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The Effects of the US Foreign Aid Freeze

The U.S. Foreign Aid Freeze
On August 3, 2019, the White House Office of Management and Budget (OMB) ordered two federal agencies to temporarily freeze billions of foreign aid funding. This decision ordered the State Department and the United States Agency for International Development (USAID) to provide accounts for all unobligated resources of foreign aid. Rachel Semmel, a spokeswoman for the Budget Office, said the order aims to ensure accountability. According to the Associated Press (AP), the letter lists 10 areas that the U.S. foreign aid freeze targets, including development assistance, global health programs and United Nations peacekeeping. In total, the freeze puts $2 billion to $4 billion of congressionally-approved funding on hold.

Subsequent Response

The U.S. foreign aid freeze has met with bipartisan criticism. Chairman of the House Foreign Affairs Committee, Rep. Eliot Engel said that the Trump administration has amounted to contempt and emphasized that congressionally-approved foreign aid is law and backed by the Constitution. Sen. Lindsey Graham’s criticism was harsher, labeling the freeze insane. In a letter to the OMB, lawmakers from both parties agreed that cutting foreign aid and development spending would not be in the interest of national security.

Critics of the OMB’s decision point to the fact that foreign aid spending makes up less than one-tenth of 1 percent of the federal budget. Before the freeze, the U.S. spent $30 billion annually on programs to reduce global poverty. Liz Schrayer, the chief executive of the U.S. Global Leadership Coalition, claims the OMB is cutting one of the smallest portions of the federal budget, but one that could have catastrophic impacts on U.S. economic and national security interests.

Impacted Countries

The U.S. foreign aid freeze will directly affect Malawi, one of the world’s least developed countries. The nation consistently ranks very low in various health indicators, such as life expectancy, infant mortality rate and maternal mortality rate. In addition, an estimated one million people or 9.2 percent of adults in Malawi live with HIV/AIDS with an estimated 13,000 deaths annually. In Malawi, USAID works to improve the quality of life by supporting development, education and health programs, especially those that prevent and treat malaria, tuberculosis and HIV. Due to the Trump administration’s order, Malawi may not have aid for the remainder of this financial year. According to documents that Foreign Policy obtained, the freeze could also affect foreign aid to countries in Africa, Asia and the Middle East.

Funding for UNICEF projects to protect children account for a large portion of the U.S. foreign aid freeze. One of these programs involves early childhood education and development in Uzbekistan. According to UNICEF, only 30 percent of Uzbek children attend preschool while 70 percent are unable to achieve their full potential due to a lack of early education. UNICEF is rolling its program out across six regions in Uzbekistan and it has designed it to increase access to quality education for children. Regional instructors have trained 2,159 preschool teachers in child-centered learning and model schools, which have increased enrollment by 2,841 children. The U.S. foreign aid freeze will have a direct impact on similar programs across the globe.

Bipartisan Solution

On August 15, 2019, the OMB sent an official rescission request to the State Department to cut foreign aid funding by more than $4 billion, yet canceled the request a few days later. Since taking office in 2017, the Trump administration has made numerous attempts to cut foreign aid funding, and in some cases by as much as 30 percent. Members of both parties in Congress firmly rejected all attempts. Daniel Runde, former director of the Global Development Alliance (GDA) in the Bush administration, says development, diplomacy and defense experts are in full agreement that the Trump administration should work collaboratively with Congress to create a more robust and sustainable approach to foreign aid and development.

– Adam Bentz
Photo: Flickr

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Testing of the First Malaria Vaccine Begins in Malawi

First Malaria Vaccine
Malaria is a parasitic virus transmitted through mosquito bites, and those infected with the disease often experience grave fevers, chills and flu-like symptoms. Although malaria can potentially end in death, physical precautions such as safety nets in malaria-dense environments and prompt treatment can usually prevent it. Unfortunately, because malaria largely affects poorer nations, it can be a great strain on national economies and impoverished populations. The World Health Organization is enlisting pilot testing for the first malaria vaccine.

The Problem

Malaria reportedly infects tens of millions, killing over 400,000 people worldwide every year and mostly children; Sub-Saharan African countries are the primary nations in which malaria thrives—the World Health Organization estimates that over 250,000 African children die every year from the virus.

The malaria-carrying parasite is able to evade victims’ immune systems by constantly changing its surface, which is why developing a vaccine against the virus has been so difficult. With today’s modern technology and scientific insight, that is beginning to change.

Testing the First Malaria Vaccine

In April of 2019, a large-scale pilot test of what many are dubbing the world’s first malaria vaccine to give partial protection to children began in Malawi. Scientists from the drug company GSK first created the RTS,S vaccine in 1987 and has been refining it ever since. Organizations like Path Malaria Vaccine Initiative have been instrumental in supporting this initiative.

The new RTS,S vaccine is attempting to teach the immune system how to attack the malaria parasite. A patient needs to receive the vaccine four times—once a month for three months, followed by a fourth and final dose 18 months later. In 2009, Kenya held smaller trials of the vaccine and concluded with a 40 percent protection rate of the five to-17 month-olds who received the vaccination. Since then, malaria rates have plateaued rather than decreased, which is another reason the new pilot test is so vital in the modern-day.

Now testing is taking place in Malawi, Kenya and Ghana with aims to immunize 120,000 children aged two-years-old and younger. These three countries are ideal for two reasons: one, these nations already have large anti-malaria programs in place; and two, in spite of this, they still have high numbers of malaria cases. As Dr. Matshidiso Moeti (World Health Organization Regional Director for Africa) stated, “Malaria is a constant threat to the African communities where this vaccine will be given” and explains that the vaccine is needed because “we know the power of vaccines to prevent killer diseases and [hope to] reach children, including those who may not have immediate access to the doctors, nurses and health facilities they need to save them when severe illness comes.”

Looking Towards the Future

The purpose of the pilot tests is to build up evidence that can be reliably considered while WHO policy is debating its recommendations on the broader use of the RTS,S vaccine. The experiment will examine the reductions (if any) in child deaths, vaccine uptake rates (including how many children receive all four vaccinations) and the overall safety of the vaccine in routine use.

If the testing goes well, not only will the World Health Organization aid the vaccine to its core package of recommended measures for malaria prevention and treatment, but hopefully, it will begin a chain reaction that again sparks a decrease in malaria cases around the world.

– Haley Hiday
Photo: Flickr

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Efforts to Improve the Maternal Mortality Rate in Malawi

Maternal Mortality Rate in MalawiThe maternal mortality rate in Malawi is one of the highest in the world. The country ranks at number 13 for the highest number of maternal deaths during pregnancy or after birth.

The maternal mortality rate in Malawi has decreased over the years, but it is still an alarming issue that the country is addressing. It is estimated that per every 100,000 live births, over 600 mothers die from mostly preventable causes.

In Malawi, the circumstances of maternal mortality are complex but preventable. Like most countries in sub-Saharan Africa, the health care system in Malawi is not as developed as the rest of the world. Having better access to health care and qualified personnel will save the lives of mothers and children in developing countries.

Causes of High Maternal Mortality

There are several causes related to the high maternal mortality rate in Malawi. Poverty is one of the main contributing factors. Given that half of the country’s population lives in poverty, most women cannot afford conventional health care.

The majority of the population live in remote, rural areas, making it difficult for mothers to find access to quality maternal health care. In many cases, they cannot travel long distances on foot to the nearest available clinic. According to a 2014 study, 44 percent of women in rural areas attended at least 4 antenatal care visits whereas, in urban regions, the figure jumped to 51 percent.

In Malawi, women have historically given birth in their homes due to cultural beliefs and practices. In most cases, traditional birthing attendants were present. However, many of them were not trained to respond if something were to go wrong. This most commonly occurred in impoverished families. Today, the country recognizes the need for professionally trained personnel. In 2015-2016, 91 percent of women were recorded giving birth in a healthcare facility.

Most maternal deaths are related to diseases or complications during pregnancy or childbirth. The most common direct causes of maternal death are:

  • hemorrhages,
  • infection,
  • eclampsia,
  • obstructed labor and
  • abortion.

The indirect causes include malaria, anemia, HIV/AIDS and tuberculosis. In most cases, these diseases or complications would have been preventable if there was better access to health care.

Improving Malawi’s Maternal Mortality

Due to foreign aid, and the dedication of the Malawian government, the maternal mortality rate in Malawi is improving with every year. In 2001, out of 100,000 live births, 868 mothers died. Today, that number is significantly lowered to just over 600.

Former Malawian president, Joyce Banda made maternal health her top priority in 2014. Through her influence, the government of Malawi constructed new maternal health facilities in rural areas, created a new system to better train birthing attendants and changed cultural norms and attitudes regarding maternal health and pregnancy.

Banda also believed in the importance of educating young women about their reproductive health. A survey on Maternal and Perinatal Health has shown that women with lower levels of maternal education are at risk of high maternal mortality even if they have access to health care facilities.

Banda made lasting changes in Malawi for the women and children of today and the generations to come.

USAID Investments to Improve the Maternal Mortality Rate in Malawi

The United States financially supports Malawi by investing in maternal and child care. USAID is investing in maternal health facilities and quality care interventions in order to progress the country’s healthcare system. USAID is also supporting national family planning programs that promote maternal education and informed decision-making for the mothers of Malawi.

As the country continues to develop, the maternal mortality rate in Malawi is decreasing.

Due to more accessible facilities, better-educated mothers and the addition of trained professionals, the status of maternal health care in Malawi has made significant strides.

– Marissa Pekular
Photo: Flickr

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Cyclone Idai Survivors Helped by Humanitarians

Cyclone Idai SurvivorsCyclone Idai has wreaked havoc upon Zimbabwe, Mozambique and Malawi, leaving destruction in its wake. Survivors suffer from disease, hunger and mental health problems. Humanitarian organizations and governments are joining together to try and help people affected by the disaster.

Background

Cyclone Idai and the resulting floodwaters destroyed infrastructure, homes and crops. As the crisis comes into focus, it is clear that it could take some time for the region to recover.

The death toll between the three countries is over 750 people and rising as government and aid workers assess the damage. An estimated 1.85 million people have been affected and 36,000 homes destroyed in Mozambique alone. Rescue workers have been scrambling to save people stranded by floodwater.

Cyclone Idai is one of the top three deadliest tropical cyclones ever to affect the Southern Hemisphere. Many climbed trees to escape the rising floodwater, with rescue workers lifting 634 survivors out of trees. Others fell into the crocodile-infested waters as they became too exhausted to hold on.

Displaced people are migrating toward the port city of Beira, Mozambique and to makeshift camps to escape areas engulfed by water. The close grouping of people in the camps has created new concerns for aid workers. Disease, hunger and mental health problems threaten these survivors.

Disease Among Survivors

The International Federation of the Red Cross and Red Crescent Societies (IFRC) has reported cases of malaria infections and cholera among Cyclone Idai survivors. Jana Sweeny, a spokesperson for the IFRC, told Earther: “In disasters like this one–one where there is a lack of clean water and sanitation, and potential overcrowding–outbreaks of waterborne diseases are common.”

The standing floodwater is a breeding ground for mosquitoes that may carry malaria. Cholera, a waterborne bacteria, could also infect the floodwaters.

Humanitarian Efforts

At least 16 different humanitarian organizations, several governments and the United Nations are contributing to help Cyclone Idai survivors. The United States government pledged the assistance of its military. IFRC Secretary General Elhadj As Sy said at press conference in Geneva: “We are seeing tremendous collaboration and partnership from National Red Cross and Red Crescent Societies from all over the world, and from our international and United Nations partners.”

The United Nations has unloaded 22 metric tons of food supplies, and 40 more are on the way. U.N. organizations have been active in the region, initially in rescue operations, then as aid distributors. The U.N. Central Emergency Fund has allocated $20 million to provide aid to more than 400,000 people.

The IFRC is appealing for over $30 million for disaster relief. They have been delivering Emergency Response Units, which include equipment and teams that can provide sanitation and water purification for 20,000 people per unit. The IFRC is also deploying a field hospital that will be able to administer medical care for at least 150,000 people.

The IFRC has set up an online portal for connecting displaced children with their distraught parents. Cyclone Idai has left many children unaccompanied as they were either separated from their parents or orphaned.  Save the Children is also working to help these child Cyclone Idai survivors.

There is difficulty distributing aid as some of the affected areas are remote. Helicopters are the only safe mode of distribution since the cyclone destroyed roads and communications infrastructure.

The damage done by Cyclone Idai on Southeastern Africa will not be fully realized until some time has passed. But for now, the global humanitarian community is helping the region recover from this disaster.

– Peter S. Mayer
Photo: Flickr

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Solar Power in Malawi Aids Health Facilities

Solar Power in MalawiMalawi’s Ministry of Health has several ongoing efforts in developing its healthcare system and facilities. After experiencing continuous long-term power outages which interrupted the healthcare systems, the Ministry decided to start a solar power project to solve the issues in the healthcare facilities. Solar power in Malawi can change the future for the country’s hospitals and the overall healthcare system.

Not only have the power outages affected Malawi’s healthcare facilities throughout the years, but they have also affected many businesses and factories. For manufacturing companies, most of the production has stopped due to the lack of electricity. This interruption of work has threatened the growth of these businesses. Further, the generators that some businesses and buildings use are expensive to run, which has resulted in an increase in the retail price of goods and has hurt the economy in Malawi.

The power outages have been reported to last up to 8 hours at a time. As such, many of the machines required to save lives in hospitals, such as oxygen machines, are unable to run. These machines require constant power and with an unstable power source, it can have detrimental effects on many lives of the Malawi people.

The Ministry of Health, along with the Global Fund Project Implementation Unit, has decided to ensure solar power in Malawi. With a focus on the health facilities, the Ministry is installing solar power units at 85 health facilities throughout the nation. Its goal is to save lives with solar power by preventing disruptions, especially in important areas of hospitals such as the maternity wing, intensive care unit and the area for children under five. The solar panels being installed will provide 100kW of power for the hospitals.

Healthcare centers in remote areas have been affected by power outages the worst. While being affected less by power outages, the hospitals in the larger cities have still had to rely on generators to keep the hospital running, which tends to be expensive.

Malawi’s power outages have cost the country a lot of money as a result of relying on generators to keep many hospitals working. With the installation of solar panels, the country hopes to use the saved money to develop its healthcare system and facilities in other ways.

– Chloe Turner

Photo: Flickr

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Malawi’s Vaccination Promise

malawi's vaccinationA partnership between Gavi, the Vaccine Alliance and the Aspen Institute plans to strengthen the national leadership in Malawi, as well as Malawi’s vaccination program through the Aspen Management Partnership for Health (AMP Health). By combining their efforts, they will gain support for Gavi’s plan to ensure that every child living in Malawi will be protected with vaccines.

By 2020, the Immunization Alliance of partners plans to immunize 300 million children across the globe, in turn saving five to six million lives. AMP Health works with Ministries of Health to create better leaders and managers through skills training and will act as a foundation for guiding the progression of Malawi’s vaccination plan. Through AMP Health, the partners will help coordinate Malawi’s vaccination plan, as well as train staff and improve the performance of the immunization program.

The Center for Disease Control and Prevention (CDC), has also been working on strengthening the health system in Malawi and improving the efficiency and strategies of the system. In turn, more people can be vaccinated to prevent certain diseases, something that everyone around the world should have access to.

The main reasons why children in developing countries die are because of sicknesses like pneumonia, diarrhea, malaria, measles, HIV/AIDS and malnutrition. This is because in developing countries they are not able to have routine immunization, due to its unaffordability. Immunizations are the key to preventing premature death in developing countries like Malawi.

Vaccinations protect children from illnesses that can often result in amputation or even death. Vaccinations are safe and effective. If a child is not vaccinated they can spread diseases to other children that may be too young to be vaccinated, or have weakened immune systems. People who are more susceptible to contracting diseases could have serious complications or even death. The plan to vaccinate those living in Malawi is crucial to the health and well being of those living in and around the country.

– Chloe Turner

Photo: Flickr

 

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The Fight for Girls’ Education in Malawi

Girls' Education in MalawiIn April 2017, Malawi president Peter Murtharika signed an amendment into law to outlaw child marriage in the country following a vote in Parliament.

This amendment has greatly affected the role of women and girls in Malawi, because prior to the amendment, girls were allowed to marry at age 15. Consequently, Malawi is ranked 11th in child marriage around the world; however, with the introduction of the new amendment, girls will not be allowed to marry if they are under the age of 18.

Child marriage was a large problem in Malawi and posed various challenges to the lives of girls, including limited access to a proper education. According to Jill Filipovic of The Guardian, girls who are married and have children in their early teenage years find it difficult to obtain an education while maintaining their roles as wives and mothers. Also, a lack of hygiene products like tampons and pads is a serious issue for girls who attempt to receive an education, because girls have to stay home during menstruation if they do not have the proper hygiene products.

However, many steps have been taken to increase girls’ access to education in Malawi. President Murtharika’s amendment to outlaw child marriage was an important step in the right direction for girls, and there are many organizations that are helping girls as well. For instance, the organization Girls Not Brides takes action against countries in which child marriage is allowed.

Furthermore, in May 2017, Neetha Tangirala from the United States Agency for International Development (USAID) reported that radio has served as a “primary source of news and information” for the people of Malawi, including women and girls.

Marshall Dyton, a Mandela Washington Fellow, hosted a radio show in order to stress the importance of girls’ education in Malawi. Dyton’s two-hour-long radio show reached an audience of approximately three million people.

USAID highlights the importance of community inclusion in the fight for gender equality in impoverished areas. Dyton’s radio show is a great example of the work many people are doing to improve girls’ education in Malawi. The radio show, which was organized by the Girl Child Education movement and funded by USAID, helped to start conversations in communities regarding the importance of girls’ education.

The outcome of the radio show was immense; following the broadcast of the radio show, the Muslim Association of Malawi was persuaded to increase access to information regarding education in some of the most rural areas of Malawi. The fight for girls’ education in the wake of the outlaw of child marriage in Malawi is only just beginning.

– Emily Santora

Photo: Flickr

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How to Help People in Malawi

Help People in MalawiMalawi is one of the most densely populated countries in Africa. With a population of over 18 million people, 50 percent live below national poverty lines. Malawi’s poverty rates are widespread, with rural poverty continuing to grow. Fortunately, there are three nongovernment organizations working to decrease poverty inside the region. How to help people in Malawi is a question that three establishments below have started to answer.

  1. CARE
    CARE works to provide food, health, education and social empowerment to Malawians. A special emphasis is placed on women, with CARE referring to them as, “The faces of poverty.” One specific project – CARE’s Pathways Program – has helped Malawi women substantially improve their lives through agricultural farming. If you are wondering how you can support this organization, they offer both volunteer and fundraising opportunities. CARE also hosts learning tours so others can experience the impact they have on reducing poverty.
  2. The Hunger Project
    One of Malawi’s main challenges exists in addressing its food security needs. Malawi is prone to flooding and droughts, which make those living in rural areas susceptible to extreme hunger. The Hunger Project is helping by distributing food security programs, such as agricultural training and food banks, to Malawi communities. The organization asks for most of its support in the form of funding and donations. They also host many events, including an annual Fall Gala, where the proceeds go toward multiple food programs.
  3. Raising Malawi
    HIV/AIDS has left more than one million children orphaned in Malawi. Established by Madonna, Raising Malawi has created many programs to assist with eliminating this epidemic. The most recent project is the Mercy James Centre for Pediatric Surgery and Intensive Care. Childrens’ lives are now being saved with the country’s first pediatric hospital to offer surgery and an intensive care unit. You can help this organization by donating to stock the new unit with supplies.

How to help people in Malawi ranges from volunteer work and donations to a simple conversation about what is going on in order to get more people involved. These three organizations are helping to alleviate poverty in Malawi, but they cannot function alone. It takes new individuals constantly getting involved for substantial development to be seen. When more people begin to stand up for the country’s fundamental human needs, Malawi will be on the right track to seeing improvement.

– Emilee Wessel

Photo: Flickr

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World Bank Funds Malawi Digital Foundations Project

Malawi Digital Foundations Project
In June 2017, the World Bank approved a $72.4 million credit to go toward the Digital Malawi Program Phase I: Malawi Digital Foundations Project, a program that aims to improve internet accessibility in Malawi.

In 2014, the rate of internet penetration in Malawi was less than six percent, one of the lowest figures for a country worldwide. This statistic is largely a financial issue: Cell phone service costs the average Malawian 56 percent of their income compared to the five percent it would cost someone in Kenya.

Internet services are taxed almost 20 percent, and an additional ten percent excise tax is added to text messages and data transfers in the country, as of May 2015. Low literacy and electrification rates and a gender divide make it even harder for Malawians to access information communication technology (ICT).

Despite its status as a “least developed country,” Malawi has seen significant economic growth in the last few years (almost six percent in 2014), and the ICT sector has contributed notably to the country’s GDP. If Malawi only had a local internet exchange point, the country would not have to pay to run data through service providers in Africa or Europe and could make service more affordable, in this way building the country’s ICT market.

The Digital Foundations Project will address this issue from four different angles. One program, entitled Digital Ecosystem, will aim to make Malawi a “more attractive and competitive place for digital investment and innovation” while working to expand ICT accessibility at the same time. The Digital Ecosystem will consist of ICT regulation, policy development and implementation and digital skills development.

Another goal of the Digital Foundations Project is to improve internet speed and affordability. Malawi does not just need wider ICT access; the country needs to also expand its reliable services. This fact is especially true in rural areas where only one percent of households have access to electricity, as well as in institutions of higher learning where high-speed internet connections are essential to learning and communicating with the world.

Importantly, the internet access the Malawi Digital Foundations Project aims to provide would serve as a source of empowerment for those Malawians living in poverty or rural areas, as it would provide Malawians with autonomy and control over their communication, education, and especially banking.

Already, more Malawians use mobile money than open formal bank accounts, and better internet would facilitate Malawians’ interactions with mobile money programs which currently run slowly due to their popularity.

– Caroline Meyers

Photo: Google

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Human Rights in Malawi

Human Rights in MalawHuman rights in Malawi have gone through periods of both exacerbation and improvement. The new constitution that was ratified in 1994 – which included a section specifically dedicated to human rights – guaranteed every individual’s right to life, right to be protected from genocide, entitlement to education and other basic rights. With the adoption of this constitution, multi-party democracy was introduced to the country’s government, which led many to expect noticeable improvement of human rights in Malawi.

Unfortunately, toward the end of the presidency of Bingu wa Mutharika, who died while in office in 2012, the situation worsened. As stated in the U.S. State Department’s 2010 Country Report on Human Rights Practices, numerous cases of the state’s violation of human rights were reported, such as: the security forces killing innocent individuals; torture, sexual abuse and other inhumane treatment of prisoners; and arbitrary arrest or detention.

Fortunately, inauguration of the new president Joyce Banda in April 2012 brought about positive changes to the country. While her attempt to overturn the law banning homosexuality turned out unsuccessful in the end, she did manage to repeal a section of Malawi’s penal code which banned all publication not to be deemed in the public interest. Moreover, she announced that she would arrest the infamous Sudanese President Omar Al-Bashir – who was convicted of genocide – if he entered the Malawian territory. This helped her gain favor among international donors and improved Malawi’s international relations.

Although human rights in Malawi have improved, problems do still exist. For instance, since November 2014, people with albinism have faced an increased risk of being abducted or killed in murders associated with witchcraft. On March 9, 2017, four men attempted to drill through the house of Gilbert Daire, former president of the Association of the People with Albinism, while he was asleep. Highlighting the lack of protection and safety for people with albinism in Malawi, Amnesty International’s Regional Director for Southern Africa, Deprose Muchena, strongly suggested that the “Malawian authorities must end this cycle of impunity of perpetrators of these crimes.”

– Minh Joo Yi

Photo: Flickr

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