USAID Programs in Timor-Leste
In 1975, Timor-Leste declared independence from Portugal. In the same year, Indonesia launched a military invasion and annexed the fledgling state. In 1999, 78% of Timor-Leste’s population voted for independence from Indonesia, and in 2002, Timor-Leste finally gained full independence. The nation’s road to independence was anything but smooth, especially considering that anti-independence Indonesian militias conducted a scorched earth campaign in 1999, which led to the deaths of 2,600 civilians and the displacement of 30,000 locals. Despite these setbacks, Timor-Leste has grown into a strong democracy with multiple peaceful transfers of power.

While Timor-Leste has consolidated its political institutions, the Global Hunger Index describes the hunger level in Timor-Leste as “serious” in 2021, ranking the nation 108th out of 116 countries in terms of hunger severity. In addition, Timor-Leste ranks 121st out of 190 countries in nominal GDP per capita at $2,377 as of 2017. USAID programs in Timor-Leste continue to support Timor-Leste’s democratic institutions while also working to address Timor-Leste’s economic and infrastructural setbacks.

USAID’s Tourism for All

Launched in 2018, USAID’s Tourism for All initiative aims to promote Timor-Leste as an internationally competitive tourism destination. The project goal is to “diversify [Timor-Leste’s] economy by promoting eco-friendly tourism based on the country’s rich heritage” and promote sustainable investments from the private sector by locals, international institutions and NGOs.

One accomplishment of the Tourism for All initiative in promoting sustainability and independence from assistance is training local Timor-Leste citizens. USAID gave 611 participants in the private and public sector more than 11,000 hours of job training in hospitality, tourism and food safety. This training aims to foster a new generation of Timor-Leste locals to continue sustaining Timor-Leste’s tourism industry independent of external assistance.

In 2019 and 2020, the COVID-19 pandemic put a halt to Timor-Leste’s tourism industry. However, the local Timor-Leste “Ha’u Nia Timor-Leste” campaign and USAID’s Tourism for All initiative helped pivot Timor-Leste’s tourism industry from focusing on foreign tourism to placing a greater emphasis on domestic tourism.

This partnership is based on the idea of national love for Timor-Leste and solidarity with the struggling tourism industry in the face of the pandemic. USAID describes one of the objectives of this campaign as “inspiring Timorese people to engage in recreational travel on a more regular basis and to consider taking up leisure activities such as scuba diving.”

USAID Customs Reform Project

To address Timor-Leste’s financial issues, the USAID Customs Reform Project, which began in 2017, seeks to make trade easier with Timor-Leste by implementing standard customs clearance and transit procedures. This initiative has provided Timor-Leste with technical assistance and reformed Timor-Leste’s customs process to better facilitate trade and increase domestic revenues. One way the USAID Customs Reform Project is making transit into Timor-Leste more efficient is through the development of the Inter-Ministerial Despacho in 2019 to standardize and integrate the operating hours between customs authority and other government agencies.

To further facilitate transit into Timor-Leste, the Customs Reform Project has been implementing anti-corruption measures. In 2019, the USAID team began to develop training material for a Code of Conduct. Furthermore, during the same year, the USAID Customs Reform Project developed an Interests, Assets and Liabilities Declaration form that any customs authority staff must complete. These employees must declare their own and their direct family’s financial interests, assets, liabilities and any potential conflicts of interest. These drafted reforms intend to stifle corruption while ensuring the more efficient transit of goods in Timor-Leste.

Looking Ahead

USAID programs in Timor-Leste promote economic investment, anti-corruption measures and the elimination of unnecessary trade barriers. While Timor-Leste has come a long way since its independence from Portugal and Indonesia, economic issues and oil dependency still plague Timor-Leste. USAID programs in Timor-Leste continue to play an important role in addressing and mitigating these issues.

– Alexander Richter
Photo: Flickr

Saving Lives and the Economy in Timor-Leste
Timor-Leste, a small island nation previously known as East Timor, is inarguably enduring a very difficult and trying year. The combination of devastating floods after Cyclone Seroja in 2021 and the COVID-19 pandemic has left the nation desperately in need of assistance. Due to these disasters, the nation’s economy is currently struggling to find its way back to stability. Fortunately, on September 13, 2021, USAID announced plans to contribute an additional $1 million toward COVID-19 relief in Timor. This generous contribution will aid the goal of saving lives and the economy in Timor-Leste.

COVID-19 in Timor-Leste

Like any other nation, Timor-Leste has felt the inescapable effects of COVID-19. With a population of 1.3 million, the nation has witnessed 19,445 cases and 114 deaths as of September 28, 2021. Despite these numbers, as of September 28, 2021, Timor-Leste’s full vaccination rate stands at only about 20% of the population. This leaves an astounding number of people still unprotected.

The combination of flooding and COVID-19 has been catastrophic for Timor-Leste’s economy. In 2020, the nation’s economy endured a decline of 7%. Lockdowns and other restrictions amid COVID-19 led to significantly lower economic activity. While imports saw a reduction of approximately 19% “due to a slowdown in construction and travel services,” exports suffered even more, essentially declining by almost 50% “owing to limited travel services and lower coffee earnings.”

Because COVID-19 is a significant threat to the economy in Timor-Leste, increasing the country’s overall vaccination rate is crucial. Ending lockdowns and restoring normalcy will allow economic activity to return to pre-pandemic levels. Due to these harsh impacts, COVID-19 relief from organizations such as USAID is necessary for saving lives and the economy in Timor-Leste.

Assistance From USAID

USAID is a U.S. agency with a dedication to providing assistance during times of disaster at an international level. It works to eliminate poverty on a global scale, “strengthen democratic governance and help people emerge from humanitarian crises and progress beyond assistance.”

Along with an existing amount of $1.6 million that USAID allocated for COVID-19 relief in Timor-Leste, USAID is now providing an additional $1 million in support of this cause. The amount of COVID-19 aid to Timor-Leste from the United States now totals $5 million.

This added funding will contribute to the expansion of vaccination programs by employing prominent organizations and “trusted leaders” to encourage Timorese citizens to receive vaccinations. These efforts specifically focus on underserved communities on the outskirts of Dili, the largest city in Timor-Leste.

Partnering with Timorese officials, USAID also intends to instruct healthcare employees within rural and agricultural communities on vaccine protocols such as proper storage and transportation manners. Furthermore, USAID aims for vaccine equity, ensuring equal opportunity for all citizens to receive the vaccine. Additionally, USAID will partner with the Ministry of Health in Timor-Leste to closely monitor COVID-19 statistics in order to determine the safest resolutions for the nation and its citizens in the future.

Moving Forward

With USAID’s generous $1 million to fight the ongoing COVID-19 pandemic, the future looks promising for Timor-Leste and its population despite facing a tumultuous year. Through the support of organizations such as USAID, hope exists for restoring normalcy in Timor-Leste.

Not only are expanded vaccination efforts helping save lives but these efforts are also restoring economic stability in the country. With continued international support, Timor-Leste can successfully rebuild and recover from the impacts of the COVID-19 pandemic.

– River Simpson
Photo: Flickr

Floods in Timor-Leste
Between April 29 and March 4, 2021, extreme weather struck the nation of Timor-Leste. Cyclone Seroja created “strong winds and heavy rain,” according to the Associated Press. The U.N. explained that heavy rain, in turn, led to landslides and flash floods during the cyclone. The challenging weather struck Timor Leste’s capital city, Dili, particularly hard. In fact, around 8,000 Timorese people had to move to temporary shelters and 34 people died due to the floods in Timor-Leste.

Since April 2021, the floods in Timor-Leste have received little coverage from Western news sources and the work of rebuilding and providing resources is ongoing. In fact, the country’s government requested more “support to address residual humanitarian needs” in June 2021.

The Current Situation

A U.N. report, dated July 16, 2021, has provided details about which areas still require attention. These include the evacuation centers, which are still housing 730 people, as well as food and water accessibility. As part of its section on “Gender & Protection,” the report stressed the necessity for well-lit bathrooms with lockable doors for both men and women at the evacuation centers. Additionally, the report noted that those living in evacuation centers will need access to materials so that they can fix their damaged homes or build new ones. 

More broadly, clean water and COVID-19 are major concerns. Initiatives to restore the country’s piped water supply system is on their way in order to deliver water to the capital and other areas. Meanwhile, COVID-19 cases have risen, and the country lacks supplies and equipment to deal with the pandemic effectively. Cyclone Seroja resulted in the flooding of Timor Leste’s national medical storage facility, leading to the destruction of medical supplies.

The report from the U.N. shows that there is a demand for information as well. In its section on “Education,” the report noted that “[d]etailed information on damages and losses in schools not yet available.” The report listed the problem in regard to its “Water, Sanitation, and Hygiene” section as well.

USAID Food Assistance

Shortly after the floods in Timor-Leste, The New Humanitarian reported that “food affordability [was] emerging as [a] growing [worry]” due to the impact of the floods on crops. In fact, the cost of rice increased by more than 20% in one year. The U.N. has suggested that Timor-Leste implement a referral system to resolve malnutrition. 

On July 8, 2021, USAID announced that it would give Timor-Leste an additional $900,000 in assistance after having given $100,000 in the aftermath of Cyclone Seroja. On July 9, 2021, Kevin Blackstone, the U.S. ambassador to Timor-Leste mentioned that the U.S. aimed to impact “farmers in remote areas” by providing “cash or vouchers to buy seeds,” as well as necessary farming tools.

Further Assistance

USAID’s contribution is only the tip of the iceberg. The U.N’.s report lists many other actions that governments and organizations have taken to aid the Timorese government. Among other measures, the Timorese government has given out 36,600 water purification tablets. Additionally, UNICEF gave supplies to a Tasi Tolu community so that education for children could continue and the UNDP began a cash-for-work program, offering jobs to those who need them. Finally, various organizations have worked to provide education about gender-based violence.

The New Humanitarian’s coverage in April 2021 highlighted the actions of local volunteer groups in Timor-Leste. One woman named Berta Antonieta Tilman Pereira worked on fundraising so that she could start community kitchens for evacuees in the aftermath of the floods. Pereira stated that “the community themselves needs to be organized” because “the system that we’re…supposed to trust and rely on…is totally slow and not responding.” The New Humanitarian pointed out that the Timorese government did not request help from international bodies until April 8, 2021, which was four days after the disaster.

Three months after Cyclone Seroja, much still needs to occur in regard to dealing with the effects of floods in Timor-Leste. According to the U.N., 26,186 “affected families…have received emergency support,” and “[t]he majority of the temporarily displaced have returned home.” However, organizations are also carrying out a great deal of work in the hopes of long-lasting recovery.

– Victoria Albert
Photo: Flickr

Human Trafficking in Timor LesteHuman trafficking is the exploitation of a human being through the use of force or coercion in order to obtain labor or sexual acts. While human trafficking is a global issue with a large connection to poverty, it is important to recognize that trafficking may look different from country to country. Timor-Leste, also known as East Timor, is a Southeast nation occupying half of the island of Timor and has a significant problem with human trafficking that involves both foreign and domestic victims. According to a trafficking report by the U.S. Department of State, “poor economic conditions and limited educational opportunities create trafficking vulnerabilities for Timorese nationals.” Here are five facts to help explain human trafficking in Timor-Leste.

5 Facts About Human Trafficking in Timor-Leste

  1. Timor-Leste is listed under the Tier 2 Watch List. The tiers, mandated from the Trafficking Victims Protection Act, are based on the size of a country’s human trafficking problem along with government efforts to combat human trafficking. To grow in the rankings, a country has to increase anti-trafficking efforts and maintain acceptable progress. The Tier 2 Watch List is the third listed in the four overall tiers and is similar to Tier 2 except for the fact that the government has failed to show progress in combating forms of trafficking in comparison to previous years. Progress includes investigations, prosecution, and convictions into human trafficking cases. Timor-Leste only fell to the Tier 2 Watch List recently in 2020. From 2016-2019, Timor-Leste was listed under Tier 2 but did not report trafficking convictions; the only identification of a trafficking victim came from a non-governmental organization. It was in the fifth year when the government failed to increase their efforts to report trafficking convictions, that Timor-Leste fell to the Tier 2 Watch List.
  2. Timor-Leste is a destination country for human trafficking. A destination country is a country where there is a large demand for human trafficking. Most of these demands come from large cities. In Timor-Leste, many young men and women are lured to the capital through the promise of job prospects and educational opportunities, and end up in situations of forced labor and prostitution. According to the International Organization for Migration (IOM), “victims trafficked to Timor-Leste have originated from China, Indonesia, Thailand, Myanmar, and the Philippines.”
  3. Timor-Leste is also an origin country. An origin country provides the supply of trafficked persons. The main outgoings of trafficking victims, according to the IOM, “is associated with labor migration out of East Nusa Tenggara Province in Indonesia.” Most of the victims sent to Indonesia are women and girls forced into domestic servitude.
  4. Children are among the victims of human trafficking. The children of Timor-Leste are among the many victims of human trafficking, often taken for sexual exploitation and dangerous agricultural tasks. According to a report from the U.S. Department of Labor, data coming from all 13 municipalities in Timor-Leste show that 55.5% of children in child labor engage in dangerous, hazardous work. It was found that families will place children in household and agricultural labor both in Timor-Leste and in other countries in order to pay off debts.
  5. The majority of victims are women and girls. Many women and girls are vulnerable due to the lack of legal protection, starting from the time they are in school. Research strongly shows that while there are no laws that prohibit pregnant girls from attending school, there are also no laws on providing education for pregnant girls. As a result, many principals will deny the girls access to the school. Obtaining transfer documentation becomes a problem too, as principles control access to documents. The lack of education and access to proper education facilities leaves many women and girls particularly vulnerable to human traffickers.

Looking Ahead

While Timor-Leste has not significantly progressed in its efforts to fight human trafficking, there is still hope for the future. The government of Timor-Leste has used an anti-trafficking curriculum created by a foreign government in order to better inform and train its judicial and legal sections. Organizations and persons that have received training include the national police, judges, prosecutors, and defense attorneys. The government of Timor-Leste is also making efforts to criminalize human trafficking, though many of these plans still stay in a drafted status. One such plan comes from the Ministry of Justice, which drafted a national action plan in 2018 that has not yet been presented to the Council of Ministers. Another drafted policy comes from the Ministry of Education. This policy would encourage girls to return to school after giving birth, though it has remained in draft form for years. Through increased government intervention, through enforcing the policies already made and increasing protection for the vulnerable, the tide can turn in the fight against human trafficking in Timor-Leste.

Grace Ingles

Photo: Flickr

Law in Timor-LesteAll states face economic, social and political pressure, but when the pressure exceeds a state’s ability to control it, the state becomes fragile. The Fund for Peace uses the Fragile States Index (FSI) to assess the vulnerability of 179 countries every year. The Southeast Asian nation of Timor-Leste has shown significant decreases in economic and environmental fragility in recent years. In 2020, for the first time, the Organization for Economic Cooperation and Development’s (OECD) report on the state of fragility did not list Timor-Leste as a fragile state. In the FSI’s 2021 report, Timor-Leste ranked first of all the world’s countries for yearly reduction in overall fragility score. Improvements to fragility and rule of law in Timor-Leste have also helped the nation reduce poverty.

History of Timor-Leste

Timor-Leste, formally known as East Timor, is one of the world’s youngest nations. It was a Portuguese colony until 1975, then remained under Indonesian sovereignty until 1999. In 1999, the U.N. organized the East Timorese Independence Referendum, in which citizens chose independence over greater autonomy within Indonesia.

Timor-Leste became the first new sovereign state of the 21st century after the formal ratification of independence in 2002. Timor-Leste has devoted the last 20 years to rebuilding infrastructure and formal institutions damaged by past conflict. Around 1.3 million people call the newly peaceful, democratic nation home.

Economic Growth in Timor-Leste

Timor-Leste’s poverty rate dropped from 50% in 2007 to 42% in 2014, indicating economic growth. Less poverty means less violence, so the drop in poverty means improvement in fragility and rule of law in Timor-Leste. The Timorese government has put great effort toward reducing disparities within the economy, especially through education.

After decades of conflict, the Timorese needed to rebuild nearly all institutions from the ground up. Between 2005 and 2008, the government devoted significant funding to primary education, leading primary education enrollment to increase from 68% to 85%. However, older youth and adults still lacked the education to participate fully in society and the economy.

In 2010, with only 36% of the population functionally literate, the World Bank launched the Second Chance Education Project. The program set up nine community learning centers with flexible hours, providing a second chance to those too old for primary school. By the time the project ended in 2017, 1,670 students had participated in the mature education course, 55% of whom were women. Timor-Leste’s recent efforts put the country on target to achieve U.N. Sustainable Development Goal 4 (quality education) by 2030.

Social Improvements

Improvements in health and nutrition directly improved fragility and rule of law in Timor-Leste. Malnutrition is the country’s leading cause of premature death and disability. Timorese children suffer the third highest stunting prevalence in the world, with more than 50% of children younger than 5 identified as stunted. Experts believe that loss of productivity due to malnutrition costs Timor-Leste $40 million per year.

To combat malnutrition, the World Bank implemented the Community Driven Nutrition Improvement Program. Operating in 49 villages, the four-year program taught families how to grow and cook nutrient-rich foods. The program gave more than 1,000 families sweet potato cuttings and provided more than 400 families with seeds for their home and community gardens.

With the help of the Global Fund to Fight AIDS, Tuberculosis and Malaria (GFATM), Timor-Leste has also brought its malaria epidemic under control. The GFATM funded and helped launch the National Malaria Control Program in 2003. Following the launch, Timor-Leste saw a 97% decrease in reported cases, which dropped from around 223,000 cases in 2006 to only around 6,200 in 2012. The program followed a six-part strategy:

  1. Enhance early detection and effective therapies.
  2. Distribute long-lasting insecticidal nets.
  3. Conduct indoor residual spraying.
  4. Improve epidemic prevention, preparedness and response.
  5. Educate the public.
  6. Enhance monitoring and research.

Political Improvements

Timor-Leste’s democracy continues to flourish. Since gaining independence in 2002, the state has successfully held four peaceful, free and fair multi-party elections, all of which ended with a smooth transfer of power. Democratic stability will continue to improve fragility and rule of law in Timor-Leste. As one of Southeast Asia’s most stable democracies, the 2020 Sustainable Development Goals (SDG) Report classified Timor-Leste as on target for SDG 16 (peace, justice and strong institutions).

The Timorese government now prioritizes rebuilding infrastructure and public services. The Timor-Leste Road Climate Resilience Project is currently restoring 110 kilometers of road connecting three of the main districts in the country. Inability to travel throughout the country isolates communities and isolation hurts the economy. The project will connect 410,000 citizens, encouraging greater economic activity. The road will also help decrease malnutrition by giving families access to diverse foods grown in other parts of the country. The road restoration project is nearly 80% complete.

Goals for Timor-Leste Through 2024

In November 2019, the World Bank Group established the Country Partnership Framework for Timor-Leste. It plans to transform Timor-Leste’s “natural wealth into improved human capital and sustainable infrastructure” with three main objectives:

  1. Promote private sector-led growth and diversify the economy.
  2. Improve human capital.
  3. Continue to rebuild infrastructure, especially transportation.

Along with Timor-Leste, the OECD also removed Egypt, Malawi, Nepal and Rwanda from the list of fragile nations in 2020. As fragility and rule of law in Timor-Leste and other nations improve, their neighboring nations will also find more stability. There is always room for improvement but the world should take a moment to celebrate the significant progress in the small, young country of Timor-Leste.

– Ella LeRoy
Photo: Flickr

Homelessness in Timor-Leste
Timor-Leste, formerly known as East Timor, is a small nation located in the expansive seas of Southeast Asia. As one of the youngest countries in the world today, it holds its fair share of successes and problems. Homelessness in Timor-Leste is one of these problems, which is an issue common in many countries.

Homelessness in Timor-Leste is unique due to the several social, historical and political factors contributing to housing insecurity in this country. Though organizations such as UNICEF and United Nations Transitional Administration in East Timor (UNTAET) have implemented efforts to combat this quandary, much work still remains in order to eradicate homelessness. Listed below are eight facts about homelessness in Timor-Leste.

8 Facts About Homelessness in Timor-Leste

  1. Timor-Leste separated from Indonesia in 2002, making it the first country to gain independence in the 21st century. With this, the country had much to sacrifice. In 2006, factional fighting within Timor-Leste resulted in the loss of many lives and left as many as 150,000 citizens homeless.
  2. During the fight for independence, Timor-Leste faced many challenges in regard to housing security. In 1999, military turmoil caused the destruction of nearly 70% of the nation’s housing stock (approximately 85,000 houses). Though UNTAET was able to provide temporary shelters for displaced individuals, the government continuously struggled to fund and reconstruct housing to satisfy this high demand for permanent residences.
  3. Internal military conflict has also contributed to the displacement of individuals from their homes. By April 2008, the sporadic conflicts (including arson/looting) in the capital, Dili, had resulted in several thousands of people leaving their homes in fear of violence. A third of these displaced individuals remained in humanitarian camps within Dili, while the remaining people moved to rural districts.
  4. The effects of the 2006 crisis are longstanding. Between 1999 and 2013, the Timorese government and various NGOs/humanitarian organizations have helped move 92,000 displaced individuals into secure housing. Thousands still face uncertain futures in 80 resettlement camps across the country. As of 2015, approximately 22,000 individuals still reside in four main camps in the country and lack access to secure housing.
  5. Timor-Leste had vastly improved its policies in its initial response to the housing crisis. In December 2007, the government created a national recovery strategy, Hamutuk Hari’I Futuru (Together Building the Future), in order to overcome the 2006 displacement crisis. This allowed citizens to claim a $4,500 recovery grant to fix damages on their property. The government also offered transitional shelter to those who were open to temporary relocation. Overall, this strategy was fairly effective. By 2008, 28 camps in Dili closed.
  6. As of 2008, the Norwegian Refugee Council (NRC) and Timorese government had built 667 transitional shelters. This offer improved living conditions and facilities (i.e. electricity, cooking facilities, etc.) previously unavailable at camps. Sanitary conditions also significantly improved. Though still prone to flooding/landslides, these shelters overall lessened possible disease outbreaks and vulnerabilities in displaced populations.
  7. By 2012, CARE and WaterAid implemented the MAKA’AS (Mudansa Klimatica iha Ambiente Seguru – Climate Change in a Secure Environment). This project aimed to improve resilience against the effects of environmental challenges for six villages in the Liquiça District of Timor-Leste. This allowed individuals to improve access to safe drinking water, improve sanitation in their homes and implement land management practices to reduce landslide risks/housing vulnerability. Between July 2012 and March 2015, this project had helped 1,525 households within the district.
  8. National poverty in Timor-Leste rate has declined from 50.4% in 2007 to 41.8% in 2014. Nationwide improvements to accessing basic needs, education and healthcare resources have allowed Timor-Leste to tackle poverty and homelessness at a faster rate than many other countries. In homes, electricity connection has jumped to 36% in 2007 to 72% in 2014. In this time, child education has also jumped from 58% to 83%. Since 2008, there have been continuous improvements in nationwide living standards due to changes in public policy and foreign aid.

As shown these facts show, the housing predicament in Timor-Leste is extremely complex and difficult to resolve quickly. While the Timorese government and various humanitarian organizations have made multiple commendable efforts to combat homelessness in the country, the issue requires more work.

The displacement of many individuals from their original homes has caused countless land and property disputes. Resolving these issues requires a sophisticated legal framework. Moreover, many displaced individuals lack secure work opportunities as well as access to basic health and social services.

While the displaced individuals remain strong and resilient through these times, additional legal, social and infrastructural changes must occur to provide long-term solutions to homelessness in Timor-Leste. Nevertheless, throughout the past 10 years, this country has made promising improvements in living standards for its citizens.

Vanna Figueroa
Photo: Flickr

Poverty in Timor-Leste
Timor-Leste, also known as East Timor, is one of the least-known countries in the world. Situated between Papua and Indonesian West Timor, Timor-Leste’s economy depends largely on the production of hydrocarbon from offshore natural gas. Most people living there do agricultural work harvesting corn, rice, coconuts, coffee and sweet potatoes. To produce additional income, locals create textiles and baskets, carved ivory, pottery and handicrafts. Politically, Timor-Leste has had a turbulent past. Independence from Indonesia came at a cost in 1999, with hundreds killed by militants. The territory became a sovereign state in May 2002 and since then the government has grappled with the issue of poverty.

Facts about Poverty in Timor-Leste:

1. Investments in Human Capital

Timor-Leste’s population is 1.3 million, of which about 42% are living in poverty, down from 50% in 2007. Standards of living have improved in the past decade, with the Human Capital Index, or investments in human capital, reaching 0.43 in 2017. However, the country still needs to increase earnings and train a more skilled workforce.

2. Health Care for Women and Children

For every 1,000 babies born in 2018, 46 will die within five years. Yet child mortality has decreased by 41% since 2013. Timor-Leste has also made strides in its maternal mortality rate, which has been reduced from 694 per 100,000 live births in 2000, to 142 in 2017.

It is important to note that the country has one of the youngest populations on earth. In 2015, 42% of the populace was made up of children ages 0 to 14. This has created a high dependency ratio of 82% for young people in the working-age population. Timor-Leste’s government has been making an effort to expand education and to help it is citizens be healthier. More progress is needed in terms of providing food to fight malnutrition and in maintaining the health of its children.

3. Big Strides in Education

The government has made significant efforts to educate children and the country is investing in building schools. From 2003 to 2015, the secondary school enrollment ratio went from 46.4% to 76.8%. Still, Timor-Leste needs to invest even more resources in its younger generation.

4. Access to Food

From 2016 to 2018, the prevalence of undernourishment was 24.9% and the rate of malnutrition in children under five was 9.9%. In response, the government has established feeding programs in schools and health centers.

5. Sustainable Infrastructure

In 2019, the World Bank created a Country Partnership Framework which will support Timor-Leste in using its natural resources for sustainable infrastructure. Its initiatives include investing in human capital and promoting gender equality; investing in the digital and transportation sectors; encouraging economic growth led by the private sector and promoting tourism and agribusiness. While these efforts are helping with poverty in Timor-Leste, the COVID-19 pandemic has brought gains in this area to a standstill.

The Pandemic has Slowed Progress

The COVID-19 pandemic has created new challenges for Timor-Leste. According to the Global Health Observatory, there are only 59 hospital beds per 120,000 people. Complicating matters, only 5% of the country’s budget is dedicated to the health sector. Petroleum prices have dropped, and given its dependency on oil and trade, Timor-Leste’s per capita GDP could fall as low as negative 3.7% in 2020, and 4% in 2021. In addition, while the country has received medical support from UNICEF and other organizations, it will not receive as much help now, as countries are dealing with their own pandemic situations.

As of June 9, 2020, Timor-Leste’s government planned to give each home $15 in electricity credits and $100 per month. However, more needs to be done, since social and health services are limited, and over 40% of the populace is below the poverty line. It is the government’s hope that when the pandemic recedes, they will be able to pick up where they left off in the fight against poverty in Timor-Leste.

– Sarah Betuel

Photo: Flickr

Tuberculosis in Timor-Leste
Tuberculosis, also known as TB, is a bacterial disease that affects one’s lungs. The disease can cause symptoms such as coughing fits, sneezing, as well as troubled breathing; however, some people do not exhibit symptoms. Tuberculosis is an air-borne disease that can be exchanged through interacting with individuals who have tuberculosis, typically by either coughing or speaking.

There are also two different types of tuberculosis: latent TB infection and TB disease. Latent tuberculosis occurs when an individual has the bacteria that causes tuberculosis in their lungs but shows no active symptoms of tuberculosis; therefore, there is no spread of the bacteria. Tuberculosis disease refers to when an individual has the bacteria in their lungs and is showing symptoms due to the growth of the bacteria. The disease is typically treated through a mixture of different antibacterial medications, taken for six months to a year.

Though tuberculosis may not sound dangerous, there are some dangers for those who do not receive proper medical treatment. While TB does directly affect the lungs, the bacteria can also affect other organs such as the brain and kidneys, which can cause more concerning health issues like renal failure. Renal failure causes the kidneys to malfunction, so waste is not properly removed from the body. If not treated, tuberculosis can cause the lungs to be filled with fluid and blood and can ultimately result in death.

Which Countries are Most at Risk?

Timor-Leste, located in Southeast Asia, is one of the countries most affected by tuberculosis. Unfortunately, many people are not diagnosed, causing the disease to go on untreated. Timor-Leste has limited medical resources and supplies. As of 2017, the WHO estimates that for every 100,000 people in Timor-Leste, only 498 people are notified that they have tuberculosis, and 106 are killed annually.

83% of the treatment for tuberculosis in Timor-Leste comes with an enormous fee. Due to this, many are reluctant to be treated or even tested for tuberculosis in Timor-Leste. It is also estimated that in 2017, 46% of individuals living with tuberculosis in Timor-Leste have gone undiagnosed. Therefore, there is a dire need for education about tuberculosis in Timor-Leste. Many do not understand the disease or the medical treatment they are receiving and end up not completing the whole treatment.

What is Being Done to Help Timor-Leste?

According to the World Health Organization (WHO), certain programs have been created across Southeast Asia to teach tuberculosis prevention. Overall, there are thirteen districts, each of which focused on a different campaign. Originally, the program was started to address the missing cases in Timor-Leste. The WHO has also implemented more test screenings and treatment. It hopes to execute the “TB Free Core Package” in which there will be more TB prevention, detection, treatment, and protection. This package would be focused on helping low-income families who cannot afford the hefty price tag that comes with TB treatment. As the WHO programs have reached thousands of individuals, there is hope to decrease the number of TB cases and better educate the Timor-Leste public on tuberculosis prevention.

The International Organization of Migration and UN Migration Agency are working with Timor-Leste’s health ministry to help fund more test screenings. Supporting the National Tuberculosis Program will allow screenings to become more available to the public; as of 2018, more than 6,000 individuals have had a screen test. Programs such as this pave the way for more partake in reducing the cases of tuberculosis in Timor-Leste.

Olivia Eaker
Photo: Flickr

Poverty in Timor-Leste
Timor-Leste, also known as East Timor, is an island country in Southeast Asia. Portugal colonized the territory in the 16th century under the name of Portuguese Timor, retaining control until the Revolutionary Front for an Independent East Timor declared independence on November 28, 1975. Nine days later, however, the Indonesian military invaded and occupied East Timor, leading to decades of devastating violent conflict between separatist groups and Indonesian officials.

After a referendum in which 78.5% of Timorese voted for independence, Indonesia renounced control of the region in 1999, and it obtained official sovereign state status on May 20, 2002, under the name of Timor-Leste. Yet years following independence, Timor-Leste remains one of the world’s poorest countries. Here is some information that illuminates some of the causes, realities and potential solutions to poverty in Timor-Leste.

Legacy of Violence

Timor-Leste’s history comprises poverty and inequality. Estimates determine that more than 100,000 Timorese perished during the Indonesian occupation due to starvation, disease and deadly conflict. This turmoil continued after Timor-Leste declared its independence; the Indonesian military responded violently, killing upwards of 2,000 pro-independence Timorese. As a result, many Timorese sought refuge in the mountains or in neighboring countries. The Indonesians’ brutality left the country traumatized and weak, with destroyed roads and ports, poor water and sanitation systems and little to no government facilities. Timor-Leste is still recovering from this devastation.

Poverty levels remain high. In 2014, an estimated 42% of Timorese lived in poverty — an overwhelmingly high proportion of the population. Though Timor-Leste only has a 4.6% unemployment rate, 21.8% of the population lives on less than $1.90 a day. As a result, 24.9% of Timorese are malnourished, 51.7% of children under 5-years-old have stunted growth and 46 out of every 1,000 children die before the age of 5. Almost 40% of the population is illiterate, and the average age is 17.5 years.

Despite these facts, the country is making progress. Though a 42% poverty rate is high, this is a marked improvement over Timor-Leste’s 50.4% rate in 2007. Data demonstrates that Timor-Leste improved in various key poverty indicators between 2007 and 2014, including a reduction in the population living without electricity (64% to 28%), with poor sanitation (58% to 40%) and without access to clean drinking water (40% to 25%).

Aid for Timor-Leste

The international community has helped Timor-Leste develop and stabilize since its independence. The U.S. assists Timor-Leste via the U.S. Agency for International Development (USAID) and a burgeoning Peace Corps program. Additionally, the U.S.’s Millennium Challenge Corporation selected Timor-Leste for a five-year grant program in December 2017 to address the main contributors to poverty and stimulate economic growth. The U.S. then furthered its aid in 2018 when the U.S. Department of Agriculture selected Timor-Leste as a recipient of its $26 million, five-year McGovern-Dole nutrition and education program. Though there is little direct trade between Timor-Leste and the United States, the U.S. helped establish the coffee industry in East Timor in the 1990s, and Starbucks Coffee Company remains a loyal purchaser of Timorese coffee.

Timor-Leste also receives assistance from developed nations such as Australia, which has claimed the title of Timor-Leste’s largest development partner since the country gained independence. Australia allocated an estimated $100.7 million to Timor-Leste aid between 2019 and 2020.

There are a number of international nongovernmental organizations working to improve conditions in Timor-Leste. For example, Care International Timor-Leste works to improve disadvantaged families’ quality of education, the safety of childbirth and resilience against natural disasters. Meanwhile, Water Aid aims to make clean water, reliable toilets and good hygiene universal, and Marie Stopes Timor-Leste offers Timorese family planning methods and sexual and reproductive health services.

COVID-19 is Hindering Progress

COVID-19 is a tragic setback to improvement. Due to early intervention and a mandatory quarantine, Timor-Leste has proved successful in preventing the spread of COVID-19. As of June 3, 2020, there were no active cases of COVID-19 in Timor-Leste since May 15, 2020, with an overall total of 24 cases and zero deaths. However, the strict lockdown has had wide-reaching political and social consequences for a country that was already in an economic recession prior to the pandemic. Many businesses either downsized or closed, resulting in a surge in unemployment rates. Though the government’s robust stimulus package has prevented catastrophe in the short term, its plans for long-term recovery remain uncertain.

Although the COVID-19 pandemic is a substantial setback to Timor-Leste’s development, the nation’s declining unemployment and poverty rates and improving living conditions are nonetheless promising. According to the World Bank, the next step in Timor-Leste’s fight against poverty is restructuring its spending. If Timor-Leste redirects investments into the development of sustainable agriculture and tourism, better transportation and improved preservation of its natural resources, it has the potential to avoid the devastating financial consequences of COVID-19 and eradicate extreme poverty.

Abby Tarwater
Photo: Wikimedia Commons

Life Expectancy in Timor-Leste
Timor-Leste, also known as East Timor, is a nation that occupies the eastern half of the island of Timor in Southeast Asia. With a population of 1.26 million people, Timor-Leste is one of the least populated countries in Asia. The Portuguese originally colonized the country in 1520. After declaring independence in 1975, Indonesia invaded the nation, which occupies the western half of the island. The Indonesian invasion brought violence, famine and disease to Timor-Leste, resulting in a large loss in population. After a majority of the Timorese population voted to become independent in 1999, Indonesia relinquished control and Timor-Leste moved under the supervision of the United Nations. The nation officially became independent in 2002, making it one of the newest nations in the world. These 10 facts about life expectancy in Timor-Leste outline the rapid improvement the country has made since Indonesian occupation and the issues it still needs to overcome.

10 Facts About Life Expectancy in Timor-Leste

  1. Life expectancy in Timor-Leste increased from 32.6 years in 1978 to 69.26 years in 2018, matching that of South Asia. The consistent improvement in life expectancy in the past decade is primarily due to the Ministry of Health’s public health interventions. Such interventions include the reconstruction of health facilities, expansion of community-based health programs and an increase in medical graduates in the workforce.
  2. Life expectancy in Timor-Leste increased despite a drop in GDP, which decreased from $6.67 billion in 2012 to $2.6 billion in 2018. However, Timor-Leste’s GDP rose by 2.8% from 2017 to 2018. Continued improvement in GDP and economic progress in the nation will only serve to increase life expectancy by providing more opportunities for employment, education and improved quality of life.
  3. Tuberculosis was the highest cause of death in 2014, causing 14.68% of deaths. In 2014, estimates determined that Timor-Leste had the highest prevalence of tuberculosis in Southeast Asia, and 46% of people with tuberculosis did not receive a diagnosis in 2017. Maluk Timor, an Australian and Timorese nonprofit committed to advancing primary health care, provides a service through which team members visit Timorese households to locate undiagnosed patients and raise awareness about the severity of tuberculosis in the community. The organization collaborates with the National TB Program and aims to eliminate suffering and deaths in Timor-Leste due to diseases that Australia, which is only one hour away, had already eliminated.
  4. Communicable diseases caused 60% of deaths in 2006 but decreased to causing 45.6% of deaths in 2016. While diseases such as tuberculosis and dengue fever remain a public health challenge, the incidence of malaria drastically declined from over 200,000 cases in 2006 to no cases in 2018 due to early diagnoses, quality surveillance, funding from The Global Fund to Fight AIDS, Tuberculosis and Malaria and support from the World Health Organization.
  5. The adult mortality rate decreased from 672.2 deaths per 1,000 people in 1977 to 168.9 deaths per 1,000 people in 2018. Additionally, the infant mortality rate decreased from 56.6 infant deaths per 1,000 live births in 2008 to 39.3 infant deaths per 1,000 live births in 2018. While public health interventions and disease prevention contributed to the decrease in the adult mortality rate, Timor-Leste needs to expand access to maternal health services in rural areas to continue to improve the infant mortality rate.
  6. Maternal mortality decreased from 796 deaths per 100,000 live births in 1998 to 142 deaths per 100,000 live births in 2017. The leading cause of the high maternal mortality rate is poor access to reproductive health services, as only 43% of women had access to prenatal care in 2006. While the Ministry of Health continues to expand access to maternal health care through mobile health clinics that reach over 400 rural villages, only 30% of Timorese women gave birth with a health attendant present in 2013. Even as access increases, challenges such as family planning services, immunization, treatment for pneumonia and vitamin A supplementation remain for mothers in rural communities.
  7. The violent crisis for independence in 1999 destroyed more than 80% of health facilities. Despite rehabilitation efforts to rebuild the health system, many facilities at the district level either have limited or no access to water. However, the number of physicians per 1,000 people improved from 0.1 in 2004 to 0.7 in 2017. The capacity of the health care system is also improving, as UNICEF supports the Ministry of Health in providing increased training for health care workers in maternal and newborn issues and in striving to improve evidence-based public health interventions.
  8. Timor-Leste has one of the highest malnutrition rates in the world. At least 50% of children suffered from malnutrition in 2013. Additionally, in 2018, 27% of the population experienced food deprivation. USAID activated both the Reinforce Basic Health Services Activity and Avansa Agrikultura Project from 2015-2020 to address the capacity of health workers to provide reproductive health care and the productivity of horticulture chains to stimulate economic growth in poor rural areas. Both projects aim to combat malnutrition by addressing prenatal health and encouraging a plant-based lifestyle that fuels the economy.
  9. Motherhood at young ages and education levels are key contributors to malnutrition, as 18% of women began bearing children by the age of 19 in 2017. Teenage girls are far more likely to experience malnourishment than older women in Timor-Leste, contributing to malnutrition in the child and therefore lowering life expectancy for both mother and child. As a result of malnutrition, 58% of children under 5 suffered from stunting in 2018. Additionally, findings determined that stunting levels depended on the wealth and education level of mothers. In fact, 63% of children whose mothers did not receive any formal education experienced stunting, while the number dropped to 53% in children whose mothers received a formal education.
  10. Education enrollment rates are increasing, as the net enrollment rate in secondary education increased from 40.5% in 2010 to 62.7% in 2018. Completion of secondary education links to higher life expectancy, especially in rural areas. Since 2010, Timor-Leste has increased spending on education. Additionally, local nonprofit Ba Futuru is working to train teachers to promote quality learning environments in high-need schools. After Ba Futuru worked with schools for nine months, students reported less physical punishment and an increase in innovative and engaging teaching methods in their classrooms. The organization serves over 10,000 students and provides scholarships for school supplies for hundreds of students. With more programs dedicated to increasing enrollment and the classroom environment, students are more likely to complete secondary education and increase both their quality of life and life expectancy.

These 10 facts about life expectancy in Timor-Leste indicate an optimistic trend. Although malnutrition, disease and adequate access to health care remain prevalent issues in Timor-Leste, the nation’s life expectancy has rapidly increased since Indonesian occupation and has steadily improved its education and health care systems since its founding in 2002. To continue to improve life expectancy, Timor-Leste should continue to focus its efforts on improving public health access and community awareness in poor rural areas, and particularly to emphasize maternal health services to reduce both maternal and infant mortality rates. Despite being one of the newest nations in the world, Timor-Leste shows promise and progress.

Melina Stavropoulos
Photo: Flickr