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Ending AIDS in Africa

Ending AIDS in AfricaAIDS (acquired immunodeficiency syndrome) is a highly stigmatized disease. Throughout history, the AIDS epidemic has brought on severe discrimination toward individuals on the basis of race, sexual orientation and socioeconomic status. The epidemic started in the 1980s, and upon arrival, it spread rapidly through marginalized communities – primarily prostitutes, drug addicts and homosexuals. AIDS is defined as the last stage of HIV (human immunodeficiency virus). AIDS and HIV are classified as STDs (sexually transmitted diseases); they are highly contagious and can cause severe flu-like symptoms. After acquiring HIV/AIDS, some expensive treatment options range from therapy to surgery to prescription drugs, however, there are currently no effective vaccines for the disease. Despite these complications, ending AIDS in Africa is a global goal.

Background of the AIDS Epidemic

The history of AIDS is controversial and incomplete. There are wide-ranging speculations regarding the origin of the virus in humans, but these are far from confirmed. In America, the AIDS crisis is commonly reported as beginning in the 1980s. The first cases, however, are believed to have occurred almost a decade earlier.

In Africa, AIDS is said to have spread to humans from chimpanzees in the early 1900s. The AIDS epidemic began on the continent in the 1970s, with the first cases being reported in the 1960s. Kinasha, Congo is commonly cited as the birthplace of the epidemic in Africa. A Cameroon traveler is said to have brought the virus to the city and from there, it began to spread rapidly. Within the next decade, AIDS reached the eastern and western parts of Africa. Coupled with diseases like tuberculosis, malaria, sarcoma, meningitis and pneumonia, Africa as a whole was nowhere near ready to deal with a new deadly disease.

The most recent update on the AIDS epidemic in Africa was in 2020. According to UNAIDS, there were 150,000 AIDS-related deaths in the region and 200,000 people were infected with HIV. Every week more than 1,000 adolescent girls and young women become infected with HIV in the region and 1.2 million people in western and central Africa are still waiting to initiate life-saving HIV treatment. Only 35% of children living with HIV in western and central Africa are being treated. Taking a step further, on a global scale, SOS Children’s Villages reports two-thirds of all HIV-infected people worldwide are Africans, which has resulted in significant social and economic consequences.

The Correlation Between AIDS and Poverty

The spread of AIDS and poverty in Africa are closely related; poverty is both the cause and effect of the disease. Due to the high poverty rate in Africa, sanitation and health care facilities are rare. Women are often restricted to the household and remained uneducated about STDs. There is also a high ratio of men in urban areas, widespread labor migration and sex workers – all contributing factors to the spread of AIDS. Overall, AIDS forces families to be ostracized from society and causes unemployment. Without a steady income or assistance from neighbors, entire families – even with only one case of AIDS – fall into poverty. Often, a family with an individual that contracts AIDS finds themselves both out of society and out of a job.

Since its arrival, the HIV/AIDS virus has targeted impoverished urban areas. Factors such as poor income levels and food insufficiency are coupled with transactional sex, which is correlated with the contraction of AIDS. Impoverished individuals are more likely to contract AIDS and because the disease is so highly stigmatized, these affected individuals become disadvantaged when looking for economic opportunities. The virus has perpetuated a cycle of poverty – one that desperately needs to be broken.

The Fight Against AIDS

Despite numerous obstacles, the U.N. and a multitude of nonprofit organizations remain committed to constricting the spread of HIV/AIDS. Recently, a U.N. Millennium Development Goal was created to end the AIDS epidemic worldwide by 2030. So far, the U.N. has stayed true to its word – the number of AIDS deaths in sub-Saharan Africa has declined by roughly 35% in recent years due to proper diagnosis and life-saving therapeutic treatments carried out by experienced U.N. physicians.

The Future of AIDS in Africa

Ending AIDS in Africa is a daunting task, however, the steps taken by leaders around the world have helped in diminishing the presence of the fatal disease. Due to the high correlation between poverty and AIDS, it is imperative that nations and organizations across the world come together to enact poverty-related reform. Through proper funding, the governments of Africa could establish proper health care facilities and set up economic and educational programs. AIDS may not have a vaccine, but there are solutions so long as international organizations remain committed to preventing its spread.

– Sania Patel
Photo: Flickr

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Updates From AIDS Conference 2022

AIDS ConferenceThe 24th Annual AIDS conference occurred in Montreal between July 29, 2022 and August 2, 2022. This was the first year the conference employed a hybrid model with both in-person and virtual speakers. As a result, researchers, advocates and leaders from 172 countries attended, and most were from developing countries.

The AIDS conference displayed many breakthroughs in HIV prevention and the intersections between sciences such as clinical, political, social and behavioral. The greatest clinical development, according to the co-chair of the conference Dr. Jean-Pierre Routy, was the research that found that the receipt of a long-acting injection shot of antiretroviral medication every eight weeks is “safe and superior” to daily oral medication.

Necessary Steps

However, though medical science is taking strides forwards, the rollout of these treatments remains behind. Esteban Burrone, the Head of Policy at the Medicines Patent Pool, described the necessary steps to promote the equitable rollout of HIV antiretroviral medication. Each country needs FDA approval, licensing, manufacturing and recommendation in guidelines for a rollout to receive approval. Things that can help fast-track product rollout in countries are “community involvement in demanding access, pursuing early licensing, securing national approval, equitable pricing agreements.” In addition, Dr. Karin Hatzold, a public health physician, discussed how access to “diagnostic strategies such as HIV self-testing… [and] operations research to optimize delivery models” are crucial for a successful rollout and introduction to products.

Reaching Rural Areas

Tackling the difficulty of delivering medications to vulnerable populations in developing countries, however, is Dr. Rosalind Parkes-Ratanshi. Parkes-Ratanshi discussed a pilot project in Uganda where medical drones help distribute HIV medication in remote locations and for mobile populations. Her medical drone project is also used for COVID-19 and STI sample delivery. Although this does not address the policy required to roll out new products in other countries, it is a step to reaching rural populations with already approved antiretroviral medication.

New Framework

Furthermore, representatives from the World Health Organization (WHO), Global Fund and the International Aids Society (IAS) presented new people-focused guidelines that the WHO has adopted to focus on structural barriers. This includes reducing stigma and eradicating “punitive laws.” The new framework also works to target key populations who make up 70% of new HIV infections according to UNAIDS. Each presenter at the AIDS conference including the WHO strives to progress the global community toward the UNAIDS 95-95-95 target, a goal that states by 2030, 95% of people living with HIV will know their HIV status, 95% of people who know their status will be receiving treatment and that 95% of people on HIV treatment will have an undetectable viral load making the chance of infecting others very low.

PEPFAR News

PEPFAR, the U.S. President Emergency Plan for AIDS Relief, announced that 5.5 million babies across the world have been born HIV-free due to the program’s efforts. PEPFAR’s efforts to expand treatment and prevention services to many target populations across the globe have reached millions. U.S. Global AIDS Coordinator and Special Representative for Health Diplomacy Ambassador-at-Large Dr. John Nkengasong described the prevention program that made this possible. “In collaboration with countries, communities, and our partners, PEPFAR supported comprehensive HIV prevention programming for adolescent girls and young women, voluntary medical male circumcision, and we scaled up treatment for women and men with viral suppression.” Other PEPFAR announcements included reaching the 90-90-90 UNAIDS target in at least 12 “high HIV disease burden countries” and treating approximately 20 million men, women, and children with antiretroviral medication.

These were only a fraction of the many positive advancements that researchers discussed at the 2022 AIDS conference. Much progress has occurred in understanding other barriers such as the social, political and economical barriers to reach the UNAIDS 95-95-95 goal by 2030. Check out the AIDS 2022 website for more information about the 24th Annual AIDS conference.

– Jordan Oh
Photo: Flickr

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5 Charities Operating in Kosovo

Charities Operating in KosovoKosovo, the smallest country in the Balkans, ranks as “one of the poorest countries in Europe,” struggling with its newfound freedom since declaring independence from Serbia in February 2008. This partially recognized state is home to around 1.8 million people, but Kosovars continue battling for international recognition and an improved economic outlook. With its most recent data in 2015, the World Bank reports that the country has a 17.6% national poverty rate, significantly higher than many European counterparts. As the nation contends with more than 300,000 impoverished Kosovars, five charities operating in Kosovo are making a difference.

5 Charities Making a Difference in Kosovo

  1. Sunny Hill Foundation. Dua Lipa, a world-renowned singer and songwriter, established the Sunny Hill Foundation in 2016 to advance the quality of life for Kosovars. The organization based in Pristina, Kosovo, works to improve Kosovan society, focusing on helping the country’s most vulnerable residents. The Sunny Hill Foundation raises money to donate to local cultural institutions and NGOs, with a requirement of only contributing to volunteer-led organizations. In 2018, this charity contributed €100,000 to 17 local institutions with focuses ranging from educating special needs children to advancing artistic talent. As a result of Lipa’s efforts to support the nation through the Sunny Hill Foundation, in August 2022 she became an honorary ambassador of Kosovo.
  2. The Ideas Partnership. This is a volunteer organization established in 2009 that focuses on improving education in Kosovo. The organization generally focuses on vulnerable ethnic groups in Kosovo, namely the Roma, Ashkali and Egyptian communities. Completed projects include sending 10 blind children to learn Braille and providing a kindergarten education for 30 children. One ongoing project assists six families with access to nutritious food. Through its network of volunteers, the Ideas Partnership is advancing opportunities for minority communities in Kosovo to increase their quality of life.
  3. PL4Y International. Since 1999, PL4Y International has promoted youth engagement in sports to encourage educational attainment and spur societal change. The NGO has helped more than 500,000 children across 15 countries through its programs. In Kosovo, PL4Y International launched a project called “YOUth can change the future for Kosovo,” concentrating on bridging ethnic, religious and cultural differences in Kosovan society through child sports. As Kosovars struggle to overcome the lasting societal impacts of the Kosovan 1998-1999 conflict and the lingering uncertainty associated with the nation’s international status, PL4Y International is working to bring Kosovan youth together and build a more promising future.
  4. Action for Mothers and Children (AMC). Also known as Akcioni per Nena dhe Femije, AMC concentrates on improving maternal and child health in Kosovo. Since the organization’s founding in 2013, AMC has specialized in projects focusing on education, fundraising, research and advocacy. AMC successfully developed five Women’s Health Resource Centers in Kosovo, helping to educate thousands of women on their pregnancies, deliveries and newborns. In August 2016, AMC expanded its services to an online platform called Beba-ks, offering remote assistance in English, Serbian and Albanian to deliver evidence-based information to new and expecting parents.
  5. HALO Trust. Beginning in 1988, the HALO Trust has worked to unearth landmines and prevent fatalities in former war-torn communities. Because of the 1990s conflict between Yugoslav forces and the Kosovo Liberation Army, landmines and other unexploded ammunition remain buried throughout Kosovo, presenting a fatal threat to Kosovan communities. Since then, 580 people faced injuries and fatalities in Kosovo due to these remaining explosives, driving the HALO Trust’s mission to remove and dispose of these threats. These ready-to-explode landmines are especially dangerous for poor Kosovans in rural areas. Many farmers, for instance, risk their lives by simply going into a field to maintain their crops. Therefore, the work of the HALO Foundation in Kosovo is critical to improving the lives of impoverished Kosovars.

Looking Ahead

From sponsoring youth sports and opening centers for reproductive health to unearthing landmines, these charitable institutions are truly improving Kosovan society. These philanthropic organizations are helping Kosovo achieve a brighter future with less poverty and fewer societal divisions.

– Michael Cardamone
Photo: Flickr

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HIV/AIDS in Belgium

HIV/AIDS IN BELGIUMAccording to a study by BMC Infectious Diseases, HIV/AIDS in Belgium is “largely concentrated among men who have sex with men and sub-Saharan Africans.” According to 2011 data from the Belgian government, 98.2% of patients had links to HIV care, 90.8% were in care and 83.3% were receiving antiretroviral therapy. However, these statistics were disproportionate for certain sections of the population where sub-Saharan Africans on ART had less viral suppression while there was higher retention in care of men who have sex with men.

After carrying out a study, an organization called BREACH (Belgian Research on AIDS and HIV Consortium) concluded that potentially the weakest part of efforts to suppress the HIV/AIDS epidemic in Belgium was the undiagnosed HIV-infected population, which estimates have stated is around 20%. This was particularly prevalent amongst migrants in Belgium and it is a problem that requires attention.

There is also a link between poverty and those suffering from HIV/AIDS. When the Journal of the International AIDS Society conducted research into the link between AIDS and poverty, the results were that vulnerabilities relating to migration such as economic hardship and barriers to HIV testing mean that non-citizens are more likely to become infected by HIV/AIDS.

The Progress

Better sexual health awareness and an increase in levels of screening are some methods that have helped HIV/AIDS patients in Belgium live longer and enjoy better health. A research organization named Sciensano which targets health and disease has contributed to HIV/AIDS research in Belgium and has recorded encouraging statistics over the past few years. Based on a 2017 report, Sciensano found that there was a 2% decrease in HIV/AIDS transmission since 2016 and 27.5% compared with 2012.

The study also notes that “HIV transmission by intravenous drug use is exceptional in Belgium and was only reported for 1% of the HIV diagnoses in 2017.”

Belgium’s National Strategic Plan

A step that the Belgian government took to reduce the transmission of HIV/AIDS was the implementation of its National Strategic Plan on HIV in 2013. The monarchy of Belgium also endorsed this plan, which had three main goals: preventing HIV/AIDS, providing testing and treatment of HIV/AIDS and providing care and support. In setting up the plan, the government ensured it would specifically target vulnerable groups such as migrants.

In conclusion, Belgium has made significant progress in tackling HIV/AIDS. Government initiatives coupled with the work of other organizations have been effective enough to reduce levels of HIV/AIDS in the country and are a step forward for marginalized groups that the disease impacts the most.

– Claire Dickson
Photo: Flickr

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War Puts HIV-Positive Ukrainians at Risk

HIV-positive UkrainiansThe war in Ukraine disrupted its supply chain of HIV medication and necessary health services. More than 40 health facilities that provided services for HIV treatment and prevention are now closed. What is more, it may not be safe for HIV-positive Ukrainians to leave their shelters to pick up their medications, and even if it is, pharmacies are not guaranteed to have the drugs. People fleeing also do not have adequate amounts of medication. They may have a one-month or two weeks supply, but not enough to sustain them before they have access to more medication. The people in Russian-occupied territories along with those who are unable to relocate to a safe place are currently the most vulnerable.

HIV Medication Explained

Antiretroviral therapy (ART) involves taking a combination of HIV medications daily. Though ARTs are not a cure for HIV, they help prevent transmission and let HIV-positive people live longer healthier lives. ART reduces a person’s viral load, the amount of HIV in a blood sample, to an undetectable level. If a person’s viral load level is undetectable, meaning that a viral load test cannot detect it, then that person cannot transmit HIV to others.

Before the war, approximately 260,000 people were living with AIDS. Of this population, only 58% had access to daily antiretroviral medications. Now, with the war resulting in reduced access to ARTs, UNAIDS reported the possibility of the “resurgence of Ukraine’s AIDS pandemic.”

How PEPFAR Has Been Providing ARTs

HIV-positive Ukrainians are now depending on international support for treatment. The United States President Emergency Plan for AIDS Relief (PEPFAR) invested $13 million in antiretroviral medications for Ukrainarinas in need. PEPFAR began in 2003 and is the largest commitment by any nation to address one disease. Its funding, which totals more than $100 billion, includes funding for the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund). The Global Fund also provided emergency aid for ART medication in Ukraine.

The first wave of medication from PEPFAR delivered 18 million doses of ARTs to the Public Health Center of the Ministry of Health in Ukraine and 100% Life, the “largest organization of people living with HIV in Ukraine” to distribute. This portion of life-saving treatment will cover six months of treatment for HIV-positive Ukrainians, less than that of PEPFAR’s commitment to cover one year, or 51 million doses of ART medication in Ukraine. PEPFAR flew the antiretroviral medications to Poland. From there, trucks transported the medication to medical facilities in Ukraine.

UNAIDS’ Efforts

Civil society organizations are making great efforts to distribute drugs and medical supplies to vulnerable people in locations that are difficult to reach. UNAIDS put forth an initial $200,000 in emergency funds for medical supplies to be distributed in seven cities with large HIV populations: Chernihiv, Dnipro, Kharkiv, Kryvy Rih, Kyiv, Odesa and Poltava. UNAIDS has requested an additional $2.24 million to fund civil service organizations in Ukraine that are providing HIV treatment and refugees in other countries that are experiencing HIV. Civil society organizations that receive support from UNAIDS are helping to get HIV-infected individuals ARTs in the Republic of Moldova and the European Union. In addition, the World Health Organization (WHO) helped push Viiv Healthcare, a pharmaceutical company, to provide HIV medication donations to the Czech Republic, Poland and other countries in the European Union that are hosting Ukrainian refugees.

The war in Ukraine has deepened the threat of HIV deaths for positive Ukrainians. Although foreign aid has played a pivotal role in obtaining and dispersing antiretroviral medications throughout the nation and to Ukrainians abroad, there is still a high demand for ARTs in difficult locations and to continue after the one-year investment from PEPFAR concludes. Ukraine’s Public Health Center created a website with more support for HIV-positive people. The website includes information about where individuals can continue ART therapy and provides information about how to find HIV help. It also provides contacts for Ukrainian refugees with HIV. The need to get medication to HIV-positive Ukrainians is urgent, and the threat of another AIDS pandemic is not over.

– Jordan Oh

Photo: Flickr

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HIV/Aids in the Democratic Republic of Congo

HIV/Aids in the Democratic Republic of CongoHIV/Aids in the Democratic Republic of Congo is one of the most prevalent diseases in the country as well as sub-Saharan Africa. However, several organizations are stepping up to try and eliminate HIV and provide better lives for African citizens.

The Problem

HIV/Aids is a problematic virus infecting Sub-Saharan Africa. According to statistics on the African Mission Healthcare website, around 66% of new HIV-related infections come from Sub-Saharan Africa. Additionally, 520,000 people are living with HIV/Aids in the Democratic Republic of Congo.

There is also a gender disparity between those in the Democratic Republic of Congo living with the virus and those receiving treatment for it. Among the Congolese citizens living with the virus, more than 60% of them are women. Also, only 57% of people living with HIV in the Democratic Republic of Congo are being treated with antiretroviral therapy. Men are receiving the most treatment at more than 72%.

There is also an issue among children in the nation where 68,000 people under the age of 14 have HIV and only 25% have antiretroviral therapy treatments.

The Solution

Several organizations around the world recognize this issue amongst Congolese and Africans as a whole and are working in multiple ways to help fight the struggles that come from this virus.

African Mission Healthcare is one organization at the forefront of combating HIV and other health-related issues in Sub-Saharan Africa. The organization was founded by Dr. Jon Fielder with his friend and entrepreneur Mark Gerson. It has taken steps to change the lives of African citizens by focusing on Mission hospitals around the continent.

Fielder and Gerson recognized that Mission hospitals provide one-third of all medical care in Africa and play a big part in training the next generation of health care professionals on the continent. From this, African Mission Healthcare invests financially into these institutions to provide accessible and friendly healthcare for those in Africa along with adequate training to have many professional workers in the future. Since its inception in 2010, African Mission Healthcare has invested more than $30 million into healthcare functions in Africa such as training, clinical care, and infrastructure projects with more than 45 mission hospital partners. These investments have enabled care for almost 700,000 patients in Africa and will be able to hold almost 10 million future patient visits.

Other Assistance

Other organizations including UNAIDS provide funding for projects such as The Observatory Project, which is designed to guide future national policies to support better healthcare access against HIV and other diseases. The United Nations Office on Drugs and Crime created the Observatory. It is a vessel of information to provide better resources for controlling and eliminating HIV in vulnerable areas. For the Democratic Republic of Congo, the goal is to provide more antiretroviral therapy. To take action, the Democratic Republic of Congo made its catch-up plan in 2016, with the goal to more than double the number of citizens receiving antiretroviral therapy from 80,000 to 200,000. The country also had an HIV testing campaign to determine the statuses of two million citizens in the country for essential need of antiretroviral therapy.

The United Nations also sets up fundraising pages to aid those in need in crisis locations. One page was made for the Democratic Republic of Congo for a variety of anti-disease and poverty issues to improve the lives in the Democratic Republic of Congo. This benefits both medical access for those living in the country while also helping the United Nations humanitarian partners provide food services to the malnourished affected by disease epidemics. According to the central African humanitarian fund in 2021, the United Nations received $34.3 million, and 1.3 million people received food and medical assistance.

A Look Ahead

HIV/AIDS in the Democratic Republic of Congo and Sub-Saharan Africa is a serious problem. However, through actions similar to fundraising, providing care programs and extensive research steps, work is being done to eliminate HIV/Aids and help millions to prosper.

– Alex Havardansky
Photo: Flickr

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Child Poverty in Guinea Persists

Child Poverty in Guinea
Guinea is a country located on Africa’s west coast. While it is small, Guinea has some of the largest deposits of iron in the world and has a valuable amount of agricultural and natural resources. However, the country continues to have high poverty rates, with 43.7% of Guineans living below the poverty line in 2018. This situation is primarily due to political unrest and a lack of investment in the country’s infrastructure. Child poverty in Guinea also became exacerbated by poor healthcare and a lack of protection against labor and trafficking.

Health in Guinea

Health in Guinea has been a constant issue that contributes to poverty. The average life expectancy for men is 53 and the average life expectancy for women is 56. Moreover, the infant and maternal mortality rates are high because there is a lack of medical resources in Guinea. Numerous children die from curable and preventable diseases, such as yellow fever, polio, measles and malaria.

Furthermore, the Ebola outbreak in 2014 shed light on other healthcare issues in Guinea. Guinea was one of the Ebola epicenters and, unfortunately, there were not enough doctors, nurses, beds or equipment to aid those in need. With every available resource needed to fight the outbreak, treatments for preventable medical conditions were often not available. Additionally, child malnutrition rose because of the Ebola epidemic, as food prices went up and many families could not afford to eat. Roughly 320,000 children under the age of 5 need medical treatment for malnutrition.

Child Labor and Trafficking

It is estimated that there are about 5.6 million children under the age of 18 in Guinea. Roughly 670,000 of them are growing up without their parents. Many of these children have lost their parents because of AIDS. The significant number of orphans has forced children to work, which is a violation of human rights. There is a lack of oversight for mining activities, so children often end up working in the dangerous conditions of the mines. The harmful substances in mines are dangerous and unsuitable for adults, let alone children. Additionally, children who work in the mines generally drop out of school because they are not able to work and receive an education at the same time.

Child poverty in Guinea has also resulted in child trafficking and sex trafficking. However, there is a concerning lack of data on this topic. Child trafficking remains a big concern in Guinea. In court cases, many of the alleged perpetrators go unpunished. Furthermore, the victims of trafficking are not given the support they need to reintegrate into society.

SOS Children’s Villages

To improve the lives of children in Guinea, it is imperative that support, healthcare and education are provided at an early age. SOS Children’s Villages is an organization that supports children who do not have parental care. With the help of donors, governments, communities and other organizations, it assists impoverished communities and disadvantaged children. SOS Children’s Village’s strategy is solely geared toward sustainable development goals in areas such as child protection, poverty, education, health, inequality and proper work hours. The organization works with locals to aid families that are vulnerable to poverty, so young children can grow up with their families

– Candice Lewis
Photo: Flickr

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The United States’ Continued Efforts to Combat AIDS

Efforts to Combat AIDSAcquired immune deficiency syndrome (AIDS) has plagued the world since 1981. The global AIDS pandemic has infected more than 65 million people around the world since its arrival, with more than 30 million deaths from AIDs-related causes. The impact of AIDS has resulted in a worldwide effort to discover methods to treat and cure the disease. To date, significant progress has been made in the fight against AIDS. However, more needs to be done and the United States has shown continued commitment to support efforts to combat AIDS globally.

AIDS and the Global Poor

While AIDS is a global problem, it has disproportionately affected poorer regions since its arrival. Africa in particular has a significant number of people living with AIDS. Out of the 1.7 million newly infected people around the world in 2019, 990,000 people resided in Africa alone. The disproportionate numbers in poorer regions as compared to wealthier nations could be attributed to lack of quality healthcare and preventative education. However, continued efforts are being made to address the global AIDS pandemic.

Congressional Efforts to Combat AIDS

The United States has been a leader in progress against the AIDS pandemic. It has made significant efforts to contribute its resources to fight the AIDS pandemic, and tangible results have emerged. For example, the President’s Emergency Plan for AIDS Relief (or PEPFAR) has contributed over $85 billion since its inception in 2003 to AIDS research and prevention, thus preventing millions of infections.

The United States Government has indicated that it has no interest in slowing down support for the cause through efforts to combat AIDS. For example, the Global Health Programs section of Title III in House bill H.R.7608, the State, Foreign Operations, Agriculture, Rural Development, Interior, Environment, Military Construction, and Veterans Affairs Appropriations Act of 2021 specifically outlines Congress’ plans for AIDS-related contributions in the coming years.

Introduced by Rep. Nita M. Lowey [D-NY] on July 13, 2020, the bill appropriates more than $3.2 billion for USAID through 2022. A portion of these funds will be devoted to programs for the prevention, treatment and research of HIV/AIDS, providing assistance to communities severely affected by HIV/AIDS. The bill also appropriates more than $5.9 billion through 2025 for HIV/AIDS research, prevention and treatment efforts, including a $1.56 billion contribution to the Global Fund to Fight AIDS. This all coincides with the billions of dollars already spent in the last decade to combat AIDS globally.

AIDS Progress

As with most issues, funding and resources are necessary to make progress in the AIDS pandemic. The vast majority of new infections occur in countries and regions with weaker finances, poorer healthcare and less quality education, such as Africa and Southeast Asia. It is easy to see that these efforts by the United States and other wealthy nations are invaluable to progress. A particular stride made thus far is that the cost of AIDS treatment drugs has decreased from $10,000 a person to $100 a person in the past 20 years. This has allowed more than 8 million people in impoverished regions access to AIDS treatments. This particular result could be attributed to years of research that the United States and other nations have contributed billions of dollars to maintain. Continued funding will improve the good work that has already been done, such as furthering cost reduction measures on AIDS-related drug treatments as well as further quality education on prevention strategies in regions where AIDS education is sparse.

With continued support and efforts to combat AIDS from wealthier nations such as the United States, even greater strides can be made in combatting AIDS globally.

– Domenic Scalora
Photo:  Flickr

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Female Empowerment Eliminating HIV In Kenya

Eliminating HIV In Kenya

The HIV/AIDS epidemic in Africa affects adolescent girls more than any other group within the population. As a public health response, a new approach for the elimination of HIV in Kenya emerged which addresses the gender and economic inequality that aid in spreading the disease. This new approach is related to female empowerment eliminating HIV in Kenya with new effective methods.

Health Care System in Kenya

Kenya is home to the world’s third-largest HIV epidemic. Kenya’s diverse population of 39 million encompasses an estimate of 42 ethnic tribes, with most people living in urban areas. Research shows that about 1.5 million, or 7.1 percent of Kenya’s population live with HIV. The first reported cases of the disease in Kenya were reported by the World Health Organization between 1983 to 1985. During that time, many global health organizations increased their efforts to spread awareness about prevention methods for the disease and gave antiretroviral therapy (ART) to those who were already infected with the disease. In the 1990s, the rise of the HIV infected population in Kenya had risen to 100,000 which led to the development of the National AIDS Control Council. The elimination of HIV in Kenya then became a priority for every global health organization.

The health care system in Kenya is a referral system of hospitals, health clinics, and dispensaries that extends from Nairobi to rural areas. There are only about 7,000 physicians in total that work within the public and private sector of Kenya’s health care system. As the population increases and the HIV epidemic intensifies, it creates more strenuous conditions for most of the population in Kenya to get the healthcare they desperately need. It is estimated that more than 53 percent of people living with HIV in Kenya are uninformed of their HIV status.

In addition, HIV disproportionately affects women and young people. After an initiative implemented by UNAIDS in 2013 to eliminate mother-to-child transmission of HIV through increased access to sex education and contraceptives, significantly fewer children are born with HIV. Today, 61 percent of children with HIV are receiving treatment. However, the young women (ages 15-24) in Kenya are still twice as likely to be infected with HIV as men their age. Overall HIV rates are continuing to decrease for other groups within the population, but studies show that 74 percent of new HIV cases in Kenya continue to be adolescent girls.

Female Empowerment Eliminating HIV in Kenya

Women’s empowerment is an overarching theme for the reasons that HIV is heavily impacting the young women in Kenya. A woman’s security in the idea that she is able to dictate personal choices for herself has the ability to hinder or help her well-being.
Female empowerment eliminating HIV in Kenya uses these four common conditions to eliminate HIV:

  1. Health Information – Many girls in Kenya lack adequate information and services about sexual and reproductive health. Some health services even require an age of consent, which only perpetuates the stigma towards sexual rights. Also, the few health services available are out of reach for poor girls in urban areas.
  2. Education – A lack of secondary education for young women and girls in Kenya often means that they are unaware of modern contraceptives. A girl that does not receive a secondary education is twice as likely to get HIV. To ensure that adolescent girls have access to sexuality education, the 2013 Ministerial Commitment on Comprehensive Sexuality Education and Sexual and Reproductive Health and Rights in Eastern and Southern Africa guaranteed that African leaders will commit to these specific needs for young people.
  3. Intimate partner violence –  Countless young women and girls have reported domestic and sexual violence that led to them contracting HIV. Something as simple as trying to negotiate contraceptive use with their partners often prompts a violent response. There has been an increased effort to erase the social acceptability of violence in many Kenyan communities. An organization called, The Raising Voices of SASA! consists of over 25 organizations in sub-Saharan Africa that work to prevent violence against women and HIV.
  4. Societal norms – Some communities in Kenya still practice the tradition of arranged marriages, and often at very young ages for girls. The marriages usually result in early pregnancy and without proper sex education, women and babies are being infected with HIV at a higher rate. In 2014, the African Union Commission accelerated the end to child marriages by setting up a 2-year campaign in 10 African Countries to advocate for Law against child marriages. Research suggests that eliminating child marriages would decrease HIV cases, along with domestic violence, premature pregnancies by over 50 percent.

Young women in Kenya face various obstacles in order to live a healthy life, and poverty acts as a comprehensive factor. Studies show that a lack of limited job opportunities leads to an increase in high-risk behavior. Transactional sex becomes increasingly common for women under these conditions, while they also become more at risk for sexual violence. An estimated 29.3 percent of female sex workers in Kenya live with HIV.

Solution

The most practical solution to tackling the elimination of HIV in Kenya combines HIV prevention with economic empowerment for young girls. The Global Fund to fight AIDS, Tuberculosis and Malaria is an organization that has worked hard at implementing strategies, and interventions across Africa that highlight women’s access to job opportunities and education. In 10 different countries in Africa (including Kenya), young women can attend interventions in which they learn about small business loans, vocational training and entrepreneurship training. One way that more women in Kenya are able to gain control over their financial resources is by receiving village saving loans. To participate in village saving loans it requires a group of 20-30 to make deposits into a group fund each week. Women within these groups can access small loans, which enables them to increase their financial skills while gaining economic independence. The Global Fund to fight AIDS has cultivated a space for numerous empowerment groups for young women out of school called the RISE Young Women Club. The young women in these clubs often live in poverty and receive HIV testing as well as sexual health education.

Overall, the global health programs that aid in the elimination of HIV in Kenya are continuously improving their strategies by including young women in poverty. The HIV/AIDS epidemic in Kenya steadily sees progress thanks to the collective efforts of programs that empower young women.

– Nia Coleman
Photo: Flickr

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4 Innovative Clean Fuel Solutions

Clean Fuel Solutions

Today, 40 percent of the world lacks access to clean fuels and technologies for cooking. As a result, traditional wood, charcoal and kerosene fuels cause indoor air pollution claiming around 1.5 million lives per year. Fortunately, a number of organizations are taking up the mantle to introduce clean fuel solutions for the world’s poor. Keep reading to learn more about these top innovative clean fuel solutions.

4 Innovative Clean Fuel Solutions

  • KOKO: KOKO is a small portable stove that uses bioethanol. The business model relies on mobile banking which enables users to buy a KOKO and clean fuel by paying for it in installments. KOKO partners with fuel majors so its model requires significantly lower upfront capital expenditures compared to other clean cooking fuels. As a result of its decentralized sales points and mobile/cloud technology, its model delivers bioethanol fuel closer to customers. When taking imported ethanol and taxes into account, it is also the cheaper option at 85 cents per liter.
  • BBOXX: BBOXX is similar to KOKO in that it uses mobile technology and installment payments. BBOXX engages in the same process as KOKO but also has BBOXX Pulse. The BBOXX Pulse device collects data and insights letting the company provide its services to previously unreachable populations. BBOXX also detects when fuel is depleted letting the user know the fuel cost and replenishing the fuel supply. It currently operates in 12 countries and has been sold in more than 35. BBOXX received a $15 million investment from a number of companies most recently Oikocredit. With this investment, the company experienced a rapid scale-up of its business model allowing BBOXX to reach key regions in Rwanda and Kenya.
  • Biogas device – Omer Badokhon: Omer Badokhon invented a small-scale biogas system that converts waste into clean fuel. The device is created from plastic or fiberglass and works by using specially designed fermenting chambers. This device then takes food scraps and converts them into biogas. Badokhon won the “Young Champions of the Earth” award from the U.N. Environment Programme and is building the first group of units with the prize money. The units have been piloted in 1,500 rural homes in Shabwa, Sanaa, Hadramout, Ibb, Taiz and Aden. Badokhon also received $10,000 from the Yemeni oil company PetroMasila to complete his research. Not only does the biogas device create clean fuel, reducing pollution, respiratory illness and death, but it also has the potential to reduce cholera rates. By recycling, waste should not be as big of a problem as it is a major contributor to cholera.
  • HomeBioGas: Another clean fuel solution is HomeBioGas. HomeBioGas is an invention that uses bacteria rather than electricity, naturally breaking down organic matter to turn it into either cooking gas or fertilizer. HomeBioGas performs bacterial anaerobic digestion of organic waste, for example, food scraps or animal manure. It also has two filters, a bio-filter that reduces odors as well as a chlorine filter that eliminates pathogens. The device itself is an easy-to-assemble kit, making it a perfect fit for villages in places like Palestine and Uganda. There are an estimated 70 different countries that are interested in having their own HomeBioGas devices and are willing to distribute them throughout their respective countries. An Indiegogo campaign raised 200 percent of the company’s $100,000 target, thus it is now launching globally.

– Nyssa Jordan
Photo: Flickr