Archive for category: Health

Information and stories on health topics.

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9 Health Care Facts about Laos

Health Care Facts about LaosLaos is a small, South Asian country that recently experienced a significant increase in its gross domestic product (GDP). Poverty in Laos plummeted from 33.5 percent to 23.2 percent allowing the country to meet the Millennium Development Goal by reducing its extreme poverty rate by half. However, there is still much work to be done. Around 80 percent of Laotians live on less than $3 a day and face a 10 percent chance of falling into poverty. Knowing that poverty and poor health care often co-exist, the government has made it a goal to strengthen its national health care system by achieving universal health coverage by 2020. Below are nine health care facts about Laos.

9 Health Care Facts About Laos

  1. The Food and Drug Department is the regulatory authority for health care in Laos. The body is responsible for regulating pharmaceuticals and medical devices. The most recent legislation the country passed is the “Law on Drugs and Medical Products No. 07/NA,” in 2012. The law provided stricter guidelines for drugs and medical products. It also creates a classification for medical devices and registration for drugs and other medical products.
  2. Between 1997 and 2015 Laos’ poverty rate declined from 40 percent to 23 percent. The improvement in life expectancy is likely due to the recent improvements of the government on health care in Laos. For example, in 2011 Laos’ National Government Assembly decided to increase the government expenditure for health from 4 percent to 9 percent, likely influencing poverty rates.
  3. Laos has separate health care programs for different income groups. The country has the State Authority for Social Security (SASS) for civil servants, the Social Security Office (SSO) for employees of the state and private companies, the Community-based Health Insurance (CBHI) for informal-sector workers and the Health Equity Funds (HEFs) for the country’s poor.
  4. Laos’ current health insurance only covers 20 percent of the population. The lack of coverage could be due to the large spread of the country’s population outside of its major urban centers. Around 80 percent of Laos’ populace live and work in rural communities. The country’s ministry of health has made efforts to provide more services to people who live outside the main urban centers by decentralizing health care into three administrative levels: the central Ministry of Health, provincial administration levels and a district-level administration.
  5. Wealthy Laotians in need of medical care travel to Thailand for treatment. Despite the increased cost of care in Thailand, Laotians travel internationally because of the better quality of care. Health care in Laos at the local levels suffers from unqualified staff and inadequate infrastructure; additionally, inadequate drug supply is a problem. Due to these issues, Laos depends on international aid. In fact, donors and grant funding finance most of the disease control, investment, training and administrative costs.
  6. Many Laotian citizens believe illness is caused by imbalances of spirit, spiritual possession and weather. Despite Laotian spirituality, knowledge of germs as the root cause of the disease is well understood. Laotian hospitals use antibiotics and other medications when they are available. However, folk medicine is often used as a treatment. For example, herbal medicines and spiritual cures include items, such as a special tree bark, which is believed to grant long life when it is prepared with rice.
  7. Many Laotians remain malnourished. Despite recent economic growth, many children under 5 are chronically malnourished; every fifth child in rural areas is severely stunted. Malnutrition is largely influenced by natural disasters. Laos has a weak infrastructure making it difficult to cope with floods, droughts and insect swarms.
  8. Local drug shops as a primary source of medicinal remedies are actually causing problems. Most of these shops are unregulated and the owners are unlicensed. Misprescription and inadequate and overdosage are common. Venders sell small packets of drugs that often include an antibiotic, vitamins and a fever suppressant. They sell these packets as single dose cures for a wide variety of illnesses.
  9. Laos has a high risk of infectious water-borne and vector-borne diseases. Common waterborne diseases include protozoal diarrhea, hepatitis A and typhoid. Vector-borne diseases include dengue fever and malaria. Typically, diarrheal disease outbreaks occur annually during the beginning of the rainy season when the water becomes contaminated by human and animal waste on hillsides. Few homes have squat-pits or water-sealed toilets, causing sanitation and health issues.

 

As it stands, health care in Laos is still underdeveloped. However, the nation’s recent economic growth provides an opportunity to remedy the problem even though a majority of the current health care system is funded by foreign sources. As with all struggles, the desired outcome will take time. With enough cooperation with other countries and non-profit organizations, Laos has a chance to create a sustainable health care system for its citizens. Increasing health education among Laotians will be one key to improving public health in Laos. This can be done through the help of nonprofit organizations and others aiding in efforts to educate countries on sanitation and health.

– Robert Forsyth
Photo: Flickr

 

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8 Facts About Sanitation in Bolivia

8 Facts About Sanitation in Bolivia
A small landlocked country bordering Brazil in South America, The Plurinational State of Bolivia has a population of approximately 11 million people. In the past 10 years, despite the drought in 2017 that left even the country’s elite without water, both the government and international organizations have made great strides towards improving sanitation in the country. Here are eight facts about sanitation in Bolivia.

8 Facts About Sanitation in Bolivia

  1. In the 2009 constitution, the Bolivian government determined that access to water and sanitation in the country is a fundamental human right. This law provides legal and governmental acknowledgment and support for people lacking proper sanitary services. After the implementation of this law, the government tried different solutions to see which would produce the most comprehensive results. There was a “big-system” water allocation using large piping systems in urban areas. In the meantime, rural areas used “small-systems” focused on community-run structures. This was all in a governmental effort to show devotion for better sanitation in Bolivia.
  2. International organizations such as Water for People provide Bolivians with water and sanitation services. Water for People has been implementing sanitation in Bolivia since 1997. The organization promotes the construction of handwashing stations at schools and provides small loans to purchase materials such as toilets. In addition, it provides sinks for better sanitation practices in households. This organization alone has given 78 percent of households access to clean water in Bolivia.
  3. The elimination of public defecation is a huge goal of the United Nations. Public defecation causes disease and water pollution. According to the U.N. Progress report, there has been an approximate 20 percent decrease in public defecation since 2000 in Bolivia. However, in rural areas, the public defecation rate still remains at around 38 percent as of 2017. To address these issues, organizations are building private toilets to keep drinking water and sewage water separate.
  4. Clean water is essential to proper hygiene and sanitation. In 2017, Bolivia achieved almost 100 percent of basic clean water in urban areas. Additionally, the rural regions have 78 percent of drinking water available. The ability to wash hands, take showers, drink safely, brush teeth and clean vegetables are all possibilities with access to clean water.
  5. Schools and households have strengthened sanitation in Bolivia with the creation of community handwashing stations. However, the state has stations readily available for only approximately 25 percent of its people. In efforts to raise these numbers, the government is working with international organizations such as UNICEF. Together, they want to raise awareness of the necessity of these facilities and the need for implementation. In 2010, UNICEF and the Ministry of Environment and Water began a Water and Sanitation and Hygiene (WASH) program in two regions. They also did this in 10 schools aiming to teach children about hygiene and sanitation in Bolivia. Doing so raises awareness on issues like the harmful effects of open defecation and the importance of clean water sources. The findings showed that schools did not always provide maintenance and extras like locks.
  6. Along with the construction of sanitation sites, there needs to be a plan for long-term management and maintenance of the facilities. According to the World Health Organization, there is a lack of information from the health sector and rural areas still have a shortfall in resource availability. Due to these factors, it is difficult to see a clear picture of progress. In the future, it will be important for Bolivian officials to release all information available so the country can reach further solutions.
  7. There are many innovative sanitation methods in the country. Educating the public about sanitary habits and improving governmental guidelines are vital methods. Another innovative method is starting community-run projects to build and maintain sanitation services. Also, encouraging gender equality to avoid gender-based violence regarding sanitation and water will also help the country. Efforts by UNICEF and other organizations, after using these approaches, have improved sanitation in Bolivia to 32 percent in rural areas and 82 percent in urban areas
  8. Menstrual health is a key component missing from sanitation in Bolivia. A study that UNICEF conducted in 2012 found that girls stay home from school because of menstruation. This is because others might tease them because of odor, stains, lack of proper materials or cramps that accompany girls during puberty. There is a theme of shame and embarrassment that arises because of the lack of menstrual education, and such a natural process often confuses and scares girls. In the 10 schools that the study observed, all 10 began offering menstrual education. In contrast, none had sanitary napkins available. Due to the average of 1.2 toilets and 0.5 handwashing stations per school, it is very rare that sanitary napkins are available to girls in rural areas considering the lack of resources. Because of this, UNICEF continues to spread awareness and funds to bring menstrual education and sanitary napkins to schools.

Despite the progress to provide citizens with basic necessities, there is still substantial inequalities between rural and urban communities regarding management and access to sanitation in Bolivia. The trend in multiple charts and studies has been that urban areas receive higher amounts of resource allocation than rural counterparts. To address these inconsistencies, international organizations like Water for People and UNICEF have focused on rural populations to curb the inequalities in sanitation.

– Ashleigh Litcofsky
Photo: UNICEF

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10 Facts About Sanitation in Nepal

Facts about Sanitation in Nepal
Clean water and a clean environment are the foundations of a healthy life. Polluted water and poor sanitation can make anyone sick, regardless of nationality or geographic location. That is why it is so important to place global attention on the issues of water quality, hygiene and sanitation. Nepal has emerged as an example of how attention can lead to improved sanitation. Though challenges still exist, including drinking water functionality and regional disparities in development, Nepal has made significant progress. Here are 10 facts about sanitation in Nepal.

10 Facts About Sanitation in Nepal

  1. Water supply and sanitation have been a government priority since 1981. The International Water Supply and Sanitation Decade (1981-90) saw increased investment in improving Nepal’s sanitation. For example, UNICEF and UNDP funded developments in water quality, hygiene and sanitation. The Nepalese government also expanded policies and programs in the sector. Among other initiatives, the Department of Water Supply and Sewerage developed a rural water supply project and a commission formed to evaluate water supply and sanitation practices.
  2. Nepal has made significant progress in water supply, sanitation and hygiene practices. In the last 25 years, a significant portion of the population—2.6 billion people—has gained access to clean drinking water and sanitation facilities. In 1990, estimates determined that only 36 percent of the population had access to a water supply facility. As of 2016, 95 percent of households were using improved drinking water.
  3. Nepal is open defecation free. As of September 2019, all 77 districts announced the elimination of open defecation. A 2009 cholera epidemic caused a public health disaster and prompted a new wave of efforts to improve national sanitation practices. The government collaborated with NGOs and local leaders to execute a plan to create an open defecation free nation. This included adopting a no-subsidy arrangement as the basis for sanitation implementation and the construction of improved sanitation facilities.
  4. Drinking water quality is now the primary concern. Estimates show that access to safely managed drinking water is only 27 percent. Bacterial contamination and water pollution are highly prevalent and exacerbate the risk of illness. Many consider poor drinking water quality to be a leading cause of disease outbreaks, such as cholera. To address this issue, UNICEF is partnering with Nepal’s Ministry of Water Supply and Sanitation to implement water safety plans and increase community awareness on household-level water treatment.
  5. Drinking water functionality poses problems. Of Nepal’s water supply systems, only 25 percent consistently function properly. Thirty-six percent require minor repairs and 39 percent require either major repair, rehabilitation or reconstruction. Poorly functioning systems result in an unreliable, insufficient or unsafe water supply. UNICEF’s New Country Programme is aiding Nepal in tackling this challenge and has emphasized improving water functionality as a priority.
  6. Regional disparities persist in access to water supply facilities and sanitation coverage. Terai, a low-land region characterized by steams, springs and wetlands, has higher coverage of improved drinking water sources compared with the mountain and hill belts. However, the mountain and hill belts have greater access to sanitation facilities compared with the Terai region. Geographic heterogeneity links to differences in capital, technology and environmental resources.
  7. Poor people are more likely to use unimproved water sources and sanitation facilities. Households from lower quintiles are less likely to be able to afford a piped water connection. Therefore, inequity persists in the use of improved water sources and sanitation facilities among socioeconomic groups. In these 10 facts about sanitation in Nepal, it is important to note the wide influence of the distribution of resources across different economic levels on access to sanitation.
  8. Issues with water quality related to contamination are more often chemical than bacterial. According to The Water Project, a nonprofit primarily based on clean water access in Sub-Saharan Africa, the largest contaminants in the Kathmandu valley and Terai regions are lead and arsenic. This influx of chemicals comes mainly from industrial practices but the regions’ sedimentary layers of gravel deposits interlocked with flood plains magnifies it.
  9. Nepal aims to ensure clean water and sanitation for all by 2030. The government’s specific targets are basic water supply coverage for 99 percent of households, piped water supply to 90 percent of households and the elimination of open defecation. Achievements in water, sanitation and hygiene will contribute to a number of other goals, including those in public health, nutrition and poverty.
  10. UNICEF is working in collaboration with Nepal to achieve these goals. UNICEF, in collaboration with the Nepal government and other non-governmental organizations, has set forth strategies for Nepal to expand access to drinking water quality and improved sanitation facilities. These strategies include expanding water quality monitoring, increasing education about best sanitation practices and engaging with the private sector for the construction of affordable, low-cost toilets in households and institutions.

These 10 facts about sanitation in Nepal showcase the progress that Nepal has made since the International Water Supply and Sanitation Decade. With continued attention, Nepal should be able to continue its improvements into the future.

– Kayleigh Rubin
Photo: Flickr

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10 Facts About Sanitation in Egypt

Facts About Sanitation in Egypt
In Egypt, approximately 8.4 million people do not have access to good sanitation, but the country has made many attempts throughout the years to improve sanitary conditions. As a result, many people and young children are enjoying a better quality of life. Here are 10 facts about sanitation in Egypt.

10 Facts About Sanitation in Egypt

  1. USAID Reforms: USAID has invested $3.5 billion to bring portable water and sanitation to Egypt. Starting in 1978, the organization has helped advance wastewater systems in Cairo, Alexandria and the three Suez Canal cities. This provided clean water to 25 million Egyptians.
  2. Health Impact: Drinking contaminated water can lead to very serious illnesses and, in some cases, death. In Egypt, diarrhea is the second-leading cause of death. This can be especially problematic for children under the age of 5. Statistics even show that about 3,500-4,000 children under 5 die each year.
  3. The Water Crisis: Recently, water has become very scarce in Egypt. This is due to uneven water distribution and the mismanagement of resources. The pollution of the Nile River, the main source of water and agriculture, is also a big issue for water sanitation.
  4. Population Growth: Since the 1990s, Egypt has seen a 41 percent population growth, meaning that more and more people are crowding around water sources like the Nile River. Dr. El- Zanfaly with the American Institute of Science wrote that the crowding directly links to the “contemporary rural sanitation problem.”
  5. Toilet Troubles: Another sanitation issue for Egypt is access to clean toilets. The majority of the Egyptian people have toilets that either has bidet tubes or are squat toilets. With squat toilets, users require a hose and bucket to flush and wash their hands. Both types can become very unsanitary, especially public toilets.
  6. Sustainable Rural Sanitation Services Program: On September 21, 2018, The World Bank announced that it granted a $300 million loan to Egypt. The loan was to improve access to rural sanitation. As a result of the program, 833,000 Egyptians have gained access to local water and sanitation companies and additional financing will help 892,000 people in 178,000 households.
  7. North Sinai Initiative: USAID partnered with the Holding Company for Water and Wastewater. They work together to improve water sources by digging deep regulated wells and constructing desalination plants, reservoirs and portable water transmissions. Estimates determined that by 2019, the initiative should have provided clean drinking water to 300,000 of the 450,000 people living in the area. The total cost of the project was $50 million.
  8. Menstrual Hygiene: The lack of clean water can especially impact women. NCBI conducted a study with 664 girls aged 14-18. In this study, it found that on average the typical female Egyptian adolescent cannot bathe nor change her sanitary pad as frequently as she should. Not maintaining menstrual hygiene can cause frequent rashes and yeast infections. Unfortunately, there are little to no actions in place to fix these issues.
  9. Ancient Times: The Ancient Egyptians had revolutionary methods of staying hygienic and clean with in-home bathrooms and communal dumps. They would gather water from the Nile to do laundry and bathe. The communal dumps or irrigation canals caused vermin and diseases to grow and spread. As technology and resources evolved, so did Egyptian methods of sanitization.
  10. Impact on Schools: One in five schools in Egypt are unfit because of sanitation and contamination problems. Programs like the water, sanitation, hygiene interventions or WASH spread knowledge to teachers and students.

These 10 facts about sanitation in Egypt show that the country has made many attempts to better the quality of life of its people. With time and further resources, Egypt should increase the prevention of sanitation issues and reduce the spread of diseases.

– Sarah Mobarak
Photo: Flickr

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Telemedicine In Bangladesh: The Way Forward

Telemedicine In BangladeshBangladesh, a South Asian country known for its river deltas and coastal regions, has faced rapid urbanization and environmental degradation due to large-scale flooding across the country. Increasing population density and environmental erosion have made many Bangladeshis the subjects of devastating poverty. In 2018, The World Bank reported that, while the situation in Bangladesh has drastically improved since the 1990s, 22 million people still fall below the poverty line. For many, this means their health is in jeopardy, health care education suffers compromise and access to medical services is nearly impossible.

Today, there is still a stigma surrounding the need for health care in certain rural regions of Bangladesh. One common saying is “rog pushai rakha.” In Bengali, the phrase translates to “stockpiling their diseases.” This refers to the lack of importance Bangladeshis have placed on their health care. In some cases, portrayals still show medicine as inaccessible and unnecessary. This mindset can spell trouble for those living in rural Bangladesh where medicine was not always widely available.

However, the emergence of new medical communication technology, known as telemedicine, is changing the outlook for health care in Bangladesh.

What Telemedicine is and How it Works

Telemedicine, sometimes called telehealth, is “a direct line — whether it’s a phone call, video chat or text message — to a physician or care provider via telecommunication.” It is a rapidly growing technology in the health care field around the world as it ensures easier access to those who may not otherwise receive medical care.

While the technology initially focused on elderly patients and those with disabilities, telemedicine is now helping people in countries with critical health care gaps caused by geography, limited numbers of physicians and financial restraints.

Telemedicine in Bangladesh

In Bangladesh, access to health care largely concentrates in urban areas. This means there is a large gap in health care between rural and urban areas. Seventy percent of Bangladeshis live in rural areas, according to the World Health Organization.

Telemedicine in Bangladesh is a recent advancement. In 1999, it first entered rural regions of Bangladesh that did not have easy access to medical care. While the initial care lacked critical technology infrastructure, the recent expansion of bandwidths and networks into rural areas has made telemedicine more accessible for Bangladeshis.

Moreover, the Bangladeshi government has taken steps to facilitate health care needs by establishing new telemedicine programs. In 2001, the government established a cooperative known as the Bangladesh Telemedicine Association to promote telemedicine organizations. In 2003, the Sustainable Development Network Program emerged to promote cooperation between different providers.

A boat delivers laptops, medical tools and prescription printing devices each week to rural areas in Bangladesh. Individuals in need of care can travel to temporary medical centers where they receive access to physician care through the internet. These checkups are similar to checkups that established medical centers offer where patients can describe their condition, ask questions and obtain prescription drugs.

Telemedicine in Bangladesh is beneficial for more than sickness. This new technology also allows individuals to ask questions concerning their personal development, their child’s development and their nutritional needs. For many, this is a life-changing experience that not only helps with illness but also expands the general knowledge and understanding of people who did not previously have access to such education.

Nonprofits Helping the Cause

The introduction of telemedicine in Bangladesh would not be possible without local cooperation. One non-governmental organization (NGO) helping the cause is Friendship Bangladesh. Friendship Bangladesh, an NGO started in 1994, emerged to “help poor people in remote and unaddressed communities in Bangladesh.” Its aid includes a variety of programs, including those focused on education, economic development, disaster management, citizenship and cultural preservation. The organization’s special emphasis on health care has led to the emergence of telehealth solutions.

The development of mHealth, an app that can diagnose up to 32 common illnesses, and SATMED, a satellite service that allows local NGOs to share patient information using the internet, are innovative solutions to the health care problems in Bangladesh. These programs, developed by Friendship Bangladesh, have dramatically increased access and improved the efficiency of health care.

In 2017, Friendship Bangladesh provided a total of 4.2 million people with access to Friendship’s health care, including 48,000 who garnered access to the mHealth app. Friendship also employed three floating hospitals with access to satellite communication and conducted 1,392 nutrition demonstrations to help educate people on nutritional needs.

In 2020, Friendship aims to increase the number of satellite clinic days, strengthen the nutritional demonstration sessions and maintain the current floating hospitals.

The Future of Medicine in Bangladesh

Most recently, in 2018, a new telemedicine technology entered Bangladesh. Teledaktar (TD) is the newest virtual medical service that is helping expand access to medical care, according to  NPR. By creating makeshift medical centers in rural regions with little access to health care, TD is further closing the gap between doctors and patients in the most rural areas of the country.

Despite the challenges in Bangladesh, access to adequate health care is possible. The inclusion of telemedicine into common health care practices is one development in improving health care. An increase in trained physicians, along with an increase in rural health facilities, are among the recent successes to Bangladeshi health care. Moreover, the government initiation of a stakeholder dialogue with the U.N. Human Resource for Health (HRH) has created more effective dialogues that advocate for the expansion of health care across the country. With new programs, new partners and new technologies, the future of medicine in Bangladesh is hopeful.

– Aly Hill
Photo: Flickr

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7 Health Improvements in Afghanistan

Health Improvements in Afghanistan
Conflict has torn Afghanistan apart. Like all conflicts, it is the innocent civilians that suffer the most. Afghanistan continues to face a great amount of insecurity within its borders. Yet, despite the harsh conditions that are an everyday reality for civilians, the country continues to make additional health improvements. Here are seven health improvements in Afghanistan.

7 Health Improvements in Afghanistan

  1. Increased Health Facilities: Readily available health facilities initiated health improvements in Afghanistan, according to the Senior Health Specialist at the World Bank, Ghulam Dastagir Sayed. As of 2003, there were only 500 health facilities available for Afghan civilians. As of 2018, that number skyrocketed to 2,500 facilities. These facilities are located all over Afghanistan, but USAID makes it clear that low-income populations and rural areas are the most important to reach.
  2. The International Midwife Association: NGOs in Afghanistan have trained over 4,000 community midwives around the country and provided them with the necessary information to provide anti-natal care, postnatal care,  deliveries and immunization services to the people of Afghanistan. The NGO International Midwife Association has helped women in Afghanistan. Before it provided this help, many women did not have the necessary knowledge and help to have a safe pregnancy.
  3. Infant Mortality Rate: Afghanistan has the highest infant mortality rate in the world. However, from the year 2003 to 2015 the number of children dying before their 5th birthday has dropped by a total of 34 percent. This has lowered deaths from 137 per 1,000 births to 91 per 1,000 births. Health services and a better health care system in Afghanistan have caused these numbers to drop.
  4. Pregnant Women: Health care available to pregnant women in the country has also been among the health improvements in Afghanistan. From 2010 to the year 2018, health professionals have seen pregnant women at an increase of 3.5 percent each year. Additionally, women’s use of contraceptives and the number of births that professionals aided increased by 2 percent during the same eight years. The Afghani government has launched effective national health campaigns that have educated Afghani women and led them to seek out professional help during pregnancy. Women in the country are benefiting greatly through these increased health services. From the year 2003 to 2015, the number of women dying per 100,000 births has reduced by 64 percent. Similar to the improved child mortality rate above, a better health care system that reaches and educates Afghan women about their health has caused these improvements.
  5. The Afghanistan Development Association (ADA): NGOs are working to contribute to health improvements in Afghanistan. Seventy-two percent of the NGOs in the country are Afghan and are on the front lines providing medical treatment. One such NGO is the Afghanistan Development Association. ADA provides development and humanitarian aid to the country of Afghanistan.
  6. Drug Availability: Drug availability has risen in the country. It rose from 13.8 percent in the years from 2004 to 2010 and an additional 0.6 percent in the years 2011 to 2016. The government established the National Medicine and Health Products Regulatory Authority (NMHRA) that regulates medicines and other health products. This is one such program that is helping medicinal drug availability. Many Afghans have had to resort to smuggling medicinal drugs from neighboring countries or rely on traditional medicine. While Afghanistan has improved this problem, it can only continue its progress through programs like the NMHRA.
  7. Patient Counselling: Patient counseling is an important part of health care. From 2004 to 2010, patient counseling saw an increase of 6 percent annually followed by an additional 1.3 annually between the years 2011 and 2016. Patient counseling is important in the realm of family planning and child services.

While Afghanistan is still a country with many problems, one cannot deny that the progress it is making deserves celebration. The Afghan government partly made many of these improvements by actively engaging NGOs to tackle the health issues within its borders.

– Jacob E. Lee
Photo: Wikimedia Commons

 

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Improving Public Health in Mali 

Public Health in Mali
Mali is a nation that has had both ups and downs in recent decades where public health is concerned. Food and waterborne diseases are particularly problematic within the country. The degree of risk for attracting some sort of major illness or infection within Mali is very high. Among the top 10 causes of death in Mali are neonatal disorders, malaria, malnutrition and lower respiratory infections. Many of the issues surrounding public health in Mali largely correlate with access to food and clean drinking water.

Centers for Disease Control and Prevention (CDC)

The CDC has been working in a close partnership with the country since 1996 in an effort to provide aid for public health in Mali. A CDC epidemiologist first began working with Mali on stopping diseases like smallpox and measles. However, its mission within the nation’s borders has expanded. One goal of the CDC’s current partnership with the nation is to improve public health in Mali. The CDC is expanding access to solutions for vaccine-preventable illnesses and other leading causes of death. Another goal is strengthening the country’s laboratory and workforce capacity to help it be more prepared for disease outbreaks.

The U.S. Agency for International Development (USAID)

Despite some serious achievements within the health sector of the country, public health in Mali still remains one of the largest concerns within its borders. The newest strategy under the U.S. Agency for International Development focuses heavily on development within the region in several different ways. It prioritizes the comprehensive packaging of high-impact health services at the community level and pushes for making said necessary health initiatives accessible to those who need it the most. Additionally, the organization supports the goals of the U.S. Government Global Health Initiative. The organization is continuously looking for ways to improve public health by making effective, quality health services to Mali’s citizens.

Prioritizing Mothers and Children

Even more specifically, Mali and initiatives must give special attention to mothers and children within the country as part of any approach to improving public health in Mali. Some organizations prioritize this above all else, like Mali Health. Its approach focuses on promoting financial health and stability. Mali Health removes financial barriers that stand in the way for many citizens of Mali. The thinking behind this approach is that with fewer financial barriers posing as obstacles for mothers, they will be able to seek out medical care for themselves and their children easier than it may have been previously to do so. Approaching public health in Mali primarily by tackling issues that heavily affect mothers and children first is an intuitive idea. Doing so means that healthier mothers are able to raise healthier children. The children will live and thrive past the years where certain illnesses can be particularly deadly. In addition, when more children survive and thrive, it leads to successes in Mali’s workforce, population growth and economic growth.

Clean Water in Mali

Another integral approach to solving the issues which plague public health in Mali is one that focuses primarily on clean water. Diarrheal diseases are especially lethal and often emerge out of a lack of access to clean and safe drinking water. One nonprofit organization, Medicine for Mali, has drilled 28 clean water wells within the country in hopes of providing cleaner water to its citizens. Solar even powers some of these wells and the organization has provided training within the villages it services so that users know how to maintain and repair the wells. It is through organizations like these that profound impacts are visible on public health in Mali. The implementation of health services and wells can change the lives of thousands of people all at once. This sparks a movement to help a nation on its path to growth.

Like many other countries, Mali still needs improvement in order to become substantially healthier. Public health in Mali still faces many issues. The real challenge lies in ensuring that clean drinking water, necessary medications and vaccinations and preventive health services are accessible throughout the country. The country should undoubtedly achieve this through the combined efforts of nonprofit organizations, its government, its citizens and foreign aid agencies in the U.S.

– Hannah Easley
Photo: Flickr

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Menstruation, Education and Poverty

Menstruation Education and Poverty
Each day, more than 800 million women and girls menstruate, yet people often leave periods out of conversations regarding poverty, global health and progress. Menstruation, education and poverty link together. Most who menstruate experience their first period between ages 10 and 16. Menstruation can cause other complications for children already in poverty. Despite efforts to include menstruation in these conversations, stigma and shame still often prevail when discussions arise.

In order to have a healthy period, people need access to clean water and sanitation. More than 35 percent of the world’s population lack these necessities. Without necessary hygiene measures, menstruation can result in illness and death.

Menstruation, Education and Poverty

In addition to these concerns about physical well-being and safety, menstruation can negatively affect a child’s education in a number of ways. Lack of proper sanitation and menstrual hygiene products such as tampons and sanitary pads can lead to missed school days around the time of a period.

When logistical concerns combine with the common stigma about periods and menstruation, people who menstruate miss out on valuable education. In Ghana, a nation where 8 percent of people live in extreme poverty, over 95 percent of students who menstruate reported frequent absences from school due to their period.

Fighting Back

While stigma and the lack of access to sanitary products continue to be a problem, various global initiatives are acting to combat this threat to health and safety. In 2013, the German nonprofit WASH United named May 28th Menstrual Hygiene Day, aiming to educate the public and fight stigmatization around menstruation globally.

May 28th is more than just a day to educate and enact action. It also symbolically ties to menstruation. May, the fifth month of the year, represents the average of five days that menstruation lasts each cycle. The number 28 represents the average length in days of a menstrual cycle.

WASH United is not the only organization realizing the importance of including menstruation in the conversations surrounding poverty and global health. The global nonprofit PERIOD is working to provide quality menstrual care, education and opportunities for those who menstruate. The Pad Project works on the ground in impoverished areas installing sustainable, locally sourced machines that produce pads, creating both necessary sanitary products and jobs. These two nonprofits both additionally stress the importance of proper menstrual care in order to ensure that menstruation does not limit a child’s education.

Looking Forward

Menstruation is not just a concern for the 26 percent of the global population who experiences it. There is a great need for education on the process and common challenges of menstruation in order to improve health and access to necessary care. In the fight to improve menstrual health around the globe, it is imperative that people teach menstruation as a natural, biological process that is healthy for the body, and not something that is shameful or unsanitary.

When people who menstruate have confidence in the tools they use during their period, as well as access to basic needs of water and sanitation, then menstruation, education and poverty can begin to destigmatize and children can face less of a barrier in obtaining the schooling, comfort and safety they deserve.

– Elizabeth Reece Baker
Photo: Wikimedia Commons

 

 

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The Pratt Pouch: Reducing HIV Transmission to Babies

The Pratt PouchThose living in poverty often have limited access to basic necessities such as food, water and shelter. Beyond these basic necessities lies the need for free or affordable healthcare, yet so many countries are still lacking in that regard. Insufficient health centers and medical treatments do little to stop the spread of life-threatening diseases such as HIV. Mothers with HIV have up to a 45 percent chance of transmitting the disease to their babies during childbirth and breastfeeding. The invention of the Pratt Pouch has helped in the reduction of that risk to just 5 percent.

How It Works

Every year, 400,000 children are diagnosed with HIV as a result of their mothers being HIV positive. Robert Malkin of Duke University hopes that the Pratt Pouch will reduce that number to fewer than 100,000 cases a year. Malkin and his team created the Pratt Pouch at the Pratt School of Engineering. The “foilized, polyethylene pouch” is filled with pediatric doses of antiretrovirals. The pouch gives the medication to have a shelf- life of up to twelve months. Other containers such as cups, spoons or syringes have a much shorter shelf-life because the containers absorb the water inside the medication, causing it to solidify.

The medication is provided to mothers during prenatal visits, but it is usually administered to the baby at home. The Pratt Pouch has a perforation, so it easily tears open. Since it contains a pre-measured dose, there is no need for a syringe, and it is taken orally. To be effective, the medication should be administered within seventy-two hours of birth; however, the ideal window of time is in the first twenty-four hours. The child takes the medication for six weeks.

The makers of the Pratt Pouch have partnered with IntraHealth International, which is providing training for pharmacists and community health workers. These trained individuals then go out and educate mothers about the proper methods to use to treat their children.

Who Is Using It?

So far, Uganda and Ecuador use the pouches. Malkin partnered with Fundación VIHDA in 2012. Since then, they have distributed the pouches to four hospitals in Guayaquil and Quito. Humberto Mata, the co-founder of Fundación VIHDA, estimates that more than 1,000 babies have received antiretroviral medication through the use of the pouches.

In Ecuador, a pharmacist manually fills and seals the pouches. However, a high-tech facility constructed at Hospice Uganda in Kampala is equipped with special machines that fill and seal the pouches in four seconds. That is a fraction of the time it takes a pharmacist to fill by hand.

Future Goals

It is one of Malkin’s goals to help medicate 40,000 infants in Uganda over the course of the next three years. In addition, Malkin hopes to use the pouches to deliver treatments for diseases besides HIV. “For example, HIV and pneumonia often occur together, so I could imagine giving mothers two sets of color-coded pouches, one set for HIV and one for pneumonia,” said Malkin.

The Pratt Pouch has been effective in decreasing the chance of an HIV positive mother transmitting the disease to her baby during birth. By making the antiretroviral medication easily accessible and easy-to-use, the creators of the Pratt Pouch have helped put the minds of worried mothers at ease. A mother can be at peace knowing she has done everything she can to keep her child healthy.

– Sareen Mekhitarian
Photo: Pixabay

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Addressing the Top 3 Diseases in Uganda

diseases in UgandaAs a developing country, Uganda struggles with multiple intractable diseases that kill millions of Ugandans every year. HIV/AIDS, malaria and tuberculosis are among the top five causes of death in Uganda. But, medical research is providing innovations that give hope to relieve suffering and prevent death in Uganda. Here are three diseases in Uganda that can be tackled with treatments that seem like science fiction.

Tuberculosis and Bedaquiline

Science fiction often explores the possibilities of DNA manipulation. Now, this sci-fi premise is becoming a reality through a new tuberculosis drug called bedaquiline. Bedaquiline is a new drug that blocks energy transfer enzymes that a tuberculosis bacteria cell needs to survive. Without this essential energy, the cell dies. A June 2019 study discovered that bedaquiline has long-term treatment potential. The drug forms small reservoirs in the body, allowing it to naturally release throughout the body and continually kill tuberculosis cells over time. This is a major breakthrough for Ugandan citizens since this is the first tuberculosis treatment to come out in 50 years. 

Malaria and Genetic Mutation

Popular science fiction games outline the use of biological weapons, such as Mass Effect’s fictional “genophage” which causes a female host to produce sterile offspring. Experimental genetic engineering technology is now taking on a highly deadly disease in Uganda. Scientists have developed an engineered genetic mutation that deforms mosquito reproductive organs and passes from female mosquitos to daughter eggs, meaning that the hatched females are unable to breed. In other words, the mutation makes the next generation of mosquitos sterile, reducing the population and thus reducing the risk of malaria.

Further, the mutation changes females mosquitos’ mouths to resemble male counterparts’. Male mosquitos cannot bite humans, thus the mutation “de-fangs” female mosquitoes, making it impossible for them to transmit malaria. Releasing genetically modified mosquitoes has been controversial and research continues. According to Uganda’s Ministry of Health, malaria is endemic in 95 percent of Uganda. If it is found that modifying mosquitoes is safe and successful, this development could be a critical contribution to treating malaria and other mosquito transmitted diseases in Uganda.

HIV/AIDS and the Immune System

Science fiction extensively narrates the use of genetic properties to repair and fix humans. Dual studies from 2007 and 2019 used similar methods to combat the insidious syndrome of HIV/AIDS that plagues Uganda. A bone marrow transplant replaces the patient’s immune system with mutated systems via lymphatic pathways. It essentially replaces the patient’s immune system with a new, mutated version that combats the disease.

Using this technique, a 2007 patient has been off anti-retroviral medicines for 12 years. The most recent patient, cured in 2019, has been HIV-free for more than 18 months. With difficulties in bringing patients back for consistent treatments, a possible long-term solution for HIV/AIDS is an extremely important advance for the 1.3 million Ugandans infected with HIV.

Conclusion

Famous Star Trek character Captain Jean-Luc Picard stated, “Things are only impossible until they’re not.” Relieving Uganda’s suffering seemed impossible – the stuff of science fiction – as if they would never be free of disease. But, the above treatments provide hope for the people of Uganda. Through rigorous research and innovation, doctors are developing treatments for diseases in Uganda and other countries.

– Melanie Rasmussen
Photo: Flickr