Key articles and information on global poverty.

COVID-19 on Migration
The novel coronavirus spread at dramatic rates since its discovery in Wuhan, China in late 2019. Some countries including China, Vietnam, New Zealand and Norway have successfully stopped the spread with an aggressive response; other countries, however, have been unwilling or unable to make similar progress. Worldwide confirmed cases currently top 20 million. While the virus is certainly transforming many aspects of life, the impact of COVID-19 on migration has become especially significant.

How COVID-19 Affects Refugees

About 80 million people have experienced forcible displacement from their home countries throughout the world. Additionally, 72 million of those asylum seekers are currently living in developing countries that lack the resources to aggressively fight a pandemic like COVID-19.

The International Rescue Committee estimates that up to 1 billion cases of COVID-19 could hit fragile countries housing the world’s refugees, such as Afghanistan, Syria and Yemen. Yemen has struggled with a major humanitarian crisis since its civil war escalated in 2015. Today an estimated 24 million people within the country are in need of assistance, with half of those individuals being children.

In most refugee camps, social distancing is impossible. One can find a prominent example of this difficulty in Cox’s Bazar, Bangladesh. This camp crams more than 850,000 Rohingya refugees into a very small, dense area. These refugees have severely limited access to health care. The lack of clean water for handwashing could prove disastrous when attempting to combat COVID-19. In addition, malnutrition and poor sanitation make refugee camps like Cox’s Bazar a potential hotbed for viral transmission. Medical depots at the camp only have 300 beds available and will be overrun if an outbreak emerges. These makeshift hospitals lack the lifesaving respirators needed for those in critical condition. In addition, medical workers must deal with COVID-19 on top of other preexisting health crises. Diseases like cholera, malaria and tuberculosis remain a constant issue.

The impact of COVID-19 on migration is evident in the record low numbers of refugee resettlement. For the time being, the United Nations has suspended relocation. People living in these unsuitable conditions are in dire need of help. Rather than taking in these refugees, most countries have chosen to lock down their borders without exception.

The Fate of Migrant Workers

Many industries in developed and undeveloped countries alike rely on a steady stream of foreign laborers. In the age of COVID-19, there is a premium on skilled workers in key industries like healthcare. As such, some countries have expedited the migration process for doctors, nurses and scientists.

Other job types have not experienced such demand. In countries like the United Arab Emirates, migrant workers are unemployed or have unpaid wages as a result of the pandemic. These men and women have no income to send back to their families and home villages, and many face a difficult decision: return home to their families where work is even rarer or scramble to find another job under their visa before being deported.

An Opportunity for Change

The long-term impact of COVID-19 on migration remains unclear. Asylum seekers in refugee camps will likely be the last on the priority list when vaccines become available, thus delaying their relocation even further. Until refugees obtain similar health protections to citizens, coronavirus will never fully resolve.

As lockdowns gradually end, the countries hit hardest by COVID-19 will face the immense task of rebuilding their economies. As part of this process, there will likely be a focus on hiring citizens over migrant workers. Governments may choose to distribute funds to domestic industries and put foreign aid on the back burner.

There is, however, a chance to reimagine human mobility. Portugal, Ireland and Qatar moved to ensure everyone has access to health care, regardless of their citizenship status. Several European Union countries have emptied their immigration detention centers to avoid outbreaks. Italy’s new amnesty law has granted 200,000 work permits to migrant workers.

Migrant workers are a major contributor to the global GDP, performing jobs across skill levels. Foreign labor is vital to successful economies, and a more fluid entry system would help expedite the road back. It is finally in the self-interest of governments worldwide to provide an easier path for these workers and mitigate the negative impacts of COVID-19 on migration.

– Matthew Beach
Photo: Pixabay

job guarantees
As global unemployment and food insecurity (as a result of the COVID-19 pandemic) rise — there is a great need for innovative macroeconomic solutions to mitigate the adverse effects of these crises on the world’s poor. The idea of a federal job guarantees has become more popular lately. This perhaps is a response to the mass international unemployment and recession caused by the COVID-19 pandemic.

Job guarantee programs, which have been implemented across the world, involve mass public employment for all people who are seeking a job. These programs are helping to lift millions out of poverty while also offering non-monetary health benefits. Creative ideas like job guarantee programs are imperative to consider when seeking solutions for the devastating harm that the COVID-19 pandemic has caused to the world’s poor.

The Benefits of Employment

Employment offers the obvious benefit of the income and the corresponding ability to provide for oneself and one’s family, monetarily. Mass public employment can reduce the need for many social welfare programs and replace them with salaries earned from substantive, productive and helpful work. In certain scenarios, job guarantees can provide healthcare, childcare and other benefits to the world’s poor.

Job guarantees can also provide individuals with non-monetary benefits that only employment can offer. Employment and higher income have been consistently correlated with better physical and mental health. Yet another reason why this type of program can be incredibly beneficial. Employment has also been linked to lower mortality rates and a reduced risk of depression and other mental illnesses. Furthermore, working individuals feel a higher sense of self-esteem and even recover more quickly from sickness, when employed.

Where It Has Worked

Countries across the world, most famously India and Argentina, have implemented employment guarantee programs. In Argentina, the government started the “Plan Jefes y Jefas” program in response to the country’s 2001 financial collapse. This program sought to improve public infrastructure such as sanitation, roads and schools by guaranteeing employment to any heads of households for a maximum of 20 hours per week.

The program specifically targeted female heads of households, as women are often left out of the labor force in Argentina and are quick to be labeled “unemployable.” In fact, 71% of the beneficiaries of the program were women. At the time, Argentina was classified as a developing economy — proving that job guarantees can thrive outside of the developed world.

In 2005, the Indian government passed the Mahatma Gandhi National Rural Employment Guarantee Act (MGNREGA) — which provided guaranteed jobs to India’s poorest rural population. The program has been an unprecedented success in raising wages for rural workers, helping women enter the workforce, increasing access to healthy foods and education and decreasing the number of people who unwillingly leave their home villages to seek employment in cities.

The program reached more than 54 million households, underscoring its ease of access. The success of the Indian job guarantee program demonstrates how transformative these types of programs are in fighting extreme poverty.

The Power of a Job Guarantee

Along with the individual relief that job guarantees provide, they also offer significant macroeconomic benefits. Job guarantees empower workers and increase their bargaining power against global conglomerates. Also, job guarantees can increase consumer spending and therefore boost tax income for developing governments. In that same vein, it is these very types of governments that would benefit greatly from the increased revenue. These programs can help steady the economy during recessions while also maintaining inflation through stabilizing purchasing power.

Job guarantee programs have serious potential to effectively fight poverty while also providing benefits to the governments that administer them. These programs have the potential to provide income, power, health benefits and other opportunities to the world’s poor. Moreover, as proven tools in the fight against global poverty, their use may be paramount.

Garrett O’Brien
Photo: Flickr

Homelessness in QatarThough Qatar may be known for its gleaming skyline and booming business hub, there is notable income inequality that leads to downstream consequences, such as an explosion of homelessness within the nation. While perhaps the country evokes images of riches and wealth, the reality is not so for all those living and working within the country. Here are six facts about homelessness in Qatar that warrant everyone’s attention.

6 Facts About Homelessness in Qatar

  1. As a result of the economic boom during the last 40 years in this small nation in the Middle East, Qatar has gone on a massive building spree. To maintain this rapid pace of building, the country has relied primarily on migrant immigrants to help construct the city. These migrant workers have been subjected to repulsive conditions. Worse yet, the Qatari government could historically do more when it comes to basic human needs for these vulnerable, migrant workers.
  2. Many migrant workers, unable to afford accommodation, sleep at the construction sites in which they work. The companies that sponsor these migrant workers for construction projects in the city do not provide sufficient wages. Furthermore, these same employers do not provide any type of housing to support thousands of workers. Therefore, many migrant workers end up sleeping outside.
  3. An Amnesty International report on the construction of the future FIFA World Cup site in Qatar looked into the mistreatment of these migrant workers. Most notably, the report focused on migrant workers’ unfair treatment concerning housing securement. The report identified multiple individuals who were priced out of their affordable rental housing, due to their company delaying salary payments.
  4. Those who are homeless in Qatar face consequences from all angles of society. The government often views these workers as expendable — thrown into subjugated parts of society and subject to threats from criminals and police alike. These actors take advantage of the migrant workers already poor situation. Without proper living conditions, living on the streets can be quite difficult, especially if one lacks the required documentation and visas.
  5. The government of Qatar has been investing in improving labor conditions for workers. In addition, the government is addressing homelessness in Qatar, more broadly. Encampments like “Labour City,” funded by the State of Qatar’s private engineering office, is an area designed to house over 100,000 migrant workers. The new residences are significant improvements from previous accommodations. Some features of these new residences including access to the internet, green spaces and larger living areas — a far cry from a life on the streets.
  6. Private firms have also been investing in migrant laborers’ living conditions. Barwa Al Baraha, a subsidiary of a private property management business in Qatar, has built residences that can house up to 53,000 people in significantly improved living conditions.

Protecting Vulnerable Populations

While the nation of Qatar has experienced economic success in recent decades, there is no guarantee that the fruits of this success will be distributed equitably. In contrast, some marginalized and vulnerable populations (e.g., migrant workers) within Qatari society are at a higher risk of exploitation, simply due to their life circumstances. Through a concerted effort from both public and private initiatives, labor and living conditions for migrant workers are improving in Qatar and these efforts must continue.

Zak Schneider
Photo: Wikimedia

End Tuberculosis Now Act
Kosovo is a country in southeastern Europe that declared independence from Serbia in February 2008. It is Europe’s youngest nation, but also one of its smallest and poorest. Kosovo ranks 137th in the world for GDP per capita and the country’s overall budget is just above $2 billion. Despite the fact that Tuberculosis (TB) is a completely preventable, treatable and curable airborne infection, the virus continues to spread throughout developing nations—including Kosovo—killing more people per year than any other infectious disease. The End Tuberculosis Now Act seeks to address this silent pandemic by refocusing U.S. efforts towards effective TB prevention and treatment in Kosovo and other developing countries. Neither the House nor Senate has held a vote on the End Tuberculosis Now Act since its introduction in August 2019. Kosovo demonstrates the importance of this act and why Congress needs to address it.

Kosovo’s Tuberculosis Rates

Among its neighbors in southeastern Europe, Kosovo has one of the highest TB infection rates, trailing only Moldova and Romania. From 1999 to 2006, total TB cases in Kosovo were declining. This progress has since stopped, with infection rates plateauing at the rate they were in 2006. A limited budget has severely hampered Kosovo’s efforts to combat and eradicate TB.

Kosovo’s insufficient health system is one reason behind the country’s spread of TB. A majority of Kosovo’s residents are dissatisfied with their health service. In addition, the nation’s top health authority is not responsible for contact tracing, testing, treatment or any other method that people use to combat TB. Instead, non-governmental organizations have received this responsibility, resulting in a lack of central planning. The End Tuberculosis Now Act would refocus USAID efforts on TB prevention and treatment in developing nations like Kosovo, providing a unified example of how to properly stop the spread and financially support affected individuals.

Kosovo and COVID-19

For some of the same reasons it struggles with TB, Kosovo is also struggling to stop the spread of COVID-19. Compared to its neighbors, the country’s pandemic response is falling short. Kosovo is much smaller than Albania, Montenegro and Greece, but has many more COVID-19 cases and deaths than these nations.

The COVID-19 pandemic has further exposed the aforementioned weaknesses in Kosovo’s healthcare system. For example, temporary medical facilities built to increase the nation’s hospital capacity have not been properly set up to prevent COVID-19 transmission between healthcare workers and infected patients.

No matter how valiant Kosovo’s efforts to combat COVID-19 are, the country is ultimately limited by its $2 billion yearly budget. The same is true when it comes to their fight against TB. Kosovo simply lacks the capital to properly test, treat and prevent the spread of both COVID-19 and TB. The End Tuberculosis Now Act will give developing nations like Kosovo a better chance of defeating TB while teaching them how to tackle similar pandemics.

Putting the Tuberculosis Fight on Hold

As the COVID-19 pandemic takes center stage, the fight against TB has been put on hold across the world. Despite this, TB has continued its spread. Approximately 80% of worldwide programs to combat the disease have experienced disruptions in their supply chains since the beginning of the COVID-19 pandemic.

Manufacturers of TB tests have pivoted to developing COVID-19 tests, reducing the overall availability of TB testing. This means massive drops in diagnosing TB. In one year, an infected individual can spread the virus to 15 people, making the diagnostic process extremely important. As testing capacities decrease, TB will continue its spread unabated in developing nations. Kosovo was already struggling to contain TB before the COVID-19 pandemic, but it could now get much worse. The End Tuberculosis Now Act is a critical component in increasing testing capacities in Kosovo to combat the spread of TB.

More Important Than Ever

TB is a preventable and treatable disease, yet it continues to kill more people worldwide than any other infectious disease. The End Tuberculosis Now Act would increase investments in TB prevention and treatment measures while saving countless lives in developing nations like Kosovo.

Furthermore, the bill would ensure that nations and non-governmental organizations receiving aid from USAID would stand by their commitments to eradicate TB. This refocusing of aid would provide the World Health Organization and the Stop TB Partnership with more resources to fulfill their missions.

Moving Forward

Kosovo’s continued fight against TB demonstrates the importance of the End Tuberculosis Now Act. The bill, introduced in August 2019, would save lives in developing nations and help combat a completely preventable and treatable disease. Congress must pass this bill to increase the quality of life for the world’s poor and help eradicate TB in developing nations.

Marcus Lawniczak
Photo: Flickr

Fighting for Women’s Rights in PolandPoland’s government is abandoning its commitment to fighting for women’s rights in Poland by pursuing to withdraw from its violence against women treaty. Zbigniew Ziobro, Poland’s justice minister, introduced a petition in July 2020 calling for Poland’s withdrawal from the landmark treaty.

Abandoning the Violence Against Women Treaty

Known as the Istanbul Convention, the treaty aimed at protecting women and girls from violence. Populist and nationalist governments target the Istanbul Convention, arguing it threatens “traditional families” for violence against women embedded within cultural traditions.

The head of the Law and Order party, otherwise known as PiS, Jarosław Kaczyński, is the final judge of government policy and has publically stated that Poland must avoid Western values in order to maintain its traditional, Catholic culture.

Caroline Hickson, the Regional Director at International Planned Parenthood Europe, has mentioned women’s rights in Poland are “at stake as their support systems are taken apart through relentless attacks.” She adds that “women will be completely abandoned by the State with no safety net.”
Human rights activists and high-ranking politicians within Europe are fighting this proposition to abandon the treaty. Polish MEP Sylwia Spurek remarked last year that the new European Commission was “a year wasted both for human rights, for the rule of law and for the climate.”

Spurek has thus transferred to the Greens group in the European Parliament (the EU’s law-making branch), promoting the Greens’ progressive role within parliament. Spurek believes that all women in every European country must be guaranteed their rights regardless of conservative rules, “no matter how politicians […] talk about counteracting violence against women.”

Fighting for Women’s Rights

Poland has a history of fighting for democracy in the past decades. MEP Terry Reintke, speaking on behalf of the Greens group, notes that “now [the group] will have someone from Poland who can represent Polish citizens in the Green group.”

Polish Prime Minister Mateusz Morawiecki is resisting the ultra-conservative efforts that harm women’s rights in Poland. While the PiS government subverts women’s rights in Poland, Morawiecki instead looks to avoid further hurting ties with the European Union (EU), noting Poland must be more pragmatic about its relations within the EU in order to avoid pressure and loss of funds.

Actions to Protect Women’s Rights

The political discourse that attacks women’s rights in Poland leaves women helpless and vulnerable. Currently, constructive talks are being held by experts from Europe’s leading human rights body, a group of Council of Europe, aiming to keep the treaty in place to protect women’s rights in Poland.

The group argues the Istanbul Convention does not seek “to be traditional or modern.” Instead, the group states the treaty looks to protect women’s rights in Poland.

The European Commission is also urging Poland not to leave the Istanbul Convention. The commission is concerned with Poland’s “step backward in time,” as Dutch MEP Samira Rafaela remarks. Helena Dalli, the equality commissioner of the EU, deems the convention “is the gold standard in terms of policy” in relation to women’s rights in Poland and globally. By mid-2021, Dalli petitions to make violence against women a “eurocrime,” in which the EU would instate minimum penalties for member states.

While Poland’s government has not yet made the decision to abandon the accord, the consideration still remains. Poland’s government members, the EU and humanitarian organizations must continue to fight for women’s rights in Poland. By protecting women and girls from violence, the country can take one step closer in gender equality, security and justice.

– Danielle Lindenbaum
Photo: Flickr

Politics in Venezuela
Venezuela is the most poverty-stricken country in Latin America. The nation’s position in poverty has led to Venezuelan citizens requiring aid from the United States, more so than any nation in Latin America. Some argue that poverty in Venezuela is mainly due to the politics in Venezuela. Notably, the politics within the country receive influence from both inside and outside parties. Below is an introduction to how the politics of Venezuela has influenced these seven facts about poverty in Venezuela.

7 Facts About Poverty in Venezuela

  1. The average person living in Venezuela lives on 72 cents per day.
  2. Inflation has decreased the value of the Venezuelan currency.
  3. Although it is rich in oil, it does not export enough of it to boost its economy.
  4. The U.S. has placed sanctions on Venezuelan trade, further accentuating poverty in Venezuela.
  5. Almost 5 million people have immigrated from Venezuela in the past 5 years because of the extreme poverty levels there.
  6. “Multidimensional poverty” affects 64.8% of homes in Venezuela (“multidimensional poverty” includes aspects of poverty other than just income).
  7. The income poverty rate is at 96%.

How Politics in Venezuela Plays a Role in Poverty

The President of Venezuela, Nicolás Maduro, has not allowed Venezuelans to receive aid from the U.S. The U.S. does not recognize Maduro as the legitimate president and that makes it much more difficult for Venezuelans to receive the aid that they desperately need. Also, Maduro has control over the country’s military. Therefore, people do not have much of a choice, but to follow him or to risk their lives.

Maduro has denied the U.S.’s foreign aid so that it does not go to the people suffering from poverty in Venezuela. He does not want to lose his power and if the aid is given to the people that oppose him, it could give them an edge that they need to overthrow him. Additionally, he mistrusts the U.S. because of incidents in the past. Maduro (and others) suspect that USAID worked alongside companies in the U.S. to cause a coup in Cuba. All of this was said to be under the guise of foreign aid.

A Hopeful Newcomer

Enter a new player — Juan Guaido. Guaido was elected by the National Assembly as president because Nicolás Maduro unconstitutionally kept the power of the presidency after his term was over. The U.S. officially recognizes Guaido as the president of Venezuela, even though he has no real power yet. Also, only around 20% of Venezuelan citizens approve of Maduro. He is a ruthless leader who allows for the occurrence of violence within his country.

Moving Forward in the Wake of COVID-19

Countries in Asia, such as Russia and China, are backing Maduro. However, the European Union is about to follow suit with many other nations and recognize Guaido as the President of Venezuela. The current state of the world has not helped any country, Venezuela is no exception. The country was already in crisis before the pandemic and now COVID-19 has made it even harder for them to get back on their feet.

With that said, hope is not lost. If there is any country with the capabilities to find a way to get the people of Venezuela what they need to survive, it is the U.S. The pandemic has caused people to take a hard look at the world around them and re-analyze many decisions. People all over are rising to the challenge and the Venezuelan crisis should be no different.

Moriah Thomas
Photo: Pixbay

Bangladesh eradicates poverty through flooding
Bangladesh, along with many other South Asian countries, is prone to flooding and increasing rainfall. For years, Bangladesh has suffered from one of the harshest torrential rains in the world. However, this year the country has experienced the worst of its effects. These torrential rainfalls lead to flooding in Bangladesh and this, in turn, has an adverse effect on poverty levels.

Monsoon Season in Bangladesh

In many cases, monsoon season in Bangladesh typically starts in June and can last for months, as situations worsen. According to satellite data, at least 24% of the land in Bangladesh lies submerged underwater, due to the rapid inundations. This environmental crisis affects at least 4.7 million people and most of them lose their houses and utilities. Specifically, people living along the Brahmaputra river are deprived of basic human necessities, such as food and shelter. This is because of the increased flooding this year, alone. For example, Tajul Isam, a local sharecropper, had to find creative ways to protect himself from the overflows of the Brahmaputra River, such as building bamboo sheds.

Assessing the Damage

Many officials claim the source of the floods is a result of the rampant rainfalls this past year. Through the analysis from a combination of satellites, many scientists also predict that Bangladesh will experience its longest flooding season since 1988. Again, this due to the recent, recurrent rainfalls. More than 1,200 kilometers of farmland is damaged, along with approximately 1.5 million houses affected. At least 100 people have died, either from waterborne diseases or drowning from the overflow of rivers, such as the Himalayas river and the Brahmaputra river. Fifteen districts are predicted to be affected by the rising water levels from other rivers — specifically the Padma, Ganges and Jamuna rivers.

Response to One of the Worst Monsoon Seasons in Bangladesh

Bangladesh and many others are initiating protocols in providing disaster relief funds and resources for the areas most affected by the monsoon season. The Humanitarian Coordination Task Team (HCCT) strategized plans to rehabilitate some of these damaged lands and provide people with resources. For example, they are currently transporting 14,000 tons of rice to over 33 districts. Additionally, they are giving over $870,000 for expenditures such as food, farming equipment and housing grants. Along with the expenditures — 50,000 farmers will receive $450,000 for tools such as fertilizers and seeds to compensate for their damaged farmland.

On top of the HCTT Response Plan, many other organizations are also taking charge to help victims of the flooding in Bangladesh. For example, the Need Assessment Working Group (NAWP) and the Department of Disaster Management (DDM) have provided at least 1,086 flood shelters to families. Specifically, these shelters went to those who lost their homes in the district of Jamalpur. Overall, however, the Start Fund Bangladesh — with the help of USAID and U.K. support — raised over $1 million to provide disaster relief in districts such as Kurigram, Gaibandha and Siraganji.

Although the government has issued many responses, smaller projects have also pursued action towards the recovery of damaged areas in Bangladesh. In particular, Friendship Organization has provided services and resources in impoverished areas— one of which is Bangladesh. As of now, they have had over 400 volunteers and 200 staff members assist in the emergency response for the monsoon season in Bangladesh. Additionally, flood shelters were provided for over 8,800 people through Friendship’s built schools and villages.

A Bright Outlook

Bangladesh has suffered through much environmental damage due to its drastic weather conditions. Nonetheless, many actors are pressing forward to ensure the safety of vulnerable communities. With the help of the Bangladeshi government and many NGO projects, Bangladesh will more than likely recover and replenish the resources that it desperately needs.

Aishwarya Thiyagarajan
Photo: Flickr

Tech Access PartnershipScience, technology and innovation are critical factors that contribute to socio-economic development. They are the engines of economic mobility in advanced countries and allow these regions to respond to dynamic challenges, with greater ease. However, a global, digital divide exists between developed and developing countries. This divide is caused by differences in access to technology and the infrastructure that supports it. Moreover, the digital divide has far-reaching implications beyond just a particular society’s relationship with communication technology and internet coverage. A lack of digital access also hinders access to medical technology, industrial and operational technology and production capability. Below is more information about an exciting initiative called the Tech Access Partnership which aims to address the core of the issue.

A Need Emerges

Following the outbreak of the COVID-19 pandemic, demand for personal protective equipment (PPE) and advanced medical devices increased, sharply. Yet, countries with limited production capability were unable to distribute the necessary resources, due to limited technical knowledge, shortage of manufacturing facilities and insufficient compliance with state regulations. These local deficiencies highlighted the urgent need to fill the gap in the production capabilities of underdeveloped regions. Through addressing these local deficiencies, these regions would enable themselves to respond effectively to the crisis and meet their citizens’ needs.

Thinking Long-Term

The Tech Access Partnership (TAP) is the United Nations Technology Bank’s latest collaboration involving the U.N. Development Program, U.N. Conference on Trade and Development and the World Health Organization. The program launched in May of 2020 to increase the production of essential, life-saving medical technology through technical expertise and market integration. By providing training and resources to developing countries, TAP hopes to create sustainable operations as opposed to temporary solutions, to bolster long-term production.

The Tech Access Partnership

The Tech Access Partnership has three main functions. First, it provides emerging manufacturers with design specifications, product information and technical knowledge to increase production capabilities. Second, the partnership also offers guidance regarding market information and production regulations. Furthermore, the scope of the project continues with providing technical support to tackle issues that arise during manufacturing processes, itself. Third, the organization acts in a partnership development capacity  by forging partnerships with private sector companies and global organizations alike. This aim is to provide expertise, optimize production and accelerate distribution.

Technology Access in a COVID-19 Era

In the past, inequalities in the field of technology have had an impact on educational attainment and opportunities for youth. Today, they pose an increased challenge — technology is a crucial component of the response to the COVID-19 pandemic. Without access to life-saving medical technology and protective equipment, developing countries are unequipped for responding to the devastating impacts of the virus. By providing these countries with the resources and expertise to produce these items themselves, TAP promotes self-sufficiency that can speed up the path to recovery. TAP’s mission of creating equity in the field of medical technology is crucial to the pandemic response. By expanding the skills and capacity of local manufacturers, the initiative will accelerate technical innovation in the long term. This, in turn, may open the doors to improved public health and steady economic growth, in the long-term.

– Sylvie Antal
Photo: Flickr

Correlation Between Disability And Poverty
In many countries, disabled individuals are marginalized and given access to fewer resources when compared to their abled counterparts. When it comes to global poverty, it is crucial to understand the inequity placed upon disabled communities as they are one of the most discriminated against groups, especially in impoverished areas. Disabled communities are also more susceptible to the risks and dangers of the coronavirus and have limited access to safe care.

A Need for Accessibility

In countries such as China and Brazil, there is an 80% positive correlation between disability and global poverty. Currently, more than 85 million people are disabled in China yet are lacking medical resources, especially in rural areas. Poor infrastructure such as narrow sidewalks or overcrowded buildings hamper easy movement for people with disabilities. In China, over 300 disabled persons have co-signed a letter in allowing online maps to locate certain ramps or “barrier-free facilities” to create better mobility for these communities.

With such efforts, however, a few improvements have been made to provide equitable opportunities for the disabled. As of now, over 1,500 local governments in China have added barrier-free facilities—such as ramps, wider sidewalks, and lifts. This allowed more than 147,000 families, primarily from low-income households, to access certain facilities once inconvenient for disabled people. Consequently, more strides have been made on a digital platform, such as providing consultations for disabled communities that are limited in resources.

Human Rights Violation in Institutions

Similar to China, Brazil has previously overlooked the quality of life for its disabled population, especially in care homes with very poor conditions. In 2018, the Human Rights Watch made it a priority for Brazil to provide better care options for people with disabilities who are otherwise confined to poorly run institutions. Many of these institutions were barely even providing basic necessities to residents, such as food and hygiene care. There were no opportunities for social enrichment or personal advancement.

“Conditions are often inhumane, with dozens of people crammed into rooms filled with beds packed tightly together,” the Human Rights Watch report concluded. After interviewing over 171 disabled people living in these institutions, it was clear that improving conditions in these facilities was imperative to better quality of life for disabled residents.

However, the Brazilian government is taking multiple actions to protect their disabled population from inadequate care in these institutions. In 2015, Brazil passed a bill that has been in the works since 2003: the Inclusion of People With Disabilities Act. This bill provides clearer definitions for classifying people with disabilities, as well as allocating more resources for the disabled population. For example, at least three percent of public housing, 10 percent of taxi grants, and two percent of parking lots will be reserved for people with disabilities.

Raising Awareness and Providing Aid

Aside from China and Brazil’s strong correlations between disability and poverty, disabled communities are universally more disadvantaged and vulnerable to a lower-income status. However, many countries are dedicated to raising awareness about the intersectionality between disability and socioeconomic status. The United Nations Convention on the Rights of Persons with Disabilities (CRPD) has been ratified in at least 177 countries and has subsequently led these countries in allocating aid for people with disabilities. Along with the convention, the 2030 Agenda for Sustainable Development made a universal framework that provides guidelines for protecting disabled persons from discrimination in areas such as education, employment, and the workplace.

Smaller organizations have also taken on roles to improve the socioeconomic status of the disabled community. For example, the Christoffel-Blindenmission (CBM) International is an NGO organization that provides job opportunities, healthcare, and education for people with a range of disabilities. Since 1908, this organization has supported at least 672 projects across 68 countries and eventually provided resources to over 10.1 million people. Another example is the Emergency Ong Onlus, an Italian foundation that has reached over 16 million people across 16 countries with free medical care. Primarily specializing in humanitarian relief, the foundation focuses on four intervention areas: surgery, medication, rehabilitation, and social reintegration.

Issues regarding disabled victims of poverty are often neglected and met with discrimination in many countries, including the United States. However, numbers of organizations and local projects are strenuously putting effort into resolving this ongoing humanitarian problem. With the current mass mobilization, there is definite hope in the future of providing equitable opportunities to one of the most vulnerable communities.

– Aishwarya Thiyagarajan
Photo: Flickr

 

corruption in healthcare
The healthcare sector in several countries around the world is commonly referred to as being among the most corrupt sectors. A 2013 Transparency International Study reported that more than 50% of citizens viewed their country’s health sector as corrupt in 42 out of 109 countries surveyed. The World Bank has regarded corruption in healthcare as a major barrier to achieving social and economic development.

Corruption and Poverty

Informal payments are a very specific form of corruption prevalent in weak health care systems around the world. Informal payments refer to under-the-table payments to receive services that are otherwise free or which are requested in addition to officially sanctioned required payments.  They are prevalent in the healthcare sector of many countries globally. For example, in Azerbaijan, informal payments account for 73.9% of all medical spending. This form of corruption often arises due to inadequate healthcare management, including inadequate public spending, resource deprivation, governance and human resource constraints and scarcity of providers.

Informal payments negatively affect healthcare at the individual and governmental levels. Due to the secrecy that often shrouds the transaction of informal payments, these payments are often made in cash and do not contribute to the collection of taxes. This translates into less money available to be reinvested in the healthcare system.

Further, informal payments are often regressive in nature, meaning that low-income individuals often tend to pay a larger proportion of their income respective to high-income individuals.  One study in sub-Saharan Africa identified informal payments as being highly prevalent among the poorest segments of society.

Informal payments represent severe barriers to accessing care for those living in poverty. In some cases, informal payments can push low-income individuals to borrow money often with high-interest rates. This indebtedness can lead to financial ruin for low-income families and can potentially push them into the poverty trap.  More concerning is the potentially deadly impact of patients to delay or forego medical care due to the inability to cover the expected informal payments.  Further, the informal nature of these payments makes exemptions to protect those in poverty increasingly difficult to enforce.

The Impact of COVID-19

The COVID-19 crisis can lead to further barriers to accessing care and may bring an increase in the prevalence of informal payments. Overwhelmed, weak health care systems around the world with resource and provider scarcity may push those seeking treatment to use informal payments as a means of accessing better care and at other times may be required to make up for inadequate funding. It is known that informal payments are tied to these scarcities. These factors are increasingly relevant in COVID-19 responses around the world.

There is a high risk of the prevalence of informal payments increasing in reaction to the pandemic. For those who cannot afford the cost of informal payments, the catastrophic virus may cause families to take on a high-rate of debt, pushing low-income families further into poverty. If individuals choose to forego testing or treatment for the virus due to a lack of financial ability to cover informal payments it could impact the response to fighting COVID-19 by accelerating the spread of the disease.  With the number of people living in extreme poverty projected to rise by 71 million due to the economic shocks brought on by the pandemic, there is an urgent need to address the issue of informal payments and broader corruption in the healthcare sector.

How to Take Action

According to the Carnegie Endowment, the spread of coronavirus, with corruption acting as a catalyst, poses a serious threat to U.S. interests and foreign policy objectives. There are a number of ways the U.S. can address the problem of corruption and the prevalence of informal payments around the world through the U.S. Global Coronavirus Response. The Countering Russian and Other Overseas Kleptocracy (CROOK) Act aims to address corruption through rapid action. The act has been introduced in the Senate after passing the House of Foreign Affairs Committee and shares bipartisan support. USAID in partnership with the State Department is addressing the corruption-coronavirus nexus by supporting transparent emergency procurement mechanisms and providing support to anti-corruption law enforcement.

Due to the discrete nature of informal payments and the provider-patient relationship, the U.S. influence is limited in combating informal payments. In low-income countries with weak healthcare systems, the most effective means of mitigating the impact of informal payments on those impacted by COVID-19 is prevention. The United States can help curb the spread of COVID-19 around the world by providing adequate funding for global health security in the next emergency supplemental COVID-19 response.

– Leah Bordlee
Photo: Flickr