Archive for category: Health

Information and stories on health topics.

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Major Accomplishments of Doctors Without Borders

Accomplishments of Doctors Without Borders
As poverty is addressed around the world, there is a need for people in all kinds of specialties but especially the medical field. Médecins Sans Frontières (MSF), also known as Doctors Without Borders, is an international medical humanitarian organization helping people from over 60 countries threatened by violence, conflict, neglect, natural disasters, epidemics, health emergencies and exclusion from healthcare.

They address areas where the need is greatest, unbiasedly delivering emergency medical aid. There have been many accomplishments of Doctors Without Borders, but here are three of their most recent projects:

 

1. Hospital in Tasnimarkhola 

Doctors Without Borders constructed a new hospital in Tasnimarkhola camp, Bangladesh in three weeks. The hospital has an emergency room, an intensive care unit, a pharmacy and sterilization unit. In its first month of operation, MSF staff admitted 220 patients with more than half needing treatment for measles.

 

2. Medical Assistance to Refugees

MSF provided medical assistance to refugees and migrants in the central Mediterranean. At sea, the search and rescue vessel Aquarius — run by MSF in cooperation with humanitarian organization SOS MEDITERRANEE — rescued 3,645 people and brought those rescued to ports of safety in Italy.

Doctors Without Borders also provided psychological first-aid after tragic rescues while also running several mental health and healthcare projects in Sicily. In Libya, the MSF teams provided medical assistance to refugees and migrants that were arbitrarily held in detention centers nominally under the control of the Ministry of Interior.

 

3. Treatment of War-Wounded People in Taiz 

Doctors Without Borders has a team treating war-wounded people in Taiz. Currently, Taiz is one of the most intense conflict zones in the country with extremely high humanitarian needs. Doctors Without Borders are one of the few medical organizations in Taiz who remain committed to working in Yemen.

These three specific accomplishments of Doctors Without Borders are some of many; the staff continuously works hard, laborious hours to save the lives of those affected by poverty.

War, disease and lack of resources are major contributing factors of poverty, and Doctors Without Borders have been able to impact these areas beyond its immediate activities, reaching populations or developing the use of practices in ways that have far-reaching and lasting consequences (see MSF-USA’s 2012 Annual Report). 

The accomplishments of Doctors Without Borders are so powerful because so many people are committed to addressing the great needs of poverty and bringing hope to those around the world.

– Julia Lee

Photo: Flickr

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Myanmar’s Healthcare System World’s Worst

Myanmar's healthcare system

In 2000, the World Health Organization (WHO) ranked the healthcare systems of 190 countries throughout the world. In this ranking, Myanmar’s healthcare system was listed as the worst overall. Myanmar is still a grade three level of concern to the WHO, meaning multiple major events have affected public health in Myanmar.

 

Health of Mothers and Children

 

Shortly after becoming independent from Great Britain in 1948, Myanmar — formerly Burma — became the subject of a dictatorship, which lasted until November 2015. Under this dictatorship, nearly a third of the country’s budget was allocated for the military, while just over one percent of funding was set aside for Myanmar’s healthcare system. As a result, infant and maternal mortality rates and infectious illness rates were astronomical; the maternal mortality rate was listed at 380 per 100,000 live births, nearly 60 times the rate of Japan. As of 2013, the government increased healthcare spending to almost four percent, but the people of Myanmar are still struggling with overall wellness.

The Myanmar Maternal and Child Welfare Association (MMCWA), founded to improve the health of mothers and children in Myanmar, has collaborated with various organizations like the International Planned Parenthood Federation, United Nations Population Fund and UNICEF to redesign Myanmar’s healthcare system. By providing education on disease and STI prevention, advocacy programs and family planning services, the MMCWA aims to lower maternal and infant mortality rates and help level out birth rates in Myanmar.

 

Overall Healthcare in Myanmar

 

Another organization, Medical Action Myanmar (MAM), is working from the bottom up to improve overall healthcare in Myanmar. MAM’s focus is on communities with little to no access to healthcare. The organization is working to create a network of health services and provide medical treatment and preventative education. To decrease the incidences of HIV in the country, MAM is providing safe needle exchange, condom distribution and STD treatment. The services are free for those who cannot afford them. 

The U.S. Agency for International Development (USAID) also provides public health interventions and health assistance to communities in Myanmar. USAID’s focus often lies in extending assistance to high-risk communities that wouldn’t usually have access to healthcare. By performing the country’s first-ever demographic survey, USAID was able to identify what health concerns were most prevalent and, over time, has provided treatment to those suffering from tuberculosis, malaria, diarrheal disease and other emergent health concerns.

Growth efforts in Myanmar are off to a slow start after being under a dictatorship for so long, but the government is determined to make a change. The Ministry of Health’s “Vision 2030” goal of improving nine major sectors of Myanmar’s healthcare system, although lofty, is an incredible beginning to the transformation of the country with the world’s worst healthcare.

– Anna Sheps

Photo: Pixabay

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The State of Water Quality in Nigeria

water quality in NigeriaIn Nigeria, one of the foremost necessities for survival has become a luxury reserved for a fortunate few. Clean water quality in Nigeria is essential, but for many, it is elusive if not outright unobtainable. Seventy million Nigerians lack access to safe drinking water, according to the Pulitzer Center. This means that more than 35 percent of people in the continent’s most populous nation face the daily deprivation of their basic needs.

A confluence of geographic, climatic and institutional factors contribute to their plight. Because much of Nigeria’s drinking water is unpurified groundwater, it usually contains pollutants and chemical contaminants like heavy metals responsible for debilitating diseases like dysentery, typhoid and cholera. Estimates suggest that these diseases – preventable with clean water and basic sanitation – claim the lives of about 60,000 Nigerian children under five each year.

The Nigerian government is tasked with reducing these numbers and providing potable water to their people. So far, they have been largely unsuccessful. Despite annual budgets of around $500 million for water sanitation programs, the country was unable to meet its goals for clean water access by 2015.

This is due to pervasive government corruption and ineffectual mechanisms to hold them accountable. Typically, funds are dispersed from the national government to the 36 states, which have discretion in spending and giving some of the money to localities.

According to a senior official, “There is no clear tracking for budgeted funds or expenditures…Most of the states don’t have water policies; there is no state in the federation that has a regulatory agency for water”.

To mitigate this corruption, the Pan Africa Chemistry Network suggests a national water strategy with clear roles for all institutions involved, as well as instruments to ensure better accountability. With such a framework in place, the government would be better equipped to meet the challenges of water quality in Nigeria.

Despite these setbacks, there are significant opportunities for improvement. Amid government dysfunction, optimism emanates from ingenuity. Technological innovation is enabling the purification of water across the continent.

One such invention to improve water quality in Nigeria is the EPA Compact Water Plant, which uses a process called hydraulic flocculation to clean contaminated water. One model uses a solar panel to provide the energy for the process, which can be performed by an individual. Tested in four African communities, this technology has performed well, and its proliferation across Nigeria could be an enormous improvement to current methods.

Janet Daniels, a resident of the capital city of Abuja, has an acute understanding of the impact such technology could have. Currently, she is forced to collect her water from a local borehole.

“We cannot wait for the government to do anything” she laments. “I have to boil the water [because] it has little particles of stuff in it”.

For people like Janet Daniels, gaining access to potable water is a daily toil. By emphasizing accountability and providing new technologies like the EPA Compact Water Plant, Nigeria can ensure that clean water is no longer mistaken for a luxury.

– Brendan Wade

Photo: Flickr

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Five Facts About Women’s Health in Africa

women's health in AfricaWomen’s health is of great importance to social and economic development in Africa. Representing over 50 percent of the country’s human resources, women’s health in Africa has major implications for the nation’s development. Overwhelming evidence shows that by supporting women’s health status and income levels, both households and communities are drastically improved. Therefore, women’s disempowerment must be regarded as a human rights issue. These are a few facts about women’s health in Africa today.

Maternal Deaths Are Still High

Although woman’s life expectancy at birth in more than 35 countries around the world is upwards of 80 years, in the African region, it is only 54 years, according to recent World Health Organization statistics. Sixty-six percent of maternal deaths happen in sub-Saharan Africa. One in 42 African women still dies during childbirth, as opposed to one in 2,900 in Europe.

Teenage Pregnancy Education

Due to the lack of education and healthcare, teenage mothers experience many complications and premature deaths since their young bodies are still developing and not ready for the physical and emotional trauma of childbirth. Because of this, according to the Center for Global Health and Diplomacy, teenage pregnancy needs to be at the top of the education agenda in Africa among young girls if they are going to be empowered to take control of their bodies, their futures and their health.

Improving Infrastructure Can Save Women’s Lives

Several of the major issues affecting women’s health in Africa are associated with poor living conditions. As the main gatherers of food for their households, women are exposed to particular health risks. There is ample evidence that improving infrastructure such as access to roads and providing safe and accessible water sources can considerably improve women’s health and economic well-being.

HIV Affects More Women than Men

In 2015, 20 percent of new HIV infections among adults were among women aged 15 to 24, despite this group only accounting for 11 percent of the global adult population, according to Avert.com. “In East and Southern Africa, young women will acquire HIV five to seven years earlier than their male peers. In 2015, there were on average 4,500 new HIV infections among young women every week, double the number of young men.”  In west and central Africa, 64 percent of new HIV infections among young people occurred among young women. Location has a lot to do with this, as adolescent girls aged 15 to 19 are five times more likely to be infected with HIV than boys of the same age in Cameroon, Côte d’Ivoire and Guinea.

The Fight for Empowerment

U.N. Women, in partnership with the International Rescue Committee, puts great effort into the protection of women’s empowerment in Africa. This organization supports critical policies for social protection for women. Partnerships with national banks are expanding access to finance to make that happen, along with collaborations with regional and U.N. economic commissions. Although women’s health in Africa is in desperate need of reform, there are many organizations like this one fighting to make that possible.

Policy reform designed to improve women’s health in Africa must address the issue of women’s place in African society so that the health of women can be seen as a basic right.

– Kailey Brennan

Photo: Flickr

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Soteni International Builds Health and Hope in Kenya

In Kenya, around 1.6 million citizens are currently living with HIV, with around 910,000 of these being women aged 15 and over. Soteni International, a nonprofit organization based out of Cincinnati, Ohio, works within rural Kenya to fight HIV/AIDS. Executive Director Randie Marsh describes the goals of the organization as “to reduce the incidences of HIV/AIDS in rural Kenya and improve the lives of those affected by HIV/AIDS.”

Soteni International was founded in 2002 by a group of both American and African volunteers led by Dr. Victoria Wells Wulsin, a physician and epidemiologist. Marsh describes the early mission of the organization as being to “empower orphans of AIDS to lead the fight against AIDS and to prevent another generation from succumbing.”

Villages of Hope

The organization has now developed and works through the “model of Villages of Hope.” This includes doing everything in its power to build up specific communities so that they are sustainable for future HIV/AIDS-free generations. These villages are focused in three main regions in rural Kenya: Mbakalo, Ugunja and Mitunto.

Marsh told The Borgen Project that the organization chose to stay in rural areas because it “felt like there are many organizations working in Nairobi that address the HIV crisis there. These [three regions] are also areas where the communities have given us land to use to further our mission and/or support us in other ways.” Soteni has supported a number of projects in these communities that all work toward the overall betterment of the region.

Community Improvements

In 2009, Soteni worked with other organizations, including the Lake Victoria North Water Services Board, the Gender Sensitive Initiatives organization and the Kenyan Water Services Fund Trust, to bring safe drinking water to Mbakalo. The project included bringing the region 20 hand-pump wells and 20 springwater pipes. The local schools also received 15 three-door latrines and 12 rainwater harvesting tanks. In 2015, the organization also enacted the Improving Access to Family Planning Project in Ujunga to spread sexual health and family planning awareness and provide access to sexual reproductive health services.

Soteni opened a health center in Mbakalo in 2005 and has continued to improve it over the years. The center provides essential medical services through a seven-person staff. 200 to 300 citizens receive treatment here every month that includes antimalarials, antihistamines, antibiotics and some immunizations. The center has no electricity, but in 2008 Soteni installed a solar refrigerator for vaccines and medicines. Plans are currently underway to expand and upgrade the center.

International Cooperation

Soteni International requires leadership and cooperation in both the United States and Kenya to do its work. The organization has members and locations in both Cincinnati and Nairobi and members make trips back and forth annually. Supporters in the U.S. can donate time through volunteer work or make monetary and material donations.

According to Executive Director Marsh, “the heart of our organization are the people on the ground who work to support the mission.”  The organization and its community work are entirely grassroots, built from the ground up by people who saw a problem and wanted to be a part of the solution. Not only does its work better the lives of Kenyan citizens, but it also inspires citizens from the U.S. and around the globe.

– Megan Burtis

Photo: Flickr

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How Blood Donation Rates Were Multiplied in Haiti

blood donation rates multiplied in haitiAfter the devastation of the 2010 earthquake in Haiti, health challenges greatly increased. Thousands of men, women and children were seriously injured or their livelihoods were threatened following the disaster. The National Blood Transfusion Center (NBTC) located in Port-au-Prince was destroyed, which reduced monthly national blood collections by over 46 percent.

The NBTC was responsible for the majority of blood collections as well as screening all of Haiti’s blood donations for transfusion-transmissible pathogens. Many of the men, women and children in critical conditions that were waiting for blood transfusions were thus unable to get the treatment necessary to survive. Organizations such as the Haitian Red Cross relied on foreign aid in order to collect a blood supply to help as many patients as possible.

Rapid efforts were put into place to actively repair damages and increase the scale of blood donations following the earthquake. By 2014, blood donation rates had multiplied in Haiti. Before the earthquake, blood collections were 52 percent in Port-au-Prince, which is the largest city in Haiti. As part of the recovery plan, Haiti’s Ministry of Health (MSPP) created the National Blood Safety Program (NBSP) in order to increase blood collections in outer regions of Haiti, hoping to decrease focus on the Port-au-Prince area, as this was where most of the damage was received.

Expanding the blood transfusion posts, where blood donations were completed and blood stored, was also a goal of the NBSP, as this would also encourage more active participation in blood donations throughout the entirety of Haiti. Prior to the 2010 disaster, Haiti was one of the poorest countries in the western hemisphere. This was only exacerbated following the destruction. Building blood transfusion posts, recruiting donors and obtaining healthy blood were intense challenges faced by health and humanitarian efforts.

However, with the collaborative efforts of MSPP and the Haitian Red Cross, as well as generous donations from international relief agencies, the NBSP saw their efforts paying off within years. By building a greater geographic area for all participants to access transfusion centers, blood donation rates multiplied in Haiti. By 2012, annual blood collections exceeded pre-earthquake levels and continued to increase. By 2014, collections were 36 percent higher than in 2009. Both the international community and local community within Haiti understood the necessity for blood transfusions in the country, and volunteers rose to the occasion.

Blood donation rates multiplied in Haiti due to other efforts as well, outside of building new facilities. In 2012, Haiti initiated a new plan to continue attracting volunteers for blood donations. The country aimed to increase the percentage of voluntary blood donors to 85 percent and regular donors to 40 percent. It also sent mobile blood drivers around Haiti to network with the community and discuss the importance of blood donations. Incentives were given out, like t-shirts, books and stickers, to attract locals to the idea.

Using technology to network also became an important driver. The Haitian Red Cross Society hosts a biweekly radio show to educate listeners on the subject and encourage life-saving behaviors. Particularly on important dates such as Blood Donor Day, the National Blood Transfusion Center produces messages on the radio and through text for people to donate blood, which can help compensate for limited stocks at different moments in time.

These combined efforts have clearly exemplified the dedication that Haiti has to reaching its goal of 100 percent donation rates in upcoming years. Its work has set an example for nations worldwide that have suffered from similar problems in obtaining efficient blood collections to treat those in need.

– Caysi Simpson

Photo: Flickr

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The Nation With the World’s Lowest Life Expectancy

The widespread poverty, hunger and disease in Central Africa has consistently resulted in the lowest life expectancy in the world. While the global average of life expectancy has risen by roughly five years in the past two decades, central African countries continue to dwell at the statistical bottom. At a typical life expectancy of 50 years, the global community must increase funding and accountability to ensure that poverty and disease cease their decimation of central African populations.

The central African country of Chad was estimated to have the lowest life expectancy in the world for 2017. Chad is a country of 12 million people, 40 percent of which live below the poverty line. While the country began oil production in the early 2000s, Chad’s poverty rate is expected to continue its rise. In part, this is due to the country’s high mortality rate and low life expectancy. To gauge the ability of the U.S. and other developed nations to help increase Chadians’ average lifespan of only 50.60 years, it is first necessary to examine the causes of death.

Early Deaths

Children in Chad die from all sorts of illnesses, from malaria and respiratory infections to prematurity and diarrhea. Because so few Chadians have access to birth control, as only approximately five percent use contraception, the birth rate in Chad is growing. 43 percent of the population is aged 14 or younger, and that figure is rising. The risk of dying by this young age is 44 percent for boys and 39 for girls, as of 2012.

Furthermore, Chad has the third highest maternal mortality rate in the world. Extreme poverty, poor to no maternal health care and adolescent pregnancy has contributed greatly to the high maternal death rates. In a country with the lowest life expectancy in the world, the extreme poverty rates must decrease and better access to maternal healthcare is essential if the country is to improve.

Diseases

Chad, like many African nations, is no stranger to disease. Lower respiratory diseases, malaria, HIV/AIDS and diarrhoeal infections are dangerously common. Lower respiratory infections alone killed 24,700 people in 2012. The risk factors for falling prey to these diseases are lack of adequate healthcare, a rarity of potable water and the hot and arid climate. As the largest of Africa’s landlocked countries, Chadians are forced to walk long distances for water.

As only 28 percent of the population lives in urban areas, the vast majority of Chadians do not have quick access to necessities such as water and healthcare. As the country with the world’s lowest life expectancy, it is vital that Chad provide better access to these basic human needs to the entirety of its landscape.

The U.S. is in a unique position to provide monetary and medicinal assistance. Maintaining accountability with the Chadian government regarding these resources would be the most effective way to ensure that taxpayer dollars are going to good use and can be reflected by a rising life expectancy for the people of Chad, and all over Central Africa.

– Eric Paulsen

Photo: Flickr

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Top 20 Countries with the Lowest Life Expectancy

countries with the lowest life expectancyThere are a lot of factors that contribute to a country’s life expectancy. Some of these contributing factors are economic conditions, diet, public health, access to medical care, wars, crime rate etc. Because of this, a lot of the countries on this list are African countries plagued by poverty.

According to the CIA’s World Factbook, these are the top 20 countries with the lowest life expectancy as of 2017.

  1. Chad – 50.6
  2. Guinea-Bissau – 51.6
  3. Afghanistan – 51.7
  4. Gabon – 52.1
  5. Swaziland – 52.1
  6. Zambia – 52.7
  7. Central African Republic – 52.8
  8. Somalia – 52.8
  9. Lesotho – 53
  10. Mozambique – 53.7
  11. Nigeria – 53.8
  12. Burkina Faso – 55.9
  13. Niger – 55.9
  14. Uganda – 55.9
  15. Sierra Leone – 58.6
  16. Cameroon – 59
  17. Cote d’Ivoire – 59
  18. Republic of the Congo – 59.8
  19. Zimbabwe – 59.8
  20. Angola – 60.2

The overwhelming majority of these countries are in sub-Saharan Africa. According to Africa Check, the top five causes of death in 2017 in Africa were lower respiratory tract infections, HIV/AIDS, diarrheal diseases, stroke and Ischemic heart disease. The major reasons for these causes of death are unsafe water, poor sanitation, insufficient hygiene, lack of resources and economic conditions. Living conditions dramatically affect life spans and are a major reason why these countries have the lowest life expectancy.

However, there has been a significant improvement in a lot of these countries and their life expectancy numbers. For example, Zimbabwe and Zambia’s longevity has increased by 38 percent since the year 2000. And, overall, of the 37 countries that have seen increases in their life expectancy numbers by more than 10 percent since 2000, 30 are in sub-Saharan Africa. Additionally, not even one sub-Saharan country had its life expectancy fall between the years 2000-2014.

There is still a lot of progress that needs to be made in order for these countries with the lowest life expectancy to increase their numbers, but regardless, there has been a substantial improvement in these struggling countries.

– McCall Robison

Photo: Flickr

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Plague in Madagascar Affects Thousands

Plague in Madagascar Affects ThousandsAn outbreak of the pneumonic plague is threatening citizens and affecting many areas of Madagascar, including the capital city, Antananarivo, which is heavily populated. The plague in Madagascar is serious and spreading quickly, and has prompted the World Health Organization (WHO), along with the Madagascar Ministry of Health, to initiate a public health response to the illness. Madagascar is also receiving help from other organizations throughout the world.

The WHO has reported 1,365 possible cases of the plague in Madagascar from the beginning of August to the end of October 2017. About eight percent of these cases have led to death.

Plague pneumonia is the most serious case of the plague disease, caused by a bacteria called Yersinia pestis, often found in rodents. The disease is easily spread: someone could become infected just by breathing in the bacteria after someone coughs, through touch, or by getting bitten by a plague-infected flea. Often times, swollen lymph nodes are the earliest symptom of the plague.

Forty of Madagascar’s 114 districts have reported cases of the pneumonic plague. The WHO reports that most of the deaths occurring from the plague are not in treatment centers. It is urging people to find a treatment center near them to prevent the spread of the plague. The WHO has provided medication and treatment to treat up to 5,000 people, protected 100,000 people who could have come in contact with the disease and have trained thousands of volunteers.

Not only does the plague pose a threat to individuals in terms of health, but it also affects socialization and education. The government has forbidden any public gatherings, as well as closed all of the schools at the risk of spreading the disease further. The airports in Madagascar are also taking measures to check temperatures and place medical teams to ensure those traveling are not taking it with them.

– Chloe Turner

Photo: Flickr

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Lucky Iron Fish: Tackling Malnutrition in Impoverished Countries

Malnutrition in Impoverished CountriesAnemia is the most common nutritional problem in the world. There are over two billion people that are anemic. Tackling malnutrition in impoverished countries can be difficult, but the creators of the Lucky Iron Fish hope to alleviate a worldwide issue.

When the creator of the Lucky Iron Fish, Christopher Charles went to Cambodia, he found that there were many people suffering from iron deficiency and anemia. About half of the women and children in the entire country was not getting the proper amount of iron in their diets. That caused many people to be tired, suffer constant headaches, and even made them unable to work at times.

When Dr. Charles visited, there were no real solutions to this problem. Iron supplements were not widely available and even if people could get their hands on them, the iron supplements were too expensive. Cambodians also did not want to take the supplements due to various side effects.

Dr. Charles wanted to come up with a solution to all of these problems. The Lucky Iron Fish is the solution Cambodians were looking for.

The Lucky Iron Fish is a small iron fish that can be used to infuse foods with a healthy amount of iron. Iron supplements tend to have too much iron in them which can be detrimental to your health. The Lucky Iron Fish infuses meals with about 75 percent of the daily recommended iron so people are not getting too much iron in their meals, so there are no ill side effects.

Another problem with iron supplements is that people usually just do not like taking them. The Lucky Iron Fish is made to be cooked in food that people were going to eat anyways. When using the fish, they just need to boil it for 10 minutes along with their food and the meal is now iron-rich. Not only that, but the iron is tasteless so it does not affect the meals.

Cost is a major factor when dealing with malnutrition in impoverished countries. High cost can end up making the product unavailable to those who need it most.

The Lucky Iron Fish costs about 30 USD. So it is not too expensive so it can be bought by many people. Not only that, but the creators of the Iron Fish have a buy a fish give a fish program. Anyone who buys a fish will also end up giving a fish to a family who needs it.

30 USD can end up looking expensive for some because people think they have to replace it every couple of months. A single Lucky Iron Fish can end up being used for five years before needing replacing.

Tackling malnutrition in impoverished countries can be a challenge. The cost and effectiveness of a product can really reduce resources for impoverished countries to use. The Lucky Iron Fish tackles all of these issues to make sure people are getting the best product to tackle anemia and iron deficiency.

The original target for the Lucky Iron Fish was for Cambodians. Now anyone can buy them and the creators are hoping to send one million fishes worldwide by 2020.

– Daniel Borjas

Photo: Google