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Health in the Pacific Islands: Vanuatu Eliminates Trachoma

Health in the Pacific IslandsHealth in the Pacific Islands recently improved due to the elimination of a disease called trachoma on the island of Vanuatu. This island is located to the north east of Australia in a region called Melanesia. Vanuatu is the first of the Pacific Island countries to eliminate the disease, and the only one of 14 to complete this goal. Health in the Pacific Islands and around the world has improved significantly over time as public health measures reduced the number of people at risk of contracting trachoma by 92% over the past two decades.

Vanuatu

Vanuatu is composed of 83 islands and relies on agriculture. Due to the separation of islands, health in the Pacific Islands, including Vanuatu, is often inadequate. Access to health care remains a challenge to many residents, and there also exists a lack of resources and medical personnel. Though there are six hospitals located throughout the country, many people must rely on health centers due to the rural areas in which they live. The recent success story of the elimination of trachoma follows another success back in 2016 when the country eliminated lymphatic filariasis, a disease that affects the lymphatic system.

Trachoma

The bacterium, Chlamydia trachomatis, causes trachoma, which leads to a visual impairment that is, at times, severe enough to cause the patient to become blind. The bacterium has caused visual impairments in about 1.9 million people in the world so far, and 136 million people remain at risk of contracting the disease as of June 2021. The disease spreads through contact with discharge coming from the eyes or nose, whether through direct contact or intermediates such as flies. Trachoma is classified as a neglected tropical disease (NTDs).

People often find these diseases in countries in Africa, Asia and Latin America. Though there are many NTDs, trachoma is one of the known diseases in this category that can be eliminated from a population through the use of public health measures. Improvements to hygiene and access to clean water help control the spread of the disease, as well as control the spread of possible vectors such as flies. The push to eliminate trachoma began after data from 2014 indicated that trachoma infected 12% of children between the ages of one and nine years old. This means these children were at risk for serious visual impairment that would affect their future. Trachoma also holds a significant economic impact on countries that trachoma impacts, where these countries may lose up to $5.3 billion per year.

A Path Toward Elimination

Other countries can follow the success of Vanuatu by abiding by the recommendations of the World Health Organization (WHO) and mobilizing medical professionals and communities in places of at-risk individuals. The acronym for the policy toward eliminating trachoma is SAFE. It stands for “Surgery for trichiasis; Antibiotics to clear infection; and Facial cleanliness and Environmental improvement to limit transmission.” Communities pair this process with education on avoiding health risks, proper treatment and providing antibiotics to populations, especially rural individuals. Governments, such as the case in Vanuatu, also often partner with international organizations such as WHO, and with organizations that specifically work with treating diseases related to blindness such as the Fred Hollows Foundation.

The Fred Hollows Foundation is particularly important to the regions in and around Australia because it focuses on diseases related to sight. It helps to reduce poverty by providing medical treatments, education and training. It builds health facilities and works with local communities to end preventable blindness.

Looking Ahead

These ongoing partnerships and procedures that WHO outlines eliminate NTDs such as trachoma, allowing medical professionals to greatly improve health in the Pacific Islands. In 1998, WHO set a goal to eliminate trachoma by the year 2020. As of 2020, the new goal for the NTD elimination plan is now 2030. Trachoma remains a health problem in 43 countries. Hopefully, other countries in the Pacific Islands and around the world can use Vanuatu as a role model in eliminating more NTDs to improve health in the Pacific Islands and abroad.

– Kaylee Messick

Photo: Flickr

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The Future of India’s Development

Future of India’s DevelopmentCelebrating India’s 75th anniversary of independence from British governance, Prime Minister Modi announced on August 15, 2022, that the country would be working toward becoming a developed nation within the next 25 years. In addition, he promised to lift millions of Indians out of poverty while cracking down on “corruption and nepotism” within the government. With more than 1.4 billion people in India, accomplishing these tasks is a monumental challenge, but one that Modi believes is achievable for the future of India’s development.

Striving for Development

Although there is no single metric that defines a country as developed, ways of assessing development include factors ranging from income per capita to electricity usage. Generally, developed countries will have lower rates of unemployment, higher levels of literacy and industrialization, a diverse economy and high gross national income (GNI). With a GNI of $2,170 in 2021, India holds the status of “lower middle income” according to the World Bank. However, that figure once stood at $440 in 2000, showing a clear upward progression of moving toward the GNI of more developed nations.

India also has a broad network of poverty relief and social welfare programs. One example is the Public Distribution System (PDS), which costs close to 1% of India’s GDP and distributes grain to low-income families, according to the World Bank in 2011. Introduced in 2005, the Mahatma Gandhi National Rural Employment Guarantee Scheme ( MGNREG) aims to provide up to 100 days of paid work per year for impoverished adults in rural areas. Lastly, through the Rashtriya Swasthya Bima Yojana (RSBY) program, India’s impoverished receive health insurance coverage. By 2011, RSBY served more than 70 million Indians, a huge success given the country has very few insurance programs for its labor force.

Program Shortcomings

Unfortunately, India’s development suffers from logistical issues and mismanagement. According to National Sample Survey data from 2004-2005, grain distributed under the PDS reached less than half of the intended recipients. The cause of this problem is “leakage and diversion of grains,” leading experts to suggest cash transfers that directly give families an equivalent value.

Other programs like the MGNREG also struggle with providing benefits, with fewer than 100 days of work being available, particularly in rural areas. Prime Minister Modi addressed these issues during the August 15 celebrations, promising to curb inefficiencies within the government and fight against corruption.

A Vision for India

Modi’s vision for India’s future development also includes achieving “excellence in science and technology” while attaining “food and energy security.” India’s minister of power, R.K. Singh, said on August 5, 2022, that India is ahead of many developed countries in progress toward achieving clean energy.

Furthermore, India’s strong relationship between itself and the United States is touted as a catalyst for growth, with U.S. President Joe Biden stating that the two countries would work together to bring “prosperity and security for our people.”

Transforming India into a developed nation is a massive undertaking, one which will require an incredible mobilization of human and economic resources. With 21.9% of the population living under the national poverty line in 2011, according to the latest available data from the World Bank, substantially reducing this statistic would be a major humanitarian victory. The country’s future 100th anniversary holds massive potential and the opportunity to showcase India’s development.

– Samuel Bowles
Photo: WikiCommons

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UN Working with the Zakat Foundation to End Poverty

It is no secret that the issues associated with global poverty were only made worse during the COVID-19 Pandemic. Factors such as the cost of living, food security, healthcare and education are all points of concern for many nations with a struggling poor population. Luckily, there are many organizations working to address these issues. The Zakat Foundation has recently begun working with the United Nations to address worldwide hunger and global poverty.

The Zakat Foundation

The National Zakat Foundation Worldwide is an Islamic charity organization that is dedicated to helping the world’s poor. Zakat is one of the pillars of Islam which dictates that all Muslims should be kept financially viable, and one way to ensure this is for all Muslims to donate 2.5% of their earnings to charity organizations that aid the poor. The NZF Worldwide is the perfect channeling organization for all of this funding. It is estimated that the total amount of Zakat donations reach $300 billion to nearly $1 trillion dollars annually. The NZF Worldwide wants to use this incredible amount of money to help eradicate poverty.

Success so Far

The National Zakat Foundation currently has five member countries, Austria, Netherlands, Canada, Switzerland and the UK, which all provide a pathway for Muslims to send their Zakat donations to help eradicate global hunger and poverty. Through the Zakat Foundation, the member countries have raised more than $30 million since 2016 that has been used to provide aid for people living in poverty in other countries.

The UN and NZF Worldwide

The United Nations Development Programme announced in early August 2022 that it will once again be working with the National Zakat Foundation to use Zakat donation funding to help achieve the sustainable development goals for the world’s poorest countries. The first major project of this partnership is the goal of achieving the eradication of hunger and poverty in Somalia. The NZF with the help of the U.N. will work with local government officials, Islamic officials and the Central Bank of Somalia to help direct the Zakat funds in a productive manner that helps alleviate food insecurity and improve quality of life conditions for people living in poverty in Somalia.

Other NZF Programs

The National Zakat Foundation has had some recent success in the summer of 2022 before this partnership with the U.N. was announced. In the closing weeks of July, the NZF was able to provide the state of Osun in Nigeria with much needed power equipment that improved the quality of life in every sector, from nutrition to education. With the help of Zakat donations made by the member countries, the NZF was able to provide the state of Osun with cash grants, fridges, sewing machines, laptops, printers and more. Small items similar to those listed can have a profound impact on the lives of those who receive them, such as fridges keeping food from spoiling and laptops aiding educational growth.

The Future of Zakat

Despite the looming effects of an increased cost of living for those living in poverty, it appears that good news in the form of charitable religious donations may be what is keeping those people from continued suffering. The partnership with the United Nations and the already proven success are just a few reasons why the outlook for the world’s poor is bright, thanks to hard working organizations like the National Zakat Foundation.

– Declan Harkness
Photo: Flickr

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The UK Government’s Asylum Partnership Agreement with Rwanda

Asylum Partnership AgreementOn April 14, 2022, the U.K. government and Rwanda entered into an agreement, that later became a five-year asylum partnership agreement. The agreement, officially titled “U.K.-Rwanda Migration and Economic Development Partnership,” will aim to provide asylum for immigrants traveling to the U.K. illegally, through relocation to Rwanda. As part of the agreement with Rwanda, officials will process refugees on entry into Rwanda, where they will receive a decision regarding their refugee status.

What Does the Agreement Entail?

U.K. Home Secretary Priti Patel and Rwanda’s Minister of Foreign Affairs, Vincent Biruta signed the asylum partnership agreement, which falls under the Memorandum of Understanding. The decision to strike an agreement with Rwanda came about as a result of the U.K.’s new immigration policy, which intends to counteract illegal immigration. “The consultation showed public support for the need to disrupt the criminal activity that underpins illegal migration.”

Rwanda will receive financial support from the U.K. government to accommodate and process refugees. According to the House of Commons Library “…the U.K. is providing £120 million funding to Rwanda. It will also pay for the processing and integration costs for each relocated person.”

Is the Agreement Necessary?

The two states signed the agreement in response to the migrant crisis affecting much of Europe in recent times. They intend to provide a safer, more manageable system to combat illegal immigration into the U.K.

It is anticipated that approximately 60,000 people are set to travel across the English Channel by the end of 2022. This figure is more than double in comparison with last year’s 28,526 people crossing the Channel in small boats. There was hope that schemes such as the partnership agreement would present a more viable option to combat future illegal immigration. However, “14,728 people have arrived since the government launched the Rwanda policy,” according to BBC.

Questions Over Suitability of the Deal and Its Potential Impact on Poverty

Many raised notable questions over the suitability and practicality of Rwanda serving as the representative country to accommodate refugees. Significant concern from U.K. officials regarding the asylum partnership agreement with Rwanda has manifested from numerous documents submitted to a high court hearing earlier this year.

A key point raised questions over Rwanda’s human rights status. Rwanda is one of the 14 countries presenting substantial issues in relation to asylum systems and human rights.

Concerns regarding the impact the agreement may have upon refugees traveling to Rwanda and the communities that they could settle in have been a prevalent talking point. Treatment of refugees arriving in Rwanda remains an issue from a human rights perspective, as suppression of freedom of speech, detention and even torture are common practices.

Economically, Rwanda has seen steady progress in recent times, with the country aiming to become a middle-income nation by 2035. However, according to The World Bank, with its poverty percentage standing at 55% in 2017, it may represent a difficult beginning for many refugees. The refugees that could face relocation to Rwanda will indeed discover this and with the right to leave Rwanda available to thousands of them, it has the potential to cause chaos and increase the strain on aid agencies working to combat poverty within Rwanda and across Africa.

The Ethical and Legal Challenges of the Agreement

At this current time, the agreement appears to be shrouded in controversy and indifference due to human rights concerns. The inaugural flight carrying asylum seekers destined for Rwanda should have departed on June 14, 2022. However, the European Court of Human Rights'(ECHR) late intervention successfully halted the first wave of deportations. Prime minister Boris Johnson condemned the ECHR’s decision and threatened to revoke the U.K.’s participation in the convention.

The asylum partnership agreement with Rwanda was met with a considerable outcry in the lead-up to June 14 and efforts to disrupt and put an end to the agreement were voiced in the form of organized protests. The UNHCR commented on the agreement, stating “They should not be traded like commodities and transferred abroad for processing.”

With the considerable legal battles looming over the asylum partnership agreement, any effort to relocate migrants to Rwanda as part of the agreement will not take place before late autumn at the earliest. The next landmark step in the ongoing developments of the agreement will take place on September 5, when a judicial review will take place at London’s High Court to determine the legality of the agreement.

– Jamie Garwood
Photo: Flickr

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Indigenous People in the U.S.

Indigenous peoples in the U.S.Indigenous people have endured an undeniably long and dark history of displacement, oppression and discrimination; and now subsequently constitute 15% of the world’s population living in extreme poverty. In the U.S., they bear the highest poverty rate compared to other minority groups at 25.4% and often lack access to economically reliable housing, health care and other resources. As the native population grows, so have national movements and tribal rights. In the last 10 years, Native Americans have made progressive strides in the United States. These are some of the advancements indigenous people in the U.S. have accomplished in the past decade.

Land Acknowledgements and Tribal Economic Development Efforts

One way for Native Americans to uplift themselves out of poverty and food insecurity is through acquiring tribal sovereignty. Recently, indigenous people in the U.S. and their allies have further pressured the federal government to amend its federal trust management system.

Indigenous land in the U.S. is abundant in vital natural resources. However, many policies prohibit native leaders from utilizing the resources that could be used to stimulate economic growth in reservations (and reduction in poverty rates).

Tribes like the Oneida Nation have worked around the discrepancies to stabilize their local tribal economy. The nation developed a sustainable food system that would circulate food within the reservation and allow for more job opportunities. The Oneida Community Integrated Food Systems (OCIFS) has thrived since 1994 and continues to influence other tribes.

The native lands are vital to the indigenous communities and the world as they house over 80% of the planet’s biodiversity and natural resources, according to Amnesty International. Governments and corporations continue to exploit indigenous land, which results in the pollution and displacement of the native people. As migration from their lands continue, Native Americans lack access to essential resources and their sacred customs. As a result, indigenous people are more likely to experience economic hardship, abuse, illness and the ultimate threat of extinction.

Electing the First Indigenous Woman as Cabinet Secretary

In 2021, Debra Haaland assumed office and made history as the first indigenous woman to serve as cabinet secretary. Haaland is a 35th-generation New Mexican member of the Pueblo of Laguna currently serving as the United States secretary of the interior. Before becoming secretary of the interior, Haaland served as a tribal administrator, lieutenant governor and a representative in congress.

As secretary, Haaland enacted the Not Invisible Act, a commission in coordination with the Department of Justice to cut down on crimes against indigenous peoples in the U.S. The commission would act as a hub to take on trials, evidence and witnesses. Upon collection the data acquired, the commission would then give the federal law enforcement guidance on how to fight crimes against Native Americans better.

On April 1, 2021, Secretary Haaland declared the creation of the Missing and Murdered Unit (MMU) under the Bureau of India Affairs Office of Justice Services (BIA-OJS). The unit would aid interdepartmental efforts and provide better resources to investigate missing and murdered indigenous people. The unit will continue to work on unresolved and active cases by collaborating alongside the BIA, FBI, Tribal prosecutors and other agencies.

Declaration of Indigenous Peoples’ Day

On October 8, 2021, President Biden made the historic decision to proclaim October 11, 2021, “Indigenous Peoples’ Day.” The presidential action recognizes and honors the diverse communities of indigenous peoples in the U.S. and their contributions to the nation. Moreover, the proclamation acknowledges the extensive history of horror and injustice inflicted on native people within the United States. In addition, it promises to maintain and uphold “a future grounded in tribal sovereignty and respect for the human rights of indigenous people in the Americas and around the world.”

The Long Road to Reconciliation

Organizations like The Red Road remain at the forefront of advocacy for Native Americans. The organization started in 1999 when its founder Charles Robinson, gave a speech on Native Americans at a school and was disturbed by the misconceptions about indigenous people in the U.S.

The Red Road devotes its efforts to spreading awareness of indigenous struggles and addressing the colonial history of indigenous people. One of the organization’s upcoming projects is to uplift Native Americans from poverty and food insecurity. One project involves establishing a self-sustaining source of healthy food via community gardens as grocery stores are scarce in and around reservations.

The other project looks at the inter-reservation economies. Most reservations have very few tribally-owned businesses and fewer opportunities to build indigenous wealth, hence why countless indigenous communities rely on federal subsidies. The project would assist and promote the establishment of native-owned companies, allowing for greater tribal independence and economic opportunities for the indigenous people in the U.S.

Native Americans continue to endure tremendous hardship but remain resilient. There are many years of decolonization and rebuilding left before reaching true reconciliation. But, with the constant changes occurring throughout the recent decades, the future appears promising.

– Ricardo Silva
Photo: Flickr

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Social Entrepreneurship Empowers Disability Justice

Social Entrepreneurship Empowers Disability JusticeThe MIT Enterprise Forum (MITEF) is carrying out its 16th edition Pan-Arab Startup Competition. Since 2016, the yearly program awards competitors in three categories: ideas, startups and social entrepreneurship. The competition highlights how social entrepreneurship empowers disability justice, among other issues. Winners receive equity-free funding based on scalability, social impact, financial sustainability and innovation. Participants receive top-notch mentoring from some of the leading minds in entrepreneurship and technology, and they also gain networking opportunities with a global entrepreneurial community and investors.

Social Entrepreneurship Track

Social entrepreneurship is quickly gaining popularity in the world of innovation. It is an initiative that pursues an innovative idea to address the root causes of communal issues such as poverty, water scarcity, disability justice and much more.

MIT recognizes the potential of social entrepreneurship. Hala Fadel, the Founder and Chair of MITEF Pan-Arab, commented that “the entrepreneurship and innovation ecosystem has reached an inflection point as 450-plus alumni are leading their way through the domains of renewable energy, sustainable agriculture and environmental infrastructure.”

Money goes into social businesses to create social impact, not to maximize dividends on investment. Without pressure from opportunistic stockholders to optimize profit, these peace-driven projects can expand impact and be self-sustaining and ethical.

A fundamental principle of social entrepreneurship is a pledge to higher than standard working conditions and wages. These initiatives provide proper employment for locals who are working to confront their communities’ problems. The emergence of this new wave of entrepreneurship is productive for social health, innovation and middle-class development. Social entrepreneurs may become major drivers of poverty reduction action in the future.

Social Business Highlight: Entaleq

Entaleq, one of the program’s successful alumni, is a mobile phone application aiming to improve accessibility for people with disabilities in Egypt. The Helm Foundation developed the app, and the nonprofit works to fight poverty and domestic violence.

The Helm Foundation’s mobile app positively influences people’s lives in North Africa. Entaleq allows users to comment and review locations that have disability access. The Helm Foundation also helps build and advocate for accessibility infrastructure in Egypt. As the 2020 winner of MITEF’s social entrepreneurship track, Entaleq hopes to reach the global market shortly.

Disability Justice and Poverty Reduction

Disability justice is essential for global poverty alleviation. According to a report from the International Labor Organization (ILO), people with disabilities are typically among the world’s poorest demographics, especially in low-income countries. According to a U.N. report, people with disabilities are likely 7% to 10% of any nation’s population.

Furthermore, there is an undeniable connection between disability, conflict and poverty. War continues to wound the bodies and minds of people around the world. People from conflict-heavy areas are more likely to have limited support and decreased job opportunities. A focus on disability justice is vital for recently post-conflict countries as they navigate reconstruction and poverty reduction.

Disability justice is often limited to caregiving. However, conceptions of disability justice may expand to more inclusive design and improvements to daily living which the Entaleq app does in Egypt.

How MIT’s Annual Pan-Arab Competition Helps Entrepreneurs

MIT’s annual Pan-Arab Competition is sure to bring together some of the brightest young entrepreneurs in the Middle East and North Africa. Participants will gain valuable training and exposure to a global network of innovators. Successful startups receive equity-free funding to advance projects. MITEF’s ideas, startup and social entrepreneurship tracks offer several routes for budding innovators.

Entaleq won funding in the 2020 social entrepreneurship track. The platform allows people to review disability accessibility at locations around Egypt. There are deep intersections between disability and poverty, and this technology enhances app users’ mobility and agency. Innovative social initiatives such as Entaleq prioritizing community care are making transformative impacts, showing how social entrepreneurship empowers disability justice.

MITEF’s Pan-Arab competition may be used as a model for sprouting innovation. Government funding in social entrepreneurial education will reap benefits, from local communities to the macro global economy. The MITEF Pan-Arab Competition’s proven success is designing a new identity for the world of technology and innovation.

– Samson Heyer
Photo: Flickr

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HIV/AIDS in Belgium

HIV/AIDS IN BELGIUMAccording to a study by BMC Infectious Diseases, HIV/AIDS in Belgium is “largely concentrated among men who have sex with men and sub-Saharan Africans.” According to 2011 data from the Belgian government, 98.2% of patients had links to HIV care, 90.8% were in care and 83.3% were receiving antiretroviral therapy. However, these statistics were disproportionate for certain sections of the population where sub-Saharan Africans on ART had less viral suppression while there was higher retention in care of men who have sex with men.

After carrying out a study, an organization called BREACH (Belgian Research on AIDS and HIV Consortium) concluded that potentially the weakest part of efforts to suppress the HIV/AIDS epidemic in Belgium was the undiagnosed HIV-infected population, which estimates have stated is around 20%. This was particularly prevalent amongst migrants in Belgium and it is a problem that requires attention.

There is also a link between poverty and those suffering from HIV/AIDS. When the Journal of the International AIDS Society conducted research into the link between AIDS and poverty, the results were that vulnerabilities relating to migration such as economic hardship and barriers to HIV testing mean that non-citizens are more likely to become infected by HIV/AIDS.

The Progress

Better sexual health awareness and an increase in levels of screening are some methods that have helped HIV/AIDS patients in Belgium live longer and enjoy better health. A research organization named Sciensano which targets health and disease has contributed to HIV/AIDS research in Belgium and has recorded encouraging statistics over the past few years. Based on a 2017 report, Sciensano found that there was a 2% decrease in HIV/AIDS transmission since 2016 and 27.5% compared with 2012.

The study also notes that “HIV transmission by intravenous drug use is exceptional in Belgium and was only reported for 1% of the HIV diagnoses in 2017.”

Belgium’s National Strategic Plan

A step that the Belgian government took to reduce the transmission of HIV/AIDS was the implementation of its National Strategic Plan on HIV in 2013. The monarchy of Belgium also endorsed this plan, which had three main goals: preventing HIV/AIDS, providing testing and treatment of HIV/AIDS and providing care and support. In setting up the plan, the government ensured it would specifically target vulnerable groups such as migrants.

In conclusion, Belgium has made significant progress in tackling HIV/AIDS. Government initiatives coupled with the work of other organizations have been effective enough to reduce levels of HIV/AIDS in the country and are a step forward for marginalized groups that the disease impacts the most.

– Claire Dickson
Photo: Flickr

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2 Diseases Impacting Afghanistan

Diseases Impacting AfghanistanSince the early 2000s, Afghanistan’s disease prevention and treatment services were far below sustainable, with only 11 physicians and 18 nurses per 100,000 civilians working in 2003. As foreign aid began to pour in, these numbers slowly improved. However, infant, child and maternal mortality rates remain the highest globally, alongside many other diseases impacting Afghanistan today. Currently, two diseases impacting Afghanistan include tuberculosis and polio, which the Western world is well equipped to diagnose with far less difficulty.

Tuberculosis

Tuberculosis is a highly infectious, airborne disease impacting many Afghan people. Tuberculosis symptoms include a dry cough (sometimes with blood), fatigue, loss of appetite, night sweats and others. Yet, early diagnosis and quality treatment are easily accessible in the United States, preventing mass outbreaks.

The World Health Organization states that tuberculosis kills around 13,000 Afghans yearly, making it a disease that impacts Afghanistan severely. In 2014, Afghanistan had approximately 58,000 new tuberculosis cases. Only 56% of these cases were diagnosed and provided with adequate treatment. Keeping the disease at bay only becomes more challenging with up to 25,000 Afghan people left undiagnosed and untreated.

However, with WHO’s help, BRAC Afghanistan and USAID started a community-based TB DOTS program to control tuberculosis outbreaks. Through the program, diagnostic facilities for tuberculosis expanded and existing facilities were further equipped with microscopy screening technology. After the initiation of these health programs, more Afghans saw doctors and received treatment for tuberculosis: Since the program’s launch in 2004, access to dots has expanded from 15 to 121 clinics two years later. By 2006, more than 6,000 community health workers had trained under the program, of which 53 percent of trainees were women. Through the continued funding and advancement of the TB DOTS program, tuberculosis may slowly begin to lose its footing and become a lower-risk illness.

Poliomyelitis (Polio)

Polio is a viral illness that can lead to severe nerve damage and injury, eventually leading to paralysis and sometimes death. Afghanistan, Nigeria and Pakistan remain the only countries worldwide that have yet to eradicate polio. Due to inconsistent vaccination rates at birth, polio remains a disease impacting Afghanistan heavily today. In the 2015 report by the polio eradication initiative, researchers found that reported polio cases in Afghanistan had decreased since years prior. However, Afghanistan is still far from eradication.

In efforts to eradicate the polio virus worldwide, UNICEF worked with WHO to find innovative ways to give every child polio vaccines. The program implemented three National Immunization Days (NIDs) to increase access to polio vaccines and potential treatment if necessary. NIDs aim to reach nearly 10 million children through house-to-house and health facility-based approaches.

Furthermore, in collaboration with UNICEF and WHO, Afghanistan’s Ministry of Health is investing in a polio program to support vaccinators, community mobilizers, influencers, volunteers and campaign coordinators to reach children in need of vaccines. According to UNICEF, 392,000 polio branded items were distributed in 2020 to Afghan students to raise awareness about the disease’s severity, prevention and symptoms. As efforts continue, polio may become a disease impacting Afghanistan far less than before.

Why it Matters

Though efforts to improve health care access and treatments in Afghanistan have increased, much work still needs to be done. Today, tuberculosis is a disease that the U.S. quickly diagnoses and treats, while, in Afghanistan, the disease is often more threatening.

Afghanistan’s Ministry of Public Health and emergency operating system know how to help their people lead healthier lives yet lack the resources to do so. In funding programs that help international organizations and ministries provide the support needed for their people, both tuberculosis and polio can become low-priority diseases for all.

– Opal Vitharana
Photo: Flickr

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Education for Pregnant Students in Tanzania

Education for Pregnant StudentsThe African Court on Human and People’s Rights had to make a pivotal decision regarding the right to education for pregnant students in Tanzania. On November 19, 2020, Equality Now and Tike Mwabipile, executive director of Tanzania Women Lawyers Association (TAWLA), filed a joint application to the African Court on Human and People’s Rights to abolish a discriminatory ban. Three human rights groups, the Initiative for Strategic Litigation in Africa (ISLA), Human Rights Watch (HRW) and Women’s Link Worldwide (WLW), joined the application as joint amici. This application is in direct response to the discriminatory ban in Tanzania, whereby the government of Tanzania is disregarding the rights of females who are pregnant, married or mothers.

The Discriminatory Ban and Joint Amicus

The discriminatory ban in question has been in practice for decades across Tanzania, but in 2017, former president John Magufuli introduced an official ban against the education of pregnant girls, married girls or mothers, stressing immorality as reasoning. The ban draws its power from the Tanzania Education Act, which states that expulsion for a student is deemed necessary when they have “committed an offense against morality.”

Tanzania’s current and first female president, Samia Suluhu Hassan, who stepped into her role in March 2021 after Magufuli’s death, has made it her mission to incentivize the progression of women’s rights in Tanzania and distance herself from the controversial policies of the previous presidency.

The three human rights organizations, attempt to highlight the injustices that have come to fruition as a result of the discriminatory ban and to prioritize the need for education for pregnant students in their joint amicus, which highlights:

“Tanzania’s international and human rights obligations to guarantee the freedom from discrimination; to prevent and respond to violence against girls, including in school settings; and to safeguard the sexual and reproductive health and rights of girls and young women.”

This legal endeavor represents one of the many collective efforts for women’s rights progression in Tanzania in recent times. The discrepancy in policy regarding Tanzania’s education laws appears to represent a significant obstacle to overcome on the road toward progress.

However, in November 2021, Tanzania announced that it would make a critical step toward safeguarding the right to education by lifting the ban. Human Rights Watch says Tanzania has “recently removed restrictive policies, but [has] a policy gap,” indicating that this supposed breakthrough may have more effect on paper as opposed to in practice.

Tanzania’s History of Educational Subordination

Tanzania as a nation has a long and troubled history in regard to the education of women and young girls. Several core aspects of its education policy are founded on the decisions of a fundamentally patriarchal government in the 1960s, after the nation’s official independence from Great Britain in 1961.

These prior actions have resulted in a situation where, today, across Tanzania, the guarantee of education for pregnant students is far from a reality. According to a 2013 report by the Center for Reproductive Rights, a large percentage of schools across Tanzania interpret the act of pregnancy for students as immoral.  This has manifested as a situation that sees student dropout numbers at an alarming number according to figures provided by the World Bank in 2021: “More than 120,000 girls drop out of school every year in Tanzania. 6,500 of them because they are pregnant or have children.”

The 2013 report also noted a widespread belief within the education system in mainland Tanzania that expulsion is mandatory if a student is pregnant. However, the report found that there is in fact no legal mandate for expulsion, and on the contrary, according to the World Bank, “Tanzanian laws and policies promote and protect adolescent girls’ rights to education, health, nondiscrimination and privacy.”

Due to the widespread misconception in Tanzania that expulsion is legally necessary for pregnant students, and with standardized pregnancy tests standing as common practice within the education system, societal norms instilled by previous presidencies shape and control the educational rights of thousands of young girls.

The lifting of the ban not only leads to legal progress within Tanzania but also upholds the rights of women across the nation.

– James Garwood
Photo: Flickr

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Poverty Reduction in Chile

Poverty Reduction in ChileWith the highest GDP per capita in South America in 2020, Chile’s growth in the last few decades has been viewed as a model for Latin American development. Adopting a laissez-faire approach, the government shied away from significant spending on welfare, with the few existing programs geared toward middle and upper-class Chileans. However, recent administrations have made combating poverty a central theme of their campaigns, with presidents like Sebastián Piñera and Gabriel Boric both committing to the elimination of extreme poverty. Poverty reduction in Chile and the challenges the country faces serve as an inspiration and a warning for other developing nations.

Chile’s Approach to Poverty Reduction

Chile’s approach to poverty reduction is based upon a series of programs that focus on short-term income support and long-term economic security. During the 1990s, the Aylwin administration invested in hospitals and schools while also increasing the minimum wage. These reforms halved the number of Chileans living in poverty while contributing to the country’s steady growth throughout the decade. However, the highly centralized and inefficient public services system, coupled with strikes from teachers and health workers, meant Chile required a new solution for the new millennium.

Chile Solidario

With a new presidential administration and the need for change amid stagnating results, the government introduced ‘Chile Solidario’ as the country’s newest front in reducing poverty. Conceived in 2002, the program aimed to help low-income Chileans on an individual level while simplifying the arcane bureaucracy behind the country’s welfare system. Chile Solidario provided those in extreme poverty with cash stimuli and “psycho-social support” from social workers, assisting with immediate needs and future plans. In addition, the program synthesized many smaller financial assistance programs into a cohesive system, aiming to make aid more accessible to low-income citizens.

The program showed some successes with poverty reduction in Chile, albeit with limitations. The clearest evidence supporting Chile Solidario is the rapid decline of the percentage of people living in poverty in the years after the program’s introduction in 2002, from 29% to 8.6% by 2017.

Furthermore, attendance in schools and hospitals rose significantly, suggesting health and educational benefits in the future. A significant drawback of Chile Solidario is that while many in the program leave poverty, the rates of exit from the program are not as high. A study during Chile Solidario’s early years also found that household income per capita among recipients did not significantly increase.

The administration of Piñera further modified Chile Solidario. In 2012, President Piñera replaced Chile Solidario with the Ingreso Ético Familiar (Ethical Family Income). As part of his broader promise to end extreme poverty in Chile, IEF focuses primarily on conditional cash transfers to eligible Chileans, requiring school attendance and regular health checkups.

Looking Ahead

Unfortunately, the emergence of the COVID-19 pandemic and Chile’s strict lockdown has challenged the nearly continual progress of poverty reduction in Chile, with the poverty rate increasing from the 2017 low of 8.6% to 10.8% in 2020. Chile’s new president Boric promised $3.7 billion in aid in April 2022, undertaking to create new jobs while raising the minimum wage.

The ongoing debate over Chile’s draft constitution offers hope in the fight against poverty, promising to end job insecurity and institute a universal basic income. However, it also risks undermining the gradual, albeit successful progress of the last four decades in its radical rejection of the blueprint of the 1980 constitution.

Poverty reduction in Chile stands at a crossroads, able to embrace more direct government involvement in reducing the poverty rate or continue to let economic growth naturally spread to its poorest citizens. President Boric’s government seems to firmly favor the former, but in September, it is up to Chileans to decide whether they agree with his vision for the country.

– Samuel Bowles
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