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The Gates Foundation in India: Helping the Fight Against Poverty

The Gates Foundation in IndiaIn 2000, The Bill and Melinda Gates Foundation was created with the belief that “all lives have equal value.” To fight global poverty and ensure that everyone leads a “healthy and productive” life, the Foundation supports various projects worldwide. Since 2003, the Gates Foundation has been working in India, first by creating an HIV prevention initiative that has prevented 600,000  new infections and now by working on alleviating poverty through improving sanitation and providing safe and hygienic facilities. The Foundation’s work also helps the agricultural sector and its marginalized farmers better their productivity and by partnering with local organizations, it offers inclusive financial systems to lactating mothers.

Transforming Sanitation in Wai

The unsafe disposal of human feces is a global issue harming public health, increasing psycho-social stress and hindering human and economic development, with more than 80% of untreated sewage still being discharged into the environment. In India, sanitation remains a vital public health challenge, with 11% of the population – around 155 million people – still practicing open defecation in 2022, according to the World Bank.

One notable example of progress is the city of Wai in Maharashtra, which has implemented an inclusive and equitable sanitation model. The initiative aims to reduce health risks by preventing the accumulation of harmful waste in areas lacking proper sanitation infrastructure. With help from the Gates Foundation and through collaboration with its citizens, Wai was the first municipality in India to introduce scheduled desludging of all septic tanks, providing safe waste treatment for its entire population – regardless of their financial status.

Helping Marginalized Farmers in Odisha

In 2023, the Union Home Minister and Minister of Cooperation announced that 65% of India’s population is part of the agricultural sector, providing livelihoods for millions. In Odisha, 70% of the population depends on agriculture for income. A partnership called ADAPT has been established between the Government of Odisha, the Gates Foundation and Samagra- a private consulting firm, to assist marginalized farmers and improve productivity. The goal is to help the state’s policymakers make data-informed decisions in the agricultural sector.

With the ADAPT Dashboard, a Decision Support System that combines agricultural data from various sources into an online platform accessible to government officials, the State of Odisha can then meet farmers’ needs efficiently – anticipating challenges and optimizing the raw material supply chain. ADAPT also shares information on seed treatment, soil health, irrigation and insurance with farmers to increase their productivity.

There has already been a 90% reduction in crop losses with the Customized Pest Advisory service, confirming that while this initiative is boosting agricultural productivity, it is also helping more farmers to thrive despite climate challenges and market fluctuations.

Building Inclusive Financial Systems

Financial inclusion is another pillar of the Gates Foundation’s work in India. One of its key initiatives in this area is supporting the Pradhan Mantri Matru Vandana Yojana (PMMVY) scheme in partnership with the Center for Digital Financial Inclusion (CDFI). This program aims to empower women by providing financial assistance during maternity, reducing the financial burden on low-income families during pregnancy and enhancing maternal health.

Since 2017 and with the Gates Foundation’s involvement, the PMMVY scheme has offered $59.50 in direct cash transfers to lactating mothers, compensating for the wage losses they experience during pregnancy and postnatal care. With access to health care services frequently relying on the family’s financial situation, this digital inclusion initiative is crucial for marginalized women who may otherwise be excluded from the formal banking system or cannot rely on their family’s financial support. The program ensures transparency and accountability by delivering the payments digitally, illustrating India’s inclusive growth and economic development.

Conclusion

Through its focus on sanitation, agriculture and financial inclusion, the Gates Foundation is helping the fight against poverty in India. The success of Wai’s sanitation model, the ADAPT partnership in Odisha and the PMMVY scheme demonstrate how targeted interventions can improve health, economic stability and livelihoods. These initiatives show how combining innovative solutions with data-driven policies and equitable access to services can help India build a more inclusive future.

– Alissa Naydenova

Alissa is based in Colchester, Essex, UK and focuses on Good News and Global Health for The Borgen Project.

Photo: Flickr

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Second Round of Women in the Digital Economy Fund

Women in the Digital Economy FundAn estimated 1.1 billion women in low- and middle-income households lack access to mobile internet. In response, the Women in the Digital Economy Fund (WiDEF), a program funded by the United States Agency for International Development (USAID) and the Bill & Melinda Gates Foundation, has committed to improving women’s access to digital technologies and teaching digital literacy strategies.

Launched in March 2023, the first round of WiDEF initiatives focused on funding local organizations to support women in nearby communities on a more personal level. The newly released second round is aimed at the private sector. The gender digital divide significantly hampers global economic progress, limiting an entire market of consumers and producers due to longstanding gender inequality.

Establishment of the Women in the Digital Economy Fund

Though WiCEF is a relatively new program, announced less than two years ago, it has already shown significant success in advancing digital education at both individual and community levels. USAID has committed more than $50 million in funding as part of its advocacy for gender equality, while the Gates Foundation has added $10 million to support the initiative. As part of its budget, WiCEF ensures that more than half of its funding is dedicated to improving digital opportunities in Africa, where some of the world’s largest mobile internet gender gaps exist.

With a focus on addressing gender disparities, WiCEF continuously researches the best ways to introduce gender-equitable digital solutions, prioritizing women-led and women-oriented innovations and products. Each selected candidate receives between $50,000 and $150,000 in digital support.

Overarching Goals and Initiatives

USAID highlights five core outcomes of its WiCEF program:

  1. Access and Affordability: Ensuring digital devices and internet-enabled services are affordable, sustainable and accessible for diverse communities of women.
  2. Relevant Products and Tools: Designing and providing women access to digital products and tools, including smartphones and other mobile technologies, that can contribute to income-generation purposes
  3. Literacy and Skills: Enhancing women’s digital skills and literacy to help them participate meaningfully in the digital economy and other digital spaces.
  4. Safety and Security: Addressing technology-facilitated gender-based violence while promoting digital user protection.
  5. Data and Insights: Leveraging sex-disaggregated data to identify social barriers that cause disparities in technology use and to inform the development of more gender-equitable programs.

Consequences of the Gender Digital Divide

Samantha Power, Administrator of USAID, highlighted that the gender digital divide “hinders developmental progress… ingraining existing inequities into the fabric of societies of the future,” emphasizing the deepening of gender inequalities in the digital age. Access to digital technologies, along with the tools to navigate them, has become a privilege many women are denied, further exacerbating economic, political and social disparities. The International Telecommunication Union (ITU) estimates that there are approximately 244 million more men than women using the Internet as of 2023, a statistic that will only increase if not addressed adequately in the following years.

The lack of digital education for women has additionally inhibited economic growth, specifically for developing nations, with the Global Digital Inclusion Partnership approximating that countries have lost more than $1 trillion in gross domestic product (GDP) from female exclusion in the digital world. Closing the gender digital divide—the overarching goal uptaken by WiCEF—will deliver around $700 billion in GDP growth while generating up to 64 million new jobs for women in the next five years.

Opening of Second Round of Applicants

The opening of the second round of applicants for WiCEF will only further the work of USAID and the Gates Foundation on an economic scale, now expanding technical assistance into private sector enterprises. Businesses across developing nations aiming to close the gender digital divide will now have access to tools for effective research and evaluation, with data-driven feedback to assess their usage of products among women. Additionally, WiCEF provides education on user design, product adaptation and business modeling, strengthening the foundation of these companies and the women impacted by them.

– Eileen Lincoln

Eileen is based in Oakton, VA, USAs and focuses on Technology and Solutions for The Borgen Project.

Photo: Flickr

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Ethos of Global Health Initiatives

Global Health InitiativesGlobal Health organizations play a crucial role in alleviating the suffering caused by poverty worldwide. However, as a paradigm rooted in colonialism with a history of racial bias, many receiving communities complain of the ineffectual nature of improperly conducted health care aid. Hence, professionals contributing to modern-day initiatives have to work hard to make sure that their global health interventions consider ethics at every step of implementation.

Leading the Charge for Ethics in Global Health

The Abdul Latif Jameel Poverty Action Lab (J-PAL) brought eth0s to the forefront of global health. This was achieved through its proven success in supporting other organizations in measuring the impact of interventions to avoid funneling money into unsuccessful or unethical initiatives. J-PAL focuses on tracking and analyzing program outcomes by training specialists in surveying for community feedback through “randomized evaluations and scoping studies.”

The initiative conducts impact evaluations in partnership with actors on the global health stage to highlight the most cost-efficient and largest-impact interventions and report on local community review and feedback. This article will delve into current programs run by the World Health Organization (WHO) and the Bill and Melinda Gates Foundation to demonstrate the critical role of impact evaluation in assessing the success and ethos of global health initiatives, improving services and informing policy for a more impactful future.

Taking Responsibility

In 2024, the WHO announced it is pushing forward its 2022 One Health initiative, emphasizing its goal to incorporate a holistic approach to intervention that focuses on collaborative efforts between environmental and public health entities in targeted regions. The spearheads of the initiative express goals that echo tones from J-Pal-supported programs, understanding the importance of regional participation and feedback in sustainable and ethical health development.

Under this new program, WHO believes it will “[empower] countries, [strengthen] health systems and [foster] cross-sectoral collaboration to drive transformative change from the ground up to achieve improved health and well-being globally.” This emphasis on collaboration at a local level, across all agencies involved in health development programs, is a crucial aspect of modern success in ethical development within the global health sector. Moving forward, prominent actors on the scene, such as the WHO, are stepping up to set an example of cultural relativism, distancing themselves from global health’s foundations in ethnocentrism.

Holistic Approach

An example of this holistic approach is the WHO’s recent initiative in Côte d’Ivoire to “reduce avoidable maternal deaths by 75% between 2022 and 2024.” By analyzing historical evidence pointing to the most common causes of maternal deaths in the region, including postpartum hemorrhage, high blood pressure and infections, the WHO staff in Côte d’Ivoire realized that the simplest solution is training hospital staff and local midwives. This training focuses on a structured birth plan and “key life-saving clinical skills.”

The initiative will implement sustainable change by working with regional birthing professionals in the formal and informal sectors and considering environmental and cultural factors. This change aims to be passed down through generations, facilitating obstetric and midwife practices in the region and decreasing maternal mortality rates.

On the other hand, nongovernmental organizations (NG0) like the Bill and Melinda Gates Foundation are demonstrating this same implementation plan by funding J-PAL’s research into previously unregulated direct cash transfers for child health programs in India. In this context, J-PAL research is conducted by residents of India, which is a crucial part of ethical global intervention.

By avoiding sending foreigners to do the jobs that can be provided to locals, organizations like J-PAL positively contribute to regional economies and generate a more sustainable and community-accepted impact due to a deeper connection to and understanding of the people they are serving. Moreover, by analyzing evidence of cash transfer impact over the years, J-PAL will offer the Indian government a blueprint to upscale the most successful cash transfer programs efficiently and effectively.

Looking Ahead

While many unregulated organizations continue to ignore the ethical implications of their work, increased awareness surrounding best practices in the field makes it easy to identify bad ethos. By fostering positive examples of sustainable and culturally relevant initiatives, global health professionals can contribute to the phasing out of organizations that do more harm than good.

– Kiera Gorman
Photo: Flickr

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Flushing Poverty: Toilets in Developing Nations

Toilets in Developing NationsAs of 2018, about 4.5 billion people worldwide live without a toilet. This is far more than an inconvenience to those people — toilets are on the front lines of saving lives. Living without an adequate toilet is downright dangerous. Fortunately, steady progress is occurring on this issue, and several organizations are addressing this pressing need. 

What is the Current State of the World’s Toilets? 

About 60% of people worldwide lack access to an adequate toilet at home. According to WHO and UNICEF, one can classify the world’s current sanitation systems using three labels:

  • Improved: This is any system that keeps human waste away from human contact. 
  • Shared: Multiple households use these systems. They may be improved or unimproved. 
  • Unimproved: This is any waste disposal system that does not keep human waste away from human contact. 

Open defecation, for instance, is the most severe form of unimproved sanitation. Nevertheless, 892 million people practice it around the world. An “adequate” toilet is improved and only one household uses it. The UN has formally recognized the importance of this issue and made it part of Sustainable Development Goal 6 (SDG 6). Unfortunately, the world is off track to meet that goal by 2030. According to the World Toilet Organization, the world must quadruple its current efforts to meet SDG 6’s toilet-centered objectives.

What Impact Do Toilets in Developing Nations Have? 

Toilets are critical players in the fight against preventable disease, automatically making them agents in the fight against poverty. Here are some key facts and statistics about toilets and their benefits. Every dollar spent on toilets and water prevents the expenditure of $4 on “medical costs, averted deaths and increased productivity.” 

“One gram of feces can contain 10 million viruses, 1 million bacteria, and 1,000 parasite cysts.” As a result, adequate toilets prevent many diseases by keeping contaminant-ridden human waste away from human contact. Toilets are life-changing for menstruating girls. They increase their ability to go to and stay in school, and they also increase their safety, as girls using open defecation methods can be taken advantage of. 23% of the world’s schools do not have any form of toilet. Without toilets, human waste can contaminate the environment, facilitating the spread of contagions. About 2 billion people worldwide use water contaminated with human waste, which is extremely detrimental to global health.

The Implementation of Toilets in Developing Nations

Installing adequate, beneficial toilets in developing nations is far from easy. While toilets face typical aid issues such as economic feasibility, they also require regular maintenance, which includes cleaning and emptying. As a result, every toilet represents a recurring expense. Making this maintenance process practical for impoverished people is a severe and evolving challenge. 

Additionally, for toilets to be fully effective, they must be one piece of a more extensive system of hygiene, commonly known as WASH. Furthermore, unsafe practices such as open defecation are often woven into a culture’s fabric. As a result, people who have never had a toilet are often entirely unaware of their benefits. Because of this, they are likely to ignore, abandon or disdain toilets that do not come with an explanation or training. Aid that adequately addresses this problem does not just provide a toilet; it is also necessary to educate the local people about their purpose and use. 

The Progress

Although this issue still needs to be fully addressed, the world has come a long way towards increasing the availability of adequate toilets. For example, “the percentage of the population [of India] with access to basic sanitation services” (including toilets) grew from 16% to 60% between 2000 and 2017. These are some of the organizations that are making numbers like these even better: 

The Bill and Melinda Gates Foundation hosts the annual Reinvent the Toilet challenge, created to create more sustainable and useful toilets. Several significant developments have come from this event. 

SATO pans are devices that are used to retrofit existing toilets. The design reduces the spread of contagious diseases as well as smells. Between 2014 and 2018, UNICEF “helped more than 70 million people access basic toilets in their homes.” These organizations represent just a few institutions fighting for clean, useful toilets in developing nations. 

Conclusion 

Installing and maintaining adequate toilets in developing nations is key to the fight against global poverty. Toilets decrease infectious diseases, which reduces medical expenses and the instability that sickness and unexpected death bring. While it will be long before toilets get to everyone who needs them, many organizations are also working on this vital front. With the right effort, this problem will be a thing of the past. 

– Abigail Leland
Photo: Flickr

Efforts to Address Cholera in Africa

Cholera in Africa
Cholera, a disease that has prevailed since the 19th century, is more dominant in some parts of the world than in others. As of 2022, the casualties as a result of cholera in Africa continue. A stronger global response is necessary to properly address cholera in Africa.

7 Facts About Cholera in Africa

  1. Lack of access to sanitation and clean water in Africa exacerbates cholera. According to UNICEF, as of March 2022, in Africa, 418 million people are without basic drinking water services, 779 million are without basic sanitation and 839 million Africans live without access to basic hygiene facilities.
  2. Africa has the highest number of cholera casualties. The African region reports higher numbers of cholera deaths than any other region. A lack of access to clean water and proper sanitation as well as inadequate access to timely health care services contributes to the high burden of cholera cases in Africa. In 2022, Somalia, Cameroon and Malawi noted the highest cases of cholera in Africa. According to The Conversation, “between 2014 and 2021 Africa accounted for 21% of cholera cases and 80% of deaths reported globally.”
  3. Shortages of the oral cholera vaccines impact cholera in Africa. Currently, the world faces a global shortage of oral cholera vaccines as facilities only produce about 2.5 million doses a month, the maximum capacity for production. To resolve this issue, global cholera vaccine production must significantly expand. Since 2013, mass treatment campaigns have administered more than 50 million doses of the vaccine. According to the World Health Organization (WHO) in 2022, “Of the total 36 million doses forecast to be produced in 2022, 24 million have already been shipped for preventive (17%) and reactive (83%) campaigns and an additional 8 million doses were approved by the [International Crisis Group] for the second round [of] emergency vaccination in [four] countries, illustrating the dire shortage of the vaccine.”
  4. Displaced populations in Africa are vulnerable to cholera. Displacement in Africa is common due to several outbreaks of conflicts and violence in several African nations, such as Somalia, Ethiopia and Nigeria. Displaced persons are more susceptible to food and water contamination and typically lack access to clean water and proper sanitation.
  5. Cholera in Africa comes at a high economic cost. In 2015, estimates indicated that more than 1 million cholera incidents in 44 African nations led to an economic cost of $130 million as a result of cholera-related illness and the necessary treatments.
  6. The DOVE Project. The DOVE (Delivering Oral Vaccine Effectively) project, which ran from 2012 to 2019, aimed to ensure that people worldwide with the highest risks of contracting cholera received an oral cholera vaccine. Over five years, a cholera vaccine can decrease one’s risk of cholera infection by between 65% and 75%. The project received funding from the Bill and Melinda Gates Foundation and its main implementing partner was the Johns Hopkins Bloomberg School of Public Health.
  7. Recent efforts to address cholera in Africa. In January 2023, Red Cross Kenya launched a three-month-long initiative to support the Kenyan government’s efforts to control and manage cholera outbreaks considering the rising number of cholera-related deaths in Kenya. The Red Cross “will strengthen surveillance at the community level as a report from the department shows that the disease is spreading to the outskirts of Bura town,” according to the Kenya News Agency. The Red Cross will also provide training to more than 160 volunteers on cholera prevention and management and will “conduct door-to-door and community-wide sensitization on cholera prevention.” Furthermore, the Red Cross will utilize radio broadcasts to raise awareness and will also educate chiefs and authorities in villages about cholera. The Red Cross will secure the supplies necessary to manage the outbreak and will employ the services of medical personnel to help with the initiative.

Looking Ahead

Addressing cholera in Africa requires greater political commitment and more significant funding. Furthermore, global production of the oral cholera vaccine must be ramped up. It is critical for countries to secure proper water and sanitation systems for communities and establish a disease-preparedness response before outbreaks occur. As communities living in conditions of poverty face higher risks of cholera, leaders must address poverty in order to curb the spread of this disease and others.

– Robin Kalellis
Photo: Flickr

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RSV in Developing Countries and the Need for a Vaccine

RSV in Developing CountriesAs of 2022, pandemics such as COVID-19 and tuberculosis are still rampant around the world. But there is another respiratory virus called the respiratory syncytial virus (RSV) that poses a risk, especially for those living in low-income countries and young children.

RSV in Developing Countries

RSV is a contagious virus that affects the lungs and breathing passages. The reason why RSV is not as well known is because its symptoms are the same as a cold. These include cough, a runny nose and fever. RSV can infect people of any age, but elderly people and children ages 2 and under are at the most risk of catching the virus. And much like the flu and COVID-19, it spreads when an infected person coughs or sneezes when around others and touches surfaces and objects.

People infected with RSV may even develop severe infections such as pneumonia or bronchiolitis which is the inflammation of the small airways in the lungs. Despite the danger, however, RSV is preventable. People can protect themselves from infections by simply washing their hands with soap and hot water for 20 seconds, covering coughs and sneezes, wiping surfaces that have been frequently touched and maintaining distance.

With these simple prevention methods, one might be asking just why is RSV so dangerous. While cases of RSV can be mild and clear on their own, a person can be infected multiple times in their lifetime. Furthermore, for those with severe symptoms who lack access to health care services, the outcomes can be devastating.

The Importance of Medical Care

“A seasonal virus that emerges during the winter months” causes RSV. Infants are more at risk for catching RSV since they do not have immunity compared to adults. Not only that, but in recent months the virus has been surging and that is ironically due to the prevention protocols against the COVID-19 pandemic.

Prevention methods such as social distancing, hand washing and mask-wearing during the COVID-19 pandemic helped to limit the spread of RSV. As a result, there have been no RSV infections over the past few years. That also means that there are two to three-year-olds who have no immunity to RSV. 

The situation is most worrisome when it comes to tackling RSV in developing countries. Many kids in low-income countries may also live in remote areas without access to medical assistance. “More than 95% of RSV deaths occur in low-income countries,” according to Bill and Melinda Gates Foundation. Unfortunately, a percentage of those who do survive may suffer from long-term health issues such as lung damage.

The Future

Currently, there is no known drug or vaccine for RSV. However, a vaccine to prevent RSV is in development by Pfizer who announced at the end of 2022 that its vaccine “showed an efficacy of 82% against hospitalization among infants under 90 days old and 69% among those younger than six months.”

The only challenge left is facilitating vaccine access to low-income countries. On that note, the Bill and Melinda Gates Foundation announced a grant to support the development of affordable multidose vials for delivery. The foundation is “optimistic that this vaccine could be available to low-income countries at an affordable price by 2024.”

– Aaron Luangkahm
Photo: Flickr

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How The Gates Foundation is Enabling Sustainable Sanitation Services

Sustainable Sanitation Services
The Bill and Melinda Gates Foundation is an organization dedicated to fighting poverty, disease, and inequity around the world. It has been working to create a world where every person has the opportunity to live a healthy and productive life. In order to reach their goal, in 2021 alone, the Gates Foundation has been responsible for funding 2,051 grants and contributing a total of $6.7 billion of charitable support to build economies across the globe. With $653 million going to global growth and opportunity, the Gates Foundation has been a leader in improving water, hygiene and sustainable sanitation services globally.

Sustainable Sanitation

Since the main objective of a sanitation system is to provide a clean environment to people living in a community, promote better health and break the cycle of disease in the process. It is imperative that all societies have access to clean, filtered water and sewage systems. Sustainable sanitation is a sanitation system that is economically viable and institutionally appropriate. For example, sustainable sanitation measures should be both socio-culturally acceptable and easy to operate. It should also be low-cost and effective in mitigating disease and preserving the health of the community.

The Importance of Sanitation Services

The World Health Organization (WHO) has reported that “poor sanitation is linked to the transmission of diarrheal diseases.” As the spread of diseases like cholera, dysentery, typhoid and polio contributes to the spread of antimicrobial resistance, proper sanitation is crucial to the development of a community. Often linked to reducing the well-being and economic development of society, sustainable sanitation services are crucial to reducing poverty. However, improving and providing sustainable sanitation services can lead to many more benefits such as:

  • Reducing the spread of neglected tropical diseases.
  • Reducing the impact of malnutrition.
  • Promoting safety and empowering women and girls to employ safe feminine hygiene practices.
  • Promoting school attendance.
  • Encouraging the potential recovery of water and renewable energy.

However, WHO reported that in 2020, only 54% of the world’s population were using safely managed sanitation services and more than 1.7 billion people still don’t have access to basic sanitation services. Since roughly 830,000 people die every year due to the effects of poor hygiene and inadequate water sanitation in low/middle-income countries, it is important to take steps to mitigate the problem.

The Gates Foundation and Its Goals

The Gates Foundation has been working with government leaders and technologists to revolutionize sanitation standards and practices around the world. Their core initiatives include:

  • Promoting and creating policies and outlets for global governments to take in order to establish sustainable sanitation services.
  • Investing in the following priority demographics:
    • Low-Income populations
    • Racial and ethnic minorities
    • Women
    • Children and adolescents
    • Elderly
    • Individuals with special needs
  • Investing in the adoption of new technologies that can radically change the management of human waste in an affordable manner.
  • Conducting research to help the sanitation section develop data and evidence about what works and what does not.

The Four Focus Regions

The Gates Foundation recognizes that the implementation of sustainable sanitation services is most pertinent in sub-Saharan Africa and South Asia. Even in the sub-Saharan countries with the best water coverage rates, as much as 25% of people still lack adequate access to proper sanitation services. The Gates Foundation reports that governments are now beginning to acknowledge the need for more innovative sustainable sanitation solutions as the population of towns and cities begins to grow rapidly. The organization has been focusing on four complementary areas, which are as follows:

  1. Investing in transformative technologies and commercialization is key to making sustainable sanitation accessible. Since 2011, the Gates Foundation has been working to “reinvent the toilet,” by designing a low-cost toilet that does not need access to an electrical grid, water or a sewer system.
  2. The foundation works with local governments, organizations and partners to stimulate the market and community demands to improve urban sanitation conditions.
  3. It also works to improve government policy and advocacy regarding sustainable sanitation by setting guidelines and providing funding. These efforts particularly work to increase women’s participation in sanitation decision-making areas.
  4. Lastly, the Gates Foundation invests in more research to measure the effectiveness of various sanitation services in order to reach its goal of providing equitable and safely managed sustainable sanitation services for all people by 2030.

Goals for the Future

Because poor sanitation is responsible for so many health complications, the Gates Foundation recognizes the importance of expanding access to clean water and providing sustainable sanitation. Solving sanitation challenges in the developing world will require new technologies that are both reliable and cost-effective. It is therefore crucial to invest in proper sanitation to lift poverty-stricken nations.

– Opal Vitharana
Photo: Flickr

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4 Highlights of the 2022 Goalkeepers Report

Goalkeepers Report
The Bill and Melinda Gates Foundation has a mission of “creating a world where every person has the opportunity to live a healthy, productive life.” Since its initial launch in 2000, the foundation has provided billions worth of grants to assist with the eradication of various global issues. More specifically, the Foundation focuses on the fight against global poverty, disease and inequity. To measure global progress regarding these objectives, annually, the Bill and Melinda Gates Foundation releases a ‘Goalkeepers Report,’ a global address outlining the progress on the United Nations’ 17 Sustainable Development Goals (SDGs). The most recent release of the highly anticipated Goalkeepers Report features 18 key data indicators regarding the progress made on specific subsets of these goals. Here are four ways the 2022 Goalkeepers Report proves global poverty is declining and, conversely, that equity is rising.

4 Ways Global Poverty is Reducing

  1. Universal Health Coverage. SDG 3.8 aims for “universal health coverage” by 2030. The earliest data regarding this SGD goes back to 1990 when only about 45% of people had a form of health coverage. Since then, the goal has seen a steady positive upward trend, with the exception of a slight dip in 2020 as a result of the COVID-19 pandemic. Most recently, in the year 2021, approximately 60% of people worldwide had health coverage. This upward trend exemplifies great promise in regard to access to health care for all. Most importantly, with this progression, unexpected medical payments will no longer be a primary cause of poverty.
  2. Under-5 Mortality. Part of SDG 3.2 aims to reduce under-5 mortality rates to 25 deaths per 1,000 live births by 2030 (SDG 3.2). According to the Gates Foundation, “communicable and infectious diseases continue to be leading causes of deaths.” In 1990, the global under-5 mortality rate stood at 86 children per 1,000 live births. Since then, the world has noted progress as a result of steadily improving health care worldwide. Most recently, in the year 2021, the number of under-5 childhood deaths stood at 36 out of every 1,000 children born.
  3. Neglected Tropical Diseases. SDG 3.3 aims to “end the epidemics of AIDS, tuberculosis, malaria and neglected tropical diseases and combat hepatitis, water-borne diseases and other communicable diseases” by 2030. According to the World Health Organization (WHO), neglected tropical diseases cause about 200,000 deaths a year and lead to a loss of “19 million disability-adjusted life years (DALYs)” annually. The Goalkeepers Report measures this progress in terms of the prevalence of the top 15 neglected tropical diseases per 100,000 persons. In 1990, neglected tropical diseases impacted 43,800 humans globally out of every 100,000. Since then, the world has made great progress as the number of humans affected has decreased more than threefold, now standing at a figure of approximately 12,375. Neglected tropical diseases have decreased dramatically as a result of increased access to health care and a greater focus on water, sanitation and hygiene initiatives.
  4. Extreme Poverty. SDG 1.1 aims to eliminate extreme poverty globally. The Goalkeepers Report measures this progress according to the percentage of the global population surviving on less than $1.90 USD per day. The earliest data regarding this SDG goes back to 2015 when a jarring 10.06% of the population lived below the extreme poverty line. That equates to more than 730 million people. Since then, the goal has seen progress with the exemption of 2020. During the pandemic, the state of extreme global poverty became notably severe as a result of soaring inflation and unemployment. Consequently, the 2020 global poverty rate of 9.21% showed degression comparable with the 2017 rate of 9.11%. Fortunately, as the global economy rebounds, extreme poverty is also reducing. By April 2022, the global extreme poverty rate stood at 8.6%, according to the World Bank.

Concluding Thoughts

Despite all of the global economic, social and political turmoil over the past years, the 2022 Goalkeepers Report proves that global poverty is declining. This progress provides hope not only for poverty but for all global issues in the coming future.

– Aarika Sharma
Photo: Flickr

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Cash Transfers for Women in Poverty

Cash Transfers for Women in Poverty
The COVID-19 pandemic has thrust about 124 million global citizens into the grips of extreme poverty, “the first increase in extreme poverty” in two decades. This pandemic-induced economic distress disproportionately affects women by essentially forcing them into unemployment or informal labor. Informal work is marked by insecurity and inadequate job protection. Before the pandemic, about 95% of working women in Asia and 89% in sub-Saharan Africa participated in informal work. The World Bank Group said that targeted cash transfers for women in poverty are essential to building a more stable economy after the pandemic.

D3 Framework for Women’s Economic Empowerment

As a response to the growing levels of financial distress globally, governments around the world have launched various social protection programs. Cash transfers made up about 33% of these protection responses. However, in low-income countries, cash-based assistance reached less than 5% of the population, “six times lower” than figures in high-income nations, according to Brookings.

The Bill and Melinda Gates Foundation, World Bank Group, Consultative Group to Assist the Poor and Women’s World Banking have curated guidelines for systems that will provide cash transfers for women in poverty. Developed in 2019 by a group of experts, the D3 framework aims to allow room for adaptation by countries according to their own specific situations.

D3 stands for Digitize, Direct and Design. The “digitize” aspect pertains to the systems of technology that would be most suitable for providing cash transfers directly to the women who need them. Digitizing the system involves using mobile phones or cards that belong to the women receiving the funds. Directing the payments into an account registered to the recipient would ensure that she has direct access and power over the funds.

The design of each cash transfer program will appear different in every country, depending on the current economic status and structure of systems, if existent. In every step of the process, it will be important to listen to the voices of the women affected and to appoint women to positions that will have an influence on decision-making.

Cash Transfer Systems in Multiple Countries

  • Brazil. Brazil’s Programa Bolsa Familia has registered more than 46.9 million people, making it “the largest conditional cash transfer [program] in the world.” Women account for 93% of registered participants.
  • Togo. The West African nation of Togo launched NOVISSI, a digital payment system that provided citizens with almost immediate payments at the beginning of the COVID-19 pandemic. During the two phases of the program, NOVISSI gave $34 million worth of cash transfers to “a quarter of [Togo’s] adult population” in 200 of the most impoverished districts, according to the World Bank Group.
  • India. The South Asian nation of India has a cash transfer plan targeting impoverished women by transferring funds directly to a PMJDY account, which are accounts for unbanked citizens. In just the span of a week, India was able to “distribute three months of cash transfers to approximately 200 million low-income women,” according to the World Bank Group.
  • Pakistan. The country increased payment amounts during the pandemic for existing female beneficiaries in the country’s already established cash transfer program.
  • Turkey. The Middle Eastern nation also has a cash transfer program in place that directs money to women.  However, “new mothers and recent widows” would receive higher amounts, World Bank Group reports.

Evidence for Effectiveness of Cash Transfers

Data shows that disasters disproportionately affect women. Therefore, there should be disaster relief programs, such as government-regulated cash transfers, that prioritize helping women.

Currently, there is not a lot of sex-disaggregated data related to the benefits of cash transfer programs. However, there is existing data that supports the theory that direct cash transfers for women in poverty are beneficial.

Studies have recently proven that cash transfer programs help girls stay in school and help delay young marriage and early pregnancy. There is growing data that shows digital cash transfer programs lead to fewer reported cases of domestic violence against women and improve women’s independence and social status.

Researchers must still collect more sex-disaggregated data; more data will allow governments to plan more effective economic relief systems. By using the D3 network and the existing data, the World Bank Group is encouraging all governments, especially low-income countries, to establish effective cash transfer programs for women in poverty. The goal of these women-focused cash transfer systems is to ‌reach every woman in need, regardless of where they live or their technological capabilities.

– Melissa Hood
Photo: Wikipedia Commons

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Advancing Local Dairy Farming in Nigeria

Local dairy farming in NigeriaNigeria’s dairy industry has many problems. Inefficiency, “lack of technical knowledge” and outdated practices plague local dairy farming in Nigeria. Thus, Nigeria does not meet its potential for establishing a thriving dairy industry. Even though Nigeria has enough cows, in 2020, it still spent $2.5 billion importing milk from multiple countries. Farmers in Nigeria lack access to infrastructure, veterinarians and technologies to improve milk collection. Fortunately, NGOs have begun operations to help local dairy farming in Nigeria meet its potential. Sahel Consulting, an agricultural consultancy firm in Nigeria, has launched the Advancing Local Dairy Development in Nigeria (ALDDN) program to try to reshape dairy farming in Northern Nigeria. With support from the Bill and Melinda Gates Foundation, this program focuses on local dairy farming in Nigeria.

An Overview of Nigerian Dairy Farming

Most dairy farmers in Nigeria work on small, pastoral farms. Many of these farms focus on meat, with milk as a byproduct rather than the main focus. Additionally, cows in Nigeria underperform in comparison with cows worldwide. While Nigerian cows produce “less than one liter of milk” per day, cows worldwide produce dozens, with some countries reaching 100 liters of milk per day. While this situation currently hurts local dairy farming in Nigeria, it also provides an opportunity. As a pastoral sector, the economic benefits of increased efficiency can bring these individual farmers out of poverty, lifting their communities up with them.

The Goals of ALDDN

ALDDN is taking a six-pronged approach to improving local dairy farming in Nigeria. The program focuses on farmers’ organizations, rural infrastructure, productivity, promotion of financial inclusion, education and public advocacy. By focusing on productivity improvements, ALDDN looks to increase milk volumes to international levels, increasing farmers’ revenues tenfold. The program also looks to build rural infrastructure to allow these farmers to sell their milk on the market. Much of the program focuses specifically on female dairy farmers who face financial exclusion. ALDDN aims to reach 210,000 beneficiaries, with 120,000 trained in modern dairy farming practices. The program also looks to train 50 veterinarians to help ensure the health of milk cows.

The Impact of ALDDN

ALDDN has already made an impact on Nigerian dairy farming. Arla Foods, a Danish dairy company with operations worldwide, has started constructing a dairy farm in rural Northern Nigeria in partnership with the ALDDN program. The facility aims to help 1,000 local dairy farmers, with space for 400 cows and 25 live-in workers.

Since the project began, much attention has fallen on the Nigerian dairy industry. Government-sponsored studies have recently shown the extent of inefficiencies in local dairy farming in Nigeria. Now, solutions championed by ALDDN have appeared in local magazines, with efforts across the dairy industry to modernize. Some focus on using technology to more efficiently milk cows while others focus on selectively-bred cows to produce more milk.

Efforts From Others

Other NGOs and governments have pitched in to help the Nigerian dairy industry. The United States recently donated pregnant Jersey cows to help boost milk production, hoping that in a few generations, these cows can help provide increased milk production. Additionally, FrieslandCampina WAMCO is working with communities to increase milk production. By introducing cross-breeding, the company saw a hundredfold increase in production in its Oyo milk facility, which is open to smallscale artisan farmers.

With all of the improvements and focus on local dairy farming in Nigeria, the future looks bright for this industry. More efficient cows, better rural infrastructure and better agricultural practices can help lift farming communities out of poverty, giving opportunities to those in rural communities who are commonly left behind.

– Justin Morgan
Photo: Flickr