Archive for category: Health

Information and stories on health topics.

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VISION 2020 Initiative

VISION 2020 initiativeBlindness, as well as moderate to severe visual impairments (MSVI), affects hundreds of millions of people around the world. An estimated 217 million people suffer from MSVI, and 36 million are blind. However, despite the fact that 89 percent of all visually impaired people live in developing countries, blindness tends to be one of the more overlooked aspects of anti-poverty and development efforts around the world.

In 1999, the World Health Organization (WHO), in partnership with more than 20 other organizations, launched the VISION 2020: The Right to Sight campaign, which intended to “eliminate the main causes of all preventable and treatable blindness as a public health issue by the year 2020.” Since the beginning of the campaign, much progress has been made in reducing preventable blindness around the world. However, preventable blindness continues to be an issue around the world, particularly in impoverished countries.

Before diving into the origins, objectives and accomplishments of the VISION 2020 initiative, it will be useful to understand how blindness, MSVI and global poverty intersect.

Blindness and Global Poverty

Due to the fact that the overwhelming majority of blind and visually impaired people live in poor and middle-income countries, poor eye health has become deeply intertwined with global poverty. In general, blindness and MSVI are common among the global poor because of their inability to afford health services, which puts them at an increased risk of contracting eye diseases. Additionally, a lack of awareness about eye health exacerbates this problem.

Unfortunately, poverty can cause blindness just as much as blindness can cause poverty. Blindness can impose severe economic burdens on those affected by drastically reducing their ability to work and provide for themselves. Ninety percent of blind people around the world cannot work. High levels of blindness also create economic problems for whole countries, and even the world economy. In 2000, it was estimated that visual impairment cost the global economy between $19,223 million and $22,764 million in GDP.

Blindness can also bring negative social consequences, such as a loss of social standing and authoritative decision-making. This social stigma is particularly prevalent in blind women, 80 percent of whom report a loss of authority within their families. Additionally, the economic impact of blindness can lead the afflicted to feel an increased sense of social isolation and alienation from their communities.

The VISION 2020 Initiative

The VISION 2020 initiative is a multi-organization campaign, launched by the WHO in 1999, which aims to eliminate preventable blindness by the year 2020. In order to achieve this goal, VISION 2020 has used three core strategies. These include using specific programs to control and treat the major causes of blindness, training ophthalmologists and other eye doctors to provide eye care to those who need it, and improving technology and infrastructure to increase the accessibility of eye treatment.

Since the VISION 2020 initiative launched, some progress has undeniably been made toward reducing preventable blindness worldwide. Between 1999 and 2015, the prevalence of visual impairment decreased from 4.58 percent to 3.38 percent. Additionally, many low and middle-income countries are seeing increased rates of cataract surgery.

However, despite the fact that the campaign is in its final year, it will not achieve its goal of ending preventable blindness around the world. Compounding this problem, researchers are pointing to emerging global health trends that are expected to cause an increase in visual impairments around the world. For example, an increase in the elderly population will likely give rise to an increase in age-related visual impairments, like cataracts. Increased rates of diabetes around the world are causing higher rates of diabetic retinopathy.

It is important to recognize that while these health developments may complicate efforts to reduce blindness worldwide, the fact that researchers have knowledge of these trends can shape the strategies of future anti-blindness campaigns. Despite the failure of the VISION 2020 initiative to end preventable blindness around the world, experts can learn from the program’s shortcomings and build on its successes going forward.

– Andrew Bryant
Photo: Flickr

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Pharmaceuticals Providing Affordable Medicine in Developing Countries

Affordable Medicine in Developing Countries
In 1997, thousands of people in low-income, developing countries died every day from treatable diseases because they could not pay the high price pharmaceuticals charged for medicine. Today in these same regions, millions are receiving treatment and mortality rates have dropped dramatically as drugmakers around the world are providing affordable medicine in developing countries.

Pharmaceuticals in the Past

In 1997, AIDS was killing thousands of Africans each day. In the same year, people with AIDS in the U.S. were enjoying greater life expectancy and quality of life, with AIDS-related deaths dropping by 42 percent thanks to the use of anti-HIV drugs.  With a $12,000 per patient per year price tag and strict patent laws forbidding the purchase of generic types, these life-saving drugs were inaccessible to millions of AIDS victims in developing countries. Unwilling to lower their prices, the pharmaceutical industry looked on while thousands of people died with treatment just beyond their reach.

Refusing to sit by as its people died every day while a treatment existed, South Africa legalized the suspension of drug patents in 1998, making it possible for South Africans to purchase generic anti-HIV drugs at affordable prices. Thirty-nine top pharmaceutical companies promptly engaged South Africa in a lawsuit, attempting to keep them from accessing HIV drugs at a reduced cost for fear that other countries would follow and the industry would miss out on profits.

The pharmaceuticals soon dropped the lawsuit when the international community received word that drug companies were keeping poor and dying people required medicines. However, drug prices remained inaccessibly high.

Finally, a turning point came in 2001 when Indian drug-maker Cipla shocked the international pharmaceutical industry by announcing its plan to sell anti-HIV drugs directly to poor nations and to Doctors Without Borders for only $350 per patient per year (less than $1 a day). Cipla’s offer exposed the huge markups pharmaceutical companies were profiting from, prompting several major drug-makers to lower their prices and make drugs more accessible to developing countries.

Pharmaceuticals Today

Today, the pharmaceutical industry’s attitude and approach toward providing affordable medicine in developing countries have greatly shifted. The Access to Medicine Foundation shares that nearly all major drug companies have goals for addressing access to medicine now, while many have pioneered innovative ways to reduce costs and create medicines and vaccines for low- and middle-income countries (LMICs). In the past 10 years, drug makers have doubled the number of medicines they are developing for LMICs.

Nine companies that own patents for HIV/AIDS treatment now use their IP rights flexibly to allow LMICs to import and purchase generic supplies. As a result, over 14 million Africans are now on HIV drugs, and AIDS-related deaths dropped drastically by nearly 40 percent over the past 10 years.

Seven drug companies have made efforts to include the poorest populations in their customer base, focusing on products for diabetes, heart disease and other NCDs which are a rising problem in the developing world. In 2017, the leading drug maker, Pfizer, partnered with Cipla to sell chemotherapy drugs to African countries at prices just above their own manufacturing cost, selling some pills for as little as 50 cents.

Several leading pharmaceuticals now partner with generics to produce affordable drugs for Africa, Asia and Latin America, and a fair price strategy now covers 49 percent of products. Thanks to the improvements in the pharmaceutical industry, hundreds of thousands of people now have access to affordable medicine in developing countries.

– Sarah Musick
Photo: Wikimedia Commons

 

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10 Facts About Life Expectancy in Chile

Life Expectancy in Chile
Located on the southwest edge of South America, Chile‘s international poverty rate is 1.3 percent. This number is fairly low compared to other nations, but Chilean poverty is on the rise as the nation’s international poverty rate increased from 0.9 percent in 2015. Today, 234,083 Chilean people remain impoverished and currently survive on less than $1.90 a day. Despite this descent in economic prosperity, poverty has not negatively affected the country’s life expectancy as it is has risen from 73.6 in 1990 to 79.1 in 2018. Here are 10 facts about life expectancy in Chile.

10 Facts About Life Expectancy in Chile

  1. Female Life Expectancy: While the overall average life expectancy in Chile evens out at 79.1 years, according to the Central Intelligence Agency (CIA), women tend to live longer. Women have an average lifespan of 82.2 years while most men live to the age of 76. Despite this gap in longevity, Chilean citizens generally live long lives as the country ranks 51st among 222 other global nations.
  2. Living Conditions: Overcrowding has long been an issue in Chile. Not only does it reflect the economic fragility of the region but it also harms the physical and mental health of citizens subjected to it. When the Chilean government implemented the Social Housing Recovery of 2014, the health of the country’s citizens increased and their life expectancy increased as a result. Today, the average Chilean home houses 1.2 people per room, which is better than the Organisation for Economic Co-operation and Development’s (OECD) average of 1.8. Thanks to the Social Housing Recovery initiative, Chileans not only experience a higher standard of living, but they also received their right to better health and longer lives.
  3. Obesity: Obesity is one of Chile’s leading health issues. According to the CIA, nearly one-third of all Chilean adults suffer from obesity. Chile’s obesity rates ranked number 32 globally with 34.4 percent of adults and 44.5 percent of children suffering from the condition. Because of obesity, a large number of the nation’s citizens have an increased risk of other diseases including cardiovascular diseases, cancer and diabetes, some of the nation’s leading causes of death.
  4. Public Health Interventions: The Bono Auge Programme of 2010 created a universal health care program for Chile’s people. By providing a private health care voucher when public sector care is unavailable, more Chilean citizens are able to receive health care. Following its implementation, the program reduced the patient waiting list by 113,556 in 2010 to 50,780 the following year. The program also prioritizes those with high mortality pathological conditions and sets a two-day time limit on their waiting period for care. Patients who do not see a health care provider in this time frame receive a voucher so that another provider will see them. Equal health care increases the life expectancy of the Chilean people, as faster care and treatment not only saves lives but also extends them.
  5. Cancer: According to the OECD, Chile’s cancer mortality rate is high in comparison with its level of occurrence. Of the 35 percent of cases diagnosed, 23.8 percent end in death. This number makes up 24 percent of Chile’s national mortality rate and shortens the expected life span of its people. While the country has ways to treat the disease, much of this treatment is unequal and not enough. While it has created good screening procedures for cervical and breast cancers, it lacks large quantities of the equipment necessary to perform the job. Consequently, it is unable to reach a large number of people, and many people’s cancers go undetected. Unequal and limited proper testing hold Chile’s life expectancy back, as many of the country’s people die of cancers they are not aware they even have.
  6. Child Mortality: Ranked 163 in comparison with other countries, Chile’s infant mortality rate is fairly low. With an average of 6.4 deaths per 1,000 births and an under-5 mortality rate of 7.4 out of 1,000 during 2017, the country’s numbers prove themselves unalarming. Also, Chile’s infant mortality rate is on the decline, as the country’s under-5 mortality has dropped from 33.10 in 1980 to 7.4 in 2017.
  7. Air Pollution: Chile’s high concentration of air pollutant particles has a negative effect on the nation’s life expectancy. With 16.03 micrograms per cubic meter polluting Chilean air, the country fails to meet the 10 microgram standard that the World Health Organization set. The issue with polluted air is that it increases the risk for other diseases, such as lung cancer, which can eventually lead to death. Also, many expect that polluted air will be the leading cause of environmental premature death by 2050, meaning that without intervention, the country’s air quality will not only shorten the lives of people in the present, but it will also hurt the citizens of Chile’s future.
  8. Access to Health Care: While Chile has made strides towards equalizing its health care, care inequality is still a large issue. Socioeconomic status is the main determinant of the amount and quality of health care Chilean citizens receive. Chile’s indigenous citizens are statistically more impoverished, as they have a 35.6 percent poverty rate in comparison to their non-indigenous counterparts whose poverty rate rests at 22.7 percent. With a lower economic status, indigenous individuals have a higher risk of death, especially within their first year of life. In Mapuche, Chile, the children indigenous to Araucania have a 250 percent higher risk of death in their first year than those non-indigenous to the region. Without proper and equal access to health care, Chile’s impoverished people have a lower life expectancy merely because of economic status.
  9. Tobacco Consumption: According to the Pan American Health Organization, 20.2 percent of Chilean adolescents aged 19 to 25 participate in tobacco use. This number rises to 49.1 percent when assessing those citizens aged 26 to 34. This popularity in tobacco use not only increases the country’s risk of death from lung-related diseases, but it accounts for a large chunk of its lung cancer diagnoses. Chile is doing work to combat the issue, as it has implemented many anti-smoking policies, such as prohibiting smoking in public. As a result of these legislations, the prevalence of the nation’s total tobacco use has decreased from 42.6 percent in 2006 to 34.7 percent in 2014.
  10. Maternal Mortality: As of 2014, parasites and infections are the largest contributors to maternal deaths in Chile, as they make up to 25 percent of the total causes. While the maternal mortality rate has decreased, as deaths per 100,000 live births have dropped from 39.9 in 1990 to 22.2 in 2015. Improving Chilean poverty and prioritizing Chilean health care would improve the maternal death rate even more, as parasitic and infectious diseases are more prevalent among poverty-stricken regions.

These 10 facts about life expectancy in Chile show that by working towards ending Chilean poverty, the country’s total life expectancy will rise as a result. With poverty increasing the risk of many factors that contribute to Chilean mortality, such as decreased access to health care, reduced health literacy, higher risk of disease and higher prevalence of destructive behavior, a fight against poverty is a fight for all Chilean life.

– Candace Fernandez
Photo: Flickr

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What is Hunger?

What is Hunger?
Every day, people around the world experience those familiar sensations of emptiness and rumbling pangs in their stomach, signaling that it is time to eat. At this point, most people would get something to eat and go on with their day. Sadly, many people in the world, especially those in developing countries, do not receive this luxury. They experience chronic hunger, which is undernourishment from not ingesting enough energy to lead a normal, active life. It is difficult to empathize with what hunger feels like, to live with a body longing for nourishment, weakened by a lack of energy and unable to fulfill its basic need for food.

According to the Food and Agriculture Organization (FAO) of the United Nations, an estimated one in nine people, 821 million, live with chronic hunger. It also states that the number of people living with the condition has been on the rise since 2014, with a staggering 98 percent living in developing countries.

The Consequences of Hunger

Hunger brings along with it many problems other than an aching stomach. Prolonged lack of adequate nourishment results in malnutrition, which causes the stunting of growth and development in children and wasting syndrome. Wasting syndrome is a side effect of malnutrition, in which the victim’s fat and muscle tissues break down to provide the body with nourishment. The condition results in an emaciated body and in some cases, death. In fact, malnutrition links to around 45 percent of deaths among children under the age of five, according to the World Health Organization (WHO).  Fortunately, some have made progress. Since 2012, the number of stunted children in the world has decreased by nine percent from 165.2 million to 150.8 million, a significant improvement.

Hunger and Poverty

Poverty is the underlying determinant in who suffers from chronic hunger. Impoverished people are unable to consistently provide substantial amounts of food for themselves or their families, as they simply cannot afford to. This inability to provide nourishment creates a vicious cycle of hunger and poverty.

Undernourished people lack the energy required to perform basic tasks and therefore are less productive. Those who were malnourished as children develop stunted physical and intellectual abilities, which results in a reduction in the level of education achieved and the individual’s income, according to UNICEF.

What Can People Do?

People can break this vicious cycle and help people suffering from chronic hunger. Organizations such as The Hunger Project, the FAO and the Gates Foundation all have initiatives aimed at helping those in need get on their feet.

The Hunger Project works to empower those suffering from hunger with the tools they need to become self-reliant.  In Mbale, Uganda, the organization partnered with the local community to build a food bank where farmers are able to safely store grain, which has greatly increased their food security.

The FAO focuses on aiding governments and other organizations in implementing initiatives that aim to decrease hunger and malnourishment. A great example of this is Africa Sustainable Livestock 2050, in which the FOA helps countries such as Kenya and Ethiopia develop livestock infrastructure that will support the countries as their populations increase over the coming years.

Bill and Melinda Gates formed the Gates Foundation in 2000 with the main focus of providing internet to those who do not have access to it. Since then, the scope of the foundation’s mission has expanded to help the impoverished through global health and development initiatives. One of the foundation’s major initiatives is Seed Systems and Variety Improvement, which aims to improve seed breeding systems in Africa and India in an effort to make agriculture in those countries more sustainable.

With projects that aim to give impoverished people access to clean water, infrastructure, sustainable farming, disaster relief and education, these organizations have made significant strides.

Individuals can help eradicate chronic hunger by donating to charitable organizations or by contacting their government representatives, encouraging them to support bills and initiatives that aim to combat global hunger. Everyone can play a role and spread the word. There is a long road ahead, but with the tools available, chronic hunger can become a thing of the past.

– Shane Thoma
Photo: Flickr

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Using Tech to Fight Ebola in the Democratic Republic of the Congo

Ebola in the Democratic Republic of Congo
With a population of more than 85 million people, the Democratic Republic of the Congo (DRC) has struggled with political and social instability since the Belgian conquest in the early 20th century. More than 100 armed groups are active in the DRC to this day. The second-deadliest Ebola outbreak in history, where more than 1,600 people have died, rages against this backdrop of violence. Since the virus’s discovery in 1976, the DRC has had 10 documented Ebola outbreaks, including this most recent one.  Despite these grim circumstances, a group of Congolese tech-savvy youth has developed an unlikely weapon against Ebola in the Democratic Republic of the Congo; an app called Lokole.

Ebola is a virus that causes fever, sore throat and muscle weakness and later progresses to vomiting, diarrhea and internal and external bleeding. Patients die due to dehydration and multiple organ failure. Developed during the West African epidemic of 2014-2016 where more than 11,000 people died, the investigational vaccine called rVSV-ZEBOV is currently in use to fight the outbreak in the DRC under the Compassionate Use Clause since no one has commercially licensed it to date.

What is Lokole?

In addition to medical interventions, the Congolese Ministry of Health is seeking technological tools. Through collaboration with Internews and Kinshasa Digital, it organized a hackathon in March 2019 which brought 50 students in communications, medicine, journalism and computer science together. These students divided into teams of approximately seven members, and each team sought to answer the question: “How can Ebola response teams leverage new technologies to achieve their communication goals at the local, national and international level?” Thrown together for the first time, Emmanuel, Ursula, Aurore, Joel, David, Israël and Maria worked for 24 hours and emerged with Lokole, the winning technology.

Lokole is an Unstructured Supplementary Service Data (USSD) mobile application that is “designed to facilitate the real-time transmission of data and information between communities and the Ebola response teams” despite poor internet connectivity in rural areas. This team of seven chose the name Lokole because it is the name of a traditional Congolese drum Congolese people use to transmit messages over long distances. With this app, they hope to increase communication about the spread of Ebola in the Democratic Republic of Congo.

USSD technology is a text-based communication system used by Global System for Mobile Communication (GSM) cellphones, which are used in most countries except for the U.S. and Russia. Even though text-based communication might seem outdated with smartphones in the picture, smartphone use across Africa is less than 35 percent and even those with smartphones might not have access to data plans. As such, a real-time mobile to mobile communication platform based on USSD technology is inherently more inclusive, cheaper and more useful.

How Will Lokole Help?

The Lokole app allows community workers to note and document Ebola symptoms through questionnaires, which are then relayed to Ebola response teams and the Ministry of Health.

“Real-time management of information by the different components of the Ebola response will help detect and provide treatment to patients more quickly and deploy resources on the ground more swiftly, which will help lower Ebola mortality rates,” David Malaba, one of the app’s developers, said.

While analog in comparison to smartphone technology, Lokole’s USSD platform offers the potential for real-time communication without having to invest in widespread expensive improvements in its internet connectivity infrastructure. Lokole empowers the everyday Congolese person with the tools to fight Ebola. It is a democratic grassroots health care model. In fact, similar USSD technology which connects the average citizen with a nurse or physician in a matter of minutes powers large-scale telemedicine platforms, such as BabylRwanda in neighboring Rwanda.

The development of the Lokole app is exciting in its fight against Ebola in the Democratic Republic of the Congo, but the galvanization of local Congolese talent is a game-changer. Hackathons that bring disparate youth together to problem solve big, often overwhelming, issues inspire others to pursue change. Lokole is just the beginning.

– Sarah Boyer
Photo: Flickr

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Sustainable Farming in India

sustainable farmingHunger and food insecurity are major issues in India; the nation is home to 15 percent of the world’s undernourished people. The United Nations’ FAO estimates that every single day, more than 195 million people in India suffer from hunger.

The nation seriously lags behind other major nations like Brazil and China when it comes to crop yield for cereal and rice, which are India’s two key crops. India’s slow and inefficient agricultural sector is the result of limited access to modern technology, inefficient systems for transporting goods and urbanization. And on top of that, 63 percent of agricultural land is dependent on rainfall, so years with low rain devastate crop production. Despite all of this, farmers in India have started movements to utilize more sustainable farming methods and practices that work to make the agricultural system more efficient in order to increase outputs and improves people’s lives.

Sustainable Farming Methods

Sustainable farming practices are used to improve agricultural output and efficiency, which means that more food is produced, less resources are used and more profits are made by farmers. Examples of sustainable farming methods include using a biodegradable mulch film instead of one made from Polyethylene. While Polyethylene films require intense labor to remove, and can affect soil quality and crop growth if done improperly, biodegradable films are naturally absorbed by microorganisms in the soil, and help maintain the quality of soil while reducing costs of labor. Farmers will also use fungicides and insecticides on their seeds in order to improve the health of their crops and enhance their productivity. In addition, due to the fact that agriculture relies so heavily on rainfall, effective sustainable water management is crucial for a successful harvest.

Along with how crops are grown, how they are stored and distributed is a crucial aspect of agriculture. An estimated up to 67 million tons of food are wasted every year in India. Perishable goods end up often rotting as a result of a lack of modern technology, pests, or weather. Sustainable initiatives like using more efficient insulation and special tarpaulins that keep fruits and vegetables at proper temperatures during transportation work to reduce the number of perishables that rot. Reducing the amount of food that rots means that there is more food available to eat, which combats food insecurity and ensure that more food items are available without even increasing crop yield. And of course, combining these efforts with initiatives to produce food more sustainably and efficiently does even more to fight food insecurity.

The Natural Farming Movement

India’s Natural Farming movement plays a massive role in promoting sustainable farming practices that improve health, create jobs, cut labor costs and improve peoples’ overall quality of life. The use of pesticides has devastated farmers across India which has led to the loss of crops, debt, illness and even death. In 2000, villagers from the village of Punukula, Andrha Pradesh, launched a grassroots movement against the use of pesticides, focusing on non-pesticide management techniques that employ natural alternatives like chili pepper and planting trap crops like castor.

Within a year of the start of the movement, farmers saw pesticide-related health issues vanish, expenses drop, and profits increase. In addition, new jobs were created as a result of the need to create repellents from natural products. Villagers reported that the movement improved their quality of life — improving their financial situations, their health and their overall happiness. More villagers began to reject the use of pesticides, and the village declared itself as pesticide-free in 2004.

Zero Budget Natural Farming

A similar natural farming movement is Zero Budget Natural Farming, which began as a grassroots effort led by people in the state of Karnataka. Zero Budget entails that farmers do not spend money on inputs for their crops and that they would rather use resources from nature to grow and tend to their crops instead of chemicals, thus Zero Budget Natural Farming. Using natural products instead of taking out loans to spend on chemicals allows for farmers to save money, which improves their financial stability and allows them to focus more on tending to their crops.

A key aspect of Zero Budget Natural Farming is the use of the fermented microbial culture Jeevamrutha (a mixture of water, cow urine, cow dung, flour, soil, and brown sugar) on soil. Jeevanmrutha acts as a catalyst in promoting earthworm and microorganism activity within the soil, while also providing the soil with additional nutrients. Using natural products instead of taking out loans to spend on chemicals allows for farmers to save money, providing them with more financial stability and thus improving their quality of life.

The Zero Budget Natural Farming movement actually runs training camps that receive support by the state government. These camps last five days, with eight hours of classes per day. Attendance ranges from 300 to 5000 farmers, and topics covered include philosophy, ecology, successful farming practices, and of course, Zero Budget Natural Farming methods.

A Promising Future

The people of India suffer enormously from hunger and food insecurity. India’s weak and inefficient agricultural and food storage and distribution systems, coupled with devastating years of low rain often leads Indian farmers into bad health, hunger, and poverty. However, farmers in India have started a movement towards a more efficient, sustainable, and eco-friendly farming techniques that fight against poverty and hunger. Using these sustainable techniques means that farmers have fewer costs upfront, ensuring that they are able to make higher profits and worry less about having to take loans or to pay off debts. Sustainable farming in India reduces poverty, fights hunger, and changes lives.

– Nicholas Bykov
Photo: Flickr

 

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Poverty and Health in Argentina

Poverty and health in argentina

Though Argentina does not suffer from the same issues of illiteracy and income inequality that other countries do, the South American nation has other problems to focus on, namely national health issues and their intersection with poverty. According to 2017 estimates, about one in every four Argentinians lives below the poverty line.

This means that many in Argentina do not have access to proper medical personnel or equipment, as well as medicine. Though this number may seem fairly standard compared to other South American countries, Argentina’s largely agrarian communities suffer from extremely limited access to sufficient education or medical facilities. As a result, even those not considered impoverished may not have the proper means to receive medical treatment, thus creating a vicious cycle of poverty’s effect on health in Argentina.

An Unstable System

Argentina’s health system is in part to blame for this issue. Argentina created a system comprised of a public and a private sector, the former of which is meant to provide all Argentinians with universal healthcare and free coverage. In theory, this seems like an advantageous idea as it is meant to directly address everyday health issues for every citizen. However, it actually perfectly exemplifies poverty’s effect on health in Argentina. The reality is that problems like regional socioeconomic disparities have caused the system to work inefficiently, meaning that those in less educated, more rural areas do not usually receive the same quality of care and coverage as those in wealthier urban communities. This unfortunate issue is quite cyclical since poorer communities simply do not have a viable way to resolve it.

Local Perspectives

Zack Tenner, a Pre-Med university student who spent a month earlier this summer working in Argentina with Child Family Health International, commented on Argentina’s health and poverty issues in an interview with The Borgen Project. “Argentina prides itself on a universal healthcare system which guarantees the ability for all citizens and tourists to see a doctor without cost. Despite its attempts to create a working and efficient system, Argentina’s emergency departments are overburdened,” said Tenner.

“The homeless and impoverished populations do not have enough access to education on how to properly use the system to their benefit, meaning that they end up being stuck with the same limited healthcare and access to medicine as before. This is definitely a timely issue that should be one of Argentina’s top priorities, as national health is a huge factor in so many different facets of everyday life.”

Rural Challenges

The flawed healthcare system is not helping poverty’s effect on health in Argentina. In more rural and agrarian communities, Argentinians are exposed to more risks of disease and injury as well. Aside from the constant risk of minor injuries from agriculture and operating machinery, diseases and viruses like Typhoid and even Zika occur in Argentina.

In other words, the Argentinians with probably the highest risk of injury or disease and subsequent healthcare and medicine are also the citizens with the least sufficient access to viable sources of healthcare. Argentina is on the right track in terms of creating a universal healthcare system.

That said, the South American nation needs to implement a more complete system that truly affords people from all walks of life with adequate medicine and treatment. Otherwise, poverty’s effect on health in Argentina will continue and, with it, a seemingly inescapable cycle.

NGO Involvement

All that in mind, there are still several NGOs focused on improving the healthcare and treatment situations in Argentina. Child Family Health International, for example, aims to increase awareness of primary care and treatment issues in Argentina by bringing in students and doctors from other countries to work with Argentinian physicians and patients. Aside from that, other larger entities such as the World Health Organization are also working to increase awareness of health issues in Argentina. This organization provides pertinent data and information regarding Argentina’s healthcare and coverage system to incite activism and aid for the South American nation.

As for organizations focused on more specific health-related issues, the AIDS Healthcare Foundation has worked since its creation in 2013 to provide support for testing and treatment of HIV/AIDS in Argentina. In fact, the organization supports seven Argentinian clinics and their nearly 12,000 patients and has performed more than 120,000 HIV tests for citizens in the last six years.

As long as organizations like these continue to create awareness and provide assistance, the healthcare and treatment situations will continue to improve, thus lessening poverty’s effect on health in Argentina.

– Ethan Marchetti
Photo: Flickr

 

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3 Organizations Improving Food Security for Refugees

Food security for refugeesAround the world, a record number of people have become forcibly displaced due to violence, natural disasters or a variety of other reasons. According to the U.N. Human Rights Council, 70.8 million people are forcibly displaced, and 25.9 million of those are considered refugees. At the same time, millions of people lacked food security around the world. The Peace Corps defines food security as “when families are able to afford and obtain enough nutritious food.” In 2018, more than 700 million people faced severe food insecurity.

Food security and refugee issues are deeply intertwined, as refugees are particularly vulnerable to becoming food-insecure. Worldwide, millions of refugees face food insecurity. Thankfully, many organizations are using their resources to create innovative solutions to provide healthy food to refugees who are not able to afford or access it. Here are three organizations that are improving food security for refugees:

African Women Rising

The Palabek refugee camp in northern Uganda hosts more than 38,000 refugees who have fled the brutal civil war in South Sudan. Humanitarian organizations have been struggling to find a long-term solution to food insecurity in the camp. While the Ugandan government allocates plots of land for refugees to farm on, these plots of land are usually too small for traditional farming techniques to work. However, the NGO African Women Rising (AWR) thinks it has found an innovative solution to malnutrition among refugees. In 2017, AWR introduced the camp to 30 by 30-meter plots of land known as “permagardens”.

AWR’s permagardens are specially cultivated in a way that allows them to maximize the number of crops, trees and plants that can be grown in them. It can take anywhere from a few months to a year to teach someone permagarden farming techniques. The total cost of developing, training and supporting a permagarden is just $85. The gardens primarily grow various fruits and vegetables, which provide vital micronutrients and vitamins that are not present in their monthly World Food Programme portions. Many other organizations are already starting to replicate the microgarden approach in refugee settings, including the U.N., the Danish Refugee Council and USAID.

Sunrise-USA

Sunrise-USA was founded in 2011 by a group of Syrian-American professionals and claims to be one of the world’s leading humanitarian aid organizations focused on victims of war inside Syria and in refugee camps in neighboring countries. In addition, to providing food security for refugees, Sunrise-USA provides refugees with healthcare, orphan sponsoring services, education, water and sanitation. The organization also helps Syrian refugees, who are mostly Muslim, observe Islamic religious traditions such as Ramadan, Udhiya and Zakat.

Within Syria, Sunrise-USA works to deliver badly needed food baskets to besieged cities. These baskets typically contain chicken, eggs, dates, oils, margarine, tuna cans, sugar and powdered milk, and only cost $45 to produce. While the city of Aleppo was under siege, the organization delivered over 5,000 food baskets, as well as two containers of jackets, sweaters and mattresses. Sunrise-USA’s “Feed Them” campaign has delivered food aid to 30,000 families in need and has provided milk and baby formula to 20,000 vulnerable families with children.

Action Contre La Faim (Action Against Hunger)

Action Contre La Faim (ACF) is a French organization that works in more than 45 countries to treat and prevent malnutrition. For more than 40 years, it has provided various forms of food aid where it is needed most. Its 7,500-member staff currently assists 21 million people worldwide. The organization has responded to various humanitarian crises that have generated large numbers of refugees, including the civil wars that have taken place in South Sudan and Syria, as well as the genocide of the Rohingya people in Myanmar.

In Bangladesh, ACF works to increase food security for refugees who have escaped into the country from Myanmar. Every day, the organization provides 83,000 hot meals and 551,497 liters of water to Rohingya refugees. The organization has also conducted malnutrition screenings for 100,000 Rohingya children and has diagnosed over 11,000 malnourished children. These malnourished children were then referred to ACF’s emergency nutrition programs for treatment through mobile clinics.

As the global refugee crisis continues to intensify, more and more organizations will need to come together to provide both short-term and long-term solutions to food security for refugees. These organizations have shown they are more than willing to rise to this task and have each made a measurable impact on the wellbeing of refugees around the world.

– Andrew Bryant
Photo: Flickr

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10 Facts About Life Expectancy in Iceland

10 Facts About Life Expectancy in Iceland
Iceland, one of the healthiest European countries, lies between the Greenland Sea and the North Atlantic Ocean. Icelanders tend to outlive people from other richer, warmer and more educated countries. Below are 10 facts about life expectancy in Iceland that determine what factors may help Icelanders live longer lives.

10 Facts About Life Expectancy in Iceland

  1. On average, males and females in Iceland have a life expectancy at birth of 81 and 84 years respectively. Life expectancy increased from a combined national average of 78.8 years in 1994 to a combined national average of 82.4 years in 2016.
  2. Iceland has one of the lowest mortality rates in Europe. The average mortality rate is 6.5 per 1,000 inhabitants and the infant mortality rate is 2.7 per 1,000 live births, both below the European average of 10.2 and four. Not only do children under the age of five have better survival rates, but they also have a better chance of growing into healthier adults.
  3. Compared to the OECD average of 3.4 and three per 1,000 population, Iceland has a higher number of doctors and nurses with 3.8 doctors and 15.5 nurses per 1,000. A higher proportion of medical practitioners is a reflection of Iceland’s well-performing health care system.
  4. The health expenditure in Iceland picked up in 2012 after a dip following the 2008 financial crisis. The expenditure of $4,376 per capita is higher than the OECD average of $3,854 and accounts for 8.7 percent of its GDP. It has universal health care, 85 percent Icelanders pay through taxes. Private insurance is almost absent. This shows that health care is affordable and accessible in Iceland.
  5. The diet of the Icelandic people contains more fish and less meat. Fish is more beneficial for heart health due to the presence of omega-3 fatty acids. Healthier diet choices could be one factor that helps Icelandic people live longer.
  6. Research shows that the environment is a major determinant of health, and therefore, longevity. Iceland boasts clean air and water. Its dependence on geothermal resources for energy instead of fossil fuels ensures an unpolluted environment. Further, natural hot springs occur all across the country. The cleaner and colder environment protects people from many communicable and infectious diseases which may help them live longer and healthier lives.
  7. Iceland is the eighth-most urban country in the world. Ninety-four percent of its population lives in urban areas and cities with access to basic amenities like electricity, clean drinking water and sanitation. Life expectancy for a country increases with an increase in urbanization.
  8. Good genetics may have played a role in higher life expectancy of Icelanders. Studies showed that those above 90 years of age share more similar genes compared to control groups. One possible explanation could be the harsh environmental conditions that Icelanders faced historically, which filtered their genes so that they would pass on the ones that helped them survive.
  9. Despite the harsh weather conditions, Icelanders have higher physical activity when compared to other European nations. Almost 60 percent of the Icelandic people perform some form of exercise for at least 150 minutes per week. Icelandic people like to participate in outdoor activities such as hiking, swimming and skiing.
  10. Iceland has the lowest proportion of substance abusers among all European countries. It reduced its percentage of drug users from 42 percent in 1998 to five percent in 2016. By imposing curfews and keeping teens busy in sports and activities, Iceland was able to divert them from drugs towards healthy habits. This is an important factor when considering the life expectancy of a nation. People do not tend to die from drug-overdose and they also live healthier and economically stable lives.

Icelanders show that lifestyle can have a major effect on how long people live. Both the Icelandic people and their government made efforts to improve their health statistics by reducing the consumption of fossil fuels and drugs and increasing physical activity. These top 10 facts about life expectancy in Iceland are full of lessons that people of other nations can learn and apply as successful health interventions.

– Navjot Buttar
Photo: Flickr

 

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Consequences of Poor Living Conditions on the Community

Consequences of Poor Living Conditions on the CommunityThe direct consequences of poverty are well-known — limited access to food, water, health care or education are a few examples. However, the consequences of poor living conditions on the community are seldom discussed; indeed, if members of a community suffer from poor living conditions, then the entire community suffers.

Effects on Community

Studies show that poor living conditions negatively affect physical and mental health. In fact, one study found that individuals in poor housing exhibit worse mental health in 100 percent of cases. Additionally, inadequate or unsanitary living conditions can contribute to the spread of disease, which adds to health care costs, prevents individuals from working and threatens the well-being of community members.

The health ramifications of poor living conditions on individuals extend to entire communities as well. Overcrowded areas are prone to suffer from infectious diseases, especially if there are unsanitary conditions. Mental health issues decrease an individual’s chance of finding employment, which can hinder a community’s productivity and economic activity.

Educational and Social Impacts

Yet another consequence of poor living conditions on the community is the degree to which they affect educational attainment. Poor living conditions inhibit a child’s ability to receive the best possible education, no matter the country or region. And a substandard education affects the entire community negatively. Well-educated populations, on the other hand, provide a myriad of advantages for a community, such as higher wages, more opportunities for innovation and greater rates of investment. Community development programs that focus on education remain among the best strategies to combat poor living conditions worldwide.

One of the less examined consequences of poor living conditions on the community is the impact on social bonds. As discussed, poverty has a detrimental impact on mental health; further, it can negatively affect families, relationships and essential social networks. The simple truth is that poor living conditions shift the attention of individuals toward their daily struggle with poverty. Instead of, for example, participating in community organizing, individuals may have multiple jobs in order to support their family. Overall, this hampers a community’s ability to form bonds and work together to improve their situation.

Combating Poverty

Bridges to Community, a nonprofit organization, works closely with community leaders in Nicaragua and the Dominican Republic. Through creating more robust education, health, housing and economic development networks, the organization hopes to initiate and inspire organic community growth. In selected areas in both countries, Bridges to Community builds schools, provides health care and repairs damaged homes. In the past 12 months alone, the organization built or repaired 71 houses and established 70 biodigesters, which cleanly and efficiently treat wastewater.

Mentioned before, poverty has adverse effects on community organizing, but it does not entirely prevent it from occurring. For instance, more than 1,000 residents of Paraiso, San Jacinto organized to build a community center, and they are continuing their work to strengthen health care and education opportunities. The community identified 18 projects best-suited to serve their needs; after completion of the community center, they now have a communal area where they may continue their development efforts.

A powerful way to combat poor living conditions is through community development. Steps taken as a community provide lasting change and often address the root causes of poverty and poor living conditions, such as limited education opportunities and lack of quality health care. Despite the barriers that poverty presents, strong communal bonds prove to be an effective tool in raising awareness and mobilizing community action.

– Kyle Linder
Photo: Flickr