Archive for category: Health

Information and stories on health topics.

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The Starkey Hearing Foundation

Starkey Hearing Foundation
The Starkey Hearing Foundation is an organization that William F. Austin founded and it is on a mission to help people with hearing loss around the world. Its goal is to make hearing health care services more accessible for people worldwide, and thanks to the Minnesota Vikings, more people are aware of the cause.

Hearing Disadvantage Facts

Around 466 million people around the world have disabling hearing loss. According to the World Health Organization, of these 466 million people, less than 3 percent can actually afford hearing aids. They also lack the funds in order to pay for the care they need. Hearing aids can cost anywhere between $40 and $3,000, so developing countries will have a hard time paying for these if they are already having a hard time making ends meet.

Impoverished people in countries around the world receive poor treatment from uneducated doctors and can face preventable medical issues that can cause hearing loss. One of the most common issues is Otitis Media, which is a chronic ear infection in the middle ear that causes inflammation. This infection is most common within babies under 5 years old and can go undetected in foreign countries due to doctors being unable to give proper treatment.

Twenty-five percent of adults around the world who are over the age of 65 have hearing loss. Most of these people come from Asian and African countries. Lack of resources and awareness are the reason why so many Africans and Asians have a hearing impairment.

Pregnancy complications also contribute to hearing loss, not just for the unborn baby, but for the mother as well. Researchers have found that if a mother were to spend time in excess noise, the baby would likely be susceptible to being hearing impaired. Consumption of alcohol and smoking cigarettes also play a role in a baby possibly being deaf. Both cigarettes and alcohol have toxins and can cause malnutrition for an unborn child.

Starkey Hearing Foundation

The Starkey Hearing Foundation has a goal to make sure everyone around the world has access to health care services so they can get the proper care they need. Its goal is to also help people afford hearing aids. The organization teamed up with the government and other organization health leaders to make this possible. The Foundation has talked with global health professionals to advocate for hearing health and provide support to the government in developing hearing health policies.

Over the years, the Starkey Hearing Foundation has been to over 100 countries and has helped people receive the proper care they needed in order to hear again. Because of this, the organization now has the largest hearing health care database in the world. Many people from different countries have traveled to its headquarters in Minnesota to receive help.

The organization has helped different medical practices with research by figuring out the reason behind hearing loss within a specific country. It also supports other physicians who have worked on the hearing problem around the world.

The Foundation has shared different strategies with the government who are currently working on developing hearing policies in developing countries. It has also shared its knowledge on how hearing care could improve within the existing health systems.

Minnesota Vikings

The Minnesota Vikings, who are a national football team based in Minneapolis, are the biggest supporters of the Starkey Hearing Foundation because the organization is also based out of Minnesota.

In 2013, the Vikings partnered with the Starkey Hearing Foundation in order to help spread awareness to their fanbase about the issue. With over 2 million followers on Facebook, over 1 million followers on Twitter, over 800,000 followers on Instagram and drawing in roughly 66,000 people to games every year, at least 3 million people are aware of the Foundation and how to support it.

During every home game, radio and television stations would promote the campaign so even more people would become aware of the cause. Fans who attended the home games also received Starkey brand ear protection. The Vikings also made a commitment that for every touchdown the team scored, they would donate $500 to the Starkey Hearing Foundation.

– Reese Furlow
Photo: Flickr

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Addressing Homelessness in Argentina

Homelessness in Argentina

With political uncertainty and inflation rising, homelessness in Argentina is growing. In Buenos Aires alone, 6.5 percent of the population is homeless. This translates to approximately 198,000 people. This problem is not specific to the nation’s capital either. In fact, a report from the National Statistics and Census of the Republic of Argentina estimates that up to 5 million people are homeless (approximately 10 percent of the overall population).

According to the Social Debt Observatory of Pontificia Universidad Católica, while the national poverty rate was 29 percent in 2015, the current poverty rate is 35 percent. Rising homelessness is only the most visible manifestation of Argentina’s current economic crisis.

Economic Downturn

Recently, inflation reached 54 percent, while the peso fell by 30 percent. This depreciation follows Argentina’s recent primary election, which showed support for opposition to the current president, Mauricio Macri. Fearing these results indicate future political upheaval, international investors retreated from the market and caused the peso’s sudden drop in value.

On top of the decreased spending power of Argentines, the government recently discontinued subsidies for utilities and public transportation. Rising prices hurt average Argentine households.

Within the past year, the price of natural gas rose by 77.6 percent. Electricity and water suffered similar price jumps, rising by 46 percent and 26 percent respectively.

As Matias Barroetaveña, the director of the Center of Metropolitan Studies reports, seven out of 10 families consider basic utilities to be a strain on their finances. With the cost of living inflating, it is not surprising that homelessness in Argentina continues to rise as well.

The Reality

Homeless families and individuals end up living primarily in makeshift shelters around urban areas: in plazas and parks, as well as outside shopping malls and bus stations. There aren’t enough shelters around Buenos Aires to handle the homeless population; all of the current shelters are at capacity. Additionally, shelters divide everyone by gender, so families often forego them in favor of staying together.

Free meals from soup kitchens and similar organizations are staples for many as well. The National Institute of Statistics and Census (INDEC) projects that food prices will increase by 80 percent by December. INDEC also expects the situation will worsen, so that one out of every 10 Argentines will experience extreme poverty or homelessness by the end of the year.

Helping the Homeless

Project 7 (Proyecto 7 in Spanish) helps homeless individuals in Buenos Aires and works to raise awareness about homelessness. In addition to distributing donated clothing and supplies, Project 7 works on various initiatives to give voice to homeless people. Through initiatives, such as “La Voz de la Calle” (The Voice of the Street), Project 7 offers alternate ways to think about and discuss homelessness in Argentina.

According to Horacio Ávila, co-founder of Project 7, one of the most difficult aspects of homelessness is the psychological toll. As he puts it, “when people live on the streets, they feel like they’re a waste of space like they deserve to be there. Your opinion of yourself is so low.” Project 7 not only improves the living conditions of the homeless but also supports legislation addressing the homelessness problem on a national level.

– Morgan Harden
Photo: Wikimedia

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7 Facts About Life Expectancy in Sri Lanka

Life Expectancy in Sri LankaSri Lanka is a country that used to be torn by civil war. Now, thanks to peace and foreign investment, the country is making major strides towards improving the lives of its citizens. Below are seven facts about how life expectancy in Sri Lanka is improving.

7 Facts about Life Expectancy in Sri Lanka

  1. Life expectancy in Sri Lanka is currently 77.1 years. The life expectancy for males is 73.7 and is 80.8 for females. This is an increase of more than seven years from 20 years ago.
  2. The country’s three-decade civil war resulted in thousands of deaths including more than 7,000 in the final months. However, since the war ended in 2009, the country has been able to stabilize and improve economic conditions.
  3. Since 2006 the percent of people living in poverty has decreased from 15.3 percent to 4 percent. This decrease in poverty has been in large part due to the improving economy in Sri Lanka which registered an average economic growth rate of 5.8 percent from 2010 to 2017. The correlation between poverty and life expectancy is clear. When one is out of poverty and has more resources, they are able to live longer lives.
  4. Children are being immunized against disease at a 99 percent rate. Children have access to immunizations leading to a lower rate of children dying of preventable diseases. They can live longer and happier lives without worrying about diseases such as measles, hepatitis and DPT.
  5. Sri Lanka is focused on educating its youth, by seeking foreign investment. For instance, in 2017, the country secured a $100 million loan from the World Bank in order to enhance the quality of degree programs and boost STEM enrollment and research opportunities at the university level. The country’s investments are paying off as Sri Lanka has the highest reported youth literacy rate in South Asia at 98.77 percent versus India (89.66) and Bangladesh (83.2 percent).
  6. The under-5 mortality rate is less than 10 percent. The under-5 mortality rate broke below 10 percent in 2014 and has been declining since 2005. In fact, the under-5 mortality rate stood at more than 20 percent less than two decades ago. CARE and the Red Cross are two organizations that have been especially focused on improved health care services since the 1950s.
  7. The U.N. projects that the life expectancy rate will exceed 80 years within the next 20 years. However, as the Minister of External Affairs noted at a U.N. conference in 2014, “with…increased life expectancy, we are facing new challenges, namely the incidence of NCDs, a growing aging population by 2030, addressing issues facing young people and containing the spread of HIV/AIDS.”

Sri Lanka is a great example of a country that shows what can happen with peace and investment. Their economy is growing and with it, the people’s lives are improving not only in quality but also in length.

– Josh Fritzjunker and Kim Thelwell
Photo: Flickr

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Oral Health Literacy in Belarus

Oral Health Literacy

Belarus, since 1991 an independent state in northeast Europe, remains somewhat isolated from the European mainstream as one of several successor states to the Soviet Union. Though the country hosts 4.08 physicians per 1,000 people, a figure comparable to many developed nations, there remain areas of the healthcare system that require improvement, and one such area is the dental health sector. For a dental health sector to treat the maximum number of citizens effectively, the population must attain a minimally competent level of oral health literacy. Several oral health literacy studies have diagnosed the quality of dental hygiene knowledge and provide strategies for improving oral literacy in the general population. Though data has been sparse since these studies, they suggest a continuing improvement in dental health and therefore in oral health literacy within the populace.

Oral Health Literacy in Post-Soviet Belarus

In 1996, several years after the dissolution of the USSR, oral health survey data established that tooth decay and periodontal disease affected approximately 85 percent of children and 100 percent of adults. Since then, these findings incentivized research into the development of successful and economical disease prevention strategies. Chief among these is ensuring oral health literacy.

A 2004 epidemiological study sought to uncover the link between urban or rural status and level of education on oral health literacy. The scope of the study encompassed randomly selected subjects from all six regions of Belarus, entailing administration of dental health examinations on six and 12 year-old children, questionnaires directed to mothers and primary school teachers and subsequent processing and interpretation of the data collected.

Of the children surveyed, 93 percent of tested six year-olds and 85 percent of tested 1- year-olds showed signs of tooth decay, with both 12- and six-year-old urban students less likely to have experienced tooth decay than their rural counterparts, although the contrast was more dramatic for 12-year-old test subjects. The questionnaires directed to mothers established that urban mothers were more likely than rural mothers to exhibit oral health literacy, and this knowledge disparity was likewise reflected in better oral hygiene habits in urban families. However, primary school teacher respondents provided generally accurate answers to the questionnaire, with no major knowledge disparity on based on the urban-rural divide.

This study concludes that a strong correlation existed between the knowledge and habits of parents and the dental health of their children. Both six- and 12-year-olds exhibited rates of tooth decay surpassing the 2000 goal set by World Health Organization for Europe, attributable to a myriad of factors encompassing diet, lifestyle change, inadequate parental involvement and mere lack of knowledge. Though primary school institutions should continue to play a pivotal role in dental hygiene education, parents must increase and improve their own role, facilitated through strategies promoting better access to updated dental health information.

Progress in Pediatric Oral Health Literacy since 2009

In order to determine whether progress has been made in oral literacy since these studies, one must consider the most recently released dental health statistics. Perhaps the most striking available data is that of pediatric dental patients’ DMFT index measurements. Dental epidemiologists record the degree to which a patient’s teeth suffer decay, are missing or filled, using a measurement called the DMFT index, which assigns values from zero to 28 or 32. On this scale, a lower score indicates less tooth damage.

In 2009, the Belarusian government determined that the mean DMFT of the country’s 12 year-olds rested at 2.1, while another study the same year found that 30.6 percent of children of the same age rested at zero in the DMFT index. Though the results of this DMFT study are now a decade old, they constitute a significant improvement over the prior decade, in which (as of 1998) only ten percent of 12 year-olds were cavity-free with a mean DMFT of 3.8.

NGO Involvement and a Trajectory for Improvement

Global Dental Ambassadors, an NGO comprised of dental health professionals committed to the exchange of data and improvement of oral health literacy, annually holds academic exchanges throughout the world. From 19 September to 21 September 2019, this organization held an international academic exchange summit at Belarusian State Medical University involving professionals from the United States and Belarus, with 523 second and third year students of the Belarusian State Medical University witnessing the proceedings. Conventions of this sort hold great promise for ensuring that the dental sector in Belarus remains fully literate on the latest developments within the profession.

Established in 2006 by Chernobyl Children International co-founder Mary Sugrue and dentist Marcas Mac Domhnaill, the Chernobyl Children International Dental Programme focuses primarily on improving the hygiene standard and general oral literacy of Belarusian pediatric dentistry. As Mary Sugrue attests, pediatric tooth extraction procedures did not involve the use of anaesthetic when the organization began working in Belarus. Since then, the organization has done much to decrease the infection rate through educating dentists and patients alike, including children.

Substantial progress has been made in the cause of Belarusian oral health literacy over the past several decades. The most recent data and international NGO involvement gives reason for optimism and incentivizes further investment in improving oral health literacy in Belarus.

– Philip Daniel Glass
Photo: Flickr

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9 Facts about Life Expectancy in Kiribati

Life Expectancy in Kiribati

Kiribati is a small, low-lying island nation straddling the equator in the Pacific Ocean. The nation is comprised of three archipelagoes, scattered in an area roughly the size of India. Often overlooked globally, the Kiribati people have faced a number of challenges especially since gaining independence in 1979. This struggle is illuminated by these nine facts about life expectancy in Kiribati.

9 Facts about Life Expectancy in Kiribati

  1. Kiribati ranks 174th in the world in terms of life expectancy, with the average life lasting only 66.9 years. The country ranks last in life expectancy out of the 20 nations located in the Oceania region of the Pacific.
  2. The lives of Kiribati women last approximately 5.2 years longer than their male counterparts, with female life expectancy standing at 69.5 years and the male life expectancy at 64.3 years.
  3. The entire nation’s population is the same as the population of about 4 percent of the borough of Brooklyn, with roughly 110,000 citizens. Even with such a small population, Kiribati faces serious issues relating to overcrowding. The Western Gilbert Islands (one of the three archipelagoes comprising Kiribati) boasts some of the highest population densities on earth, rivaling cities like Tokyo and Hong Kong. This overcrowding causes great amounts of pollution, worsening the quality and length of life for the Kiribati people.
  4. Due to underdeveloped sanitation and water filtration systems, only about 66 percent of those living in Kiribati have access to clean water. Waterborne diseases are at record levels throughout the country. Poor sanitation has led to an increase in cases of diarrhea, dysentery, conjunctivitis, rotavirus and fungal infections.
  5. Around 61.5 percent of Kiribati citizens smoke tobacco products on a regular basis. There are more smokers per capita in Kiribati than in any other country in the South Pacific. Due to this and other lifestyle diseases, such as diabetes, there has been a drastic spike in lower limb amputations on the islands, doubling from 2011 to 2014.
  6. Suicide is on the rise. The number of self-harm related deaths increased by 14.4 percent from 2007 to 2017.  Climate change is suspected to play a large role in the growth of this troublesome statistic. With sea levels rising, the people of Kiribati deal with the daily fear that, even if only a small storm were to hit the island, the entire nation could be submerged into the Pacific. Such a foreboding possibility weighs heavily on the Kiribati people.
  7. Sexual violence is at a high in Kiribati, especially in regards to sexual violence between spouses. According to a 2010 study, approximately 68 percent of women between the ages of 15 and 49 reported experiencing physical or sexual abuse, or a combination of the two, from an intimate partner. Sexual violence towards children and adolescents is also expected to be prevalent, however, statistics are lacking in regards to children under 15.
  8. Kiribati is a young country, with a median age of 25. In most countries with relatively young median ages, women have a large number of children. This is not the case in Kiribati, where the average woman has 2.34 children. This can be viewed as a positive for the nation’s future, for when women have fewer children, the life expectancy typically experiences an increase.
  9. The Health Ministry Strategic Plan (HMSP) plans to raise both the quality and quantity of health care facilities in the country. The Ministry’s goal is to maintain a minimum of 40 trained health care professionals for every 10,000 people and to have at least 80 percent of medicines and commodities that have been deemed essential, available at all times.

– Austin Brown
Photo: Flickr

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Top 6 Facts About Smoking in Developing Countries

Smoking in Developing Countries
Smoking rates among adults and children in developing countries have been increasing for years. In developed nations, such as the United States, people have implemented certain policies in order to increase taxes and therefore reduce tobacco consumption, successfully. Such policies have not yet enacted in areas of extreme poverty around the world. In fact, tobacco companies have responded by flooding low-income areas with reduced-priced cigarettes, tons of advertisements and an excessive number of liquor stores and smoke shops. It is time to have a conversation about smoking rates in developing countries and whether or not tobacco control policies are the best approach long-term, worldwide. Here are the top 6 facts about smoking in developing countries.

Top 6 Facts About Smoking in Developing Countries

  1. Smoking affects populations living in extreme poverty differently than it does those in wealthy areas. Stress is a harmful symptom of poverty and contributes to smoking rates in low-income areas. Oftentimes living in poverty also means living in an overcrowded, polluted area with high crime and violence rates and a serious lack of government or social support. Stress and smoking are rampant in these areas for a reason. It is also important to note that smoking wards off hunger signals to the brain which makes it useful for individuals to maintain their mental health of sorts if food is not an option.
  2. Smoking rates are much higher among men than women across the globe. While the relative statistics vary from country to country, smoking rates among women are very low in most parts of Africa and Asia but there is hardly any disparity in smoking rates between men and women in wealthy countries such as Denmark and Sweden. The pattern of high smoking rates among men remains prevalent worldwide. One can equally attribute this to two factors that go hand-in-hand: the oppression of women and the stress that men receive to provide with their families.
  3. The increase in smoking rates in developing countries also means an outstanding number of diseases and death. The good news is that countries have succeeded in reducing consumption by raising taxes on the product. Price, specifically in the form of higher taxes, seems to be one of the only successful options in terms of cessation. Legislation banning smoking in certain public spaces is one example of an effort that places a bandaid on the problem instead of addressing the root cause. There is no data that shows a direct correlation between non-smoking areas and quitting rates among tobacco users.
  4. The World Health Organization (WHO) reports an estimated 6 million deaths per year which one can attribute to smoking tobacco products. It also estimates that there will be about another 1 billion deaths by the end of this century. Eighty percent of these deaths land in low-income countries. The problem at hand is determining how this part of the cycle of poverty can change when it has been operating in favor of the upper class for so long.
  5. Within developing countries, tobacco ranks ninth as a risk factor for mortality in those with high mortality and only ranks third in those with low mortality. This means that there are still countries where other risk factors for disease and death are still more prominent than tobacco use, but that does not mean that tobacco is not a serious health concern all over the world. Of these developing countries, tobacco accounts for up to 16 percent of the burden of disease (measured in years).
  6. China has a higher smoking rate than the other four countries ranked highest for tobacco use combined. The government sells tobacco and accounts for nearly 10 percent of central government revenue. In China, over 50 percent of the men smoke, whereas this is only true for 2 percent of women. China’s latest Five-Year Plan (2011 – 2015) called for more smoke-free public spaces in an attempt to increase life expectancy. A pack of Marlboro cigarettes in Beijing goes for 22元, which is equivalent to $3. This is far cheaper than what developed countries charge with taxes. This continual enablement is a prime example of why smoking rates in developing countries are such a problem. While many people mistake China for a developed nation because it has the world’s second-largest economy and third-largest military, it is still a developing country.

In countries like China where smoking rates are booming and death tolls sailing, tobacco control policies may not be the best solution. While raising taxes to reduce consumption may seem like a simple concept, when applied to real communities, a huge percentage of people living in poverty with this addiction will either be spending more money on tobacco products or suffering from withdrawals. While it might be easy for many people to ignore the suffering of the other, in this case, a lower-class cigarette smoker, one cannot forget how the cycle of poverty and addiction and oppression has influenced their path in life.

– Helen Schwie
Photo: Flickr

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7 Facts About Cervical Cancer in Thailand

Cervical Cancer in Thailand
Cervical cancer is one of the greatest threats to women’s lives globally. With an estimated 570,000 new cases in 2018, it ranks as the fourth most frequent cancer in women. In the South-East Asia region, it is the third most common type of cancer. Last year, there were an estimated 158,000 new cases and 95,766 cervical cancer-related deaths in the region alone. The World Health Organisation (WHO) has urged the countries in this region to speed up their efforts to eliminate cervical cancer by 2030. Thailand, one of the countries in the South-East Asia region, has made great strides towards eliminating the disease in the past two decades. Here are seven facts about cervical cancer in Thailand.

7 Facts About Cervical Cancer

  1. Twenty years ago, cervical cancer was the most common cancer for women in Thailand. Currently, it is the second most frequent cancer among women in Thailand behind only breast cancer. It is estimated that every year 8,622 women are diagnosed with cervical cancer in Thailand and that 5,015 die from the disease.
  2. According to amfAR, the human papillomavirus (HPV) causes nearly all cervical cancer cases. This makes HPV the leading cause of cervical cancer among women in Thailand. Other factors that could cause cervical cancer are smoking, HIV and hormonal contraceptive use.
  3. In the last decade, cervical cancer in Thailand has seen the largest decline in incidence compared to the other four leading causes of cancer deaths for women. One can largely attribute this to the Safety, Acceptability, Feasibility and program implementation Effort (SAFE) which Thailand adopted in 2000.
  4. The SAFE approach is a single-visit method in which patients receive screening for cervical cancer and obtain treatment if necessary. This makes it cheaper than other screening methods since it does not require advanced equipment. The ease of implementation has seen 32 Thai provinces take up the SAFE approach.
  5. One reason the SAFE method yielded such great results was that nurses in the country were tasked with doing cryotherapy. This was important because, at the time, the ratio of doctors to patients was low at about one doctor per 60,000 people. As of 2018, that ratio had improved to one doctor per 2,000 people.
  6. In June 2018, the U.N. awarded Thailand with the UN Public Service Award for its initiative to provide cervical cancer treatment to women in rural areas.
  7. Another measure taken to prevent cervical cancer in Thailand is the provision of the HPV vaccine to girls aged between 10 and 13 years. Thailand is one of four countries in the South-East Asia region to have introduced the HPV vaccine nationally.

It is quite possible that Thailand will meet the WHO’s request to eliminate cervical cancer by 2030. The country is a good example to other low and middle-income countries on how they can deal with the disease.

– Sophia Wanyonyi
Photo: Pixabay

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Does Poverty Result in Violent Extremism?

Poverty and Violent Extremism
Addressing violent extremism requires going beyond a strictly military approach to address the root causes of radicalization. While many have argued that poverty is a leading factor behind radicalization, the relationship between poverty and violent extremism is complex. Poverty by itself does not necessarily lead to a rise in violent extremism. However, societal exclusion and marginalization, which poverty links to, have a significant capacity to propel people to violence.

Government Failure

A more accurate way of determining the relationship between poverty and violent extremism is to examine not just individual cases of poverty, but entire structures that lead to deprivation and exclusion. A variety of societal factors can drive people to extremism. Firstly, a failure of state governments to provide social services not only results in poverty but allows extremist groups to fill the service gap. Secondly, distinct economic inequality between social groups can lead to grievances and disillusionment which makes extremist viewpoints more attractive. Connected to this form of inequality is social exclusion, in which society relegates one group to its outskirts. Without an ability to fully participate in the community and take part in the political process, people may become desperate for a sense of belonging and empowerment, two things which extremist groups promise.

Feelings of abandonment and resentment are prone to occur in weak states which are unable to provide their citizens with security and basic services. This not only heightens inequality, but it also means that impoverished people may come to rely on terrorist groups to provide services. By filling this role of a social service provider, extremist groups can ingratiate themselves with the community and gradually recruit. Multiple terrorist groups have succeeded in proliferating through this welfare terrorism strategy.

Hezbollah, for instance, has established schools, medical centers and agricultural programs among Shiite populations in Lebanon, while Hamas has made similar investments in education, health and cultural establishments in the West Bank. The Taliban and Al Qaeda have both established religious schools which are sometimes the only educational option available in poor regions, leaving parents with little choice but to send their children to schools that can teach violent ideologies. The failure of governments to provide education, health and social services aids this phenomenon. When terrorist groups provide these services, it not only encourages the population to accept extremists into their community, it also delegitimizes the state and political system.

Inequality and Discrimination

Additionally, it is necessary to evaluate poverty in context within a country in order to determine its relationship to violent extremism. Relative poverty tends to be more of a factor than absolute poverty in radicalizing someone towards violence. In other words, while poverty on an individual level is unlikely to prompt someone to become an extremist, the existence of societal poverty or marked inequality between social groups, can have that effect. People know inequality between groups, in which one group has privilege over the other, as horizontal inequality and it is particularly likely to lead to grievances and the perception of injustice.

One can find an example of horizontal inequality in Syria, where significant disparities have existed for decades between Sunni and Shia Arabs. Under the Al-Assad regime, Sunnis, who make up the majority of the population, have faced economic hardship and discrimination in favor of Alawite elites. Syria is one of the most economically unequal countries in the region with a GINI coefficient of 38.8, and regions of the country have experienced development in a very uneven way. Terrorist groups such as ISIS and Al Qaeda have been able to exploit Sunni anger at the state to recruit in Syria.

Social Exclusion

Social exclusion is also a crucial factor in driving people towards violent extremism. The U.N. defines social exclusion as a “lack of participation in decision-making processes in civil, socio-economic and cultural life” and the institutionalized withholding of rights which make it impossible to fully integrate with the broader community. When whole social groups receive systematic alienation, group members can become desperate for a sense of belonging and autonomy. This makes them ripe targets for recruitment into terrorist groups, which offer a sense of inclusion and identity.

As one young man in Kenya describes it, “poverty feeds terrorism by eroding a basic human need: the need to belong… Poor people have no stake in nations and economies that ignore them.”As he points out, a lack of economic resources means people are denied the chance to fully participate in and contribute to society. Instead, they spend all their time merely trying to survive. When young people are unable to find productive work and feelings of alienation and deprivation overwhelm them, it can tempt them to join gangs and terrorist networks. These provide not only money but a sense of belonging and utility. Additionally, an inability to enact change through undemocratic political systems may prompt people to turn to violence as an attempt to restore justice.

Activists in marginalized communities have worked to combat this problem through programs which provide not just economic assistance, but a sense of community. For instance, Shining Hope for New Communities (SHOFCO), works in Kibera and Mathare. The organization runs a school for girls that provides tuition-free learning as well as free nutrition and health services for students and their families. The organization also issues microloans which allow people to start small businesses and gain financial stability. Crucially, SHOFCO also works to provide a sense of community for residents through theater, soccer programs and employment advice sessions.

The Role of Foreign Aid to Reduce Violent Extremism

Beyond programs like these, foreign aid has significant potential to reduce the circumstances which can drive people to violent extremism. It is important that aid goes beyond economic assistance to address the sources of grievances which can lead to radicalization. Multiple studies have found that high levels of civil liberties and a strong rule of law correlate with a low number of domestic terrorist attacks. Repression and weak rule of law not only delegitimize the state, but they also deny citizens appropriate channels for addressing grievances through the political system, leading some to take up violent means. With this in mind, foreign aid which focuses on good governance and promoting civil society has the potential to reduce extremism.

One study which examined the number of terrorist attacks in countries from 1997 to 2020 found that governance and civil society assistance results in fewer terrorist attacks in countries that were not experiencing a civil war. As this study shows, investment in foreign aid has the ability to reduce violent extremism, which is one of the key priorities of U.S. national security policy. If U.S. policymakers want to stop the spread of violent extremism, they should support programs that promote providing people with basic needs, economic equality and give people a stake in their community.

– Clarissa Cooney
Photo: Flickr

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10 Health Costs of the Syrian Civil War

Health Costs of The Syrian Civil War
The Syrian civil war, which began in 2011, has led to a monumental refugee crisis, hundreds of thousands of deaths, the rise of the Islamic State of Iraq and Syria (ISIS) and destabilization in the Middle East. Yet another devastating effect of the war is the health consequences for people still living in Syria. Civilian doctors and nurses in active war zones face significant challenges not encountered in peacetime. These include a massive amount of trauma victims, shortages of medical equipment and personnel, infectious disease epidemics and breaches in medical neutrality. Here are 10 health costs of the Syrian civil war for the Syrian people.

10 Health Costs of the Syrian Civil War

  1. Because of the war, Syrian life expectancy has plummeted by 20 years from 75.9 years in 2010 to 55.7 years through the end of 2014. The quality of life in Syria has also worsened. As of 2016, 80 percent of Syrians are living in poverty. Moreover, 12 million people depend on assistance from humanitarian organizations.
  2. The civil war devastated Syria’s health care infrastructure, which compared to those in other middle-income countries prior to the war. By 2015, however, Syria’s health care capabilities weakened in all sectors due to the destruction of hospitals and clinics. The country faced a shortage of health care providers and medical supplies and fear gripped the country.
  3. The Syrian Government has deliberately cut vital services, such as water, phone lines, sewage treatment and garbage collection in conflict areas; because of this government blockade, millions of Syrian citizens must rely on outside medical resources from places like Jordan, Lebanon and Turkey. In 2012, the Assad regime declared providing medical aid in areas opposition forces controlled a criminal offense, which violates the Geneva Convention. By the following year, 70 percent of health workers had fled the country. This exodus of doctors worsens health outcomes and further strains doctors and surgeons who have remained.
  4. The unavailability of important medications presents another health cost of the civil war. Due to economic sanctions, fuel shortages and the unavailability of hard currency, conflict areas face a severe shortage of life-saving medications, such as some for noncommunicable diseases. Commonly used medicines, such as insulin, oxygen and anesthetic medications, are not available. Patients who rely on inhaled-medications or long-term supplemental oxygen often go without it.
  5. A lack of crucial medications has led to increased disease transmission of illnesses, such as tuberculosis. Furthermore, the conditions Syrians live in, for instance, the “tens of thousands of people currently imprisoned across the country… offer a perfect breeding ground for drug-resistant TB.”  Indeed, the majority of consultations at out-patient facilities for children under 5 were for infectious diseases like acute respiratory tract infections and watery diarrhea. According to data from Médecins Sans Frontières-Operational Centre Amsterdam  (MSF-OCA), the largest contributor to civilian mortality was an infection.
  6. In addition to combatant deaths, the civil war has caused over 100,000 civilian deaths. According to the Violation Documentation Center (VDC), cited in a 2018 Lancet Global Health study, 101,453 Syrian civilians in opposition-controlled areas died between March 18, 2011, and Dec 31, 2016. Thus, of the 143,630 conflict-related violent deaths during that period, civilians accounted for 70.6 percent of deaths in these areas while opposition combatants constituted 42,177 deaths or 29.4 percent of deaths.
  7. Of the total civilian fatalities, the proportion of children who died rose from 8.9 percent in 2011 to 19.0 percent in 2013 to 23.3 percent in 2016. As the civil war went on, aerial bombing and shelling were disproportionately responsible for civilian deaths and were the primary cause of direct death for women and children between 2011 and 2016. Thus, the “increased reliance on the aerial bombing by the Syrian Government and international partners” is one reason for the increasing proportion of children killed during the civil war according to The Lancet Global Health report. In Tal-Abyad’s pediatric IPD (2013-2014) and in Kobane Basement IPD (2015–2016), mortality rates were highest among children that were less than 6 months old. For children under a year old, the most common causes of death were malnutrition, diarrhea and lower respiratory tract infections.
  8. The challenges doctors and clinicians face are great, but health care providers are implementing unique strategies that emerged in previously war-torn areas to meet the needs of Syrian citizens. The United Nations (the U.N.) and World Health Organizations (WHO) are actively coordinating with and international NGOs to provide aid. The Syrian-led and Syrian diaspora–led NGOs are promoting Syrian health care and aiding medical personnel in Syria as well. For instance, aid groups developed an underground hospital network in Syria, which has served hundreds of thousands of civilians. These hospitals were “established in basements, farmhouses, deserted buildings, mosques, churches, factories, and even natural caves.”
  9. Since 2013, the Médecins Sans Frontières-Operational Centre Amsterdam (MSF-OCA) has been providing health care to Syrians in the districts of Tal-Abyad in Ar-Raqqa Governorate and Kobane in Aleppo Governorate, which are located in northern Syria close to the Turkish border. The health care MSF-OCA provided included out-patient and in-patient care, vaccinations and nutritional monitoring.
  10. New technologies have enabled health officials to assist in providing aid from far away. For instance, telemedicine allows health officials to make remote diagnosis and treatment of patients in war zones and areas under siege. One organization that has used this tool is the Syrian American Medical Society, which “provides remote online coverage to nine major ICUs in besieged or hard-to-access cities in Syria via video cameras, Skype, and satellite Internet connections.” Distance learning empowers under-trained doctors in Syria to learn about disaster medicine and the trauma of war from board-certified critical care specialists in the United States.

Conditions on the ground in Syria make it more difficult for Syrian citizens to receive vital medical aid from health care workers. Many people and organizations are working diligently to help injured and sick Syrians, however. These 10 health costs of the Syrian civil war illuminate some of the consequences of war that are perhaps not as storied as the refugee crisis. While aiding refugees is an undoubtedly worthy goal for international NGOs and governments, policymaker’s and NGOs’ agendas should include recognizing and alleviating the harm to those still living in Syria.

– Sarah Frazer
Photo: Flickr

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5 Facts About the Aga Khan Foundation

Five Facts about the Aga Khan FoundationThe Aga Khan Foundation (AKF) was founded in 1967 by the Spiritual Leader of the Shia Ismaili Muslims (the Aga Khan). The organization is part of the Aga Khan Development Network (AKDN), a group of private and international agencies with a goal of improving living conditions and opportunities for people in developing countries as well as fighting against global poverty. The AKF’s main goal is to address the root causes of poverty by sharing new and innovative solutions in health, education, rural development, civil society and the environment. The AKF works in over 30 countries around the world and operates about 1,000 programs and institutions, with a focus on economic, social and cultural development. Here are five facts about the Aga Khan Foundation.

5 Facts About the Aga Khan Foundation

  1. The AKF operates globally, with field resources in Asia and Africa, research offices in Canada, the U.K., and the U.S. and headquarters in Switzerland. They work with local, national and international partners to assist impoverished areas. Through their international sectors, they are able to organize outreach campaigns, volunteer resources and development education around the world. The AKF focuses on six areas: agriculture and food security, economic stability, education, child development, health and civil society. The main goal is to improve the quality of life by aiding in the fight against the issues associated with poverty.
  2. The AKF is involved with approximately 1,000 programs and partner institutions in over 20 countries and employs over 80,000 people, mostly from the developing areas that the foundation operates in. Through their worldwide efforts and partnerships, various AKF agencies and affiliated members have won awards in a variety of areas. The Aga Khan Rural Support Programme received the Community-based Mitigation and Adaptation to Climate Change Award in 2014, the Aga Khan University Hospital received the CSR Brands of the Year Award in 2013 and the Aga Khan Development Network itself was selected as a 2011 Devex Top 40 Development Innovator, plus the AKF has received several other awards and mentions in the past 20 years alone.
  3. So far, the AKF has helped millions of people improve their quality of life. Each year, over two million students from preschool to university are enrolled in programs and institutions operated by the AKF. Over 17 million people benefit from various financial services and over 10 million people receive electricity each year due to efforts by the foundation. Through various rural support programs, like participatory governance and natural resource management, over eight million people have been able to receive better food security and raise household income.
  4. The AKF has one of the largest nonprofit, private healthcare systems of the developing countries. Thousands of nurses, midwives and doctors have been trained through this system, and several community health projects are hosted each year to raise awareness of various health issues. One of the goals of the Foundation is to introduce the use of eHealth tools to enhance the quality of healthcare and make it more accessible to communities without easy access. Over 5 million people are able to receive healthcare each year due to services provided by the AKF.
  5. Each year, the Aga Khan Foundation Canada hosts a World Partnership Walk to raise money and awareness for the foundation. Started in 1985 by a group of women formerly from Africa and Asia, it has since become an annual event that is held in over 10 cities in Canada and is the largest event in the country held in support of international development. Since 1985, the World Partnership Walk has raised over $100 million to help initiatives in over 15 countries to help reduce poverty and improve quality of life across Africa and Asia.

The AKF is an international network of agencies working to fight poverty and improve the quality of life for people in developing countries around the world. These five facts about the Aga Khan Foundation show that by providing well-rounded opportunities like schools, healthcare and financial help, the foundation has been able to provide a variety of assistance to those in need. The Aga Khan Foundation has helped millions of people over the last 60 years and is on track to help millions more in the near future.

– Jessica Winarski
Photo: Aga Khan Development Network