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Every Last Child Campaign — The Basic Facts

“Every Last Child” Save the Children believes that children have the right to grow up healthy, educated and safe. Since its beginning in 1919, the organization has worked in more than 100 countries. In 2019 alone, the organization reached more than 144 million children globally. One of the organization’s campaigns, Every Last Child, has allowed Save the Children to increase its reach to especially vulnerable populations of children around the world.

The Start

Save the Children introduced the global campaign to the world on April 26, 2016. The campaign strives to reach children who do not have adequate access to health care, education and protection. It works to end preventable deaths among children. The specific goal is to avoid at least 600,000 preventable child deaths. Another facet of the campaign is aiding children in receiving a basic quality education. The quantified objective for this goal is to help 50 million more children gain access to education. A 15-year time frame, 2030, is the target date for these missions. So far, the campaign has helped 15 million of the world’s “excluded children” gain access to life-saving health care and quality education.

“Excluded Children”

Every Last Child focuses on “excluded children,” defined as children “not benefiting from recent global progress in social well-being, particularly in health and learning because of a toxic mix of poverty and discrimination.” The campaign did research to establish the extent of exclusion associated with certain groups of children. It found that persecution and discrimination based on beliefs impacted 400 million children with ethnic and religious backgrounds. Further, children with disabilities are four times more likely to experience physical and sexual violence and neglect when compared to their peers.

Three Guarantees

The campaign calls on leaders across the world to make three guarantees for all children. The first guarantee is the establishment of fair finance. The Every Last Child campaign describes this as “sustainable financing of and free access to essential services.” This includes escalating public investment in high-quality health and educational services to increase access for all children.

The second guarantee is to establish equal treatment by putting an end to discriminatory policies and norms. This is to help eliminate bias that negatively impacts minority groups.

The third guarantee is to increase the accountability of decision-makers by amplifying the voices of excluded groups in policymaking. This will ensure the allocation of community budgets positively impact excluded groups of children. These three promises help contribute to the mission of the Every Last Child campaign.

Tailored Strategies

The campaign customizes its efforts to fit each country’s needs. While many countries experience similar issues, not all of them are equal in the extent of assistance necessary. In order to reach these vulnerable populations of children, the issues the campaign addresses vary in each country.

For example, in Niger, the Every Last Child campaign advocates for the adoption of policies that outlaw early child marriage and support access to quality education. In Yemen, the campaign fights for the protection of children affected by conflict. In Kosovo, the campaign promotes access to quality services in the education and health industries for children, particularly those with disabilities.

The goal is to make these services and information about the services available to parents and families in the country to create greater access. Customizing its goals allows the Every Last Child campaign to focus on the most pressing issues affecting each country.

Since its beginning in 2016, Save the Children’s Every Last Child campaign has committed to put an end to the exclusion of vulnerable populations of children. Through its research and advocacy efforts, the organization has helped to address the need to increase access to life-saving health care and quality education for children worldwide to ensure that no child is left out of the advancements of the world.

– Sara Holm
Photo: Flickr

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Female Health Care in Kenya Reduces Gender Inequality

Female Health Care in KenyaPoverty affects genders differently, with women often being more disadvantaged than men. Meeting the strategic needs of those living in poverty must be accompanied by fulfilling practical gender needs. This will ensure equal access to economic progress for all. One NGO is working to reduce gender discrimination by providing female health care in Kenya.

Girls in Danger

In the wake of COVID-19, mass closures of schools and businesses have further hindered the economic development of remote Kenyan districts. The strict COVID-19 guidelines implemented by local authorities have resulted in the closing of safe homes and centers for girls. The preoccupation with COVID-19 regulations led authorities to respond with minimal effort to address increased levels of violence against women and girls. On top of the pandemic, the country has fallen victim to other disasters. Extreme droughts and flooding, as well as a locust invasion, have lowered the food supply for rural areas.

These desperate circumstances leave low-income families with limited financial options. Some families have resorted to employing their young children and marrying off their daughters in exchange for money and cattle. This incites increased gender-based violence as child marriages leave girls vulnerable to sexual and physical violence.

Dr. Esho, who works on-site for Amref Health, said, “Including community systems in the prevention of and response to FGM/C (female genital mutilation and cutting) and child marriage is more important than ever. More women and girls are now at risk of harmful practices and gender-based violence.”

Centering Women in Health Care

Amref Health Africa is an NGO based in Nairobi, Kenya. It has been a crucial part of introducing health care services and technology to sub-Saharan Africa. Established in 1957, the organization has a long history of bringing modern medicine to rural African communities.

Amref Health Africa is proving how female empowerment is not just a social movement but a crucial factor in women’s livelihoods. The NGO dedicates much of its work to improving female health care in Kenya. Women often lack education on their sexual health, which impedes prudent, informed decisions regarding their futures. Advancements in female health care in Kenya can empower women to take control of their bodies and pregnancies. Additionally, it can offer better support to these women in their chosen paths.

Amref also aids women suffering from violence. Organization members, such as Dr. Esho, work jointly with local activists and health workers to construct a plan of action. The community members have firsthand knowledge and experience working with survivors of FGM/C and other cruelties, which Amref acknowledges and utilizes. Therefore, the NGO ensures victims are getting proper care and refuge from their abusive situations.

How to Help

Amref strives to bring awareness to gender-based violence and the positive effect of proper female health care in Kenya. With the hashtag #EndFGM, Amref is trying to engage international activists through social media. The organization is also accepting direct donations through its website.

One may feel powerless during times of international emergencies. However, this must not stop global citizens from doing their part to assist. Those who want to help can contact their congressmen and congresswomen as well as other representatives to protect the U.S.’s foreign aid budget. This will benefit NGOs, similar to Amref Health, that work closely with impoverished communities to identify unique problems and solutions.

– Lizt Garcia
Photo: Flickr

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Medical Advancements in Iran Prove to be a Success

Medical Advancements in IranIran is a developing country located in western Asia as part of the Middle East. In the past several decades, Iran has accomplished major strides in terms of its health care system and medicine. The following list details only a few of the successful medical advancements in Iran that have been developed within the last decade.

The Health Care System

Iran adopted the Primary Health System in the 1990s, which revolutionized its health care system. Since its initiation, the country’s life expectancy has increased by eight years. This has had positive effects on both their economy and poor communities. Also, Iran has done tremendous work in improving the accessibility of health care. Currently, more than 90% of rural populations have access to affordable health care. Previously, there was a major gap in providing health care to their less populated, rural areas where many vulnerable groups resided.

Local Production

Since the Iranian Revolution in 1979, the country has made initiating the production of locally produced medicines and drugs a priority. Prior to the revolution, Iran relied on imports from foreign countries for about 70-80% of its pharmaceutical ingredients. As of 2018, it is estimated that around 97% of their drugs were locally produced and manufactured.

Focusing on local production boosted Iran’s economy, making the country a major competitor in the world market. It also increased their GDP through the exportation of their locally produced pharmaceuticals. Furthermore, the country has strict regulations in place for importation. Iran both follows American guidelines and creates its own rules, which ensures high-quality, safe products.

Iran’s health minister stated that the country saves around 700 million euros simply by producing their own products. The country can now allocate this money to other necessities, which displays the importance of medical advancements in Iran.

Medical Biotechnology

Biotechnology is the production and development of products by manipulating living organisms. Medical biotechnology has the power to uplift health care systems for countries across the globe. Iran’s advanced health care system has allowed them to become a leader in medical biotechnology across the Middle East and North Africa.

Iran’s boost in local production stems from pharmaceuticals to biotechnology. As of 2012, the country had 12 approved products and 15 more products pending approval. These products placed Iran among the frontrunners of biotechnological production. Other countries now rely on Iran for medical trade. Biotechnology has the potential to produce a multitude of medical advancements in Iran. If the country earns the spot as the leading country of biomedical technology, the benefits for their economy and citizens would be numerous.

New Medical Treatments

Medical advancements in Iran have also led to new medical treatments. The country has developed new, upcoming medicines and treatments in hopes to cure certain diseases. Just this year, a group of scientists announced they developed an herbal treatment for epilepsy, Fenosha, that resulted in successful outcomes during their clinical trials.

Reza Mazloom Farsibaf, the founder of the medicine, stated there is no other medicine that competes with Fenosha. The treatment is non-toxic and has minimal side effects and symptoms. If approved, mass production is expected for Fenosha. The herbal medicine could potentially become a viable option for the 340 million people across the world that require treatment for epilepsy. The country is expected to continue generating products that will further mobilize its position in medicine.

– Bolorzul Dorjsuren
Photo: Flickr

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Housing in Guatemala: More Than A House

housing in GuatemalaGuatemala is a country rich with ancestral heritage and Indigenous peoples, but the poverty crisis has debilitated many of the citizens. Housing in Guatemala is undergoing a crisis, which has widened the housing gap to well over 1.8 million homes. With 54% of people living under the poverty line, housing access is a rarity. This also affects other major areas like sanitization, food security, finding jobs and accessing education. The main priorities of humanitarian organizations in Guatemala are housing, education and health care.

Bill McGahan

Bill McGahan is an Atlanta resident and involved community serviceman. McGahan is also the leader of an annual mission trip that takes high school students to create housing in Guatemala. The long-term commitment to building housing has also highlighted other areas of need. On the trips, students work alongside From Houses to Homes. The student volunteers spend their time holistically addressing the needs of Guatemalans, including health and education.

Housing

Housing in Guatemala is the essential building block to finding permanence and stability. Many Guatemalans live in inadequate housing, are homeless or depend on makeshift shelters built from gathered materials. Housing lessens the risk of diseases from fecal contamination, improves sanitation, strengthens physical security and provides warmth in winter months. These benefits are imperative to stabilizing external conditions and lessening poverty’s effects.

The mission trips each year incorporate the students from the very start of housing to the finishing touches. Each year the participants first raise the funds for building materials. Then the volunteers construct a house in as little as five days. At the end of the building projects, keys are handed to each family, which reflects a new reality for them. In this way, these students “don’t just build houses, they provide a home.”

Education

A home is so much more than four walls and a roof. It is the place to help grow and nurture individuals, including a safe space for learning. Children in Guatemala face constant challenges to their education. The average Guatemalan education lasts only 3.5 years, 1.8 years for girls. Nine out of 10 schools have no books. Accordingly, the literacy rate in rural Guatemala is around 25%. Education is an investment in breaking a pattern of poverty, which is an opportunity not afforded to many Guatemalan children.

Children pulled out of school work as child laborers in agriculture. This provides short-term benefits to families in terms of income but has a high cost in the future when finding work. Contributions to local schools have long-term paybacks for children and their families. Children can further their education, secure future employment and create stable homes for themselves and future generations.

Health Care

Housing in Guatemala is relevant to health as well. The goal is to solve homelessness by providing homes, not hospital beds. Access to quality health care is imperative to providing housing stability. Guatemala needs to improve its health services in order to solve its housing issue, especially since they lack effective basic health care.

Clinical care for Guatemalans is often inaccessible, particularly in rural areas with limited technology. With approximately 0.93 physicians per 1,000 people, there are extreme limitations for medical professionals to see patients. Even in getting basic nutrition training or vaccinations, Guatemalans are severely lacking necessary access. Basic health care is a priority that will be a long-term struggle, but each advancement will create higher levels of care and access for the many Guatemalans in need.

Guatemala is readjusting its approach to finding better access to housing, health care and education, all of which are important for a home. Humanitarians, like Bill McGahan, are finding solutions and implementing institutions that will uplift Guatemalans. Increased housing in Guatemala has been encouraging stability, prosperity and new outlooks on life. The country is seeing great progress in eliminating poverty, one home at a time.

– Eva Pound
Photo: Flickr

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Period Poverty in China and Current Campaigns

Period poverty in China
The monthly cost of purchasing menstrual sanitary products is not a small amount for females worldwide. “Period Poverty” refers to the inability to afford pads, tampons or liners to manage menstrual bleeding. A campaign in China is working on addressing period poverty for girls and women in the nation. However, period poverty still remains a women’s rights issue globally.

The General Problem

The International Federation of Gynecology and Obstetrics (FIGO) reported that around 10% of young women around the world are now unable to afford period products. FIGO also found that, during menstruation, 12% of women have to improvise with alternatives that are potentially ineffective and unsafe. According to UNICEF, more than 500 million females lack a proper place to change their menstrual products during their periods. Period poverty causes long-term health impacts for girls and women. Period poverty also affects time management, the chances of receiving education and engaging in employment. All of these factors influence a woman’s lifelong development and well-being.

Period Poverty in China

The situation of period poverty in China is not much different. Many women and young girls, especially in rural areas, cannot afford feminine hygiene products. Instead of sanitary pads, impoverished women have to use toilet paper or old cloth. Any available yet unsafe materials on hand — even bark for some women in extreme poverty — are utilized to manage menstruation. Unfortunately, the lack of basic menstrual knowledge and the common menstruation taboo in China only worsen the situation. It is difficult to practice optimal hygiene when managing menstruation without the necessary products or facilities. As a result, many girls in rural China skip classes or even leave school once they start menstruating.

Campaign for a Lower Tampon Tax

In recent years, the Chinese public is growing more aware of period poverty in China, calling for more affordable sanitary products. Additionally, the public advocates for more humanitarian public health policies that take women’s biological needs into account. As of 2020, the Chinese government regulates a 13% sales tax on feminine sanitary products. That is 4% higher than the 9% tax for essential daily necessities such as grain and water.

Many other countries, including India and Malaysia, have either exempted or reduced the tax on sanitary products. These nations do so for the sake of gender equality. In response to period poverty in China, a couple of online campaigns emerged in the nation over the past few years.

The Stand by Her Project

Some philanthropists and social organizations have jumped to the cause of addressing period poverty. They have stood up first to help the low-income women in underdeveloped regions. So far, the Stand by Her initiative is one of the most well-known and large-scale projects that deal with period poverty in China.

Liang Yu Stacey, a 24-year-old Chinese feminist and activist, initiated the “Reassurance for Sisters Fighting the Virus” online campaign in early 2020. She aimed to raise money to provide feminine sanitary products for the health care workers fighting against COVID-19. The project then extended to a broader scale and evolved into Stand by Her.

Stand by Her is a grassroots movement that coordinates donation, procurement and distribution of menstrual products to girls and women across China. In addition, the project also hands out brochures and holds lectures in middle schools to normalize menstruation and sex education. In the first phase of 2020-2021, the team plans to help more than 6,000 girls from 33 schools across China. Within three days of opening the donation portals, Stand by Her raised 368,700 RMB ($54,500 USD).

The online conversations, campaigns and donations display some positive signals in the area of menstruation. The taboo associated with menstruation is gradually dissolving. However, reducing the tax on women’s menstrual products would be a significant win for women’s rights in China.

– Jingyan Zhang
Photo: Flickr

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Amref Health Africa Fights COVID-19 with LEAP

Amref Health Africa
Amref Health Africa is an NGO based in Kenya that works to empower young Africans. The organization provides people with the skills necessary to become innovative and ethical leaders of Africa. The group created several leadership programs and research programs to transform Africa. Its new program, LEAP, is a mobile phone training platform designed to train employees and students about health precautions and safety outside of the classroom setting.

Who is Amref Health Africa?

Amref Health Africa is an African-led organization founded in 1957 to establish “lasting health change in Africa” with its mission “To increase sustainable health access to communities in Africa through solutions in human resources for health, health service delivery and investments in health.”

The NGO works to improve health care for the people in Africa while also strengthening health care systems. Amref Health Africa has headquarters in Kenya and partners with different organizations around the world to promote power and unity. Amref Health Africa runs 22 global offices and 35 different programs in Africa to bolster health care efforts.

Through Amref Health Africa’s partnership with Accenture, Kenyan Ministry of Health, M-Pesa Foundation, Safaricom and Mezzanine, LEAP, the mobile health learning application, was created. The application has allowed health care workers and students to work effectively outside of a classroom setting.

LEAP’s Benefits during the COVID-19 Pandemic

Recently, LEAP users employed the app to strengthen the COVID-19 response. The program instructs community health workers on how to raise awareness about the virus. LEAP also provides information on the best precaution methods for the community. Thanks to LEAP, health care workers have learned to take the necessary steps to promote safety and awareness in Africa. So far, more than 78,000 community health workers have received training and are using their education to help stop the spread of COVID-19.

In response to the pandemic, LEAP launched a two-month campaign in Kenya. Through the campaign,  health care workers received training to identify, isolate and refer suspected COVID-19 cases. Participants also learned how to identify high-risk areas and reduce the transmission of the disease.

Results

The LEAP app allows customization of the training content to fit the needs of the audience. It takes into consideration the skill level of the people using the app and modifications can be made to the language and audio section depending on user preference. LEAP allows personalization to ensure that the app can be effective for all users.

LEAP has strengthened the health care system in Africa by helping to stop the spread of the COVID-19 virus. The mobile training app also addressed the spread of misinformation on the virus by providing accurate COVID-19 information to users. LEAP has provided Africa with the knowledge necessary to arm and defend itself against the COVID-19 pandemic.

– Isha Bedi
Photo: Flickr

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5 Facts About Life on the Native American Reservations

Native American ReservationsLow qualities of life exist in developing countries as well as developed countries, including the United States. Within the 326 Native American reservations in the U.S., Indigenous peoples experience unequal life conditions. Those on reservations face discrimination, violence, poverty and lack of access to education. Here are five facts about the Native American population and reservations.

5 Facts About Native Americans and Life on the Reservations

  1. Native Americans are the most impoverished ethnic group in the United States. According to a study done by Northwestern University, one-third of Native Americans live in poverty. The population has a median income of $23,000 per year and 20% of households earn less than $5,000 a year. Due to the oppression of Indigenous peoples, reservations cannot provide adequate economic opportunity. As a result, a majority of adults are unemployed. Standing Rock Reservation in North Dakota has better numbers than most reservations — 43.2% of the population lives under the poverty line. However, this rate is nearly three times the national average.
  2. Native Americans have the highest risk for health complications. Across the board, Native American health is disproportionately worse than other racial groups in the United States. This population is 177% more likely to die of diabetes and 500% more likely to die from tuberculosis. Native Americans also have a 60% higher infant mortality rate when compared to Caucasians. Most Native American reservations rely on the Indian Health Service, a severely underfunded federal program that can only provide for approximately 60% of the needs of the insured. That does not account for a majority of those on the reservations. Only about 36% of Native Americans have private health care and one-third of the non-elderly remain uninsured.
  3. Native Americans, especially women, are frequently victims of violence. A study from the National Institute of Justice concluded that more than 84% of American Indian and Native Alaskan women have experienced violence in their lifetimes. These women are more likely to be victims of interracial perpetrators and are significantly more likely to suffer at the hands of intimate partners. The numbers are similarly high for men of this population. More than 80% of men admit to experiencing violence in their lifetimes. Most victims report feeling the need to reach out to legal services, but many severely lack the tools to get the help they need. A few law practicing organizations have dedicated their existence to ensuring Native American voices are heard in the legal world. Native American Rights Fund (NARF), for example, is a nonprofit organization that uses legal action to ensure the rights of Native Americans are upheld. Since its inception in 1970, NARF has helped tens of thousands of Native Americans from more than 250 tribes all over the country.
  4. Native students hold the highest national dropout rate. Conditions on reservations leave schools severely underfunded and many children are unable to attend. This delay in education leaves early childhood skills undeveloped. According to Native Hope, “Simple skills that many 5-year-olds possess like holding a crayon, looking at a book and counting to 10 have not been developed.” Inadequate education is highly reflective of Native American graduation rates. Native students have a 30% dropout rate before graduating high school, which is twice the rate of the national average. This number is worse in universities — 75% to 93% of Native American students drop out before completing their degrees. Such disparity between Native American students and their colleagues has inspired the increase in scholarships for this community. Colorado University of Boulder, for example, offers a multitude of scholarships and campus tours specifically for those of Indigenous descent. Further, the university founded the CU Upward Bound Program dedicated to inspiring and encouraging the success of its Native American students. Third-party scholarships also come from a multitude of organizations, such as the Native American College Fund and the Point Foundation.
  5. Quality of Life on Reservations is Extremely Poor. Federal programs dedicated to housing on Native American reservations are severely inadequate. Waiting lists for spaces are years long and such a wait does not guarantee adequate housing. Often, three generations of a single family live in one cramped dwelling space. The packed households frequently take in tribe members in need as well.  Additionally, most residences lack adequate plumbing, cooking facilities and air conditioning.

Help for the Reservations

The condition of these Native American reservations is receiving increased attention. Some reservations are taking matters into their own hands. Native Hope is a volunteer-based organization working to address the injustices the Native American community faces. Its commitment to the tribes has not stopped during the COVID-19 pandemic. One woman from Illinois handmade more than 2,500 face masks so Indigenous children could still go to school amid COVID-19. The organization also provided 33 households with necessary groceries and personal hygiene supplies.

How to Help

Solutions to the marginalization of the Native American population have recently gained traction through the internet and social media. New and established charities alike are receiving more attention, which allows them to have stronger impacts on the Native American population.

Native American tribes have been around for hundreds of years but are only recently receiving the help they require. With continued attention and advocacy, Native Americans can one day receive the justice and equality they deserve.

– Amanda J Godfrey
Photo: Flickr

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The Demand for Child Rights in Latin America

demand for child rightsWith 25% of Latin America’s population being under the age of 15, an increased demand for child rights is inevitable. As a result, Latin America and the Caribbean have seen gradual implementations of protection for children under the law. Countries in these regions have seen improvements spanning from a growing economy to quality health care.

Health Improvements for Children

One immediate causes for the demand in children’s rights is because of the abuse that many children in impoverished countries endure. Some issues that exemplify the need for child rights are sexual abuse, drug and alcohol consumption and child labor. The health care systems in Latin American countries are responding.

For example, increased demand for child rights in places such as Argentina and Peru has resulted in more representation for children in health care services. Argentina has had children’s rights written in law since 1994. Now, with children included in health plans, child mortality rates have decreased to 9.9 deaths per 1,000 live births in 2018, compared to 12.6 just five years earlier.

Strengthening Written Law

Previously, many children in these countries were not seen as separate individuals until they reached adult age. However, increased children’s rights in certain Latin American and Caribbean countries have improved the livelihoods of the underaged. Children’s rights in Latin America and all across the world have moved to the forefront of many political agendas thanks to the UN Convention on the Rights of the Child and active citizens.

Countries such as El Salvador have shown that the demand for child rights have proved their international leadership on the issue. There are more than 15 comprehensive laws within the country protecting children and almost 20 international laws protecting El Salvadoran children.

Though the numerous laws, in theory, protect the children, it is not as easy to enforce the laws. A large discrepancy still remains between the sentiment and enforcement of law for the protection of children. Legislature rendered ineffective through lack of enforcement “allows perpetrators of violence against children and adolescents to continue committing the same crimes with no fear of prosecution or punishment.”

The BiCE

One organization that has made child rights in Latin America a priority is BiCE, the International Catholic Child Bureau. The organization’s main goal is the preservation of child rights in different countries in Latin American and around the world. Current field projects take place in countries such as Ecuador, Guatemala and Peru. Most of the projects focus on fighting sexual abuse of children.

BiCE’s projects have many goals that ensure the safety of a child. For the programs fighting sexual abuse, they offer therapy services for recovery. They also train people to learn advocacy techniques for children’s rights. Over 1,000 children in Peru have received help from BiCE and the organization continues to do more in other countries in Latin America.

Most countries in Latin America and the Caribbean have written laws and statutes that protect children. However, this has not proved to be enough for the safety of children in these countries. There have been health improvements and decreased poverty rates, but more still needs to be done to enforce the written laws.

– Josie Collier
Photo: Flickr

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Wealthy Philanthropist Donates Billions to Charities

Billions to Charities
It is no surprise that Forbes named Charles “Chuck” Feeney the James Bond of Philanthropy. After 38 years, Feeney achieved his lifetime goal: giving away all his $8 billion amassed wealth to charity and being alive to see its impact. When someone donates billions to charities, the impact should be substantial.

Charles “Chuck” Feeney

Chuck Feeney amassed his wealth from establishing a franchise of stores within thousands of airports known as the Duty-Free Shoppers Group. He also launched the General Atlantic, an American growth equity firm. Yet, the man, with this immense fortune lives in a rented San Francisco apartment. Moreover, he has even been found riding public transit. Feeney has credited his life philosophy to the Andrew Carnegie essay, “The Gospel of Wealth.” The essay declares that the millionaire’s sole duty is to give back to the poor. As Feeney donates billions to charities, he certainly obliges. Carnegie’s influence is extremely apparent within Feeney’s life. His coined phrase and mantra in life, “Giving While Living,” is essentially saying that you should give all you can to charity now rather than later. This, which closely resembles the messages behind The Gospel of Wealth.

Atlantic Philanthropies

In the early ’80s, the Duty -Free Shoppers franchise was at its peak. This is when Feeney decided to be the one who donates billions to charities. Without anyone’s knowledge, he secretly handed over all his shares and formed his new foundation, the Atlantic Philanthropies. Since 1982, the Atlantic Philanthropies has focused on issues of health, social and public policy throughout Australia, Bermuda, Ireland, South Africa, the U.S. and Vietnam. Within these countries, the foundation has addressed many important issues. Among them include facilitating the peace process in Northern Ireland, reducing the number of children without health insurance in the U.S., providing millions with HIV/AIDS medication in South Africa and helping modernize Vietnam’s health care system. While the foundation has officially dissolved recently, Feeney has one last message to relay: “To those wondering about Giving While Living: try it, you’ll like it.”

3 Countries Impacted

  1. South Africa: In the early years after Apartheid, Atlantic Philanthropies saw the opportunity to help advance South African society from its previous suppression. During the ’90s, the foundation assisted young black South African attorneys in getting their law degrees. In the 2000s, Atlantic made funds to advance nursing and health services. By the end of 2016, Atlantic Philanthropies had totaled $442 million in investments toward building democratic institutions and organizations. Overall, the foundation brought 2 million South Africans access to HIV medication. Also, it convinced the government to pledge $1 billion toward school improvements. Finally, it increased the number of nurses between 2005 and 2013 by 44%.
  2. Vietnam: The Atlantic Philanthropies have invested $381.5 million towards improving Vietnam’s public health system and renewing old libraries and universities. With Feeney’s contribution of billions to charities, Vietnam modernized its healthcare system, resulting in 9 million citizens receiving better and improved treatment. Further, the foundation focused on efforts that advocated for healthier behaviors. These included the widespread anti-smoking campaign and the passed mandate that forced motorcyclists to wear helmets. Also, in the education sector, Atlantic Philanthropies improved Vietnamese university libraries.
  3. Cuba: In the early 2000s, Cuba’s healthcare, although seen as one of the best worldwide, was suffering from a lack of resources. This, in turn, sparked the Atlantic’s activism. Overall, the foundation invested $66 million into organizations that work toward improving the care and treatment of Cubans. Moreover, these bodies spread knowledge about Cuba’s effective public health practices in nations with impoverished communities.

An Inspiring Message

Feeney’s extreme display of generosity via contributions of billions to various charities has inspired many notable philanthropists and entrepreneurs to do their part to help the less fortunate. An example of wealthy business moguls following in Feeney’s footsteps is the “Giving Pledge.” Warren Buffet and Bill Gates launched the Giving Pledge in 2010 as a campaign that seeks to persuade wealthy figures across the world to donate close to half of their wealth before they die.

– Maya Falach
Photo: Flickr

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Addressing Healthcare Worker Emigration

healthcare worker emigrationThe emigration of skilled healthcare workers from developing countries to higher-income nations has significantly impacted the healthcare systems of the countries these workers leave behind. The quantity and quality of healthcare services have declined as a result of healthcare worker shortages. While there is still incredible room for growth, recent governmental strategies have incentivized healthcare workers to work in their home countries.

Why Is Healthcare Worker Emigration a Problem?

When healthcare workers emigrate, they leave hospitals in developing countries without enough skilled workers. Lower-income countries are likely to carry a greater amount of the global disease burden while having an extremely low healthcare staff to patient ratio. For example, sub-Saharan Africa only has 3% of all healthcare workers worldwide, while it carries 25% of the global disease burden. In many African countries with severe healthcare worker emigration, like Lesotho and Uganda, hospitals become overcrowded. Furthermore, hospitals cannot provide proper treatment for everyone due to the lack of skilled workers.

This directly affects the quality of care patients receive in countries with high healthcare worker emigration. Newborn, child and maternal health outcomes are worse when there are worker shortages. When fewer workers are available, fewer people receive healthcare services and the quality of care worsens for populations in need.

Why Do Healthcare Workers Emigrate?

The emigration of doctors, nurses, and other skilled healthcare workers from developing countries occurs for a number of reasons. The opportunity for higher wages elsewhere is often the most important factor in the decision to emigrate. Additionally, healthcare workers may migrate to higher-income nations to find political stability and achieve a better quality of life. The rate of highly skilled worker emigration, which has been on the rise since it was declared a major public health issue in the 1940s, has left fragile healthcare systems with a diminished workforce.

Moreover, the United States and the United Kingdom, two of the countries receiving the greatest numbers of healthcare worker immigrants, actively recruit healthcare workers from developing countries. These recruitment programs aim to combat the U.S. and U.K.’s own shortages of healthcare workers. Whether or not these programs factor into workers’ migration, both the U.S. and the U.K. are among the top five countries to which 90% of migrating physicians relocate.

Mitigating Healthcare Worker Emigration

The World Health Organization suggests that offering financial incentives, training and team-based opportunities can contribute to job satisfaction. This may motivate healthcare workers to remain in the healthcare system of their home country. Some developing countries have implemented these strategies to incentivize healthcare professionals to remain in their home countries.

For example, Malawi faced an extreme shortage of healthcare workers in the early 2000s. Following policy implementation addressing healthcare worker emigration, the nation has seen a decrease in the emigration rate. Malawi’s government launched the Emergency Human Resources Program (EHRP) in 2004. This program promoted worker retention through a 52% salary increase, additional training and the recruitment of volunteer nursing tutors and doctors. 

In only five years after the EHRP began, the proportion of healthcare workers to patients grew by 66% while emigration declined. Malawi expanded upon this program in 2011 with the Health Sector Strategic Plan. Following this plan, the number of nurses in Malawi grew from 4,500 in 2010 to 10,000 in 2015. Though the nation still faces some worker shortages, it hopes to continue to address this with further policy changes.

Trinidad is another a country that has mitigated the challenges faced by the emigration of healthcare workers. Trinidadian doctors who train in another country now get government scholarships to pay for their training. However, these scholarships rest on the condition that they return home to practice medicine for at least five years. Such a financial incentive creates a stronger foundation for healthcare professionals to practice in their home country.

A Turn Toward Collaboration

A recent study determined that the collaboration of nurses, doctors and midwives significantly decreased mortality for mothers and children in low-income countries. As developing countries work toward generating strategies to manage the emigration of healthcare workers, a team-based approach can improve the quality of healthcare. When there are shortages of certain kinds of health professionals in remote areas, family health teams composed of workers in varying health disciplines can collaborate to provide care. 

Improving working conditions and providing both financial and non-financial incentives to healthcare professionals in developing countries not only benefits workers and the patients, but the nation’s healthcare infrastructure as a whole. An increase in the number of skilled healthcare workers in developing countries gives people there the opportunity for a better life.

– Ilana Issula
Photo: Flickr