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Addressing Mental Health in Armenia After Conflict

Mental Health in ArmeniaHundreds of thousands of civilians fled in search of safety when violence broke out in Nagorno-Karabakh on Sept. 27, 2020. Following these first violent clashes, organizations stepped up to provide humanitarian assistance for displaced civilians arriving in the capital Yerevan. The extensive damage to infrastructure and disruption of daily life, coupled with a harsh winter climate and COVID-19, will require help from the international aid community for many months to come. One area that this incoming aid will go to is mental health education and support. In 2019, the World Health Organization reported that one in five people in conflict-affected areas lives with a mental health issue. The longer a person lives with acute stress, anxiety or other mental health challenges, the more difficult it is for them to successfully secure basic needs. Aid groups are addressing the issue of mental health in Armenia with various programs.

Mental Health Support for Armenia

The Armenian Red Cross Society is providing humanitarian assistance to help people with basic necessities. This includes psychosocial support for returning soldiers and civilians. As of late December 2020, it had provided around 1,000 psychological services to wounded soldiers and their families.

The International Medical Corps, another emergency aid response group, is working with the Armenian Ministry of Health to assess current needs. In October 2020, the organization expressed its plans to provide training in psychological first aid for frontline healthcare workers. The organization will also provide mental health and psychosocial assistance to people who need it.

UNICEF Addresses Child Trauma

The UNICEF Armenia team and a local arts and music school called the Nexus Center for the Arts offer art and music-based support groups. These support groups give children and teenagers a chance to express themselves without having to talk. UNICEF reported testimonials of students who upon arriving were too afraid to open up but after participating in the support groups felt ready to talk about the trauma they had experienced. The groups also give students a chance to hang out, decompress and enjoy music in a comfortable and safe environment.

To help school teachers, UNICEF partnered with several civil society organizations to teach them how to address trauma in the classroom. UNICEF offered virtual lessons on trauma-informed teaching. The lessons gave 150 school psychologists and 900 public school teachers the skills to work in high-pressure situations and strategies to provide better psychological support to their students.

UNICEF Armenia also put together a psychological first aid guide. This guide has clear and concise information on how to respond to children in a mental health crisis. It emphasizes the importance of responding to children in an age-appropriate and individualized way.

The Increased Need for Mental Health Support in Armenia

Mental health in Armenia, especially following the conflict, is an issue that requires prioritization. The conflict and displacements have left 39,000 children out of school. The trauma caused by displacement has affected children in multiple ways. Ensuring the well-being of these children is a top priority for UNICEF and other organizations addressing mental health in Armenia. The hope is that these initiatives will combat the negative impacts of traumatic experiences in conflict-ridden areas like Nagorno-Karabakh.

– Caitlin Harjes
Photo: Flickr

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The People of Slovakia’s Lunik IX Slum

lunik IXAn uncomfortable reality is that there are many children in the world who do not have essentials such as food, water, electricity and a safe, sheltered home. This is the reality for the people living in Lunik IX in Slovakia.

Roma People in Lunik IX

There a several reasons why Lunik IX is an area that is neglected and overlooked by Slovakia. One is due to the large population of Roma people, a minority group unfairly discriminated against and long labeled as a reason for many problems in the country. The slum mostly consists of Roma people who lack the very things they need to rise out of poverty. The Roma population’s 97% unemployment rate is the biggest reason for poverty in the area. Many try to get jobs but are denied them purely based on their ethnicity.

This, as a result, heavily impacts children in Lunik IX. Their parents cannot provide for them, forcing them to live in a rundown area where there is little to no electricity and basic needs go unfulfilled. There is also little opportunity for them to break the cycle of poverty. All these issues have made the area a seemingly hopeless place for many of the children who live there.

Recreational Developments in Lunik IX

In the past few years, significant progress has been made in Lunik IX to improve living conditions for people. For one, there have been a lot of projects built purely for the purpose of giving children safe spaces to play in instead of playing in garbage and rubble. A gym, ping pong tables, a playground and a park have all been built, giving the residents safe recreational spaces. While these seem like small solutions to big problems, these spaces allow kids to be kids. The children of Lunik IX do not live typical childhoods and these projects allow them to engage in children’s play activities.

Other Key Developments in Lunik IX

Three important new developments in the area are the implementation of regular garbage disposal, the establishment of clean drinking water facilities and new construction projects. Lunik IX has been long plagued with poorly disposed of trash and a regular garbage disposal system eliminates this problem entirely. This alone can improve the health of people tenfold, as many of the diseases they face arise from unsanitary living conditions.

Clean drinking water is a necessity and it is something that Lunik IX lacks. There are plans for the reconstruction of water pipes with a prepaid system, which will ensure nobody accumulates debt from water payments.

Newer construction efforts are on track to solve the decay of many buildings and the lack of employment opportunities. Many of the newer buildings can be worked by residents, allowing them to have jobs they have previously been denied based on ethnicity.

Despite Lunik IX’s reputation as on of Europe’s worst slums, efforts are being made to change this and improve living conditions for the people.

– Remy Desai-Patel
Photo: Flickr

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Smiles Forever: Restorative Dentistry in Bolivia

restorative dentistryLow-income countries have long been the victims of poor health care systems. Along with this health care system neglect has also come a large amount of dental care neglect. Both dental staffing and dental resources are scarce resources for those living below the poverty line in low-income countries. Smiles Forever is a nonprofit working within Bolivia in order to provide restorative dentistry as a way of increasing resources to a  population desperately in need.

Dental Care in Developing Countries

Most dental care within developing countries is given at hospitals that are either centralized or regional. This dental care does not do much to prevent or restore dental issues within the general population of a country. The dental care staffing is so low in many developing countries that trained dental professionals are forced to do the work that would normally be the job of dental assistants. This creates an ever-increasing cycle of dental worker unavailability. The creation of programs to train dental hygienists has been identified as a major solution to the extreme lack of restorative dentistry and dental care within struggling countries.

Major Dental Issues in Developing Countries

Throughout impoverished countries, there are a few dental issues that are seen most often and are in need of the greatest amount of restoration and prevention. These issues are dental caries, periodontal disease and tooth or gum abscesses.

  • Dental Caries: In simpler terms, this is when a tooth decays and leaves behind a cavity. Acids in the mouth that are present from sugar residue cause the enamel of a tooth to break down. Having access to simple dental materials like a toothbrush, floss and toothpaste greatly decreases an individual’s likelihood to develop dental caries. Fluoride provided at dental offices is also key in protection against dental caries.
  • Periodontal Disease: This disease is caused when there is a lot of plaque build-up on an individual’s teeth. The build-up causes an infection to infest the gums or bones throughout the face. Plaque build-up can only be properly removed by someone who has been training as a dental professional.
  • Tooth/Gum Abscesses: These are caused when tooth damage, usually from dental caries, allow for bacteria to invade a tooth or the gums. The bacteria causes pus to build up within the teeth or gums which causes a lot of pain and swelling. An abscess of this sort can only be treated by a professional and can cause sepsis if an individual is not given proper care.

The Mission of Smiles Forever

Smiles Forever is a nonprofit dental organization mainly working in Bolivia to provide free preventative and restorative dentistry. Its mission is to allow for a better quality of life, specifically for children growing up in Bolivia. Smiles Forever hopes that its work will act as a model for increased dental care in poor countries within South America.

Sandy Kemper, a dental hygienist from Seattle, is the founder of this nonprofit. She was inspired by a service trip that she took to Bolivia in 1999 in order to provide free dental work in the Madre de Dios shelter. A couple of years after her trip she returned to Cochabamba, Bolivia, in order to develop the Smiles Forever program after seeing how desperately in need the citizens were of restorative dentistry.

Programs Created by Smiles Forever

Smiles Forever has three main programs that it runs in Bolivia. These programs are its dental hygiene training program, its community partnering programs and its public fee-for-service clinic.

The dental hygiene training program was created in order to teach and train selected indigenous women to become dental hygienists. Each of the women is offered a full scholarship and the materials needed in order to become properly trained. The program is only conducted for half of each day so that the women can use the other half to support their families while being trained. Not only does this program allow for an increase in dental professionals in Bolivia but it also helps raise indigenous women and their families out of poverty by giving these women the opportunity to find full-time professional jobs.

The community partnering that Smiles Forever does is where a lot of its free dental work is provided. This organization works with other nonprofits throughout Bolivia that provide life-improving services. Through this partnering, it has been able to have a more widespread influence in providing dental care throughout Bolivia as its partners are very influential.

The public fee-for-service clinic was set up as a way to provide hands-on experience for individuals working in the dental hygiene training program and as a means of income to support the free community outreach efforts of the nonprofit. Individuals who attend the clinic pay in order to receive necessary preventative and restorative dentistry care.

Smiles Forever and Women’s Empowerment

Smiles Forever greatly supports the reduction of poverty and the provision of essential services through the uplifting of indigenous women. It recognizes that economic growth greatly increases when women play an empowered part in society. So far, 37 indigenous women have successfully completed the dental hygiene raining program and some have gone on to fully complete dental school. Overall, Smiles Forever has an all-around positive effect on the communities of Bolivia not only from a health standpoint but from a social and economic standpoint as a result of its efforts to empower women.

–  Olivia Bay
Photo: Flickr

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3 Key Facts on Child Refugees in Mexico

Child Refugees in MexicoIn recent years, Mexico has become an increasingly significant place of asylum. More than 70,000 refugees have submitted asylum applications in 2019, and despite an initial drop in applications in 2020 due to the pandemic, COVID-19 claims for asylum in December 2020 hit a record high. The well-being of child refugees in Mexico is of particular concern.

Child Refugees in Mexico

People are arriving in Mexico from El Salvador, Guatemala, Honduras, Nicaragua and Venezuela in search of safety, local integration, Mexican residency and a pathway to U.S. citizenship. In 2020, one in five refugees were children. With such alarming demographics, it has been essential for Mexico to address its overwhelming influx of asylum-seekers and find solutions to protect those vulnerable, especially children.

COVID-19 has heightened poverty among child migrants. Child refugees in Mexico are escaping forced recruitment, gang violence and crime that is a daily reality in their Central American countries. This has resulted in displacement, food scarcity and poverty. Since the COVID-19 pandemic, levels of insecurity amongst these children have only increased, with about 5,000 children (60% unaccompanied) returning to El Salvador, Guatemala, Honduras and Mexico.

COVID-19 has devastated children and families as extended lockdowns, school closures, stalled essential economic activities, neglected migrant reparations and rising violence has escalated vulnerability. Children seeking asylum are most affected by the virus due to the lack of access to safe water, sanitation and other essential services. Restricted access to international protection and regular migration pathways are other obstacles they are facing as they search for safety.

UNICEF has responded with efforts guided by the Core Commitments for Children in Humanitarian Action that focus on providing 2.3 million children and their families, including children affected by human mobility,  protection from the exposure of COVID-19.

Trump Policy Endangers Child Refugees

Since the Trump administration’s 2019 Remain-in-Mexico program, 70,000 non-Mexican refugees have been waiting in asylum camps for their U.S. court hearings in northern Mexico. Within this group, 700 children have crossed the U.S. border alone as their parents wanted them to escape the terrible camp conditions and show themselves to U.S. border officials since unaccompanied minors cannot be returned to Mexico under U.S. policy and law.

CBS News reported that the Office of Refugee Resettlement has been able to house all children who had left their parents in Mexico and 643 of them have been released to family members in the U.S. Although this is good news, the Justice Action Center has filed a lawsuit against the Trump administration for its plan to deport children with circumstances like these, threatening their safety if they go back to their home country. The NGO, Human Rights First, has complied more than 1,300 reports of murder, rape, kidnapping, torture and assault against migrants returned by the U.S.

Mexico Enlists Reforms to Protect Child Refugees

As of November 2020, Mexico has approved reforms that apply to children in all migration contexts, accompanied or not. The reform will put an end to immigration detention centers for boys and girls and instead will be referred to alternative accommodation. It will also allow international protection and eligibility for temporary humanitarian visas to prevent deportation or return until the migrant child’s best interest can be resolved.

The U.N. Refugee Agency (UNHCR) is collaborating with associated government agencies, U.N. sister agencies and civil society organizations to certify that referral procedures and appropriate shelter capacity are arranged.

Mexico’s Solidarity Plants Seeds for Progress

For a country that has been overwhelmed by the influx of migrants desperately seeking asylum, Mexico has responded with compassion and an assertion to reform its immigration policy. This combined with other humanitarian efforts will provide monumental aid and help eradicate the suffering of child refugees in Mexico.

– Alyssa McGrail
Photo: Flickr

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Continued Education for Vulnerable Children in Kenya

Vulnerable Children in KenyaOrganizations like UNICEF and ACAKORO have been providing educational resources to Kenyan students despite the immense difficulties in the country due to COVID-19 and 2020’s locust invasion. On March 15, 2020, the Kenyan Government forced schools to shut down due to COVID-19. Due to school closures, millions of students risk losing out on education during the pandemic. Organizations stepped in to provide resources, remote learning services and sanitation facilities to vulnerable children in Kenya.

Education in Kenya

Over the past decade, poverty in Kenya has improved due to the country meeting many of its Millennium Development Goals. The Millennium Development Goals are goals created by the United Nations to help underdeveloped nations improve and one of these goals is to achieve universal primary education. A key issue that Kenya needs to address is education disparities. According to a UNICEF study conducted in 2014, low educational attainment of the household head and living in rural areas is the highest indicator that predicts child poverty.

Impoverished children struggle to gain an education. More than 1.2 million primary-school-age children do not attend school. Even more vulnerable children like orphans have increased susceptibility to experiencing education disparities.

Employment in Kenya

Young people in search of employment experience difficulties finding a job that lifts them out of poverty. Only 1% of Kenyan youth have a university education and many young people are entering a job market with few hirable skills. A whole 40% of the youth in Kenya either did not go to school or failed to complete primary education and the largest percentage of people unemployed in Kenya is represented by those aged between 15 and 24. Higher education in Kenya is expensive and not accessible to disadvantaged children.

UNICEF Provides Aid

Nationwide access to quality education is key in reducing poverty and investing in the futures of vulnerable children in Kenya. UNICEF alleviated education burdens during the COVID-19 crisis by providing remote learning to students and giving solar-powered radios and textbooks to vulnerable families. Through UNICEF’s solar-powered radios, 40,000 vulnerable children were reached with educational resources that are necessary for remote learning. On December 23, 2020, UNICEF provided 700,000 masks to be distributed in time for schools to reopen on January 4, 2021. Improved access to sanitation is an ongoing issue, and due to the pandemic, the need for sanitation is of crucial importance. UNICEF foresaw the issue and provided handwashing facilities to hundred of schools.

ACAKORO

ACAKORO is a community-based organization, supported by UNICEF, that uses football as a tool for development. ACAKORO works with the community of the Korogocho slum and has been tutoring vulnerable children during COVID-19 so that they can continue their learning. UNICEF is also supporting the government and the Kenya Institute of Curriculum Development (KICD) with remote learning and getting schools ready to reopen safely.

The Kenya Jua Kali Voucher Programme

The Kenya Jua Kali Voucher Programme, implemented between 1997 and 2001, was a revolutionary comprehensive policy designed to provide vulnerable youth with vouchers to pay for training courses. A similar modern-day strategy can be put in place in order to address the lack of access to essential education in Kenya. Providing equal access to education for all children in Kenya is essential to lift people out of poverty.

Organizations such as UNICEF and ACAKORO are addressing education-related disparities amid the pandemic, thereby addressing overall poverty in the nation.

– Hannah Brock
Photo: Flickr

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Organizations Ensuring Toys for Children in Poverty

Toys for ChildrenFor kids of all ages, making a list of toy requests for Santa is one of the most exciting times of the year. Yet for children living in the world’s poorest regions, there is no Santa, presents or toys. UNICEF estimates that across the world, nearly one billion children live in multidimensional poverty. That equates to 13% of the global population. During the holiday season, three organizations are working to make sure that impoverished children have toys to call their own.

Samaritan’s Purse

For more than 25 years now, the Samaritan’s Purse annual “Operation Christmas Child” has provided toys for children living in poverty. Franklin Graham, the president of this organization, began the tradition in 1993 by sending gifts to young kids experiencing the violence of war in Bosnia. Since then, the project has grown to spread gifts all across the world to more than 150 countries, including some of the poorest areas. Samaritan’s Purse asks donors to fill a shoebox with various gifts for either a boy or girl which then gets distributed to congregations located in these impoverished nations.The initiative has brought more than 178 million children toys throughout the years. In many cases, the gifts provided by Samaritan’s Purse will be the only toys these children receive in their childhoods. The work done by this organization embodies the true meaning of the holidays and acts as a Santa for the poor.

Play Well Africa

One of the most successful companies in the toy industry is Lego. Lego’s plastic colored bricks are educational and creative opportunities for children. Play Well Africa is dedicated to bringing these Lego pieces to the less fortunate living in Africa. Unlike other toys, which can break, stop working or require electricity, Lego’s offer a unique ability to allow children to play in any circumstances. Young Micah Slentz, a child himself, started Play Well Africa when he asked his father to buy his favorite toy, Lego bricks, and donate it to children in Africa. A simple kind gesture has grown into a massive project that receives both new and used Lego bricks and sends them to impoverished children in developing countries. With offices in both the United States and Australia, Play Well Africa is a multinational organization. Thousands of children in countries such as Uganda will build, create and have fun with Lego bricks, all thanks to a boy who wanted to share his favorite toy with the world.

The Toy Foundation

For decades now, the Toy Foundation has strived to create avenues to bring children of the world toys to play with. One of its most successful campaigns has been the “Toy Bank” which started back in 2003. The foundation relies on donations from top toy companies and in turn spreads these gifts to existing agencies located in impoverished countries. Donations come from all sorts of brands, including Hasbro, Lego and Mattel. Children surviving some of the worst living conditions receive brand new toys, an opportunity made possible by the Toy Foundation. Children with diseases, orphans and those in war-torn nations are the top priority for the Toy Bank, making the organization’s work imperative. Ensuring toys for children in the most vulnerable situations is the organization’s focus.

Toys for the Most Vulnerable Children

Toys can be a healthy outlet for children who live in some of the world’s poorest regions. Toys can provide both emotional support and stress relief. Whether it be a teddy bear to hug, a doll to dress up or Legos to build, the psychological benefits of playing with toys are something all children need. These organizations all help to make dreams come true for the young children who need toys the most.

– Zachary Hardenstine
Photo: Flickr

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Sesame Street’s Rohingya Muppets Help Children

Sesame Street's Rohingya MuppetsSesame Street is developing two Rohingya muppets to help refugee children overcome trauma. Sesame Street aims to address the effects of poverty by fostering access to education. Poverty affects all aspects of life. Children who live in poverty suffer from many physical, intellectual and emotional complications. Child stunting, for example, is a result of nutrient-deficient diets, repeated infection and a lack of psychosocial stimulation in the first years of a child’s life. This has dire long-term outcomes for children, including impaired intellectual development. Sesame Street’s Rohingya muppets aim to improve the intellectual development of Rohingya children, which directly affects education, and in turn, poverty.

Stunting and Malnutrition in Rohingya Children

The Rohingya people are a stateless Muslim minority group who have lived in a state of flux, between Myanmar and Bangladesh, since they were forced to flee Myanmar. They were violently persecuted by the Myanmar military, an instance of ethnic cleansing. Close to 800,000 Rohingya refugees have escaped to Bangladesh. It is common for refugees to live in refugee camps within Bangladesh.

A group of refugee camps, located in Cox’s Bazar, was the subject of a 2017-2018 study on the rates of stunting and malnutrition in Rohingya children. The study found that the rate of stunting “dropped from 44% to 38% in the main camp.” Although it is positive that the rate of childhood stunting declined, the rate of childhood stunting still remained dangerously close to the World Health Organisation’s (WHO) critical health emergency threshold of 40%.

Additionally, the rate of acute malnutrition dropped from close to 20% to nearly 10%. Childhood deaths declined. The rate of diarrhea, caused in some instances by dehydration or bacterial infection, also declined. Nonetheless, these rates remain too high to relieve concerns and the situation is still described as dire.

Malnutrition affects a child’s developing brain, impacting education and reducing the ability of a person to lift themselves out of poverty.

Sesame Street’s Rohingya Muppets

The majority of humanitarian funding is deployed to address acute effects of poverty like stunting and malnutrition. Sesame Street aims to address the effects of poverty by focusing on education and intellectual development. Sherrie Westin is the president of social impact for Sesame Workshop and she identified that “less than 3% of all aid is used for education.”

Sesame Street’s Rohingya muppets consist of two characters, Noor Yasmin and Aziz, to connect with Rohingya children on an intellectual and emotional level. Westin feels that without intervention by Sesame Street, Rohingya children risk growing up unable to read and write or do simple math.

Westin cited scientific research as the basis for her concern. Similar to the way inadequate dietary nutrition and disease lead to physical stunting, stress and trauma stunt brain development. Sesame Street aims to address the effects of poverty by providing emotional and intellectual support to Rohingya children who have endured trauma.

BRAC’s Humanitarian Play Lab

In Bangladesh, Sesame Street partnered with BRAC. BRAC’s Humanitarian Play Labs are designed to help children learn through play and recover from emotional trauma in the process. BRAC designs its play labs to resemble settings that are familiar to the children it works with. In Bangladesh, this means that Rohingya children are surrounded by “motifs and paintings significant to Rohingya culture.”

Sesame Street’s Rohingya muppets reflect an integral part of BRAC’s approach. Children relate best to characters that they can identify with and they flourish in settings that are familiar and comfortable. BRAC’s success speaks for itself. Close to 90% of the kids that BRAC works with complete the fifth grade of schooling.

Sesame Street Addresses Rohingya Poverty

While the humanitarian crisis among Rohingya refugees is ongoing, recognition of the long-term effects of stress and trauma on intellectual development is crucial to lifting the Rohingya out of poverty. Education alleviates poverty and negating the effects of trauma will allow for proper intellectual development to take on educational endeavors. Sesame Street aims to address the effects of poverty by focusing its attention on the intellectual development of Rohingya children.

– Taylor Pangman
Photo: Flickr

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Sugira Muryango Program in Rwanda

Sugira MuryangoAround the world, the effects of poverty negatively impact childhood development in more than 200 million children. Child development outcomes play a key part in a country’s advancement and the state of the economy. The U.S. National Library of Medicine explains, “Children living in compounded adversity face increased risks of poor child development outcomes and emotional and behavioral problems that can perpetuate a cycle of poverty and violence.” However, in 2016, the implementation of an innovative home-visiting intervention program in Rwanda called Sugira Muryango is fighting to break these cycles.

Violence and Intergenerational Poverty

In past studies, social programs aimed toward child development have been more focused on mothers of the households. However, the developers of Sugira Muryango (researchers at Boston College’s School of Social Work and the nonprofit FXB Rwanda) chose to implement this program to focus more on the father’s role within the household and child’s life.

Rwanda is a key place to evaluate this program due to the persistent household violence and gender roles within Rwandan society. Traditionally, Rwandan society has held few expectations for fathers within the household. However, a positive male figure plays an important role in a child’s developmental outcomes.

The data of some surveys taken in Rwanda by Promundo and the Rwanda Men’s Resource Centre on masculinity and gender-based violence convey shocking truths. The surveys reported that 73% of men and 82% of women agreed with the statement, “a woman’s most important role is to take care of her home” and 44% of men and 54% of women agreed that “a woman should tolerate violence in order to keep her family together.” Lastly, 45% of men saw their dads beat their moms in childhood and 38% of those men became violent toward their own partners in adulthood. Men who witnessed violence at home as children were more likely to perpetuate it, indicating that children emulate behavior, both positive and negative.

Methods Used in the Sugira Muryango Program

As a response to this violence, Sugira Muryango was implemented as a home-visiting intervention program that targets the poorest households with young children (aged between 6 months and 26 months) in Rwanda. The program offers coaching to caregivers of the household in order to teach parents, specifically fathers, positive caregiving practices, nutrition skills, hygiene skills and basic involvement.

The program uses methods of home visits and caregiving coaching in order to improve family relations. The family-based model aims to encourage responsive and positive interactions as well as discourage violence and harsh punishment. In providing this coaching through these methods, it is possible to improve not only parent-child relations but also child development outcomes. With these improved outcomes, Rwanda should see improvements as the children reach adulthood and in breaking the cyclical poverty which should then improve Rwanda’s general development as a country. 

The Impacts of the Program in Rwanda

Not only did the results of the program aid in the decrease of violence within Rwandan homes but it also helped improve mental health rates among Rwandan fathers. Furthermore, reports indicate changes in parents’ behaviors towards the child, including responsive care and play, dietary diversity, care-seeking for child health problems and reduced family violence.

Potential Global Impacts

The Sugira Muryango program is playing an important role in breaking intergenerational cycles of poverty within Rwanda. Although the lasting effects of this program need to be studied as the children grow, the immediate effects have aided in reducing violence and improving family relationships. If integrated into other low to middle-income communities and countries, the overall effects should be promising in breaking intergenerational cycles of poverty on a global scale.

– Caroline Dunn
Photo: Flickr

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The Education and Poverty Crisis in Sudan

Education and poverty crisis in SudanOver three million children in Sudan do not attend school. The severe gap in the education system continues the cycle of poverty in the country. Chronic underdevelopment and conflict are two of the most significant reasons children in Sudan are out of school. Girls face additional hurdles such as cultural pressures and traditional views that prevent them from receiving an education. While 76% of primary age children attend school, in secondary, the number drops drastically to 28%. The Sudanese government and organizations such as UNICEF have stepped in to resolve the education and poverty crisis in Sudan.

The Education Crisis in Sudan

In South and East Darfur, there are 7,315 employed teachers, 3,692 of which are unqualified. In essence, half of the teachers that are employed in South and East Darfur are unqualified. Furthermore, many teachers in Sudan were  found to be “untrained, under supervised and unequally distributed between rural and urban areas.” Not only do schools often have teachers who are unqualified but the curriculum lacks active learning and teaching materials are either outdated or nonexistent.

The Relationship Between Education and Poverty

In their haste to escape poverty, people drop out of school in search of employment so that they can provide for themselves and their families. While a higher education often proves fruitful in finding a good-paying job, those in poverty do not have time to wait. Without an education, people living in poverty lack literacy and numeracy skills which are needed to advance in the working world. This cycle is repeated generation after generation, inextricably linking education and poverty.

Families living in this cycle of poverty often make the choice for their children, otherwise, they will not be able to provide food, water or shelter. And while some schools may be free of cost, the added costs of uniforms, books and supplies must be taken into consideration.

While poverty may have a negative effect on education, education has an increasingly positive effect on poverty. Proper education will increase one’s skill set and open the door to a world of new employment opportunities and increase the potential for higher income. With each additional year of schooling, earnings increase by about 10%. And for every dollar invested in an additional year of schooling “earnings increase by $5 in low-income countries and $2.5 in lower-middle-income countries.” UNESCO found that if all adults had two more years of schooling or completed secondary school, nearly 60 million people could escape poverty and 420 million could be lifted out of poverty, respectively.

Improving Education in the Region

The Federal Ministry of Education will implement nine strategies to improve the education and poverty crisis in Sudan. Based on these strategies, the following has been projected for the years 2018-2023: pre-school coverage will increase by 19%, basic education by 16% and secondary education by 7%.

Sudan will invest in enrollment programs and work to retain those already enrolled. The government will expand opportunities for education at every level to ensure that students do not drop out due to a lack of space. And in collaboration with global partners, the Federal Ministry of Education will work toward quality education that is accessible to all.

UNICEF’s Educational Efforts

By 2021, UNICEF intends to provide more children with the opportunity to have a quality education starting at a young age, in a learning environment that is inclusive and safe.

The organization will work with communities, parents, teachers and children to promote a socially cohesive atmosphere that even the most vulnerable of children can access. The Learning and Development Programme and the Ministries of Education will advocate for evidence-based surveys, field reports, community discussions and evaluations to mold policy reform in favor of inclusion. UNICEF and its partners will ensure the safety of schools by providing water, health and sanitation facilities. Additionally, children will be taught the proper behaviors surrounding health, nutrition and child protection. Schools will receive the support needed to ensure schools are free of violence, abuse, exploitation and neglect.

The undeniable education and poverty crisis in Sudan has prevented most people from achieving a proper education and reaching their true earning potential. While most agree that education is important, many Sudanese people find that it is a luxury outweighed by life’s bare necessities. With the five-year plan developed by the Federal Ministry of Education and the help of organizations like UNICEF, the toxic cycle between education and poverty will come to an end.

– Mary Qualls
Photo: Flickr

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The Suaahara II Project: Improving Health in Nepal

Suaahara II ProjectIn Nepal, 36% of children who are under the age of five remain underdeveloped in terms of growth and health despite progress in recent years. Through cooperation with USAID, the Nepalese Government and local private sector groups, Hellen Keller International (HKI) has provided impactful services that have helped rectify the systematic obstacles causing these health issues. Hellen Keller International is a non-profit organization that aims to reduce malnutrition. The Suaahara II project takes a pivotal role in these efforts.

What is the Suaahara II Project?

One of HKI’s most notable services is the Suaahara II project, which started in 2016 and was initially set to end in 2021. However, it will now extend to March 2023 due to COVID-19. Operating in 42 of Nepal’s districts with a $63 million budget, HKI partnered with these six organizations for the project:

  • Cooperative for Assistance and Relief Everywhere, Inc. (CARE)
  • Family Health International 360 (FHI 360)
  • Environmental and Public Health Organization (ENPHO)
  • Equal Access Nepal (EAN)
  • Nepali Technical Assistance Group (NTAG)
  • Vijaya Development Resource Center (VDRC)

Hellen Keller International’s primary role in the Suaahara II project deals with the technical assistance of child and maternal nutrition. This means that its tasks are oriented around building the skills and knowledge of health workers. This includes teaching health workers how to adequately measure and evaluate assessments; additionally, another technical facet relies on promoting governance that invests in nutrition.

A Multi-Sectoral Approach

Kenda Cunningham, a senior technical adviser for Suaahara II who works under HKI, told The Borgen Project that the Suaahara II consortium has taken a “multi-sectoral approach.” She believes in the importance of this as it pushes individuals to “learn and think beyond their sector.” The Suaahara II Project’s demonstrates its integrated strategy in the initiatives below:

  1. The WASH program focuses on water, sanitation and hygiene through WASHmarts, which are small shops dispersed across districts that sell sanitary products like soap and reusable sanitary pads. Kenda explained how this has helped “bridge a gap” so that poorer households can access hygiene enhancing products. This also allows assistance from private actors, who can expand their markets in rural areas.
  2. The Homestead Food Production program (HFP) encourages households to grow and produce micronutrient-rich foods through vegetable gardening and raising chickens, for example. As a result, 35 districts have institutionalized HFP groups.
  3. The Bhancchin Aama Radio Program is a phone-in radio program that runs twice every week. It hosts discussions among marginalized communities and demonstrations for cooking nutritious foods. It has encouraged the Nepalese to socially and behaviorally alter their health habits.

Advancements from Suaahara I

The Suaahara II project’s contribution to improved health and nutrition in Nepal is also illustrated in its progression from the Suaahara I project’s framework. In addition to understanding the changes made in household systems and at a policy level from Suaahara I, Cunningham told The Borgen Project that technological developments have elevated the Suaahara II Project’s impact in Nepal.

Specifically, smartphones expedite the data collection process when studying trends pertaining to the 2 million households across the districts. The development of new apps provided more households with access to smartphones and key information. This therefore allowed officers to transition from pursuing “a mother-child focus to a family focus” in terms of the Suaahara II project’s accommodations and services.

Challenges with Suaahara II

While the Suaahara II Project has led to institutional and social enhancements regarding health and nutrition, some districts had access to the project earlier. This created a dissonance in the rate of health improvements amongst the districts. Cunningham reported that “far western areas are much more remote and therefore disadvantaged and food insecure.”

This inconsistency was largely due to the “Federalism” that took place in Nepal in 2017, which was a decentralization process that created 42 municipalities for 42 districts. Since every municipality has a different political leader, some districts had the advantage of assistance from foreign NGOs while others did not because their leaders rejected involving foreign NGOs. In these cases, as Cunningham explained, it is like “you are creating your own NGOs from the ground up.”

Suaahara II Achievements

These obstacles, however, have not been pertinent enough to counter the consortium’s efforts in fulfilling the Suaahara II project’s objectives. For example, a primary objective for Suaahra II is to increase breastfeeding amongst babies under six months of age. Exclusive breastfeeding of children under six has increased from 62.9% in 2017 to 68.9% in 2019, according to data that Cunningham shared with The Borgen Project.

Expanding children’s access to diverse and nutritious foods is another objective that has been achieved under the Suaahara II project. The dietary diversity among women of reproductive age (WRA) has increased from 35.6% in 2017 to 45.3% in 2019, according to Cunningham. Given the efficient rate of improvement in women and children’s health, governance and equity in only the first two years of the Suaahara II project, it can be inferred that the consortium will continue to progress in achieving its targets among the Nepalese in the three years that remain.

Regarding how HKI has responded to challenges with the Suaahara II project, Cunningham said  “[We] don’t use a one size fits all approach.” The advancements in Nepal’s health and nutrition systems can be largely attributed to HKI’s multifaceted and integrated strategy, a model that could yield prosperity in the rest of the developing world.

– Joy Arkeh
Photo: Flickr