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Eradicating Polio in Developing Countries

Although there is a vaccine, Polio is still a global problem. Here are some facts on eradicating Polio in developing countries.
People often think of polio as a disease of the past; but for many in Pakistan, Afghanistan and Nigeria, it is still a very real threat. Poliomyelitis, more commonly known as Polio, is an infectious disease that can result in base level symptoms similar to the flu, or on the more extreme end, it can invade an individual’s spinal cord or brain causing paralysis. Paralysis is the symptom people most commonly associate with Polio because of how deadly it can be. As the disease progresses slowly, the individual eventually loses function across their body and requires outside assistance to do even the most basic task of breathing. Without medical assistance, the individual will asphyxiate. Here is some information about eradicating Polio in developing countries.

Eliminating Polio

Vaccination is the only way to eradicate Polio. Children’s bodies become prepared to fight the disease more effectively with vaccination. Almost all children or 99 out of 100 will have protection from Polio as long as they receive all recommended courses of the vaccination.

However, sanitation also plays a key role in preventing the spread of Polio in the interim. The virus lives in individuals’ throats and intestines, so open sewage systems can leave a community more vulnerable to the spreading virus. The virus can thrive in feces for weeks before dying, leaving plenty of opportunities for people to come into contact with the virus and spread it.

Eradicating Polio is highly dependent on herd immunization, so it is integral that mass vaccination initiatives go to all corners of a country. By immunizing everyone who can take the vaccine, the risk of the disease spreading and those unable to take the vaccine contracting it reduces.

The Reasons Polio Still Exists in Pakistan, Afghanistan and Nigeria

Though there have been major advancements in eradicating Polio in Pakistan, Afghanistan and Nigeria, they still remain vulnerable due to the fear that the vaccine may cause fainting spells and death in children, which are false claims. Additionally, open sewage systems in rural areas and the difficulty to dispense full courses of vaccination to individuals in rural areas play a role in the continued life of Polio.

There is also the issue of spreading. In Afghanistan and Pakistan, the majority of new cases of Polio are often in the tribal areas surrounding the shared border of the two countries. The unchecked border often has people traveling back and forth so they are hard to pin down to receive their full course of vaccinations. This also allows for the virus to spread faster and makes it more difficult to isolate the infected.

Nigeria is doing relatively well with the fight towards eradicating Polio. The country no longer has an active outbreak, but it is at high risk of having an outbreak. This is due to active initiatives within the country to assure widespread vaccination and hygiene education to prevent the spread of the virus.

Mutations

Another massive issue these countries and doctors are having with eradicating Polio is that the virus is mutating. In June 2017, there were 21 cases of vaccine-derived Polio in the world. This has been caused by remnants of the oral vaccine getting loose in the environment where it is regaining strength and infecting people. The oral vaccine is from a weak form of the Poliovirus that allows the recipient’s immune system to fight off the virus and become more adept at fighting the active virus if it ever enters their body.

Many also consider the mutated and strengthened strain of the vaccine-derived disease to be more deadly as it has a higher risk of causing paralysis in those infected.

Solutions

The organization, Global Polio Eradication Initiative, is a public-private partnership working in tandem with national governments and private partners including the World Health Organization (WHO), Rotary International, the U.S. Centers for Disease Control and Prevention (CDC), the United Nations Children’s Fund (UNICEF) and the Bill & Melinda Gates Foundation. Together, they are attempting to roll out vaccines and education programs to aid in eradicating Polio internationally. The organization works with 200 countries and 20 million volunteers to ensure that everyone has the opportunity to live a life free of the pain Polio brings upon individuals and communities.

As of 2019, it has vaccinated over 2.5 billion children, and the number is only growing. This is an incredibly important program, as the alleviation of the threat of infection for every reduces the stress on government health programs. There is also a reduction in the personal and financial burden of contracting and surviving Polio from the shoulders of millions of families.

Through vigilant vaccination distribution and educational programs, the hope is that in the near future, people will be able to live in a world free from the crippling implications of the Poliovirus.

– Emma Hodge
Photo: Flickr

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Efforts of Poverty Reduction Advocacy in Pakistan

Poverty Reduction Advocacy in Pakistan
Pakistan is a South Asian country with a population of approximately 212 million people. According to the World Bank, the population of people living below the national poverty line in Pakistan decreased from 64 percent in 2001 to 24 percent in 2015. However, as of 2015, the United Nations Development Programme (UNDP) revealed that in rural communities in Pakistan, 35 percent of people lived below the poverty line. This highlights that rural communities in Pakistan need the most aid. However, there are significant examples of poverty reduction advocacy in Pakistan.

The International Fund for Agricultural Development (IFAD)

IFAD is a U.N. based agency that focuses on helping rural communities. IFAD aids these communities by strengthening food security and local businesses. Southern Punjab, cited as the poorest part of Pakistan, is a major center point for IFAD in the country. In 2010, IFAD initiated the Southern Punjab Alleviation Project and it is still ongoing until 2020. The project seeks to enhance agricultural productivity in Punjab by aiding laborers, farmers and women-led households.

As of May 2019, working with the government of Punjab, IFAD raised approximately $195 million for the project—Punjab governmental and beneficiary donations included. IFAD reported in 2019 that 5,500 new community organizations started in Punjab, with 70 percent of women forming these groups. The report also cited that 50 percent of people became newly or self-employed after receiving vocational training from IFAD. Moreover, as of 2018, IFAD reached 92 percent of women-headed households. IFAD also uploaded a YouTube video in September 2018 to highlight specific people and families in Punjab that benefited from its projects. The organization prominently initiated poverty reduction advocacy in Pakistan.

The Ehsaas Program

The Ehsaas Program is a government-led poverty reduction program initiated in 2018. Pakistan’s Prime Minister Imran Khan and Special Assistant to the Prime Minister Dr. Sania Nishtar are responsible for the program. Ehsaas focuses on economic growth and obtaining sustainable development goals in Pakistan. The program uses a strategy of four pillars that include addressing the elite and making the government system work for equality, as well as providing safety nets, human capital development and jobs and livelihoods.

The Ehsass Program will push to increase social protection funding by providing an additional $80 billion from 2019-2021. The Kafalat program will give around 6 million women financial inclusion through a one woman, one bank account policy. Nutrition initiatives will address malnutrition and health issues impacting stunted children. The Solution Innovation Challenge will address citizen employment by developing micro-credit facilities for daily wages so that those in poverty can afford monthly groceries. The Ehsaas Program plans on developing rickshaw garbage collectors to employ people and benefit the environment and water sanitation simultaneously. The Ehsaas Program also seeks to build 20 centers for physically challenged citizens and create orphanages for 10,000 homeless children. These are just some of the programs Ehsaas plans to initiate to implement poverty reduction advocacy in Pakistan.

The Bill & Melinda Gates Foundation and the Ehsaas Program

As of September 2019, the Bill & Melinda Gates Foundation supported the Ehsaas Program through a Memorandum of Understanding between Bill Gates and Khan. This collaboration prompted the Gates Foundation to plan on spending $200 million toward poverty reduction in Pakistan by 2020. Bill Gates and Dr. Nishtar conducted an interview in September 2019 with the U.N. SDG Action Zone to educate others about the Ehsaas Program and answer questions. This is an example of a multicultural support system toward poverty reduction advocacy in Pakistan.

To alleviate poverty in Pakistan, the government recently started initiatives that the people support. Examples such as the IFAD and the Ehsaas programs show that partnerships between governments, organizations and citizens work to tackle poverty. With these organizations and funds in place, poverty reduction advocacy in Pakistan has a positive outlook for the future.

– Natalie Casaburi
Photo: Pixabay
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Improving Ghana’s Local Health Using Drones

Improving Ghana's Local Health
Ghana is a small West African country located on the Gulf of Guinea. Agricultural and mineral outputs mostly make up the country’s income. Ghana was the first African state to gain independence in 1957 and has a population of approximately 28,102,471 people. Although Ghana is one of the more stable countries in Africa and has one of the lowest reported HIV infection rates, the country still faces a multitude of health care issues. However, there has recently been a partnership between the Ghanian government and a tech company to work towards improving Ghana’s local health.

Illnesses in Ghana

A variety of illnesses in Ghana are similar to those occurring in developed countries, however, some of these illnesses can be more potent in areas like Ghana. These illnesses include trauma, women’s health issues, pregnancy complications and infections. HIV/AIDS hit Ghana slightly less than other African countries, but it still caused the deaths of 10,300 people in 2012. HIV/AIDS now stands at number six on the list of the top 10 causes of death in Ghana after malaria, lower respiratory infections, neonatal disorders, ischemic heart disease and stroke.

The anopheles mosquito can transfer malaria, but people can also transmit the illness through organ transplants, shared needles or blood transfusions. Malaria most commonly affects pregnant women and children. In 2012, malaria caused the deaths of 8.3 percent of the Ghanian population. It was also the leading cause of death among children under 5, dealing fatal damage to 20 percent of children in that age group. One of the primary reasons for visits to the hospital is infections. Medical professionals can easily treat most malaria cases with three days of pills from the government, however, some may suffer repeated bouts of malaria and it can be fatal is they do not receive treatment.

Ghana’s Medical Drone Delivery Program

In April 2019, Quartz Africa detailed that a community health nurse at the New Tafo Government Hospital in Ghana’s Eastern Region, Gladys Dede Tetteh, ran out of yellow fever vaccines. Mothers and their babies had to wait in a long line in the hot weather. The facility made an order for more vaccines, but in the past, deliveries often took two hours or more to arrive by road from the central medical stores. However, 21 minutes later, from 80 meters in the sky, a drone released a box onto a small lawn quad in the hospital. New Tafo Government Hospital was the first to sign up for Ghana’s new medical drone delivery program to receive medical products from unmanned aerial vehicles. The aim of this program is to reach hard-to-reach communities quickly and efficiently.

The Ghana Health Service’s Partnership with Zipline

The Ghana Health Service recently began a partnership with Zipline, a drone company with the mission of giving every person instantaneous access to medical supplies. Ghana’s Vice President, Mahamudu Bawumia, officially launched the medical drone program on Wednesday, April 24, 2019. Zipline is a partner of the United Parcel Service (UPS), which also provided support when it opened its Rwanda program. Zipline also gained support from the Bill and Melinda Gates Foundation and Pfizer. Zipline’s Omenako center in Ghana is the first of four centers that the company plans to construct by the end of 2019. Zipline also plans to provide supplies to 2,000 health care facilities in order to serve 12 million Ghanaians once it completes all four centers.

Each distribution center will have 30 drones that will work together to make 500 deliveries a day. Zipline approximates that it will be able to make 600 delivery flights a day in total. Many claim that the drones are some of the fastest delivery drones in the world. The drones can fly up to 75 mph, transport around four pounds, fly as high as 99 miles and operate in various types of weather and altitudes.

Zipline’s Role in Reducing Deaths and Providing Vaccinations

The World Health Organization states that “severe bleeding during delivery or after childbirth is the commonest cause of maternal mortality and contributes to around 34% of maternal deaths in Africa.” Ghana’s policymakers expressed that they believe that this new drone delivery system is the first step to improving Ghana’s local health by decreasing maternal and infant mortality rates.

The drones will deliver to 500 health facilities from the Omanako center which has vaccines and medications. With the aid of Ghana’s Expanded Program on Immunization (EPI), Zipline drones will be able to provide support to those suffering from yellow fever, polio, measles & rubella, meningitis, pneumococcal, diphtheria, tetanus and more. Gavi provides the vaccines, which is an international organization with the intention of improving children’s access to vaccines in poor parts of the world. Drones will be able to pass where ground vehicles cannot, such as where there is underdeveloped or poorly maintained road infrastructure. Many also expect that the drone delivery program will reduce wastage of medical products and oversupplied hospitals.

Zipline aims to improve access to vital medical supplies, which in turn will hopefully reduce mortality rates and add to efforts in improving Ghana’s local health. Zipline’s mission in Ghana has only just begun, but so far it has been able to significantly reduce the time it takes to deliver important health supplies. Getting medical supplies and vaccines faster may be able to save a few lives in the future as well. Health issues and diseases like malaria continue to be the major causes of death in Ghana, but Zipline and the Ghanian government are making steps towards improving access to health care.

– Jade Thompson
Photo: Flickr

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Developing Women’s Digital Financial Inclusion

women's digital financial inclusionAcross the globe, digital finance services are empowering vulnerable communities to make responsible investments, save for the future and gain access to credit. Between 2011 and 2014, seven hundred million people in the developing world gained access to these services, allowing them to participate in formal economic decisions for the first time. Although there is a long journey ahead for women’s digital financial inclusion in the developing world, much is being done to help close the gap.

Barriers and Challenges

Despite rapid growth, there is still a significant deficit in women’s digital financial inclusion. According to the World Bank, there is a 9 percent disparity in financial inclusion between men and women in the developing world. This number has remained the same since 2011. The disparity is in large part born out of several social, economic and cultural barriers that hinder women in the developing world from gaining access to these kinds of services. Lower rates of mobile phone ownership and low rates of digital literacy among women are arguably the two most prominent barriers for women in the developing world.

A 2018 report recorded that women in low to middle-income countries are 10 percent less likely to own a mobile phone than their male counterparts. That 10 percent translates to around 184 million women without access to a mobile device and, therefore, digital financing services. Without this crucial link to a formal economy, women are excluded from credit approval and economic and political decision-making. They have little to no control over how their personal funds are spent.

In addition, an overall lack of digital literacy causes an assortment of issues for women’s inclusion in financial matters. According to the Alliance for Financial Inclusion (AFI), 75 percent of survey respondents classified a lack of digital literacy as a major barrier in women’s digital financial inclusion. Without knowledge of these innovative services, women in rural and impoverished regions are forced to resort to less trustworthy forms of investment and informal savings. These often yield large negative returns for participants. This method of financing makes the identification of these women extremely difficult. This leads to low loan approval and higher interest rates for those women who are lucky enough to get approved.

Nonprofits Commit to Closing the Gender Gap

Despite various challenges, much is being done to assist women in developing countries on their path to financial stability and independence. In 2014, AFI signed the Denarau Action Plan, which lays out a commitment to halve the financial gender gap by 2021. AFI isn’t alone in their pursuits either. The Bill and Melinda Gates Foundation recently launched an institutional gender strategy that will commit $170 million to the economic empowerment of women. Consultive Group to Assist the Poor (CGAP) also recently joined forces with 200 different organizations in similar pursuits.

The issue of women’s digital financial inclusion is gaining momentum globally. The world is starting to recognize just how much of a positive impact financial gender-equality will have on the global economy. AFI found that global gender-equality could unlock $12 trillion in incremental GDP by 2025 with a specific focus on digital finance services. Although progress is slow, women in developing nations are beginning to reap the benefits of financial inclusion on a more personal scale.

Digital financial services give these women the opportunity to gain financial independence, create and expand their businesses, plan for their families’ futures and make empowered decisions about how their funds will be spent. The world is recognizing women’s digital financial inclusion as a top priority and it is bursting into action to provide these women with financial independence, stability and empowerment.

– Ashlyn Jensen
Photo: Pixabay

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How Technology is Improving Africa

How Technology is Improving Africa
Africa is the poorest continent in the world with every second person living below the poverty line. From extreme hunger to illnesses and to insufficient agricultural infrastructure, Africa’s population is suffering. Fortunately, groups of researchers and people are continuously creating solutions to change these conditions. Here are four inventions that show how technology is improving Africa.

NEWgenerator Sanitation Systems

Since 2002, a group of researchers at the University of South Florida have been working on a new type of wastewater treatment system that will address sanitation issues in poor countries. They invented the NEWgenerator, which is a solar-powered generator that turns wastewater into recyclable clean water, nutrients and energy. Waste from the toilet enters the tank and it treats the water in a manner that is similar to a coffee filter. As a result, chlorinated water releases that people can use to flush the toilet and irrigate for agricultural purposes. The breakdown of organic material in the waste produces biogas, a form of energy. Lastly, this method releases nutrients such as nitrogen and phosphorus from the waste that people can use as fertilizer for agricultural purposes.

The NEWgenerator stays inside a container that batteries power, allowing the unit to be completely self-sustainable. Solar power and biogas from the waste power these batteries, making this device completely independent. The NEWgenerator received initial testing at a school in South India, where the invention succeeded in recycling thousands of gallons of water for 100 people per day. In 2016, the NEWgenerator’s lead professor, Daniel Yeh, earned a $1.14 million grant from the Bill and Melinda Gates Foundation to install an improved version in Durban, South Africa. The generators will connect to Community Ablution Blocks (CABs), facilities comprised of toilets and showers. This will multiply the NEWgenerator’s ability to produce water by 10 times and serve up to 1,000 people per day. The research group is currently working on this installation and its dedication illuminates how technology is improving Africa.

SafariSeat Wheelchairs

One in 200 people in East Africa has a disability that affects their mobility, forcing them to remain in wheelchairs for the rest of their lives. Janna created SafariSeat and a small group of designers who wanted to help people regain their independence and livelihoods. It is a new wheelchair design that can navigate rough terrain found in South Africa and other developing countries. It works through a lever system, where the person can pump hand levers to control the wheelchair’s speed and power. SafariSeat’s goal is to implement an open-source toolkit in developing countries where the blueprints are free and the resources necessary to build these wheelchairs come from bicycle components at a low cost for local workshops. An open-source toolkit has three components that contribute to its success: the use of diagrams for building purposes, a communication network and a design portal where people can submit ideas for improvement.

In the past two years, SafariSeat set up two workshops, one in Kenya and one in Tanzania. It initially produced the first 50 wheelchairs in Kenya and the first 150 wheelchairs in Tanzania. After these successes, it implemented the SafariSeat Outreach program, which is a team that identifies people with disabilities in Kenya who live in isolation and need SafariSeats. Currently, the founders are working on building a third workshop in Uganda in hopes of expanding their reach and number of wheelchairs. Their ultimate goal is to broaden their impact on the rest of the world, specifically to countries undergoing wars.

Mazzi Cans

Africa has five times as many dairy cows compared to the United States with a total of about 49 million cows. Millions of farmers rely on cow’s milk as their income and source of nutrition for their families. However, if milk does not receive proper handling or storage during the time people transport it to markets, it can develop harmful bacteria that cause illnesses. Since milk contains important nutrients, vitamins, calories and minerals that can fulfill healthy dietary needs, it is necessary for farmers to be able to safely transport their milk. Mazzi is the answer to this problem. It is a 10-liter container system that makes it more efficient for the collection and transportation process. It provides a milking funnel over a durable container stronger than normal Jerry cans and its shape makes it easy to clean, preventing bacteria or soil from accumulating in the container.

Mazzi emerged by partnering with the Global Good, an organization that works with the Bill and Melinda Gates Foundation and Intellectual Ventures. Currently, Mazzi is available in Kenya and Ethiopia, with the goal of expanding to Uganda, Tanzania, Somalia, South Sudan and Sudan. It will continue working on making this product more cost-affordable for small farmers.

Lucky Iron Fish

Another technology that is improving Africa is the Lucky Iron Fish which a group of researchers in a Canadian university created in response to the 2 billion people suffering iron deficiency. Iron is a crucial nutrient that helps blood transport oxygen from the lungs to the body. Without a sufficient amount of iron, people experience fatigue, weakness, lack of concentration, shortness of breath and headaches. People can put the Lucky Iron Fish in the pot or pan in which the food is cooking, releasing 6 to 8 milligrams of iron that the food absorbs. This is about 40 percent of a person’s daily iron intake levels. With the return of iron to a child’s diet, they can focus better in school, leading to higher performance results. For working persons, their improved concentration gives them a chance to earn higher incomes.

Once someone buys an Iron Lucky Fish, the organization contributes an equal amount into its Impact Fund. The company uses its Impact Fund to donate Lucky Iron Fish to developing countries and improve educational resources in communities. Women and men receive training to deliver Lucky Iron Fish within these countries and raise awareness about how to solve iron deficiency. In 2018, 54,000 people around the world received a Lucky Iron Fish. Many people (5,175) in Benin, a country in West Africa, were among these individuals. Currently, the organization is looking for more partnerships with NGOs to expand its impact from 88 countries to the rest of the world.

New technology is proving to be one of the crucial answers helping Africa out of extreme poverty with the dedication of numerous research groups and motivated people. These four inventions show how technology is improving Africa each year.

– Jane Burgan
Photo: Flickr

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Polio Eradication in Nigeria: Demolishing Disease

polio eradication in Nigeria
For the last three years, Nigeria has not had one case of polio. As the last country in Africa to still record the wild polio disease, this new health milestone of the eradication of polio in Nigeria has proven the success of public health campaigns for the entire continent of Africa.

The Decline of Polio

Back in 1988, polio paralyzed more than 350,000 children in over 125 countries around the world. Although the devastating disease infected children in almost every country, cases of wild polio decreased by 99 percent after 1988. While the wild polio disease exists in nature, several vaccine-derived outbreaks have occurred in six African countries. In 2012, the World Health Organization (WHO) reported that Nigeria held more than half of polio cases worldwide. Total immunization then became the primary goal for the eradication of polio in Nigeria to ensure that the population has protection from the vaccine-derived and wild virus. Persistent efforts of immunization have helped immunize over 45 million children under the age of 5 in Nigeria. An estimated 200,000 volunteers in Nigeria have aided in giving polio vaccines in the last five years.

Children and Polio

At the start of the polio epidemic in Nigeria, 600,000 children did not have the polio vaccine and an estimated 90 percent of polio cases were within northeast Nigeria. Due to this area encompassing largely scattered communities, satellite imaging has aided volunteers with finding unvaccinated children. Vaccinators will also frequently set up clinics within local markets to find all the unvaccinated children.

Dr. Pascal Mkanda, the leader of the eradication of polio in Nigeria for WHO, set out to eradicate the disease within three years by first vaccinating children under 5 years of age. The poliovirus remains highly infectious and mostly affects children. In the worst cases, polio causes irreversible paralysis. No cure for polio exists, but the eradication of the disease through immunization has prevented outbreaks. Estimates determine that the eradication of polio in Nigeria has saved 16 million children from paralysis.

Women and Vaccinations

Many Nigerian women are at the forefront of the battle against polio. UNICEF and the Bill & Melinda Gates Foundation hire mostly young Nigerian women as vaccinator volunteers because Islam is the most prominent religion in northern Nigeria, and it prohibits men that are not family members from entering a Muslim home. The women volunteers go door-to-door to educate families about the vaccine and receive clinical training to give vaccinations.

Today, more than 30 million Nigerian children have received the polio vaccine. The volunteers are also in a continuous battle with skeptical anti-vaccination parents and the militant group Boko Haram. Boko Haram intentionally spreads misinformation about the vaccine and violently targets volunteers in order to keep Islam pure in Northern Africa. Some Nigerian people still have doubts about the vaccine, but now only 1 percent of people refuse the vaccination.

Overall, the eradication of polio in Nigeria represents an achievement for global health. The commitment of global health organizations and neighboring communities to the eradication of polio proves that investing in foreign aid can have a worldwide benefit.

– Nia Coleman
Photo: Wikimedia Commons

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The Biggest Global Issues Facing Humankind

Biggest Global Issues
Hundreds of millions of people around the world experience insufficient living conditions due to environmental factors, displacement, disease, poverty or some combination of the four. Here is a list of the biggest global issues that plague humankind.

The Biggest Global Issues Facing Mankind

1. Food and Malnutrition

  • Food and nutrition are essential for just about every life form on the planet, especially humankind. Although countries such as China, India, Brazil and the United States produce vast amounts of food for the world, about one in nine people will not eat enough food today. Malnourishment leads to the inability of about 795 million people to lead active and healthy lives around the globe.

  • Malnutrition leads to poor health and can stunt development in education and employment. According to The Food Aid Foundation, 66 million school-aged children will go to school hungry today. Consistent hunger in schools is linked to a lack of concentration.

  • World hunger has decreased by about 219 million people within the past two decades. It is through the innovative and ambitious work of organizations like the World Food Programme, in partnership with governments and communities, that the world can fill empty stomachs and provide communities with the resources to fill their own stomachs without aid, overtime.

  • The World Food Programme provides the Home Grown School Feeding Programme to counter the effects of consistent hunger in schools. One model of the  Home Grown School Feeding Programme in Kenya provides school meals to over 600 million schoolchildren. The organization purchases the meals from local farmers which helps boost Kenya’s agriculture-dependent economy. Constant meals in school serve as an incentive for poor families to send their children to school every day and enhance the quality of children’s education by reducing hunger.

2. Access to Clean Water

  • Water covers about 70 percent of planet Earth. Inadequate water supply, water supply access and lack of sanitation kill millions of people annually. Used for drinking and hygiene practices, lack of water sanitation is a leading cause of child mortality around the world.

  • Two days of the year educate the world about one of the biggest global issues facing humankind: the global water crisis. World Water Day and World Toilet Day are reminders that 700 million people around the globe could be facing displacement due to decreased access to fresh water by 2030. Severe droughts are a major reason for displacement. When there is no more water for drinking or for crops and livestock, people must leave their homes in search of a place where there is an adequate supply of water.

  • Within the past two decades, the percentage of countries without basic sanitation services decreased by 17 percent. Forty countries are on track to receive universal basic sanitation services by the year 2030. In the meantime, 88 countries are progressing too slowly in their sanitation advancements and 24 countries are decreasing in their advances toward universal sanitation coverage.

  • The Water Project is committed to providing safe water to Africa. It builds wells and dams to provide access to safe water. The project also delivers improved technology for more sanitary toilets that keep flies away. The Water Project provides and monitors 157 water projects in Sierra Leone including wells, dams and sanitary toilets. The Water Project builds these projects in schools and communities in the Port Loko region of Sierra Leone, serving some 7,000 Sierra Leoneans. The Water Project’s save water initiative impacts over 40,000 people on the continent of Africa.

3. Refugee Crisis

  • The refugee crisis is one of the biggest global issues facing humankind today. Refugees are seeking asylum from persecution, conflict and violence. A grand total of 68.5 million people have been forcibly displaced from their home countries. Some 54 percent of those displaced are children.

  • Developing countries host a third of the world’s refugees. Many refugees reside in the neighboring countries of those they left behind. Turkey, Jordan, Pakistan and Lebanon lead the world in hosting refugees.

  • Asylum seekers from Syria, Democratic Republic of Congo and South Sudan continuously flee ongoing persecution, conflict and violence in their home countries. More recently, four million Venezuelans have fled their home country, 460 thousand of whom are seeking asylum in Spain, Central America and North America.

  • Venezuelans are fleeing dire political unrest and hyperinflation. Shortages in food, water, electricity and medicine also afflict the country. The Red Cross now provides at least $60 million worth of aid to Venezuela, reaching at least 650,000 Venezuelans. The World Vision Organization delivers aid to Venezuelan refugees in Venezuela’s neighboring countries. For example, in Colombia, World Vision provides economic empowerment, education, food and health essentials to some 40,000 refugees.

4. AIDS Epidemic

  • Acquired immunodeficiency syndrome (AIDS) is a longstanding global issue. With at least 36.9 million AIDS or HIV (the virus that causes AIDS) infections around the world, the disease is one of the biggest global issues facing humankind. Since 2004, AIDS-related deaths have been reduced by over half. In 2004, almost two million people worldwide died of AIDS-related illnesses, compared to 940,000 in 2017.

  • Organizations like the International AIDS Society, UNAIDS, Kaiser Family Foundation and PEPFAR are dedicated to stopping the spread of HIV/AIDS. These organizations help to ensure that infected people have access to treatment and the opportunity to live healthy lives. Adolescent girls and young women (AGYW) are 14 times more likely to contract HIV than boys. The DREAM initiative by PEPFAR and partners prioritizes the safety of AGYW against new HIV infections. PEPFAR is reaching at least 144,000 AGYW in Kenya, one country where HIV infections are most prevalent.

  • Although there is currently no cure, UNAIDS has a Sustainable Development Goal of bringing the number of new HIV infections down to zero by the year 2030. The Kaiser Family Foundation conducts research and analyzes data regarding U.S. AIDS policy and funding, both domestic and globally. It serves as a source of information about AIDS and other global health issues for U.S. policymakers and the media.

5. Eradicating Poverty

  • Poverty is the lack of income necessary to access basic everyday needs and/or living below a specific country’s standard of living. Living in poverty can result in malnutrition,  poor health, fewer opportunities for education and increased illness. With an estimated 783 million people living in poverty, eradicating poverty is one of the biggest global issues facing humankind.

  • Malnutrition, contaminated water, the refugee crisis and the AIDS epidemic all contain some aspects of poverty. Organizations like the United Nations and the Bill and Melinda Gates Foundation focus on sustainable development strategies to alleviate global poverty. The number of people living in poverty has decreased by half, thanks to the U.N.’s Millennium Development Goals. The Millennium Development Goals have lifted at least one billion people out of extreme poverty within the last two decades.

  • The Gates Foundation is proving that poverty can be ameliorated through Agricultural Transformation. Increasing a country’s food production can counter malnutrition and boost the country’s economy by increasing farmer’s crop productivity. Poverty in Ethiopia has decreased by at least 45 percent since the Gates Foundation first started investing in agricultural development there in 2006. Ethiopia, one of the poorest countries in the world, is witnessing an overall increase in its economy.

With the help of innovative organizations partnered with governments, the world is implementing practical techniques to help eliminate hunger, water scarcity, AIDS/HIV and poverty from the list of the biggest global issues facing humankind. Eliminating these problems will improve the living conditions of millions of people around the world, including refugees and internally displaced people.

– Rebekah Askew
Photo: Flickr

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DREAMS Fights Against AIDS

DREAMS Fights Against AIDS
Today, approximately 36.9 million people are living with HIV globally and 25 percent of that number do not even know their status. Of those millions, HIV infects about 1,000 young girls and women each day and accounts for 74 percent of new HIV infections among adolescents in sub-Saharan Africa. HIV/AIDS continues to be at the forefront of global public health issues in the world today and appears to be most prevalent in low and middle-income countries. However, the organization DREAMS fights against AIDS and initiatives like the United States President’s Emergency Plan for AIDS Relief (PEPFAR) is helping it accomplish its goals.

What is PEPFAR?

PEPFAR emerged in 2003 and has received strong support ever since, resulting in the United States becoming a global leader in the response to the HIV/AIDS epidemic and PEPFAR being a model for development programs around the world. PEPFAR has helped transform the response to HIV/AIDS by working with over 50 countries, as well as causing a significant decline in new HIV diagnoses among young girls and women through the DREAMS partnership.

The DREAMS Partnership

DREAMS is a public-private partnership between PEPFAR, the Bill and Melinda Gates Foundation, Girl Effect, Johnson & Johnson, Gilead Sciences and ViiV Healthcare to implement an ambitious HIV/AIDS reduction program. This initiative launched in 2014 on World AIDS Day and targets 10 African countries in which 65 percent have extremely high HIV rates, especially among young girls and women. This movement aims to support affected women, as well as prevent any further spreading of HIV/AIDS. It has resulted in the integration of DREAMS activities into the plans of the involved countries.

The DREAMS Impact

The DREAMS organization fights against AIDS in 10 countries including Kenya, Lesotho, Malawi, Mozambique, South Africa, Swaziland, Tanzania, Uganda, Zambia and Zimbabwe. These countries’ populations account for more than half of all new HIV infections that occurred in young girls and women globally in 2015.

DREAMS’ plan consists of multiple solutions surrounding the main problem of the HIV/AIDS epidemic in the world. It delivers a package that combines evidence-based approaches addressing structural drivers that directly and indirectly increase the risk of HIV in girls, such as poverty, gender inequality, sexual violence and a lack of education. More specifically, this comprehensive package of interventions has four focus groups including educating girls and young women through a range of activities to prevent their risk of HIV and violence, targeting men and boys within the community for treatments, strengthening families through social protection programs and the implementation of parenting programs related to adolescent HIV risk and shifting norms to mobilize communities and change to prevent violence and the further spread of HIV/AIDS.

Currently, 80 percent of young girls and women ranging from 15 to 24 years old and living with HIV are in sub-Saharan Africa. By the end of 2016, new HIV incident recordings in young girls and women decreased by 25 percent in the hardest-hit countries and further reduced by 40 percent by the end of 2017.

The DREAMS Innovation Challenge

While DREAMS has made significant progress since its formation, HIV/AIDS is still infecting an alarming number of young girls and women every day. Fifty-five organizations won the DREAMS Innovation Challenge and are now implementing solutions in six main focus areas such as strengthening leadership and capacity of community-based organizations (such as nonprofit or grassroots organizations) to support the expansion of intervention, ensuring girls’ access and smooth transition into secondary school, creating new methods to engage men in HIV testing and counseling and treatments, supporting pre-exposure interventions, providing employment opportunities to young women to decrease their risk of exposure to HIV and increasing the availability and use of data to inform, increasing impact and further producing innovative solutions.

Selected solutions resulting from this challenge were those that introduced new innovations in the 10 countries where DREAMS fights against AIDS. It also offers sustainable, long-lasting solutions and countries can implement them rapidly within two years. More than 60 percent of the challenge winners are small, community-based organizations that not only received funding but also became new PEPFAR partners.

Continuing on its innovative path to preventing and reducing the spread of HIV/AIDS, PEPFAR recently announced its investment of nearly $2 billion to empower and support women and girls, with it channeling nearly $200 million through the DREAMS partnership. This will allow more girls to avoid contracting HIV at birth, keep more adolescents HIV free and support vulnerable women and children while treating HIV positive women. Additionally, the partnership has recently grown to provide more than $800 million to 15 African and Caribbean countries since its founding in 2015. PEPFAR has helped 2.4 million babies to be born HIV free from HIV-positive mothers and has saved about 17 million lives through its efforts as DREAMS fights against AIDS. Thankfully, this organization shows no sign of slowing down in the fight against HIV/AIDS for young girls and women around the world.

– Adya Khosla
Photo: Flickr

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New HIV Drug Implemented In Kenya

HIV Drug Implemented in Kenya
In 2017, there were approximately 36.9 million people living with HIV/AIDS worldwide. Additionally, 6.1 million of those with HIV were located in western and central Africa. Kenya, a country in eastern Africa, had approximately 1.5 million people living with HIV/AIDs in 2017. That same year, an HIV drug implemented in Kenya started to successfully combat this deadly immune system virus. Unitaid and the Kenyan government simultaneously introduced it to the country.

Dolutegravir and Antiretroviral Therapy

The new HIV/AIDS drug, Dolutegravir or DTG, received approval in 2014 and is the most recent and effective antiretroviral drug used in the treatment against HIV/AIDs. DTG has been the drug of choice in high-income countries for its antiresistance properties, few side effects and easy one pill a day treatment. In 2015, the World Health Organization recommended this drug replace other first-line regimens for adults and adolescents. Recently this drug was not available in low-income countries, like Kenya, because of its high cost.

In 2018, only 62 percent of people with HIV/AIDs had access to antiretroviral therapy, which was an increase from the previous year. This corresponds to the 23.3 million people who were able to receive treatment, however, approximately 14.6 million people could not access treatment. In Kenya, 75 percent of adults with HIV/AIDs received treatment in 2018, which increased from 2016, when only 64 percent of people received treatment. One reason for the increase in HIV/AIDs testing is the partnerships between the government of Kenya and Unitaid that began in 2017 which introduced the generic brand of DTG.

Now, the generic brand of this life-saving drug has been available to people in Kenya since early 2018. This new HIV drug implemented in Kenya has the potential to make life-saving drugs more accessible to those who would normally not be able to afford it. In 2017, a number of nonprofits including the Bill & Melinda Gates Foundation, Unitaid, USAID, PEPFAR and others agreed to a pricing agreement to help make the drug more affordable in developing countries. This pricing agreement would allow public sector purchases at $75 per person, per year.

Side Effects of Other Drugs

Before the introduction of DTG, the first-line drug in Kenya was Efavirenz, an antiretroviral medication with side effects for some users including nausea, dizziness, rash and headaches. When the pricing agreement first emerged, the Kenyan Ministry of Health decided that the first round of DTG it distributed would go to 27,000 people who suffered the negative side effects from efavirenz. Then, the Ministry of Health assigned various other health clinics to receive the drug until it could become available to the entire country.

The number of new HIV/AIDs diagnoses in Kenya has halved over the last decade to approximately 80,000 people a year. The new HIV drug implemented in Kenya will only help decrease the number of people suffering from HIV/AIDs. Comprehensive sex education, HIV/AIDs testing centers and the continuation of drug pricing agreements will help alleviate the prevalence of HIV in developing countries, like Kenya.

– Hayley Jellison
Photo: Flickr

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Enteric and Diarrheal Disease Prevention

Enteric and Diarrheal DiseasesEnteric and diarrheal diseases affect 1.7 billion children around the world every year killing over 500,000 children under five annually. The most common enteric and diarrheal diseases are rotavirus, cholera, shigella and typhoid.

Types of Enteric and Diarrheal Diseases

Rotavirus: Rotavirus is a highly transmittable disease and is one of the main causes of severe diarrhea in children. The disease affects millions of individuals around the world every year and is the cause of death in over 215,000 cases. The disease most often transfers via consumption of fecal matter, which can occur when individuals do not have access to proper handwashing and sanitation facilities. The Rotavirus vaccine can help prevent rotavirus. It is effective in preventing severe rotavirus in 90 percent of cases and the WHO has recommended it for use. Typically, children that are two to six months old receive two to three doses of the vaccine. Individuals who do not receive this vaccine and contract rotavirus (or cholera, typhoid, or shigella) most often receive treatment with either zinc supplementation or rehydration therapy or both. Zinc supplementation can reduce the severity of diarrhea in an individual while oral rehydration therapy can help rehydrate an individual that has become dehydrated due to diarrhea.

Cholera: Cholera is another diarrheal illness that individuals can contract by consuming contaminated food or water. It affects roughly three million individuals around the world every year and is the cause of death in nearly 145,000 cases. Furthermore, there have been recent outbreaks in countries like Haiti, Sierra Leone, Zimbabwe and Guinea. Like rotavirus, a specialized vaccine can prevent cholera as well as sound sanitation techniques. Individuals older than six receive the vaccine in two doses while younger individuals receive three doses.

Typhoid: Like rotavirus and cholera, typhoid is transmitted through fecal contamination. It affects 22 million people annually and is the cause of death in roughly 200,000 cases per year. Before recently, no one had developed a vaccine to treat typhoid; however, in 2018, the WHO approved a vaccine called Typbar TCV. Scientists from Bharat Biotech International, a biotechnology company based in Hyderabad, India, developed the vaccine. Hundreds of thousands of individuals have received the vaccine and it has played a key role in stemming a recent typhoid breakout in Pakistan.

Shigella: The last major form of an enteric/diarrheal disease is shigella. Over 165 million individuals contract shigella every year (causing one million deaths), in large part due to the fact that there is no preventative vaccine for the disease. Because of this, much of the effort that has been given to prevent Shigella recently (as well as rotavirus, cholera and typhoid) have focused on ensuring proper hygiene and sanitation in areas that are at risk for fecal contamination. Listed below are some promising solutions to improve hygiene and sanitation in developing countries around the world.

Solutions to Reduce Enteric and Diarrheal Diseases

Janicki Omni Processor (JOP): The Janicki Omni Processor is an innovative solution that can help turn waste into clean drinking water. To do so, wet waste enters the JOP which dries and burns the waste in a controlled fashion. The JOP filters and condenses the resulting steam from the burning process, distilling the water. This water then receives treatment in order to meet clean drinking water standards. The JOP is environmentally friendly (the entire process is self-sustainable) and, through heavy funding from NGOs such as the Bill and Melinda Gates Foundation, it is a cheap and efficient way to provide clean water to communities throughout the developing world.

Nano Membrane Toilet: The Nano Membrane Toilet is a promising solution with regards to sanitation practices throughout the developing world. The toilet is sustainable and requires no water or electricity to function. It works like this: after an individual uses it, the toilet utilizes a waterless flushing system to separate the urine from the feces. The feces are then chopped up into small bits and placed into a combustion chamber. After roughly a week, the feces will turn into a substance similar to ash and people can safely deposit it in the trash. The water, meanwhile, enters a separate tank to purify. The purified water then enters a tank at the front of the toilet for the purpose of outdoor irrigation and cleaning. The Nano Membrane Toilet is a promising solution to help reduce feces contamination because it does not require water to function and is easily implementable in many communities around the world.

Hand Washing: Hand washing isn’t a new technology, but it can go a long way towards preventing a multitude of enteric and diarrheal diseases. Research indicates that diarrheal deaths could decrease by as much as 50 percent if the prevalence of handwashing increased around the globe. NGOs such as The Global Handwashing Partnership and World Vision have done great work in recent years to lead handwashing programs in developing nations and increase awareness about the importance of handwashing.

Looking Ahead

The prevention and treatment of individuals with rotavirus, cholera, typhoid and shigella are some of the biggest challenges facing the world in the coming years. The transmittable nature of these diseases makes them difficult to eradicate, and people cannot fix many of the reasons that they are prevalent (lack of sanitation, poor water quality, etc.) overnight. Continued investments from governments and NGOs around the world in promising technologies like the Janicki Omni Processor and the Nano Membrane Toilet are a step in the right direction towards the prevention of enteric and diarrheal diseases in individuals around the world.

– Kiran Matthias
Photo: Pexels