts about sanitation in Ecuador.

10 Facts About Sanitation in Ecuador

  1. Before 2007, organic loads, toxic substances and hydrocarbons contaminated large bodies of water. Ecuador’s government devised a plan to increase overall healthy water flow. The plan consisted of using financial support to create sustainable water management. The lack of healthy water flow led to the exploitation of aquifers on Ecuador’s coast, which melted approximately 33% of the country’s glaciers. Moreover, the lack of water flow led to a reduction of at least 25% of Paramos’ regular water flow, which is a historical area. The improvement of water sustainability allowed Ecuador’s people to access healthy water easily.
  2. In 2019, Ecuador received an $87 million loan from the U.S. to improve water regulation. The loan from the U.S. allowed Ecuador’s government to expand and improve drinking systems. Ecuador has directed the loan towards the achievement of universal access to piped sanitation services.
  3. The country created a National Development Plan in 2007 which prioritized the integration of water management. Many saw Ecuador’s lack of easy access to clean water and sanitation as a detrimental factor that slowed the development of the country’s sustainability. The National Development Plan encouraged a more developed culture for Ecuador’s sanitation. One main goal was to build 1.5 kilometers of sewage networks in Quitumbe and 26 kilometers of interceptors for wastewater management in Checa and la Merced.
  4. Ecuador’s national sectoral strategy established that the country should reach equitable access to potable Water and Sanitation Services by 2030. In the national sectoral strategy, the country strived to divide loans into different sections with regards to water management. As a result, vast improvement has occurred in the country’s economy. In July 2019, approximately 39,197 additional citizens in urban areas obtained new access to improved sanitation services.
  5. The government’s new project hopes to achieve country-wide access to piped sanitation services. The Guayaquil Wastewater Management Project for Ecuador aims to install wastewater catch basins of the urban cities such as Guayaquil. As a result, 2 million citizens will gain access to proper sanitation. Ecuador’s government hopes to ensure that 100% of the wastewater within these basins receive treatment in an environmentally sustainable way.
  6. Currently, 93% of Ecuador has access to basic drinking water. Ever since 2007, there has been more focus on safely managing sanitation services as well as water waste treatment. Due to the implementation of basic sanitation needs in Ecuador’s sustainability plan, improvement is evident within urban and rural areas throughout the country.
  7. Ecuador upgraded and amplified the sewage system and sanitation networks throughout municipalities in Quitumbe, Checa and La Merced. By building several drinking water treatment plants, the government and local workers introduced 39 kilometers of raw water transmission lines from natural reservoirs. Within agricultural systems, Ecuador also installed and put over 400 flow meters for larger consumers. Installing hundreds of flow meters allow farmers and other agricultural workers to maintain and limit the amount of water needed for efficient agriculture.
  8. Ecuador’s improvement within sanitation allowed basic water regulation within schools to improve immensely. Before, numerous schools lacked access to clean sanitation, flushing water and dry toilets. The government’s development plan focused on nationwide sanitation, which involved the implementation of basic water and clean sanitation to just under 7,000 students.
  9. The overall share of people living in poverty in Ecuador has dropped to roughly 4%. Compared to 1998, the poverty line has dropped significantly. Approximately 10% of Ecuador’s population lived in poverty in the late 1900s. Today, only 4% of the population lives in poverty.
  10. Awareness of female sanitation has increased in the last decade. In 2015, the government responded to a higher demand for easier access to female products. Female products such as towels (pads), tampons and pantyliners are more easily accessible in grocery stores within urban and rural areas.

Throughout the last decade, sanitation and easier access to water has increased immensely. While sanitation within the country has improved, with over 90% of the country having access to clean water, the government hopes to close the entire gap and provide accessible water for the country as a whole by 2030.

– Elisabeth Balicanta 
Photo: Wikimedia Commons

Known for its tropical vistas and banana plantations, Costa Rica has also developed a well-deserved reputation for stability. Indeed, since abolishing its military in 1949, the small Central American nation has celebrated seven decades of uninterrupted democracy. While this stability has allowed Costa Rica to make great strides in alleviating poverty, however, nearly 21 percent of the country still remains impoverished. To this end, many in Costa Rica are increasingly turning to microfinance as a potential remedy.

Why Microfinance?

Microfinance is a banking service that focuses on delivering small loans to communities underserved by traditional banks. These ‘microloans’ can be as low as $100 and are specifically designed to help meet the needs of low-income families.

Because the principal of a microloan is much smaller than that of a traditional loan, lenders can afford to take on risks they otherwise could not. This means less stringent requirements on things like documentation and property, which are traditionally the largest obstacles to acquiring credit for those living in poverty. As a result, microfinance has become a favorite tool of activists in the developing world.

Costa Rica is no exception in that regard. With more than half of Costa Ricans unable to raise needed funds in an emergency, microfinanciers provide the country a crucial service.

Keeping Small Farmers and Rural Communities Afloat

One reason microfinance has been able to take off so quickly in Costa Rica lies in the country’s history. In the 1980s, a prolonged economic crisis prompted traditional banks to retreat en masse from Costa Rica’s rural areas. This left many small farmers suddenly lacking access to badly needed credit.

To help combat this issue, organizations like FINCA began seeking ways to encourage sustainability in rural financial markets. One such solution was microfinance.

Beginning in 1984, FINCA Costa Rica set about building a series of ‘village banks’ in the areas hit hardest by the loss of financial services. These were largely community-run, shared-liability ventures whose purpose would be to offer microloans to farmers. It did not take long for the model to become a success. Village banks quickly began to attract Costa Rican farmers, many of whom would have had difficulty acquiring a standard loan. In fact, the village banks would prove so popular that within a decade they had already become self-sustaining.

Others in Costa Rica soon took note of FINCA’s success. Though not all would copy the village bank model, many other microfinancing operations began to sprout up around the country.

Empowering Costa Rican Women

While FINCA’s village banks primarily served a demographic consisting of rural, male farmers, modern microfinanciers pursue a more diverse client base. Women in particular are a focus for many.

Research demonstrates a sharp gap in financial access along gender lines in Costa Rica. Thirty-nine percent of Costa Rican women lack a bank account, for instance, compared to 25 percent of men. This is a pattern that largely holds consistent across the developing world. Although in many cases women provide necessary income for their families, they often lack the means to build upon those earnings. This leaves them more vulnerable to the sudden economic shocks that can devastate a household, like personal medical emergencies and unexpected changes in consumer trends.

Microfinance institutions empower these women, however, by offering them the credit needed to start a business of their own, and by providing them with a newfound resiliency.

Thanks to the efforts of organizations like Fundación Mujer, women now own more than 22 percent of Costa Rican businesses. And, as the number of women gaining access to loans and other financial services increases, that percentage is only expected to grow. This means greater social mobility for Costa Rican women and a stronger ability to weather the storm in times of crisis.

The Future of Microfinance in Costa Rica

Microfinance in Costa Rica has come a long way from its first experiments with village banks in the 1980s. As it stands, Costa Rica is now one of the world’s largest microfinance markets. And, with the industry expected to grow by a further 5-10 percent in Latin America over the next decade, it is unlikely that will change any time soon.

While experts caution that microfinance cannot be seen as a ‘miracle cure’ for poverty, it is undeniable that it can provide real benefits to those in need. To see that, one only has to consider the success of microfinance in Costa Rica.

– James Roark

Photo: Pixabay.com

homelessness in El Salvador
In 2001, a major earthquake struck El Salvador leaving many helpless and on the streets. El Salvador is the smallest country in Central America despite having a dense population of 6 million people. Now, homelessness in El Salvador is at an all-time high. Currently, over 40% of the population live in run-down homes with dirt for floors. This roughly translates to upwards of 2 million people living in disheveled and decrepit homes. Luckily, there are organizations working towards rebuilding El Salvador.

3 Organizations Combatting Homelessness in El Salvador

  1. Habitat for Humanity: Through two large-scale community projects, Habitat for Humanity has helped homelessness in El Salvador by building homes and making improvements to current houses. Juntos Construyendo mi Casa (Building my House Together), is a project that primarily focuses on constructing new homes for those who are currently in inadequate living situations. It also helps to improve existing homes by replacing dirt floors with tile or wooden flooring. Its second project, Construyendo Empoderamiento con Mujeres (Building Empowerment with Women), works on building new homes while also teaching women about their rights. This project teaches women to perform in jobs typical for males, thus providing career opportunities as well. Around 97,760 Salvadorans have received help through Habitat for Humanity’s programs.
  2. New Story Charity: In 2018, New Story Charity printed its first 3D house in Austin, Texas in under 24 hours. New Story partnered with the robotics construction company, ICON. Together, they began working to expand this construction to countries that need it most, such as El Salvador. Currently, a 3D house costs around $10,000, but New Story Charity’s goal is to reduce that price to $4,000. New Story is raising $1 million to be able to begin the construction of more homes. Though the introduction of 3D homes is new, New Story Charity has constructed over 850 non-3D homes in Haiti, El Salvador, Mexico and Bolivia. 3D homes in Tabasco, Mexico have already created an entire community of these low-cost homes. In the upcoming years, New Story Charity will begin bringing 3D homes to El Salvador. Through the development of 3D homes, homelessness in El Salvador could drastically reduce.
  3. La Carpa: Tim Ross and Erica Olson founded La Carpa, meaning “The Tent,” in the summer of 2018. Though being a Christian based organization, Ross welcomes any religious backgrounds. La Carpa provides food for many of the homeless in the community. It began with distributing coffee, food and water, but is now expanding to creating hospitality houses with the hopes of building a better and closer community. On average, 30 people visit La Carpa daily to receive coffee and a meal. La Carpa aims at not only provide food and housing to the most vulnerable but also friendship and a sense of belonging.

Though El Salvador faced great destruction in the past, it is working towards rebuilding. Through organizations like Habitat for Humanity, New Story Charity and La Carpa, homelessness in El Salvador is reducing and many of the displaced are moving off the streets and into homes.

– Erin Henderson 
Photo: Flickr

Hepatitis B in ChinaHepatitis B is an infection of the liver that is passed through blood, sexual contact or from mother-to-child during pregnancy. The cause of the disease is unknown, but hepatitis B affects about 350 million people in the world. It is dubbed as a “silent epidemic” because many people may be carriers, but remain unaware that they have the disease. Particularly, hepatitis B is prevalent in China, where there has been an extensive focus to curb the spread. To better understand this, here are five facts about hepatitis B in China.

5 Facts about Hepatitis B in China:

  1. There are approximately 80 million cases of hepatitis B in China. Further, one in every three people infected around the world is located in China. These numbers are largely due to the nature of the disease spreading from mother-to-child in the womb. A study conducted by Peking University in China found that around 30-50 percent of new hepatitis B virus (HBV) transmissions are through pregnancy.
  2. The “floating population” has been found to spread hepatitis B in China through sexual contact and blood. This population consists of people who frequently move between rural and urban parts of the country for family and work. Hepatitis B in China is found in rural populations 2.57 percent more than urban populations.
  3. The Chinese Foundation for Hepatitis Prevention and Control has developed the ‘Shield Project’ to immunize pregnant women with HBV. Though it does not cure the women, the vaccine succeeds in preventing almost 100 percent of the babies from being born with hepatitis B in China. Additionally, the Shield Project uses a mobile app to spread information to expecting families about HBV and the treatments available. The project has been implemented in 124 hospitals as of February 2019.
  4. For existing and chronic hepatitis B in China, the ‘Chinese 2010 chronic hepatitis B guidelines’ help physicians to develop treatment techniques to help those suffering. As it affects liver functioning, hospitals must keep the symptoms under control to avoid organ failure. Doctors use different antiviral medications and other methods of treatment because of the current knowledge provided in the guidelines.
  5. Unfortunately, due to the economic burden of treatment and the stigmatized culture around hepatitis B in China, many people do not seek out help. A study conducted in Shandong, China, found that patients with illnesses related to hepatitis B had to pay around 40 percent of their income for treatment. There has also been widespread misinformation about the disease and how it is spread. People discriminate against those infected with hepatitis B in China because they are afraid of contagion. Alternatively, communities see the disease as something that can only be sexually transmitted. Doctors can prevent and treat hepatitis B in China if the person is willing to seek treatment. However, some people do not want to face families and communities after diagnoses.

There is a constant struggle in the medical community regarding the availability of resources to curb an outbreak. The World Health Organization (WHO) calls for hospitals and organizations to provide more information about possible treatments to those that lack education on the topic. WHO also urges hospitals to sign up for projects providing immunizations to newborns and pregnant women with hepatitis B in China. With these efforts, WHO maintains the goal of eliminating hepatitis B in China by 2030. As the epidemic continues, China has made innovative strides to combat the spread.

– Ashleigh Litcofsky

Photo: Flickr

Since the beginning of the COVID-19 crisis, Zimbabwe has faced crippling issues of hunger, starvation and high malnutrition rates. The World Food Programme (WFP) recorded in December 2019 that 7.7 million people living within Zimbabwe were food insecure. Moreover, Global Citizen reported that approximately 90% of children between the ages of 6 months and 2-years-old may die without food aid. Here is some information about intensified hunger in Zimbabwe.

COVID-19 is Intensifying Hunger

The population of people lacking sustenance in Zimbabwe–half of its total population–has only grown since the conception of COVID-19. There has been an increase of nearly 10 million people surviving on less than one meal a day since COVID-19.

Reginald Moyo, a resident of Cowdray Park, Bulawayo, Zimbabwe told The Borgen Project that the “majority of the people don’t have permanent jobs and they [live] by hand to mouth, so [with] a month without working[,]…they are now facing starvation.” Many people are working to address this growing crisis. The people of Zimbabwe, international organizations and the Chinese government have provided aid to Zimbabweans in need.

Efforts from International Organizations

On May 4, 2020, the U.N. entities of Zimbabwe, working with the Food and Agriculture Organization of the United Nations (FAO), released an official food analysis report in response to the growing hunger in Zimbabwe. The report stated that “The total funding required to assist the 3.7 million people by the international humanitarian community for July 2019 to April 2020 amounts to USD 331.5 million.” The effects of COVID-19 have intensified hunger in Zimbabwe and increased the need for assistance. The Global Humanitarian Response Plan (GHRP) requested an additional 6.7 billion USD to combat hunger in order to protect lives.

However, aid is not only monetarily based. In 2002, the nonprofit group Action Against Hunger set a goal to provide food aid, healthcare, sanitation/hygiene needs and water to countless Zimbabweans in need. It estimated in 2018 that its efforts aided 25 Zimbabweans through nutrition and health programs; gave 52 people water, food and healthcare; and dispensed 3,187 people with food. Action Against Hunger not only gave the required resources for survival but also provided education on how local Zimbabwe efforts could improve hunger in their country.

Response from Zimbabwe’s Government

On March 30, 2020, President Mnangagwa reopened the markets to aid small-scale farmers and traders in the difficulties they faced since the beginning of the COVID-19 pandemic. While this may seem to not directly address hunger in Zimbabwe, the decision has determined their survival in the upcoming months. Prior to this change, farmers and traders could not go outside or attend to their crop which limited their income as well as their food supply.

The Borgen Project interviewed Nkocy Thando, a farmer living in rural areas within the Bulawayo area of Zimbabwe. Thando stated that since the markets have opened up again, locals have been able to “work when they open in the morning to three [in] the afternoon.” He expressed his immense gratitude for this change and stated that he felt that “all would be okay soon.”

Aid from China

The Chinese Embassy and the private sector are also combating hunger in Zimbabwe by addressing COVID-19 needs. RFI, a worldwide French news and current affairs broadcast reported that China’s efforts have included:

  1. Completing an upgrade worth $500,000 to the Wilkins Infectious Diseases Hospital, which is the main COVID-19 center in Harare, Zimbabwe.
  2. Two Chinese firms providing 1,000 goggles, 50,000 masks and 510 protective suits to a charity that the First Lady, Auxillia Mnangagwa, runs.
  3. The Chinese Embassy equipping Zimbabwe with 7,600 suits for protection, 166,000 masks, 20,000 testing kits, 12,000 pairs of gloves and five ventilators.
  4. The China International Development Cooperation Agency donating $3 million to UNICEF Zimbabwe.

Diverse Responses

There are many organizations working to address the existing and intensifying issues of hunger, starvation and high malnutrition rates in Zimbabwe. However, their solutions range from governmental mandates reopening markets to increased funding for poverty-reduction organizations in the United Nations (UN). While the current responses to hunger in Zimbabwe seem mainly focused on COVID-19 efforts, they still are making a difference in combating intensified hunger in Zimbabwe.

– Alexis LeBaron
Photo: Flickr

Uganda has been noted as an African country that is on the rise out of poverty. This is partly due to foreign assistance coming from countries like the United States. The United States Agency for International Development (USAID) has carried out work in Uganda excelling improvements in economy, health care, education, and the state of democracy.

Economic Growth

USAID has been engaged in Uganda’s efforts to reduce poverty and hunger. Among many other goals, Uganda and USAID are working with public and private sectors to promote investment, agriculture production, food security and efficient energy usage. US based programs like Development Credit Authority, Feed the Future Youth Leadership for Agriculture and Global Development Alliances, have assisted in Uganda’s success of lowering the poverty rate. By connecting Ugandans with businesses to market their products, USAID is helping to improve household incomes as well as stabilize the country’s gross domestic product. Investments in the future are also being made by training youths for the job market and connecting farmers, refugees, and workers with agricultural resources and trade opportunities.

State of Democracy

USAID works with the Ugandan government to bring up issues regarding transparency, human rights, and justice for citizens. USAID’s democracy program in Uganda particularly focuses on women and youths as a voice to be heard. The USAID’s overall objective of promoting civil society encompasses the opportunity for citizens to part-take in the governing process while leaders are working for the people. Improving the democracy of Uganda will help build a strong and independent country, which in turn will partake in flourishing the entire region.

Education and Training

With a high number of vulnerable children, USAID is working with the Ugandan government to implement plans providing education for young children, while focusing on teaching languages and educating on health, HIV/AIDS and violence. USAID is also striving to develop the future workforce with the Better Outcomes for Children and Youth activities, which helps youths cultivate the skills needed for success, both in work and in life. There is also new training available for teachers, with improved computer technology.

Health and HIV

USAID’s effort in addressing health care issues in Uganda includes eliminating HIV/AIDS through the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR), reducing tuberculosis infection rates, and eradicating malaria under the U.S. President’s Malaria Initiative (PMI). Other health care programs include child and maternal health, family health, and disease prevention, as well as educating young women on sexual violence and HIV/AID protection. Since many diseases are spread through poor sanitation, USAID’s work in Uganda also focuses on improving water sanitation and hygiene practices.

Humanitarian Transitions

Through USAID, the U.S. is helping Uganda with emergency food supplies, health care assistance, and conflict resolution in democracy to improve the country’s status and enhance people’s quality of life. The continuing basis of humanitarian aid effort has made the U.S. the “largest single honor of humanitarian assistance in Uganda,” according to Anne Ackermann, a photojournalist with USAID.

USAID’s continuing work in Uganda, along with the positive outcomes seen by the country so far, underscores the effectiveness of overseas involvement and the power of foreign aid in general. Foreign aid will always have an important role in country development and growth.

– Hung Le

Photo: Flickr

10 Facts About The Sanitation In Zambia Zambia is a country with a population of more than 16.5 million. It neighbors Zimbabwe, Tanzania, the Democratic Republic of the Congo, Angola, Botswana, Mozambique and Malawi in the Southern-Central region of Africa. In 2011, Zambia achieved middle-income country status, reflecting the country’s substantial economic growth of an average of 7.4% per year from 2004-2014. However, as of 2015, more than half of Zambians earn less than the international poverty line and only 26% of the population has access to safely managed sanitation services. Here are 10 facts about sanitation in Zambia.

10 Facts About Sanitation in Zambia 

  1. According to the World Bank, the Water Sector Performance Improvement Project advanced the Lusaka Water and Sewerage Company (LWSC) in the Lusaka, Kafue, Chongwe and Luangwa districts of Zambia. The project reduced interruptions to clean water supplies from 5,000 to 333 from 2007-2013 and increased the water collection ratio from 70% to 90%. The Water Sector Performance Improvement Project was crucial to improving Zambia’s public health resources by developing clean water resources and advancing the area’s sewerage systems.
  2. In 2003, a community-driven water and sanitation project delivered nine boreholes and 40 Ventilated Improved Pit-Latrines (VIPs) to the rural Chibizyi area of Zambia. The Zambia Social Investment Fund (ZAMSIF) aided this and benefited over 4,000 members of the community. Before the project, the people of the Chibizyi region walked vast distances in search of water, usually collecting water from polluted streams.
  3. After receiving better access to clean water, the Chibizyi community of Zambia then formed water, sanitation and health education committees in each village. The committees formed construction sites to build sufficient sanitation facilities to keep the water clean. Additionally, ZAMSIF used the Ventilated Improved Pit-Latrines (VIPs) sites as stations for distributing information on HIV/AIDS and malaria control.
  4. From 2011-2015, the Schools Promoting Learning Advancement through Sanitation & Hygiene (SPLASH) initiative implemented its program in 495 Zambian schools. Before SPLASH, Zambian schools faced limited drinking water and sanitation facilities, causing harsh learning environments for the students. SPLASH installed 662 handwashing facilities and 386 female washrooms in the schools. This allowed 133 schools to achieve a WASH-Friendly status and attract more students.
  5. In 2012, the National Rural Water Supply and Sanitation Program of the Ministry of Local Government and Housing developed national guidelines for Community-Led Total Sanitation in Zambia. These guidelines reached over 2.5 million people across the country by 2015. Officials implemented the guidelines through Zambia’s District Health Information System 2 (DHIS2) digital software, which enabled real-time monitoring and feedback via computers. Communities following these guidelines and switching from open defecation to toilet use received verification as Open Defecation Free (ODF).
  6. The Water and Development Alliance (WADA), along with its partners United States Agency for International Development (USAID) and Coca-Cola, are working to improve sanitation globally. Since 2005, they have improved avenues in more than 30 countries, giving more than 580,000 people access to clean water. WADA aids Zambia in improving water and sanitation access by implementing latrines and handwashing stations across the country.
  7. The Partnership for Integrated Social Marketing (PRISM), a marketing program for health services and products, instigated a distribution project in 2014. PRISM administered over 13,000,000 bottles of chlorine at Zambian hospitals. Zambians were then able to use the chlorine to disinfect and clean 9.27 billion liters of drinking water in all 10 provinces of Zambia.
  8. Only 18 percent of women in Zambia are able to obtain modern, feminine hygiene products. In response, Maboshe Memoria Centre in Mongu, Zambia, began producing sanitary napkin kits in 2019, modeled after the Days for Girls sanitary kits. The sanitary napkin kits are washable pads that can last up to three years. Previously, many Zambian girls skipped school during their menstrual cycle due to inadequate supplies. These kits enabled them to attend school during their menses and obtain hygienic and long-lasting products.
  9. The United Nations Children’s Fund (UNICEF) has aided in enabling 44% of Zambia’s population to achieve improved sanitation. UNICEF allowed Zambian villages to receive acceptable latrines and in 2015, around 75% of Zambia’s villages became Open Defecation Free (ODF). By 2020, UNICEF expects every Zambian to have an adequate latrine–ones that have handwashing facilities, offer privacy and dispose of matter effectively.
  10. The United States Agency for International Development (USAID) is currently aiding Zambia by investing in plans that encourage sustainable outlets for safe drinking water. The Global Water Strategy and USAID Agency Specific Plan aim to provide 1.7 million Zambians with sustainable water and sanitation resources by 2020. They plan to invest in significant infrastructure improvements that will strengthen water supply, sanitation and drainage in Zambia’s capital, Lusaka.

Zambia has made substantial progress in sanitation since the early 2000s. It has developed plans to decontaminate drinking water and replace poor sanitation facilities. However, as Global Waters has indicated, there is still a considerable need for improved sanitation guidelines across the country to ensure every citizen has access to clean water. These 10 facts about the sanitation in Zambia shed light on these issues.

– Kacie Frederick
Photo: Flickr

8 Facts About Tuberculosis in Russia With COVID-19 emerging as a global pandemic, attention has centered on alleviating its effects. However, this has posed challenges to combating other respiratory illnesses, like tuberculosis, due to the lack of control efforts. Russia has been particularly hit by this, where it has a higher sensitivity to respiratory issues. To better understand this and the solutions that might be used to fight both COVID-19 and tuberculosis, here are eight facts about tuberculosis in Russia.

8 Facts About Tuberculosis in Russia

  1. Tuberculosis (TB) is endemic, or regularly found, in Russia. In fact, Russia has the world’s 11th highest burden of TB. Compounding its status as a major public health problem is a rising incidence of multidrug-resistant TB (MDR-TB). This means that TB does not respond to many of the antibiotics that are most commonly used to treat the disease. Russia has the third highest number of MDR-TB in the world.
  2. The severity of Russia’s TB epidemic stems from historical, social and economic factors. When the Soviet Union collapsed, health infrastructure and the economy declined dramatically. Poverty and crime rates increased, leading to higher incarceration rates. As TB is airborne, it spreads best in cramped and crowded conditions, just like those in prisons. These factors contributed to the rapid spread of both TB and MDR-TB. The Fall of the Iron Curtain also led to unstable living conditions, increased mass migration and exacerbated the TB epidemic with a 7.5 percent annual increase in new cases from 1991 to 1999.
  3. There is a close synergy between the TB and HIV/AIDS epidemics in Russia. The TB notification rate of individuals living with HIV infection is approximately 1,700 per 100,000 HIV-infected. Because HIV attacks the immune system, HIV infection leaves patients more vulnerable to infection with all sorts of pathogens, including TB.
  4. In the early to mid-2000s, the Russian government increased its budget allocation for tuberculosis control. Russia also received a $150 million World Bank loan, two thirds of which was designated for tuberculosis. Additionally, it received a $91 million grant from the Global Fund To Fight AIDS, Tuberculosis and Malaria.
  5. In recent years, there have been some improvements in TB infection rates in Russia. Cases of TB in Russia decreased by 9.4 percent to a rate of 48.3 per 100,000 people in 2017. In the same vein, Russia has recently experienced a steady decline in TB morbidity and mortality. Since 2012, morbidity or disability due to TB has decreased by more than 30 percent, and mortality has decreased by more than 48 percent.
  6. The COVID-19 pandemic is interfering with TB diagnosis, prevention, treatment and control efforts worldwide. It is grimly clear that Russia will not be exempt. A recent report based on analyses of several countries, including neighboring Ukraine, predicts an additional 6.3 million cases of tuberculosis by 2025 as a result of COVID-19’s disruption of TB control efforts. Progress in the fight against TB could be set back by five to eight years. Russia is facing its TB epidemic in a world where TB kills 1.5 million people a year, more than any other infectious disease. Five years ago, world leaders pledged to end the TB epidemic by 2030. In addition, in 2018, they pledged to double TB funding by 2022. However, the COVID-19 pandemic’s diversion of attention, funding, and resources makes the realization of these TB goals unlikely.
  7. Partners in Health, a nongovernmental organization, treats TB and uses a comprehensive model of ambulatory care. They treat every patient free of charge and provide care as it is most convenient to patients, bringing medication to each patient individually twice a day. Their close relationship with patients in this community based model gives their patients up to a 90 percent cure rate. Particularly, Partners in Health established The Sputnik Initiative, where it provided social and clinical support for poor MDR-TB patients in Tomsk, Russia. This initiative allowed Partners in Health to treat 70 percent of its total 129 participants who would otherwise not receive adequate medical care.
  8. Partners in Health has success in curbing TB by integrating TB treatment with the provision of other medical care. They have established TB clinics within HIV treatment centers, which is strategic as the HIV and TB co-infection rate among the patients they treat is five percent. Additionally, they have incorporated mental health and drug addiction services into their TB treatment program in Russia. A similar integrative model could conceivably be deployed for COVID-19 once a treatment becomes available.

Tuberculosis and COVID-19 pandemics present unique challenges both individually and as they co-occur. However, existing community based treatment models for tuberculosis in Russia may contain useful lessons as we learn to treat COVID-19.

– Isabelle Breier

Photo: Flickr