Archive for category: Health

Information and stories on health topics.

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Improvements to Healthcare in Mozambique

Healthcare in MozambiqueThe state of healthcare in Mozambique has drastically changed in the last few decades. While Mozambique was once a country with little access to healthcare services, the country has decreased mortality rates since the launch of its Health Sector Recovery Program after the Mozambican civil war, with assistance from the World Bank.

History of Mozambique

The Mozambican civil war that took place from 1977-1992 had lasting effects on the country’s healthcare system and economy, resulting in limited funding for health services and insufficient access to care providers.

The Health Sector Recovery Program was launched in 1996 in order to refocus on funding healthcare in Mozambique, which desperately needed expanded resources to address the growing health crises. New health facilities were constructed throughout the country increasing accessibility to healthcare. The number of health facilities in Mozambique from the start of the civil war to 2012 quadrupled from 362 to 1,432 and the number of healthcare workers increased along with it.

Improvements to Healthcare and Accessibility

About 30 years ago, Mozambique had one of the highest mortality rates for children under 5 but was able to significantly reduce this number after the success of the Health Sector Policy Program. In 1990, this rate was 243.1 mortalities per 1,000 children. The rate has been reduced to 74.2 mortalities as of 2019. Maternal health was also targeted by the program, with increased health facility births from 2003 to 2011.

Conflict in Cabo Delgado

Despite these improvements to healthcare in Mozambique, Cabo Delgado, a northeastern province, is facing one of the worst healthcare crises in the country since violence struck the area in October 2017. Conflict between non-state armed forces clashing with security forces and other armed groups has caused more than 200,000 people in the area to become internally displaced. Coupled with the aftermath of Hurricane Kenneth, one of the strongest hurricanes to hit Africa, the area is facing severe food shortages and lack of shelter for people.

Cabo Delgado has also seen a rise in COVID-19 cases and other diseases such as cholera, diarrhea and measles, resulting from inadequate clean water and sanitation.

Intervention by UNICEF

On December 22, 2020, UNICEF shared a press release on the increased need for healthcare in Cabo Delgado. As the rainy season begins, there is an increased risk for deadly disease outbreaks. It appealed for $52.8 million in humanitarian assistance for 2021 projects aimed at aiding Mozambique.

UNICEF is expanding its water and sanitation response in order to prevent the outbreak of water-borne diseases like cholera and the further spread of COVID-19.

UNICEF also aims to give crucial vaccines to children in Mozambique, increasing its numbers from 2020. The 2021 targets include vaccinating more than 67,000 children against polio and more than 400,000 measles vaccinations. Children will also be treated for nutritional deficiencies from food insecurity and UNICEF plans to screen more than 380,000 children under 5 for malnourishment and enroll them in nutritional treatment programs.

Mental health support services will be provided to more than 37,000 children and caregivers in need, especially those experiencing displacement from armed conflict and those affected by COVID-19.

The Future of Healthcare in Mozambique

While healthcare in Mozambique has significantly improved in the last few decades, a lack of health services still affects the country’s most vulnerable populations. Aid from international organizations like UNICEF aims to tackle these issues to improve healthcare in Mozambique.

– June Noyes
Photo: Flickr

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How Vision Health Affects Global Poverty

How Vision Health Affects Global Poverty
About 9.2% of the world lives in extreme poverty today. Vision health affects poverty as well. Additionally, 87% of blind people live in developing nations. About 87% of the blind population lives in developing nations. In fact, poverty is the leading cause of poor vision health. Impoverished countries often do not have the resources and funds to ensure positive vision health.

Poor vision results in a lack of opportunities for people. In addition, it takes a heavy toll on families in poverty. About 75% of the visually impaired require some sort of assistance. As a result, many must forfeit educational opportunities in order to care for visually impaired family members. Consequently, the familial unit becomes cemented in poverty due to the lack of opportunities for higher-paying jobs. Additionally, the world loses about $168 billion as a result of poor vision health.

Significant efforts have emerged to improve vision health in developing countries. Here are three examples of organizations coming together to distribute resources in a sustainable manner.

Eyes On Africa

Eyes On Africa is a nonprofit organization that aims to provide free eyewear to Africans. The organization recognizes the importance of eyewear in improving quality of life and productivity. Over the last 15 years, the organization has partnered with DIFF Eyewear, the Peace Corps and multiple NGOs in order to bring eyewear to communities across Africa. Furthermore, Eyes on Africa places an emphasis on working directly with communities. It distributes eyewear and connects with individuals to provide sustainable solutions. To date, Eyes on Africa has been able to provide over 20,000 pairs of glasses to those in need.

VOSH

VOSH is an organization that connects with optometrists to provide people with eyewear. In the last 50 years, VOSH has worked in numerous countries and has started over 75 chapters all over the world in an effort to provide eye care to areas in need. The organization primarily provides eye exams and treatments. VOSH is passionate about sustainability. Thus, it bolsters pre-existing eye care practices instead of starting new ones. The organization has successfully reached over 10,000 people worldwide.

OneSight

OneSight is a nonprofit organization that aims to improve global vision health by providing eyewear and eye care to vulnerable communities. The organization implemented a two-step plan to build sustainable centers and charitable clinics. These clinics focus on community outreach to make certain that their methods are applicable to them. OneSight accomplishes this by providing both urgent care and permanent solutions. This organization has successfully aided 1.5 million people in Gambia and Rwanda.

With the help of these nonprofit organizations, vision health has improved drastically. Furthermore, with eyesight improvements, people are able to find jobs and improve economic conditions.

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Nanoseen: Solutions to Water Access and Pollution

NanoseenIn Sopot, Poland, co-founders Bartosz Kruzska and Mikolaj Granuszewski are leading innovations that could change access to clean, drinkable water forever. Startup firm, Nanoseen, is developing the NanoseenX, a water filter made of recycled metal wafers that can desalinate water. The startup, which was ranked as one of the top “15 Chemical Engineering Startups Positioned to Make it Big in 2021” by the Welp Magazine, aims to revolutionize the use and development of nanotechnology to build the most modern products. “Nanoseen is a team of nanotechnology engineers and scientists who prove remarkable properties of NanoseenX nanomaterials as a core component of the company’s products that will help solve many problems related to climate change such as water shortage and plastic pollution,” Kruszka told THEfirstNEWS. The company plans to begin mass production of its water desalination devices in 2021, making it one of the most highly anticipated startups of the upcoming year.

NanoseenX Water Filter

The filter can desalinate both brackish and seawater, giving it the potential to become essential to both disaster relief and combating global poverty. Worldwide, 780 million people do not have access to an improved water source and one in three people do not have access to safe drinking water, making clean water one of the chief obstacles of under-developed nations. Countries like Papua New Guinea, Mozambique, Tanzania and Somalia struggle with clean water but border the oceans so they can benefit greatly from the filter. The provision of clean water will not only improve sanitation but consequently improve health and infant survival rates, which is fundamental to fighting poverty. The product could also aid natural relief teams in tropical countries that are prone to hurricanes and typhoons. For example, crises like the aftermath of Hurricane Maria, which cut off access to clean water in Puerto Rico for months, can be resolved. Removing clean water as a pressing concern will also give destitute communities a better opportunity to develop and escape poverty.

Other Innovative Initiatives by Nanoseen

In addition to the water filter, Kruzska elaborates that Nanoseen is tackling research on a method of damaging micro and nano-plastics in water, with the use of NanopowderX. Such development could help clear pollution in oceans, which contain 25-50 trillion macro and microplastics. Being able to filter such microplastics from the water will be the most effective way to curb this new atmospheric pollutant. The team is also pioneering unique paints that will remove pollutants from the air to fight atmospheric pollution, a phenomenon that disproportionately affects impoverished people.

Innovatively Addressing Global Issues

Nanoseen’s ingenious filter is paradigmatic of innovations in STEM creating solutions to global poverty. The startup also offers other eco-friendly and problem-solving materials. The startup’s website offers viewers more in-depth descriptions and applications of its products and states its goals of creating innovative nanomaterials to build modern products that solve the main problems of today’s world.

– Christine Chang
Photo: Flickr

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6 Strategies that Combat COVID-19 in Senegal

Six Strategies that Combat COVID-19 in SenegalDue to the new escalating cases and the development of new strains of COVID-19 worldwide, reasons exist to worry about the impact of COVID-19 on developing African nations. Many are concerned that these countries do not have the same financial and health resources to fight the virus and protect their citizens as western industrialized nations do. However, Senegal, a small West African nation of 16.3 million inhabitants, might be an exception. Foreign Policy magazine released an analysis suggesting that Senegal ranks second of 36 countries in how well it has managed and resisted the pandemic. How does Senegal use its six essential strategies to effectively combat COVID-19? An examination of some of Senegal’s strategies and best practices can shed light on how it has handled the COVID-19 pandemic from its onset to February 2021.

COVID-19 Testing

The first strategy in the fight against COVID-19 in Senegal is its high-priority testing for its citizens. Testing is easy to obtain and readily accessible. Thanks to the efficacy of the Institut Pasteur in Senegal, people can obtain their test results in as little as eight hours. The program operates 24-hours a day and the entire country has access to testing. For those with symptoms, the test is free. Clearly, this has helped stop several chains of transmission. Additionally, the Institut Pasteur is currently developing a home test-kit in collaboration with U.K. company, Mologic. Med-tech news confirmed on its website that the partnership already began trials in January 2021 in Dakar, and they intend to start trials in the U.S. and Indonesia as well.

The Development of New Tools

The second strategy is to develop tools for the future. Possessing locally manufactured and innovative testing has been a trademark of Senegal. A ­­­­­­home test to check for antibodies in previously infected individuals is close to delivery. Both the Institut Pasteur and Mologic are partnering to make sure the cost is minimal. Dr. Joel Fitchett, medical director for Mologic, stated, “What we’re trying to achieve here is to deliver high-performance, low-cost devices that do not profit [the UK] because if we profit here, we only prolong this pandemic.”

Laboratory Construction

Senegal is building state-of-the-art laboratories. The construction of a laboratory site, DiaTropix, at the Institut Pasteur began in 2019 for the diagnostics of Ebola and yellow fever. Since early 2020, it became equipped with COVID-19 testing, making the implementation and validation of COVID-19 testing swift in Senegal. Furthermore, by making “smaller manufacturing lines closer to demand,” Senegal’s health system has now established a sustainable system with the ability to address a number of epidemics more quickly.

Testing Accessibility for Travelers

The fourth strategy in the eradication of COVID-19 in Senegal is COVID-19 test affordability and rapidity for travelers coming in or out of Senegal. The Institut Pasteur makes it easy and affordable for travelers to obtain tests by offering testing seven days of the week including holidays. It can occur at the cost of $73 (West African CFA francs 40,000). As close as 48 hours before traveling, one can easily obtain a test and receive results within eight hours.

Professional Expertise

Senegal remains at the forefront of the COVID-19 fight in Africa and worldwide. Senegal’s Institut Pasteur was one of only two labs in Africa that had the equipment to test COVID-19 and has continued to lead the way for COVID-19 testing and prevention ever since. The Institut Pasteur’s director, Dr. Amadou Sall, and his team have trained staff from a dozen other African countries on how to test COVID-19. Dr. Amadou Sall’s years of experience, high level of competency and expertise account for a lot of Senegal’s success in preventing the spread of COVID-19. His research covers diagnostics, ecology and evolution of arboviruses and viral hemorrhagic fevers. With more than 100 papers and book chapters, and more than 150 scientific communications, Dr. Amadou Sall is a world leader and accredited expert in this fast-evolving pandemic.

Presidential Actions

The sixth strategy is the efficient and pro-active governmental action against COVID-19 in Senegal. President Macky Sall took action early against the first coronavirus wave with a curfew in March 2020. Due to the risk of becoming unpopular, the president imposed a new curfew in January 2021.

Moreover, President Sall recently thanked Senegalese artists for helping to communicate the importance of prevention measures. He stated, “I am grateful to artists…. and other stars who turned to song, or painted murals, making it crystal-clear what was required of our people to stay safe. Washing hands, wearing masks, keeping your distance are simple instructions, so why complicate them? Why mess around, confusing the message, delaying the action and losing momentum?”

These are some of the most noteworthy strategies and best practices that combat COVID-19 in Senegal. Nevertheless, Senegalese people also deserve substantial credit for following safety measures at the expense of their jobs and communal lifestyle.

– Elhadj Oumar Tall
Photo: Flickr

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Other Global Health Concerns During COVID-19

Health Concerns During COVID-19COVID-19 has understandably been the main focus around the world. In developed countries, many are new to health epidemics and the disruptions caused by them. But, in some parts of the world, widespread disease is not new at all and COVID-19 is not the only health concern. There are several other global health concerns during COVID-19. Some seem obvious, like malaria or HIV/AIDS. But, some have made less news, like a toxic goldmine in Ethiopia. These health crises also require assistance and aid from the international community.

HIV/AIDS in South Africa

In 2019, it was estimated that more than seven million people in South Africa were living with HIV. Roughly 200,000 of those people were newly diagnosed in 2019, and in that same year, 72,000 people died. Though 70% of people receive antiretroviral therapy (ART), the disease remains incurable. Its prevalence makes it one of the priority health concerns during COVID-19.

Though South Africa has the largest population of people living with HIV in the world, it has made a lot of progress. Data indicates that in 2018, 90% of infected individuals were aware of their status and 87% of people receiving treatment were virally suppressed, meaning they do not transfer the virus. Despite this success, rates continue to increase and it disproportionately affects women and young girls.

In 2016, South Africa made treatment for HIV free to all, where it used to be available only to those with advanced infections. This comes after South Africa made pre-exposure prophylaxis (PrEP) available to all sex workers to prevent HIV contraction in the first place. Though it did take years for South Africa to acknowledge this epidemic, the country is making progress. However, more focus and attention needs to go toward addressing HIV/AIDs in South Africa as it is a significant health crisis.

Malaria in sub-Saharan Africa

COVID-19 severely affected sub-Saharan Africa’s access to insecticide-treated nets (ITN) and malaria treatments. The World Health Organization (WHO) urged nations to resume the distribution of these things, in fear that mortality rates in 2020 would reach 769,000, which is double the rates of 2018.

Preventative treatments, which deliver antimalarial medication to asymptomatic people, aimed at school-aged children, has shown to significantly reduce the risk of contracting malaria. Health officials in sub-Saharan Africa have been urged to take heed of this, but the poverty affecting the region limits progress.

A whole 90% of global malaria deaths happen in sub-Saharan Africa, and of that figure, 78% of victims are children. Malaria is a treatable condition, but those most susceptible to it usually live in a state of poverty, unable to afford treatment. Malaria in sub-Saharan Africa is one of the most pressing global health concerns besides COVID-19.

Toxic Gold Mine in Ethiopia

Gold mining is an important industry in Ethiopia. The export of gold and similar minerals makes up 7-10% of Ethiopia’s export earnings. Hundreds of thousands of people are employed in the mines, both skilled and unskilled.

But, in Ethiopia’s most populous region, Oromia, a gold mine has released harmful contaminants that have severely affected people. Serious deficiencies in mine management have left the soil and water contaminated with dangerous levels of cyanide, arsenic and mercury. This contamination resulted in high rates of miscarriage, stillbirths and infant mortality, birth defects, the destruction of livestock and crops and locals are afflicted with debilitating illnesses. Residents say there was no warning about potential toxins,

The mine was considered so toxic that the situation was deemed a violation of human rights. After pushback from the citizens, it was temporarily shut down, but there was no accountability or treatment for those affected. There remains doubt whether the air and water are now safe and residents anticipate that the mine will be reopened. In August 2020, mineworkers were asked to attend a meeting, cementing this assumption. In collaboration, human rights organizations submitted a document to the Human Rights Committee entailing Ethiopia’s violations of rights in regard to the contaminated mine. It documents Ethiopia’s failures and necessary reparations that should be made to people.

To safeguard the well-being of the Ethiopian people and ensure that aid is provided to the affected people, it is essential for the international community to get involved.

COVID-19 and Other Global Health Concerns

The COVID-19 pandemic has upset the health of nations globally, no matter the resources a country has. But, it has also overshadowed some pressing issues. There are other major health concerns during COVID-19 that need international attention and aid as well.

– Maddey Bussmann
Photo: Flickr

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Reforms for Saving the Venezuelan Economy

Saving the Venezuelan EconomyA combination of poor leadership and crippling sanctions have created a nation-wide economic crisis in Venezuela. The Center for Strategic and International Studies found that even before U.S. sanctions were placed on Venezuela, the country was already enduring hyperinflation, had seen food imports fall by 71% and more than two million Venezuelans had fled the country. Nevertheless, sanctions only exacerbated the crisis as Torino Economics found U.S. sanctions on Venezuela were associated with an annual loss of $16.9 billion in oil revenue. As a result, the Atlantic Council reports that more than 80% of Venezuelan households are food insecure and 3.7 million individuals are malnourished. Consequently, refugees filed more asylum claims globally in 2018 than any other country has. The number of Venezuelan migrants and refugees is expected to reach eight million in 2020, surpassing Syrian migration by more than three million. Reforms in the county are being implemented with the aim of saving the Venezuelan economy.

Saving the Venezuelan Economy

While this economic collapse still ravishes the country, there is certainly hope for the future. Due to both internal and external pressures, the president of Venezuela, Nicolás Maduro, has begun to encourage policies of economic liberalization and privatization that are indicating an economic rebound.

Toward the end of 2019, Argus Media reported the Venezuelan government was beginning to ease economic controls. Specifically, the Maduro government erased most price controls, loosened capital controls, tightened controls on commercial bank loan operations, and most importantly, began to accept informal dollarization. Immediately these policies curbed the levels of hyperinflation that had caused the food crisis across the country. Advisers estimate inflation to be at only 5,500%, a significant improvement compared to the International Monetary Fund forecasts that predicted inflation levels of more than 10 million percent. This is largely in part to the importation of dollars into the Venezuelan economy, pushing out the uselessly-inflated Bolivars. Indeed, a Bloomberg study found Venezuela’s economy is increasingly dollarized, as 54% of all sales in Venezuela by the end of last year were in dollars. Most importantly, food and medicine imports have rebounded, now reaching 15% of the population.

Privatization of the Oil Industry

In addition to the Maduro government relaxing economic controls, the economic rebound in Venezuela has occurred due to increased privatization of the oil industry. Despite being under the control of the military for years, Venezuela’s state-owned oil company has trended toward letting private firms handle operations, aiding in fixing the mismanagement perpetrated by the military’s control of the industry. For the first time in decades, the private sector accounted for more than 25% of GDP in 2019 and likely more by the end of 2020. Consequently, the Panam Post reported that oil production increased by more than 200,000 barrels, a 20% increase following privatization.

Initiatives to Help Venezuelans in Poverty

The South American Initiative, through its medical clinic, provides medical care and medicine to Venezuelans in need, with a special focus on mothers and children. To provide these essential services, it relies on donations that people provide on the GlobalGiving platform.

Fundacion Oportunidad y Futuro addresses hunger and malnutrition with regards to children in Venezuela. It is running in an initiative to provide meals to 800 school-aged children in Venezuela. It also operates through donations via the GlobalGiving platform.

The Future of Venezuela

While there is hope to be found in these reforms, Venezuela has far from recovered. The National Survey of Living Conditions indicates that more Venezuelans are in poverty in 2020 than in 2018, with food security decreasing another 7% over the past two years. The average income of Venezuela remains low at just over 70 U.S. cents a day. These reforms are the foundational steps needed to begin to reverse the economic trend that has relegated millions of Venezuelans to extreme poverty. If the economy is ever to correct itself, liberalization and privatization will be the jumping-off point for an economically thriving Venezuela in the future.

– Kendall Carll
Photo: Flickr

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Addressing Migrant and Refugee Health

Addressing migrant and Refugee HealthAt the end of 2019, there were 79.5 million recorded forcibly displaced people in the world, with 26 million labeled as refugees. Roughly 68% of those displaced come from just five countries, which means that resources can be scarce for many of these people and their physical and mental health may become less of a priority in lieu of other needs. More focus needs to go toward addressing migrant and refugee health in order to protect the well-being of one of the most vulnerable populations.

7 Facts About Migrant and Refugee Health

  1. The Immigrant, Refugee and Migrant Health Branch (IRMH) is a branch of the Division of Global Migration and Quarantine that works to improve the health and well-being of refugees. The IRMH also provides guidelines for disease prevention and tracks cases around the globe in migrant populations. The organization has three teams and five programs that work both in the U.S. and around the world to combat infectious diseases.

  2. Refugees are affected by illness and health issues through transit and in their host communities. Most refugees are likely to be in good health in general, according to the CDC, but migrating tends to be a social determinant in refugee health. Health inequities are increased by conditions such as restrictive policies, economic hardship and anti-migrant views. Poor living conditions and changes in lifestyle also play a role.

  3. Refugee health profiles are compiled through multiple organizations to provide information about important cultural and health factors pertaining to specific regions. Refugees from different areas often have very different health concerns. For example, anemia and diabetes are priority conditions in Syrian refugees but parasitic infections and malaria are the focus for Congolese migrants.

  4. About one-third of migrants and refugees experience high rates of depression, anxiety and post-traumatic stress disorders. Mental health is a vital part of all refugee health programs and the priority for youth mental health programming is especially necessary. Forced displacement is traumatic and while there is likely a reduction of high anxiety or depression levels over time after resettlement, some cases can last for years.

  5. Healthcare is often restricted based on legal status within refugee populations. The 1946 Constitution of the World Health Organization articulated that the right to health is an essential component of human rights but many people are limited to claiming this right. Activists for refugee health along with many NGOs call for universal health care and protection for migrant populations.

  6. Important needs in refugee health include the quality and cost of disease screenings. HIV, hepatitis, schistosomiasis and strongyloidiasis are diseases that are prevalent among vulnerable refugee and migrant populations. However, ease and quality of medical screenings are not guaranteed in many centers or camps.

  7. Mothers and children face many barriers due to their unique needs and few refugee health care providers are able to properly address them. There is an increased need for reproductive health services and many of the barriers provide more difficulty than aid to many women. These include language, costs and general stigma.

Prioritizing Vulnerable Populations

The U.N. Refugee Agency (UNHCR) is well known for its work to safeguard the rights and well-being of people who have been forced to flee. Refugee International is another organization that advocates for the rights and protection of displaced people around the world. Awareness of refugee health facts and concerns enables organizations to take a direct stance on improving conditions and procedures. With the growing number of refugees around the world today, addressing migrant and refugee health must be prioritized in order to better protect these vulnerable populations.

– Savannah Gardner
Photo: Flickr

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Eliminating Trachoma in Developing Countries

Trachoma in developing countriesTrachoma, an unsung yet highly infectious disease, is listed by the World Health Organization (WHO) as the leading cause of blindness across the world. Data from March 2020 indicates that 137 million people live in areas that put them at risk of trachoma. It is estimated that several million people suffer from the disease worldwide, across 44 different countries. The disease is easily transmitted between two people and its effects can be devastating. The WHO has prioritized the elimination of trachoma in developing countries, where trachoma is common.

Trachoma and its Effects

The WHO reports that “transmission occurs through contact with infective discharges from the eyes and nose, particularly in young children, who harbor the main reservoir of infection. It is also spread by flies which have been in contact with the eyes and noses of infected people.” If left untreated, it can cause irreversible blindness. Trachoma also deeply affects the quality of life of families and entire communities where it is present as people with trachoma are often prevented from working and providing for their families. Additionally, women get trachoma at much higher rates than men because they are much more exposed to potentially infected children.

Trachoma Elimination Progress

Over the past two decades, significant work has been done in countries where trachoma is endemic, in order to eradicate the disease once and for all. This work has been extremely effective. Since 2002, those at risk of trachoma in developing countries and across the world have dropped 91%. Although that equates to 142 million people, the number is down from 1.5 billion people in 2002, which is progress on an incredible scale. Anthony Solomon, a medical officer in charge of WHO’s global trachoma elimination program, states that “We should be able to relegate trachoma to the history books in the next few years but we will only do so by redoubling our efforts now. The last few countries are likely to be the hardest. This is great progress but we cannot afford to become complacent.”

The Carter Center

In addition to the WHO, a number of different NGOs have been working to lower rates of trachoma, in developing countries especially. The Carter Center, founded by former U.S. president, Jimmy Carter, is an organization with a huge scope. Causes that the organization supports include peacebuilding, healthcare and human rights across the globe. The Carter Center’s commitment to ending trachoma is integral as it has provided resources such as eyelid surgery and other medical services for trachoma and is working to improve the environmental conditions of trachoma endemic countries. The Center states that “Over the course of 20 years (1999 to 2019), the Center has assisted national programs in providing 846,219  trachomatous trichiasis surgeries in Ethiopia, Mali, Niger, Nigeria, South Sudan and Sudan.” Although Trachoma can be potentially life-changing if left untreated, there are definite medical steps that can be taken before it reaches that point. The Carter Center and other organizations like it are providing crucial resources in order to save lives and eliminate trachoma in developing countries.

Trachoma’s Link to Poverty

Ultimately, eliminating trachoma in developing countries not only means improving the physical health of those who are currently at risk but it would greatly lower poverty rates in those same countries as well. Trachoma hurts the local economy, which in turn has a global impact. Providing the necessary healthcare and aid to those struggling with trachoma will in turn boost the quality of life in dozens of countries, therefore improving the global economy and allowing trade to flourish worldwide. The WHO Alliance for the Global Elimination of Trachoma by 2020 (GET2020 Alliance) set a target to eliminate trachoma entirely by 2020. While that goal may have been missed, significant progress has been made and blindness rates are likely to continue falling rapidly in the coming years.

– Leo Posel
Photo: Flickr

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Doctors for Madagascar: Improving Medical Care

Doctors for MadagascarMore than 75% of people living in Madagascar are living under conditions of extreme poverty. Disease and natural disasters consistently fall upon the country. Madagascar faces a dangerous lack of proper healthcare provisions and a low number of medical professionals to meet the needs of all its inhabitants. The country does not lack hope of improvement though. Doctors for Madagascar carries out projects to help address the issues that Madagascar faces with appropriate medical care.

Doctors for Madagascar

Doctors for Madagascar (DfM) was founded by German doctors in 2011 after they observed the meager amount of healthcare provisions and trained professionals that were available. Its work is concentrated on providing for one of the country’s most poverty-stricken regions, being the remote south of the island.

This organization allocates immediate aid but it also wants to have a lasting impact and work toward sustainable solutions. Therefore, Doctors for Madagascar monitors its projects in the long-term to be sure that each one is reaching its maximum potential in both service and longevity. In keeping with this idea, the organization creates partnerships with doctors that are local to the south of Madagascar to base its aid on what experts in the community believe to be most necessary.

The Obstacles Madagascar Faces

  • Environmental challenges negatively affect the farming fields and threaten agricultural outputs.
  • Tropical storms have forced tens of thousands of people to evacuate their homes.
  • Hunger affects millions. In 2018, Madagascar ranked number six of nations around the world with the highest rate of malnutrition.
  • Diseases such as measles and plague affect thousands, especially due to low vaccination rates.
  • There is no universal health insurance.
  • Lack of consistent electricity.
  • Maternal health is inadequately meeting the needs of poor mothers and is especially complex during a complicated birth where proper facilities could be hours away from the mother’s village. Those who end up delivering without the assistance of medical professionals depend on the oldest women in the village.
  • Insufficient medical supplies along with difficult working conditions are some of the difficulties being faced within Centres de Santé de Base, which are facilities made of stone that provide healthcare in the countryside of Madagascar. Each one generally contains a nurse, midwife and sometimes a doctor.
  • A lack of trained medical professionals, especially in the south of the island.

 How Doctors for Madagascar Offers a Solution

Doctors for Madagascar does not discriminate against the members of the communities it helps, therefore, the organization takes care of the medical costs for those who cannot afford the treatment they need. Along with covering costs, the organization also provides cost-free maternal healthcare to women. As many women are unlikely to see a doctor throughout their entire pregnancy, DfM provides access to check-ups for women.

Transportation for pregnant women has improved as ambulances are provided and free hotlines have been made accessible for communication between ambulances and Centres de Santé de Base.

DfM builds health facilities and provides construction expertise to help carry out each project. The organization also renovates medical facilities that are necessary to the community’s health, providing medical equipment that is needed in the healthcare facilities and issuing training for its maintenance. Volunteering consists of doctors joining on aid missions. Each doctor that works with the organization must have sufficient experience and have a strong background in the french language to effectively communicate and treat Madagascans as needed. The organization also offers training to local medical professionals by experienced medical professionals that work or volunteer with DfM.

The Onset of COVID-19

As each nation confronts the global COVID-19 pandemic, Madagascar is not facing its first or only crisis. Dengue fever and malaria are killing more people in Madagascar than COVID-19, yet the pandemic is still emphasizing the urgency of improvement needed in medical care and the importance of access to healthcare. In fact, it is even shaping how some of the highest authorities in Madagascar influence this important matter through their advocacy. The Bishops’ Conference of Madagascar (CEM) stated that “The health crisis reveals the importance of an efficient health structure… we believe the time has come to look for ways to improve public health as a whole.”

The Future of Madagascar

The need for medical aid in Madagascar is a pressing issue. Doctors for Madagascar has proven that through awareness, action and understanding, impoverished communities can be helped in both the short and the long term. It is true that the country faces many recurring threats but that does not mean there has been no positive change. These changes can be seen in Madagascar today, which can provide an optimistic outlook on working to reduce poverty in other countries as well.

– Amy Schlagel
Photo: Flickr

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Factors Impacting COVID-19 in Africa

impacting COVID-19 in AfricaIn 2021, COVID-19 is still rampaging across the globe, and despite efforts from the wealthiest nations, it has yet to drop down to non-pandemic status. Africa, a continent with a population of more than one billion, has reported 1.5 million cases and only 46,000 deaths as of November 2020. The smaller fatality numbers across Africa can be attributed to several different factors that are impacting COVID-19 in Africa.

Fast Action

The first case of COVID-19 in Africa was reported on February 14, 2020, in Egypt. Other countries across the continent immediately took action fearing that the virus would severely affect at-risk communities such as the elderly and those who are immune-compromised. Protocols such as frequent hand washing, avoiding physical touch-based greeting, social distancing and face masks were implemented right away.

Countries such as Lesotho acted before a single case was reported, going into a three-week lockdown on March 18, 2020, along with surrounding countries. A few days after lifting the lockdown, Lesotho announced its first confirmed COVID-19 case. However, despite the country having a population of more than two million people, as of October 2020, only 1,700 cases and 40 total deaths were reported in Lesotho.

Public Cooperation

Public support has contributed to the lower case numbers across Africa, impacting COVID-19 in Africa overall. More populated countries such as South Africa reported the highest number of COVID-19 cases at more than one million while Western Sahara reported only 10 cases.

According to polls taken in August 2020, almost 70% of adults completely adhered to washing their hands and wearing face masks in public and roughly 60% adhered to avoiding handshakes and public gatherings. Furthermore, roughly 45% of adults avoided places of worship.

Lockdown restrictions came at a huge cost across the continent as a reported 2.2 million jobs were lost  in South Africa during the first half of 2020. Many countries across the continent were forced to reopen their economies despite high cases. According to a PERC report, six in 10 citizens felt it was necessary for the economies to reopen.

Reports suggest that African citizens continue to see COVID-19 as a serious threat, but the economy remains an equally important factor. Citizens generally agreed to continue to adhere to the restrictions in order to keep cases down while allowing the economy to reopen.

A Younger Population

Africa is home to the largest population of young people in the world, with a median age of 19. The young population is a major contributing factor as to why fatalities from the virus have stayed low. This is due to the vast majority of the population not being in the at-risk range. The World Health Organization reports that 91% of COVID-19 cases in sub-Saharan Africa affected people below the age of 60 and more than 80% of those infected were asymptomatic.

The elderly form only 3% of the population across Africa while continents such as Asia, North America and Europe have the largest population of elderly in the world. Many African countries also do not have many retirement homes, which are superspreaders for the disease. The elderly across Africa move from cities where they worked back to rural areas when they retire. These rural areas are less populated and allow for better social distancing practices, making the spread of the virus less rapid.

Transportation also contributes to fewer cases. With no well-developed transportation system to transport those in and out of the city, the virus has not been able to spread as significantly in comparison to places such as the U.K. with major transportation lines that lead to the rapid spread of viruses such as COVID-19.

The Road Ahead

Many have speculated that Africa’s low case numbers could be attributed to African immunity. The above reasons show that Africa has in fact successfully managed the COVID-19 pandemic due to fast and early action to curb the spread of the virus, adherence to public health measures and a younger population.

– Claire Olmstead
Photo: Flickr