Archive for category: Health

Information and stories on health topics.

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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

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6 Facts About Brazil’s Indigenous Population

Brazil’s indigenous population

Brazil’s indigenous population includes nearly 900,000 people and more than 300 unique groups. They face a litany of issues including discrimination, threats to their native lands and extreme poverty. Here are six facts about Brazil’s indigenous population.

6 Facts About Brazil’s Indigenous Population

  1. Indigenous people can be found living in areas ranging from Brazil’s cities to remote regions of the Amazon rainforest. Totaling over 300 groups, they represent a diverse and varying subsect of the Brazilian population. Depending on a group’s culture, history or location, they encounter different problems and require separate solutions. This is essential to keep in mind when discussing issues facing Brazil’s indigenous population as a whole.
  2. Indigenous Brazilians endure severe forms of discrimination and prejudice. As recently as the 1960s, there was a coordinated effort to eradicate Brazil’s indigenous population entirely. The “Figueiredo report” details the genocide, torture, rape and enslavement of indigenous people during a 30 year period. Today, the period’s brutal legacy lives on. “It’s a shame that the Brazilian cavalry wasn’t as efficient as the Americans, who exterminated their Indians,” Brazil’s recently elected president Jair Bolsonaro once said.
  3. Due to discrimination, Brazil’s indigenous population’s access to education and health care is limited compared to their non-indigenous compatriots. A 2008 United Nations report highlighted the low education and health standards endured by this population. Additionally, reports allege that they are often denied care by public health services due simply to their affiliation with indigenous groups.
  4. Many of Brazil’s indigenous population have been crowded into reservations that are constantly shrinking in size. Brazilian businesses and the government have partnered to continue deforestation of the Amazon, which is home to many indigenous tribes. The largest tribe left is the Guarani, with roughly 51,000 members, but most of their land has been replaced by cattle farms and sugar cane plantations. Armed bands of “grileiros” have recently launched attacks on indigenous communities, pushing them further into the Amazon, burning the rainforest, and planting grass for cattle. The NGO Repórter Brasil published a report in 2019 that found that 14 indigenous communities are currently being invaded or are seriously threatened by one.
  5. These conditions have led to a reality where many of Brazil’s indigenous population live in extreme poverty. While no official count exists, it is widely maintained that indigenous groups face poverty at a much higher rate than the rest of Brazil.
  6. NGOs such as Survival International and Cultural Survival provide hope for Brazil’s struggling indigenous population. These NGOs attempt to lobby international organizations and human rights groups on issues of indigenous concern, such as the issues outlined above. Both groups identify international action as the only viable path left for indigenous Brazilians. Cultural Survival works with indigenous groups to develop media and advocacy projects; thus far, the organization has invested $2.5 million into indigenous groups. Further, the team actively trains members to become community radio journalists, allowing for indigenous groups to have a voice in the media.

Pushed from native lands and facing serious threats to life, many members of indigenous groups are doing what they can to survive in a nation often hostile and violent towards them. “Today, we are seeing the biggest attack on our rights in Brazilian history,” said indigenous lawmaker Joênia Wapichana.

– Kyle Linder
Photo: Flickr

 

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Building Schools Using Recycled Plastics

Building Schools Using Recycled Plastics
Education in Cote d’Ivoire continues to be a major challenge in the country which has had a literacy rate of 53.02 percent among 15 to 24-year-olds as of 2014. In fact, more than 2 million children are out of school due to a lack of infrastructure. Classrooms are often full beyond capacity with more than 100 students. Fortunately, West Africa is building schools using recycled plastics as a ground-breaking initiative to change the status quo.

The Fighting Women

Abidjan, a city in Cote d’Ivoire, produces about 288 tons of plastic waste every day. The country recycles only 5 percent of the waste, and when it is, it is usually women that do so informally. These women recover the waste and use it to make money.

A women’s group called The Fighting Women makes a living from collecting plastic and selling it for recycling. However, The Fighting Women is now a part of a project that will not only clean up the environment but will also help improve education. The Fighting Women is an organization of 200 women that collect plastic. A woman named Mariam Coulibaly runs the organization and she has been collecting trash for 20 years. Coulibaly’s organizational skills are what made the project possible. The plastic that these women collect go into bricks in order to build schools.

Conceptos Plasticos

UNICEF in Cote d’Ivoire has partnered with Conceptos Plasticos, a for-profit plastic recycling Colombian company that will turn plastic to bricks and build schools for children. This project will help reduce the issue of overcrowded classrooms and give children the opportunity to attend school.

In 2018, the first African recycled plastic classroom emerged in Gonzagueville. It only took five days to build this classroom as opposed to the nine months it would take to build traditional classrooms. In addition, within the first year, two small farming villages, Sakassou and Divo, constructed nine demonstration classrooms. These new classrooms included bricks that are cheaper and lighter than traditional ones, and also last longer.

Before the new plastic classrooms, children would go to school in traditional mud-brick and wood buildings. The mud-brick would erode from the sun and rain, and require repairs constantly. However, the newly built plastic classrooms are way better and longer-lasting. The classrooms are fire retardant and stay cool in warm weather. In addition, the classrooms are waterproof, have excellent insulation and can fight off the heavy wind. UNICEF and Conceptos Plasticos are planning to build 500 classrooms for more than 25,000 children with the most urgent need in the next two years.

Further Success of the Project

On July 29, 2019, a plastic converting factory opened in Cote d’Ivoire, which is also the first of its kind. This factory produces easy to assemble, durable and low-cost bricks others can use to build classrooms. The factory will solve a lot of major education challenges that children in West Africa face. According to UNICEF, kindergarteners from poor areas will be able to join classrooms with less than 100 students for the first time. Once the factory is fully functioning, it will recycle 9,600 tons of plastic waste a year and provide a source of income for women that collect trash. Moreover, there are plans to expand this project to other countries where there is a high percentage of children that are out of school.

Now, children are able to sit comfortably in classes that were once too overcrowded. This project of building schools using recycled plastics has not only constructed classrooms, but it has also reduced plastic waste in the environment. Although there is still a large number of children out of schools, this innovative project to help build schools in West Africa has been tremendously successful and has impacted the lives of many women and children.

– Merna Ibrahim
Photo: Flickr

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DREAMS Fights Against AIDS

DREAMS Fights Against AIDS
Today, approximately 36.9 million people are living with HIV globally and 25 percent of that number do not even know their status. Of those millions, HIV infects about 1,000 young girls and women each day and accounts for 74 percent of new HIV infections among adolescents in sub-Saharan Africa. HIV/AIDS continues to be at the forefront of global public health issues in the world today and appears to be most prevalent in low and middle-income countries. However, the organization DREAMS fights against AIDS and initiatives like the United States President’s Emergency Plan for AIDS Relief (PEPFAR) is helping it accomplish its goals.

What is PEPFAR?

PEPFAR emerged in 2003 and has received strong support ever since, resulting in the United States becoming a global leader in the response to the HIV/AIDS epidemic and PEPFAR being a model for development programs around the world. PEPFAR has helped transform the response to HIV/AIDS by working with over 50 countries, as well as causing a significant decline in new HIV diagnoses among young girls and women through the DREAMS partnership.

The DREAMS Partnership

DREAMS is a public-private partnership between PEPFAR, the Bill and Melinda Gates Foundation, Girl Effect, Johnson & Johnson, Gilead Sciences and ViiV Healthcare to implement an ambitious HIV/AIDS reduction program. This initiative launched in 2014 on World AIDS Day and targets 10 African countries in which 65 percent have extremely high HIV rates, especially among young girls and women. This movement aims to support affected women, as well as prevent any further spreading of HIV/AIDS. It has resulted in the integration of DREAMS activities into the plans of the involved countries.

The DREAMS Impact

The DREAMS organization fights against AIDS in 10 countries including Kenya, Lesotho, Malawi, Mozambique, South Africa, Swaziland, Tanzania, Uganda, Zambia and Zimbabwe. These countries’ populations account for more than half of all new HIV infections that occurred in young girls and women globally in 2015.

DREAMS’ plan consists of multiple solutions surrounding the main problem of the HIV/AIDS epidemic in the world. It delivers a package that combines evidence-based approaches addressing structural drivers that directly and indirectly increase the risk of HIV in girls, such as poverty, gender inequality, sexual violence and a lack of education. More specifically, this comprehensive package of interventions has four focus groups including educating girls and young women through a range of activities to prevent their risk of HIV and violence, targeting men and boys within the community for treatments, strengthening families through social protection programs and the implementation of parenting programs related to adolescent HIV risk and shifting norms to mobilize communities and change to prevent violence and the further spread of HIV/AIDS.

Currently, 80 percent of young girls and women ranging from 15 to 24 years old and living with HIV are in sub-Saharan Africa. By the end of 2016, new HIV incident recordings in young girls and women decreased by 25 percent in the hardest-hit countries and further reduced by 40 percent by the end of 2017.

The DREAMS Innovation Challenge

While DREAMS has made significant progress since its formation, HIV/AIDS is still infecting an alarming number of young girls and women every day. Fifty-five organizations won the DREAMS Innovation Challenge and are now implementing solutions in six main focus areas such as strengthening leadership and capacity of community-based organizations (such as nonprofit or grassroots organizations) to support the expansion of intervention, ensuring girls’ access and smooth transition into secondary school, creating new methods to engage men in HIV testing and counseling and treatments, supporting pre-exposure interventions, providing employment opportunities to young women to decrease their risk of exposure to HIV and increasing the availability and use of data to inform, increasing impact and further producing innovative solutions.

Selected solutions resulting from this challenge were those that introduced new innovations in the 10 countries where DREAMS fights against AIDS. It also offers sustainable, long-lasting solutions and countries can implement them rapidly within two years. More than 60 percent of the challenge winners are small, community-based organizations that not only received funding but also became new PEPFAR partners.

Continuing on its innovative path to preventing and reducing the spread of HIV/AIDS, PEPFAR recently announced its investment of nearly $2 billion to empower and support women and girls, with it channeling nearly $200 million through the DREAMS partnership. This will allow more girls to avoid contracting HIV at birth, keep more adolescents HIV free and support vulnerable women and children while treating HIV positive women. Additionally, the partnership has recently grown to provide more than $800 million to 15 African and Caribbean countries since its founding in 2015. PEPFAR has helped 2.4 million babies to be born HIV free from HIV-positive mothers and has saved about 17 million lives through its efforts as DREAMS fights against AIDS. Thankfully, this organization shows no sign of slowing down in the fight against HIV/AIDS for young girls and women around the world.

– Adya Khosla
Photo: Flickr

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Expanding Indigenous Health Care in Guatemala

Health Care in Guatemala
Guatemala is currently experiencing an invisible health care crisis because people have not noticed the harmful effects of the lack of access to primary health care services for decades. Guatemala has a population of 16.91 million, with 60 percent of the population living below the national poverty line and 23 percent of the population living in extreme poverty. Fortunately, there are some nonprofit organizations attempting to improve health care in Guatemala.

Barriers to Indigenous Health Care in Guatemala

Access to health care in Guatemala is heavily reliant on environmental and socioeconomic factors. Indigenous populations, in particular, have the greatest difficulty accessing basic health care services. An estimated 40 percent of the population is indigenous and speaks indigenous languages such as Xincan and K’iche. Most health care providers in Guatemala speak Spanish, posing a communication barrier to administering health services.

Another barrier is that the majority of health care services are located in the capital, Guatemala City, making them geographically unreachable for many indigenous people. In order to receive adequate health care, indigenous people would have to take time off work, pay money out of pocket for transportation and travel many hours to the capital. This is unattainable for families who are already struggling to afford basic daily amenities such as food and clean water.

Cultural barriers also represent another hurdle in terms of health care access for indigenous people in Guatemala. Many indigenous communities have rigid cultural practices regarding health care and they feel that the national health care systems do not respect their traditions. Many would prefer to go to a local traditional healer who uses more holistic methods such as plant-based medicine and spiritual guidance. Sometimes this sort of natural-based health care suffices, but with more serious illnesses, traditional remedies do not always work and patients arrive at hospitals with untreated or advanced, serious illnesses.

Government Funding

According to Guatemala’s constitution, access to health care is a human right, however, lack of funding in rural areas excludes indigenous populations from this fundamental right. The Guatemalan government spends around $97 per person per year on public health care, dramatically less than the United States which spends $7,825. This means many local health care services are understaffed, lack proper supplies and are understocked. This has the greatest impact on indigenous people who cannot afford to go to expensive private hospitals and clinics.

Nonprofits and Foreign Aid Working to Expand Indigenous Health Care in Guatemala

Several groups are working to eliminate these barriers to health care access in Guatemala, particularly among the indigenous populations. The local nonprofit, Mayan Families, aims to provide “world-class care to patients free of charge, including primary care, health education, specialist referrals and all medications.”

The international nonprofit, ActionAid, has many regionally focused programs, specifically in Peten, which is home to many Q’echi people, an indigenous group that makes up about 6 percent of Guatemala‘s entire population. ActionAid worked with many local partners to train translators and hospital staff in Q’echi languages and culture so that hospitals could provide adequate health care to local indigenous populations.

USAID’s Health Finance and Governance (HFG) project aims to help improve health in developing countries and is working to increase access to health care in Guatemala. Experts from HFG conducted an assessment of health care in Guatemala and came up with a plan to help increase health care coverage. Its plan includes funding, increasing supplies and training specialists. This will help increase access to health care for indigenous people as more funding means cheaper health care services.

The lack of access to health care in Guatemala for indigenous people is not an unsolvable issue. An increase in attention to the issue has led to international organizations taking action. A combination of advocacy, donations and political actions can greatly improve the country’s current health care system, and increase the overall health of indigenous people in Guatemala.

– Laura Phillips-Alvarez
Photo: Flickr