Information and stories on health topics.

Fighting HIV/AIDS in Honduras Through the Arts

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The Garifuna people of Honduras have an HIV infection rate of 4.5 percent – higher than any nation in the Western hemisphere, and five times higher than Honduras as a whole. Those affected by the virus are finding new and creative ways to fight HIV/AIDS in Honduras.

According to an NPR report funded by the Pulitzer Center on Crisis Reporting, the Garifuna are using traditional music and theater to raise awareness of HIV, and to combat stigmas surrounding the disease. Musician and singers perform traditional celebratory Garifuna songs to draw listeners, and then enact a play in which actors put HIV on trial.

Many Hondurans who are HIV-positive are reluctant to seek help, even though HIV clinics provide medical care and antiretroviral medication to patients at almost no cost. They deny having the problem because they fear judgment or ostracization, and for good reason. Lack of education has been a major contributor to high infection rates. Women infected with the virus report being rejected by family and unable to find work.

Widespread poverty and migration also contribute to new infections. In some areas it is socially acceptable to have multiple sexual partners. Testing facilities are not widely used, and communication between sexual partners is nonexistent in some cases.

Participants in the Garifuna theater group believe that theater, music, and other community activities are more engaging than books or pamphlets around such complex social and medical issues. Fighting HIV/AIDS in Honduras, especially among rural populations, is a challenge. But the creative approach is working well so far.

USAID and the Honduran government are funding theater groups like the Garifuna’s. A USAID official reported a decline in the rate of HIV infection among program beneficiaries: the 30 members of the theater group are living safer lives, and encouraging others to do so. The problem of HIV/AIDS in Honduras is not yet resolved, but community engagement through the arts is a step in the right direction.

– Kat Henrichs

Source: NPR

Improving HIV/AIDS Care in Malawi

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Over the last decade, Malawi has reduced its rate of HIV/AIDS infections by 72 percent, more than any other African country. US agencies that combat the virus hope to build on these successes with a five-year effort to improve HIV/AIDS care in Malawi. The effort is coordinated with Malawi’s government and will target seven districts across the country.

The Elizabeth Glaser Pediatric AIDS Foundation, an NGO that focuses its anti-HIV work on mothers and children, is spearheading the effort. Funding is provided by the US President’s Emergency Plan for AIDS Relief (PEPFAR) and the Centers for US Disease Control and Prevention (CDC).

One of the biggest successes to date for HIV/AIDS care in Malawi has been the prevention of virus transmission to at least 7,000 babies. This has been accomplished through lifelong anti-retroviral treatment for all pregnant and breastfeeding women who are HIV-positive. The Foundation’s efforts continue to focus on pediatric preventive care. Its goal to achieve less than a five percent transmission rate from mother to child is well within reach.

Over the next five years, US organizations plan to provide other health care services in addition to HIV/AIDS care in Malawi. One million Malawians will receive counseling, 50,000 adult men and 400,000 pregnant women will receive HIV testing, and lifelong treatment will be provided to at least 25,000 women expected to test positive for the virus.

Despite gains over the last decade, AIDS remains the number one cause of death in Malawi, with about 100 deaths and 30 new infant infections each day. The Malawian minister of health, Catherine Hara, expressed hope that the seven targeted districts will serve as a model for widespread improvements in HIV/AIDS care in Malawi.

– Kat Henrichs

Source: Relief Web
Photo: News@Jama

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Childhood Stunting Has Long-Term Effects

Childhood Stunting Has Long-Term EffectsChildhood stunting occurs when chronic malnutrition stunts a child’s growth, both physically and mentally. Over 180 million children worldwide suffer from this condition. The problem is concentrated in certain countries. In fact, 21 countries account for more than 80 percent of documented stunted growth cases.

Healthy nutrition is most important in the first five years of life.  In six countries (Afghanistan, Burundi, Ethiopia, Madagascar, East Timor, and Yemen), 50 percent or more of children under 5 years old are stunted. This number is terrifying because stunting can lower cognitive capacity for life.  Children who suffer from stunting have a reduced ability to learn.  This poor nutrition can affect future earnings and success.  Any inadequate nutrition within the first two years of life is permanent and irreversible.

Being four to six inches shorter than their peers is the most superficial concern for stunted children.  They are “five times more likely to die from diarrhea due to physiological changes in a stunted body.”  Furthermore, the typical stunted brain has fewer cells and fewer connections between cells, which means impaired functioning.

childhood stunting

Despite these numerous health effects, childhood stunting continues to receive little to no media attention.  Organizations like UNICEF work to combat malnutrition, but people do not realize the effects of this extreme malnutrition.

UNICEF and its partners provide cost-effective solutions, such as vitamin A supplements, iodized salt, and therapeutic foods.  Its famous Plumpy’nut is a peanut-based food that helps malnourished children gain up to two pounds per week.

Childhood stunting is preventable, and it is time for people to understand their effects. Numerous studies and organizations name hunger as the “gravest single threat to the world’s public health.”  The effects of hunger alter a community’s culture, economy, and overall well-being.

– Whitney M. Wyszynski

Source: TIME
Photo: Fast Company

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New Vaccine Aimed at Preventing Endemic

New Vaccine Aimed at Preventing Endemic
Throughout many developing nations, foot and mouth disease is considered an endemic in livestock; especially in Asia, Africa, and parts of South America. Previously, the only vaccines for foot and mouth disease were very fragile and had to be created inexpensive labs with the proper equipment, and needed to be kept refrigerated in order to stay “alive,” preventing possibilities of any long-distance transportation.

Now, researchers have created a synthetic version of the foot and mouth vaccine that does not require refrigeration, making it much more accessible to rural areas where the disease is common. The new vaccine can be transported and even created in developing countries since it can withstand varying temperatures.

Within the last few years, the UK, South Korea, and Japan were all victims of an outbreak of the virus that had originated in Asia. The foot and mouth outbreak in the UK cost the country an estimated 8 billion pounds.

The researchers’ goal of having the foot and mouth vaccine distributed globally in order to stop the virus at the source instead of waiting for an outbreak will now be much more practical with this synthetic version. Scientists say that the new version could be widely available within 6 to 8 years. Researchers are also working on synthetic vaccines for diseases that affect human populations, including polio and human hand, foot, and mouth disease.

– Christina Kindlon

Source: Guardian

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Gates Foundation Wants New Condoms

Gates Foundation Wants New Condoms

Bill Gates is asking investors and scientists to develop a new gadget—an improved condom.

It may seem like a job for Trojan, but the Bill and Melinda Gates Foundation wants new condoms. The unique request is part of its “Grand Challenges in Global Health” initiative. The program awards grants of $100,000 and follow-up grants of as much as $1 million to individuals who develop solutions to global health issues. The latest report details successful recipients combating malaria, HIV, and tuberculosis.

According to the Grand Challenges website, “Condoms have been in use for about 400 years yet they have undergone very little technological improvement in the past 50 years.” The only major improvements include the switch to latex and quality control measures to test each individual condom during production. Both of these measures increased the effectiveness of condoms, but the basic design of condoms has yet to transform.

Condoms are the most ubiquitous defense against unwanted pregnancy and sexually transmitted diseases. This undervalued resource is a lifesaver in developing countries.  Condoms should be necessary for sexual health, but many men and women shy away from using them due to discomfort, societal stigmas, and reduced sensation. Some cultures perceive condom use as a sign that the person has AIDS.

The Gates Foundation hopes to eliminate these concerns so more people will use condoms regularly. The challenge seeks to make prophylactics more user friendly. “If we could make something better, we could have a really substantial effect on HIV prevention and unintended pregnancy in Sub-Saharan Africa and South Asia,” said Stephen Ward, a program officer at the Bill & Melinda Gates Foundation.

The program is limited to condoms rather than multi-purpose prevention devices (such as vaginal rings) because these programs are not readily available worldwide. The condom is still simple enough that it can be distributed at a low cost. Not to mention, condoms are useful even in communities that lack health care professionals.  “Any advance or new design that gets people to use condoms would be a big plus,” said Dr. Anthony Fauci, one of the world’s leading AIDS researchers.

Applicants must complete a two-page application by May 7. Two frontrunners have already emerged. Origami, a California company, focused on usability and comfort. They are creating a new silicone injection-molded condom.  University of Washington researchers look to increase the effectiveness of anti-HIV drugs.  Their model features electrically spun fabric that allows sperm-blocking drugs to dissolve more quickly.

– Whitney M. Wyszynski
Source: Co.Exist
Photo: CNET

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Disabilities are Key in Tackling Global Poverty

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The UN’s Millennium Development Goals (MDGs) laid out a number of goals in tackling global poverty by 2015 but left a glaring omission in the equation to aid the world’s poor: serving those who are disabled.

Nearly 70% of the world’s disabled population resides in developing countries, and the World Health Organization (WHO) estimates that 575 million of those disabled live below the poverty threshold. Preventable diseases, such as polio and measles, that are not treated properly in poor and developing countries leave a high number of the population with lifelong disabilities.

Other conditions, such as civil war, lack of health care, and malnutrition also contribute to the problem. In developing nations, a disability is “often seen as a curse, the result of bad luck or witchcraft.” Because of this, disabled individuals and even their families are often shunned from the social community and are left without means to support themselves, and lack access to education and healthcare. In the worst cases, disabled people are left to die.

Although the MDGs include many aid programs with worthy recipients, the disabled population is completely left out although they are some of those who suffer the most. This crucial omission means that this large demographic is left out of specific aid programs. For example, many school-aged children have benefited from MDG education initiatives – but what about the 61 million children who still lack access to education, a majority of whom are disabled?

The UN has somewhat recognized this with the United Nations Convention on the Rights of Persons with Disabilities in 2008. It will be most important for development leaders, when evaluating post-2015 development goals, to include disabled people throughout the developing world in their plans and programs.

– Christina Kindlon

Source: The Guardian

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iMedcare Technologies Works to Improve Medicine

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The 13th Infopoverty World Conference was held in New York City last week. The focus of the United Nations-founded technology conference was “Innovations for Nation-Building and the Empowerment of People.” The conference was established to share new advances in the use of technology to solve problems in the developing world.

One tool that received a great deal of interest was a system that allowed ultrasounds to be taken in a rural location while the data was transferred to a doctor in a city hospital. Such a device makes ultrasounds more easily available for people living in rural areas while also offering the service at a lower cost to the patient and hospital. The Chinese company iMedcare Technologies Co. is responsible for the invention. By using real-time internet camera tools and simple on-site machinery, simpler medical tests such as ultrasounds may be conducted. This advancement in the medical field may eventually lead to a large variety of tests that could be run remotely in real-time.

Instead of doctors, residents of the rural areas could be employed and educated about the on-site machinery and doctors would be able to keep living near and seeing their many patients in more urban areas. While doctors would have to be present in person for more involved operations, this innovation in medical procedures may save lives by making medical care more easily available for many people in poor rural areas.

– Kevin Sullivan

Source: China Daily
Photo: PC World

Mozambique Uses New Technology to Fight AIDS

Mozambique Uses New Technology to Fight AIDS
In Mozambique, 11.5% of 15 to 49-year-olds are HIV positive, and half of the untreated children who are HIV positive die before they reach the age of two due to delays in diagnosis and treatment. Now, new technologies to help diagnose and assess rural, poor citizens of Mozambique are being used by three different aid organizations.

UNICEF, along with the Clinton Health Access Initiative and Médecins sans Frontières (Doctors Without Borders), have been administering new tests that will rapidly increase the speed of diagnoses in children and also test other patients’ immunity levels. The new tests do not require a high level of technology, making it easier for health workers to administer the tests in rural areas, and are able to tell workers when a patient needs to switch antiretrovirals.

Normally, the HIV tests used in Mozambique take a spot of dry blood for testing with results taking nearly two months, with some patients never returning to find out the results. In addition to taking much longer, these older testing techniques are much less accurate than the current tests. The new technology takes no longer than an hour to determine if a patient is HIV positive.

Although the new technology helps the speed of return time of diagnoses, determining whether children in Mozambique are HIV positive is still a challenge as two types of tests are needed to determine if the antibodies of a newborn are from the mother or in the child’s blood itself. Aid groups hope to increase health infrastructure in the country to have the ability to offer both types of tests to patients.

– Christina Kindlon

Source: The Guardian

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Mosquito Nets Save Lives in Mozambique

Mosquito Nets Save Lives in Mozambique
Many foreign aid organizations assist developing countries not by sending money, but by providing health and educational equipment for impoverished people. The United States Agency for International Development (USAID) is among the organizations that employ this method. A case in point is that since 2007, USAID has delivered 20 million insecticide-treated mosquito nets to Mozambique.

The impact of these mosquito nets has been invaluable, says Polly Dunford, the interim USAID Director in Mozambique. The nets have decreased the number of malaria cases in the country, most notably in cases of children.

USAID partnered with the President’s Emergency Plan for AIDS Relief (PEPFAR) to fight malaria in Mozambique. PEPFAR uses aid money from USAID to distribute the mosquito nets and insecticide spray, counsel pregnant women about malaria prevention, and produce more effective malaria drugs.

In addition to providing assistance to reduce cases of malaria, USAID has been focusing on helping farmers become more successful. Given Mozambique’s ocean accessibility, it has the potential to become a regional food supplier, says Dunford. USAID has been supporting the agriculture sector through training programs that educate farmers on how to more productively sell their food products.

Mozambique receives about $500 million from USAID annually and a majority of that money goes towards the health sectors, like PEPFAR and other malaria prevention programs. The country has high levels of experienced economic growth, however, many people are still living in poverty. With the help of USAID, the number of impoverished and those dying from malaria in Mozambique will continue to decrease.

– Mary Penn

Source: AllAfrica
Photo: World Vision

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More Midwives Needed in Nepal

More Midwives Needed in NepalNepal’s maternal mortality rate (MMR), or the ratio of maternal deaths per 100,000 live births for reasons related to pregnancy or birth, has declined in Nepal over the last fifteen years. It is estimated that between 1996 and 2005, Nepal reduced its MMR from 539 deaths to 281. It was estimated in 2010 to be around 170.

These declines, similar to those seen in countries such as Bangladesh, Malaysia, and Thailand, are cause for hope. However, health care experts say the gains in Nepal are unsustainable if the country does not address its need for more health care professionals, especially midwives, to prevent women from dying in childbirth.

Declines in maternal mortality rate are attributable to a number of factors other than improved health care access or services. Nepal’s paradox is that even though the MMR is decreasing, access to skilled birth care is still very low. In general, improved health care positively correlates with reduced MMR, but sub-Saharan Africa and Asia have not demonstrated a strong correlation so far due to lack of skilled birth care.

Experts in maternal health do not have the data necessary to determine the exact causes of the decline, but there are multiple factors involved. The top reasons are the social empowerment of women, reduced fertility, and government health care programs. Nepalese women are now having fewer children on average, and have more access to contraception and family planning tools. Women’s life expectancies and literacy rates have increased as MMR has declined. Women are now also offered financial incentives to seek medical care during pregnancy and have more access to affordable, life-saving health care such as blood transfusions.

Nepal is on track to meet its Millennium Development Goal of reducing MMR by 75 percent, to 134 deaths per 100,000 live births. When it reaches that point, the country will require the help of more midwives and health care workers trained in birthing to further reduce maternal mortality. A 2012 UN study found that a midwife in attendance during birth can reduce up to 90 percent of maternal deaths.

– Kat Henrichs

Source: IRIN
Photo: Midwife Ramilla