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The Link Between Poverty and EpidemicsOn Jan. 18, 2018, the U.S. House of Representatives passed legislation to continue funding for H.R. 1660, or the Global Health Innovation Act, with an overwhelming vote of 423-3. The Global Health Innovation Act will support the progress of health innovations for USAID, the top U.S. government agency that works to end global poverty.

According to the original bill H.R. 2241, nearly nine million people die per year due to diseases and health conditions, many of which are preventable. USAID’s goal is to lower this statistic as much as possible and create democratic governments within underdeveloped societies.

The Global Health Innovation Act was reintroduced by Democratic Representative Albio Sires and other U.S. Representatives on March 21, 2017. Republican U.S. Representative of Florida Mario Diaz-Balart stated in a press release, “I am proud to reintroduce this critical piece of legislation with my friend, Rep. Albio Sires. It is more important than ever that the United States invest in global health and continue to deliver state-of-the-art medical devices and technologies.”

The Global Health Innovation Act will cost an estimated $500,000 or less from 2018-2022. This estimated amount by the Congressional Budget Office is subject to the availability of funds during each fiscal year. The bill would require USAID to track and report four annual updates to Congress of the developed health innovations and programs implemented.

These annual reports would track the extent to which health innovations have advanced, how progress is being measured and how these innovations are reaching set goals. The reports will also describe drugs, devices, vaccines, medical devices and technologies which are funded by the act. This detail is included to guarantee U.S. tax dollars are being spent in a logical and effective manner.

What work does USAID do?

USAID works toward sustainable global health by prioritizing three major goals: preventing child and mother deaths, controlling the HIV and AIDs epidemic and fighting infectious diseases. The overall goal of USAID is to improve health globally by bringing attainable medical innovations to impoverished countries in order to build better health systems. Through donors and partners, USAID has been working toward these goals and the Global Health Innovation Act will help bring these goals to reality.

Who is rallying for the Global Health Innovation Act?

U.S. Democratic Representatives Gerald Connolly (VA), Eliot Engel (NY), Brad Sherman (CA), David Cicilline (RI) and William Keating (WA) cosponsored the H.R. 1660 bill on March 21, 2017. Slowly, more Democratic Representatives joined them, including Suzan DelBene (WA), Joyce Beatty (OH), Nydia Velazquez (NY), Zoe Lofgren (CA), Ted Lieu (CA) and Timothy Walz (MN). Now that the bill has passed in the House of Representatives, it is important to continue rallying for its success as it still must pass in the Senate and be signed by President Trump.

How does it benefit the U.S.?

Global health is an important humanitarian concern as well as a business investment. Investing in global health creates new jobs and economic growth. According to Congressman Sires, between 2007 and 2015 global health investments generated $33 billion and 200,000 jobs. Investing in global health research and development has already impacted the U.S. with new health technologies. H.R. 1660 will continue to open doors for not only global health but also for the U.S. economy and technology.

What can be done to mobilize Congress?

Constituents across the U.S. can rally in support of the Global Health Innovation Act by calling or emailing Congress through a very simple process. Find the contact information for the appropriate Representatives here and Senators here. The Borgen Project has also provided a helpful tool to send emails through a template to Congress, which can be found here.

Contacting U.S. Senators and Representatives is effective because Congress staffers take a tally of every issue that constituents reach out for. This small bit of activism keeps important bills on the radar for Congressional leaders and can make a significant difference in a bill’s success. Even the smallest efforts can help create global change for people facing poverty.

– Courtney Hambrecht

Photo: Flickr

Top 10 Facts about Living Conditions in Swaziland

Swaziland has endeavored to increase employment and economic growth. Among these efforts, still more work needs to further these goals and priorities. One area that the country has made progress in is improving living conditions in Swaziland by reducing the number of people living below the poverty line. With continued effort, Swaziland can make positive steps in strengthening its healthcare system, increasing employment rates and economic growth and increasing the retention rate of girls in school. These top 5 facts about living conditions in Swaziland will show where they are succeeding and where they need more work.

Top 5 Facts about Living Conditions in Swaziland

  1. In Swaziland, unemployment rates, in general, have not changed much in the past few years, hovering around 26 percent. There are further discrepancies between unemployment rates for women. For example, in 2007 and 2010, the rates stayed level around 30 percent. For men, however, the rates between 2007 and 2010 were 24.0 percent and 22.7 percent. There is still more work to be done in increasing youth employment. In fact, Swaziland has one of the highest youth unemployment rates in Africa. The unemployment rate has remained higher than 50 percent since 2007. Specifically, working to reduce youth unemployment is a major part in helping reducing unemployment as a whole. Solutions to decrease youth unemployment are tertiary reforms and increasing vocational and on-the-job training. In addition, adding more growth to the private sector is key to helping to create high paying and productive jobs. Companies like Orange and OpenClassrooms are working to provide digital education to Africa’s youth to help young people find jobs in the tech markets.
  2. There has been some progress made in the living conditions in Swaziland by reducing the number of people living below the poverty line. According to the Swaziland Household Income and Expenditure Survey, the percentage of people living below the poverty line was 69 percent in 2001. However, the percentage had dropped by more than half to 30 percent in 2015. These numbers represent, on average, 20 percent for those living in urban areas, but for those living in rural areas, it was as high as 37 percent. Reasons for such high poverty rates were the decrease in incomes, the stagnation of private consumption and the decrease in the GDP.
  3. As a whole, economic growth has declined in Swaziland. Real GDP growth decreased from 1.3 percent in 2016 to 1 percent in 2017. Economic growth was projected to be at 1.5 percent in 2018. Factors that have contributed to the decline in economic growth are low demand from pivotal export market destinations, especially from South Africa and Eurozone. In addition, the sector also experienced a decline in economic growth and a loss of eligibility in status to trade under the African Growth and Opportunity Act Arrangement. Swaziland’s average GDP annual growth rate had been its highest in 1990 at 21 percent, but it dropped significantly down to .7 percent in 2016. Fortunately, the GDP annual growth rate had risen up to 2.3 percent in 2017.
  4. The healthcare system consists of formal and informal sectors. Health practitioners and general service providers make up the informal sector while industry, private and public health services as well as nongovernmental organizations make up the formal sector. Swaziland puts around 3.8 percent of its GDP towards healthcare, the government providing 65 percent of the money, which is about 2 percent of its GDP. The federal budget was increased from 7 percent in 1998 to 9 percent in 2009.
  5. There still is more work to be done in closing the gender gap in education. Swaziland’s educational levels are primary education, secondary education, vocational education and tertiary education. Although there is not a great disparity between boy and girls attending primary, dropout rates do tend to rise by year 5 of secondary school. More work needs to be done in increasing the retention rates for both girls and boys in school, although more work is needed for female retention. While there are not as many obstacles for girls starting school, there are numerous obstacles that hinder girls from staying in school. Between the ages of 15 and 19, 50 percent of girls will not have completed secondary school, compared to 39 percent of boys. Some of the obstacles are poverty, the HIV/AIDS pandemic and gender insensitivity. Furthermore, more than two-thirds of families live in poverty, and many find difficulties in paying for school fees and other costs.

These 5 facts about living conditions in Swaziland show that, while there is more work to be done in areas of employment, economic, growth and education, there has been notable progress in helping to improve the living conditions of the people. One area that has seen progress is the reduction of the number of those living below the poverty line. With more effort, Swaziland can see positive developments in helping the lives of all people.

Daniel McAndrew-Greiner

Photo: Flickr

Causes of Poverty in Asia

Asia is the largest and moust populous continent on earth and is notable for its fast-growing economy. However, it is also the continent in which over 40 percent of the 766 million people living on less than $1.90 a day reside, making it the second poorest continent after Africa.

Asia is a place of extreme poverty as well as top business ventures. While all Asian countries are not poor, the wide gap in economic condition of the eastern continent’s people in its different parts drives one to explore the causes of poverty in Asia.

  1. Population
    The first and the foremost reason is Asia’s huge population. Almost 60 percent of the world’s population is in Asia. While density of population is not the same everywhere, the monumental growth of population compared to the scarcity of resources is one of the major causes of poverty in Asia.
  2. Food Security
    According to a report by the Asian Development Bank, 67 percent of the world’s hungry lives in Asia. Since 2000, there has been an increase in basic food prices, causing food insecurity for the poor, who designate a large amount of their income for food. Various factors like urbanization, population growth, a decrease in agricultural land and poor policy making are responsible for the increasing food insecurity in Asia.
  3. Education
    Lack of proper education also causes poverty. According to UNESCO, about 30 percent of adults in South and West Asia are illiterate, and about one-third of students in primary schools lack basic numeric and literary skills which are essential for further education. There is also a wide gender gap in education in South Asia, as only 62 percent of young women are literate compared to 77 percent of young men.
  4. Health
    Malnutrition in women and children is also another factor. Almost 69 percent of children with acute malnutrition live in Asia, which causes low weight and stunted growth. Women are also vulnerable to the situation, as almost 80 percent of adolescent women have anemia. Poor health prevents them from having proper education and a normal life, ultimately increasing the impoverished situation.
  5. Administration
    According to the corruption perception index of 2015, 60 percent of Asian countries scored below 50, indicating a serious corruption problem. Poor governance and corruption in administration make financial power available only to the fortunate few, fueling poverty for the mass population.
  6. Natural Disasters
    Asian countries are mostly dependent upon agriculture, forestry and tourism, which can all be affected by natural disasters. In 2015, half of the world’s natural disasters took place in the Asia-Pacific region like earthquakes, droughts, wild fires, storms, extreme temperatures and floods, causing significant economic losses.
  7. Global Recession
    With a recession in the global market, a vast section of Asian workers or laborers working in America or Western Europe have lost their jobs, negatively affecting the economic conditions of their families.
  8. Social Discrimination
    In some countries of South Asia, caste discrimination is prominent in different levels of the society. This prohibits equal opportunities among the mass population, making certain sections of the population poorer than others.

Most of the above causes of poverty in Asia are interrelated. An increase in population leads to a corrupt administration which, in turn, fails to provide quality education to all people, giving rise to unemployment, discrimination and food insecurity. Poor governance also fails to provide sufficient health and medical facilities, causing health issues and making people unfit for progress. It is clear that, before the people of Asia can rise up out of poverty, the lack of fair and uncorrupted governments throughout the continent must be addressed.

– Mahua Mitra

Photo: Flickr

In 2012, the Emergency Infrastructure Renewal Project was approved in Cote d’Ivoire. The project’s goal is to create easier access to infrastructure in Cote d’Ivoire in the rural and urban areas. The project is set to run until 2020 and will create new all-weather roads through many rural areas as well as other advancements to help further Cote d’Ivoire’s economy. The bulk of the project, around 30 percent, will focus on urban transport.

In the last five years since the Emergency Infrastructure Renewal Project began, many Ivoirians have already begun to reap the benefits of the project, especially those in the rural and impoverished areas. The following are five positive consequences that have directly resulted from the project.

  1. Access to Electricity: By 2017, over 9,000 people in urban areas were granted access to electricity by household connections.
  2. Potable Water: The project has helped bring healthy drinking water to more citizens of Cote d’Ivoire. In 2017, 3,735,000 people had access to improved drinking water, versus only three million in 2012.
  3. Access to Primary Education: The new infrastructure in Cote d’Ivoire has also increased access to primary education in the rural areas to over 18,000 people in 2017.
  4. Better Health Care Centers: Thanks to the advancements made by the Emergency Infrastructure Renewal Project, 1,400,000 people now have access to adequate health care centers in the rural and impoverished urban areas.
  5. Increased Employment: The new infrastructure in Cote d’Ivoire has increased employment opportunities across the country and lowered the unemployment rate to 9.32 percent in 2016.

Unfortunately, despite these advancements in infrastructure in Cote d’Ivoire, the country has still had many setbacks. In 2015, statistics showed that nearly 46 percent of Cote d’Ivoire’s population lived below the poverty line. Many of these people live in rural areas where the advancements from the project have not yet reached.

Ultimately, the infrastructure in Cote d’Ivoire is slowly helping advance the country’s economy. Most of the major benefits will take years to come into full effect. The maturity limit on the Emergency Infrastructure Renewal Project is set for about 40 years, giving Ivoirians plenty of time to help contribute to the project and start harvesting their benefits.

– Courtney Wallace

Photo: Flickr

App to Treat Malaria
For the people of Mozambique, malaria is a familiar and deadly part of life. As one of the world’s leading victims of the disease, Mozambique sees thousands of its citizens die as a result every year. Global initiatives have fought hard to treat and prevent malaria, including awareness campaigns and insecticide-treated nets. Since 2015, though, Mozambique has used an innovative resource: a smartphone app to treat malaria.

Mozambicans in rural areas often receive their health care from government-funded community health workers. These community health workers (agentes polivalente elementare, or APEs) are trained to diagnose and treat Mozambique’s most ubiquitous diseases, including malaria. Seeing a need to improve treatment, APEs in Mozambique have been provided with the CommCare app, created by the Malaria Consortium’s inSCALE research project and funded by the Bill & Melinda Gates Foundation.

The CommCare app allows APEs to better treat their patients through a number of means. It teaches better consultation methods through images and audio. It also creates better communication between APEs and their supervisors and functions, so medical records can be uploaded anywhere. App users in Mozambique have reported that it provides for clearer and more accurate treatment. New methods for recognizing and treating malaria are more easily transmitted to remote areas. The app to treat malaria has given community health workers better tools, communication and resources to assist in their vital work.

The entire population of Mozambique is at risk for malarial infection, typically spread by insects. The disease presents itself through flu-like symptoms and can be fatal if left untreated. Prior to 2010, there are no official figures for the number of deaths due to malaria. Since 2010, deaths to malaria have decreased and, in 2015, dipped to an all-time low.

On a morose but encouraging note, malarial confirmations have risen concurrently with the decreasing deaths. This suggests that malaria is being recognized, diagnosed and treated in Mozambique.  

Malaria is a relatively easy disease to treat. With early diagnosis, antimalarial medications can clear out the parasite and cure the patient. African countries are prone to malaria because of several factors: mosquitoes are rampant, medical clinics are scarce and preventative measures are often difficult to come by.

Because early diagnosis is so vital to a malaria victim’s odds of survival, Mozambique has taken steps to bridge the gap between rural areas and medical treatment. Aside from preventative measures, Mozambicans in remote areas rely on APEs to treat the country’s deadliest afflictions. The CommCare app gives APEs the resources to more accurately diagnose malaria and treat it appropriately.

Mozambique is seeing a positive trend in recent years. There are more diagnoses and fewer deaths. Eradication of the disease is still far off; however, using technology such as the CommCare app to treat malaria is guiding Mozambique in a positive direction. Countries around the world would be served well by adopting the same approach to the fight against malaria.

– Eric Paulsen

Photo: Flickr

Oxfam Uses 3D PrintingWith advances in modern technology, there has been a rise in the use of 3D printing by companies and individuals. The nonprofit and humanitarian sectors have begun using the technology in order to better achieve their goals. Oxfam is one of the nonprofit humanitarian organizations that has been trialing 3D printing to help with its disaster relief measures.

How Oxfam uses 3D printing is not a new concept; many other organizations have attempted to use the technology or are latching onto the idea of creating aid items in the area instead of having to ship them.

According to the Oxfam U.K. website, in 2014, Oxfam teamed with a design company called iMakr and asked its supporters with engineering and design expertise to help. The goal is to ultimately use 3D printing to print materials at the disaster site instead of having to ship everything there.

They want to use 3D printing to print their WASH (Water, Sanitation and Hygiene) kits. Not only would the kits save time, they would also save money in the long run for the organization, allowing for that money to be used elsewhere by Oxfam to conduct its mission.

Oxfam did a test run with 3D printing after the earthquake in Nepal. They used it for small parts that people may need, such as parts for water pipes. They worked with FieldReady, a nonprofit that specializes in using 3D printing and new technologies in its work.

FieldReady was using 3D printing to print medical tools and supplies in Nepal after the earthquake, showing that 3D printing can be expanded from just kits. It can also be used to make tools and instruments that are fully functional in everyday life. 3D printing by Oxfam was also trialed in Sri Lanka to help support a dam.

There is still a long way to go to see how Oxfam uses 3D printing in the future and it will be interesting to see if they will continue to lead the way with innovations in technology. While 3D printing is relatively new, other organizations can follow Oxfam’s model and try to use them and mold them to their missions in order to become more efficient and effective.

Emilia Beuger

Photo: Pixabay

Medical TourismTourism has been around for many years, in the past it was mainly used for research purposes for young scholars, but over time it has evolved to become its own individual industry. Medical tourism is an arising type of tourism whereby a tourist leaves their home country to receive medical attention in another. Countries visited through medical tourism are usually less developed countries, and the effects of medical tourism have been beneficial to both sides.

According to Orbis Research, in 2016 the global medical tourism market was worth $19.7 billion, and by 2021 it could reach $46.6 billion. In fact, for some developing countries, medical tourism is one of the biggest industries. India, for example is renowned for its success in the medical tourism space; in 2002 alone, the industry earned at least $2 billion in revenue for the country, and this number has gradually grown.

The effects of medical tourism have proven beneficial to less developed nations. According to a study on Thailand, “most developing country governments see medical tourism as an opportunity to generate more national income”.

Medical tourism has become a common method of seeking out cheaper medical treatment for individuals in developed countries. According to the study, “Medical Tourism: A Look at How Medical Outsourcing Can Reshape Health Care,” the examination of Howard Staab’s case in 2004 illustrates the benefits for medical tourists. In Staab’s case, the patient needed a mitral heart valve replacement surgery that had to be done within a year.

The original cost for the operation was $200,000. Staab could not negotiate with the hospital nor the insurance within the one-year policy, therefore Staab decided to travel to India for the surgery. There, the surgery came to cost $6,700 and Staab was able to save approximately $193,300. Since 2004, medical tourism has become even more cost-efficient.

Medical tourism has also become a platform for individuals from one LDC to out seek medical care from another LDC. It has become an interaction between parties, both of whom are from developing countries, for example, Afghan patients who commonly travel to India for medical treatment. The interaction between individuals from different LDCs allows for the connection of different cultures and paves a way for building an interconnected network among the LDCs.

A growing globalized network among LDCs could prove very useful in providing LDCs access to patrons working towards improving quality of life through medical care. The effects of medical tourism are to allow them to utilize resources surrounding them and depend less on foreign aid, and focus more on not only improving quality of life but also the economy of their countries.

Carla Salas

Photo: Flickr

Sub Saharan AfricaWith cancer claiming the lives of about 450,000 Africans per year, drug manufacturers – in a deal with the American Cancer Society (ACS) and the Clinton Health Access Initiative (CHAI) – have decided to bring life-saving treatments to tens of thousands Africans in need of major healthcare improvements.

The agreement was made between two major pharmaceutical companies: Pfizer, located in the U.S. and Cipla, one of the giants in the Indian pharmaceutical world. Both will cut the prices of 16 cancer treatment drugs, including chemotherapies, for six countries in Sub-Saharan Africa that are most affected by the disease.

The six countries receiving major discounts on cancer medicines are Ethiopia, Nigeria, Kenya, Uganda, Rwanda and Tanzania. A press release by the ACS reveals these are the countries in major need of health improvement, as 44 percent of all cancer cases occurring in Sub-Saharan Africa each year happen in these six targeted countries.

According to the Pharmaceutical Journal, there were an estimated 626,000 new cases of cancer in Sub-Saharan Africa in 2012, leading to a total of 447,000 deaths by cancer. The World Health Organization predicts this figure could double by 2030 if nothing is done, with killings reaching almost one million Sub-Saharan Africans. In comparison to the U.S., with 90 percent of women surviving five years with breast cancer, Uganda and Gambia have survival rates of 46 percent and 12 percent, respectively.

Some of the factors explaining the start of Africa’s cancer crisis are the lack of training for providers, shortages of medications and the insufficiency of diagnostic and therapeutic equipment. Another barrier to quality care for cancer patients in Africa is linked to biology. In fact, there are differences in tumor biology between African cancer patients and patients in developed countries. As an example, African patients often have bigger tumors than patients in other regions, which demands much more care as well as adequate infrastructure to research solutions for curing the disease.

Funding is also a major problem for Sub-Saharan Africa, as global funding for cancer prevention and treatment in lower-income countries represents only two percent of global health spending. This is far lower than the health spending for diseases such as HIV, malaria and tuberculosis.

Having access to high-quality and affordable cancer treatment facilities and medicine in Sub-Saharan Africa has become a major goal for ACS and its partner organizations. On top of this agreement, they are preparing long term strategies that will improve the lack of care facing many African patients for years to come.

Sarah Soutoul

Photo: Flickr

Causes of Poverty in Comoros

Although 44.8 percent of Comorians were below the poverty line in 2004, a few organizations have fought causes of poverty in Comoros to reach satisfying results. In 2009, the Comoros Poverty Reduction Strategy (CPRS) was approved and implemented from 2010 to 2014. Its goals were to stabilize the economy, improve health and promote education. In light of these efforts, among others, the island nation’s GDP grew 3.17 percent between 2000 and 2014, with 1.22 percent of that growth occurring from 2010 to 2014.

Agriculture
After merely a year of the CPRS influences, Comoros saw progress in agricultural production. Luckily, CPRS was not alone in its efforts. The International Fund for Agricultural Development (IFAD) provides four loans and two grants to Comoros to protect and increase agricultural production. Because of IFAD’s efforts in cultivation, 60,855 households benefit each year.

Due to an increased level of agricultural production, food prices increased. Thus, the Gross National Income responded with a one percent increase from 2010 to 2014. With the higher food production rates came a higher labor demand, establishing a need for more women in the labor force. By attacking one cause, like farming, CPRS was able to improve multiple aspects of the economy.

Health
Another focus of the CPRS is Comorian health and safety. Combating disease is a major implementation of the CPRS, as it prevents death and strengthens Comoros’ economy. One of the strategies was to “ensure appropriate allocation of resources by levels of service and equality of access to health services.” This led to a decrease in infant and maternal mortality rates. Cases of malaria also decreased from 42 percent in 2006 to 36 percent in 2011 as a result of the malaria ACT and efforts to grant free bed nets. Comorian life expectancy steadily rose from age 60 in 2006 to 63 in 2014.

Education
The CPRS envisions a basic education plan in place until 2020 to alleviate future causes of poverty in Comoros. The strategy emphasizes gaining high enrollment and completion rates, but battles with gender inequalities. The Gross Enrollment Ratio decreased favorably from 107 percent in 2008 to 103 percent in 2014 because of the increase in students completing basic schooling. The quality of education in Comoros has also been a focus of the CPRS by encouraging proper training for teachers, but also by holding teachers accountable for students’ performances.

The combined efforts to improve agriculture, health and education within Comoros has ignited a motivation for change. With continued efforts on behalf of the government and other organizations, soon the people of Comoros will have the opportunity to rise above the poverty line.

-Brianna White

Photo: Flickr

Help People in BarbadosBarbados, an independent British Commonwealth island nation, is the most flourishing country in the Caribbean area, with free education and accessible healthcare. However, there is still a need to help people in Barbados.

The country has made it a priority to provide efficient and accessible healthcare to include physical, mental, and social help. Because of this, such issues as infant and child mortality rates have decreased, and vaccines have greatly reduced preventable diseases. In addition, according to Commonwealth Health Online, there has been a decline in the AIDS fatality rate as well as an increase in the prevention of mother-to-child transmission.

Unfortunately, Barbados still struggles with the lack innovations in healthcare and patients’ growing expectations, as well as a failure to combat communicable and chronic non-communicable diseases, with HIV/AIDS as the exception. The government hopes to implement some changes, including supplying services in a more cost effective way, developing and integrating delivering services, and fulfilling unmet and vulnerable needs.

Concerning education, the Barbados government pays for schooling and provides compulsory primary school, from age five to eleven; compulsory secondary school, eleven to sixteen; and optional tertiary school, which is post-secondary education. But even with the seemingly sound educational system, some of the high standards have been declining over the past decade, due to negative attitudes from the students, poor academic performances, and the lack of technology to aid in the success of students.

To help people in Barbados regarding education, workshops have been developed to help teachers teach students better. The government has plans to help strengthen the technological infrastructure, to better teacher training, and to recognize teacher’s contributions to the nation-building actions.

While the health and education systems are taking strides to improve, there are still major issues in the country, such as the lack of space and inefficient land use. According to the 2010 National Environment Summary, there is the possible threat of land degradation and droughts. There is also inadequate waste management in Barbados

In addition, there is the insufficient reliability of freshwater. There are between 96-98 percent of homes connected to the public water supply, while the rest just have slight access. The ground water supply is deemed fair, providing disinfected water. But, the development of sewage treatment plants is necessary to finally dispose from homes via septic tanks.

To help people in Barbados dealing with land, drought, and water issues, the charities listed below are active on the island. Donations or volunteer work can directly assist those citizens who are most in need on Barbados.

Verdun House
Future Centre Trust
Caribbean Permaculture Research Institute
Variety the Children’s Charity

Chavez Spicer

Photo: Flickr