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WHO’s Blindness Prevention StrategyThe World Health Organization (WHO) has developed specific strategies to tackle blindness and related diseases through strategies including VISION 2020 and SAFE. Other countries may see progress in eye care support by implementing such strategies after the 74th World Health Assembly introduced a resolution to the improvement and accessibility of eye care services. Governments have adopted the resolution to make greater efforts to incorporate eye care in primary care. Methods from VISION 2020, SAFE and the recent PECI from WHO’s blindness prevention strategy may help bring the resolution to fruition.

Eye Disease: A Global Public Health Issue

WHO reported that at least 2.2 billion people suffer from visual impairment. Nearly half of these cases could have been prevented or have yet to undergo identification. A range of factors, including complications from disease, age, trauma and more can cause eye impairment. Some individuals do not receive timely treatment for preventative eye care, which can result in lifelong damage. Visual impairment can affect every aspect of a person’s life, ranging from career and school opportunities to independence and overall health.

For example, trachoma remains a public health issue in 44 countries. WHO says, using June 2021 data, that 136 million people reside in areas where trachoma is common. The individuals are also at risk of contracting trachoma-related blindness.

Visual impairment, such as blindness, leads to tremendous economic burdens and productivity loss. WHO estimates the cost of productivity losses from blindness and visual impairment at $2.9-5.3 billion per year. Some methods of treatment for visual impairments include surgery, corrective glasses and contacts as well as medication. The advancements in medicine allow more people to live without lifelong damage similar to blindness as such solutions are not as readily available for those living in rural areas or those of low income. VISION 2020 and SAFE are variations of the WHO’s blindness prevention strategy that aim to extend treatment for visual impairment and preventable blindness to regions where treatment is not readily available.

The Package of Eye Care Interventions (PECI)

According to the WHO, those living in developing countries or rural regions face inequities in the quality, rate and accessibility of eye care. Because of limited resources for eye care in low- and middle-income countries, estimates project that 50% of the global population will be living with vision impairment by 2050.

To support countries struggling with cases of vision impairment, some of which are preventable, WHO’s blindness prevention strategy has materialized in various solutions in the past two decades. One recent strategy from WHO is the Package of Eye Care Interventions (PECI) in 2020. This evidence-based approach, if implemented, allows countries to carefully determine where to prioritize budgets and integrate eye care interventions. The strategy will support work competency, fulfill medication and equipment needs and more. However, WHO’s blindness prevention strategy did not begin here.

VISION 2020 “Right to Sight” and SAFE

Before PECI, WHO developed the strategies VISION 2020 “Right to Sight” and SAFE. VISION 2020 began in the hopes of eliminating preventable blindness by the year 2020. Some of the goals of the strategy aimed to safeguard an estimated 100 million people, primarily in developing countries, from avoidable blindness. VISION 2020 also intended to save an estimated $102 billion in lost productivity from the time the strategy was implemented to 2020. This strategy, similar to PECI, focused on developing quality eye care facilities with trained eye care workers, implementing programs that help prevent major causes of blindness and promoting the integration of eye care in primary care.

Since then, WHO has recommended Surgery, Antibiotics, Facial cleanliness and Environmental improvement (SAFE) along with the previously mentioned strategies to prevent avoidable blindness. After the 74th World Health Assembly, more countries that have adopted the resolution may see progress in supporting their citizens with eye care and eliminating preventable eye diseases. By using WHO’s blindness prevention strategy, rates of preventable blindness may reduce.

– Michelanie Allcock
Photo: Flickr

10 Facts About Poverty in Rwanda

Small, landlocked and with a densely packed population of approximately 11.9 million people, Rwanda has become one of the fastest growing economies in Central Africa. Since the 1994 genocide that left 800,000 dead, Rwanda has seen over two decades of uninterrupted economic growth and social progress.

However, even with these great strides, more than 60 percent of the population continues to live on less than $1.25 a day. The government has guarded its political stability since the genocide and has prioritized long-term developmental goals to assure that its economy continues to grow and poverty falls. Here are 10 important facts about poverty in Rwanda.

10 Facts About Poverty in Rwanda

  1. Rwanda’s global income ranking has improved from the seventh poorest in 2000 to the twentieth in 2015. This is due to the government’s commitment to strong governance and the principles of market economy and openness.
  2. Although more than 60 percent still live in extreme poverty, Rwanda has reduced the percentage of people living below the poverty line from 57 percent in 2005 to 45 percent in 2010.
  3. The decline in poverty can be attributed to three main reasons: an increase in farm productivity, an increase in non-farm employment and an “increase in the number of livelihood activities in which an individual engages, such as running small businesses,” according to United Nations Rwanda.
  4. The country’s Vision 2020 is a strategy that aims to “transform the country from a low-income, agriculture-based economy to a knowledge-based, service-oriented economy with middle-income country status by 2020,” the World Bank reports.
  5. To achieve Vision 2020’s goals, the government has developed a medium-term strategy, the second Economic Development and Poverty Reduction Strategy (EDPRS 2). This showcases its overarching goal of growth and poverty reduction through four areas: rural development, economic transformation, government accountability, productivity and youth employment.
  6. Inequality measured by the Gini coefficient fell from 0.49 in 2011 to 0.45 in 2014.
  7. Almost 64 percent of parliamentarians are women in Rwanda, compared to just 22 percent worldwide. This has enabled women to advance economically.
  8. As it continues to rebuild after the genocide, foreign aid still contributes to 30-40 percent of the Rwandan government’s revenues.
  9. Economic growth fell by 4.7 percent in 2013 after some donors withheld aid over a 2012 U.N. report that alleged the government was backing rebels in the Democratic Republic of Congo.
  10. At the end of 2015, Rwanda had met most of the U.N.’s Millennium Development Goals (MDGs). With a two-thirds drop in child mortality and near-universal primary school enrollment, the country saw strong economic growth accompanied by substantial improvements in living standards.

These facts about poverty in Rwanda demonstrate the current programs and priorities. With a strong focus on homegrown policies and governmental initiatives like Vision 2020 and EDPRS 2, Rwanda has contributed to significant improvements in access to services and human development. The country’s Growth Domestic Product (GDP) grew eight percent each year from 2001 to 2014 and continues to see improvements in life expectancy, primary school enrollment, literacy and healthcare spending.

However, economic growth has been slowing down recently and remained subdued in 2017. Although the country still has some ways to go, these 10 facts about poverty in Rwanda are meant to show a glimpse into the remarkable growth the country has seen already.

– Aaron Stein
Photo: Google

Poverty in Malawi
With severe poverty automatically comes hardships and struggles, and Malawians are no strangers to this reality. A largely agricultural country located in southeastern Africa, poverty in Malawi is widespread among the population of more than 18 million. Landlocked by Tanzania, Zambia and Mozambique, Malawi is faced with 50.7 percent of the population living below the poverty line, and a staggering 25 percent living in what is considered to be extreme poverty.

The Southern African Regional Poverty Network (SARPN), gives insight to the widespread poverty among Malawians by defining poverty: “…as a state of continuous deprivation or a lack of the basics of life.”

Similar to most poverty-stricken areas, their government lacks the means to expand the economy, meaning Malawians oftentimes do not receive adequate healthcare, environmental protection or education. Below is a list of five pertinent facts that illuminate the poverty that Malawians face on a daily basis.

5 Facts About Poverty in Malawi:

  1. Defined by the World Bank, individuals live on $1.90 per day.
  2. Fewer than one in ten Malawians have access to electricity.
  3. Over 90,000 individuals live with HIV/AIDS.
  4. Poor children are more likely to drop out of school before they reach Standard 5, according to the SARPN.
  5. SARPN also reports that a majority of the poor reside in rural areas, where there are limited economic activities and subsistence agriculture is the main income.

Although the majority of the people in Malawi live in destitute conditions, it is deservingly known as the “Warm Heart of Africa” because the residents are known to be among the friendliest and hospitable to tourists.

It is important to note that among the struggles and inconveniences, Malawians are increasing their quality of life more and more as the years go on. Listed below are five facts delineating the efforts being made to combat poverty in Malawi, according to the Malawi Vision 2020 Statement:

5 Facts About Combating Poverty in Malawi:

  1. The Malawi Vision 2020 Statement — a document created by Malawians themselves — is the framework for expressing self-reliance, equal opportunities and the desire as a nation to be a middle-income economy powered by technology.
  2. A goal for the Malawians is to flourish into a middle-income country, with a per capita income of $1,000 by the year 2020.
  3. With the hopes of obtaining adequate and safe access to food, Malawians will focus their energies on increasing food production, developing irrigation, improving efficiency of markers and numerous other strategies. They hope to encourage community leaders to take the first steps and visit research stations to learn about new and valuable technologies.
  4. Employment opportunities are often considered scarce, so Malawians aspire to reduce unemployment with techniques such as increasing commercial farming to enhance employment in agriculture. This will help aid in a fair and equitable influx of income.
  5. The result of inadequate resources promotes Malawians to strive for an economic infrastructure that will include the provision of roads, rail water, air transport, provision of water and sanitation services.

Efforts being made by works such as the Malawi Vision 2020 Statement set the tone of a less impoverished nation for millions of individuals. The people of Malawi are taking strides and uniting together to generate a more sound and prosperous country.

– Angelina Gillespie

Photo: Flickr