Information and stories on health topics.

yehu_microfinance_kenya
Founded in 1998 under the name Yehu Enterprises Support Services (YESS), Yehu has always had a strong focus on low income rural entrepreneurs and women of Kenya. The company’s dedication to providing the aforementioned population with specially targeted products and services allows their customers to improve their economic position.

The most significant trait that sets Yehu apart is their commitment to responsiveness. The company receives feedback from their clients using surveys, focus groups, complaint resolutions, and market research. From these endeavors, employees are able to draw conclusions regarding what their customers want. Yehu believes that “access to responsive and sustainable financial services helps accelerate their clients’ ability to move up the economic ladder and improve their lives.”

The aforementioned dedication to customer satisfaction is clearly portrayed in their products and services. One of the products Yehu offers is known as the Maji ni Uhai (which means “water is life). The Maji ni Uhai allows the customer to choose from water tanks, water connectors, and fresh water wells. It involves “durable water tanks (both underground and storage tanks), piping, water harvesting infrastructure, water pans, and plumbing works.” This product is meant to provide clients with an uninterrupted sustainable supply of clean water for domestic and commercial use.

Among its other services, Yehu offers the following: Business Loans, Elimu Loans (school fees), Mabati Loans (home improvements and clean water harvesting), Emergency Loans (covers finances in case of an emergency or death), Poultry Loans, Meat Goat Loans, Sikukuu Loans (religious unemployment, covers costs of housing and food), and Top Up Loans (an additional amount given to clients with existing business loans to mitigate unforeseen business challenges). In all of these situations, Yehu values flexibility and responsiveness to customer needs.

According to the World Health Organization, there are only two registered medical professionals for every 1,000 patients in Kenya. A recent economic survey showed that only 19 public health officials and 18 doctors are available per 100,000 Kenyans. Those who have health insurance have the option to receive better care at a private health facility and have a much better chance of survival. However, few Kenyans can afford insurance for their families, much less themselves.

Thankfully, Yehu noticed this devastating problem and stepped up to the plate with the introduction of a brand new loan–the Afya Imara (“strong health”) loan. Boasting no HIV/AIDS exclusion, this loan allows Yehu members to purchase a combined in-patient and out-patient family insurance policy for $140 per year. To ensure the loan’s accessibility to the rural population, the company has offered them as low as 2 percent below market rate.

Another unique facet of Yehu’s business is how their credit officers operate. Eighty percent of clients live in the remote coastal villages of Kenya. Credit officers travel on foot or on motorbike in order to meet with clients weekly or bi-weekly. This distance would often be deemed a huge problem in regards to loan disbursement, but Yehu quickly figured out a solution.

All disbursements and deposits are made through “a network of local banks and post office outlets.” This prevents distance from becoming an issue and strongly displays Yehu’s commitment to accessibility and responsiveness.

– Samantha Davis

Sources: KIVAYehu
Photo: Joseph Hill

cancer_in_iraq
The war in Iraq is finally over – new leadership is in place and the country has begun to rebuild. But the effects of the Iraq War continue to have a deadly impact. Contamination from depleted uranium used in U.S. munitions has resulted in an increase of cancer and birth complications throughout the region.

Toxic waste, as well as radiation from U.S. bombings, still linger in the war-ravaged nation.  Chris Busby, author of “Cancer, Infant Mortality and Birth Sex-Ration in Fallujah, Iraq 2005-2009,” says Iraq’s medical records show “the highest rate of genetic damage in any population ever studied.”

There has been a startlingly rise in premature births, infertility and congenital birth defects. Doctors report children born with tumors, deformities, multiple limbs and underdeveloped nervous systems.  Mothers sometimes do not survive through the delivery process due to unexpected complications.  Most babies born with these extreme abnormalities do not survive. Dr. Alani, who has been studying the effects of radiation in Iraq, reports that 14.7 percent of all babies born in Fallujah have birth defects.  In post-atomic bomb Hiroshima and Nagasaki, the birth defect rate was about 2 percent.

Exposure to lead and mercury during the 1991 bombings and the 2003 invasion have also led to increased cancer rates.  Busby reports that childhood cancer in Fallujah, Iraq is 12 times higher since the heavy bombing started around 2004.  Basra University reports that leukemia in children has increased by 22 percent, and the number of patients with breast cancer has increased 19 percent since the 2004 invasion.  Cancer is now the leading cause of death in southern Iraq, according to a report published by the Basra University Medical College.

So far, the United States has refused to acknowledge the damage caused by its chemical weapons. No compensation or assistance has been provided for Iraq, similar to refusals to clean up Agent Orange after the Vietnam War.

The medical impact of war will not go away any time soon.  When depleted uranium bombs explode, they produce a fine dust containing uranium.  The uranium is absorbed by plants, contaminating the food and water supply. To make matters worse, Iraq’s infamous sandstorms can also  stir up the uranium, making the contaminants airborne. It will be 4,000 years before the depleted uranium will decay to a safe level.

– Stephanie Lamm

Sources: Al Jazeera, Fire Dog Lake
Photo: Inter Press Service

cambodia_surge_for_water
Surge is a Chicago-based nonprofit organization that focuses on providing people with clean and safe drinking water. According to Chicagonow.com, Surge has given around 67,000 people access to clean water in countries such as Haiti, the Dominican Republic, Ethiopia, Tanzania, Pakistan, Bangladesh, India, and Cambodia.

In addition, Surge focuses on improving people’s health in countries where fatal waterborne diseases such as cholera are common. In order to fund further projects, the organization has decided to host a nationwide event that focuses on collecting funds for the cause.

In addition, Surge provides other ways people can get involved with clean water initiatives. People as young as eight years old can get involved in Surge’s educational awareness program. According to surgeforwater.org, these educational programs reach up to thousands of people each year. Additionally, the “Just for Kids Initiative partners with local organizations in order to educate and empower youth” involved in the program.

In places such as Bangladesh, Surge has provided new water sanitation systems. In the district of Gazipur, more than half of the households were given access to clean water. Today, more than 56,000 households depend on Surge’s aid.

Additionally, the nonprofit has provided Cambodian people with a new water tank to people living in remote villages near the Mekong river. Due to Surge’s efforts more than 1,000 Cambodian children now have access to clean water.

This year, the Water Falls Gala will raise funds for clean water projects in places such as Haiti and the Dominican Republic. According to the official website, the event will be held at the National Hellenic Museum in Chicago’s West Loop.

All the proceeds will work towards building clean water systems in Haiti and the Dominican Republic. The projects in these countries will bring clean water to thousands of people.

– Stephanie Olaya

Sources: Surge of Water, Chicago Now

cancer_treatment_india_women
According to a new study by GE Healthcare, incidences of fatal breast cancer have risen in developing countries.

Bengt Jönsson, Professor in Health Economics at the Stockholm School of Economics, and co-author of the report has said, “Breast cancer is on the rise across developing nations, mainly due to the increase in life expectancy and lifestyle changes such as women having fewer children, as well as hormonal intervention such as post-menopausal hormonal therapy. In these regions mortality rates are compounded by the later stage at which the disease is diagnosed, as well as limited access to treatment, presenting a ‘ticking time bomb’ which health systems and policymakers in these countries need to work hard to defuse.”

While significant headway is being made in the prevention of communicable diseases such as malaria and HIV/AIDS, many developing countries do not have the resources to provide treatment for cancer.

Ignorance and the stigma of breast cancer is also a contributing factor. “There is little information for the people who need to be helped,” said Dr. Fred Okuku, of the Uganda Cancer Institute in Kampala, “Only a few know how to read and write. Many don’t have TV or radio. There is no word for cancer in most Ugandan languages. A woman finds a lump in her breast, and cancer doesn’t cross her mind. It’s not in her vocabulary.”

In the United States, about 20 percent of breast cancer patients die from it, compared with 40 to 60 percent in developing countries. While prevention and self screening measures are well known in the United States, misinformation in the developing world has led to an increased risk. A recent survey in Mexico City highlights this, indicating that many women feel uncomfortable or worried about having a mammogram.

Claire Goodliffe, Global Oncology Director for GE Healthcare, has said, “It is of great concern that women in newly industrialized countries are reluctant to get checked out until it is too late. This report finds a direct link between survival rates in countries and the stage at which breast cancer is diagnosed. It provides further evidence of the need for early detection and treatment, which we welcome given current controversies about the relative harms, benefits, and cost effectiveness of breast cancer screening.”

David Smith

Sources: New York Times

three_cups_of_tea_book
No matter what your political leanings may be, these books cannot help but convince readers of the importance of global development. As you read the anecdotes and arguments presented in these books, remember that only 1 percent of the U.S. budget goes to foreign aid – and change begins with you.

1. Three Cups of Tea by Greg Mortenson

After traveling and mountain-climbing in the Himalayas, Mortenson launched a mission to bring schools and education to children living in remote regions of central Asia. His moving book outlines the importance of local development projects targeted at education, capacity building and sustainability. Through Mortenson’s activism and writing, the Taliban’s hold has been reduced over previously unprotected and disempowered communities.

2. Partner to the Poor by Dr. Paul Farmer

World-renowned doctor, anthropologist and humanitarian Paul Farmer defines the term “structural violence” and explains its connection to global health in this gripping book. Farmer writes about the structural elements of political and social life that systematically undermine access to healthcare in rural Haitian, Rwandan and Peruvian communities. His arguments on political instability’s effect on population compel readers to see the vast impact of foreign policy and aid.

3. The Practice of International Health by Ananya Roy and Daniel Perlman

This book offers a series of personal accounts from physicians and humanitarians providing healthcare around the world. More so than other anecdotes, these stories provide a detailed picture of the logistical and cultural challenges international development projects face. However, rather than discouraging such projects, “The Practice of International Health” demonstrates how such barriers can be overcome in order to achieve remarkable success.

4. Half the Sky by Nicholas Kristof and Sheryl WuDunn

Journalists Kristoff and WuDunn cover a lot of ground in this entertaining and heartbreaking collection of stories. Similar to Mortenson’s work, “Half the Sky” emphasizes the importance of grassroots organizations, illuminating the tireless efforts of individuals in India, China, Afghanistan and Ethiopia on the behalf of women. In the book’s epilogue, Kristoff and WuDunn also provide an extensive list of nonprofits doing amazing work around the world, as well as easy steps for getting involved in female empowerment and global development.

5. Banker to the Poor by Muhammad Yunus

Microfinance has both supporters and critics, but after reading this autobiography by the founder of the Grameen Bank, Muhammad Yunus, readers might find that their opinion has changed. Yunus was awarded the Nobel Peace Prize in 2006 for his work in providing small-value loans to women in rural areas in order to promote economic growth among families and villages.

Shelly Grimaldi

Sources: GoodReads, Banker to the Poor
Photo: Wishes 4 Life

Soap_Box
A mother’s typical question to a child, “did you wash your hands?” may have seemed like a pesky reminder when growing up, but research shows that hand-washing is one of the most important and live-saving habits that can be instilled in a society. Hand-washing with soap has been shown to reduce the incidence of diarrhea by almost one half and of acute respiratory infections by roughly one third.

Since hand-washing is one of the most cost-effective ways to reduce deaths of children under five from diseases like diarrhea and pneumonia – possibly by up to 70% -, the global health soap brand Lifebuoy is teaming up with USAID to create a neonatal program designed to raise awareness of the link between newborn survival and hand washing with soap.

The program targets new mothers and birth attendants through antenatal clinics and health workers. The campaign also uses innovative videos to appeal to the mother’s maternal instinct by communicating the message “hand-washing helps your child survive.” Persuasive advocates such as the Indian actress Kajol also support the cause and help generate awareness of the importance of hand-washing, especially after having used the toilet or before preparing food.

Another initiative which aims to modify everyday behavior is the Global Scaling Up Hand-washing Project, supported by the World Bank in countries such as Peru, Senegal, Tanzania, and Vietnam. These interventions found that while will and motivation to change habits might be present, hand-washing is also dependent on the ease of access to both water and soap. In this way, the program has aimed to make changes in the way soap and water are accessed in households.

The initiative has also found that in countries such as Senegal, men can also play a critical part in the behavior-changing process. Since they are seen as the role-models or leaders of their households, future interventions will also incorporate campaigns that include or are aimed at men.

– Nayomi Chibana
Feature Writer 

Sources: USAID, World Bank
Photo: Old Picture of the Day

tuberculosis_vaccine
Today, scientists have new hope of controlling and ending tuberculosis. McAster University Researchers have recently come across a vaccine against tuberculosis. According to Dr. Fiona Smalil, professor and chair of the Department of Pathology and Molecular Medicine at McAster University, the research team is “the first to develop such a vaccine for tuberculosis.”

The McAster University researchers have also explained that the new tuberculosis vaccine would “stop the spread of this highly contagious illness.”

Moreover, the vaccine would provide a more positive response in developing nations. The vaccine could save millions of lives. According to pubmed.gov, tuberculosis is out of control in developing countries. It is killing millions of people every year.

Researchers have emphasized that “In these areas, the present vaccine–Mycobacterium bovis bacillus Calmette-Guérin (BCG)–is failing.” As a result, the McAster University team hopes to create a better quality vaccine in order to reduce the number of deaths caused by tuberculosis each year.

The new vaccine was developed to act as a booster to BCG. BCG is the only TB vaccine available. Developed in the 1920s BCG has been used worldwide. Currently, the BCG vaccine is part of the World Health Organization’s immunization program in Asia, Africa, Eastern Europe, South America, and Nunavut. In order to create a better vaccine, McAster researchers decided to hold a 10 year test program.

According to Dr. Smalil, McMaster researchers began the first human clinical trial in 2009, which included 24 healthy human volunteers and 12 who were previously BCG-immunized. Researchers have found that the trials have been widely successful.

By 2012 they established that the vaccine was safe, and observed a strong immune response in most trial participants. As a result, Tuberculosis could be controlled and eliminated by 2020.

– Stephanie Olaya

Sources: Science Daily, Inquisitr
Photo: The Guardian

Malaria Decline Africa Mosquito Bed Nets
Africa faces the world’s most dramatic public health crisis. Although polio is close to eradication, and more than half of African children have received the measles immunization, key public health issues continue throughout Africa.

Malaria is preventable and curable, yet it kills about 655,000 people worldwide every year. Malaria is transmitted through mosquitos infected with parasites, and it can also be passed to a growing fetus from an infected mother. Malaria causes fever, chills, muscle pain, and if not treated can result in death.

According to the Center for Disease Control (CDC), 91 percent of malaria-caused deaths occur in Africa. Moreover, 86 percent of malaria deaths globally are children. Malaria is a disease of poverty. The most vulnerable are children under five and pregnant women living in rural areas.

Malaria deaths decreased by 25 percent globally from 2000 to 2010. How was this achieved?

 

1. World Health Organization (WHO)

According to the WHO, 33 African countries have adopted artemisinin-based combination therapy as malaria treatment, which is the most effective antimalarial medicine. Other treatments include insecticide-treated nets, indoor residual spraying, and intermittent preventive treatment during pregnancy. In the WHO African region, malaria cases decreased by 50 percent between 2000 and 2008 due to these measures.

 

2. United Nations Children’s Fund (UNICEF)

From 2000 to 2012, UNICEF provided over 120 million Insecticide-Treated Nets (ITNs). During this time, children sleeping under ITNs increased from 2 percent to 39 percent. As malaria-infected mosquitos bite at night, the regular use of ITNs can reduce child mortality by 20 percent.

 

3. The Global Fund

Through funding from the Global Fund, 310 million mosquito nets and 181 million cutting-edge antimalarial treatments have been distributed.

 

4.  The President’s Malaria Initiative (PMI)

PMI is led by USAID under a U.S. Global Malaria Coordinator and jointly implemented with the Centers for Disease Control (CDC). PMI is one of the largest donors for malaria. Its goal is to half malaria for 70 percent of the at risk sub-Saharan population. PMI has chosen 19 focus countries. In Tanzania, PMI efforts, through the malaria control scale-up, have reduced all-cause child mortality (ACCM) by 10 deaths per 1,000 live births.

Through all these efforts over a million lives have been saved. Still a child dies every minute from malaria.

Widespread malaria is an obstacle to the development and growth of affected African countries and communities. For every $1 invested in malaria commodities, a $40 return can be expected in the form of productivity from healthier, better educated more productive working communities.

 – Caressa Kruth

Sources: WHO, CDC About, WebMD, UNICEF, Forbes John Lechleiter, Forbes, CDC Resources
Photo: 

chinese_redheaded_centipede_morphine
According to Medicaldaily.com, centipedes are now known to treat medical pain more effectively than morphine. Although the number of opioid painkillers has increased during recent decades, doctors have been trying to find a less complicated alternative to treat pain.

Recently, doctors have discovered that centipedes might provide that alternative. Researchers have found that some components of centipedes’ venom can act as a potent painkiller. Although it is not classified as an opiate, the centipede’s venom is just as potent as morphine but has no side effects.

The morphine used in this type of alternative medicine comes from the Chinese redheaded centipede. The Chinese redheaded centipede “paralyzes its prey by injecting venom that blocks a voltage-gated sodium channel protein.” These proteins are responsible for having an imperative role in pain transmission. The venom thus blocks pain from the body.

During the testing process, researchers injected mice with massive amounts of the centipede’s venom. After the mice were infected with the venom, they were subjected to a series of tests. The tests touched upon different areas such as thermal, chemical, and acid testing.

The results showed that the venom was most similar during the thermal and acid testing, it acted better than morphine during chemical tests. In addition, the mice showed no side effects.

As a result, the venom is undergoing a series of trials with humans. These subjects either suffer from chronic ailments or pain. According to Medicaldaily.com venom immunotherapy was better at treating a person allergic to stings than EpiPens.

Other research has shown that this type of venom can help block the proteins responsible for inflammation, thus reducing pain for sufferers of arthritis. Conclusively, centipede venom can soon be considered an alternative to morphine or other opiates.

– Stephanie Olaya

Sources: Medical Daily, Medical News Today
Photo: Open Cage

jamii_bora_bank
What is the Jamii Bora Bank? Originally known as the Jamii Bora Trust, the Jamii Bora Bank (JBB) was founded in 1999 by a group of Kenyan families in order to serve the needs of citizens looking to escape poverty.

Beginning as a charitable trust, the organization currently specializes in micro finance services for an estimated 300,000 Kenyans with 150,000 new customers acquired in 2013 alone. JBB is not simply a bank; the institution has become an established resource in fighting Kenya’s poverty level over the last decade. The poverty gap around the world has grown dramatically worldwide and Kenya is no exception.

In the past 2 years, JBB has raised its capital by over 1 billion Kenyan shillings and shifted the focus on poverty aid. Initiatives include affordable housing, vast infrastructure improvement, and increased employment. Available banking methods have evolved to provide individuals with the financial tools necessary to gain middle income living through personal, mortgage, small and medium enterprise and agricultural banking.

Bank members are allowed to borrow over twice the amount of funds within their saving accounts which can then be applied to a variety of debts including school bills, healthcare costs, housing payments, and business startups.

Technology has played an important role in the bank’s growth within the last year. Newly implemented programs suggest that lack of access to technology directly correlates to poverty levels, as well. In response, the first ATM debit cards were released to customers by JBB earlier this year. Mobile banking has also become available within the last few months and the addition of Western Union services have enabled Kenyans to connect to the outside world with ease.

The institution has designed an innovative reward program for its citizens. Similar to referral programs favored by U.S. banks, employees, and customers are financially rewarded for successfully referring a friend to enroll in banking services. However, JBB offers rewards for the duration of the new account. In theory, if Customer A convinces Customer B to enroll in services, and Customer B maintains an account for 10 years, Customer A will receive monetary rewards for 10 years.

Jamii Bora also contains a component solely devoted to public health with special focus on issues such as HIV/AIDS, maternal health, child and newborn wellness, and primary/secondary care. Health insurance is available to members and includes maternal care, HIV/AIDS patient inclusion, and inpatient care without any form of co-payment.

The plan is needed in a country where nearly 34,000 children die from malaria annually and an estimated 360,000 are prescribed antiretroviral medications for HIV/AIDS treatment, according to USAID.

The bank continues to strive to reach its goal of 6 million members by 2018. It hopes to expand its current network across the continent, essentially allowing many developing African nations to gain a foothold in the current technology-centric world. Its innovative programs may one day allow millions of Kenyans and their neighbors to escape their current state of poverty.

– Jasmine D. Smith

Sources: Jamii Bora Bank, Health Market Innovations, USAID
Photo: West fm