Archive for category: Health

Information and stories on health topics.

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Comprehensive Sexuality Education for HIV

sexuality EducationThe age group of 15 to 24 accounts for 16% of the global population but represents 34% of people in the age group of 15 to 49 that acquire HIV each year. Young people remain disproportionately affected by the HIV epidemic and comprehensive sexuality education is a strategy for addressing this issue.

Comprehensive Sexuality Education (CSE)

In the 2016-2021 Strategy of UNAIDS, one of the eight sub-strategies includes “quality comprehensive sexuality education accessed by all adolescents and young people.” Many other organizations believe comprehensive sexual education is essential for young people to protect themselves from HIV and other sexually transmitted infections.

Comprehensive Sexuality Education (CSE) is a curriculum-based program taught in school or out of school and over several years. The purpose of CSE is to “provide age-appropriate information about human rights, human sexuality, gender equality, puberty, relationships and sexuality and reproductive health.”

Digital Sexual Education

In places where there are ineffective or insufficient schools, digital sexuality education may be a substitute. Over 70% of 15 to 24-year-olds are online so sexuality education and information are increasingly being delivered through a digital format. Although millions have access to online sexuality education, research is limited regarding its impact. Although digital education is effective in reaching large groups of young people, some fear that cyberbullying and unsafe online research could hinder the success of online tools.

CSE Initiatives

The HIV epidemic impacts many regions, but sub-Saharan Africa remains the most affected. With support from the United Nations, the Southern African Development Community (SADC) and the East African Community (EAC) joined together to provide sexual education in the region. In 20 Eastern and Southern African countries, adolescents can access comprehensive sexuality education.

In support of comprehensive sex education, UNESCO alongside five other organizations published the International Technical Guidance on Sexuality Education. The document outlines key topics for curriculums specific to different regions.

In 2002, The UNAIDS Inter-Agency Task Team (IATT) on Education and School Health was created to improve HIV education. The IATT aims to increase leadership support and resource allocation for HIV and health education. IATT members believe that education is essential for successful HIV programs.

The Impact of CSE

CSE provides more than information. It aims to help young people establish positive values regarding their sexual health through discussions about relationships, gender roles and sexual abuse.

In a study focused on measuring the impact of curriculum-based sex and HIV education programs on adolescents or young adults between 9 and 24 years old, 65% of the programs had a significantly positive impact on behavior.

With more focus on education as a tool for prevention, it is hopeful that the global HIV epidemic will be positively impacted.

– Rachel Durling
Photo: Flickr

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Life in US-Mexico Border Camps

border campsThe United States’ Migrant Protection Protocols (MPP) program, better known as “Remain in Mexico,” is a policy that requires those seeking asylum within the United States entering from the southern border to wait outside of the United States in Mexico while their cases are reviewed by immigration judges. Since its implementation in January 2016, this policy has led to the build-up of camps of asylum seekers around Mexico. These U.S.-Mexico border camps are ridden with crime, disease and other dangers.

Rampant Crime in US-Mexico Border Camps

The NGO, Human Rights First, has reported more than 1,314 cases of rape, kidnapping, murder, torture and other violent crimes against migrants forced to return to Mexico. Of those cases, 318 have been kidnappings or attempted kidnappings of children. Rampant police corruption in border cities means nothing is done to protect migrants. Crimes including extortion, assault and sexual harassment have all been reported against members of the Mexican police. These reports come from individual interviews held by Human Rights First in order to determine the scale of crime within migrant camps. Given that about 55,000 individuals have been returned to Mexico as part of the Migrant Protection Protocols program, the organization believes that those 1,314 cases are only the tip of the iceberg when it comes to violent crime in U.S.-Mexico border camps.

The Dangers of Mexican Regions

The United States Department of State periodically releases travel advisories on countries and regions throughout the world to warn citizens of dangers they may face when traveling there. This includes the Mexican state of Tamaulipas, Matamoros, a hotspot for gathering migrants awaiting entrance into the United States. Thousands of migrants, returned to Mexico by immigration officials to await their trials, live in tented border camps in a place that the United States considers dangerous. This has led to scrutiny by organizations such as the American Civil Liberties Union (ACLU) for endangering asylum seekers by sending them to places that the United States admits are dangerous.

Vulnerable Populations in Camps

Despite the fact that vulnerable populations are supposed to be exempt from the “Remain in Mexico” program, many individuals that should not have been sent back have shown up in U.S.-Mexico Border camps. The period from the programs start through June 2019 saw 13 pregnant women and 4,780 children sent to await their trials in Mexico according to Human Rights Watch. Human Rights Watch also reports that people genuinely afraid of returning to Mexico, including kidnapping and assault victims, have been denied exemption from the Migrant Protection Protocols program and were sent back across the border anyway. Human Rights Watch, the ACLU, Human Rights First and others, have all found that people including the disabled, the young, the sick and members of the LGBTQ+ community, have all been sent back to Mexico despite qualifying for an exemption from the policy.

Unsanitary Conditions Spread Disease

The unsanitary conditions along the U.S.-Mexico border have led to diseases spreading among migrants. Reportedly, there is little clean water and migrants often bathe in the Rio Grande River, which is known for containing E. coli, other bacteria and human feces. Few cases of COVID-19 have been officially recorded. However, with border camps’ proximity to COVID-19 hotspots both in the U.S. and Mexico, there is likely an abundance of unknown cases.

NGOs Assist Migrants

Immigration to the United States has basically come to a complete standstill as the border between the two countries has remained closed throughout the course of the pandemic. Because of this, NGOs have gone into border camps in order to assist those in need. The UNHRC has set up hand-washing stations and isolation areas in some migrant camps. It has also provided cash relief to migrants who have lost jobs due to the pandemic. Other organizations like Global Response Management and  Doctors Without Borders have provided medical assistance by building medical centers, distributing PPE and providing medical treatment for those infected with COVID-19.

The United States Migrant Protection Protocols, or the “Remain in Mexico” policy, has without a doubt led to an increase in concerns for the health and safety of people along the U.S.-Mexico border. Now, with the COVID-19 pandemic bringing the already slow asylum process to a standstill, poverty and disease has spread throughout these camps. However, NGOs like the UNHRC have been stepping up and providing assistance to those most in need.

– Aidan Sun
Photo: Flickr

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Mental Health in Palestine: The Hidden Plague

Mental Health in Palestine
Palestinian refugees and citizens in the Occupied Territories are exposed to a great amount of violence and terror as a result of the Israeli occupation. This exposure has increased the prevalence of mental health disorders such as PTSD, insomnia and even schizophrenia. This article will provide some insight into the mental health issues that are prevalent among Palestinians, the healthcare system and the possible solutions to help facilitate a better mental health response.

The Conditions 

Palestinians in the Occupied Territories live in a very volatile and unstable region. Recently, there has been an increase in the awareness of the effects that living through decades of continuous political aggression and violence have on mental health. Mental health disorders amount to one of the largest – but the least acknowledged – health problems in Occupied Palestine. Almost a third of Palestinians are in dire need of mental health interventions. However, mental health services in Occupied Palestine are amidst the most under-resourced fields of healthcare provision.

Palestinians have experienced a series of traumatic events that range from imprisonment and torture to unemployment, house demolitions and land confiscation. All these experiences foster an environment of continuous instability, stress, uncertainty and anxiety, which can dangerously affect mental health. 

Mental health is a concern for both adults and children in the Occupied Territories. Adults who are exposed to house demolitions exhibit a higher level of anxiety, depression and paranoia. However, the psychological effects of the conditions in Occupied Palestine are especially traumatizing for children. Many injured children have developed severe psychological impairments. The prevalence of behavioral issues and psychopathic symptoms among children is incredibly high. About 32.7% of children in the Gaza Strip suffer from severe levels of PTSD, 49% of children suffer through moderate levels of PTSD and 16% of children suffer from low levels of PTSD.

The Healthcare System

As of now, mental health services in the West Bank and East Jerusalem are provided by both the government and the non-governmental sector. General services are provided by the Ministry of Health but the majority of the system is operated under and funded by humanitarian organizations like UNRWA. There are only 13 community mental health clinics in the West Bank, and one psychiatric hospital in Bethlehem. In 2013, the clinics with outpatient facilities treated over 2400 patients. Of the 2,400 patients, 24.2% were diagnosed with neurotic disorders (PTSD, generalized anxiety disorder and clinical depression) and 12.2 % were diagnosed with schizophrenia. 

Generally, mental health services in Gaza and the West Bank are difficult to come by and inconsistent in quality. There is no legislation that addresses mental health and no budget allocated by the Ministry of Health. The region does not have mental health policies or an overview plan to address ongoing care and services for the severely mentally ill and those directly affected by trauma and loss. 

What Needs to Be Done 

The healthcare system in Palestine relies heavily on humanitarian aid and assistance. However, this funding and aid could easily be subjected to budget cuts from countries like the United States. Currently, the Ministry of Health does not allocate any funds to mental health services.

To effectively address mental health in Palestine, the government must create a fund for mental health services. The government should also promote legislation that addresses mental health. This legislation could include the protection of employment rights for those mentally ill, the integration of mental illness within the education system as well as civil legislation to address the rights to vote or own property.

It is also important for the Ministry of Health and NGOs to work together to create a comprehensive plan that addresses mental health. In collaboration, these organizations can acquire more hospital beds and help hospitals accommodate a greater number of patients. If mental health is made a priority, it can be effectively addressed in the coming years.

– Nada Abuasi
Photo: Flickr

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First Fortnight Creatively Fights Mental Health Stigma

First FortnightIn the 2018 Health at a Glance report, Ireland tied third for the highest rates of mental health disorders in Europe. These include higher rates of anxiety, depression and other mental disorders, with 18.5% of the population having at least one of these disorders. First Fortnight is challenging this mental health statistic through creative means.

Mental Health Stigma

First Fortnight is a mental health charity organization based in Dublin. Tying together creative expression and awareness, the organization takes on the greatest challenge towards mental health: stigma.

The stigmatization of mental health prevents individuals from seeking the necessary help needed. Several factors impact the perception of mental health, such as personal experiences, media representation and culture. Portrayals of people with mental health disorders as dangerous or weak, hinders progress to creating a healthier world. Should this perception be negative, individuals become isolated and less inclined to seek proper treatment.

One of the main objectives of First Fortnight is to create an open environment for discussion about mental health. The space for these discussions allows perceptions towards mental health to be changed. Stigma can be dismantled through education and awareness, letting individuals be more than their defined diagnosis.

First Fortnight’s Mental Health Events and Initiatives

First Fortnight hosts annual festivals celebrating various art forms, and each year, the festivals grow in size. In 2020, the charity was able to organize over 60 events across Ireland with the help of more than 140 volunteers. Adapting to COVID-19, the organization will host its first virtual festival in January 2021. First Fortnight is hoping the change will allow it to reach a wider, global audience.

A proud achievement of the initiative is its Centre For Creative Therapies. This project utilizes art therapy to help the homeless populations. Working with a therapist, the client is given guidance and the ability to express themselves through art. This method allows individuals a safe and healthy outlet to process their emotions and share their experiences. Alongside art, the Centre For Creative Therapies also advocates for music therapy.

The organization’s work goes beyond Ireland. First Fortnight was one of 22 organizations to take part in the Network of European Festivals for Mental Health Life Enhancement (NEFELE). The NEFELE Project, founded by the European Union, aims to establish art festivals for mental health across Europe. In addition to its annual charity festivals, First Fortnight hosted the European Mental Health Arts and Cultural Festival. Taking place in January 2019, the festival saw over 12,000 in attendance.

First Fortnight has also been supportive of the Mental European Network of Sports (MENS) since 2017. MENS focuses on uplifting mental health through the encouragement of physical activity.

The Future of Mental Health in Ireland

First Fortnight recognizes the importance of policies put into place. As part of its mission, the organization develops research needed to implement effective change. With the charity’s help, the Irish Government is acknowledging the value of mental health services. The nation’s 2021 budget includes €38 million toward mental health funding.

– Kelli Hughes
Photo: Flickr

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Mind Over Matter: Mental Health in Kenya

Mental Health in KenyaIt is estimated that 11.5 million, or one in every four Kenyans, have experienced mental illness. Common mental health issues in Kenya include disorders due to substance abuse, neurotic and personality disorders, as well as dementia. However, the country has limited resources for those struggling with mental health issues. As of 2015, there were only around 12 neurologists and 100 psychiatrists in Kenya. Furthermore, mental health-related stigma decreases the accessibility of care since it can lead to discrimination. Greater awareness of mental health issues as well as providing more resources for those suffering from mental illnesses and disorders can aid in increasing the quality of life of those struggling with mental health issues in Kenya.

Mental Health Care Project

In 2015, the National Academies of Sciences, Engineering and Medicine’s Forum on Neuroscience and Nervous System Disorders and Board on Global Health created a demonstration project with the goal of improving the state of mental health in Kenya. The project focused on mental, neurological and substance use (MNS) disorders in Kenya, specifically alcohol abuse, depression and epilepsy because of the high burden of these conditions. The project addresses the limitations of Kenya’s healthcare infrastructure, lack of availability of medication and data in regard to MNS disorders. Additionally, the project emphasizes the potential benefits of incorporating traditional and faith healers (TFHs) into the Kenyan healthcare system. Kenyans who struggle with mental illness often rely on TFHs for care because of their wide accessibility. Because TFHs are viewed with acceptance among communities, the project encourages the collaboration between TFHs and healthcare practitioners.

Mental Health Stigma

Kenyans living with mental disorders often experience stigma on multiple levels. Stereotypes surrounding those with mental illnesses lead to public stigma, especially since many people associate mental illnesses with evil. Furthermore, those struggling with mental disorders may internalize others’ negative perceptions of them, impacting how they view themselves and their overall quality of life since it can lead to loneliness and isolation. Stigma is a factor preventing Kenyans from receiving efficient treatment. Therefore, greater public education on mental disorders and providing more resources for treatment can improve the lives of those living with mental disorders in Kenya. A better understanding of mental health in Kenya will aid in the destigmatizing of mental disorders, leading to effective treatment.

Kenya’s  Mental Health Response

In 2005, in collaboration with WHO, Kenya created a program to implement mental health into the country’s healthcare system. This was done by training healthcare staff across the country. The outcome of the project proved the possibility of educating healthcare workers through courses in mental health.

Furthermore, in 2014, Kenya presented the Mental Health Bill, which proposed providing resources for those with mental illnesses, including treatment, care and rehabilitation. The law has yet to be enacted. If implemented, the legislation aims to address the inequality in mental healthcare and to ensure greater accessibility of mental health services in Kenya.

Despite the strides taken by the Kenyan Government to address mental health, it is necessary to further these efforts in order to improve the overall healthcare system. Greater awareness of mental illnesses and how they can be treated is imperative to advance mental healthcare in Kenya.

– Zoë Nichols
Photo: Flickr

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Accessing Safe Water: Fighting Fluorosis in India

Fluorosis in IndiaFluoride is a vital compound for the growth and development of the human body. Not only does it promote the strengthening of tooth enamel, helping to protect teeth from cavities, but it is also thought to aid in the development of the bones. However, when consumed in any more than minute quantities, the same compound can lead to a myriad of health issues ranging from the browning of the teeth to severe developmental issues leading to the deformation of the skeleton. Fluorosis in India is an issue raising concerns for the health of the country’s people.

India’s Water Supply

These health problems are among those faced by people who rely on India’s heavily fluoridated groundwater, or roughly 80% of the nation’s 1.35 billion people. Water is often sourced directly from the ground by wells, hand pumps or water plants with little to no filtration, leaving dangerous levels of naturally occurring fluoride to be consumed. In fact, fluoride levels have been recorded as high as 15 parts per million, far above the World Health Organization’s maximum recommendation of 1.5 parts per million.

Fluorosis and Other Health Problems

Today, skeletal fluorosis, or the build-up of fluoride in the bones, remains the leading side effect of excessive fluoride consumption and can occur in concentrations as small as 1 part per million. Effects of the disease range from joint pain and stiffness, to the calcification of the ligaments and permanent skeletal deformation. Of India’s 32 states, 17 have been identified as areas of endemic fluorosis, leaving 25 million people impacted and 66 million at risk.

Fluorosis in India is most concerning in children, as excess fluoride can have permanent harmful effects on developing bones, leaving some children bedridden and unable to walk. Additionally, local doctors are often unaware of the disease and do not have the means to treat it, leaving families to spend hundreds of dollars on ‘witch doctors’ offering magical cures.

Organizational Efforts

In response to the prevalence of fluorosis in India, rural villages and urban areas have been the subject of a variety of efforts by local governments and humanitarian organizations alike to purify groundwater and treat those affected.

Since the 1990s, UNICEF, alongside the Satya Sai Organization, has been working to implement defluoridation into the regular process of water collection. The organizations donated a total of 24,000 self-sustaining defluoridation units to five provinces across India and implemented rainwater collection systems in 50 schools throughout the country, providing students with safe drinking water. Likewise, defluoridation units were delivered directly to households, giving families easy access to safe water.

SARITA’s Efforts for Defluoridation

Similarly, the Society Affiliated to Research and Improvement of Tribal Areas (SARITA), has been working since 2005 to provide households with effective defluoridation units in some of the most rural and underserved areas of the country. Alongside community activities to raise awareness about the often unheard of condition, SARITA provided defluoridation filters at little to no cost to villages across 12 states.

The organization was unique in its outreach methods as it deliberately sought to serve the most ostracized members of society, such as the ‘untouchables’ or the lowest and most collectively shamed demographic in India’s social caste system. As SARITA puts it, it is “unusual for government programs to start assistance in isolated hamlets”, meaning the wellbeing of this demographic is rarely of concern in government assistance efforts.

Fluoride Mitigation Support Centre

Doctors and health centers across the nation are also making efforts towards the treatment and cure of fluorosis in India. Although a cure has yet to become widely available, the Fluoride Mitigation Support Centre worked with a group of 20 children in 2013 in an attempt to reverse advanced skeletal fluorosis through calcium, Vitamin C and Vitamin D supplements. Over the course of a year, “dramatic changes were observed in the children”, with one previously bedridden child able to walk again.

The positive effects of widely available defluoridation and fluorosis treatment are quite evident. Increased government support for these existing efforts is needed to put an end to fluorosis in India.

– Jane Dangel
Photo: Flickr

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Health Innovations in the Philippines

Innovations in the PhilippinesOver the past decade, there have been drastic innovations in the Philippines. The country has experienced dramatic economic growth and development. In 2019, the Global Innovation Index (GII) found that the country improved on all metrics used to calculate advancement. In specific, several health innovations in the Philippines help the nation achieve better health for its citizens.

Economic Growth

In 2019, the Philippines appeared for the first time in the “innovation achievers group.” The country outperformed many other countries in the area.  Some of the metrics used to calculate these scores include increased levels of creative exports, trademarks, high-tech imports and employed, highly educated women.

As a country, the Philippines has risen 19 spots in the ranking since 2018, to 54th out of 129 participating countries. This indicates a significant increase in the standard of living for many Filipinos. This is apparent in the significant decrease in the nation’s poverty rate over the past few years. From 2015 to 2018, the national poverty rate dropped a total of 6.7%, or by 5.9 million people.

Prosperity is largely due to the success of local business owners and entrepreneurs who have used their influence and prosperity to help those in need in their communities and countries, especially in the health sector. Coincidingly, the world noted a significant increase in global trade. Both factors have propelled the Philippines into the global economy as an important emerging market to keep an eye on.

Global Benefits

In 2018, the Philippines and the United States’ trade relationship developed significantly. The total goods trade was $21.4 billion collectively, in the petroleum and coal, aerospace and computer software, motor vehicles and travel/hospitality sectors. This is beneficial to the U.S. because the international trade sector employs more than 39.8 million U.S. citizens. As the Philippines becomes more prosperous, more Filipinos are able to pour money and resources into helping marginalized communities across the country. As such, there has been an increase in innovations in the Philippines, notably in the health and medical sectors.

Health Innovations in the Philippines

  • RxBox. A distinct industry on the frontlines of innovations in the Philippines is the health sector. Increased health for a population directly relates to better access to opportunity and a higher standard of living overall. One company doing this important work in the Philippines is RxBox. RxBox was developed by the country’s Department of Science and Technology. It is a biomedical telehealth system that provides health care and diagnoses to people in communities that are remote and difficult to access. The service is additionally available to people who do not have access to or the ability to travel to health care centers. RxBox is a game-changer for disadvantaged people who would otherwise not be able to obtain fast, effective medical care. RxBox reduces costly hospital and medical visits, which facilitates better health for people. Communities are then better able to care for themselves and for their families, providing greater opportunities for everybody.
  • Biotek M. There is another player in health innovations in the Philippines: Biotek M, a revolutionary diagnostic kit for dengue. A local team at the University of the Philippines Diliman stands as the mastermind behind this new technology. Traditionally, the Polymerase Chain Reaction (PCR) test is used to confirm the disease but can cost up to $8,000 and takes 24 hours to get results. This is inaccessible to lower-income people who are oftentimes the demographic most commonly afflicted by the dengue infection. The kit helps reduce resource usage for both medical centers and patients by significantly streamlining the diagnosis process.  In 2017, the Philippines recorded 131,827 cases of dengue with 732 deaths, mostly impacting young children aged 5 to 9. Being able to quickly diagnose and treat people who contract this illness is beneficial for people living in poverty.

When people can spend less time, energy and money on their health upkeep, they are able to use their resources more efficiently and prioritize other investments, such as education. In this way, health innovations in the Philippines and a growing economy directly increase the standard of living for impoverished Filipinos.

– Noelle Nelson
Photo: Flickr

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Rise in Teen Pregnancy During Kenya’s Lockdown

rise of teen pregnancy during kenya's lockdownIn Kenya, amid COVID-19-induced lockdowns, the nation is noting a significant rise in teen pregnancies. Over a three-month period of the lockdown, there was a 40% rise in the number of teen pregnancies in Kenya, with 152,000 pregnancies reported. There are a number of reasons why this figure has increased since Kenya went into lockdown, each of which contributes to the rise in teen pregnancy.

One significant cause of the rise in teen pregnancy in Kenya is the lack of access to sexual and reproductive health services during the pandemic. As the country focuses its health care system and medical resources on fighting the coronavirus and caring for the sick, reproductive health services can fall by the wayside. Additionally, historical evidence on epidemics shows that lockdowns and restrictions on movement make it difficult for girls to access the limited medical services that are available.

Impact of COVID-19 Lockdown

Even before the pandemic, Kenya was already struggling with reduced funding for reproductive and sexual health services and sex education in schools. The cultural taboo around talking about sexual health at home leaves Kenyan teenagers reliant on their schools for this knowledge, yet they do not receive the necessary education for pregnancy prevention because the sex education curriculum mainly focuses on HIV prevention and abstinence.

However, Kenyan students do not have access to even this limited sexual health education during lockdowns. Thus, unplanned pregnancy increases drastically as nearly 4,000 school girls have become pregnant during the Kenyan COVID-19 lockdown.

Teen pregnancy in Kenya during the lockdown also disproportionately affects girls who are living in poverty. The lockdown is stressful and even dangerous for those who struggled financially even before work and schools shut down. When they attended school, students living in poverty received free meals and hygiene products. However, students no longer have access to these resources because Kenyan schools are anticipated to remain closed until 2021.

Due to these school closures, the added burden of parents taking care of children who are now confined to their homes worsens the hardships of poverty. Additionally, many parents whose families live in poverty have lost their jobs during the pandemic. Since they no longer earn any income, parents are struggling to afford essential goods. In an effort to assist the family, teen girls may turn to older men for access to food, money and other resources they do not have access to during the pandemic, and in some cases, teens are impregnated by those men.

Lifelong Consequences

Teen girls who become pregnant during the lockdown face a lifetime of difficult consequences. Pregnancy and childbirth-related complications are the number one cause of death globally for 15 to 19-year-old girls, and in Kenya, adolescent girls made up 45% of severe abortion complication cases.

This is especially dangerous given that pregnant mothers already face the threat of coronavirus and a medical system struggling to handle the pandemic. Girls living in poverty or in areas without easy access to medical facilities risk not receiving maternal and newborn health services, putting the health of both mother and baby at risk.

The consequences of teen pregnancy in Kenya continue after childbirth and often affect the trajectory of a young mother’s future. About 98% of pregnant teenagers are not in school and most never return after giving birth. After being forced to drop out of school, teenagers struggle to secure higher-paying jobs, and thus, remain in impoverishment. This perpetuates the cycle of poverty immensely. In addition, taking care of a child requires money, time and resources that are hard to come by for impoverished teenagers. This further contributes to the poverty these girls live in because they often must raise their children without adequate funds, therefore, forcing the family deeper into poverty.

Reform Efforts

Although these statistics may seem dire, organizations in Kenya are working to reduce the rate of teen pregnancy and ensure mothers and babies get proper health care support. The Kenya Association for Maternal and Neonatal Health (KAMANEH) works to promote reproductive health education and provide affordable, accessible health services. These essential services make pregnancy and childbirth much safer for Kenyan women and girls living in poverty.

KAMANEH has partnered with the Medical Link Integrated Health Program, a Kenyan NGO. The partners work to develop reproductive health programs in hospitals and maternity centers in impoverished areas of Nairobi. The organization also runs women’s groups that host training once or twice a year on maternal and reproductive health.

The groups then produce songs and performances about proper health behaviors to educate their communities. KAMANEH works to establish 21 health care facilities throughout impoverished counties in Kenya with high maternal mortality rates. To help improve maternal health care quality, KAMANEH plans to equip these clinics with trained midwives and medical supplies.

COVID-19 lockdowns contribute to the rise in teen pregnancy rates. The structure of the Kenyan health and education systems has worsened the situation substantially. But, with the proper reproductive education and health services, there is still hope for Kenyan teenagers to overcome this issue.

– Allie Beutel
Photo: Flickr

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3 Organizations Addressing Diabetes in Pakistan

Diabetes in Pakistan

In 2019, Pakistan ranked sixth globally for the prevalence of diabetes. The recent increase in the prevalence of diabetes in Pakistan is associated with lifestyle changes. Citizens have been adapting their diets due to the industrialization and economic development within the country.

Diabetes in Pakistan

Obesity increases the likelihood of developing diabetes. Experts at the Pakistan Diabetes Leadership Forum in 2014 cited dietary changes that include consuming more saturated fats and less fiber as a cause of increased obesity and diabetes. Physical inactivity associated with economic changes in the country also contributes to the increased pervasiveness of diabetes. These diabetic risk factors decrease both insulin sensitivity and glucose tolerance.

Estimates believe that more than 6.7 million people in Pakistan have diabetes, which equates to 7.6% of the overall population. Despite its prevalence, diagnosis and treatment of diabetes in Pakistan is still limited. Only half of the estimated cases have been formally diagnosed and half of those diagnosed receive treatment. Recognizing the need for better, more accessible treatment options, organizations are combatting diabetes in Pakistan.

Diabetic’s Institute of Pakistan

Diabetic’s Institute of Pakistan (DIP) was founded in 1996. It has become the “leading organization for diabetes management, treatment, education and counseling” in the country. DIP focuses on three main aspects of fighting diabetes: prevention, treatment and management. To date, DIP has helped more than 100,000 patients.

The facility runs a diabetes awareness program and publishes educational materials in both English and Urdu. DIP also provides counseling and consultation services. The organization focuses heavily on psychological services due to its belief in emotional strength and the importance of “hope and happiness” for successful prevention and treatment of diabetes. Mental health services include an all-day helpline and counseling services that deal with stress and anger management. More traditional counseling is also available through DIP.

World Diabetes Foundation Project WDF15-947

The World Diabetes Foundation (WDF) started Project WDF15-947 to make diabetes treatment more widely accessible, especially focused on helping low-income individuals and areas. WDF supports three treatment clinics in Islamabad and Rawalpindi through training and education initiatives.

Between 2015 and 2018, WDF trained more than 300 nurses, doctors and paramedics in proper prevention, diagnostic and treatment practices in order to better serve the needs of the communities. In the same three years, nearly 13,000 screening tests were conducted. Individuals diagnosed with diabetes were referred to diabetes specialists for proper treatment. WDF also undertook an awareness campaign that included billboards, media programs for both TV and newspapers and the distribution of educational materials about diabetes in Pakistan.

The Diabetes Centre

The Diabetes Centre (TDC) is a nonprofit organization in Islamabad. It aims to improve access to diagnostic screenings and treatment for diabetes in Pakistan by providing these services for free to low-income individuals. The organization has 12 clinics that respond to specific complications of the disease, such as kidney, cardiac and eye care facilities. Since 2014, TDC treated almost 112,000 patients, of which only around 30% had to pay for treatment.

Diabetes in Pakistan remains an issue with low awareness and limited access to diagnosis and treatment services. However, these three organizations as well as many others, are working to increase educational initiatives and make treatments more accessible to combat diabetes.

– Sydney Leiter
Photo: Flickr

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Human Milk Banks Ensure Infant Survival in Kenya

human milk banksBreastfeeding is the most effective way to maximize infant health and provide the best possible start in life for babies, showing that the common phrase ‘breast is best’ rings true. Not only is breast milk the ideal food for infants but it is also the number one way to ensure their health and survival. Human milk banks allow infants access to necessary breast milk.

Why Breast is Best

Breast milk provides all the vitamins and nutrients a baby needs during the first months of its life, including important antibodies that can help fight many deadly childhood diseases like acute respiratory infections and diarrhea. Additionally, the preparation of breast milk does not require access to clean water or sanitation (unlike formula) and is cost-free and widely accessible for parents.

The World Health Organization (WHO) recommends exclusive breastfeeding for the first six months of life and continued supplementation until 2 years of age. All the benefits of breastfeeding pay off as children who are breastfed have more than six times the chance of surviving than non-breastfed children. Breastfed children often score higher on intelligence tests, maintain healthier weights and have fewer instances of illness. In fact, successful breastfeeding of children aged 0-2 has the potential to prevent 13% of all childhood deaths under 5 years old in countries experiencing extreme poverty.

Trouble breastfeeding can stem from a wide range of issues, like cleft palate, low milk supply, trouble latching, malnutrition, disease or lack of support and counseling before, during and after pregnancy. In Kenya, 362 mothers die for every 100,000 live births, leaving many babies without easy access to breastmilk. When infants do not receive the nutrients they need, it is difficult for them to survive and thrive.

Human Milk Banks

Human milk banks provide safe and lifesaving breast milk to babies who are unable to nurse from their own mothers. Generous donors provide the breast milk. The milk bank screens the donors and processes and pasteurizes the donations, and then, the lifesaving breast milk is redistributed to help babies in need.

Children in this category include prematurely born infants, orphans or cases where a mother is unable to provide breast milk. This effective system ensures that babies can access breast milk that will help them reach their potential. The WHO recommends that in cases where babies are unable to nurse from their mothers, donor milk can be utilized, indicating that donated breast milk is safe and effective for babies who need it.

The Pumwani Maternity Hospital

The Technical Working Group decided on Pumwani Maternity Hospital as the first to provide Kenya with a breast milk bank. This hospital is innovative in terms of neonatal care, promoting skin-to-skin (Kangaroo Mother Care) contact and providing breastfeeding education to parents. In Kenya, the rate of acceptance for breastfeeding is low. One concern with this project was whether mothers would consider breast milk donation an option. Fortunately, researchers from PATH report that locals are warming up to the idea of the bank, which bodes well for the future of the program.

As of October 2019, the Pumwani Maternity Hospital reported delivering lifesaving breast milk from more than 400 donors to 75 infants, a marked success. As a result, the Ministry of Health (MOH) included a recommendation for donated human breast milk in Kenya’s newborn care guidelines. Annually, donor milk has the potential to save the lives of hundreds of thousands of babies. Although there is still a long way to go to achieve widespread access to breast milk for all infants, the success of Pumwani Maternity Hospital stands as a great example of what human breast milk banks can accomplish.

– Noelle Nelson
Photo: Flickr