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The One WaSH National Programme

The One WaSH National ProgrammeGlobally, at least 2 billion people do not have access to clean water. The ability to access clean water supplies and sanitation is a vital aspect of a country’s development. Improved water supply and sanitation positively affect economic growth and poverty reduction as water is essential domestically and agriculturally. Furthermore, clean water and sanitation are imperative to human health. Contaminated water can cause diseases such as diarrhea, cholera and typhoid. The issue of clean water is present worldwide and demands preventative action. Thankfully, the One WaSH National Programme is here to help.

Ethiopia is one country where the water crisis needs to be addressed. Close to 33 million people in Ethiopia lack access to a safe water supply and nearly 89 million don’t have access to basic sanitation. This lack of access is responsible for 90% of diarrheal disease occurrences, which is a leading cause of child mortality in Ethiopia. To fight this, the Ethiopian government along with partners developed the One WaSH National Programme in 2013. The goal was to drastically improve access to safe water and sanitation services throughout the country.

The ONE WaSH National Programme

The One WaSH National Programme aims to improve the health and well-being of communities in rural and urban areas. Their strategy to achieve this is to increase equal and sustainable access to clean water supplies, sanitation services and good hygiene practices. As explained by the IRC, “It combines a comprehensive range of water, sanitation and hygiene interventions that include capital investments to extend first-time access to water and sanitation, as well as investments, focused on developing the enabling environment, building capacity, ensuring the sustainability of service delivery, and behavioral change. It has rural, urban, institutional WaSH and capacity building components.”

Impacts of The Programme

Phase one of The One WaSH National Programme in Ethiopia began in October 2013 and lasted till July 2017. It boasted great results. In four years, 18.7 million people gained access to water supplies and the practice of open defecation reduced from 44% to 29%. Additionally, 1,280 school WASH facilities were constructed.

The One WaSH National Programme approved its second phase in 2018. This time, the overall growth and transformation of the program was the main target for improvement. Another objective was to diminish vulnerable infrastructure in drought-prone areas in Ethiopia. Doing so would create a climate-resilient water supply system that provides the community with safe and sustainable access to water. Results for this second phase are still being collected as it was expected to run through July 2020.

The Importance of Clean Water in Poverty Reduction

Access to basic water and sanitation are vital parts to improving the economy. As such, it is essential for eradicating poverty. Many health issues faced by the poor arise because of the consumption of contaminated water. Increased availability of basic water and sanitation services can aid in general public health and assist in reducing health care costs.

The ONE WaSH National Programme has not completely satisfied their goals of extending safe water supply to 98% of the country’s rural population and 100% of city dwellers. Nevertheless, they have made many great strides toward improving sanitation services. Overall, the program has contributed significantly toward improving the standard of living within these Ethiopian communities.

The ONE WaSH National Programme and similar endeavors have the power to greatly improved the population’s access to a safe water supply and reduce poverty in Ethiopia and worldwide.

– Caroline Dunn
Photo: Flickr

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6 Facts About Healthcare in Tunisia

Six Facts about Healthcare in Tunisia
Tunisia, situated in the North-central region of Africa, borders two relatively unstable nations, Algeria and Libya. However, Tunisia has had consistent development in human wellbeing for the past couple of decades, ranking among the highest in the African continent. In part, this status can be attributed to the relatively strong healthcare system in place. According to a World Health Organization report, Tunisia possesses a national health strategic plan as well as a relatively high life expectancy at 75 years. Here are six facts about healthcare in Tunisia. 

6 Facts About Healthcare in Tunisia

  1. Health Insurance: More than 90% of the population has some form of health insurance. Private insurance systems cover many Tunisians, while others rely on programs for vulnerable demographics. One persistent concern is the gaps in payment for medical procedures, which can create a financial burden for families. 
  2. Universal Healthcare: Though the new constitution in 2014 labeled healthcare a “human right,” much work still remains to be done in order to make healthcare in Tunisia universally accepted and effective. Specifically, the government is working to improve healthcare infrastructure in southern Tunisia. In 2016, it increased the healthcare budget by 9% to help accomplish this goal. 
  3. Private Sector: The private healthcare sector in Tunisia is booming. In recent years, the number of new private clinics built in the country has surged. By 2025, 75 new facilities are expected to be completed, an increase which would double the capacity of hospital beds in the country. These improvements should help make access to quality healthcare more readily accessible to the general population. 
  4. Deadly Diseases: Tunisia has been able to eradicate and control many deadly diseases that put a strain on the healthcare system. Malaria, polio, schistosomiasis are well under control. The country has also addressed and effectively managed HIV/AIDS. 
  5. COVID-19 Pandemic: Thus far, Tunisia has managed COVID-19 relatively well. Sitting at 1,780 confirmed cases and 52 deaths (as of August 12), the country is well-positioned to recover economically from the virus. Though it is still early, it appears that the healthcare system in Tunisia was able to absorb the influx of cases in order to slow the death rate.
  6. Preventative Measures: Tunisia’s success in battling COVID-19 is largely due to preventative measures taken by the government and healthcare sector. Seeing the potential for a rise in cases, the nation shut down swiftly. Tunisia went into a rigorous lockdown that lasted for months. This was an especially difficult decision, considering that tourism accounts for 10% of the country’s GDP. In spite of this, however, the World Health Organization cited a strong sense of community and respect for the lockdown measures across the nation.

These six facts about healthcare in Tunisia highlight some of the country’s most significant successes. The nation’s strong healthcare system has led to the control of many deadly diseases. Moving forward, it is essential that the Tunisian government continues to prioritize improving and expanding its healthcare infrastructure.

– Zak Schneider
Photo: Flickr

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Healthcare in the Democratic Republic of the Congo

healthcare in the Democratic Republic of the CongoOne of the biggest challenges facing the Democratic Republic of the Congo is its healthcare system. The country faces many barriers to adequate healthcare, such as low funding, systematic and structural difficulties, poverty, proper treatment and testing, education and more. However, many organizations worldwide are working to improve healthcare in the country through direct aid and legislation.

The Problems with the Healthcare System in the Democratic Republic of the Congo

The healthcare system lacks investment and funding. As a result, it is difficult for the country to combat prevalent healthcare issues, such as infectious diseases. It also provides obstacles to combatting more pervasive issues such as infant and mother mortality rates. According to the CDC, the top causes of death in the Democratic Republic of the Congo are “malaria, lower respiratory infections, neonatal disorders and tuberculosis.”

Many of these issues are preventable. However, as of 2017, the Democratic Republic of the Congo only dedicated 3.98% of GDP to healthcare. In comparison, the U.S. dedicated 17.06% to healthcare. Healthcare in the Democratic Republic of the Congo requires consistent funding and resources to ameliorate and reduce these problems; without increased investment, these healthcare problems will only continue to persist.

Furthermore, the WHO states that another complication facing the healthcare system is a lack of resources. The healthcare facilities that are up and running are “often poorly maintained” and difficult to access. Moreover, many communities throughout the country are isolated and spread out. For example, the WHO states that 80% of cholera patients are displaced throughout the country. With these patients vastly spread out, it becomes harder and harder to treat and reduce the impact of cholera. Additionally, traveling from one area to the next present difficulties because of damaged and underdeveloped roads, which introduces another barrier to proper treatment.

Therefore, it becomes increasingly difficult for citizens to even obtain access to healthcare clinics and/or hospitals. Factoring in violence and displacement, lack of food and healthy drinking water and extreme poverty conditions, healthcare in the Democratic Republic of the Congo’s is in dire need of support and aid.

What Organizations are Doing to Help

With that said, what are other countries and organizations doing to help the Democratic Republic of the Congo? There are many organizations around the world working to reduce global poverty and improve healthcare in the Democratic Republic of the Congo and other struggling countries. The focus herein are direct, firsthand efforts from organizations such as USAID, the CDC and WHO.

  • The WHO is actively trying to obtain accurate information about population and health in order to properly provide solutions for certain problems. For example, the WHO seeks to obtain information about issues, such as infant mortality rate and the necessary vaccines. Then, they modernize this information by implementing new technology and software to ensure that the data is upkept, accurate and transformative.
  • USAID is training local citizens and communities on proper healthcare treatment and issues. USAID helps these citizens utilize “locally available resources” to treat the pervasive health issues specific to the country. Additionally, USAID also seeks to increase education by providing scholarships to people to pursue comprehensive medical education. USAID also strives to increase funding and investment for healthcare in the Democratic Republic of the Congo.
  • The CDC has sent more than two million testing kits and thousands of vaccines/treatments to combat a multitude of issues such as malaria, HIV/AIDS, influenza and infections. Additionally, they have also increased the number of healthcare clinics and other testing and treatment sites across the country. These sites now include five new “sentinel sites for influenza and other infections”.

Moving Forward

Furthermore, advocacy organizations push federal legislation focused on reducing poverty and improving healthcare systems across the world. Equally important, these continual and consistent efforts prioritize allocation of U.S. foreign aid towards these economically struggling countries.

Overall, healthcare in the Democratic Republic of the Congo, underfunded for many years, still requires intense rebuilding and change. However, many organizations across the world are understanding these healthcare issues and taking action to help. While much more progress must occur in order to ensure a stable, successful healthcare system, the progress that is currently underway should not be overlooked.

– Sophia McWilliams 
Photo: Flickr

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Childhood Obesity in Poverty-Stricken Africa

childhood obesity in poverty-stricken AfricaChildhood obesity is a major issue in middle-income countries. However, this issue is growing in low-income countries as well now. In Africa, micronutrient deficiency and wasting are among the biggest challenges associated with children’s health. However, with sugary foods and snacks becoming cheaper and more accessible, childhood obesity is becoming more of an issue in Africa. A 2000 survey revealed that 10% of low-income countries had a 10% rate of teenagers who were overweight. Just between 2014 to 2016, that number jumped from 40% to 75%. It is quite clear that this issue is quickly increasing.

The Problem of Childhood Obesity

According to the World Health Organization (WHO), childhood obesity in poverty-stricken Africa is one of the most pressing issues of this century. Without intervention, this issue will only continue to spread.  Along with it, long-term health problems associated with obesity, such as diabetes, will also increase. Furthermore, not only are obese people at risk of contracting preventable health conditions but they are also at risk of early death. According to WHO, obesity takes more than two million lives every year worldwide.

Despite the growing economy in Africa, millions still suffer from poverty. This poverty, coupled with the growth of obesity, has Africa simultaneously facing two major challenges. These two challenges have led to a significant increase in diseases throughout Africa. Since the 1980s, diabetes has grown by 129% in Africa. To combat the spread of diabetes and the consumption of high sugar beverages, South Africa has passed a bill that taxes such beverages.

Combating Childhood Obesity

A few organizations are taking steps to combat childhood obesity in poverty-stricken Africa. The World Health Organization places its focus on what types of foods to consume, the number of physical activities that are being completed and overall health. The organization believes that in order to avoid the increasing amount of childhood obesity that Africa is experiencing, there must be corrections to all three factors mentioned above.

WHO created the “Global Strategy on Diet, Physical Activity and Health” to reduce obesity and improve overall health. The strategy focuses on four major goals that will ultimately help combat childhood obesity, diseases and death. The four main goals are to reduce risk, increase awareness, develop policies and action plans and monitor science. Though created 16 years ago, this strategy will only begin to make an impact after several decades. In order for the strategy to succeed, all levels of life and business must assist in the effort.

Childhood obesity in poverty-stricken Africa continues to be an issue. Although a relatively new issue in developing countries, obesity is quickly increasing. Africa is now combatting both ends of the nutritional spectrum, with malnutrition and childhood obesity now prevalent throughout the continent. Despite increases in these issues, organizations such as WHO are working diligently to reduce childhood obesity in Africa.

– Jamal Patterson 
Photo: Pixabay

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5 Ways Poverty Relief Reduces Disease

poverty relief reduces disease
The universal rise in global living standards has helped combat diseases, spurred on by international poverty relief efforts. In fact, one study found that reducing poverty was just as effective as medicine in reducing tuberculosis. Poor health drains an individual’s ability to provide for themselves and others, trapping and perpetuating a cycle of poverty. Better public health increases workforce productivity, educational attainment and societal stability. Here are 5 ways poverty relief reduces disease.

5 Ways Poverty Relief Reduces Disease

  1. Better Sanitation: According to the WHO, approximately 827,000 people die each year due to “inadequate water, sanitation, and hygiene.” Poor sanitation is linked to the spread of crippling and lethal diseases such as cholera and polio, which hamper a nation’s development. By investing in the sanitation of developing nations, the rate of disease decreases and the food supply improves. Furthermore, an all around healthier society emerges that can contribute more to the global economy. In fact, a 2012 WHO study found that “for every U.S. $1.00 invested in sanitation, there was a return of U.S. $5.50 in lower health costs, more productivity, and fewer premature deaths.”
  2. Improved Health Care Industries: A hallmark of any developed nation is the quality of its health care industry. A key part of reducing poverty and improving health, is investing in health care initiatives in developing countries. When the health care industry is lacking (or even non-existent), the population experiences high levels of disease, poverty and death. Many American companies have already invested millions into the medical sectors of developing nations, however. In September 2015, General Electric Healthcare created the Sustainable Healthcare Solutions, a business unit that donates millions in money and medical equipment to developing nations.
  3. More Informative Education: Knowledge is power when it comes to fighting disease. Educational institutions provide a nation with one of the best tools to fight diseases of all kinds. According to a WHO report, “education emphasizing health prevention and informed self-help is among the most effective ways of empowering the poor to take charge of their own lives.” Schools must teach about proper sanitation, how to spot warning signs and form healthy behaviors. School health programs are also an invaluable resource in times of pandemics and disease outbreaks, as they coordinate with governments. This cooperation has helped tackle diseases, including HIV/AIDS in Sub-Saharan Africa. Eritrea, for example, has one of the lowest rates of infection in the region (less than 1%), partially due to an increase in HIV/AIDS education measures.
  4. Enhanced Nutrition: Malnutrition and food insecurity weaken the immune systems of the impoverished and significantly lower one’s quality of life. Millions of children each year die from famine or end up crippled due to dietary deficiencies. By investing in and supporting agricultural sectors of developing nations, aid programs help in not only decreasing poverty, but also in cutting down on illness of all kinds. Likewise, international aid during conflicts and natural disasters is crucial to ensuring the continued health and productivity of a country. One nation combating such an issue is Tanzania. With the help of aid organizations like UNICEF, Tanzania has decreased malnutrition for children under five.
  5. More Effective Government Services: Arguably encompassing all the previous categories, governments with more money and resources can effectively help stop diseases. A healthy general population leads to more productivity, which increases tax revenue. Central governments can then invest that money back into health care and sanitation, creating a positive feedback loop. Governments also provide a centralized authority that can cooperate with organizations like the WHO. In the 21st century, communication and cooperation between world governments is key to halting pandemics and working on cures.

Impact on COVID-19

The COVID-19 pandemic is a prime example of how improved government resources provide poverty relief, which helps combat the virus in the developing world. Kenya is a good example of how developing nations can help contain and combat the virus with effective government actions. The systems and governmental services built up over past decades sprang into action and coordinated with organizations like the WHO. The government has also implemented various economic measures to help mitigate the negative economic side-effects. Moving forward, it is essential that governments and humanitarian organizations continue to take into account the importance of poverty relief for disease reduction.

– Malcolm Schulz 
Photo: Flickr

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10 Facts About Life Expectancy in Tonga

Life Expectancy in Tonga
Tonga is a country located in the South Pacific Ocean, within the South Pacific archipelago. The sovereign state consists of a total of 176 islands that spread across 270,000 square miles, 36 of which contain a fast-growing population of 100,651 people. About 70% of the 100,651 people live on the main island, Tongatapu. While life expectancy is on the rise throughout the country, there are still many health concerns. Here are 10 facts about life expectancy in Tonga.

10 Facts About Life Expectancy in Tonga

  1. Life expectancy rates in Tonga have been steadily rising for the past 70 years. In 1950, the average life expectancy was 55.78 years. Today, the life expectancy is 70.97 years. As of 2018, male life expectancy was 68.9, and female life expectancy was 72.8. This is most likely due to improvements in sanitation, housing and education. According to the U.N.’s projections, Tonga’s life expectancy will continue to increase and grow to 74.30 by 2050.
  2. The leading cause of death for all ages in Tonga is non-communicable diseases (NCDs). According to the Tongan Ministry of Health and the World Health Organization (WHO), NCDs account for the majority of deaths in Tonga. These include cardiovascular disease, cancer, respiratory diseases, diabetes and more. Factors such as lack of physical activity, smoking daily, alcohol use, obesity, high blood pressure and eating less than five servings of fruit and vegetables per day increase the risk of developing NCDs. Of the population, 60.7% is at high risk of developing or having an NCD and 39.2% at moderate risk. One study even found that one out of every ten hospital patients in Tonga was admitted due to an NCD.
  3. The NCD that kills most people in the country is coronary heart disease. The latest data from 2017 reports that of every 100,000 Tongans, 128.72 (16.64% of the population) die from coronary heart disease.
  4. Tonga’s fertility rate has been decreasing since the 1950s. However, despite the steady decrease, Tonga’s fertility rate remains high compared to other countries. In 1955, the fertility rate in Tonga was 7.3 births per woman. Today, it is currently at 3.2 births per woman. In comparison, in Australia, there were 3.0 births per woman in 1950 but only 1.86 births per woman in 2015.
  5. Obesity is extremely prevalent among Tonga’s population. An important risk factor to NCDs, obesity has been increasing in Tonga since 1975. In 1975, 47.8% of people 18 and older were obese. In 2016, the obesity rate had jumped to 75.6%. This year, Tonga ranks number two in the world for the highest body mass index (BMI) with its population having an average BMI of 31.9. Tonga falls just below the world’s most obese country, Nauru, which has a BMI of 32.5. Tonga’s obesity rate is due to a couple of factors, including low levels of physical activity and poor diets.
  6. The diet of Tongans plays an important role in the level of obesity throughout the country. Most Tongan’s diets once consisted of root vegetables, coconuts and fish. Since joining the global economy, diets have become highly processed and fatty. The average diet is now made up of rice, bread, canned fish, sugar, salt and packaged noodles.
  7. Tobacco use, another risk factor for NCDs, has been slowly decreasing in Tonga. In 2000, 36.3% of the population used tobacco. The most recently projected smoking rate puts tobacco use at 27.9%.
  8. Health-related issues make up most of Tonga’s other top causes of death. Other top causes of death in Tonga include diabetes (13.63%), stroke (9.91%), influenza and pneumonia (7.26%), breast cancer (2.83%) and lung disease (4.60%).
  9. More people have slowly moved into Tonga’s urban areas in recent years. In 1955, the urban population was at just 15%, while today the percentage has risen to 76%. This urbanization results in a more sedentary lifestyle, which, in turn, becomes a risk factor for developing obesity.
  10. Tonga is the first country in the Pacific Islands to develop a plan to fight obesity. In 2017, the Tongan government implemented a tax on imported foods in hopes of discouraging people from purchasing them. The tax included items such as mutton flaps, industrial chicken and turkey tails. There are also groups such as Tonga Health Promotion Foundation (TongaHealth) that fight obesity in hopes of improving life expectancy. TongaHealth was established in 2007 by the Health Promotion Foundation Act. Dedicated to the prevention of NCDs in Tonga, the group recognizes the urgency in the country’s rising number of NCDs. It fights the risks by focusing on educating the population on topics such as healthy eating, physical activity, tobacco control and alcohol control.

While life expectancy rates are on the rise in Tonga, there is still work to be done to improve the health of Tongans and further increase life expectancy. Tobacco use, alcohol use, a lack of physical activity and poor diet are all putting Tongans at risk for obesity and NCDs. Moving forward, the government and other humanitarian organizations must focus their efforts on improving health and life expectancy in Tonga.

– Marlee Septak
Photo: Flickr

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6 Facts About Sanitation in Chad

facts about sanitation in ChadChad is a country highly dependent on agriculture with two-thirds of the population employed in such a capacity. For agriculture to thrive, water must be plentiful. However, for Chad, ensuring access to adequate water supplies has and continues to be a challenge. Additionally, the citizenry at large suffers from a lack of sanitized water, which increases the danger of disease transmission. Here are 6 facts about sanitation and access to water in Chad.

6 Facts About Sanitation in Chad

  1. Basic water services: In 2019, 61% of Chad’s population lacked access to basic water services. Many had to obtain drinking water from an improved source like a well or piped water.
  2. Open defecation: 69% of Chad’s population practices open defecation, a result of Chad being the country with the largest percentage of its population without access to a toilet. Among the poorest Chadians, access to toilets improved by 7% between 2000 and 2017. However, 88% of them still practice open defecation.
  3. Hand washing: Chad is one of 19 countries where more than 50% of the population does not have a handwashing facility. Additionally, 76% of Chad’s people have no handwashing facility in their home. This is especially salient today since the World Health Organization recommends hand hygiene as “the most effective single measure to reduce the spread of infections”.
  4. Lake Chad: This body of water borders Nigeria, Niger, Cameroon and Chad and supports the existence of 30 million people. This economically important source of water, however, has shrunk by 90% since the 1960s. For communities reliant on fishing, farming and herding, a diminishing Lake Chad translates into resource constraints and sometimes conflict.
  5. Refugee crisis: Conflict caused by Boko Haram and other insurgent groups in the region has displaced thousands of Chadians and others. For example, in Kobiteye, a refugee camp bordering the Central African Republic, 24,000 refugees live without adequate access to water.
  6. Lethality: The inability to consume clean water is costly, taking the lives of thousands in Chad. A U.N. report found children under five in conflict-affected states were “more than 20 times more likely to die” from unsafe water or lack of sanitation than from the conflict itself.

Solutions

In response to Chad’s water crisis, some organizations and governments have stepped up assistance. In 2019, World Vision Chad redirected 70% of its funding to providing safe water access. They reached 18,000 displaced refugees with 45 boreholes. A few years ago, USAID dug 113 wells that reached 35,000 people since 2008.

Other organizations are focusing on leveraging technology to improve water access. Chad’s Ministry of Water and Sanitation and the Swiss Agency for Development and Cooperation partnered to fund the ResEau project, a 10-year 3D mapping initiative designed to improve borehole drilling. Before ResEau began, boreholes successfully reached water 30 to 40% of the time. Now, boreholes successfully reach water over 60 percent of the time.

Additionally, ResEau also contributed to creating a master’s degree program in Hydrology and GIS at the University of N’Djamena in Chad. This program has benefited more than 100 students so far, many of whom work for Chad’s Ministry of Water and Sanitation. Leapfrog, the 3D technology company that ResEau used for its geological modeling, stated that the project “will enrich the livelihood of all those who live in Chad, by providing the skills and knowledge needed for a robust integrated water management system”. Steps like these represent successes that individual donors and donor governments need to build upon.

– Jonathan Helton 
Photo: Flickr

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9 Facts About Healthcare in Sierra Leone 

Healthcare in Sierra LeoneSierra Leone is a small nation located on the coast of West Africa. While the country boasts an abundance of natural resources, it is also a poor nation, with a healthcare system in dire need of improvement. Here are 9 facts about healthcare in Sierra Leone.

9 Facts About Healthcare in Sierra Leone

  1. Sierra Leone has one of the lowest life expectancies on the globe. In 2018, the average life expectancy in Sierra Leone was 54.3 years. This places the nation among the bottom five in the entire world. In comparison, the average global life expectancy is 72.6 years.

  2. Sierra Leone faces high rates of infant and maternal mortality. Similar to life expectancy, infant and maternal fatality rates help gauge the quality of a nation’s health care system. In 2015, 87.1 infants died per 1,000 births in Sierra Leone, while 1,360 mothers died per 100,000 births. In the U.S., just 5.4 infants died per 1,000 births, and only 14 mothers died for every 100,000 births. Birth-related deaths generally occur when there are delays in women seeking, reaching and receiving care.

  3. All people living in Sierra Leone are at risk of malaria. Malaria is endemic to the nation, and poses a great health risk. In fact, four out of every ten hospital visits in Sierra Leone are due to malaria. Children are at particular risk, and the disease contributes to the nation’s high number of child fatalities. However, rates of the illness are falling across the country due to preventative practices such as sleeping under insecticide treated nets. Earlier diagnoses and treatments also contribute to the lowered rates of illness. By the end of 2020, the Ministry of Health and Sanitation in Sierra Leone hopes to have decreased cases by 40 percent.

  4. The Ebola outbreak of 2014 hit Sierra Leone particularly hard. Despite its relatively small population, there were more cases of Ebola in Sierra Leone than any other country. To be exact, there were a total of 14,124 cases in the country, including nearly 4,000 deaths. The first case was reported in May 2014, and Sierra Leone was not declared Ebola-free until February 2016. According to the World Health Organization, the virus was able to spread so widely due to the weaknesses of the healthcare in Sierra Leone. These weaknesses included too few healthcare workers, not enough oversight and a lack of resources.

  5. Disabled residents face tough conditions. Approximately 450,000 disabled people live in Sierra Leone, including those who were maimed in the decade-long civil war that ended in 2002. The government does not currently provide any assistance to the disabled. Those with disabilities resort to begging on the streets of Freetown, the nation’s capital. Disabled youth turned away from their families (due to the family’s inability to support the youth) often form their own communities on the streets. Employment can also be hard to achieve due to discrimination. Julius Cuffie, a member of Parliament who suffers from polio, brings awareness to the disabled’s struggles. Hoping to bring the disabled’s issues to the forefront, Cuffie pushes for the Persons with Disabilities Act.

  6. Corruption exists in Sierra Leone’s healthcare system. According to a 2015 survey, 84 percent of Sierra Leoneans have paid a bribe just to use government services. Additionally, about a third of the funds given to fight the Ebola crisis are not accounted for. This translates to roughly 11 million pounds, or almost 14 million dollars. Sierra Leone has a literacy rate of about 40 percent. As a result, many health care services overcharge unknowing residents for basic services. A new initiative, put together by the nation’s Anti-Corruption Commission, advises residents to report cases of bribery.

  7. In 2010, Sierra Leone began offering free health care. The Free Healthcare Initiative (FHCI) aims to decrease the nation’s high maternal, infant and child mortality rate. The government also hopes the initiative improves general health across the country. The ordinance provides a package of free services for pregnant women, lactating mothers and children under the age of five. The program has not been without its challenges, however, due to the aforementioned weaknesses of previous systems of health care in Sierra Leone. That said, the initiative has resulted in a number of positive changes. For example, there has been an increase in the number of healthcare staff, a larger willingness for parents to seek care for their children and a reduction in mortality for those under five.

  8. There has been an increase in efforts to strengthen emergency medical response in Sierra Leone. Road accidents kill thousands each year in the country. In response to this, the First Responder Coalition of Sierra Leone (FRCSL) was created in 2019 to improve the state of urgent medical care. Five national and international groups in Makeni, a city in northern Sierra Leone, founded the coalition. The group aims to provide emergency care, treat the high numbers of injuries and resolve the low amount of pre-hospital treatment in Sierra Leone. In its first two months, the FRSCL trained 1,000 Makeni residents, equipping each one with a first aid kit. The coalition hopes to train 3,500 more in the next six months. It also plans on expanding out of the northern province in the next five years. Hopefully, the FRCSL’s efforts will save thousands of lives from vehicle accidents in the coming years.

  9. CARE is working to improve sexual and reproductive health for women and girls in Sierra Leone. The humanitarian agency began working in the country in 1961. Goals of the organization include providing medical supplies and contraceptives, giving training to healthcare workers and working with the community to eliminate attitudes that prevent women from discovering their rights to sexual and reproductive health. CARE is currently present in approximately 30 percent of the country’s communities, particularly in areas that have high rates of HIV infection and teenage pregnancy. One Sierra Leonean mother, named Fanta, credits CARE with educating her about proper breastfeeding and health practices, leading to the survival and continued health of her daughter.

Healthcare in Sierra Leone is an issue that is complicated by the nation’s high rates of poverty, many endemic diseases and tumultuous political history. While shocking statistics, such as the country’s low life expectancy and high maternal and infant mortality rates paint a grim picture, there are signs of progress being made, and there is potential for much more change on the horizon.

– Joshua Roberts

Photo: Flickr

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What to Know About COVID-19 in South Africa

COVID-19 in South Africa
Reports of COVID-19 fill the news and media daily. From increases in cases and closures to decreases in fatality rates and re-openings, the news channels are consumed by COVID-19 headlines. However, one thing not covered much in the media is how African nations are faring during these uncertain times. South Africa is currently leading the African continent in the number of COVID-19 cases, and there is seemingly no end in sight. Here is a look at the specific impact of COVID-19 in South Africa.

Lockdown

COVID-19 in South Africa follows a similar origin path as the rest of the world, where the virus went undetected or misdiagnosed for weeks, maybe months, before its first confirmed positive case appeared. South Africa, like most nations, went into lockdown in late March. The South African government, as of April 27, 2020, planned to gradually loosen restrictions beginning on May 1, 2020.

The level of strictness for lockdowns varies from country to country. South Africa is one of the nations implementing strict restrictions for its lockdown. The country has been on Level 5 restrictions. Level 5 restrictions prohibit citizens from performing the majority of activities, including leisurely ones such as exercise or going to the convenience store. Furthermore, the police may confront anyone who leaves their dwellings.

Numbers

The reported numbers in South Africa are much lower than those reported around the world. This may be the result of strict lockdown enforcement as opposed to some nations with looser lockdown restrictions. As of April 28, 2020, the African country reported 4,996 confirmed coronavirus cases and 93 deaths. South Africa is also experiencing a recovery rate of approximately 25 percent, which is a significant factor in the government’s decision to begin loosening restriction laws.

Despite large numbers of recovering patients, COVID-19 in South Africa has not gone away. The number of cases continues to rise, much like the rest of the world. On March 5, 2020, South Africa diagnosed its first patient with COVID-19. On April 15, 2020, the nation had a total of 2,605 confirmed cases, with 4,996 by the end of April. Although the virus is not going away anytime soon, South Africans are certainly doing their part to reduce the spread of the virus.

Social Distancing

Social distancing is the practice of remaining apart from others to decrease the spread of the virus. South Africa has been on lockdown and enforcing social distancing since late March, about a month after the nation diagnosed its first COVID-19 patient. On May 1, the government loosened the restrictions to Level 4. Level 4 restrictions consist of the ability to travel nationally, but not internationally. A few small local businesses also opened.

Moving Forward

In South Africa and around the world, people are social distancing and quarantining. For COVID-19 to be successfully tackled in South Africa, the nation must continue to prioritize the health of its citizens and financially support those who are struggling with unemployment and poverty. This will hopefully result in a significant drop in the number of cases in the country. Moving forward, South Africa and other nations around the world should use the lessons of the COVID-19 pandemic to prepare for future pandemics and epidemics.

– Cleveland Lewis 
Photo: Flickr

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Common Diseases in Mauritius

Common Diseases in MauritiusLocated in the Indian Ocean off the coast of Southern Africa, Mauritius is an archipelago that is only about 500 miles east of Madagascar. At almost 11 times the size of Washington D.C., Mauritius was first explored by the Portuguese in the 16th century and subsequently settled by the Dutch. With a life expectancy of 74 years for the country’s 1.2 million inhabitants, the most common diseases in Mauritius that are life-threatening are non-communicable.

According to Commonwealth Health, “non-communicable diseases (NCDs) in Mauritius accounted for an estimated 87 percent of all mortality in 2008.” The most common diseases in Mauritius are cardiovascular diseases, which accounted for 36 percent of total deaths across all age groups in 2008. Diabetes, cancers and non-communicable variants of respiratory diseases contributed 23 percent, 12 percent and five percent to total mortality, respectively.

Cardiovascular diseases, “diabetes, urogenital, blood and endocrine diseases”, and cancer are considered the deadliest overall, with ischemic heart disease, diabetes and cerebrovascular disease in the lead.

Ischemic Heart Disease, also known as coronary artery disease, involves a decreased blood flow to the heart. It was considered one of the deadliest common diseases in Mauritius in 2015. In 2014 alone, the diseases caused 1,148 deaths. Cerebrovascular disease, caused by damage to the brain from interruption of blood supply, was the third most common disease in 2015. Fortunately, the disease has decreased in prevalence by 9.5 percent since 2005.

Diabetes, a disease of permanently altered insulin levels and blood sugar was the second-highest cause of death in Mauritius as of 2015. In 2005, diabetes was only the third most common cause of death, but throughout the decade, deaths from the disease have increased in prevalence by a staggering 65.1 percent. This is due, in part, to recent changes in dietary habits with the introduction of fast food and lack of exercise as well as genetic predisposition.

Obesity, caused by diet and lack of exercise, can also play a role in diabetes. The prevalence of obesity has increased from 16 percent in 2009 to 19.1 percent in 2015, with approximately 398,417 Mauritians being overweight or obese.

Conscious of the growing health concern, the Mauritian government has established a National Service Framework for Diabetes. The goal of the organization is to lay out strategies for prevention and standards of care to be implemented.

The common diseases in Mauritius can be found in any country. While some diseases are unfortunately hereditary, there are ways of managing health to reduce the risk of non-communicable diseases. By making conscious lifestyle changes, such as exercising and maintaining a healthy diet, the risk of diseases such as heart disease and diabetes can be effectively reduced.

– Stefanie Podosek

Photo: Flickr