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Eliminating Trachoma in Developing Countries

Trachoma in developing countriesTrachoma, an unsung yet highly infectious disease, is listed by the World Health Organization (WHO) as the leading cause of blindness across the world. Data from March 2020 indicates that 137 million people live in areas that put them at risk of trachoma. It is estimated that several million people suffer from the disease worldwide, across 44 different countries. The disease is easily transmitted between two people and its effects can be devastating. The WHO has prioritized the elimination of trachoma in developing countries, where trachoma is common.

Trachoma and its Effects

The WHO reports that “transmission occurs through contact with infective discharges from the eyes and nose, particularly in young children, who harbor the main reservoir of infection. It is also spread by flies which have been in contact with the eyes and noses of infected people.” If left untreated, it can cause irreversible blindness. Trachoma also deeply affects the quality of life of families and entire communities where it is present as people with trachoma are often prevented from working and providing for their families. Additionally, women get trachoma at much higher rates than men because they are much more exposed to potentially infected children.

Trachoma Elimination Progress

Over the past two decades, significant work has been done in countries where trachoma is endemic, in order to eradicate the disease once and for all. This work has been extremely effective. Since 2002, those at risk of trachoma in developing countries and across the world have dropped 91%. Although that equates to 142 million people, the number is down from 1.5 billion people in 2002, which is progress on an incredible scale. Anthony Solomon, a medical officer in charge of WHO’s global trachoma elimination program, states that “We should be able to relegate trachoma to the history books in the next few years but we will only do so by redoubling our efforts now. The last few countries are likely to be the hardest. This is great progress but we cannot afford to become complacent.”

The Carter Center

In addition to the WHO, a number of different NGOs have been working to lower rates of trachoma, in developing countries especially. The Carter Center, founded by former U.S. president, Jimmy Carter, is an organization with a huge scope. Causes that the organization supports include peacebuilding, healthcare and human rights across the globe. The Carter Center’s commitment to ending trachoma is integral as it has provided resources such as eyelid surgery and other medical services for trachoma and is working to improve the environmental conditions of trachoma endemic countries. The Center states that “Over the course of 20 years (1999 to 2019), the Center has assisted national programs in providing 846,219  trachomatous trichiasis surgeries in Ethiopia, Mali, Niger, Nigeria, South Sudan and Sudan.” Although Trachoma can be potentially life-changing if left untreated, there are definite medical steps that can be taken before it reaches that point. The Carter Center and other organizations like it are providing crucial resources in order to save lives and eliminate trachoma in developing countries.

Trachoma’s Link to Poverty

Ultimately, eliminating trachoma in developing countries not only means improving the physical health of those who are currently at risk but it would greatly lower poverty rates in those same countries as well. Trachoma hurts the local economy, which in turn has a global impact. Providing the necessary healthcare and aid to those struggling with trachoma will in turn boost the quality of life in dozens of countries, therefore improving the global economy and allowing trade to flourish worldwide. The WHO Alliance for the Global Elimination of Trachoma by 2020 (GET2020 Alliance) set a target to eliminate trachoma entirely by 2020. While that goal may have been missed, significant progress has been made and blindness rates are likely to continue falling rapidly in the coming years.

– Leo Posel
Photo: Flickr

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Clean Waters: The Ocean Cleanup Organization

The Ocean Cleanup OrganizationSeven years ago, The Ocean Cleanup organization launched as a Dutch nonprofit dedicated to eliminating the Great Pacific Garbage Patch using autonomous, solar-powered cleaning systems. Now, as part of a new initiative, the organization is rolling out barges in major rivers as an upstream solution to global, prolific marine debris.

Marine Plastic Pollution

At least eight tons of marine plastic enter the oceans each year, where a majority floats on the surface before breaking down into non-biodegradable microplastics. Around 80% of marine debris flows through rivers before reaching the ocean. Because a handful of countries are responsible for a majority of marine debris, cleaning just 10 major polluting rivers of waste would stop a significant amount of debris from ever reaching the ocean.

The Ocean Cleanup Organization

Based in the Netherlands and led by a 26-year-old entrepreneur, Boyan Slat, The Ocean Cleanup organization has plans that include fitting the world’s 1,000 most polluting rivers with waste removal systems over the next five years. The organization’s research indicates that 1,000 specific rivers are responsible for 80% of the pollution.

The Interceptor Concept

Solar powers the waste removal systems, and they are scalable and largely autonomous. Each one uses barriers to direct waste along the river to a floating “interceptor” barge, which loads waste with a conveyor belt into containers that local municipalities can then dispose of. Individual interceptors can collect 50,000 kilograms of waste each day, though “in optimal conditions up to double this amount can be achieved.”

The interceptor concept, designed in 2015, was first utilized in the Cengkareng Drain, Indonesia, where it has remained. The Ocean Cleanup has since partnered with local governments to deploy three more interceptors in Malaysia, Jamaica and the Dominican Republic. By placing each one downstream from the last major source point in a river, they manage to fill all containers every few days, though they sometimes fill up in only a few hours.

Impact of Microplastics

Marine plastics’ widespread and harmful effects on marine life are well-documented, with hundreds of species ingesting, suffocating and entangling themselves in plastics. The global impact of aquatic microplastics, by contrast, is an emerging field of study. Appearing in tap water, beer and salt, they have appeared in water samples taken from every ocean. In 2019, the World Health Organization called for more research into microplastics and a drastic reduction in plastic pollution.

An environmental health report published in 2018 stressed the risk of consuming microplastics in seafood. “Because microplastics are associated with chemicals from manufacturing that sorb from the surrounding environment,” the report finds, “there is concern regarding physical and chemical toxicity.”

Consequences of Marine Plastic Pollution

While microplastics are under-researched, larger marine waste has concrete impacts on water-adjacent communities because marine plastics kill wildlife and disrupt local ecosystems, harming livelihoods and impeding tourism. More pressing, severely polluted waterways exacerbate poverty and poverty-related issues, especially among young children. According to experts at UNICEF, children living in South Asian slums frequently play in rivers and shores contaminated with waste, excrement and agricultural runoff. Since many lack access to clean water and sanitation facilities, this makes poor water-adjacent communities hotbeds for preventable illnesses.

The Ocean Cleanup found that marine plastic is responsible for between $6 billion and $19 billion of economic costs annually. These costs “stem from its impact on tourism, fisheries and aquaculture, and (governmental) cleanups,” and do not even account for the disability-adjusted life years (DALYs) lost because of its public health impact.

Hopes for the Future

The Ocean Cleanup organization hopes to significantly reduce plastic pollution in oceans. Once fully implemented, the waste removal systems aim to reduce the Great Pacific Garbage Patch by 50% every five years. The organization’s latest endeavor is a line of sunglasses made from plastic removed from the Great Pacific Garbage Patch. With all proceeds going toward expanding cleanup efforts, this is the most stylish way an ordinary person can contribute to a greater cause.

– Skye Jacobs
Photo: Flickr

5 Ways Haiti Uses Its Foreign Aid

5 Ways Haiti Uses Its Foreign AidAccording to The World Bank, Haiti currently ranks as the poorest country in the Western Hemisphere. Of its 11 million residents, more than half live in poverty and an estimated 2.5 million of that demographic live in extreme poverty, or on less than $1.12 USD a day. The Human Development Index metric assesses the development of a country based on the upward mobility of its residents. On this scale, Haiti ranks 169 of the 189 countries which have been analyzed.

In addition, Haiti has a history that demonstrates its vulnerability to natural disasters. In 2010, the country was devastated by a 7.0 magnitude earthquake that claimed the lives of nearly 250,000 and displaced 1.5 million Haitians. Matthew, a category 4 hurricane, struck the island in 2015. The disaster claimed the lives of hundreds, displaced thousands and created a humanitarian crisis for over a million residents. The provision of foreign aid in Haiti has tremendously restored much of the damage incurred from these disasters. It has also been crucial in creating momentum in the nation’s development. The following are the five primary sectors in which Haiti has invested the $172.5M it has received in foreign aid from the United States.

Political Infrastructure and Democracy

Given its history of political instability, one of Haiti’s primary focuses is developing its democratic system and providing the means to facilitate the exchange of ideas between its government and constituents. To this end, programs have been instituted to improve the rule of law and the preservation of human rights, as well as investments in infrastructure, which provide mediums for constituents to interact with their political ecosystem. This comes in the form of developing media platforms and the formation of advocacy and interest groups. The country is currently in the midst of political gridlock, so the investments being made toward its democratic development are essential for Haiti’s development.

Economic Development

Like many developing countries, Haiti depends heavily on agriculture for economic output. To this end, the agriculture sector receives much of the aid allocated to economic development. Even with half of the Haitian workforce being employed in the agricultural sector, there is still a shortage of output. As nearly 60% of the country’s food supply has to be imported, there is still much room for development in this sector. Moreover, much of the remaining budgetary allocation that goes toward economic development is invested in infrastructure. This is absolutely essential in facilitating economic activity. This comes in the form of electric power lines and networks, gas stations, airports, railways, and more.

Administrative Costs

Every program instituted to carry out the functions necessary to assist in these developments requires manpower and infrastructure. Thus, it is paramount that a sizable percentage of Haiti’s foreign aid goes to this sector. This is the price of business in a developing country. Any given program or project requires personnel who need to be trained, housed and compensated. Furthermore, the housing programs require funding to compensate the contractors who build them and the cost of executing varying tasks. This expenditure can often be overlooked, but it is vital to development. Aside from the funding necessary to establish these programs, those who oversee these expenditures and evaluate the performance of the instituted programs receive aid compensation.

Humanitarian Efforts

The two natural disasters of the last decade have caused major developmental setbacks and internally displaced persons. Therefore, much of the foreign aid in Haiti goes into natural disaster readiness and the expenses involved in supporting those who have lost everything. It is through foreign aid that Haiti was able to house the 1.5M displaced individuals temporarily in the aftermath of the 2010 earthquake and again with the 188,000 displaced after hurricane Matthew in 2015. In 2020, this aid has helped Haiti battle not only with the health imperatives implicated by COVID-19, but in managing the increasing costs of its food imports. As a result of the pandemic, the global market put a premium on international trade, further straining Haiti’s budget.

Health Issues

Haiti puts the majority of its foreign aid towards health issues. These can include reproductive health, safe water supply, maternal and child health and now mitigating the spread of COVID-19. This investment of foreign aid has led to notable improvements in the state of these issues. An increase from 5% to 20% occurred in women being discharged with a long term contraceptive in place.

Additionally, access to potable water has increased from 43% to 59% in 2016 and there is an ongoing installation of proper sanitation facilities throughout the country. There has also been an increased effort to educate residents on the dangers of poor sanitation. The most pressing health issue that Haiti currently faces is the battle against HIV/AIDS; thus it demands the greatest allocation of aid invested in this sector. Roughly 160,000 Haitian residents live with this disease, and its spread is on the rise. However, through investments made in testing and treatment throughout the country, the progression of the rise in deaths and infections is slowing. Since 2010, deaths have decreased by 45% and the number of new cases per annum has changed from 8,800 to 7,300.

Haiti is a country where political turmoil, a struggling economy, food insecurity and considerable setbacks on all these fronts. Moreover, the results of natural disasters cause achieving a developed status to be difficult. However, foreign aid has played an essential role in Haiti’s recovery and in assisting in creating development momentum.

– Christian Montemayor
Photo: Flickr

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Commendable Healthcare in Monaco

Healthcare in MonacoWith nearly 40,000 people, Monaco is one of five European micro-states and is located on the northern coast of the Mediterranean Sea. According to the Organisation for Economic Co-operation and Development (OECD), Monaco has one of the best global healthcare schemes. The World Health Organization established that an individual born in 2003 can expect to have, on average, the longest lifespan in Europe. The country also has the third-highest proportion of doctors for its population in Europe.

Healthcare Education in Monaco

Leaders in Monaco believe that prevention and screening are essential to maintaining health and it is customary for young people to access comprehensive health education. This education aims to promote high-quality lifestyles and prevent early-risk behavior, such as tobacco use, drug addictions and sexually transmitted diseases.

Caisses Sociales de Monaco (CSM)

The Caisses Sociales de Monaco (CSM) is the official agency responsible for supervising Monaco’s public health service. Public healthcare automatically covers all citizens and long-term residents who contribute to the agency. French and Italian citizens may also access public health facilities in Monaco upon evidence of regular contributions to their home country’s state healthcare scheme. Foreign visitors can receive health treatment at all public hospitals and clinics. However, without state insurance contributions, travelers and expatriates will be forced to pay for all healthcare expenses accrued from treatment.

Public Healthcare Coverage

Public healthcare insurance operates through reimbursements, so an individual who plans on using coverage provided by the CSM will be required to make up-front payments and then claim costs back. After joining the public healthcare system, an individual receives a card that provides access to medical and dental care. The card contains administrative information necessary to refund medical care.

The public healthcare system provides coverage for inpatient and outpatient hospitalization, prescribed medications, treatment by specialists, pregnancy and childbirth and rehabilitation. Some prescription drugs are also reimbursed through the CSM and emergency care is available to everyone at Princess Grace Hospital, one of three public hospitals. The hospital will be reconstructed to strengthen the complementary nature of all the hospitals in Monoco.

Out-of-Pocket Healthcare Costs

Out-of-pocket healthcare costs in Monaco are high and if the CSM fails to provide sufficient coverage, an individual may supplement with private insurance. Private health insurance is a tool for individuals who want to cover medical services and fees not paid for by the public healthcare system. Doctors fund privately-paid equipment and staff through private contributions. According to an article from Hello Monaco, most Monaco citizens take out extra private insurance to cover ancillary services and unpaid rates.

A Commendable Healthcare System in Monaco

Every resident in Monaco is eligible for public health insurance but private health insurance remains an option for those interested in more coverage. Healthcare in Monaco earned outstanding reviews from the OECD and officials continue to seek improvements by reconstructing medical buildings and providing health education for young people.

– Rachel Durling
Photo: Flickr

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LEEP Advocates for Lead Paint Regulations

Lead Paint RegulationsOn October 6, 2020, the Lead Exposure Elimination Project (LEEP) publicly announced its launch online. The startup, which was incubated through Charity Entrepreneurship and identifies as an effective altruist organization, aims to address the absence of potentially high-impact lead paint regulations in countries of low and moderate wealth.

Lead Poisoning

Lead poisoning poses a serious public health hazard to a number of populations around the world, disproportionately impacting children raised in low and middle-income countries. As a toxicant that accumulates over time, the World Health Organization (WHO) reports, human bodies distribute lead to the brain, liver, kidney and bones. Because lead is toxic in any quantity, its ingestion can simultaneously damage multiple systems in a person’s body.

“Lead attacks the brain and central nervous system to cause coma, convulsions and even death,” according to the WHO. “Children who survive severe lead poisoning may be left with mental retardation and behavioral disorders… Lead exposure also causes anemia, hypertension, renal impairment, immunotoxicity and toxicity to the reproductive organs.” All effects of lead poisoning are considered irreversible.

Lead Exposure Elimination Project (LEEP)

As an organization affiliated with the utilitarian “effective altruism” movement, which seeks to maximize the direct impact of modern philanthropy, LEEP describes lead paint regulation as a high-priority issue that addresses “substantial health and economic costs.” Around one in three children globally, almost 800 million, have blood lead levels high enough to cause permanent neurodevelopmental damage, according to a report that UNICEF published on July 30, 2020. Lead poisoning is responsible for one million deaths and 22 million years of healthy life lost each year.

Lead Poisoning and Poverty

LEEP and other sources also link lead poisoning to cyclical poverty. By increasing the rates of mental disability, lead exposure reduces lifetime earning capacity and heightens the prevalence of violent crime, primarily among individuals living in low-income areas. Because mental illness can exacerbate poverty, the Institute for Health Metrics and Evaluation’s (IHME) 2017 Global Burden of Disease Study credits lead poisoning with reducing global GDP by $1.2 trillion each year.

Lead poisoning is considered a neglected issue in effective altruism circles. The only method of avoidance is prevention, yet common sources of lead poisoning like consuming water contaminated by lead pipes and inhaling lead particles generated by burning leaded materials or stripping leaded paint, have still not been regulated against in many areas of the world.

Advocating for Lead Paint Regulation in Developing Countries

To address these risks, LEEP’s primary mission is to advocate for lead paint regulations in countries where lead poisoning imposes large and growing public health burdens. Among the variety of common lead sources, it focuses on lead paint because it “may be the most tractable source of exposure to address and the easiest to regulate.” Among other considerations, eliminating lead paint is a non-partisan issue that is economically feasible for manufacturers and lacks a significant opposition lobby in almost all countries.

Beginning in Malawi, LEEP plans to launch advocacy initiatives in countries where lead paint regulations have the highest potential for impact. Immediate work will consist of testing lead levels in new paints on the market and building political connections in Malawi, with the hope of encouraging anti-lead legislation in the future. LEEP’s broader plan considers similar initiatives in Madagascar, Sierra Leone, Burkina Faso and Guatemala.

As of May 2020, the WHO reports that 39% of countries have regulations in place controlling the production, import, sale and use of lead paints. Africa, South Asia, South America and the Middle East are all regions where a significant proportion of countries do not have such regulations.

The Future of LEEP

LEEP was co-launched by duo Jack Rafferty, founder and director of the Refugee and Policy Institute, and Lucia Coulter, a medical doctor from the University of Cambridge with clinical and research experience. Charity Entrepreneurship provided LEEP with a $60,000 seed grant to jump-start the organization’s work. LEEP is currently seeking donors, in-country staff members and advisors with connections in target countries to reduce the effects of lead poisoning globally.

– Skye Jacobs
Photo: Flickr

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Efforts to Reduce Pollution in the Ganges River

Ganges RiverMore individuals depend on the Ganges River in India than there are people in the United States. More than 400 million people live at the basin of the Ganges, making it one of the most important natural water resources in the world. A holy river in the Hindu faith, the Ganges River (or Ganga) is used to bathe, cook, wash clothes, conduct funerals and more. Entire businesses along the basin depend on the river, adding an economic dependence to it as well. Due to this immense usage, pollution has run rampant. The Ganga Action Parivar estimates that “2.9 billion liters of wastewater from sewage, domestic and industrial sources are dumped” in the river every single day. Pollution reduction in the river is a top priority to prevent hundreds of millions of Indians from facing water insecurity.

The World Bank Assists

In 2011, the World Bank targeted the Ganges River pollution issues by launching the National Ganga River Basin Project (or NGRBP). A $1 billion initiative, the NGRBP looked to create bank investments in the water sanitation department and develop better waste management control in India. While this did prove to be a step in the right direction, the Ganges still saw a rise in pollution. India’s inability to properly dispose of waste outpaced the World Bank’s project. After nine years, the World Bank looked to bolster its contribution to the fight to save the Ganges as more and more Indians were becoming sick. In June 2020, the Second Ganga River Basin Project received approval from World Bank directors despite the bank focusing on COVID-19, proving how dire the situation at the basin truly is. An 18-year commitment, this second NGRBP adds another $380 million to clean up the Ganges until 2038.

Ganga Action Parivar’s Impact

Along with international help from the World Bank, India also made pollution control a national issue. An array of agencies have come about in India centered around the purification of the Ganges. For over a decade, the Ganga Action Parivar (GAP) has taken a diplomatic approach to fight water pollution. Through communication with government officials, media outlets and fundraising, the GAP looks to bring awareness to the issue and demand action from within India. In 2016, the GAP launched the National Ganga Rights Act and began asking for support for it. The act detailed how there are both natural environmental and human rights on the line with the continued pollution of the Ganges River. More than just a body of water, the Ganges is an epicenter of religion, prosperity and life. Creating a natural rights act helps to ensure that action will mobilize to protect the water resource and that is exactly what the GAP has set out to do.

The Year 2020 and Beyond

The year 2020 has been a promising year for pollution reduction in the Ganges River. The World Bank launched and financed its second project centered around cleaning the water back in June 2020. New research suggests that there has also been a natural cleansing that has taken place over the past few months. Since COVID-19 forced India to shut down, the Ganges’ usage has dropped. In a video released by BBC News, just a mere 10% drop in usage throughout the pandemic has led to significant improvement in the sanitation of the Ganges. For years now, India’s government has been trying to find ways to heal the Ganges. While India and the world fight the COVID-19 virus, the Ganges River is healing. Once the lockdown ends, the work of the World Bank and GAP will be vital to keep the momentum going. If pollution rates continue to climb, India will have a water crisis on its hands. Sanitizing and protecting the Ganges is instrumental in helping India reduce its poverty rates and preserving a crucial water resource.

– Zachary Hardenstine
Photo: Flickr

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Access to Clean Drinking Water in the Philippines

Clean Drinking Water in the PhilippinesAccording to the World Health Organization (WHO), 2.1 billion people lack access to safe drinking, with people in rural areas with limited infrastructure being mostly affected. Within the Philippines, this concept manifests in that 91% of the country’s estimated 100.7 million population have access to basic water services, but access is highly inequitable across the country, with regional basic water services access ranging from 62% to 100%. To combat water insecurity, government bodies, non-governmental organizations (NGO’s) and independent parties have collaborated to ensure that all citizens have access to clean drinking water in the Philippines.

The Philippine Clean Water Act

In 2004, the government passed the Philippine Clean Water Act which aims to protect water bodies from pollution and monitor their safety. This was implemented through multiple boards of governors and local mayors who were given specific water sources to monitor and maintain. By localizing management, the government found that leaders were more driven to clean their water because it affected their personal community. In addition, this strategy hinged upon community involvement as well, which led to a greater public awareness of water sanitation. In other countries with a similar problem, this localized strategy could work to create a body of legislators invested in water access, which would lead to cleaner water overall.

Hydropanel Fields

Water sanitizing technology has also been instrumental in guaranteeing access to all populations in the Philippines, specifically the rural ones. For the indigenous people of Palawan, the lack of clean drinking water is due to their lack of access to city centers and infrastructure. SOURCE Global and Conservation International collaborated to create a field of hydropanels that will create 40,000 liters of clean drinking water each year. Because the hydropanels are portable and easy to assemble, they can theoretically be used anywhere in the world. This opens up possibilities globally for communities with inadequate drinking water access. Going forward, this model could be used to eradicate water insecurity.

Water.org

Another influential NGO has been Water.org, which provides no-interest loans to families trying to gain access to clean water in their homes. These loans are used to rig homes with plumbing as well as build wells. The organization is unique in that it addresses the economic issues associated with a lack of clean water. Without clean water, families contract diseases at higher rates, which limits their ability to work and earn an income. In addition, because these illnesses tend to affect children at higher proportions, access to clean water means a chance for education. Water.org’s belief is that by providing rural communities with their own funding, the people in that community will be able to build themselves up independently and ensure a legacy of success. As of now, the goal of the organization is to help the government in the Philippines reach its goal of access to clean drinking water for all by 2028.

Other Organizations for Water Access

Two other notable NGOs are DAI and Clean Water International. Both of these organizations work globally to ensure all people have access to clean water. In the Philippines, DAI specifically works to improve sanitation techniques. This has been accomplished through infrastructure projects that transport water in safer ways as well as education campaigns that teach communities how to check if the water is clean and how to clean it properly. Similar to this, Clean Water International has worked to increase sanitation. Both of these organizations maintain that proper sanitation is essential to access to clean water and have provided the funds to create proper water sanitation.

Access to Clean Drinking Water

Without access to clean water, communities are barred from work opportunities, exposed to disease and experience the effects of poverty at higher proportions. As seen in the Philippines, a multi-faceted and robust approach is needed to address this crisis and it requires the cooperation of all. The problem of lack of access to clean drinking water in the Philippines cannot be addressed simply by giving communities water bottles. It must be a ground-up approach that gives communities the tools to create and access clean water for years to come.

– Mary Buffaloe
Photo: Flickr

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Destigmatizing HIV/AIDS in Jamaica

HIV/AIDS in JamaicaAs of 2018, 32,000 people were living with a positive HIV diagnosis in Jamaica, with 44% of this population receiving treatment. This has been attributed to the stigmatization of HIV/AIDS, which can make those who live with it unwilling to pursue help. In response, Jamaican activists have campaigned and advocated for the destigmatization of HIV/AIDS because they believe it is the first step to completely eradicating the disease in Jamaica.

USAID’s Health Policy Project

International initiatives, such as the Health Policy Project, have been an important resource for activists because it focuses on training and educating. This project is a part of USAID’s mission to counter HIV/AIDS around the world and USAID is its chief source of funding. Within the Health Policy Project, HIV positive individuals have been invited to larger conferences where they are able to learn more about how to counter stigmatization and how to mobilize others. Because these individuals are Jamaican and their stories are personal, their message tends to be more positively received by audiences. This has allowed for a greater discussion of HIV/AIDS because it gives faces to those who are being discriminated against.

Governmental Initiatives for Anti-Discrimination

On a legislative level, the Jamaican Government has pushed multiple initiatives and studies to better the living conditions and access to care for those living with HIV. For example, healthcare discrimination is countered through the Client Complaint Mechanism and the Jamaica Anti-Discrimination System by educating the population, monitoring minority communities and training healthcare workers. In addition to that, these organizations collect reports of discrimination from around the country and help to investigate and correct them. These bodies are also working to provide free HIV treatment across the country and hope to accomplish this in the coming years.

Jamaica AIDS Support

Jamaica AIDS Support is the largest non-governmental organization working to counter and destigmatize HIV/AIDS in the country. Besides the promotion of education and treatment, the organization also provides access to mental health treatment for those who are HIV positive. This has allowed for a larger discourse about mental health and how it relates to this disease as well as a greater social acknowledgment of how stigmatization hurts others. In 2016, Jamaica AIDS Support began the Greater Treasure Beach Area pilot project, which aims to educate young people on HIV/AIDS so that in the coming generations there will be more tolerance and acceptance of those living with HIV.

Eve for Life

Local organizations, such as Eve for Life, have also been instrumental in the fight against HIV/AIDS discrimination by approaching the issue through empowerment. Eve for Life specifically works to empower women living with HIV through multiple education initiatives as well as smaller groups meant to support these women. One such group, Mentor Moms, works to help young mothers living with HIV to secure treatment and it provides smaller meeting groups where these similar women can find community. So far, it seems these initiatives have been overwhelmingly successful as more female activists have become involved in the fight against HIV/AIDS, which has led to greater social consciousness about the disease.

Conquering Stigma and Countering HIV/AIDS

Destigmatization initiatives in Jamaica are the key to countering HIV/AIDS and the country is off to a promising start. By utilizing personal narrative and education, activists hope to secure a world that is more welcoming for their children than it was for them. In the words of UNAIDS country director, Manoela Manova, “The more we do to ensure that people feel safe and respected, the closer the country will come to ending AIDS.”

– Mary Buffaloe
Photo: Flickr

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A Model Healthcare Alliance in Rural Guatemala


Agribusinesses in Trifinio, Guatemala renovated cattle and pasture lands into crops for exports which dramatically changed the area. The transformation drove approximately 25,000 people into this remote area in the southwest rural region of Guatemala and employed thousands of people who sought an opportunity in this growing business. The University of Colorado created a healthcare alliance to provide quality medical treatments in the now booming community.

Trifinio, Guatemala

Few people know about Trifinio, Guatemala even though it is a major producer for AgroAmerica’s Chiquita bananas. The town is made up of small concrete houses and only a few paved roads. Most homes are single-room units. When it comes to cultural development, the town’s only form of entertainment is a local bar.

This small and highly impoverished community suffers from the reality of poor health care access. With its nearest hospital one hour away in the town of Coatepeque Guatemala, the residents of this area face the challenges of malnutrition, high infant mortality rates, and a range of infectious diseases. More than 46% of children have intestinal parasites, 38.7% of children have anemia and one-third of women are affected by pregnancy complications. The numbers could not say it clearly enough; this community needed help. Fortunately, AgroAmerica teamed up with the University of Colorado to find a solution.

University of Colorado partners with AgroAmerica

In 2011 Fernando and Gustavo Bolaños, brothers and CEOs and COOs of AgroAmerica, became frustrated by the lack of health care access in their community. With Guatemala’s history of little investment in healthcare, they found themselves unable to ask the public sector for help. Gustavo Bolaños himself addressed this issue in an interview where he claimed, “In Guatemala, we have a lot of inequality and poverty, the government hasn’t been able to really cover the basic needs of the population. We as a private company, see all the needs of our people, and the biggest problem we are facing is education and health”. Therefore, rather than going to the government, they turned to the University of Colorado’s Global Health Center.

With an investment of 1 million U.S. dollars, the Bolaños made a healthcare alliance with the Colorado School of Public Health. Their goal was to build a medical center on their banana plantation. Three years later, the Bolaños proudly stood before the new medical facility. It houses a clinic, laboratory and conference space. The Trifinio Center for Human Development serves around 4,500 plantation workers, along with the 24,000 residents of the neighboring villages, and is “staffed by CU doctors, nurses, midwives, students and other health professionals rotating through Guatemala”.

The Last Six Years

Before Trifinio’s Center for Human Development (CHD) a visit to a health professional cost people in this community at least $25 USD. This did not include transportation fees and the loss of a day’s wages. With the medical facility, that cost has dropped to less than $5 USD. Families now have access to health resources without a geographical and economic barrier. The clinic is committed to decreasing neonatal morbidity, childhood mortality and increasing safe delivery practices and childhood growth and development. Along with these medical goals, the center hopes to impact the health education and social realities of its community.

In 2017, the CHD began a youth leadership program run by participating high-school students from the area. This initiative provided an opportunity for future leaders to learn about community organizing and advocacy that could improve human development. The program not just helps the community, but “students selected for this program receive a scholarship to cover their school fees,” promoting access for educational attainment.

Along with the youth program, the center provides sexual health education to neighboring schools in the area. For mothers, it has a maternal and child health program. This provides quality prenatal care and gives families a direct line for medical professionals to track both the mother’s and child’s health.

The center also conducts research to serve the needs of the community and bring new knowledge to the rest of the world. Their Student Health Survey, taken in late June and early July of 2019 “enrolled 1,414 participants from 15 Trifinio middle and high schools” to better understand the health and social realities of these children, and hopefully address the needs that are found.

The Future

In 2013 Stephen Berman, the director of the Center for Global Health at the University of Colorado said, “The solutions we develop through this program may someday be replicated in communities all over the world”. The program has had measurable benefits for its community, which is a good reason for its replication in other regions. Health care accessibility is not an easy system. But we saw major success through the healthcare alliance of a privately run company and a public institution. There are possibilities for new solutions to address the needs of those most vulnerable.

Ana Paola Asturias
Photo: Flickr

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Comprehensive Sexuality Education for HIV

sexuality EducationThe age group of 15 to 24 accounts for 16% of the global population but represents 34% of people in the age group of 15 to 49 that acquire HIV each year. Young people remain disproportionately affected by the HIV epidemic and comprehensive sexuality education is a strategy for addressing this issue.

Comprehensive Sexuality Education (CSE)

In the 2016-2021 Strategy of UNAIDS, one of the eight sub-strategies includes “quality comprehensive sexuality education accessed by all adolescents and young people.” Many other organizations believe comprehensive sexual education is essential for young people to protect themselves from HIV and other sexually transmitted infections.

Comprehensive Sexuality Education (CSE) is a curriculum-based program taught in school or out of school and over several years. The purpose of CSE is to “provide age-appropriate information about human rights, human sexuality, gender equality, puberty, relationships and sexuality and reproductive health.”

Digital Sexual Education

In places where there are ineffective or insufficient schools, digital sexuality education may be a substitute. Over 70% of 15 to 24-year-olds are online so sexuality education and information are increasingly being delivered through a digital format. Although millions have access to online sexuality education, research is limited regarding its impact. Although digital education is effective in reaching large groups of young people, some fear that cyberbullying and unsafe online research could hinder the success of online tools.

CSE Initiatives

The HIV epidemic impacts many regions, but sub-Saharan Africa remains the most affected. With support from the United Nations, the Southern African Development Community (SADC) and the East African Community (EAC) joined together to provide sexual education in the region. In 20 Eastern and Southern African countries, adolescents can access comprehensive sexuality education.

In support of comprehensive sex education, UNESCO alongside five other organizations published the International Technical Guidance on Sexuality Education. The document outlines key topics for curriculums specific to different regions.

In 2002, The UNAIDS Inter-Agency Task Team (IATT) on Education and School Health was created to improve HIV education. The IATT aims to increase leadership support and resource allocation for HIV and health education. IATT members believe that education is essential for successful HIV programs.

The Impact of CSE

CSE provides more than information. It aims to help young people establish positive values regarding their sexual health through discussions about relationships, gender roles and sexual abuse.

In a study focused on measuring the impact of curriculum-based sex and HIV education programs on adolescents or young adults between 9 and 24 years old, 65% of the programs had a significantly positive impact on behavior.

With more focus on education as a tool for prevention, it is hopeful that the global HIV epidemic will be positively impacted.

– Rachel Durling
Photo: Flickr