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Addressing Child Labor in South Sudan

Child Labor in South Sudan
South Sudan is an East-Central African nation considered to have one of the worst cases of child labor in the world. The crisis of child labor has been amplified by the outbreak of civil war in 2013, spreading violence and insecurity nationwide. Child labor in South Sudan is a complex issue that negatively affects children’s health and education. However, UNICEF is working to end child labor in the nation.

4 Causes of Child Labor in South Sudan

  1. The civil war has increased the number of displaced persons vulnerable to recruitment by armed group or abduction for forms of child labor including spies, messengers, child soldiers and prostitutes.
  2. Many communities in South Sudan have inadequate access to schools and overall poor quality of education. Thus, much of the population does not see education as a viable alternative to work.
  3. Embedded cultural traditions and social attitudes increase rates of child labor by perpetuating ideas, such as work building character and girls being better suited to domestic work than education. Furthermore, many children in South Sudan are expected to follow their parent’s career paths and learn their trade from an early age, resulting in family sponsored child labor over child education.
  4. Poverty is arguably the most significant factor contributing to child labor globally, with South Sudan being no exception. Child’s incomes are often understood to be necessary for the survival of the household, with 91.9% of South Sudan living in multidimensional poverty. The mass impoverishment of South Sudan has been amplified by the civil war that has devastated the economy, and thus fueled child labor.

Formal vs. Informal Sector

Data on child labor can only be effectively collected from children working within the formal sector. As of 2019, nearly 46% of children aged 10-14 work in the formal sector. About 60% of these children find themselves working in agriculture, over 38% percent in industry and nearly 2% in services. While these ratios of children engaged in formal labor are large, even more children likely work in the informal sector, including jobs such as child soldiers and prostitutes.

Impact on Education and Health

Poor education in South Sudan increases participation in child labor. As a result, only 31.5% of children aged 6-14 were enrolled in school in 2019. Despite the fact that education is free, the rate of primary school completion sits at just 25.7%. Consequently, as of 2019, only about 27% of the adult population in South Soudan is literate. Not only does a lack of education stunt individual children’s development, health and economic opportunities, but also those of communities in which they live.

South Sudan also has a poor healthcare structure. This is reflected in the national life expectancy of 57.6 years, which is only worsened by the institution of child labor. Children working in the informal sector are placed at great risk: these jobs are life-threatening and drastically reduce life expectancy. However, children working in the informal sector are not the only children at risk. Jobs in the formal sector, such as construction and mining, are labor heavy and place great strain on children’s bodies. Journalist Losika Losepio reported in 2018 that an 8-year-old girl in South Sudan working in the mines said “It’s hard work digging and the shovel is heavy. I just want to be in school,” while holding an infected wound on her elbow. In the best of cases, child labor only takes children out of school; in the worst of cases, they are injured by their labor and potentially even killed.

The Good News

UNICEF is a United Nations agency responsible for providing humanitarian and developmental aid to children. Programming by UNICEF has made great progress in regard to child labor in South Sudan. In 2018, UNICEF freed over 1,000 children, many of whom were child soldiers for various armed groups. Additionally, UNICEF combats the root causes of child labor, such as lack of education. In 2018, the organization helped to rehabilitate schools damaged by conflict by leading teacher training and providing necessary classroom supplies. Through such efforts, UNICEF also helped 550,000 children re-enroll in school in 2018.

Children everywhere have a right to education, health and safety. Child labor in South Sudan serves as an obstacle to each of these rights and must be counteracted. Progress has been made through organizations such as UNICEF, but the situation remains dire: these efforts must not only continue but expand across the nation.

– Lily Jones
Photo: Wikimedia

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Dementia in Developing Countries

dementia in developing countriesThough dementia is traditionally thought of as being prevalent only in the developed world, it is now occurring at higher rates in developing countries. Currently, 67% of people with dementia worldwide reside in low- and middle-income nations, and researchers predict that number will reach 75% by 2050 in tandem with these nations’ aging populations. Because health and social care services in these countries are already strained or non-existent, dementia in developing countries poses a unique set of challenges.

Dementia and Alzheimer’s

The most common cause of dementia is Alzheimer’s Disease. But as with nearly all forms of dementia, there is progressive brain cell death, so as its symptoms progress, cognitive functions become severely impaired. As early as the second stage of mild dementia, individuals may require intensive care and supervision from others with tasks in their daily life. However, healthcare systems are stretched thin in many developing countries. Often, their frontline providers may not be adequately trained in providing the long-term care needed for these conditions. Even when assisted-living arrangements in a medical facility are an option, people with dementia have limited autonomy over their care because there are few systems in place to monitor the quality of dementia care in poorer nations.

Treating Dementia in Developing Countries

Due to the lack of formal care, people with dementia in the developing world tend to rely upon systems of “informal” care by family, friends, or other community members. These support mechanisms are under great strain due to the economic, emotional and physical demands of unpaid, and often unsubsidized, caregiving. Caring for someone with dementia can demand up to 74 hours a week and cost around $4600 a year. Furthermore, symptoms associated with the later stages of dementia, such as aggression, depression and hallucinations can have distressful psychological effects for these caregivers. In fact, 45% of family caregivers report experiencing distress, and 39% have feelings of depression.

Social Stigmas Surrounding Dementia

The social stigma associated with mental health diagnoses as well as general health illiteracy and unfamiliarity with dementia also contributes to inequities within the quality of dementia care. A study conducted in India suggested that 90% of dementia cases in low and middle-income nations go undiagnosed. Even healthcare professionals may lack the awareness to identify early signs of dementia. The wide-spread myth that dementia is not a medical issue in developing countries can mislead providers to dismiss dementia’s symptoms as characteristics indicative of normal aging.

Furthermore, in some parts of Sub-Saharan Africa, such as rural Kenya and Namibia where knowledge of dementia is not widespread, people may associate dementia with witchcraft or punishment for previous wrongdoings. Such beliefs further entrench the stigma surrounding it into the broader culture, discouraging people with dementia from seeking an official diagnosis. Organizations like the Strengthening Responses to Dementia in Developing Countries (STRiDE) Project have worked specifically towards reducing this stigma.

Understanding Poverty and Dementia

The immense prevalence of undiagnosed cases is particularly detrimental, considering poverty may increase one’s risk of dementia. Poverty is linked with many risk factors for dementia — one of which is stressful experiences like financial insecurity and education difficulties. Incidence of dementia has also been linked to lower levels of education since early development of neural networks can help the brain combat damages to its pathology later in life. A study on the rural Chinese island of Kinmen, where the median level of education is one year, showed dementia rates rising as people turned 60. This trend is earlier than in developed nations, and implies that illiteracy and lack of education can bring on dementia sooner.

Looking Forward

It remains unclear whether there is a correlation or direct causation between education level and the likelihood of dementia later in life. But one thing, however, is clear — low education levels serve as a frequent marker for other socioeconomic issues that are more common in developing nations, such as poverty, malnutrition, and toxic environmental exposures. Furthermore, the most commonly recommended strategy for reducing the risk of Alzheimer’s is maintaining overall health, which is more difficult in poorer countries due to malnutrition and unequal access to health care.

Moving forward, we must expand the support available to informal care systems, while ensuring healthcare providers receive dementia-specific training and health literacy. Women often the ones left to provide the majority of dementia care, but their efforts largely go ignored by their governments. Incentives, like universal social pensions, disability benefits and carer’s allowances, could support family and friends who house and care for people with dementia. Still, formal health systems too need to be bolstered to supplement and eventually substitute the role of informal carers. Policy-makers worldwide need to prioritize and anticipate the growing number of people with dementia as it remains the only leading cause of death still on the rise.

– Christine Mui
Photo: Flickr

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Healthcare Reform in Georgia Improves Health Outcomes

Healthcare Reform in GeorgiaHealthcare reform in Georgia has contributed greatly to its population’s quality of life. Located east of the Black Sea in Europe, the country of Georgia finally gained independence in 1991 from the Soviet Union. In recent centuries, Turkey, Persia and Russia fought over control of its land, and the region still experiences tensions with Russia. The United States’ political and economic involvement with Georgia was a cause of concern to Russia, especially given Georgia’s interest in joining NATO and the EU. The Georgian- and Russian-speaking country has a population of 4.3 million, with a life expectancy of 71 for males and 77 for females.

Privately Funded Healthcare

After making the transition from a communist regime to a market economy, healthcare in Georgia was primarily privately financed. By the year 2002, healthcare spending per capita was $64. Over the period from 2002 to 2013, that figure saw an increase to $350. The country has been alleviating regulations ever since 2003, easing private companies’ entry into the market.

Recently there have been further reforms, such as the government supporting private insurers to invest and operate in 2010. This led to the private ownership of 84.3% of hospital beds by the end of 2014. Additionally, private insurers generated 43.2% of written premiums that same year.

Rising Standards of Health

Ever since its independence, Georgia has been one of the poorer countries of the region, its population subject to mainly noncommunicable diseases. However, the country’s standards have been slowly catching up to the rest of Europe. For example, the poverty rate went from 33.2% in 2005 to 21.3% in 2016.

One issue with healthcare in Georgia, and with the general health of the population, has been the flawed death reporting system. This system has led to an exaggerated rate of illness-induced deaths. It reached 55% in 2010, even though research suggests that a rate higher than 20% should be considered unreliable. While the rate remains high and unreliable, the country made tremendous progress after improving software systems, resulting in a rate of 27.3% in 2015.

A New Universal Healthcare System

Healthcare in Georgia took a big leap in 2013, when the government introduced a universal healthcare system for which the entire population qualified. Healthcare reform in Georgia downsized the role of private insurers and changed the system’s entire financing and funding structure. Instead of supporting private companies, government funds were allocated directly to the healthcare providers. The vast majority – 96.4% – of patients reported satisfaction with the system.

One of the main diseases affecting the country during this century is Hepatitis C. According to the CDC and the NCDC, “in 2015, estimated national seroprevalence of hepatitis C is 7.7% and the prevalence of active disease is 5.4%.” Healthcare reform in Georgia sought to combat the disease through a national program initiated in 2015. This program electronically improved screening and data collection from national and local agencies. From 2015 until 2017, the cure rate reached 98.2% and 38,506 patients were treated.

Healthcare in Georgia has undergone many reforms since 2003. It began with the support of privatization, but eventually the government transitioned to a single-payer universal healthcare system that serves approximately 90% of citizens. The current system also took measures to address the effects of the Hepatitis C disease. Even though the country still lags behind other European countries in poverty and health standards, recent years have seen significant progress.

– Fahad Saad
Photo: Pixabay

Diabetes in South Africa: 5 Essential Facts

Diabetes is a disease that occurs when the pancreas is unable to produce or use insulin well, resulting in a high blood sugar level. When the body fails to make insulin at all, this is type 1 diabetes. With type 2 diabetes, the body does not produce or use insulin effectively. Both types of diabetes come with side effects that are detrimental to a person’s lifestyle. In the African region, South Africa has the second largest population of people with diabetes. Here are five facts that you should know about diabetes in South Africa.

5 Facts About Diabetes in South Africa

  1. Diabetes is a leading cause of death in South Africa. With non-communicable diseases (NCDs) like diabetes on the rise globally, South Africa is no exception. In 2016, diabetes and other NCDs caused 16% of the total deaths in the country. Diabetes is one of the three leading causes of death in South Africa, the other two being tuberculosis and cerebrovascular diseases. Among the South African population, there is a major lack of awareness of the disease and access to proper healthcare. Because the prevalence of diabetes in South African adults is 12.8%, it is crucial that other countries continue to support the funding and research of diabetes in South Africa.
  2. There are many ill-side effects for those living with diabetes. Diabetics must consistently track their blood sugar levels to ensure they don’t go into a diabetic coma. Additionally, diabetics are two to three times likelier to experience cardiovascular problems, like heart attacks or strokes. Diabetes can cause an individual’s kidneys to stop working. In most healthcare facilities in South Africa, they lack the procedures necessary to help a diabetic undergoing kidney failure, like renal replacement therapy by dialysis or through transplant. Another symptom of diabetes is neuropathy – or nerve damage – in the feet, which can lead to infection or potential amputation. In healthcare centers in South Africa, there is little equipment available for testing nerve damage in the feet and symptoms like this can often slip under the radar. Through an increase in funding from other countries, individuals suffering from diabetes in South Africa can have access to more equipment and medication necessary for dealing with diabetes.
  3. Socioeconomic disparities and other factors contribute to the prevalence of diabetes in South Africa. In South Africa, proper healthcare is inaccessible in poorer communities. The deficiency of experienced health professionals and respectable clinics makes it hard for citizens to undergo testing or treat the disease if they have it. More than one million citizens in South Africa do not know if they are diabetic. With more accurate and accessible testing, a greater population can begin treatment for the disease. It is crucial that the government receive funding to build diagnostic centers and train medical staff.
  4. Diabetes in South Africa is preventable and treatable in many ways. Though diabetes is irreversible, there are ways to keep symptoms at bay. Type 1 diabetes often develops in childhood and is usually impossible to eliminate. However, type 2 diabetes can go into remission with medication and changes in lifestyle. A common medication used to treat diabetes is metformin. Exercise and good eating habits are helpful treatments for diabetics. The most effective way to decrease the prevalence of diabetes in South Africa is to prematurely educate citizens and encourage healthy decision making. South Africa is currently working towards this goal.One recent preventative measure taken by the South African government is the implementation of a sugar tax. By charging more for sugary drinks and foods, the government is fighting obesity and helping citizens make more conscious decisions. In July 2019, South Africa briefly launched a Diabetes Prevention Programme (DPP). The DPP aims to integrate intervention treatments into a culturally relevant context through household questionnaires and group gatherings for at-risk individuals. In the conclusion of this program, the DPP will focus on using the information they gathered to create a curriculum that can educate communities about diabetes. To prevent rising cases of diabetes it is important that there is more pervasive awareness of the causes of diabetes. Citizens can learn how to manage obesity and understand when they should seek testing.
  5. Many countries and organizations help by funding testing centers and medical treatment in South African cities. The International Diabetes Federation (IDF) works with several organizations in the South African region to help combat the severity of the disease through advocacy, funding and training. The three organizations that are a part of IDF are Diabetes South Africa (DSA), Society for Endocrinology, Metabolism and Diabetes of South Africa (SEMDSA) and Youth with Diabetes (YWD). DSA is one organization that does its part in educating citizens and lobbying the government for better facilities and cheaper healthcare. DSA is a nonprofit that centers around mobilizing volunteers to demand better treatment for those with diabetes.

– Danielle Kuzel
Photo: Flickr

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Childhood Obesity in Poverty-Stricken Africa

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

The Problem of Childhood Obesity

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

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

Combating Childhood Obesity

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

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

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

– Jamal Patterson 
Photo: Pixabay

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A Profile of Health Care in South Korea

healthcare in South Korea
South Korea is one of the many countries in the world that provides universal health care for its citizens. This universal health care is both a source of relief and national pride for many South Koreans. This pride is further amplified by the fact that modern health care in South Korea rose out of the devastation of the Korean War. With the recent COVID-19 global pandemic, South Koreans rely, now more than ever, on their health care system.

History of the South Korean Health Care System

South Korea’s health care system was developed at the end of the Korean War in 1953. One of the first projects that aimed to help South Korea was the Minnesota Project, launched in September 1954. Under the Minnesota Project, Seoul National University agreed to receive medical education and equipment from the University of Minnesota. The U.S. Department of State also contracted the University of Minnesota to assist Seoul University with staff improvement and equipment aid.

This project allowed the health care system to grow and flourish over tte next couple of decades. In 1977, the Korean government mandated all companies with more than 500 employees to provide health insurance programs for employees.

How South Korean Health Care Works

Established in 2000, the National Health Insurance Corporation (NHIC) is still in charge of national insurance enrollment, collecting contributions and setting medical fee schedules. To provide coverage for all Korean citizens, the NHIC gathers contribution payment from all citizens as part of their taxes. In addition to the contribution payment, the NHIC gather their funds through government subsidies, outside contributions and tobacco surcharges. This wide range of funding sources allows South Korea to provide clinics that are both modern and efficient.

Prevailing Issues

The South Korean health care system does have some issues, however. While the overall quality of health care in South Korea is excellent, access to high-quality medical care can still be difficult for rural residents. According to a WHO case study of South Korea, 88.8% of physicians in South Korea were employed by non-governmental clinics. These non-governmental clinics are usually located in urban areas. About 25% of all elderly over the age of 65 years reside in rural areas, where they are at high risk of falling and other physical injuries. With physicians mainly located in urban areas, the South Korean government recognizes the need to improve health care in rural areas.

A more recent issue that the South Korea health care system is facing is the treatment of foreign nationals. In the past, there were some foreigners who forewent payment after their medical treatment in South Korea. Termed “health care dine and dash,” the Korean government now requires all foreign nationals to sign up for the National Health Insurance scheme within their first six months of living in the country. Once a foreign national receives their Alien Registration Card, they can benefit from Korea’s National Health Insurance Scheme and private insurance.

A Model of Universal Health Care For the World

Developing out of the devastation of the Korean War, the excellent quality of health care in South Korea is a prime example of how a country can implement and sustain universal health care. Despite needs for improvement, the South Korean health care system remains an international model for universal health care. With the recent COVID-19 pandemic, South Koreans recognize the importance of their continuous support for the universal health care system.

 – YongJin Yi 
Photo: Pixabay

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Ending Child Marriage in Zambia

child marriage in ZambiaIn Zambia, about two in every five girls are forced into marriage. Currently, the country is renewing its efforts to eradicate child marriage. In 2017, the President of Zambia along with presidents from Uganda and Malawi held an event where they declared they would prioritize ending child marriages by 2030. The President of Zambia stated, “Girls who marry young are often denied their rights. Ending child marriage by 2030 will require a range of actions, including making sure girls have access to quality education, legal reforms and changing traditional harmful practices.”

Already, rates of child marriage in Zambia have drastically decreased. Zambia’s Demographic and Health Surveys in 2002 found that the child marriage rate was 42%. In 2014, however, the child marriage rate had dropped down to 31%. Despite these numbers, Zambia still has a lot of work to do to save these young girls.

Common Reasons for Child Marriage

There are many factors contributing to child marriage. Here are three of the more common reasons for child marriage in Zambia.

  1. Poverty: Some families see child marriage as a way to reduce the financial burden of having young girls. Often, families in poverty will marry off their young daughter(s) to receive a payment of dowry. This dowry gives them great financial relief. In addition, they are saving money because they no longer have to provide for their daughter(s).
  2. Vulnerability: While all children are susceptible to being vulnerable to child marriage, orphans and stepchildren are even more vulnerable, specifically once they hit puberty. Some families feel that their job of taking care of them is done at that time, so they marry them off young. Stepchildren and orphans are also more widely mistreated than biological children. They may feel getting married is an escape from an otherwise unbearable situation.
  3. Protecting a Girl’s Sexuality: Parents may believe that if they marry their girls off young, they can protect them from engaging in “inappropriate behaviors,” like having multiple sexual partners. This way the girl only has sexual intercourse with her husband, and her family’s honor remains preserved. Some also consider child marriage as a protection for the girl against HIV or unwanted pregnancy.

The After-Effects

  • Increases Poverty: Child brides tend to drop out of school. As a result, any opportunities they may have had at getting a good job and helping their families out of poverty disappear.
  • Health Risks: Child brides are more likely to suffer from depression or PTSD due to abuse from their spouses or the fast-paced way they are forced to grow up. Also, child marriage in Zambia is often correlated with pregnancy, which can lead to higher death rates for the mother or child because the mother is not developmentally mature enough to carry a baby.
  • Risk of Violence: Child brides are more likely to deal with domestic violence including physical, sexual and emotional abuse.

The Good News

Despite these practices still occurring, the citizens and government of Zambia have begun taking steps to eradicate child marriages by 2030. Plan International is a humanitarian organization that works to advance children’s equality and rights. The organization’s Regional Director for both Eastern and Southern Africa, Roland Angerer, says change begins with education. He states, “It is essential that we promote education and encourage dialogue if we want to change social norms . . . Governments must ensure schools are accessible, inclusive and safe […] to enable more girls to attend and stay on in school.” This education helps not only young girls but also their families.

Senior Headman, Davison Shafuluma, in the Mumbwa district, holds meetings where he teaches parents and other family members that child marriage hurts more than it helps. He shares with them the effects a young girl can suffer through by marrying and carrying a child at too young an age. He also explains that they, as a family, can say ‘no’ to anyone who propositions marriage.

Beyond education, the UNFPA-UNICEF Global Programme on Ending Child Marriage helped establish 550 Safe Spaces in Zambia. In these Safe Spaces, young girls learn that they are equal to their male counterparts. The young girls learn that school, homework and their futures should be their focus and priority.

International Work to Eradicate Child Marriage

Aside from better education, “Zambia also co-sponsored, along with Canada, the first U.N. General Assembly (UNGA) resolution on child, early and forced marriage in 2013.” In 2014, eight Ministers from Zambia also committed to addressing child marriage and continuing the conversation. The country has also legislated a minimum age requirement for marriage beginning at the age of 18.

Although many more improvements are still necessary, Zambia is making much progress to diminish child marriage. The conversations in Zambia and across the world are finally giving these young, vulnerable girls a voice.

– Stacey Krzych 
Photo: Flickr

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USAID’s Work In Uganda

Uganda has been noted as an African country that is on the rise out of poverty. This is partly due to foreign assistance coming from countries like the United States. The United States Agency for International Development (USAID) has carried out work in Uganda excelling improvements in economy, health care, education, and the state of democracy.

Economic Growth

USAID has been engaged in Uganda’s efforts to reduce poverty and hunger. Among many other goals, Uganda and USAID are working with public and private sectors to promote investment, agriculture production, food security and efficient energy usage. US based programs like Development Credit Authority, Feed the Future Youth Leadership for Agriculture and Global Development Alliances, have assisted in Uganda’s success of lowering the poverty rate. By connecting Ugandans with businesses to market their products, USAID is helping to improve household incomes as well as stabilize the country’s gross domestic product. Investments in the future are also being made by training youths for the job market and connecting farmers, refugees, and workers with agricultural resources and trade opportunities.

State of Democracy

USAID works with the Ugandan government to bring up issues regarding transparency, human rights, and justice for citizens. USAID’s democracy program in Uganda particularly focuses on women and youths as a voice to be heard. The USAID’s overall objective of promoting civil society encompasses the opportunity for citizens to part-take in the governing process while leaders are working for the people. Improving the democracy of Uganda will help build a strong and independent country, which in turn will partake in flourishing the entire region.

Education and Training

With a high number of vulnerable children, USAID is working with the Ugandan government to implement plans providing education for young children, while focusing on teaching languages and educating on health, HIV/AIDS and violence. USAID is also striving to develop the future workforce with the Better Outcomes for Children and Youth activities, which helps youths cultivate the skills needed for success, both in work and in life. There is also new training available for teachers, with improved computer technology.

Health and HIV

USAID’s effort in addressing health care issues in Uganda includes eliminating HIV/AIDS through the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR), reducing tuberculosis infection rates, and eradicating malaria under the U.S. President’s Malaria Initiative (PMI). Other health care programs include child and maternal health, family health, and disease prevention, as well as educating young women on sexual violence and HIV/AID protection. Since many diseases are spread through poor sanitation, USAID’s work in Uganda also focuses on improving water sanitation and hygiene practices.

Humanitarian Transitions

Through USAID, the U.S. is helping Uganda with emergency food supplies, health care assistance, and conflict resolution in democracy to improve the country’s status and enhance people’s quality of life. The continuing basis of humanitarian aid effort has made the U.S. the “largest single honor of humanitarian assistance in Uganda,” according to Anne Ackermann, a photojournalist with USAID.

USAID’s continuing work in Uganda, along with the positive outcomes seen by the country so far, underscores the effectiveness of overseas involvement and the power of foreign aid in general. Foreign aid will always have an important role in country development and growth.

– Hung Le

Photo: Flickr

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Tackling Iron Deficiency in Developing Countries

Tackling Iron Deficiency in Developing CountriesIron deficiency — which often leads to iron deficiency anemia — is estimated to affect around 2 billion people around the world. Iron deficiency is most prevalent among children and women of childbearing age, especially those living in developing countries. In light of growing iron deficiency cases in many African countries, policymakers are focusing on iron interventions such as the creation of fortified flours and supplements for menstruating women and expectant mothers.

Challenges

There continues to be skepticism and disbelief about iron-deficiency in some low-income countries. In fact, many government officials and individuals do not recognize the correlation between fatigue or low-productivity and low iron intake. And, as such iron deficiency is regarded as a hidden disease. This further impacts the availability of accurate, reliable and comparable data on iron deficiency in some of the most at-risk parts of the world.

Causes of Iron Deficiency in Developing Countries

The factors that cause iron deficiency include disease, food insecurity and blood loss. In developing countries, iron deficiency is compounded by infectious diseases like malaria, HIV and hookworm. These diseases must be treated alongside iron deficiency in order to avoid long-lasting consequences. Moreover, malnutrition is one of the leading causes of iron deficiency in developing countries. The lack of proper food security and iron-fortified foods creates a widespread issue of iron deficiency.

Tackling Iron Deficiency in Developing Countries

The fortification of foods, such as flour with iron, provides a way to easily add iron to the diet of the average person. Organizations such as the World Health Organization (WHO) and the Food and Agriculture Organization (FAO) help to implement food fortification programs in developing countries. These programs either provide the nutrients needed for food fortification or identify local resources that contain the necessary nutrients to fortify food, known as food-to-food fortification. An example of food-to-food fortification is fortifying ogi, a cereal-based dough made in Nigeria, with iron-rich baobab fruit powder.

Using natural iron substitutes to add to foods at home is another way to mitigate the issue. Lucky Iron Fish Enterprises created an iron shaped fish that reduces iron deficiency in low-income communities. When boiled in soup or water, the Lucky Iron Fish gives the individual around 40 percent of the daily amount of iron recommended per day. The company served about 54,000 people around the world in 2018 with its various programs. One notable service available is the “Buy-one-Give-one” project. Customers can buy a Lucky Iron Fish for themselves, and the company will match the purchase by giving a Lucky Iron Fish to an individual in a vulnerable partner community.

In an attempt to help combat iron deficiency in babies, researchers recommend delayed umbilical cord clamping by about 5 minutes to increase the number of red blood cells going into the baby. In a 2017 Nepal study, researchers analyzed the results of 540 babies who were randomly selected to have either delayed cord clamping or clamping within a minute of delivery. Infants with delayed clamping were 11 percent less likely to have anemia and 42 percent less likely to experience iron deficiency than babies whose cords were cut within a minute of delivery.

 

Overall, the best way to tackle iron deficiency is to create awareness about the issue. Additionally, helping people make healthy diet choices that provide the necessary amount of nutrients, such as fortified flour, will help with the issue.

– Ashleigh Litcofsky
Photo: Flickr

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9 Facts about Life Expectancy in Grenada

Life expectancy in Grenada
Grenada is a country in the Caribbean composed of seven islands. This former British colony attained its independence in 1974, making Grenada one of the smallest independent nations in the western hemisphere. Nicknamed historically as the “spice isle,” Grenada’s traditional exports included sugar, chocolate and nutmeg. From 1979 to 1983, Grenada went through a period of political upheaval, which ended when a U.S.-led coalition invaded the island. Today, Grenada is a democratic nation that is working to ensure the health and well-being of its citizens. Here are nine facts about life expectancy in Grenada.

9 Facts About Life Expectancy in Grenada

  1. The World Bank’s data showed that, as of 2017, life expectancy in Grenada was 72.39 years. While there was a rapid increase in life expectancy from 1960 to 2006, life expectancy decreased from 2007 to 2017.  However, the CIA estimates that this metric will increase to 75.2 years in 2020.
  2. Non-communicable diseases constitute the leading cause of death in Grenada. According to 2016 WHO data, non-communicable diseases such as cardiovascular disease, cancer and diabetes constituted the majority of premature death in Grenada. Cardiovascular diseases, which constituted 32 percent of all premature deaths, were the leading cause of death in 2016.
  3. Grenada’s infant mortality rate stands at 8.9 deaths per 1,000 live births. This is a significant improvement from 21.2 infant deaths out of 1,000 in 1985 and 13.7 deaths out of 1,000 in 2018.
  4. Grenada has universal health care. Health care in Grenada is run by the Ministry of Health (MoH). Through the MoH, the Grenadan government helps finance medical care in public institutions. Furthermore, if an individual wishes to purchase private health insurance, there are several options to choose from.
  5. Around 98 percent of people in Grenada have access to improved drinking water. However, water scarcity still plagues many people in Grenada due to erratic rainfall, climate change and limited water storage. To remedy this, Grenada launched a $42 million project in 2019 with the goal of expanding its water infrastructure. This includes plans to retrofit existing systems.
  6. Hurricanes and cyclones pose a threat to life expectancy in Grenada. While in recent years Grenada has not been significantly affected by a hurricane, Grenadians still remember the devastation caused by Hurricane Ivan (2004) and Hurricane Emily (2005). Hurricane Ivan caused an estimated $800 million worth of damage. In the following year, Hurricane Emily caused an additional $110 million damage. On top of 30 deaths caused by these natural disasters, the damage they inflicted on Grenada’s infrastructure and agriculture can have further harmful ramifications for the people of Grenada.
  7. The Grenadian government is taking measures to improve the country’s disaster risk
    management (DRM). With the help of organizations such as the Global Facility for Disaster Reduction and Recovery (GFDRR), Grenada is recovering from the devastation of 2004 and 2005. In 2010, for example, GFDRR conducted a risk management analysis which helped the preparation of a $26.2 million public infrastructure investment project by the World Bank in Grenada.
  8. The Grenadian government’s 2016-2025 health plan aims to strengthen life expectancy in Grenada. One of the top priorities of this framework is to ensure that health services are available, accessible and affordable to all citizens. Another goal surrounds addressing challenges for the most vulnerable groups in society such as the elderly, children and women.
  9. Grenada received a vaccination award from the Pan American Health Organization (PAHO). In November of 2014, PAHO awarded Grenada the Henry C. Smith Award for Immunization, which is presented to the country that has made the most improvement in their immunization programs. PAHO attributed this success to Community Nursing Health teams and four private Pediatricians in Grenada.

The Grenadian government is committed to providing the best quality of life for its citizens. However, there is still room for improvement. The prevalence of premature death caused by cardiovascular diseases suggests that Grenada needs to promote healthier life choices for its citizens. With the continued support and observation by the Grenadian government, many hope that life expectancy in Grenada will increase in the future.

– YongJin Yi
Photo: Flickr