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Living on Less Than $1.90 Per Day in Madagascar

Poverty in MadagascarMadagascar is an island located in the Indian Ocean off the coast of South Africa. Established as an independent country in 1960, Madagascar is known for its diverse culture of French, Indian, Chinese and Arabic influences, along with many others. The island is home to about 27 million people. The majority of these people are currently living in extreme poverty in Madagascar.

Poverty Rates in Madagascar

According to the World Bank, 75% of people in Madagascar are estimated to be living on less than $1.90 per day as of 2019. This number has decreased since the last official statistic in 2012 (when 77.6% were living in poverty in Madagascar). Still, this remains one of the highest poverty rates in the world. For comparison, in the U.S., 1.2% of people lived on $1.90 or less per day in 2016. According to data from 2015, 10% of the world’s population lives on $1.90 or less per day.

Additionally, in Madagascar, approximately 85% of homes do not have access to electricity. Almost one-half of children in Madagascar are likely to experience stunting as a result of undernutrition. One in 16 children dies before the age of five. As an island, Madagascar is at a high risk of natural disasters and climate change effects, experiencing an average of three natural disasters per year. These are responsible for approximately $400 million in damages.

Georgette Raharimalala is a Malagasy mother to three in Betafo, Madagascar. On average, women in Madagascar have five children. Raharimalala, known as Zety, primarily makes her money by working in the fields in her village with her children, buying and reselling peanuts and occasionally gardening where she can find space on her small property. “Life is very hard,” she said. “As soon as we make a bit of money, we buy food.”

However, poverty in Madagascar continues to improve. There are many programs in place to provide economic assistance to low-income countries like Madagascar.

World Bank’s IDA Program Helps the Economy

Zety is eligible for financial assistance from the International Development Association (IDA) on a bi-monthly basis. The IDA is part of the World Bank, which distributes loans and grants to 74 of the world’s poorest countries. The bank aims to improve local economies, reduce inequalities and improve living situations. This IDA program requires Zety to take her children to the wellness center in her village for a checkup once a month to ensure they are properly nourished. She also learns how to cook and provide proper diets for her children. Children in families receiving financial assistance must also be enrolled in (and remain in) school. As a result of the IDA program:

  • 1.3 million children have had access to free healthcare
  • 347 healthcare centers have been refurbished
  • Over 700,000 mothers and children have improved nutrition

The Support of the US

In addition to programs like the IDA, the United States supports Madagascar on its own. In fact, the U.S. is the largest donor country to Madagascar. It has provided foreign aid in the following areas to help reduce poverty in Madagascar:

  • Food: The U.S. was the largest donor of food following the severe drought on the island.
  • Development: The U.S. provides aid in areas that USAID refers to as “WASH,” or water, sanitation and health.
  • Biodiversity Conservation: Madagascar is known for its incredible diversity and has more unique species than the entirety of Africa, which U.S. aid supports.

The U.S. has dedicated $109.91 million to Madagascar for the year 2020, a small percentage of its total foreign aid budget.

While the struggle for basic healthcare, education and income is still prominent for many Malagasy citizens, conditions are continuing to improve for people like Zety and her children due to a combination of national and international policy and aid efforts. Though there is always room for improvement, poverty in Madagascar is being reduced and fewer are living with less than $1.90 per day.

– Sydney Bazilian
Photo: Unsplash

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5 Ways USAID Assists Brazil’s COVID-19 Response

Brazil’s Covid-19 Response
As the largest nation in South America and also one of the poorest, Brazil remains vulnerable to the health and socioeconomic implications of COVID-19. With 55 million of it’s 210 million citizens living in poverty and 85% living in urban areas, international support for Brazil’s COVID-19 response is particularly important. In just four months, nearly 2 million people contracted the disease, resulting in over 72,000 deaths.

The proportion of Brazilians covered by family health teams increased from 17.4% in 2000 to 63.7% in 2015. However, the low doctor-to-patient ratio of only 0.02% and the stagnant 8.4% expenditure of the GDP on healthcare contribute to many Brazilians lacking access to treatment. This issue has only been exacerbated by the additional strain the pandemic has placed on the healthcare system. As of July 15, the U.S. Department of State and USAID have directed $1.5 billion towards the global COVID-19 response. Of that, USAID is supporting Brazil’s COVID-19 response with $12.5 million.

How USAID is Supporting Brazil’s COVID-19 Response

  1. Ventilators: In May, the U.S. committed to delivering 1,000 ventilators to the people of Brazil. These machines, ranging in price from $5,000 to $50,000, will save Brazil millions of dollars in healthcare-related equipment expenditures as the spread of COVID-19 continues. The novel virus attacks the body’s respiratory system, often causing difficulty breathing or respiratory failure. USAID is improving Brazil’s COVID-19 response with these life-saving machines. The aid will ensure that hospitals do not turn away patients due to a shortage of medical supplies.While ventilators do not stop the spread of COVID-19, they are helping some of the sickest Brazilian patients recover. A New England Journal of Medicine study found that 50% of COVID-19 patients who require a ventilator eventually die from the disease. However, patients spend an average of 10 days on a ventilator. This means that if 1,000 new ventilators are available in Brazil, in three months of use, 4,500 people who would have died without a ventilator will likely survive.
  2. Hygiene and Sanitization: By May, the CDC had provided $3 million in Brazilian COVID-19 response funding. The funds are used to improve data collection in order to identify cases, contact trace and pinpoint areas of high transmission rates. On May 29, when new cases were steadily increasing, USAID announced it would provide $6 million in assistance to Brazil. Part of this funding was directed towards improved sanitation and hygiene in order to mitigate the spread of COVID-19. Brazil is now able to better distribute government-subsidized masks, hand sanitizer and other hygiene-related materials. As a result, the country has more effectively controlled the spread of COVID-19 and has not experienced a record high daily case influx since June.
  3. Food and Water: In March, Brazil’s unemployment rate rose to 12.6% from an average of 12% in 2019. The jump left approximately 5 million more Brazilians unemployed at the onset of the COVID-19 outbreak. With the heightened financial crisis, many of the 38 million once-employed Brazilians lost their jobs and in turn lost the purchasing power to feed their families. As part of the United States’ July commitment to provide $1.5 billion in foreign aid relief for COVID-19, $20 million has been directed towards food and water aid. It is uncertain how much of the money will fund hunger relief within Brazil’s COVID-19 response. Nevertheless, the United States’ step to dedicate funding for food and water provides some hope for Brazilians facing hunger.
  4. Refugee and Vulnerable Populations: In addition to the growing prevalence of poverty and unemployment in Brazil, the estimated 253,500 Venezuelan migrants and refugees within Brazil are struggling. Fortunately, these Venezuelans, who flooded Brazil at the highest rate in South America, have access to hospital treatment. Though, a lack of financial opportunity during COVID-19 has created disproportionate homelessness and hunger for the refugees. In response, USAID is providing over $12.4 million to support two NGOs in Brazil. These NGOs provide emergency shelter, food and nutritional assistance exclusively to vulnerable populations within Brazil. Such populations include low-income and rural residents in the Amazonian region and Venezuelan migrants.
  5. Grants and Incentives for the Private Sector: USAID is also improving Brazil’s COVID-19 response by creating incentives for private sector involvement. In May, $75,000 in grants were issued to former Brazilian USG exchange program participants to fund 40 COVID-19 relief projects. These grassroots projects work to educate Brazilian communities about the pandemic. The efforts dispel misinformation about the virus and address the socioeconomic implications of it, such as increased rates of domestic violence during the quarantine. USAID has mobilized a small population of the private sector in Brazil, strengthening the effects of the over $40 million in Brazilian COVID-19 relief derived from the United States’ domestic private sector.

USAID, along with the CDC and the U.S. Department of State, is improving Brazil’s COVID-19 response by financially prioritizing medical intervention, mitigation efforts, humanitarian aid and education regarding the virus. Although COVID-19 remains an issue, the nation is better equipped with tools to slow the spread of the virus and handle any negative effects of it.

– Caledonia Strelow
Photo: Flickr

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6 Facts About the Senate Committee on Foreign Relations


The Senate Committee on Foreign Relations oversees all foreign policy legislation and foreign aid programs in the United States Senate. It is one of the essential parts of the government in terms of shaping foreign policy. The influence of the Senate Committee on Foreign Relations played an instrumental role in such historical legislation as the Marshall Plan in 1948, which provided economic aid to Western Europe in the aftermath of World War II. Its corresponding committee in the House of Representatives is the Committee on Foreign Affairs. The Committee on Foreign Relations currently has 22 members, including chairman Jim Risch, a Republican Senator for Idaho. Here are six facts about this key U.S. Senate committee.

6 Facts About the Influence of the Senate Committee on Foreign Relations

  1. It has a subcommittee that oversees the United States Agency for International Development (USAID). One of the seven subcommittees of this Senate Committee is the Subcommittee on State Department and USAID Management, International Operations and Bilateral International Development. USAID is the leading government agency that administers foreign aid for socioeconomic development and disaster relief to nations worldwide, making it one of the most critical organizations in reducing global poverty. This subcommittee reviews the budget and oversees the general operations of USAID and the State Department. It can guide the ways that USAID uses its funding. Therefore, the Senate Committee on Foreign Relations’ influence has a significant impact on the U.S.’s distribution of foreign aid.
  2. It is one of the oldest Senate committees. Congress created committees in 1816, establishing 10 standing committees in the Senate. Out of these original 10, only three still exist—the Committee on Finance, the Committee on the Judiciary and the Committee on Foreign Relations. The influence of the Senate Committee on Foreign Relations has helped shape foreign policy for nearly the U.S.’s entire history.
  3. It approved the Global Poverty Act of 2007. The Global Poverty Act required the president to create and implement a comprehensive strategy to reduce poverty around the world. The plan would also have to address extreme poverty, including reducing the proportion of people who live on less than $1 a day. The committee approved this bill, but it never received a vote in the Senate, and therefore the bill never passed. This demonstrates the limits of the committee’s influence.
  4. It has many influential senators as members. A wide range of famous Republican and Democrat senators have served on the committee. Currently, its membership includes Republic Mitt Romney of Utah, Republican Ted Cruz of Texas and Democrat Cory Booker of New Jersey. Joe Biden served as chair of the committee for several years during the 2000s, including when the committee approved the Global Poverty Act. High-profile senators such as these, who are famous on a national level, bring publicity to the committee, which can increase the Senate committee’s influence.
  5. Some members have introduced legislation to increase funding for the international response to COVID-19. In early May 2020, eight Democrat senators from the Committee on Foreign Relations introduced the COVID-19 International Response and Recovery Act. This legislation would provide $9 billion in funding to help the U.S. lead international efforts to contain the pandemic. These senators, led by ranking committee member Bob Menendez, believe that the U.S. needs to do more to work with other governments and international organizations to stop the spread of COVID-19.
  6. The chairman and other members have introduced legislation to investigate international institutions. In early May 2020, chairman Risch and four other Republican senators from the committee proposed the Multilateral Aid Review Act of 2020. This bill would create a task force to investigate and create a report on 38 multilateral institutions that receive aid from the U.S. The institutions include the World Health Organization, the World Bank and the International Committee of the Red Cross. The task force would report how well each of these organizations performs their missions and serves the U.S. and global interests.

Many factors and institutions shape the foreign policy of the United States. Throughout the U.S.’s history, the Senate Committee on Foreign Relations has affected how the country has interacted with the rest of the world. The ideology of its members can significantly impact the issues the Senate Committee and subcommittees focus on, where specific funding goes and what legislation is introduced into Congress. The influence of the Senate Committee on Foreign Relations affects the U.S. and many international agencies, proving its significant importance in the fight to reduce global poverty.

– Gabriel Guerin
Photo: Pixabay

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Understanding Economic Institutions in Yemen

Understanding Economic Institutions in Yemen
The lack of formal economic institutions in Yemen solidifies the nation’s position as one of the poorest countries in the Middle East and in the world. Its violent civil war largely prevents the development of economic structures and impedes infrastructure improvement. Furthermore, conflict with Houthi rebels, the insurgency group opposing the Yemeni military, destabilized Yemen’s crucial hydrocarbon exports. This has significantly damaged government revenue and forced a broad suspension of fundamental public services. Consequently, the economic structures that are present in Yemen remain informal and underdeveloped.

Politics, War and the Economy

Since March of 2015, 100,000 Yemenis have died, and indiscriminate Saudi aerial bombing caused most of the civilian deaths. Interference from the U.S. and the U.K. by supplying weapons to Saudi Arabia exacerbates the poor economic circumstances. Mass causalities and civil unrest have run rampant.

During the civil war, the Houthis seized the opportunity for profit maximization through illegal methods to solidify their regional occupation. Opportunities arose in the most informal economic institution: the black market. Arms manufacturing, food smuggling, consumer goods and drugs, human trafficking and military leaders pocketing troops’ salaries and food allowances all contribute to Yemen’s economic instability.

Future economic prospects depend on the political situation in Yemen. While the past few years have shown some optimistic growth, a recent surge of violence by the Houthis in the temporary capital of Aden puts further stress on the fragile macroeconomic circumstances. Predictions for the next two years determine that the economy will grow between 2% to 2.5% annually, yet these rates are far below what is necessary for the reconstruction and human development.

A Resource Crisis

The domestic turmoil that the Houthi insurrection propagated prevents Yemen from gaining control over its own resource sector. Prior to the civil conflict’s escalation in 2014, 25% of Yemen’s GDP and 65% of government revenue came from oil and gas. On the other hand, Yemenis rely heavily on foreign trade; approximately 90% of the population’s food is imported. However, the Central Bank of Yemen (CBY), one of the many fragmented state institutions, had to disrupt foreign exchange for necessary imports and public sector salaries. This has led to high inflation and has worsened the humanitarian crisis, both of which facilitate the deterioration of robust economic institutions in Yemen.

Economic instability causes the nation to rely on financial assistance from neighboring Saudi Arabia. Furthermore, its resource bank of oil and gas production nearly stopped at the outbreak of civil war in 2015. In late 2018, Yemen’s economy gave an indication of stabilization as the GDP growth neared positive, a stark contrast from the economic loss of 40% that occurred between 2014 and 2017. While the oil and gas industry has seen production increases, the destruction since the conflict began continues to leave many Yemenis without a stable income. The U.N. estimates that 55% of the entire Yemeni workforce has lost employment since the beginning of the civil war.

Aid and Hope for Yemen

Yemen depends on the United States, specifically USAID, to work with local and international partners to reconstruct social and economic institutions. However, providing humanitarian assistance is simply not enough to propel Yemen’s development. To address the nation’s structural macroeconomic issues, USAID created the Yemen Economic Stabilization and Support (YESS) program in July 2019. The technical assistance that it provides to the CBY-Aden is to better manage the financial sector and assist cash-flow conditions by fortifying the bank’s critical functions, such as managing currency and foreign exchange operations.

One can find a glimmer of hope for Yemen in YESS’s success in streamlining customs and commercial trade. Between October 2018 and March 2019, shipment inspections fell from 100% to 70%, and customs processing reduced from five to two days. The Trusted Trader Program at the Yemen Customs Authority further enriched this progress. The inspection rate may be a critical indicator for development, as it implicates fewer barriers to citizens receiving humanitarian aid.

Today, economic instability remains a defining factor in Yemen’s overall underdevelopment. Widespread damage to infrastructure due to the war stresses the currency exchange rate, accelerates inflation and limits food and fuel imports. Most of the labor force works in agriculture and herding – a key indicator of an underdeveloped economy – while construction, commerce and other industries make up less than 25% of total employment. To avoid remaining economically underdeveloped and escape poverty, it is essential that Yemen strengthen its central bank, reclaim resource control and address its liquidity crisis.

– Frankie Gaynor
Photo: Flickr

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The Fight for Quality Healthcare in Tanzania

Healthcare in Tanzania
The percentage of Tanzania’s population living on about $1.90 per day remains at 49.1% as of 2017, according to data from The World Bank. President Benjamin W Mkapa commented on the state of poverty in 2004 stating that ‘‘… the poor must be brought from the margins into the mainstream. The process must be inclusive. The weakest economies and communities need special and differentiated help.’’ President Mkapa shared his thoughts on including everyone in the process for universal aid and healthcare in Tanzania, which stretches from the cities to the rural agricultural communities. His words echoed the thousands of people living in extreme poverty where, like most other countries, their healthcare quality is dependent on wealth, status, location and transportation.

Effects of Poor Healthcare in the Poorest Communities

Masuma Mamdani and Maggie Bangser wrote a literary review in 2004 titled Poor People’s Experiences of Health Services in Tanzania, where they discussed the effects of poor quality of healthcare in Tanzania. Sexual and reproductive health was a major focus, especially with the implications it has for poor women in the region. ‘‘Many [poor women] cannot afford transport costs so they sell their food, borrow, use herbs or just wait to die,” a healthcare worker shared from Mpwapwa.

According to Mamdani and Bangser’s literary review, key barriers to the poor in this region include:

  • The availability of drugs and medicines
  • The shortage of qualified personnel
  • Distance and transport issues
  • Charges
  • Governance

The government has written out and implemented a number of policies, but the issue of inaccessible healthcare for the poorest of the population is still prominent. Today, the United States is working in conjunction with the Tanzanian government to address a multitude of healthcare issues with USAID. For example, the strengthening of Tanzania’s own health system is imperative through supplies, more healthcare workers and supporting finances; but these efforts mostly concentrate within major cities and areas of high population density.

History of Healthcare Legislation

Since the East African country of Tanzania gained independence from Britain in 1961, there have been many ups and downs in the fight for healthcare for all citizens. The Arusha Declaration of 1967 moved towards the nationalization of public services, including medical, but ultimately failed due to economic decline. As the population rose and poverty levels increased through the years, especially in rural communities, even the numerous improvements in health services could barely keep up with the demand.

Healthcare in Tanzania today still does not receive enough funding and is nearly inaccessible outside of major cities. The funds directed towards the health sector have declined from 9.6% in 2014 to 7% in 2018, and the investments do not meet the estimated minimum requirement to guarantee basic health services to the population. There are a number of privatized health care options along with four main insurance programs available to the public, but even so, a large number of the population does not have insurance due to the high costs.

To combat this disparity, Tanzania enacted a Health Sector Strategic Plan from 2015-2020 to gain quality improvement in healthcare, provide equitable access to all and to achieve active community partnership. The Tanzanian government had implemented its fourth strategic plan, building on previously stated actions meaning to expand coverage of health insurance and extend quality health services to the poorer regions. For example, one of the core strategic objectives target the improvement of quality health services through ensuring essential services, a quality rating system, providing adequate staffing, performance management systems and more.

Independent Initiatives in Tanzania

Besides the government legislation that is currently in place and making changes, other independent NGO initiatives are making a difference for healthcare in Tanzania as well. An American initiative, Roads To Life, has dedicated itself to building and improving medical facilities in the Nkololo village, along with constructing roads and funding education. This nonprofit serves a primarily agricultural area with a population of 22,000, addressing the need for quality medical services outside of major cities and transport improvements between towns and regions. Roads To Life has also expanded and renewed the Songambele Health Center, which emerged in 1994. It can now treat up to 560 patients and has a new surgical center. After the addition of new operating suites which opened in 2016, there have been 149 surgical procedures. These new technologies and resources are vital to the health of Nkolo community members, who often had to go to the District Hospital for emergency procedures which was an hour away.

The combination of service and community makes all of the difference in healthcare in Tanzania. Influence from these discussed governmental and independent initiatives is still spreading throughout the country and there is still more work for the country to accomplish in terms of sexual and reproductive health. The efforts that Tanzania has put forth towards universal healthcare and providing quality medical services in more locations is a great push in the right direction to fight the effects of poverty in the poorest regions of this country.

– Savannah Gardner
Photo: Flickr

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Poverty in Kazakhstan is Like a Small Business

Poverty in KazakhstanPoverty in Kazakhstan compares to what small businesses around the world face now that COVID-19 has changed the game. Kazakhstan is not a developing country. It is not a top player in the international market either. It is somewhere in between. And with the new and confusing world that we live in now, Kazakhstan is going to have a difficult time maintaining its good trade relations.

Kazakhstan is Like a Small Business

COVID-19 has thrown the plight of small businesses around the world into the spotlight. Now more than ever people are realizing the struggle of small businesses to stay afloat during a pandemic among other larger businesses. Poverty in Kazakhstan is like a small business. It has been making headway in the global market, but now that the pandemic has hit, its economy will struggle to stay afloat among the other major players in the world economy, an economy that goes under spells with poverty in Kazakhstan for many of its citizens. With the GDP per capita increased by a factor of six, poverty in Kazakhstan has decreased. But, this upward trend may not hold if the pandemic continues to restrict the country’s international trade. According to the Asian Development Bank, Kazakhstan’s poverty rate is 4.3%.

The US–Kazakhstan Relations

Trade relationships and federal direct investments are a key part of success for small countries like Kazakhstan. The U.S.–Kazakhstan relations have been thriving in past years, having signed the U.S.–Kazakhstan Bilateral Investment Treaty and the Treaty on the Avoidance of Dual Taxation. And this has improved Kazakhstan’s economy tremendously; in 2006, Kazakhstan became a part of the upper-middle-income bracket instead of the lower-middle-income bracket. Trade makes up 60.6% of Kazakhstan’s GDP. Federal direct investments allow for the country to focus on its largest economic contributors: mining and manufacturing.

A major country recognizing a state’s independence is a colossal benefit to a rising state, and that is exactly what the U.S. did for Kazakhstan when it was the first country to recognize its independence. The U.S. set up an Embassy and a Consulate General in Kazakhstan. Now that Kazakhstan has excellent relations with countries of the east and the west, perhaps it will be able to maintain its footing in the global economy. Kazakhstan has excellent relations with Russia, the Middle East and Asia and is completing its term on the Security Council of the U.N. These are great strides, but the progress that Kazakhstan’s economy has made may backslide because of the restriction that the pandemic has imposed on so many countries.

The Impact of COVID-19

 The World Bank has stated that “If the pandemic continues to spread and the external economic environment deteriorates further, GDP could contract by as much as 3 percent in 2020, which would significantly increase the poverty rate.” Two of its major cities – Almaty and Nur-Sultan – are already inaccessible outsiders. Large corporations have been unable to get loans because the banks are too afraid that they will not pay them back. The deficit has already grown to 3.3% of the GDP as of 2019.

Here is a look at Kazakhstan’s predicted future in 2020:

  • There could be a 0.8% drop in GDP because of decreasing demand from foreign consumers and “COVID-19 mitigation measures sap[ping] consumer demand and investment.”
  • Predictions have determined that 6% of the GDP will increase the deficit because of the aforementioned trade decline and the fact that the price of oil will be lower.

In conclusion, Kazakhstan has become a thriving market over the years. It has excellent trade relations in almost every part of the world and its poverty rate has reduced due to a bolstering in the economy. COVID-19 is affecting every country, though, and Kazakhstan is particularly vulnerable because its economy was still growing, and now may see regressions.

The situation in Kazakhstan is not all bad, though. The U.S., along with USAID, is contributing to a relief fund that will give Kazakhstan $800,000. This money will go towards fighting the virus by preparing labs, tracking down cases, etc. Though the world is certainly not perfect, it is heartening to see the quick and unencumbered responses of countries to help each other.

– Moriah Thomas
Photo: Pixabay

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USAID Saves Thousands of Babies

USAID Saves Thousands of BabiesRoughly 2.76 million newborns die each year, with preventable infections causing at least 15% of those deaths. For instance, a baby’s cut umbilical cord could allow bacteria to enter their body, leading to life-threatening newborn sepsis. To avoid neonatal deaths like this, cord stump care at birth is critical, particularly in settings with poor hygiene. Thankfully, with national assistance, USAID saves thousands of babies in Nepal and other countries around the world.

There is a low-cost, easily manufactured and easily distributed life-saving solution that the World Health Organization (WHO) recognized in 1998 as a suitable antiseptic for cord care. Commonly found in mouth wash and hand sanitizers, chlorhexidine is an antiseptic gel that USAID helped produce for nations with the greatest need since 2002. Nepal was the first nation to adopt chlorhexidine on a large scale. USAID’s efforts, as well as cooperation with the Government of Nepal and its private sector, are responsible for lowering the infant mortality rate significantly. USAID saves thousands of babies around the world.

Chlorhexidine “Navi” Care Program

USAID’s Chlorhexidine “Navi” Care Program, implemented by John Snow Inc. (JSI), provides technical assistance to the Government of Nepal to scale up the use of chlorhexidine through resources and education. The six-year, $3.9 million program had two phases. The first phase occurred from October 2011 to September 2014 in 49 out of 75 of Nepal’s districts. Phase two started in October 2014 and brought chlorhexidine to all districts. The program found funding as a part of USAID’s “Saving Lives at Birth: A Grand Challenge for Development.”

The Nepali government strongly advocated for this scale-up. The administration incorporated single-use chlorhexidine tubes into its maternal and child health packages. In addition, it also trained health care workers for use of the antiseptic. Nurses began to use chlorhexidine at birthing centers across the country. They apply the antiseptic to the umbilical stump immediately after the cut. Its use in Nepal decreased newborn infections by 68% and decreased newborn deaths by 24%. Chlorhexidine for cord care thus became an integral part of maternal and infant health programs. Through the implementation of its new programs like this, USAID saves thousands of babies.

According to the Bill & Melinda Gates Foundation, Dalberg Global Development Advisors and the Boston Consulting Group, it usually takes more than a decade for global health innovations to develop in low and middle-income nations. In Nepal, it took around five years.

The success of USAID’s Navi Care Program is attributed to its partnering with the Government of Nepal and various organizations. USAID’s partners include MoHP, Save the Children, Plan International, Health For Life (USAID), UNICEF, One Heart Worldwide and PSI. Future initiatives should replicate USAID’s coordinated effort due to this program’s monumental success.

Nepal’s Success Serves as a Model for Others

Other nations have taken notice of Nepal’s health improvements and how USAID saves thousands of babies. Many nations sent their leaders and officials to speak with those who worked on the program to expand the use of chlorhexidine in their own countries. Following Nepal as a model, these nations have planned trials with the antiseptic gel. All program-related materials are public, supporting the global trend. As a result, Nigeria, Bangladesh, Pakistan and the Democratic Republic of Congo have begun the process of scaling up chlorhexidine to reduce newborn death rates. In particular, Nigeria has made substantial progress.

USAID’s efforts to lower infant mortality rates yielded fruitful results from a single and simple solution. As a result, it inspired efficient innovation elsewhere. This program was a tremendous global success, as USAID saves thousands of babies and makes the world a healthier place. USAID’s programs will hopefully continue to work with the governments and organizations in low- and middle-income nations to achieve the optimal adoption of healthcare initiatives.

– Mia McKnight
Photo: Wikimedia Commons

 

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5 Things to Know About Hunger in Pakistan

Hunger in PakistanPakistan is a country that has been the victim of natural disasters and chronic political and economic turmoil. These volatile conditions have led to high rates of poverty and hunger in the country. Here are five things to know about hunger in Pakistan.

Five Things to Know About Hunger in Pakistan

  1. In Pakistan, about 20% of the population is undernourished. This equates to nearly 40 million people who are not getting enough nutrients on a daily basis. This is nearly double the percentage of people worldwide who are undernourished.
  2. Poverty and food insecurity are inextricably linked. Nearly a quarter of Pakistanis live below the poverty line. In 2019, natural disasters like drought and heavy rainfall in Pakistan affected the livelihood of millions of people. In mid-2019, a drought caused acute food insecurity in the populations of seven districts, over one million people.
  3. As high as 40% of the population lives in multidimensional poverty. While 25% of Pakistanis live below the poverty line, multi-dimensional poverty takes into consideration a variety of factors beyond just a person’s income. It considers access to clean water, electricity and basic healthcare needs as well as poor infrastructure. All of these factors can impact a community’s access to food.
  4. Undernutrition and malnutrition have led to stunting in 38% of Pakistani children under the age of five. In some regions, the percentage of children who experience stunting is nearly 50%. Pakistani children experience some of the highest stunting rates in the world.
  5. Pakistan actually has a surplus of food. However, instead of being distributed to its own people, much of this food is exported. From mid-2018 to mid-2019, around a half million tons of wheat and more than seven million tons of rice were exported from Pakistan. One in five Pakistani’s are not malnourished because there is a lack of food availability, but because of socio-economic factors that prevent them from accessing the country’s abundant resources. However, even if Pakistani’s had more access to the wheat and rice resources of their country, these crops alone cannot provide a nutritious and sustainable diet.

What is Being Done

In Pakistan, there are several community-driven efforts to fight hunger and, more specifically, stunting. These groups have been able to provide nutrient supplements to more than 700,000 Pakistanis experiencing undernutrition or malnutrition.

In 2020, the Food for Peace (FFP) program, a division of USAID, has provided $2 million to UNICEF for nutrition services for children under the age of five who experience severe acute malnutrition in Pakistan. This number is much less than in previous years. In 2019, FFP provided $18 million to UNICEF and in 2018, the figure was more than $21 million.

In 2018, the Pakistani government pledged to achieve self-sufficiency in food and set a goal of eliminating hunger in the country by 2030. To achieve this goal, the government has put an emphasis on crop diversification, water management and “climate-smart” farming to reduce the catastrophic impacts of natural disasters on food security.

Pakistan is a country that has experienced political and economic turmoil for decades. These conditions coupled with the impacts of natural disasters have made undernutrition and malnutrition a huge concern in the country. While over the past several years the country has implemented initiatives to improve the food situation, the challenges surrounding food security remain and hunger in Pakistan remain a major issue.

– Jessie Cohen
Photo: Pixaby

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Zimbabwe challenges cultural gender normalities

USAID and UNESCO are working to change gender normalities in Zimbabwe by normalizing men’s contributions to household activities that are traditionally perceived as feminine. Equal division of domestic duties leads to improved child health and nutrition, as well as advancements in women’s rights. These social benefits are instrumental in alleviating poverty in Zimbabwe.

Zimbabwe and Gender Norms: An Overview

A country of 14 million, Zimbabwe has recently faced declines in public health, education, infrastructure and standard of living. Of the population, 63% of households live in poverty. Government policies and climate issues hamper farming and impact food insecurity. In addition, the country has a high burden of HIV/AIDS, tuberculosis, malaria and maternal and childhood disease.

Women traditionally hold an inferior position in Zimbabwean cultures, which are often patriarchal. Women often work for no pay in the home or in subsistence agriculture; alternatively, they perform low-paid wage work. Women cannot own or claim land except through their male relatives or husbands.

Gender Norms and Food Security in Zimbabwe

USAID and UNESCO are working to transform gender normalities in Zimbabwe, and the positive effects of these efforts extend far beyond women’s rights. Empowering women and normalizing men’s participation in the domestic sphere effectively increases the household labor force and children’s access to nutritious food. In rural Zimbabwe, one-third of children are malnourished, largely because of gender norms that lead to unhealthy feeding practices for young children.

As USAID reports, there is a close connection between women’s lack of assistance in the domestic sphere and child nutritional status. USAID wrote, “In a typical day in rural Zimbabwe, a mother must collect water, search for firewood, make a fire, cook and wash dishes, repeating this cycle for every meal. She must also spend a large proportion of the day tending to the family’s crops. Mothers simply do not have the time in the day to focus on all their responsibilities, including the childcare and nutrition necessary for the healthy growth and future productivity of their children.”

USAID’s program Indoda Emadodeni (“A Man Among Men”) holds monthly dialogues in which advocates, or Male Champions, challenge social norms and discuss the benefits of expanding men’s roles with both traditional leaders and the community as a whole. Participants in the program reported great pride in their domestic skills, including cooking, feeding and dressing infants and doing their daughters’ hair. The fathers enjoyed the closer relationships that they developed with their children. 

The program has yielded excellent results in many areas. A survey found statistically significant improvement in behaviors and support like fetching water and firewood, childcare, taking their wives to medical (including prenatal) appointments and cooking. There was also a 52% increase in joint decision-making among spouses. Rather than being stigmatized, these supportive and beneficial behaviors now elicit high praise in their communities, “uyindoda emadodeni” which translates to “you are a man among men.”

UNESCO’s Impacts

The United Nations Scientific and Cultural Organization agency is also running a project entitled “Challenging constructions of masculinity that exacerbate marginalization of women and youth,” in which the organization focuses on women’s empowerment through male engagement with gender issues. By conducting trainings and dialogues, the program leads men to reframe masculinity and reconsider their behavior.

One participant, Tichaona Madziwa, described how he “started to see [his] wife as a partner, a shareholder in this household…[and] really started to respect [his] wife’s decisions and perspectives—something that was not considered the norm.”

As he began to cook and care for his daughter, his relationship with her grew stronger. Madziwa, like the other program participants, found that the change of perspective greatly benefited him and his family.  

Normalizing men’s performance of domestic work lightens women’s workload. This, in turn, both empowers women and improves child nutrition. These USAID and UNESCO programs are effectively addressing the issues of both food security and gender normalities in Zimbabwe.

– Isabelle Breier 
Photo: Wikimedia

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10 Facts About Tuberculosis in Impoverished Countries

Tuberculosis in Impoverished CountriesThe largest infectious cause of death in the world is Tuberculosis (TB), resulting in over 4,000 deaths a day. Many factors make people living in poverty more susceptible to undiagnosed and untreated active TB, notably its interaction with HIV/AIDS. A lack of information and adequate healthcare systems also make Tuburculosis in impoverished countries a major threat, requiring a rapid response from the global community.

10 Facts About Tuberculosis in Impoverished Countries

  1. Tuberculosis is more common in impoverished countries. People in severe poverty often live and work in crowded areas with poor ventilation, which are the optimal conditions for the spread of TB.  They’re also more susceptible to conditions that lower their immune systems such as malnutrition or other infectious diseases. These factors make them more likely to catch and spread TB, as well as less likely to be able to fight it.
  2. COVID-19 is expected to increase TB. Two large effects of the COVID-19 pandemic are economic crises and quarantining. For people living in poverty, quarantining can increase the transmission of TB as households may be more crowded with less ventilation. Losing one’s job can increase undernutrition or malnutrition which lowers your resistance to TB.
  3. The cure rate is low in developing countries. The cure rate for TB in many developing countries is less than 50%. This is a result of many factors, but it is mainly because of a combination of the fear and stigma around TB in impoverished countries. It leads to delayed treatment or refusal to seek treatment, and inadequate healthcare systems in place that are tasked with treating the disease.
  4. TB often spreads because of delayed treatment or refusal to seek treatment. A person with active TB can spread it to 10-14 people a year, which may not seem like a lot, but allows cases to multiply in places that are suffering from other lethal infectious diseases as well. This makes tuberculosis in impoverished countries more deadly and harder to treat.
  5. TB interacts with HIV. HIV patients develop active TB at a much higher rate. The progression of TB and HIV is sped up when a person has both diseases, which usually leaves little room for treatment in countries that are struggling to provide adequate healthcare. Almost 70% of HIV-positive people live in sub-Saharan Africa, where 41% of people live in poverty. The risk of getting TB increases 19-fold when a patient also has HIV because of their weakened immune systems and their environment. Of reported TB cases, 56% have been among those who are also HIV-positive. This leads to at-risk individuals contracting both of these diseases which are much more difficult to treat together.
  6. Drug-resistant TB is on the rise. A strain of the TB that is resistant to the traditional course of antibiotics is starting to spread. It is particularly dangerous for people with TB in impoverished countries because many may not have adequate resources or information to follow their TB treatment methods. This results in infectious, drug-resistant strains that are harder to treat. When a drug-resistant strain of TB appeared in the U.S. during the 90s, the quick government response helped to decrease cases by 67% over five years. A similar approach would help to quell the current spread of TB in impoverished countries by providing resources that lead to better diagnoses and tracking of new infections.
  7. TB is curable and preventable. The reason people in developed countries don’t hear a lot about TB is because developed countries have better-funded healthcare systems. These systems can monitor for the disease effectively and have access to drugs that can treat it quickly. More than 95% of all TB cases and deaths happen in developing countries where healthcare systems often don’t have the same reach or resources.
  8. USAID is helping in the fight against TB. USAID focuses on providing locally generated solutions to fight TB. By training healthcare workers, USAID is able to improve the detection of TB, as well as the treatment and overall treatment success rate. In 2018 the organization was able to train 40,000 healthcare workers in key areas to fight TB in impoverished countries and saw a 14% increase in case notifications. USAID also set the tremendous goal of having another 40 million people diagnosed and enrolled in treatment, and another 30 million people enrolled in preventative therapy by 2022.
  9. Poverty and TB connect. TB cases would fall by more than 80% by eliminating extreme poverty. There is a strong link between extreme poverty and TB. If combined, programs directly targeting TB and programs targeting the eradication of poverty can help slow the transmission and increase the response rate by improving healthcare services and raising the quality of life.
  10. The TB Alliance is working to affect change. The TB Alliance is researching affordable treatment for those in need. By forging partnerships in many different sectors, this non-profit is chasing the goal of ending TB deaths. The organization is developing faster-acting drugs that can be circulated to both treat and prevent TB. This development has already transformed how TB is approached in the medical research field and could help millions of patients struggling to access affordable and fast treatment options.

Although TB poses a threat to impoverished countries, there is a lot being done to prevent TB deaths. The Global Fund is ensuring that grants are provided for countries combating the dual-threat of COVID-19 and existing diseases like TB, HIV and malaria. With effective treatment regimens already on the market and faster-acting versions in development, increased U.S. foreign aid and funding for aid programs could expedite the end of TB in impoverished countries.

– Eleanor Williams

Photo: Flickr