Archive for category: Health

Information and stories on health topics.

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New Hope for the Deaf and the Blind in Kenya

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This year, Sense International, an organization targeting sensory disabilities in developing nations, launched its first deaf-blind curriculum in Kenya. The program will formalize education and promote specialized home care for over 17,000 deaf and blind children in a country with no precedent for disability education.

Sense International Kenya has been at work since 2005, when teachers began protesting in earnest to the Kenyan Institute of Education about the lack of programs and metrics to guide and measure deaf-blind education.

Kenya currently has 10 centers of education for the deaf-blind—in a country with a population of 42 million. The great demand for specialized care coupled with a total lack of curriculum has left many classrooms in chaos. Teachers with the best intentions, but no tools, have no recourse.

But the problems have roots far deeper than a lack of curriculum. For many families, the distance is just too great or boarding fees too expensive to enroll their children in the few special learning centers.

Without care or intervention, struggling families often can’t help but marginalize their deaf-blind children. Thousands of disabled people live shuttered, lonely lives due to a lack of education.

Sense International addresses these problems on several fronts. First, it recently pioneered a deaf-blind education program in Kenya, fully equipped with material and performance gauges on every academic level. It built the curriculum based on studiously researched input from parents and teachers of the deaf-blind, as well as established practices from its operations around the world in countries like Romania, Peru, India, and Uganda.

Sense also works with community organizations to ramp up specialized care for children with severe disabilities. They provide home-based education and therapy, train parents to care for their disabled children, and connect families with experts and organizations that offer advanced support.

Yet, perhaps most important of all, Sense advocates for policy geared toward the deaf-blind. For example, Tanzania, one of its countries of operation, currently subsidizes transport costs for disabled children to and from special learning centers. Sense is pressuring Kenya to adopt similar practices.

The notoriously bureaucratic Kenyan government presents another problem in itself. To combat this, Sense is cutting away at the red tape prohibiting reform by maintaining constant contact with leaders on sensitive issues.

“This project has shown just what can be achieved with political will and the expertise of organizations such as ourselves,” reports Edwin Osundwa, the country representative of Sense International Kenya. “We are proud of what has been achieved and are now keen to repeat the process for home-based education.”

– John Mahon

Sources: Sense International, The Guardian
Photo: The Guardian

What Is Management Sciences for Health?

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Management Sciences for Health (MSH) has one mission: to save lives and improve health of the world’s poorest and most vulnerable by closing the gap between knowledge and action in public health. This global health non-profit organization uses proven approaches to help leaders, health managers, and communities in developing countries create stronger health systems for a greater health impact. Since its founding in 1971, MSH has left its mark in over 150 countries working with policy makers, health care consumers, and health professionals to improve the overall availability, affordability and quality of health services.

The work of MSH is centered on four core beliefs and values: effective local leaders and local institutions are key to creating lasting health impact; health is a basic human right, realized through healthy living conditions and access to health care for all; healthy people and communities are more able to contribute to economic growth and political stability; and better evidence to scale up current methods and technologies will fuel widespread health impact.

Since it’s founding, MSH’s operations have been based on the 3,500 year old Tao (Way) of Leadership, working shoulder-to-shoulder with local partners and colleagues and empowering them to succeed. In the 1960s, MSH’s founder Dr. Ron O’Connor, was taught the principles of the Tao of Leadership by Dr. Noobora Iwamura, a mentor and friend. Dr. Iwamura, as the only survivor of his high school class in the Hiroshima bombing, decided to lead a life of service in the remote, rural areas of Nepal. Through his work he discovered that creating sustainable changes meant much more than medical care on its own: it meant engaging communities actively in their own health needs.

The mission and work of MSH is based on Dr. Iwamura’s concern that communities be empowered with the knowledge of solutions to basic health problems and challenged to take control of their own health. These values are resonated today in MSH’s staff of over 2,400 based in over 65 countries. MSH focuses its efforts on strengthening health systems in the priority health areas: HIV & AIDS; tuberculosis; family planning and reproductive health; maternal, newborn, and child health; malaria and other communicable diseases; and chronic diseases.

In the organizations’ 2012 Annual Report, MSH outlined universal health coverage (UHC) as the framework for maximizing health impact. More than 50 countries have achieved universal health coverage, with an additional 50 countries working towards the same goal. MSH is contributing to this UHC movement through its coordination with local communities to develop health system innovations, such as the scaling up of community health shops, and by directly building local ability to deliver health services through training health workers and staff. There is much work to be done, but MSH is pushing to make effective healthcare available to anyone in need.

– Ali Warlich

Sources: MSH,WHO

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Improving Access to Reproductive Health Services

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Improving access to reproductive health services in the developing world is critical to poverty alleviation. Pregnancy and childbirth-related complications are a leading cause of death of girls, aged 15 to 19, in developing countries. An estimated 7.3 million girls under age 18 give birth each year, and a great percentage of births occur in Africa. To counter this, the United Nations Population Fund (UNFPA) has announced it will partner with eight African countries to improve access to reproductive health services for millions of girls. The programs will span over the next three years, and will hopefully make a difference in lives of millions of young people.

“We are working specifically to ensure that the continent’s adolescent girls, between the ages of 15 and 19 – some 45 million of whom live in sub-Saharan Africa – get a good education, are able to decide whether and when to marry and have children, are protected from HIV, remain safe from violence, and have their fair share of opportunities to work and contribute to the economic development of their countries,” said UNFPA Executive Director Babatunde Osotimehin.

UNFPA will partner with the Democratic Republic of the Congo, Ethiopia, Mozambique, Niger, Nigeria, Sierra Leone, South Sudan and Tunisia. The programs will deliver comprehensive sexual and reproductive health services for young people. The hope is to reach disadvantaged and impoverished girls who are most at risk for poor sexual and reproductive health, violence and exploitation.

UNFPA programs will ensure young people have access to age-appropriate sex education, whether they are in school or out, to prepare them for adult life. The programs will bring together governments, young people, the private sector and other stakeholders to access the needs of young people.

UNFPA is the lead United Nations agency that promotes sexual and reproductive health services. They are at work in 150 countries, ensuring that young people have the information, services, and supplies they need to make safe and healthy decisions.

“Over the next three years, in partnership with governments and young people themselves, we will commit to making a tangible difference in the lives of millions of young people right across the continent. It is their rights we must uphold and it is they who are our best hope for a prosperous and peaceful Africa,” said Dr. Osotimehin.

– Catherine Ulrich
Sources: UNFPA, UN News
Photo: Join Tokyo

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5 Ways to End Global Poverty

5 Ways to End Poverty
The end of global poverty is in sight. While this may seem like a difficult, if not impossible feat, in fact, the opposite is true. By adhering to these concepts, the United Nations states that poverty can be ended in the near future.

  1. Economic Growth: Training and education are key for economic growth in the developing world. Once these two necessities are met, more jobs can be created and people will earn more money to fuel the economy.
  2. Representative and Responsible Government: Corruption has been known to prevent foreign aid from reaching the most impoverished people. Open governments are less likely to be corrupt and more likely to provide social services to their citizens.
  3. ‘Green’ agriculture and development: Due to climate change and population increases, environmentally friendly policies are critical for ensuring sustainability and healthy lifestyles.
  4. Healthcare/Sanitation: Without access to proper healthcare, communities are affected by disease, illness and death, factors that contribute to lack of economic development and social progress. Access to clean water and sanitation will also improve health conditions. When children are healthy, they can go to school and grow up to have careers, thus ending their parents’ poverty cycle.
  5. Global Partnerships: No one country can end global poverty on its own. In order to reduce poverty, everyone must work together to ensure that these other factors are met. Foreign aid, improving trading relations or diplomacy are ways that countries can contribute to eliminating poverty.

Although this is a simplified list, these big ideas are vital for finally ending world poverty. Once poverty is reduced, hunger, war, and illicit operations common to developing countries will no longer be prevalent because people will no longer be imprisoned by extreme poverty. The U.N. is on track for meeting its Millennium Development Goals and hopes to see the end of world poverty by 2030.

– Mary Penn

Sources: Plan Canada, Government of the United Kingdom
Photo: The Guardian

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Deafness in Sub-Saharan Africa

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The Deaf in sub-Saharan Africa face a unique set of challenges. They tend to be isolated from society in ways that people with hearing struggle to understand, and they are often seen as burdensome or even as a bad omen for their families. Education for the Deaf in sub-Saharan Africa is severely lacking, and they are often denied the opportunity to live independent and fulfilling lives. The concept of Deaf culture, in which deafness can be seen as a neutral or even positive trait, has yet to take root in most African societies. However, in some countries, exciting progress is being made.

Andrew Foster (1927-1987) is often considered the father of deaf education in Africa. After becoming the first African American to graduate from Gallaudet College, the preeminent school for the deaf, Foster founded the Christian Mission for Deaf Africans in the United States in 1956. A visit to Accra, Ghana the following year inspired him to found a school for the deaf in Ghana. Foster highly emphasized the importance of sign language, rather than forcing deaf children to communicate using only oral speech, as theory known as Foster’s Total Communication philosophy.

Throughout his adult life he founded 31 schools in 17 African countries where deaf children could be educated and empowered. Many of these students returned to their home villages and educated other deaf children, spreading the message that deaf children can and should be educated.

Today, education for the Deaf in most sub-Saharan African countries is sub-par at best. In societies where primary education is not yet universal, priority is given to general education that benefits more children. Programs are usually run by non-governmental organizations, often resulting in a lack of oversight and regulation. Teachers are usually not deaf and often lack the skills necessary to teach deaf children. Funds are often low, so textbooks and other school supplies are often in short supply. Perhaps most problematically, there is generally no expectation that deaf children will continue past primary school.

No sub-Saharan African country has reliable data concerning its deaf population. Instead, they often end up disappearing from school systems, workplaces, and society in general simply because they cannot hear.

Lack of skilled medical care exacerbates the problem, resulting in a lack of early identification and investigation. It is also generally assumed that deafness rates in developing countries are higher due to limited treatment options, malnutrition, and chronic illnesses that affect hearing. It should also be noted that in more affluent societies there are many hard of hearing children who can function as fairly easily. These children are usually provided with hearing aids, but most families in the developing world cannot afford them.

Cultural attitudes also contribute to the lack of urgency when it comes to deaf children’s education. While sub-Saharan Africa is incredibly diverse and there are clearly exceptions for every trend, there are some harmful stereotypes about the Deaf that are common in many countries. Some see deafness as an act of fate or a sign of God’s punishment. Deaf children are often hidden because they are considered a source of familial shame. They may also be pitied and seen as burdensome and helpless, which can result in abuse such as sexual violence towards deaf women.

These negative attitudes generally increase the isolation of deaf children and feed into the stigmatization of deafness. Governmental policies that fail to protect the Deaf from discrimination, as well as derogatory language similar to the English phrase “deaf and dumb”, are manifestations of this stigmatization.

In the face of the clear inequity suffered by the Deaf in sub-Saharan Africa, it is encouraging to recognize the progress being made. Four sub-Saharan African countries (Zimbabwe, Botswana, South Africa, and Uganda) have prohibited discrimination against people with disabilities. Additionally, Deaf culture is gaining headway. Uganda is one of just a few countries worldwide to have officially recognized a sign language in its constitution and there are currently two journals focusing on Africans with disabilities. Deaf Link Uganda, a non-profit founded in 2007, is currently working to empower deaf individuals in Uganda by creating Deaf communities and providing education and job training, as well as work opportunities. Educational opportunities for the Deaf, including primary schools and beyond, are increasing, especially in Nigeria.

These positive developments reflect a changing culture. Deafness in sub-Saharan Africa is becoming more accepted and supported. Such progress is sorely and urgently needed, making it all the more exciting to witness.

– Katie Fullerton

Sources: Project Muse, Deaf Link Uganda
Photo: Commission Stories

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How Prevalent is Stunted Growth?

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Millions of children around the world suffer from undernutrition. It is defined by UNICEF as a diet bereft of the calories and proteins necessary for growth and bodily maintenance, or the inability to utilize the nutrients in food due to an illness. This undernutrition is the cause of death of 5.6 million children in the developing world annually. And it is largely responsible for the stunted growth of millions of others.

Stunted growth, or low-height for age, can be attributed to a number of factors including infection, parasites, and, as mentioned, undernutrition. While these factors are not explicitly related, they are each correlated with lower incomes and poverty. Moreover, as a result of these conditions, particularly during the early years of a child’s life, he or she may not receive the nutrients necessary for proper development.

Stunting could begin as early as gestation in the womb, and has lifelong consequences as a “chronic restriction of a child’s growth.” Children with stunted growth have restricted brain development, preventing them from achieving their full potential in schooling and the workforce thereafter. In terms of disease, stunting puts children at a greater risk of dying from infection.

The countries in the world with the highest prevalence of stunted growth include Peru, India, Ethiopia, and Vietnam. These countries have risen to the challenge of preventing stunted growth in their children, like Peru with its “5 by 5 by 5” program. This specific program aimed to “reduce stunting in children under 5 by 5 percent in 5 years” by following simple steps like bettering women’s nutrition, encouraging breastfeeding, providing vitamins and nutrient-rich foods, and so on. The success has been widespread in Peru and elsewhere. By 2011, stunting in Ethiopia was reduced from 57% to 44% in children below the age of 5.

– Lina Saud 

Sources: Do Something, World Food Programme, UNICEF, Princeton Publications
Photo: Flikr

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WoundCure Chip Assesses Chronic Wounds

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Dr. Manuela Martins-Green and PhD candidate Sandeep Dhall have started a project to develop a diagnostic tool called a “gene chip.” The chip would provide accurate diagnostic tests for chronic “non-healing” wounds. The gene chip can predict how a patient’s chronic wound should be treated in order to increase the chance of healing. If the WoundCure chip project is successful, it could potentially treat millions of people who are affected with bed sores, skin ulcers, diabetic foot ulcers and other related chronic wounds.

Martins-Green and Dhall say that chronic wounds affect an average of 6.5M people and cost roughly $25 billion a year in the U.S. The WoundCure chip data could steer doctors toward effective treatment plans so that wounds can heal properly. Many times, the solution to chronic wounds is to amputate the affected limbs. Open sores are also more prone to infection, which can potentially spread throughout the body.

The WoundCure chip data will be an excellent tool that will allow doctors to quickly determine which wounds require aggressive treatment. The chip will identify which genes have been altered, thus providing quick diagnosis and proper treatment. In an interview with Dr. Martins-Green, she goes more in detail about how the chip works. She explains that, “If the expression of the gene is elevated, it will show red. If it’s not regulated, it will show green. If you use the chip with a wound, the prediction is that the more red the more serious the wound will be.”

The researchers behind this innovative tool are hopeful that it will be a positive impact on tens of millions of people affected by chronic wounds. For the WoundCure chip to actually happen, Martins-Green and Dhall will need to reach their funding target for this project. Those interested in learning more and supporting their research can visit their crowd funding page.

– Daphne Jeon

Sources: Microryza, Motherboard
Photo: Motherboard

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Top 5 Poverty Prevention Tactics

Poverty Prevention
Global poverty can seem to many to be an insurmountable task. However, much progress has already been made to lift people out of poverty. According to The Global Citizen organization, global poverty has effected 1.3 billion individuals, a number which is actually 52% lower than statistics in the 1980s.

Development practitioners recognize that global poverty can be minimized by addressing other areas including reproductive health, HIV prevention, education, women’s empowerment, and gender equality. UNFPA states that poverty is a multidimensional issue that deprives people of education, resources, services, opportunities, and economic opportunities. UNFPA states that investments to address global poverty should “…[empower] individual women and men with education, equal opportunities and the means to determine the number, timing and spacing of their children – [which] could create the conditions to allow the poor to break out of the poverty trap.”

Reproductive health and HIV prevention can both act as poverty prevention tactics. Reproductive health education, family planning resources, and widely accessible contraception can decrease fertility rates by providing families with the knowledge and tools to space out pregnancies. Furthermore, improved healthcare can reduce population growth because families recognize that they do not need to have as many children to ensure that at least 2 of them survive to adulthood.

 

HIV prevention is also an important poverty prevention tool because  helpful for when men and women know the dangers of HIV, they are able to use protection and are able to prevent the spread of the disease not only from partner to partner, but also from partners to undesired pregnancies and children. By learning how to protect oneself from HIV, individuals are able to prevent untimely deaths as well as preventing the disease to spread within a community, states The ONE organization. By lowering fertility rates through an education in reproductive health and by preventing the spread of HIV through an education in HIV prevention, communities will thrive due to a lower healthier population level.

The third poverty prevention tactic is education. Education is a very important factor in preventing global poverty, for providing an education to young boys and girls will help prevent undesired child marriage as well as early teen pregnancies which can lead to maternal death. An education helps boys and girls obtain the proper knowledge to keep themselves safe, healthy, and helps to plant the seeds of inspiration. Once obtaining an education, these individuals can create sustaining businesses which produce and return economic gains into their communities. By providing an education, individuals are able to thrive and break through the barriers of global poverty by creating strong businesses which will help the economy thrive and will lead to a stable community environment.

The fourth and fifth poverty prevention tactics are women empowerment and gender equality. Women empowerment is a positive prevention tactic because women who are encouraged to attend school and receive an education are more likely to defeat child marriage, are able to marry latter in life, and are able to have less children which lowers population rates. Women who have an education are more likely to work after receiving an education, which boosts the economy and provides a sustainable household for a family. Gender equality offers similar benefits, for if women are able to obtain an education and receive equal pay in employment, both the man and women are able to create a sustainable home for their children. By providing a sustainable environment, the child is able to attend school and is able to receive employment opportunities, continuing this positive cycle.

Through these five poverty prevention tactics, developing countries are able to defeat global poverty and are able to create sustainable economies, healthy environments, and equal opportunities.

– Grace Beal

Sources: Global Citizen, UN FPA, ONE Campaign
Photo: Ambergris Today

Five Countries with the Lowest Life Expectancy

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5. Afghanistan (50.11 years)

For the Afghani people, the prospect of living a long life has been a luxury afforded to very few. On the heels centuries of war, internal strife, and natural disasters, Afghanistan has faced many humanitarian crises. Due to its continued state of insecurity, true development has been perpetually stunted. As reported by UNICEF, Afghanistan currently possesses “450,000 internally displaced persons, 5.7 million refugees and at least 250,000 people affected by natural hazards or disasters every year.” With 43% of houses lacking improved water sources, soaring rates of child malnutrition, and severely lacking sanitation and immunization practices, the cumulative effect is a shortened lifespan.

4. Swaziland (50.01 years)

This 6,704 sq mile country of Swaziland is bordered by South Africa and Mozambique. Due to HIV/AIDS, Swaziland has seen its average life expectancy actually drop over the passed 10 years. According to UNICEF, “Two-thirds of Swazis live in poverty, most of them in rural areas. Nearly 40% are HIV-positive, giving Swaziland the highest HIV prevalence rate in the world.” With 27% living under the minimum level of dietary energy consumption and 50% lacking adequate iodized salt requirements, the basic health of the citizenry continues to be a source of humanitarian concern.

3. Guinea-Bissau (49.50 years)

Similar to other sub-Saharan countries, Guinea-Bissau faces many health issues. Unlike Swaziland and South Africa, however, Guinea-Bissau only faces a 1.8% HIV/AIDS infection rate. The major health concern, however, is malaria. Without adequate supplies of mosquito nets and medication, the disease has proven to be increasingly deadly. Contributing to this issue, Guinea-Bissau has seen a major drop-off in medical personnel. With approximately only five doctors per 100,000 persons, getting medical attention is a luxury very few are afforded.

2. South Africa (49.48 years)

It may come as a surprise to many that South Africa holds such a high place on this list, as it developed rapidly since the end of apartheid in 1994. However, South Africa still faces a continuing humanitarian crisis. For South Africa, the main concerns are disease rather than hunger. For travelers visiting the country, the Center for Disease Control recommends the following immunizations: measles-mumps-rubella, diphtheria-pertussis-tetanus, chickenpox, flu shot, hepatitis A, typhoid, hepatitis B, malaria, and rabies. In addition,. According to the South African Government, the total number of persons living with HIV in South Africa increased from an estimated 4.21 million in 2001 to 5.38 million by 2011. An estimated 10.6% of the total population is HIV positive  and 17.30% of adults between the ages of 15 and 49 are infected.

1. Chad (49.07 years)

Topping off this list, according to 2013 estimates, Chad has the lowest life expectancy rate of the 223 nations surveyed. Among the issues facing Chad, concerns are only exacerbated by the massive refugee influx from neighboring Sudan. According to UN statistics, “In 2012 Chad hosted some 288,700 refugees from Sudan, 56,700 from the Central African Republic (CAR), 90,000 internally displaced persons (IDPs), 91,000 returned IDPs and 550 urban refugees and asylum-seekers.” With an estimated 2 million facing crippling malnutrition due to a volatile climate, compounded by poor health conditions in refugee camps, the overall health of Chad remains a dire humanitarian crisis.

– Thomas van der List

Sources: UNICEF, WHO, CDC, Statistics South Africa, UNHCR
Photo: The Guardian

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Top 5 Water Crisis Solutions

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What an individual considers a “valuable resource” reveals a lot about the economic standing. In developing nations, water is considered a valuable resource. It is access to clean water that separates those who live from those who die in the developing world. The following list gives credence to efforts at alleviating the global water crisis.

1. LifeStraw

According to the joint monitoring efforts of the World Health Organization and UNICEF, 884 million people live without access to adequate drinking water. In response to this staggering statistic, the folks at Vestergaard Frandsen Disease Control Textiles have created the LifeStraw. This cheap, reusable tool allows the user to drink available water without worrying about if it is contaminated. Without any replaceable parts or batteries, the device filters out 99.9999% of waterborne bacteria and 99.9% of waterborne protozoan particles. At under $10 US, the LifeStraw has a one year lifetime worth of clean water consumption. While the LifeStraw is considered nothing more than a short-term solution, it is worthy of adamant praise.

2. Slingshot

While the LifeStraw does a great service for those in immediate need of clean drinking water, it does not serve the benefit for more than just the user. To meet this problem, Dean Kamen, the famed inventor of the Segway, has invented the Slingshot. Using less energy than the average hair dryer, the Slingshot uses a vapor compression filtration system to produce up to 30 liters of purified water in under an hour. Teaming up with the Clinton Global initiative and Coca-Cola, Kamen aims at bringing this technology to regions and communities still lacking clean drinking water.

3. Solvaten

Swedish for ‘sun water’, the Solvaten water purifying system is spearheading the sustainable water purification market. With a capacity of up to ten liters, the device simply sits in the sun until a blinking light indicates purified water. Although it takes three to four hours to completely purify the water, the sustainability factor outweighs any inconvenience. The device is currently undergoing testing in South America with very positive results.

4. P&G Water Purification Packet

With the water purification packet, Procter&Gamble has joined the fight to end the global water crisis. Remarkably, the team of scientists behind the project has managed to condense the proprietary municipal water sanitation system into a simple packet. By adding the packet to contaminated water, stirring and sitting, the solution has been proven to remove 99.99999% of common waterborne bacteria, 99.99% of common waterborne viruses, and 99.9% of protozoa. To date, P&G can tout that over 5 billion liters of clean drinking water have been made using these packets.

5. Desalination “Water Chip”

It seems ironic that, despite being 2/3 covered by water, our planet faces a global water crisis. The painful truth, however, is that the vast abundance of water we seemingly have at our disposal is not suitable for human consumption. Anyone who has had the misfortune of ingesting a gulp of seawater understands exactly why. To meet this challenge, chemists at the University of Texas, Austin and Marburg, Germany, are developing a 21st century solution to a very old problem. The “water chip” they have developed applies a small voltage to a chip filled with salt water. While this nascent technology is currently only producing nanoliters of clean water at a rate of only 25%, the innovation will be one to keep an eye on in the near future.

– Thomas van der List 

Sources: Life Straw, Slingshot, Solvaten, P&G Packet, Water Chip
Photo: PB Works