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How the Term “Third World” Perpetuates Poverty

Third World Term Perpetuates Poverty Frequently, people use the term “Third World” to describe developing countries around the globe, but what does “Third World” actually mean for those living in poverty?

First, Second and Third World

The terms “First World,” “Second World” and “Third World” originate from the Cold War era. During this time of tension, the phrase “First World” was a description for industrialized capitalist countries such as the United States, various Western European countries and their allies. “Second World” described socialist countries still under the influence of the Soviet Union. “Third World” referred to those countries not allied with the Warsaw Pact or NATO. While these accepted definitions contain no quantifiable content to explain the designated numerical naming system, the choice of rhetoric certainly implies rank.

Negative Framing

The implied ranking system enacts what is known in psychology as the framing effect. The American Psychological Association defines the framing effect as “the process of defining the context or issues surrounding a question, problem or event in a way that serves to influence how the context or issues are perceived and evaluated.” In short, the way an idea is presented has a large effect on how the idea is perceived. For many years, many candidly used the term “Third World” to refer to developing countries around the globe, leading to growing unconscious biases.

Priming Negativity

Biases and heuristics play an important role in perception, judgment and decision making. Depending on how one frames a subject, different biases may form. Another important psychological concept at play when talking about biases is priming. In cognitive psychology, priming is “the effect in which recent experience of a stimulus facilitates or inhibits later processing of the same or similar stimulus.”

For instance, the emblematic hierarchy would therefore rank “Third World” countries third out of three, effectively pigeonholing these countries as inferior regions. The connotation primes an individual to think these countries belong in last place, making extreme poverty a normalized concept in these regions when it should be anything but normal. As a doom and gloom term, referring to developing countries as “Third World” countries is harmful because it perpetuates cycles of poverty in certain regions of the world.

The Power of Rhetoric

More than three billion people around the world survive on less than $2.50 per day. When such a tremendous amount of people are living in extreme poverty, there is an ethical obligation to care. Meeting this obligation with something as simple as a change in rhetoric is a small task that could potentially have a large impact. It is important to call developing countries what they are — developing. The term developing country has an undertone of hope, and while extreme poverty is common in these regions, further developments are on track to reduce poverty and improve quality of life. Framing developing countries in such a negative light has the potential to cause irreparable damage to the fight against poverty. Poverty anywhere in the world is not normal and it is important to avoid treating it as such.

– Michelle M. Schwab
Photo: Flickr

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4 Ways Digital Farming Increases Productivity

Digital FarmingThe expansion of the digital age catapults the world into new methods of productivity. Utilized in the sectors of farming and agriculture, technology increases capabilities. Primarily, the introduction of mobile phones for digital farming heightens this change. Expanding internet and digital connection in the developing world has the potential to bring about positive outcomes that will help reduce poverty.

4 Ways Digital Farming Increases Productivity

  1. Network Building: Digital technology increases productivity by integrating mobile phones and internet services into the daily practices of farmers. Mobile technology builds networks through which farmers share information about improved practices and ecological data. In Africa, the price of mobile internet dropped by 30% since 2015, allowing more of the general public to utilize these new methods. This increase also required government involvement to establish national strategies and manage communications.
  2. Job Opportunities for Women: In regard to farm production, giving women more access to mobile technology allows productivity to grow by 4%, leveling the playing field between men and women. This provides women with access to knowledge and information regarding the detailed aspects of farming that at one point remained out of reach.
  3. Data Sharing: Implementing new farming technologies requires a commitment to the progression of change. Nations must look long-term to prepare for these changes in production to yield viable results. The costs necessary for production and distribution will decrease through the utilization of networking, where farmers gain the ability to make decisions that are well informed. Higher levels of data available fuel these improvements and streamline investments toward international food production.
  4. Increased Efficiency: Mobile technology will support the growth of efficiency and accuracy through a connected network of farmers. Data indicates that when a developing nation’s internet access increases by 10%, the GDP of this nation may increase by 1.35%, improving the economy. Rwanda has been praised for its work to improve the digital penetration of the economy. Rwanda helped 93% of its population gain access to a 3G network and is one of the fastest-growing African economies.

The Future of Digital Farming

Mobile technologies offer lasting improvements in the agricultural sector but risks still exist. The World Bank acknowledges these risks, such as a lack of cybersecurity, a concentration of service providers and potential job loss because positions will shift. However, the benefits of digital farming in developing countries seem to outweigh the risks. As a result, farmers are able to expand their knowledge and improve their farms. This in turn improves their yields, addresses food security, and most importantly, alleviates poverty. The World Bank states that digital technology should not be seen as the answer to all problems, however. Investments for road improvements, uninterrupted electricity and post-harvest storage facilities are also crucial and should not be overlooked.

– Kate Lucht
Photo: Flickr

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The World Forgotten Children Foundation

World Forgotten ChildrenWith poverty rates rising in developing countries, raising a family can be financially taxing. As 10% of the worldwide population lives on less than $1.90 per day, there are millions of individuals who cannot provide basic necessities for their children. When a child has a physical or cognitive disability, parents face an additional barrier when addressing the children’s needs. In dire circumstances, some parents are left with no choice but to place their children in orphanages. The World Forgotten Children Foundation (WFCF) focuses efforts on helping impoverished orphans, especially those with disabilities.

Orphans Living in Poverty

Globally, there are 153 million children who are orphans and a large portion of these children are found in developing countries. Additionally, it is estimated that eight to 10 million children with disabilities are living in orphanages. Orphanages in impoverished areas often lack access to adequate resources, especially for children who need extra care for specific disabilities. The facilities fall short on appropriate education, economic stability and infrastructure.

The World Forgotten Children Foundation is a nonprofit organization that focuses on addressing the link between poverty and orphaned children, with an emphasis on helping disabled orphaned children in developing countries. The organization understands the value of also addressing the needs of the community rather than simply targeting the orphaned children.

Helping Children Affected by Cerebral Palsy

In 2017, the WFCF supported the International China Concern (ICC), an organization that takes care of more than 350 children and young adults with disabilities across China, many of who have been abandoned since birth. In China, approximately two million children have cerebral palsy. This group of disorders is the most common motor disability for children and prevents an individual from properly moving and maintaining balance and posture. Children with cerebral palsy struggle to straighten their bodies enough to fall asleep due to spinal postural deformities and those with severe cases are at risk of more serious health issues if they are unable to sleep in an adequate position. Between 23% to 46% of children living with cerebral palsy suffer from sleep issues due to pain, discomfort, seizures and skin ulcers. Also, sleep deprivation can cause development problems.

The ICC’s mission is to use postural management to protect the body shape and to minimize life-limiting deformity. The WFCF funded $10,277 to provide custom-fitted sleep aid systems for 14 children. The sleep aid systems improved the children’s physical and emotional health and well-being.

Handicapes en Avant Project

Handicapes en Avant is a French charity group based in West Africa focused on improving and facilitating the everyday lives of those with disabilities. The WFCF partnered with the Dokimoi Ergatai program of Messiah College to fund $7,800 worth of equipment. Through the partnership, the project provided physically disadvantaged children with hand-powered tricycles, enabling the children to have increased mobility. Additionally, visual assist items for computers were purchased in order to support children with visual disabilities in West Africa. Also, in Burkina Faso, funding was provided for the development of the first electric tricycle for the handicapped children of the Handicapes Avant facility. Additionally, blind orphans at the Handicapes en Avant school were provided with drawing boards to make relief drawings, Braille writing tablets and several other educational materials.

Improving the Lives of Orphans

The World Forgotten Children Foundation recognizes the many challenges of orphaned children, especially those with disabilities. The organization works to amplify the health and welfare of these disabled children. Plans for more support projects are in the pipeline. One project at a time, the Foundation is improving the lives of orphans in developing countries.

– Sarah Frances
Photo: Flickr

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SCT Ensures Healthcare for Disabled Populations

Healthcare for Disabled PopulationsWorldwide, estimates have determined that more than 1 billion individuals live with some form of disability. In developing countries, access to healthcare is difficult enough with rural areas being far from main health centers and low socioeconomic status preventing optimal diagnosis and treatment. For disabled populations, low mobility leads to transportation difficulty, creating an additional barrier that compromises health and access to the nearest healthcare providers. Established in 1998, the Swinfen Charitable Trust (SCT) is a United Kingdom-based nonprofit organization that focuses on providing healthcare for disabled patients in developing countries through increased access to telehealth.

Disability as a Public Health Issue

Although 15% of the world lives with a form of disability, every person experiences varying limitations and healthcare needs. Article 25 of the United Nations Convention on the Rights of Persons with Disabilities (CRPD) states that those living with disabilities must receive the highest former of care without discrimination. Despite some countries upholding Article 25, many developing countries cannot provide the proper care for disabled individuals.

Beyond discrimination experienced in the health sector, individuals with disabilities face various barriers to healthcare. To begin, they typically encounter prohibitive costs for health services and transportation since a disability can create the need for a specially adapted vehicle in order to travel to the nearest healthcare professional. Estimates have stated that more than half of people experiencing a disability are unable to cover the costs they incur in healthcare, compared to approximately a third of people for those who are able-bodied. Also, physical barriers prevent disabled people from being able to access certain buildings and essential medical appointments. Inaccessible medical equipment, poor signage and inadequate bathroom facilities all comprise potential barriers. For example, medical professionals can often deny disabled women breast and cervical screening since the tables are not adjustable to one’s height and mammography equipment cannot accommodate women who are unable to stand.

The Swinfen Charitable Trust’s Mission

The Swinfen Charitable Trust (SCT) focuses on the disabled population of the developing world. SCT creates telemedicine links between healthcare centers in the developing world and medical professionals globally, who provide complementary diagnosis and treatment services. SCT represents the longest operating telemedicine nonprofit in existence. To date, there are 366 referring hospitals and more than 700 specialists providing their expertise to disabled people in developing countries free of charge. People can download the app called SCT Telemedicine on mobile phones and SCT has established telemedical links in 78 countries.

SCT raises money that goes toward improving the telemedicine experience and accessibility for disabled patients in developing countries. To begin, financial contributions provide round-the-clock system operators who have the task of analyzing and allocating new cases to specialists. Also, the money raised grants on-site support to partners for telemedical coverage implementation in local communities. This is especially crucial in remote areas of the developing world. Finally, any additional funds are allocated to expanding care to new countries or villages that are struggling to deliver adequate healthcare for disabled populations.

Improving the Lives of the Vulnerable

With a rising technologically dependent world, the Swinfen Charitable Trust is attempting to bridge the gap between poverty and healthcare access in developing countries, particularly for vulnerable populations. By establishing the means for disabled populations to access telemedicine, the disabled population can overcome healthcare barriers and improve their quality of life and life expectancy significantly.

– Sarah Frances
Photo: Flickr

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Mental Health Resources in Developing Countries

Mental Health Resources Physical health is often the focus of healthcare advocacy groups, but mental health needs to be improved around the world just as much. While some still consider mental health a taboo subject, it is important to improve the lives and prospects of those in poverty. The violence and trauma that often go hand-in-hand with extreme poverty can cause mental health issues. Proper care is often lacking but organizations are stepping up to the challenge. There are several organizations providing mental health resources in developing countries.

The Africa Mental Health Research and Training Foundation (AMHRTF)

AMHRTF focuses on providing mental health services in developing countries like Kenya. The organization prioritizes community health, making it a point to educate and serve community members of all ages from children to the elderly. It puts special focus on pregnancy and postpartum mental healthcare and trauma-related mental health disorders. In addition, the organization employs professionals with a wide range of specialties in order to implement holistic care. AMHRTF aims to make mental healthcare in Kenya available and accessible.

Strong Minds

Strong Minds focuses on providing mental health services in developing countries throughout the African continent. Specifically, the organization works toward ending Africa’s depression epidemic and reaching the most vulnerable women with depression in sub-Saharan Africa. After conducting research on the most effective and cost-efficient ways to conduct programs, Strong Minds settled on a model of consistent group therapy for a period of 12 weeks that a trained community member led. Qualifying to receive training as a group leader does not require a high level of formal education beforehand and is therefore accessible to members of communities in extreme poverty. These groups are extremely effective at reducing the cases of depressive episodes and providing coping mechanisms.

The World Federation for Mental Health

The World Federation for Mental Health emerged in 1948 and has been active in several different areas of mental health services since. The organization’s focus is destigmatizing mental illness and advocating for international and national mental health policies for the underserved. The organization helps to organize mental health awareness activities and events around the world and educate the public on mental health conditions. It also aims to improve care, treatment and recovery of people with mental disorders.

Federation Global Initiative on Psychiatry

The Federation Global Initiative on Psychiatry initially provided mental health services in developing countries in Europe with a special focus on nations that were previously part of the USSR. The organization’s work has now spread to include other regions too. The organization advocates for mental health care as a human right and assists people with mental health disorders, intellectual disabilities and trauma-based disorders. Like Strong Minds, the Federation Global Initiative on Psychiatry focuses on improving mental health options and services on a community level by working with local negative forms of mental illness management and helping to create more positive treatment options. The organization’s decentralized approach makes solutions more sustainable in the long term.

Center for Health and Human Development

Mental Health International, under the umbrella of the organization Center for Health and Human Development, helps to provide mental healthcare in El Salvador and other developing countries like Burundi and the Democratic Republic of Congo. The organization aims to destigmatize mental illness and form a network of NGOs to provide care to people with mental health disorders like depression and schizophrenia. Mental Health International also provides self-empowerment techniques along with training and classes for mental health caregivers.

All the above organizations work to improve and provide mental health resources in developing countries and create a world in which everyone in need has access to sufficient care.

– Che Jackson
Photo: Flickr

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Why Countries Should Be Investing in Brazil

investing in BrazilThere are numerous reasons to invest in foreign aid in general. That can include partaking in growing the global economy, promoting international human rights and opening donor countries to potential investment returns. What makes Brazil a particularly good market to invest in is its promising role in the global economy. There are several reasons why investing in Brazil is beneficial.

COVID-19 Response

As of January 2021, Brazil has the third-most COVID-19 cases worldwide. The Brazilian economy was not in its best shape at the start of the pandemic because it has not fully recovered from the 2014-2015 recession. This made the economy vulnerable to precarious economic shocks that resulted in increased poverty, unemployment and small business fragility.

The COVID-19 pandemic has left countries like Brazil with possible lasting economic damages. Many emerging and developing countries rely heavily on foreign aid for financial and humanitarian support. Offering foreign aid to Brazil will not only help pave the way for a domestic post-COVID recovery but also alleviate some of the negative impacts of the pandemic through humanitarian benefits.

Diversified Opportunities in Emerging Markets

The Brazilian economy is classified as an emerging market. Emerging markets are economies that are transitioning into a developed economy. Since the launch of the MSCI Emerging Market (EM) Index in 1988, which measures portfolio performances of emerging markets, investing in emerging countries proved to create new and diversified opportunities outside of common markets.

Market Expansion and Economic Growth

Since 2016, Brazil has shown an increase in GDP growth with approximately a 1.3% increase. In 2020, Brazil fell back into recession because of COVID-19. However, Brazil’s economy displayed growth and has played an important role in the growth of the Latin American economy as it makes up 35% of the Latin American GDP. It is approximated that the Brazilian market reaches 900 million consumers in just the Americas.

On how quickly the Brazilian economy rebounded, Bloomberg reports boosted domestic demand and exports with a 9.47% rise in economic activity index from July to September of 2020 in comparison to the previous months.

As Brazil recovers from COVID-19’s economic impact, it leaves opportunity for foreign investors to take advantage of Brazil’s growing market, especially with its low interests. Some of Brazil’s profitable sectors include real estate and agricultural goods like coffee, sugar cane, corn and soybean. Participating in these sectors expands Brazil’s domestic market and hence the world market size.

Geographical Location

Especially for the United States, Brazil’s proximity allows easier trade. For other advantages, Brazil’s geographical properties for the agriculture sector also make its commodities attractive. Approximately 28.7% of land is used for agricultural production which makes up more than 4% of the annual Brazilian GDP. Following China, the United States and Australia, Brazil has the fourth-most amount of agricultural land.

Foreign Investment Returns

Encouraging enterprises to invest in foreign aid can ultimately result in great returns. A common type of foreign aid for these corporations is Foreign Direct Investment (FDI). Through FDIs, corporations can potentially gain lasting interests, multinational consumers and flexible production costs. This type of foreign aid also brings developing countries like Brazil innovative technology, investment strategies, jobs and infrastructure from investing corporations of developed nations.

Foreign investment is critical to developing and emerging markets. Investing in Brazil promotes development and sustainability and also benefits foreign investors greatly. Furthermore, foreign investment assists economic recovery following unforeseen economic shocks like that of the COVID-19 pandemic.

– Malala Raharisoa Lin
Photo: Flickr

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Healthcare: Telemedicine Clinics in Guatemala

Telemedicine Clinics in GuatemalaNew telemedicine clinics in Guatemala are providing vital resources to women and children living in remote areas with limited access to healthcare specialists. This advancement in healthcare technology increases Guatemala’s healthcare accessibility and follows a trend of a worldwide increase in telemedicine services.

Guatemala’s New Telemedicine Clinics

Guatemala’s Ministry of Public Health and Social Assistance (MSPAS), in conjunction with the Pan American Health Organization (PAHO) and the World Health Organization, launched four new telemedicine clinics in Guatemala in December 2020.

The clinics were designed to improve accessibility to doctors and specialists for citizens living in rural areas, where unstable or lengthy travel can deter patients from getting the care they need. Lack of staff is another barrier telemedicine hopes to overcome. Special attention will be given to issues of child malnutrition and maternal health.

The funding of the program was made possible through financial assistance from the Government of Sweden and the European Union. aimed at increasing healthcare access in rural areas across the world.

Guatemala’s State of Healthcare

Roughly 80% of Guatemala’s doctors are located within metropolitan areas, leaving scarce availability for those living in rural areas. Issues of nutrition and maternal healthcare are special targets for the new program due to the high rates of child malnutrition and maternal mortality in Guatemala.

Guatemala’s child malnutrition rates are some of the highest in all of Central America and disproportionately affect its indigenous communities. Throughout the country, 46.5% of children under 5 are stunted due to malnutrition.

Maternal death rates are high among women in Guatemala but the country has seen a slow and steady decline in maternal mortality over the last two decades. The most recently reported maternal death rate is 95 per 100,000 births.

Guatemala does have a promising antenatal care rate, with 86% of women receiving at least four antenatal care visits during their pregnancies. By increasing the access to doctors through telemedicine clinics, doctors can better diagnose issues arising during pregnancy and prepare for possible birth difficulties that could result in maternal death.

Guatemala’s COVID-19 rates have also impacted the ability of patients to seek healthcare. The threat of the virus makes it difficult for those traveling to seek medical treatment due to the risk of contracting COVID-19.

Trends in Worldwide Telemedicine

The world has seen a rise of telemedicine clinics as the pandemic creates safety concerns regarding in-person visits with doctors. Doctors are now reaching rural communities that previously had little opportunity to access specialized medicine. Telemedicine is an important advancement toward accessible healthcare in rural areas. While the telemedicine clinics in Guatemala are limited in numbers, they set an important example of how technology can be utilized to adapt during a health crisis and reach patients in inaccessible areas.

– June Noyes
Photo: Flickr

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Improving Bipolar Awareness in India

Bipolar Awareness in IndiaIndia is the second-most densely populated nation in the world, with more than 1.3 billion people. Of that number, more than 82 million citizens suffer from bipolar disorder, according to data from 2019. Bipolar disorder in India often goes undiagnosed and untreated for reasons ranging from ancient superstitions to the cost of treatment, but, bipolar awareness in India is steadily progressing.

Bipolar Disorder in India

Improved bipolar awareness in India exemplifies how a concerted effort can reduce stigma and create an affordable and readily available avenue for treatments such as therapy and medication. Indians, mostly women, have been disowned and abandoned by family or a spouse after receiving a bipolar diagnosis. In a country where the consequences of a mental condition are isolation and disconnection, the need for awareness and education is paramount.

A nation that once attributed bipolar disorder to demonic spirits, planetary alignments or a sinful past life, has come extremely far in its understanding of the illness. But, the stigma surrounding the disorder is still prevalent in India, and many, especially those from rural locations, believe bipolar disorder is a choice or an illness reserved for the rich and privileged.

BipolarIndia Organization

One resource improving bipolar awareness in India is the organization BipolarIndia. The community was created in 2013 by Vijay Nallawala, an Indian man that suffers from bipolar disorder, and his mentor and friend, Puneet Bhatnagar. BipolarIndia’s mission is to create an empathetic, judgment-free environment for bipolar people to find information, treatment, and most of all, support from those that can relate to their struggle.

BipolarIndia hosts a National Conference every year on World Bipolar Day to create awareness for the illness and educate residents from all over the country. In 2015, the organization began hosting monthly support meetings for individuals to speak with peers that can understand their struggle. It has also recently developed a way for patients to receive real-time support through the Telegram App when they feel they may need immediate help. Resources such as the Telegram App are invaluable due to the lack of mental health professionals in India.

The Mental Health Care Bill

Data from a 2005 report shows that there are only three psychiatrists per million citizens and only 0.06% of India’s healthcare budget goes toward improving mental healthcare. The Indian Government passed a Mental Health Care Bill in June of 2013 laying out a mission to improve bipolar awareness in India as well as reduce stigma surrounding all mental health issues. The bill has been undergoing revisions and policy modifications based on the guidance given by the Indian Association of Psychiatry.

Efforts to Raise Awareness

The government’s efforts to raise awareness about the complexity of bipolar disorder and the number of Indians that suffer in silence is vital to the disorder being understood. The Indian government aims to provide communities with adequate care and reliable information, leading the nation to a better understanding of a complicated mental disorder.

Bipolar awareness in India has improved with private organizations such as the International Bipolar Foundation (IBPF) funding research on effective treatments and raising awareness across the globe.

Also fighting for bipolar awareness, Indian celebrities, including Deepika Padukone, Rukh Kahn, Yo Yo Honey Singh and Anushka Sharma, have stepped forward and opened up about their personal battles with bipolar disorder, combatting the stigma surrounding the illness.

The Road Ahead

Bipolar awareness in India has slowly improved but still has a long way to go. If the government aims to change the attitude toward bipolar disorder and improve treatment, a significant investment in research is vital as well as a comprehensive understanding of the disorder.

–  Veronica Booth
Photo: Flickr

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WHO’s Plan to Address Neglected Tropical Diseases

Address Neglected Tropical DiseasesOn November 12, 2020, members of the World Health Organization (WHO) voted overwhelmingly to adopt a bold set of plans to address the threat of neglected tropical diseases (NTDs) throughout the next decade. With this vote, the WHO endorsed a “road map” written by the Control of Neglected Tropical Diseases team to address neglected tropical diseases in the world’s most vulnerable regions. The decade-long project aims to establish global programs with international partners, stakeholders and private organizations. These partnerships will work to accomplish an ambitious set of goals that will end the spread of certain neglected tropical diseases and improve the quality of human life in regions susceptible to neglected tropical diseases.

Neglected Tropical Diseases (NTDs)

Neglected tropical diseases are commonly defined by global health organizations such as the WHO and the National Institute of Allergy and Infectious Diseases as a group of diseases that primarily affect those living in tropical and subtropical climates and disproportionately spread in remote areas or regions afflicted by poverty. Among the 20 diseases that the WHO categorizes as neglected tropical diseases are dengue, rabies, leprosy, intestinal worm and sleeping sickness.

Tropical and subtropical regions include Central America and the northern half of South America in the Western Hemisphere, most of sub-Saharan Africa as well as island nations in the Indian and Pacific Oceans. Many of the countries in this range are developing or impoverished nations. A lack of development and healthcare infrastructure in nations that lie in tropical regions, such as lack of access to clean water and health education, creates a more fertile breeding ground for the spread of dangerous diseases.

The reason that these diseases are considered “neglected” is that regions where neglected tropical diseases cause the most damage are populated by people with little political power or voice, a result of widespread poverty, location and other socioeconomic factors. As such, the spread of these diseases goes largely unnoticed and there is little incentive at the international level to take measures to combat these ailments. Though NTDs do not receive high-profile attention in the larger medical community, the WHO estimates that more than one billion people are affected by NTDs. The WHO sees the urgency to address neglected tropical diseases.

WHO’s 2021-2030 Road Map

The WHO outlined a set of “overarching global targets” that it will pursue over the course of the next decade in work with foreign governments, community organizations and NGOs. These overarching goals, to be accomplished through achieving a number of “cross-cutting targets” are the primary effects the WHO hopes to achieve by 2030:

  1. Reduce number of people requiring treatment for NTDs by 90%. To attain a 90% reduction rate of those requiring treatment for neglected tropical diseases, the WHO altered its approach to disease treatment from a vertical, single disease eradication method to a horizontal, cooperative effort across several countries. This would require 100% access to water supply, greater international investment in healthcare and action at the federal level to collect and report data on infection.
  2. Eliminate at least one NTD in 100 countries. There are a number of neglected tropical diseases that the WHO lists as “targeted for elimination”: human African trypanosomiasis, leprosy and onchocerciasis. In the WHO’s road map, elimination of a disease means complete interruption of transmission, effectively stopping a disease’s spread. For eliminating diseases such as leprosy, the WHO hopes to assist 40 countries to adopt epidermal health strategies in their healthcare systems.
  3. Completely eradicate two NTDs. The two diseases listed as “targeted for eradication” by the WHO are yaws, a chronic skin condition, and dracunculiasis, an infection caused by parasitic worms in unclean water. Both diseases are, according to the WHO, either easily treatable or on the verge of eradication. Dracunculiasis, for which there is currently no vaccine or medical treatment, only affected a reported 54 people in 2019. Yaws is still endemic in 15 nations but can be treated with a single dose of antibiotics.
  4. Reduce by 75% the disability-adjusted life years (DALYs) related to NTDs. The implementation of increased prevention, intervention and treatment can increase the quality of human life in tropical and subtropical countries. This final overarching goal aims to create nationwide efforts to alleviate or eliminate the chronic symptoms of those infected with neglected tropical diseases as well as prevent the further spread of debilitating neglected tropical diseases.

Ending Neglected Diseases

To address neglected tropical diseases, the fulfillment of the goals outlined in the WHO’s road map will require a multilateral and thorough implementation as well as cooperation and leadership from each of the partner countries affected. The WHO seeks to encourage each tropical and subtropical nation to take ownership of their healthcare programs, which will create a sustainable, international network to strengthen global health in some of the world’s most vulnerable regions. Putting the fight against neglected tropical diseases in the spotlight as well as dedicating time and resources to taking on these diseases, can remove the “neglected” from neglected tropical diseases and put the global community on a course toward eradicating these diseases.

– Kieran Graulich
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