Tag Archive for: Child Mortality

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Addressing USAID’s Support for Children Around the World

USAID's support for children
Among the groups that the U.S. Agency for International Development (USAID) aims to support, children across the world are a top priority. From health-related aid to education opportunities and protection from violence, USAID’s support for children employs a variety of means to help kids survive and grow despite poverty and other adversities.

USAID Addresses Preventable Child Mortality

An important aspect of USAID’s support for children is access to medical assistance. An overwhelming 75 percent of child deaths under the age of five results from newborn deaths and treatable diseases: pneumonia, diarrhea and malaria. These illnesses could be effectively countered by timely low-technology treatments, which USAID attempts to provide on the local level by bolstering public-private engagement and promoting Integrated Community Case Management (iCCM).

USAID strengthens iCCM programs that train and assist with local community members treating children. Such programs provide vital medical care on the ground in communities that are often hard to reach. USAID helps construct sustainable networks of monitoring and evaluation, clinical referral, supportive supervision and more, which in turn ensure the functioning of iCCM programs.

A USAID-supported iCCM program in Zambia led to a 68 percent early treatment rate of childhood pneumonia. USAID’s efforts to treat malaria have reached millions of children in Tanzania alone, where 70,000 people die from the disease annually. Within a decade, simple preventative action and treatment by community health workers have contributed to a 28 percent decrease of child mortality rate.

USAID’s Support for Children: A Comprehensive Action Plan

USAID’s efforts to help children around the world are not limited to medical care. USAID, together with other U.S. government departments and agencies, launched the ambitious and comprehensive five-year U.S. Government Action Plan on Children in Adversity in 2012. Backing the plan is Public Law (PL) 109-95, signed in 2005 to amend the Foreign Assistance Act of 1961, which asks the U.S. government to effectively respond to vulnerable youths in low and middle-income nations.

USAID’s support for children is wide-ranged and well-coordinated under the Action Plan, focusing on the value of investing in boys and girls in order to achieve long-term economic and social progress. Among those receiving aid are children affected by HIV/AIDS, those living outside of family care, those who have been trafficked, those under sexual violence or exploitation and more.

Interventions employed by the Action Plan are evidence-based, meaning they are both effective and instructive for further action in the future. Such actions include improving the families’ socioeconomic status, rescuing youths suffering from the worst forms of child labor, promoting protective family care and protecting the education of both children and their surrounding communities.

According to the most recent annual report for Congress, the plan has reached millions of young lives since 2012. Understanding the significance of nutrition, especially in the first thousand days of life, USAID and Food for Peace sent food assistance to approximately 20 million children in 61 countries with funds from Fiscal Year 2015. Children separated from their families in 11 countries received help from USAID to return to family care.

Effective Utilization of the Private Sector

Many of USAID’s support for children take place in the private sector, via public-private engagement as well as recent “development impact bonds.” Public-private engagement is manifest in USAID’s Strengthening Health Outcomes through the Private Sector (SHOPS), which increases the ready supply of diagnostic and treatment-related products. The program works with local manufacturers and importers and also informs health workers regarding the appropriate use of medical knowledge and tools.

In December of 2017, USAID launched a new development impact bond for India, the Utkrisht Bond, that mobilizes private capital to make improved healthcare accessible to 600,000 women, aiming to save up to 10,000 mothers and their newborns. With private capital enabling an initial investment, USAID and Merck for Mothers will only follow up with its $4.5 million commitment after the development goals are realized, ensuring the effectiveness of aid.

Innovative, sustainable and replicable efforts such as these are consistent with USAID’s mission to help developing countries so that they eventually grow out of the need for aid. Continued assistance from the U.S. agency will ensure that millions of children around the world are given the help they need for a better future.

– Feng Ye
Photo: Flickr

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The Nation With the World’s Lowest Life Expectancy

The widespread poverty, hunger and disease in Central Africa has consistently resulted in the lowest life expectancy in the world. While the global average of life expectancy has risen by roughly five years in the past two decades, central African countries continue to dwell at the statistical bottom. At a typical life expectancy of 50 years, the global community must increase funding and accountability to ensure that poverty and disease cease their decimation of central African populations.

The central African country of Chad was estimated to have the lowest life expectancy in the world for 2017. Chad is a country of 12 million people, 40 percent of which live below the poverty line. While the country began oil production in the early 2000s, Chad’s poverty rate is expected to continue its rise. In part, this is due to the country’s high mortality rate and low life expectancy. To gauge the ability of the U.S. and other developed nations to help increase Chadians’ average lifespan of only 50.60 years, it is first necessary to examine the causes of death.

Early Deaths

Children in Chad die from all sorts of illnesses, from malaria and respiratory infections to prematurity and diarrhea. Because so few Chadians have access to birth control, as only approximately five percent use contraception, the birth rate in Chad is growing. 43 percent of the population is aged 14 or younger, and that figure is rising. The risk of dying by this young age is 44 percent for boys and 39 for girls, as of 2012.

Furthermore, Chad has the third highest maternal mortality rate in the world. Extreme poverty, poor to no maternal health care and adolescent pregnancy has contributed greatly to the high maternal death rates. In a country with the lowest life expectancy in the world, the extreme poverty rates must decrease and better access to maternal healthcare is essential if the country is to improve.

Diseases

Chad, like many African nations, is no stranger to disease. Lower respiratory diseases, malaria, HIV/AIDS and diarrhoeal infections are dangerously common. Lower respiratory infections alone killed 24,700 people in 2012. The risk factors for falling prey to these diseases are lack of adequate healthcare, a rarity of potable water and the hot and arid climate. As the largest of Africa’s landlocked countries, Chadians are forced to walk long distances for water.

As only 28 percent of the population lives in urban areas, the vast majority of Chadians do not have quick access to necessities such as water and healthcare. As the country with the world’s lowest life expectancy, it is vital that Chad provide better access to these basic human needs to the entirety of its landscape.

The U.S. is in a unique position to provide monetary and medicinal assistance. Maintaining accountability with the Chadian government regarding these resources would be the most effective way to ensure that taxpayer dollars are going to good use and can be reflected by a rising life expectancy for the people of Chad, and all over Central Africa.

– Eric Paulsen

Photo: Flickr

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Inarguable Link: Child Mortality and Maternal Education

Child Mortality and Maternal Education
The link between child mortality and maternal education is clear: educating mothers directly impacts the health of their babies. Even small improvements in maternal education help to fight child mortality that causes 16,000 deaths each day, primarily in developing countries. This stresses the global need for equality in education- particularly in accounting for the needs of women and mothers who are disproportionately denied educational opportunities around the world.

In 2011, 6.1 million children under the age of five died of preventable causes in low- and middle-income countries. An estimated 49% of those deaths were preventable had the mothers of the children received a secondary school education. Even when mothers only acquire a primary school education, they reduce the chances of their children dying from diarrhea by eight percent and malaria by 22%. UNESCO explains that when a baby is born to a literate mother, he or she is 50% more likely to live past five years old.

Many similar figures are available, all with the same key findings: as maternal education increases, child mortality decreases. Malnutrition, lack of immunization, preventable illnesses and birth complications–responsible for millions of premature child deaths around the world every year–are significantly reduced by redirecting the relationship between child mortality and maternal education.

Literacy and education provide mothers with knowledge of sanitation, nutrition, health and safety to better care for their children. For example, literate mothers are more likely to purify water and seek out healthcare if they notice their child getting sick. Mothers who can read and write are 23% more likely than illiterate mothers to acquire the help of a birth attendant, avoiding birthing complications that perpetuate heightened rates of child mortality.

The relationship between child mortality and maternal education represents a global health inequity. Women make up an estimated two-thirds of the world’s illiterate adult population, and 60% of countries do not provide equal access to education for males and females. Child mortality is most common in low income and developing nations.

The World Health Organization explains that there are eleven times more child deaths under the age of five in low-income countries than in high-income countries as of 2015.

This means that equality for all people in access to education is viable as a way to fight poverty and combat child mortality. UNESCO emphasizes that “there are few more dramatic illustrations of the power of education” than its ability to save lives when gender equality is enhanced. The United Nations summarizes that gender equality in education “raises economic productivity, reduces poverty, lowers infant and maternal mortality and helps improve nutritional status and health” emphasizing equality as a necessity for sustainable development.

Improving maternal education remains both a key obstacle and a prospect for fighting these global inequities. The 53% global drop in deaths under the age of five from 1990 to 2015 reiterates that recent advancements successfully decreased child mortality and related issues.

This reaffirms that redirecting the link between child mortality and maternal education to a poverty reduction force is possible. Education is key to such a necessary development for mothers and their children.

– Cleo Krejci

Photo: Flickr

Huge Global Decrease in Child Mortality Since 1990


Between 1990 and 2015, there was a significant global decrease in child mortality. The number was reduced from nearly 14.2 million deaths in 1990 to just over 7.2 million in 2015. It was only recently, in 2015, that the number of deaths for children under age five dropped below six million.

Around one-third of the world’s nations have reduced their child mortality rates by two-thirds. In another 74 countries, the number has been reduced by one-half.

In a study conducted by the Global Burden of Disease Child and Adolescent Health Collaboration, health in children under the age of 19 in 195 countries was studied and examined. The report defines the most common causes of death for children and compares countries based on the socio-demographic index. The socio-demographic index is a measurement of development and is based on average income, educational attainment and total fertility rate.

Global Efforts at Reducing Child Mortality Rates

So, what has the international community been doing to contribute to the global decrease in child mortality? The world has been focused on implementing and popularizing several health initiatives and strategies. The World Health Organization (WHO) has outlined several of these strategies. These initiatives include ensuring immediate and exclusive breastfeeding as well as medical professional advice during birth and postnatal care. In addition, access to nutritional supplements and educational resources about warning signs in health have become more prevalent. Appropriate provisions for sanitary water and immunizations employed by WHO have also contributed to decreasing child mortality rates.

Many international organizations are partnering up to support the fight against child deaths. A Global Vaccine Action Plan is working toward universal access to immunization by the year 2020. Over 170 countries have signed onto A Promise Renewed, a call for action led by the United Nations Children’s Fund (UNICEF) and the governments of Ethiopia, the U.S. and India. The campaign is working to ensure that children are not dying from easily preventable causes.

There is Still Work to be Done

Although the number of child deaths has been reduced significantly, child mortality is still an issue, especially in South Asia and sub-Saharan Africa. Most of the world has not yet reached the levels outlined in the Millennium Development Goals. Countries with lower socio-demographic indexes still suffer disproportionately from child mortality. Experts suggest that this may be due to a historical lack of health development resources and accessibility.

The study from the Global Burden of Disease Child and Adolescent Health Collaboration concluded with a statement that, “timely, robust and comprehensive assessment of disease burden among children and adolescents provides information that is essential to health policy decision making in countries at all points along the spectrum of economic development.” The Collaboration hopes that the data from the study will help the international community to continue fighting child mortality. The global decrease in child mortality has made a positive impact on poverty and health care development, but there is still a ways to go before the Millenium Development Goals are met.

– Taylor Elgarten

Photo: Flickr

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What is the Global Health Innovation Act?

What is the Global Health Innovation Act?
On Dec. 18, 2015, the Global Health Innovation Act (H.R. 2241) was passed with bipartisan support in the U.S. House of Representatives. The bill is projected to advance U.S. leadership in global health innovation.

Introduced by Representative Albio Sires, D-NJ, the Global Health Innovation Act aims to strengthen global health research and development programming at the U.S. Agency for International Development (USAID) by requiring the agency to submit an annual report to Congress on the development and use of new health technologies in the agency’s programs, projects and activities.

“I am proud to support this legislation, which will help effectively address health needs around the world. As USAID continues to expand its research and development of these technologies, it is important that Congress continue to play its important role of oversight in ensuring the Agency’s investments make clear progress towards its stated goals,” said Sires.

Global health has experienced great progress over the last 50 years. Child mortality rates around the world have declined by 70 percent. In the last two decades alone, 50 million children were saved and people are living 21 years longer on average.

Yet nearly 9 million people are still dying every year from infectious diseases and other health challenges. Current technology alone is inadequate in combating systemic and emerging global health threats. New vaccines, drugs, diagnostics and other health technologies are critical in advancing global health.

The Global Health Innovation Act shines a light on and supports health innovations that are affordable, culturally appropriate, accessible and functional in settings that may have unreliable electricity, lack access to clean water and refrigeration and under-resourced health infrastructures.

The bill is currently in the Senate Committee on Foreign Relations.

The Borgen Project is working to build support for this bill and encourages everyone to e-mail their Senators and voice their support for global health innovations.

– Rodalyn Guinto

Photo: Flickr

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Why We Need a Breastfeeding Advocacy Initiative

Breastfeeding Advocacy Initiative
Only 38% of infants are exclusively breastfed for their first six months of life. Improper and insufficient breastfeeding contributes to nearly 800,000 preventable child fatalities every year. A breastfeeding advocacy initiative would not only challenge the social pariah of the practice but also contribute to the improvement of mothers’ and children’s health worldwide.

Breast milk contains all of the nutrients that babies need in their first six months and has the ability to strengthen a child’s immune system to protect against illness. Breast milk has also increased children’s physical and cognitive development.

The benefits of breastfeeding extend beyond a baby’s health. Mothers who breastfeed reduce their risk of suffering from postpartum hemorrhage, which is a leading cause of death among new mothers. Mothers also find themselves at reduced risk for diabetes and breast cancer.

Why Breastfeeding is No Longer the Norm

So why then are such a small percentage of babies exclusively breastfed? One reason for low breastfeeding rates is the issue’s generally low prioritization by political leaders and policymakers.

Women also feel that breastfeeding is looked down upon in the workplace and the public sphere. For instance, if women cannot find a comfortable place to breastfeed at work, then their child is less likely to receive his or her’s natural source of nutrients. Additionally, there are many companies that sell formula and aggressively market the concoction as being a better alternative to breastfeeding.

To improve breastfeeding statistics, there is a global breastfeeding advocacy initiative underway with support from organizations such as UNICEF and the World Health Organization. Initiatives focus on educating mothers and communities about the benefits of breastfeeding and supporting policies and programs that spread this message.

In the West African nation of Guinea-Bissau, one in 10 children will die before they reach five years of age. Organizations such as UNICEF and the non-governmental organization CARITAS work tirelessly to improve this statistic, and a fruit of their labor has been the nutrition bungalows that now exist in Guinea-Bissau.

Nutrition Bungalows

At these bungalows, mothers of children under five years old are invited to gather monthly for information sessions. The sessions are often interactive and they focus on promoting health for mothers and children. Mothers can also have their children measured and weighed to ensure that they are meeting developmental milestones.

These nutrition bungalows and all other projects incorporating a global breastfeeding advocacy initiative aim to spread awareness and increase support for exclusive breastfeeding in both the political and social spheres. In doing so, the lives of mothers and children can be saved and their quality of life improved.

– Nathaniel Siegel

Photo: Pixabay

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Maternal and Child Health: Keeping Mother and Baby Alive

Maternal_and_Child_HealthDuring the 2015 Call To Action Summit, health ministers and global experts take a look at the progress that has been made. USAID has helped save the lives of an estimated 2.5 million children and nearly 200,000 mothers since 2008.

It has been a little over a year, in June 2014, since USAID introduced its newest strategic plan for maternal and child health. They hope to prevent the deaths of 15 million children and 600,000 mothers by 2020.

At the summit the participants reviewed the impact the USAID’s support has had all around the world; often putting a name and a face to those benefitting from the aid provided.

In India, mothers like Satyawati now know how to best take care of their newborns and other children thanks to the ability to obtain health-related knowledge and help from a local health worker.

Because Satyawati has access to this information, she has had her children properly vaccinated and employs proper hygiene practices in her home. In 1990 in India, children under the age of five had a mortality rate of 126 per 1,000 live births but in 2013 that number has been reduced to 53 per 1,000 live births.

Also, thanks to the support of the USAID, 27 hospitals in Malawi now have a device called a Pumani bCPAP that helps newborns with underdeveloped lungs breathe until they can do so own their own.

This device has tripled the survival rate of babies like Gloria Mtawila’s son Joshua, who stayed on the machine for a month until he could breathe on his own and is now a completely healthy baby.

All across the world bundles of joy are being born to tired but radiant mothers. Hospital staff assures that both have the best possible care in these first crucial hours, days and sometimes weeks after childbirth.

But also all across the world there are mothers on makeshift cots or laying on dirt floors. They and their babies do not have dedicated hospital staff looking after them.

Mom did not have access to prenatal vitamins and baby may not have access to life-saving vaccines. With poor living conditions, poor pre and post-birth care, and a poor quality of life all around, mom and her little one may not make it.

This is what USAID is working to prevent. USAID’s maternal and child health programs focus on cost-effective initiatives such as enabling access to nutritional supplements and vaccines.

The USAID has achieved great success. Maternal death rates have decreased by five percent in each of its 24 target countries while child mortality rates went down by four percent.

But this is still not enough. The USAID hopes to receive $850 million in funding for the maternal and child health program in order “to reduce child mortality to 20 or fewer deaths per 1,000 live births in every country by 2035, and to end preventable maternal deaths” (interaction.org).

Through this initiative, the USAID has inspired developing countries to develop strategies to reach these goals, and make the eradication of unnecessary maternal and child deaths possible.

– Drusilla Gibbs

Sources: USIAD, Interaction, Call to Action
Photo: Google Images

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USAID Sets New Goals for Maternal Health

maternal health
The United States Agency for International Development, or USAID, is a government organization in charge of allocating funds and aid to global issues.

Millions around the globe have felt such power and emotion in the form of kisses, hugs, listening ears, and countless late nights.

However, maternal and child survival continues to be among the key issues that feed into the poverty crisis in developing countries around the world.

According to the UN, “a woman dies from complications in childbirth every minute – about 529,000 each year – the vast majority of them in developing countries.”

As part of the Millennium Development Goals, which concluded earlier this year in 2015, several countries banded together in order to increase maternal and child survival by three-quarters. While the target was not met, significant progress was made and millions of lives were saved in countries that normally do not receive the care and resources required for a healthy delivery.

Now that 2015 is coming to an end, many countries and organizations are now setting new goals to improve maternal and child survival. USAID recently came out with its new goal to reach an additional 38 million women with increased access to care during childbirth.

With this goal in mind, an action plan was put together in order to achieve this milestone. On their site the organization stated, “the USAID report details how to reach 38 million of the most vulnerable women around the world with increased access to health care during delivery by 2020.”

This plan includes a focus on 24 target countries including, but not limited to Ethiopia, Nepal, Afghanistan, Haiti, and India.

With this aid, more mothers have had access to care during and after the birth of their children. A recent article from the USAID Impact blog reported successes within some of these target countries.

The organization reports that in Ethiopia, 38,000 workers have been trained and dispatched around the country to help mothers and children. In Nepal, female workers travel to provide women with antiseptic gel, free of charge, to reduce infant infection. Malawi has increased efforts to save infants born without fully developed lungs.

Similar stories are beginning to flourish in developing countries around the world. With countries receiving the necessary resources and aid during this vulnerable time for both mother and child, lives are being saved and general health standards improved.

The survival of these mothers and children around the globe is imperative if we are to alleviate the poverty crisis our world now faces.

To quote the USAID Impact post, “When a child dies, and when a mother dies giving birth, it is a tragedy for all of us…because it continues the cycle of extreme poverty that holds the entire world back. Together, we can break that cycle.”

When a mother is lost, children and fathers feel the strain and the community as a whole is affected. When a child is lost, the community misses out on that child’s potential accomplishments and impact. With USAID reaching out to the formerly unreachable, maternal and child survival increases and the community as a whole improves.

– Katherine Martin

Sources: UNICEF, USAID 1, USAID 2
Photo: pixabay

Maternal Health Improved by Mobile Technology Campaign

maternal_healthEvery year, almost 289,000 women die during childbirth or shortly thereafter. Ninety-nine percent of maternal mortality cases occur in the developing world. This number is quickly falling due to, among other things, the rise in mobile phone access around the globe. It may seem a bit surprising that increased cell phone access correlates to lower death rates, but millions who were unreachable now have access to information regarding health and pregnancy.

One-half of all deaths associated with childbirth, whether it be the infant or the mother, occurs in Sub-Saharan Africa. Health workers in the area cite old habits as one of the major roadblocks to alleviating childbirth deaths. In Cameroon, a service called GiftedMom sends SMS alerts to mothers, notifying them when to receive antenatal care and also keeping them updated on when to get their infants vaccinated. The simple and free messages help build a solid schedule to break old habits and come to a climate of proper healthcare. GiftedMom works with local hospitals and clinics throughout Cameroon to collect phone numbers of mothers and encourage them to use the service.

Rwanda has also seen a steep decline in maternal health complications and deaths due to the use of mobile technology. The system is called RapidSMS, and rural health providers and clinics use the service to communicate with the greater connected health system. RapidSMS has defined certain common complications involving childbirth, maternity and infancy. Each is designated with a code. A local health worker sends the code to the system and receives near-instant feedback as to what to do. RapidSMS significantly cuts treatment delay times.

Like GiftedMom, RapidSMS also helps break old habits. Health providers are the ones using the service and thus are encouraged to accompany mothers and infants if outside treatment is needed. Communities are made stronger and healthier as a result.

– Joe Kitaj

Sources: BBC, Huffington Post, Voice of America
Photo: Northeastern University Political Review

How Ethiopia Reduced Poverty

EthiopiaEthiopia is the second most populous country in Africa, with 94.1 million people. Poverty has long been an issue for Ethiopia, and while many remain under Ethiopia’s poverty line of earning $1.25 a day or less, the nation has made great strides in the past 10 years to reduce poverty and improve health.

Ethiopia’s economy has been thriving in the recent past. Between 2004 and 2011, the economy grew at a rate of 10.6 percent per year. Ethiopia increased exports in order to help it account for this economic growth, and that has led to more prosperity throughout the country.

This decrease in poverty can also be attributed to strides in agriculture. In 2005, Ethiopia introduced new agricultural practices which resulted in increased production. As The World Bank states, this agricultural growth has allowed for a 4 percent reduction in poverty each year. The use of fertilizer, along with high food prices and good weather, has given poor farmers with access to markets a higher income.

Ethiopia also instituted the Productive Safety Net Program (PSNP). The World Food Program writes that there are 7.4 million people participating in the PSNP. The program works to end chronic food insecurity through transfers of food or cash (or a combination of both).The PNSP asks that those who are able-bodied in the households who receive their help participate in activities which will help them have more resilient livelihoods and less chance of food insecurity. These activities include building community infrastructure, such as building schools, roads, and hospitals, and rehabilitating land and water resources. The PSNP has helped 1.5 million people who were in poverty to be lifted out of poverty.

Economic growth, an increase in agricultural production, and programs such as the Productive Safety Net Program have paid off. From 2000 to 2011, poverty in Ethiopia declined from 44 percent to 30 percent. As the World Bank says, this “translates to a 33 percent reduction in the share of people living in poverty”.

This decrease in poverty has helped the health of Ethiopians as well. From 2010 to 2015, the level of child mortality has been lowered by two-thirds. The average lifespan has also increased by about an year annually from 2005 to 2011, making an Ethiopian’s lifespan 63. Malnutrition rates have come down as well. 75 percent of the population was malnourished in Ethiopia in 1990, while today it has fallen to 35 percent.

Since 2004, four million Ethiopians have been able to rise above the poverty line. However, there is still work to be done. 25 million people in Ethiopia are still suffering from poverty. The World Bank suggests that in order for the trend of a decrease in poverty to remain, ongoing efforts to promote self-employment have to continue. Firms have to enter Ethiopia, and urban migration has to be encouraged.

– Ashrita Rau

Sources: The WFP, World Bank 1, World Bank 2, The Sudan Tribune, Voice of America, BBC
Photo: Needpix.com