Archive for category: Health

Information and stories on health topics.

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Prosthetic Innovation Aids African Amputees

Prosthetic Innovation Gives a Hand to African Amputees
A McKinsey report states that prosthetic innovation will improve global health by 2040. Innovative 3D-printed, robotic prosthetic limbs provide African amputees with an affordable and high-quality alternative in comparison to conventional prostheses.

The most common prostheses are artificial limbs. Only a small fraction of amputees living in low and middle-income countries have access to suitable prosthetic services. Thus, prosthetic innovation is particularly important in impoverished areas.

In 2017, there were 16 million amputees in Africa, making up 24.6% of global amputees. Expectations have determined that these numbers will increase due to a rise in illnesses and diseases.  Furthermore, deteriorating roads and increased urbanization will lead to more traffic accidents.

Devastating Effects of Losing a Limb

It is difficult for amputees to work and prosper without proper medical assistance. Additionally, amputees are more vulnerable to accidents, infections, diabetes, poor medical care and injury due to war or natural disasters. Furthermore, prostheses and rehabilitation services typically cost thousands of dollars. In many lower-income communities, prostheses are simply unaffordable.

Amputees are unable to use poorly fitted prostheses due to pain. Specially trained prosthetists need to assess patients before fitting them. Also, patients need to visit a clinic several times for physical therapy before effectively using prosthetic limbs.

Providing Prosthetic Services

Governments in lower-income nations do not invest in prosthetics due to the lack of data and economic benefit. International and local NGOs provide most prosthetic services in impoverished countries. Without government and donor support in prosthetic innovation, access to these services will remain low.

The 3D Revolution in Prosthetics

Within the last decade, 3D printing has entered the prostheses market in Africa. Now, 3D designs are free, editable and available online for beginners to maneuver. Furthermore, a 3D-printed hand costs around $50. In recent years, the World Health Organization (WHO), governments and other organizations have spurred prosthetic innovation throughout Africa.

Nigerian Tech Lovers Launch 3D Lab for Victims of Violence

Muhammed Jafar is a 25-year-old member of a vigilante group in northeastern Nigeria. He lost his left hand while helping rescue a teenager who a gang had kidnapped. Now he is working as a tailor with a 3D-printed prosthetic arm he received from the Northeastern Humanitarian and Innovation Lab. The Nigerian government helped a group of tech enthusiasts launch a tech hub in 2018. Furthermore, the Northeastern Humanitarian and Innovation Lab print limbs and add robotics to improve functionality. Also, the cost of the 3D limbs is significantly less than conventionally manufactured prostheses. The Northeastern Humanitarian and Innovation Lab is a great example of how government investment in local volunteer groups can change the lives of those in need.

South African Post-Grads Launch Robotic Prosthetics Company

In 2017, Drew Van der Riet created the world’s most advanced low-cost “Touch Hand” prosthetic hand with his engineering team. This new prosthetic hand provides unique sensory feedback so that users can pick up delicate and irregular objects. Van Der Riet was shocked to discover that most hand amputees had to use basic “claws.” Furthermore, robotic hands similar to the “Touch Hand” are 10 times more expensive.

Van der Riet launched Touch Prosthetics in Durban in an attempt to keep prosthetic innovation on top. Additionally, the organization aims to develop simple, affordable upgrades for amputees. Fortunately, Touch Prosthetics was able to secure government and business support and has already developed Touch Hand II. However, Van der Riet notes that often strong university projects do not make it to market due to a lack of capital and marketing savvy.

As the Northeast Humanitarian and Innovation Lab in Nigeria and Touch Prosthetics in South Africa exemplified, the 3D revolution has inspired African prosthetic innovation to improve the lives of amputees. By amplifying aid for these efforts, more African amputees will be able to support themselves with ease.

– Shelly Saltzman
Photo: Flickr

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Tackling Child Marriage in Zimbabwe

Child Marriage in Zimbabwe
According to UNICEF, child marriage is “any formal marriage or informal union between a child under the age of 18 and an adult or another child.” Although rates of child marriage have declined, the practice remains widespread. Unfortunately, child marriage impacts approximately one in five girls today. According to UNICEF, about 12 million child marriages occur each year. Consequently, more than 120 million girls may marry before they turn 18 years old by 2030. Child marriage in Zimbabwe is especially prevalent.

How it Impacts Children

Child marriage is a human rights violation. Additionally, it restricts girls from achieving their potential in education, social bonding, friendship, simple maturation and the right to choose a life partner.

Moreover, girls who marry young face great health risks. Dr. Nawal M. Nour, an Obstetrician/Gynecologist at Brigham and Women’s Hospital explains “child marriage is driven by poverty and has many effects on girls’ health: increased risk for sexually transmitted diseases, cervical cancer, malaria, death during childbirth and obstetric fistulas.” Many nations such as Zimbabwe are working to implement policies and programs to educate and ban the practice of child marriage.

Solutions

Zimbabwe banned marriage for children under 16 years old in 2016. As a result, the practice is on a steady decrease. However, child marriage continues to persist in most impoverished areas in the country.

Many low-income families choose to marry off their child due to a lack of income to support their basic necessities such as food and clothes. According to Girls Not Brides, many marriages result in some type of transactional agreement. Oftentimes, the husband gives the family money in exchange for their daughter. Unfortunately, many families use this money to survive.

Many organizations exist that are trying to prevent child marriage by creating safety nets that protect vulnerable families from the economic factors that predicate child marriage. Furthermore, young women are fighting against child marriage in Zimbabwe. In particular, one 17-year-old martial arts fan is showing girls that they have a fighting chance.

Vulnerable Underaged People’s Auditorium Initiative

Natsiraishe Maritsa started a taekwondo program called the Vulnerable Underaged People’s Auditorium Initiative to fight child marriage in Zimbabwe. Despite her limited resources, Maritsa was able to carve out a community of young fighters in the face of an oppressive system.

Young children gather at Maritsa’s home to practice taekwondo. She leads her people in drills and teaches them how to stretch kick and punch. After each class, they discuss the dangers of child marriage in Zimbabwe. Many cases of child marriage result in marital rape. However, Maritsa’s group sessions provide girls with a safe place to heal and reach catharsis. According to the Associated Press, she hopes to “increase the confidence of both the married and single girls through the martial arts lessons and the discussions that follow.”

Child marriage in Zimbabwe is a problem that continues to hurt communities in impoverished areas. Fortunately, many people are working to prevent these circumstances. The future for children in low-income households is steadily improving in Zimbabwe.

– Matthew Hayden
Photo: Flickr

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How BRAC is Improving Health in Bangladesh

Health in Bangladesh
Sir Fazle Hasan Abed KCMG founded the Bangladesh Rural Advancement Committee (BRAC) in 1972. The nonprofit began as a localized program in northeastern Bangladesh to promote agricultural reform and educational training. BRAC now influences over 11 countries in both Asia and Africa. It hones in on projects that work to improve social lives, social enterprises, national investments and university opportunities. The organization’s main accomplishments pertain to improving health in Bangladesh. Desiring the collaboration activists, BRAC enhances the abilities of individuals to gain work experience, especially with an environment that supports their physical and mental health.

Healthcare Issues in Bangladesh

Out-of-pocket spending on healthcare in Bangladesh is around 64.3% of total health spending. Bangladesh spends approximately $1.49 billion annually on situations concerning one’s health. This is concerning as average income households spend 7.5% of their total earnings on healthcare, with the least financially stable citizens, comprising the poorest 20%, spending 13.5%. The need to spend a large amount of income on healthcare puts a strain on Bangladesh families, especially since a little over 20% of the population lives below the national poverty line. Around 10% are employed for under $1.90 a day.

Money is not the only factor affecting people in Bangladesh. Only 34.6% of the population has access to purified drinking water as the country has the largest amount of citizens infected by arsenic-filled water. This dangerous chemical still contaminates nearly 10% of the water supply. Furthermore, 28.3% of the population drinks water infiltrated with various diseases that further damage physical health. Of further concern is the fact that sanitation only improves by 1.1% annually, not growing fast enough to better the environment that many citizens live in. Over 40% of latrines are unimproved, with the sewage waste even running into waterways due to a lack of sanitation programs. This exemplifies the necessity to improve individual health in Bangladesh.

Health and Nutrition

High annual healthcare costs are driving 5 million Bangladesh civilians into poverty. As a result, BRAC has deployed many healthcare workers to directly work with citizens in Bangladesh. They ensure citizens have access to quality, affordable health services. Establishing Essential Health Care (EHC), the nonprofit works to improve the immune systems of individuals. The EHC assures that people are not as easily susceptible to various diseases in the environment or water supplies. In addition to providing healthcare services for mothers and children, it also works on basic treatments to counteract the negative effects of acute respiratory infections at an affordable price. This specific program partnered with government agencies in the Ministry of Health and Family Welfare (MoHFW) and now offers healthcare opportunities to more than 120 million people in the 64 districts of Bangladesh.

With the sub-section of the Challenging the Frontiers of Poverty Reduction – Targeting the Ultra Poor (CFPR-TUP) program, BRAC designs special needs for the 8% of the Bangladesh population that suffers from extreme poverty. Moreover, it created its Community-based Management of Acute Malnutrition (CMAM) program to provide supplementary foods to both mothers and children between the ages of 6 months and 5 years. Not only does this program support those suffering from malnutrition, but it eases the pain that mothers have to go through when breastfeeding and lack of vitamin intake. This enabled the education of 2 million women regarding healthy diets and the benefits of breastfeeding.

The WASH Program

The WASH program works toward improving water, sanitation and hygiene in Bangladesh and to create more hygienic practices. It has started its journey in the country by focusing on education. Many do not learn about the necessity of cleanliness. Through BRAC, however, 5,700 secondary schools have now included hygiene discussions in their curriculums. The organization is also working to ensure that local research facilities provide affordable opportunities to test every district’s water supplies.

Additionally, the nonprofit partnered with Jamalpur municipality to operate a waste plant. This effort counteracts the intrusion of waste into clean waterways. Volunteers and BRAC workers work through the WASH program to ensure health in Bangladesh. They especially focus on Rohingya refugee camps and areas that experience the effect of floods. Every dollar that goes to the program results in $4 towards sanitation improvements in Bangladesh.

BRAC wants to increase the professionalism of frontline services and introduce a strong variety of for-profit products and programs. It continues affordable programs to improve Bangladesh citizens’ health and focuses on cleaning the water supply, like introducing hanging latrines and counteracting the malnutrition that mothers and children suffer from. The Bangladesh Rural Advancement Committee strives specifically to reform the healthcare system in this South Asian country through such actions. Its achievements include giving 2.52 million people access to safe drinking water with the aid of technological advancements. Through its various accomplishments, this nonprofit continues to achieve more every year even after nearly 50 years of service.

– Sylvia Vivian Boguniecki
Photo: Flickr

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Smile Train Improves the Lives of Children With Clefts

Smile TrainMore than 170,000 children in developing countries are born with cleft lips or palates. Children born with clefts in developing countries often go untreated due to a lack of trained surgeons and facilities as well as the high cost of corrective surgery. Without surgery, children struggle to eat, breathe, hear and speak. Smile Train is a nonprofit that works to provide life-enhancing services to children with clefts in developing countries.

Cleft Lips and Palates

Cleft lip occurs when the lip does not completely form during fetal development. On the other hand, cleft palate occurs when the roof of the mouth does not completely close during fetal development, leaving an opening that can extend into the nasal cavity. Clefts can also occur in varying degrees.

The cause of cleft lip and palate is unclear but research shows that both genes and the environment are contributing factors. In addition, several syndromes are commonly associated with cleft lip and palate. This includes Down’s syndrome and Stickler syndrome.

Cleft deformities can result in a range of issues such as feeding difficulties, dental problems, hearing impairments, speech impediments and breathing struggles. Cleft surgeries and other essential cleft services are imperative because they significantly improve a child’s quality of life.

Smile Train’s Mission

Smile Train is the world’s largest organization that focuses on helping children with clefts in developing countries. It works on a sustainable model that goes beyond simply providing cleft surgeries. It also works to provide other essential services to address the struggles that come with cleft lips or palates. These services include nutritional support, dental care, orthodontic treatment and speech therapy. Smile Train works in more than 70 countries and has helped more than 1.5 million children in the past 20 years.

Smile Train’s sustainable model focuses on providing training, funding and resources to empower medical staff in developing countries to provide free cleft surgeries and care in their very own communities. Once these doctors are trained, a ripple effect occurs as they train more doctors within their communities and beyond. This means that children with clefts will receive quality care and treatment for years to come.

A Smile Train Story

During the early stages of the COVID-19 pandemic in the Philippines, a little girl named Elizabeth was born with a cleft lip. Financial difficulties made it impossible for her parents to afford the necessary treatment and care for her. The family learned about Smile Train partner, Tebow CURE. Through the assistance of Smile Train donors, Elizabeth was able to have surgery at no cost. The surgery helped to ensure that Elizabeth has a good quality of life ahead of her.

Smile Train gives parents in developing countries renewed hope that their children will lead healthy and productive lives despite difficulties.

– Olivia Bay
Photo: Flickr

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What the Pandemics of History Can Teach

What the Pandemics of History Can Teach
As the Global Report for Research on Infectious Diseases of Poverty by the World Health Organization (WHO) explained, “Poverty creates conditions that [favor] the spread of infectious diseases and prevents affected populations from obtaining adequate access to prevention and care. Ultimately, these diseases…disproportionately affect people living in poor or [marginalized] communities.” This is what the pandemics of history can teach all countries.

While the number of people living in extreme poverty worldwide has dropped over the last 20 years, research has suggested that poverty will grow for the first time since 1999 due to the COVID-19 pandemic. Despite the many lives this disease has affected, hope exists that the world will be able to overcome this global setback.

A Quick Lesson in Terminology

In simple terms, infectious disease epidemiology is the study of the spread and burden of communicable diseases over time and, to understand pandemics of history, it is important to first know a few epidemiologic terms. The COVID-19 pandemic is an epidemic that has spread across national and continental borders. An epidemic marks a particularly sudden increase in the spread of a specific disease. Diseases are endemic when present within a population at steady levels.

The notable scientific and technological advancements that occur through the lessons of diseases past and present are of course vital to global health. However, a look through these histories can also provide context and even comfort in the face of COVID-19. Here are three examples of defeated plagues from history.

3 Defeated Pandemics of History

  1. The Black Plague: The Black Plague caused great destruction in Asia and Europe during the mid-1300s. It is a prime example of what the pandemics of history can teach. The movement of sailors from port to port was a significant influence on the spread of the bubonic plague—rats that were aboard ships, as well as sailors themselves, transmitted the disease, leading port officials to eventually restrict passengers from leaving ships for 30-40 days. This practice, known as quarantine, has of course played an important role in mitigating the spread of COVID-19.
  2. The Spanish Flu: Despite the comparisons between the 1918 influenza pandemic and COVID-19, there remain key differences. The Spanish flu primarily struck younger people who were otherwise healthy. Meanwhile, COVID-19 deaths have disproportionately included older populations. Many countries put public health measures in place in 1918. They bear an obvious resemblance to those deployed against COVID-19. Many can also be thankful for the many scientific and technological innovations of the last 100 years. The COVID-19 pandemic will hopefully end before killing 50 million people.
  3. Smallpox: Smallpox waxed and waned in many areas of the world as early as the 4th century and WHO eradicated it in 1980. Nonetheless, from the years of tragedy and struggle came lessons and innovations serving the world today. For perspective, over a millennium passed between the first cases of smallpox and Edward Jenner’s scientific discovery of a smallpox vaccine, and it was nearly another two centuries before the disease underwent eradication.

Light at the End of the COVID-19 Tunnel

Public health officials have continued to utilize the lessons of the past. What the pandemics of history can teach has informed the public health measures and campaigns of today.

– Amy Perkins
Photo: Pixabay

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The Childcare Benefits Scandal in the Netherlands

The Childcare Benefits Scandal
Many regard the Netherlands as a prosperous nation. The majority of its residents live decent lives and can easily access social welfare benefits. However, like many places throughout the world, the country has seen an increase in the number of people who can no longer make ends meet. Even with benefits assistance, 1 million out of 17 million people suffer economically. This crisis has affected all demographics. There is growing evidence of the disproportionality of this economic stratification. Certain government agencies and policies that the Netherlands intended to serve as financial safety nets for people caused more harm for some than good. This resulted in the childcare benefits scandal.

Over the past two years, the country has dealt with de toeslagenaffaire or “the benefits affair.” This is a scandal involving the illegal reclamation of social benefits by the government. It forced many victims into financial ruin. The scandal exposed both the overzealous anti-fraud practices of the Dutch tax services. It also exposed their continued unconstitutional ethnic profiling of fraud suspects. In January 2021, the third cabinet of Prime Minister Mark Rutte, known as Rutte III, resigned over the scandal. This article addresses the causes and consequences of the toeslagenaffaire. It is one of the most recent, dramatic examples of corruption and institutional bias in Dutch history.

De Toeslagenaffaire: What Exactly Happened?

Over the past decade in the Netherlands, tens of thousands of innocent people received social benefits for childcare. The belastingdienst (Tax and Customs Agency) falsely identified the people as having committed welfare fraud. The system declared it the childcare benefits scandal. The case sparked increasing outrage. Moreover, the system flagged the parents as fraud risks due to their nationality.

In 2012, the belastingdienst used people’s second nationality as one of the five so-called “indicators” of potential fraud. This was in addition to four other factors, such as possessing high-deductible items. In 2014 and 2015, the Netherlands amended privacy laws. This prevented access to information regarding a benefit recipient’s nationality from the belastingdienst in an effort to combat institutional discrimination.

However, the belastingdienst retained access to personal records belonging to benefits-receivers created prior to the removal of the person’s nationality. After this came to light, the Adeling Toeslagen (Benefits Department) continued to deny ethnic profiling, arguing that it was only concerned with an individual’s Dutch nationality. Adeling Toeslagen did not single out any nationality. It investigated all Ghanian nationals in 2020 based on evidence. Spokespeople from the belastingdienst claimed discrimination based on nationality was different than discrimination based on race or origin. However, the Adeling Toeslagen later admitted to engaging in ethnic profiling.

Stripped Benefits

Being falsely identified as fraudsters resulted in parents being stripped of their benefits and ordered to repay said benefits in full. When parents protested these false fraud allegations, they could not obtain legal aid, their objections routinely received dismissal and they still had to pay. This often amounted to tens of thousands of Euros. The scandal plunged very low-income families into crisis, resulting in many losing their personal possessions, jobs and marriages.

Justice in Court

The court awarded the parents 30,000 Euros (just over $36,000 USD) eventually. The court distributed the funds over a span of four months. The court expected payment from the parents concerning illegal debt. In fact, one ruling stated that parents must use at least two-thirds of their allotted 30,000 Euros to repay the illegal debt concerning the childcare benefits scandal. However, authorities eventually waved their full debts so that they could keep their full compensation amount. However, many still have not received their compensation.

Who Was Responsible?

There are still cases and inquiries pending. However, little accountability has occurred thus far. The court forced the Rutte III cabinet to resign. The court held no member responsible for the matter. This was based on a high court ruling claiming although the rule of law had been violated, the belastingdienst, as an institution, was immune to prosecution. The court did not prosecute any individual official. The members committed no discrimination “in their own interests.” This was despite the fact employees of the belastingdienst – who had sounded the alarm for years about the issue – had called for the prosecution of their managers themselves.

Cabinet Members Unharmed

Despite the media attention, the resignation of the Rutte III cabinet was of little consequence to the cabinet members. Mark Rutte’s first cabinet, Rutte I, had to resign in 2012. This occurred after his coalition was unable to find a compromise regarding the proposed introduction of controversial austerity measures. The cabinet re-appointed him as Prime Minister twice after his resignation. A statement from 2003 convicted Mark Rutte of racism in 2007 when he was Secretary of State. He subjected Somali residents to extra fraud investigations concerning the childcare benefits scandal.

Even though Rutte III has resigned, each member may serve in their position until elections on March 17, 2021. Continuous elections will allow each member to hold office. Rutte’s party, the People’s Party for Freedom and Democracy (Volkspartij voor Vrijheid en Democratie) appears poised to secure another victory in the upcoming elections. This is based on a current Ipsos poll, even after losing some support in the wake of the resignation of Rutte III.

– Olivia Nelson
Photo: Pixabay

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Combating Sexual Violence in India

Sexual Violence in India
Sexual violence is hard to quantify as it comes in many forms. Addressing sexual violence in India is difficult due to stigmas around gender and sexuality. Furthermore, victims of sexual violence are primarily children. Educating youth and providing resources for victims is crucial to reducing sexual violence in India.

Prevalence of Sexual Violence

India has a much lower rate of sexual assault cases than the United States. However, it is likely that most sexual assault incidents go unreported. This is due to social stigma, cultural expectations of marriage and the prevalence of sexual violence against children.

Less than 10% of sexual assault victims seek assistance from law enforcement. Due to limited law enforcement in rural areas, the police neglect around 100,000 reported rape cases per year. Additionally, only one-third of these cases lead to a conviction.

Sexual violence against children is rampant in India. A Ministry of Social Justice and Empowerment study estimated that 53% of boys and 47% of girls experience sexual abuse during childhood. Girls are at high risk of suffering from sexual violence between the ages of 15 and 17. As a result, it is much less likely that victims will report the abuse they experience.

Child Marriage and Violence

It is common in India for girls to enter into arranged marriages at a young age. Around 45% of girls marry before reaching 18 years of age. Additionally, 22% have their first child before the age of 18. Victims of sexual violence often know their perpetrators. Furthermore, most husbands consider their wives property. As such, police frequently overlook cases of domestic violence.

Information Barriers

Schools often neglect to teach students about sexual violence due to its taboo nature. A 2017 survey found that 15% of adolescents felt comfortable discussing sexuality with their parents. However, over half of the sample could not define what sex was.

Sexual education programs are becoming more common throughout India. Yet, these programs often do not discuss the nuances of sexual relationships and power dynamics between genders. The World Health Organization (WHO) recommends implementing comprehensive sex education into curriculums. This curriculum helps delay the age at which young people enter into sexual relationships and reduces the number of sexual partners. This aids in preventing unplanned pregnancies and the spread of sexually transmitted diseases.

The YP Foundation – Empowering Youth

The YP Foundation emerged in 2002 and works to educate young people in “feminist and rights-based leadership.” Know Your Body Know Your Rights (KYBKYR) is a program that provides a series of workshops for young students. This program is led primarily by young women who educate students about gender issues and safe sexual behavior. Every year, around 1,500 young people attend KYBKYR workshops that cover gender expression, relationships, violence, anatomy, body image, puberty, HIV, sexual orientation and discrimination.

SNEHA – Resources For Domestic Violence Victims

SNEHA is a nonprofit that emerged in 1999 with outreach programs that prevent, address and monitor abuse against women and children across India. One program includes five crisis centers and four women’s hospitals in Mumbai that provide counseling, medical attention and legal assistance. About 16,328 women have received counseling from this program.

Furthermore, SHENA uses mobile phone technology to collect data before, during and after treatments at these counseling programs. Thus, data points allow statisticians to assess the programs’ effectiveness.

Additionally, SNEHA has trained 7,915 law enforcement officers, 10,722 hospital staff and various other professionals on how to handle cases of sexual assault appropriately. SHENA has also helped pass the Women Against Domestic Violence Act in 2005 and the Protection of Children Against Sexual Offenses in 2012.

Combatting sexual violence in India requires refined education and adequate access to counseling for adolescents. Breaking down the communication barriers about sexuality and domestic violence is important in addressing this issue. An open discussion about cultural norms and the pervasiveness of sexual assault against children is necessary to create a safer place for everyone.

 – Elise Brehob
Photo: Unsplash

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CRISPR: A Solution to Malaria in Nigeria

CRISPRMalaria is one of the main diseases that has claimed the lives of many Nigerians. Due to population, social and climate conditions, malaria in Nigeria has been difficult to manage and control. Furthermore, it has been challenging to arrive at a permanent solution. However, CRISPR Therapeutics is working to create a gene-based solution that will reduce the spread of malaria, saving the lives of many.

What is Malaria?

Malaria is a dangerous and potentially fatal disease. It is spread by a parasite that commonly infects a specific type of mosquito, primarily found in sub-Saharan Africa. When mosquitoes feed off humans, malaria is spread. Malaria is not contagious but one can obtain the disease if traveling to a malaria-riddled country. Although malaria is considered deadly, malaria-related deaths can usually be prevented. Because malaria results in widespread sickness and death, it has a severe impact on many national economies. Since many countries with malaria are usually lower-income nations, the disease creates a vicious cycle of sickness and impoverishment.

There are four types of parasites that have the potential to infect humans, Plasmodium falciparum is the kind that if not immediately treated, can lead to death. People who have low immunity to malaria, such as young children, pregnant women or travelers coming from areas with no malaria, are at the highest risk of a case of fatal malaria. In addition, impoverished people with inadequate access to proper healthcare are also at risk. Bearing in mind these factors, an estimated 90% of deaths due to malaria occur in Africa and most of these deaths are children under 5. More than one million people die from malaria each year and 300-600 million people annually suffer from it, making it a significant barrier to development.

Malaria in Nigeria

According to the 2019 World Malaria Report, Nigeria held the record for most cases of malaria in 2018 as 25% of global malaria cases were in Nigeria. Moreover, in 2018, the country held the highest number of global malaria deaths at 24%.

The entire country of Nigeria is at risk of malaria because roughly 76% of Nigerians are located in high transmission areas. Malaria is more contagious in the tropical south as the season can last year long. However, in the north, malaria season lasts at most three months. Studies show that children living in rural areas and low socioeconomic classes are most prone to malaria.

The global community has funded Nigeria’s government well to fight its malaria crisis. For example, the government has received funding for malaria control from the Global Fund. It has negotiated additional loans from the World Bank, the Islamic Development Bank and the African Development Bank. Nigeria also receives assistance from the USAID President’s Malaria Initiative.

CRISPR and Gene Editing

CRISPR Therapeutics strives to create therapies treating malaria, cancer, diabetes and other serious diseases through CRISPR/Cas9 gene editing. CRISPR/Cas9 gene editing is the process by which DNA is edited by precisely cutting DNA and allowing natural DNA repair processes to take command. Corrected genes or newly introduced genes, can help bring immunity to malaria. CRISPR also has the potential to alleviate global poverty and improve conditions in sub-Saharan Africa.

CRISPR and Malaria

To solve the malaria crisis, scientists are considering CRISPR technology to explore the possibility of genetic modification within mosquitoes. This could include eradicating the malaria gene within mosquitoes or simply shrinking their population. Using CRISPR/Cas9 technology, the goal is to control the spread of malaria. Why target the mosquitoes? With international travel and climate change, the disease has spread internationally. Scientists have concluded that the best route to eradicate malaria is to attack the mosquito instead of the parasite.

CRISPR technology applications for malaria could potentially change malaria control strategies. Rather than simply trying to treat the people affected by malaria, with CRISPR technology, the disease could be completely eradicated. Africa will benefit the most from this potential application. CRISPR technology could potentially eradicate malaria, thus reducing the impact on people’s health and on the economy as well. Overall, CRISPR technology can break the cycle of poverty in Africa.

– Ella Kaplun
Photo: pixabay

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Maternal Care for Women in Nigeria

Women in NigeriaDespite the United Nations’ global commitment to improve the health of pregnant mothers and reduce maternal death, the loss of women’s lives as a result of complications during pregnancy has been on the increase in most sub-Saharan African countries. In Nigeria, there are 59,000 maternal deaths annually. Compared to those in advanced nations, women in Nigeria are 500 times more likely to lose their lives in childbirth. At 545 per 100,000 births, maternity care for women in Nigeria is the worst in all of Africa. This means that out of every 20 live births in Nigeria, there will be at least one case of maternal mortality.

Maternal Death Leads to Poverty

In Nigeria, a high percentage of pregnant women do not receive adequate healthcare. This is either because their community does not offer services or because the women cannot afford healthcare. Many pregnant women in Nigeria do not seek care because they fear that the services are not high quality. In addition, the country’s patriarchal society and suppression of females can keep a pregnant woman from receiving adequate care. Cultural issues, lack of education and poverty can influence the healthcare choices of many pregnant women.

The toll on a family is enormous if a mother dies during childbirth. A mother’s death can force a family deeper into poverty and cause the daughters to be taken out of school to care for the other children and the household. For these young girls, the death of a mother perpetuates a cycle of poverty that can be hard to escape.

The difference in maternal death rates between the wealthy and the poverty-stricken is the largest among all of the health indicators tracked by the World Health Organization. Yet, mortality can be reduced by 80% with better access to reproductive health services along with high-quality care and skilled providers.

High-Quality Maternal Care for Nigerian Women

After losing a friend during childbirth, Michael Iyanro, a social entrepreneur and healthcare development expert, wanted to do something to ensure that top-quality maternity care for women in Nigeria was accessible to all.

He and other concerned individuals founded Tomike Health to address the problem. The organization launches clinics that provide high-quality maternal healthcare at affordable rates across neighborhoods in Nigeria. Tomike Health prioritizes the low-income residential areas on the outskirts of cities. These are the fastest-growing population centers as people migrate from rural areas to seek work. Tomike Health centers serve women who are often the primary breadwinners in their families.

Clinical Innovations

Rather than relying on donations and grants, the organization’s founders wanted their operation to be self-sustainable. To meet this goal, Tomike Health has combined job training and business expertise with clinical innovations. This approach creates self-sustaining solutions for maternity care. Its partners include Easier Health Consult, the Almonsour Women Foundation and the Gender Development Initiative. The organization and its healthcare providers continue to work hard to reduce maternal mortality rates in Nigeria, saving women’s lives and keeping their children from descending into poverty.

– Sarah Betuel
Photo: Flickr

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Vulnerable Groups: The Elderly in Bangladesh

Elderly in BangladeshThe world currently has approximately 720 million people over the age of 65. By 2050, about 22% (36 million) of Bangladesh’s people are projected to be in this age category. With this in mind, it is important that this growing demographic is taken care of. In particular, the poverty affecting the elderly in Bangladesh is a concern that should be attended to.

Elderly Poverty in Bangladesh

Bangladesh is one of the most impoverished countries and the effects of poverty are felt hardest by vulnerable populations like the elderly. The Global AgeWatch Index ranks countries by how well their older populations are faring socially and economically. Bangladesh is considered a distinctly tough country for older people as HelpAge International ranked Bangladesh 67th out of 96 countries on the 2015 Global AgeWatch Index.

The organization notes that a considerable amount of the hardship inflicted upon older people in Bangladesh is due to natural disasters and extreme weather. Cyclones, floods, and heatwaves destroy the homes and livelihoods of elderly people. Additionally, HelpAge notes that elderly people in Bangladesh are often refused healthcare due to ageism within the country’s public health system.

Elderly people in Bangladesh also struggle to maintain a dependable income since finding employment is harder with age, especially with common and physically demanding jobs like rickshaw pulling or soil digging.  As in many other lower-income countries, elderly people in Bangladesh have to look for employment in old age due to inadequate livelihood support and insufficient social security measures.

While by no means exclusive to Bangladesh, another problem that the elderly face in Bangladesh is stigma, as pointed out by Dr. Atiqur Rahman. The stigma described is one that views the elderly as unproductive, unhealthy and needing intensive and constant care. Dr. Rahman describes the idea of the elderly being a burden as both morally and economically incorrect.

Old Age Allowance Program

The Old Age Allowance (OAA) program is a government social pension scheme that assists the elderly in Bangladesh. Originally implemented in 1997, the program provides welfare payments to qualifying elders in order to help them get by. The overall size of the program was rather small at its inception, supporting about 400,000 people. Since then, the OAA has come to cover 4.4 million elderly in Bangladesh and the size of the payments increased from 100 to 500 Bangladeshi takas (around $6). Granted the growth is a step in the right direction, the program is not yet at a point where it can help in the broad sense. Elderly poverty has still increased since it started. The OAA program accounts for a minuscule portion of Bangladesh’s budget (0.53%) and covers only 2.25 million elderly people.

Additionally, much of the fund is going to the wrong people. A study by the University of Dhaka’s Bureau of Economic Research and HelpAge International discovered that elderly people who are not impoverished are getting 50% of the total benefits and about 33% of the fund is going to those who are younger than the eligible age. Another study found that local governments lack the knowledge and interest to properly target relevant beneficiaries most in need.

Organizations Supporting the Elderly in Bangladesh

HelpAge International provides early warning systems for potential natural disasters. In times of these disasters, the organization ensures the elderly have shelter, food and access to services. For long-term relief, HelpAge restores livelihoods by supporting small business enterprises with low-cost community loans. The organization also provides training for healthcare workers to treat conditions affecting the elderly and works on improving healthcare infrastructure and referral systems for the elderly.

The Care First Foundation is an organization that offers the elderly in Bangladesh risk monitoring, referrals, counseling, medicine and medical support, home care and activities. Its goal is to expand its initiatives to alleviate elderly suffering through proper community support and services.

With more support from organizations and improvements to the social support system provided by the government, the elderly in Bangladesh can thrive and not just simply survive.

– Sean Kenney
Photo: Flickr