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Healthcare successes in BurundiIn Burundi, over 65% of people live in poverty. The country has the highest rates of malnutrition in the world, the presence of disease is widespread and only 32% of children make it through the equivalent of middle school. Despite these statistics, recent healthcare successes in Burundi are creating many improvements for the country.

5 Healthcare Successes in Burundi

  1. USAID providing health services. Burundi’s health systems aren’t adequate for the 11.5 million people living there. Fortunately, outside organizations are supporting the country. USAID has backed efforts in Burundi that assist with child and maternal services, HIV/AIDS, malaria and malnutrition. By providing support for the Government of Burundi’s plan for HIV/AIDS prevention, USAID has also assisted in expanding control for and education about HIV. Besides HIV, there is currently a malaria epidemic in Burundi. Since 2019, there have been six million cases, but USAID has introduced treatment, prevention and testing options to the country, helping to combat malaria and trace the spread of infections. About 56% of children in Burundi live without access to the necessary amount of food, but USAID hopes to curb these numbers. The organization offers supplements and nutrition lessons to pregnant mothers and young children to assist with malnutrition. The services that USAID provides help the Burundi healthcare systems in multiple aspects. They have allowed for improved service delivery, better treatment for childhood diseases and viruses and more accessible medicine and assistance during pregnancy.
  2. A $5 million grant in response to COVID-19 from the International Development Association. On April 14, 2020, this grant was approved by The World Bank and gave Burundi the chance to build up its health services as the COVID-19 pandemic began. Burundi was originally not in a position economically to handle this pandemic. The grant has given the country more access to testing, equipment, facilities and health professionals. Along with this, it has helped to reduce the spread of the virus through strategies that improve communication and tracking within the country.
  3. Improved financial access to healthcare in Burundi. In 2002, Burundi implemented a policy to perform cost recovery and provide financial relief to citizens that can not afford necessary healthcare. This exemption allows more citizens to get proper treatment and not be concerned about being forced further into poverty because of medical bills.
  4. The Global Alliance for Vaccines and Immunizations. The Global Alliance for Vaccines and Immunizations was launched at The World Economic Forum in January 2000. This alliance includes the World Health Organization, The Gates Foundation, UNICEF and many similar organizations. It aims to provide more access to new vaccines to children in countries like Burundi. Between 2005 and 2008, the Alliance donated $800 million to 72 underdeveloped countries to help increase vaccinations, fund health systems and provide healthcare services. This assistance created many new healthcare successes in Burundi. For example, Burundi has trained more people in midwifery, meaning there has been an increase in safe, assisted births. The country has received an average of $3.26 million annually from the Global Alliance for Vaccines and Immunizations. Additionally, healthcare workers have received more training and there has been increased coverage of immunizations.
  5. Reduced HIV/AIDS and new health ministries. From 2000 to 2013, HIV infections decreased by 46%. Civil conflict in Burundi between 1993 and 2003 caused the rapid spread of HIV in the country and a fractured health system. The government initially divided the health and HIV/AIDS ministries, causing political turmoil. But then non-governmental organizations stepped in, started HIV-specific clinics and offered incentives to health personnel working with HIV.

What Does This Mean for Poverty in Burundi?

These healthcare successes in Burundi are creating economic, social and physical improvement for the country. Malnutrition, the rate of disease and poverty are all decreasing. These operations expand beyond just healthcare, though. They reach every aspect of living in Burundi. They create opportunities for more children to thrive in school and more people to go to work. Ultimately, these opportunities lead to economic growth and a more sustainable country.

– Delaney Gilmore
Photo: Flickr

 Ghana
In recent years, researchers, doctors and health organizations have begun to target the high rate of pneumonia deaths. As one of the largest causes of death in children, pneumonia and researchers’ search for its solutions have not been taken lightly. The Ghana Health Service and partner GAVI, supported by UNICEF, launched vaccines to combat the infection in 2012.

What is Pneumonia?

Pneumonia is a bacterial, fungal or viral infection of the air-sacs in one’s lung or lungs, usually caused by the inhalation of specific or diseased germs. The infection causes fluid build up in the lungs, difficulty breathing, high fever, sweating, chills, chest pain and discoloration of fingertips. The best way to treat this infection is through immunizations and antibiotics.

Historically, pneumonia has been the leading cause of death in those under-five years old. Steps have occurred to decrease death rates from year-to-year, but yet unfortuantely, the number of deaths and the percentage of children lost to pneumonia is still staggering.

What Are the Impacts of Pneumonia?

In the year 2010 alone, pneumonia caused the deaths of 16,200 children, and the total number of deaths brought about because of pneumonia was a reported 13 percent. Subsequently, this percentage remained consistent between the years 2000 and 2010, and the percentage of deaths at the hands of this infection remained between twelve and thirteen percent, without substantial improvement.

Despite the decade-long absence of progress in pneumonia prevention and treatment, advancements have started taking place in more recent years. In April 2012, UNICEF supported the Ghana Health Service and partner GAVI, the Global Alliance for Vaccines and Immunizations, in launching pneumonia and diarrhea vaccines and the first ever World Immunization Week. The introduction of these vaccines to Ghana was a monumental step towards decreasing fatalities.

Ghana Health Service and its Aid

Although the establishment of vaccinations was a large logistical undertaking — including increasing hospital refrigeration storage in all ten regions of Ghana — the children of the country have benefited greatly from such measures. Pneumonia, for the first time ever in 2013, was not the leading cause of death for those under-five, though it was still the second-largest cause. Consequently, the total percentage of pneumonia causing fatalities decreased by 44 percent by 2015.

The installation of the pneumonia vaccine to Ghana has helped combat the vast amount of children who are annually impacted by the infection; however, there is still much progress to be made. As of 2017, UNICEF worked diligently to decrease pneumonia cases through fighting poor sanitation and open defecation.

How to Create Sustainable Solutions

To combat such massive undertakings, the organization implemented latrines and water pumps to as many communities as possible. Many have poured great effort into this ‘war against pneumonia’ and the Ghana Health Service, but measures must increase for significant and permanent changes to be sustained.

– Lydia Lamm

Photo: Flickr

pentavalent-vaccine
Pentavalent is a vaccine that is being used to protect against five diseases: tetanus, hepatitis B, Pertussis, haemophilus influenza type b and diptheria. The Global Alliance for Vaccines and Immunizations (GAVI) introduced the vaccine in 2001 in Kenya, and in July of 2014 South Sudan became the 73rd country to be introduced to the vaccine through the GAVI Alliance.

In order for the vaccine to be effective, it needs to be administered over a three-dose schedule. Increasing the availability of the pentavalent vaccine is an attempt to reduce the mortality rate of children under the age of five by two-thirds for the coming year (2015), which is goal number four on the Millennium Development Goals list.

GAVI has also partnered with organizations such as World Bank, WHO and UNICEF, as well as other donor countries, in order to increase the availability of the pentavalent vaccine in poor countries where child mortality is an extremely pressing concern.

Most recently, the Minister of Health in India, Harsh Vardhan, stated that the pentavalent vaccine would be introduced in eight of India’s states: Tamil Nadu, Gujarat, Karnataka, Puducherry, Kerala, Goa, Jammu and Kashmir and Haryana. The plan is for the vaccine to be distributed among twelve additional states in the near future.

The success rate of disease prevention once the pentavalent vaccine has been administered is extremely high; the next part of the plan regarding the vaccine is to make sure that coverage is provided in remote areas and in regions facing deep levels of poverty. GAVI plans to begin an initiative, to be implemented from 2016 to 2020, to increase the amount of coverage for the pentavalent vaccine worldwide.

The CEO of the GAVI Alliance, Dr. Seth Berkley, stated on the GAVI website that his “next challenge is to support some of the world’s largest countries to expand and strengthen their programmes to ensure they are reaching every child.”

Jordyn Horowitz

Sources: GAVI Alliance, UNICEF, Business Standard
Photo: GAVI Alliance