Tag Archives: Children

Promoting Human Development and Equality by Linking Neglected Tropical Disease Control with Social Protection Programs

 

By Anupama Tantri and Anna Johnston 

Promoting inclusive growth and curbing rising inequality are now central themes in development discussions.  Despite Asia’s impressive economic growth in the past decade, there is increasing agreement that a strong economy alone is not sufficient to address inequality. Social protection policies and programs can help translate economic growth into development and address inequalities by ensuring that the most vulnerable and marginalized communities have access to opportunities for health, education, and prosperity.

A look at Asia’s progress in achieving the MDGs offers more insight on the gap between economic growth and development, and the inequalities in health that persist across the region.  Collectively, countries in Asia have met the target of reducing extreme poverty by half; however, communities are still grappling with hunger, the other target for MDG 1.  Most countries in Asia are also lagging behind on MDG 4 and 5 aimed at reducing child mortality and improving maternal health.  Inequalities in access to food and basic health services contribute to the weak progress in achieving these targets.

Promoting human development

In 2012, World Bank President Jim Kim underscored the importance of combating neglected tropical diseases (NTDs) to help reduce poverty and inequality among the world’s most marginalized communities.  Asia accounts for more than two-thirds of the world’s population at risk for lymphatic filariasis, and approximately half of the world’s children at risk for intestinal worms.

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Making Progress against NTDs in Honduras

Three to four hours. That’s how long one mother was willing to walk to make sure her child attended the annual vaccination and deworming campaign in the village of Coyalito in San Esteban, Honduras.

This past April was my third trip to Honduras in the last 14 months. On my first two trips, I spent the majority of my time running between government offices and meetings – including attending the launch of the Honduras national integrated plan on neglected tropical diseases (NTDs).  Honduras was the first country* in Latin America and the Caribbean region to launch such a plan – which ensures that the country is tackling all diseases at once – versus one at a time.

This time on my return to Honduras, I saw firsthand how that plan was being put into motion.

And I was amazed.

For a country facing severe challenges in security and violence, Honduras is a leader and innovator when it comes to tackling NTDs.

Three government divisions – the Ministries of Health, Education and Social Development are working together to reach people in even the most remote parts of the country.  They’ve taken charge by developing working groups to tackle issues and problems they notice when bringing the programs to the community.

They’re enthusiastic. They’re driven. And I’m quite positive that they’re going to succeed.

I know this because I traveled over six hours with the Ministry of Health over unpaved and rocky roadways on their visits to various districts.  Distribution was carefully arranged: a health worker used a loud megaphone to call out to members of the community to invite them to visit the vaccine and deworming campaign.  From there, mothers would bring their young children to receive essential vaccines and deworming medicine.

A nurse practitioner told me that bundling healthcare delivery– such as vaccination and deworming – often encourages more families to come. Most parents know about these diseases, especially the intestinal worms.  In Honduras, and many other countries in Latin America and the Caribbean,  there’s a common belief that if children grind their teeth at night, they have parasites. There is a demand for deworming, and mothers came armed with their child’s immunization card and found a space to account for their child’s annual deworming treatment.

The Honduran ministries are also thinking beyond treatment for NTDs to a more comprehensive approach.  These diseases are often spread due to lack of access to clean water and proper sanitation, which is a reality for some of the families in villages like Coyalito.  As a result, the ministries are pushing to incorporate water filters in schools, and other sanitation initiatives which will propel these treatment programs toward long-term success.

At the end of the day, I joined the health team in brief survey to determine attendance of the campaign. We walked around each “manzana” – or block – to knock on people’s homes and ask them if children were dewormed and vaccinated. Health workers talked to them about why it’s important to attend these campaigns and have their children treated.

Among advocacy organizations, it seems that we often divvy up health issues, as if family planning, treatment for NTDs and vaccination are all independent projects.  But, the reality is that often, at the point-of-care level, everything is bundled together. It’s very effective.

Our partners in Honduras want to expand this successful initiative to help many more families. END7 is asking supporters to help fill a funding gap to make sure this medicine reaches Honduran children in 20,061 schools. With your help we can reach 1.4 million school children and protect them harmful parasitic worms, including roundworm, hookworm, and whipworm.

Help us see the end of NTDs in Honduras by making a contribution. Read more about END7’s effort to raise money and support for NTD treatment in Honduras here.

*In March 2013, Brazil launched their integrated national plan, and currently several other countries have draft plans in development.

Deworming as a public health intervention: can it have lasting effects?

On May 16, 2011, the Center for Global Development hosted an event for Michael Kremer and Sarah Baird to present data on their long-term follow-up research study called “Worms at Work: Long-run Impacts of Child Deworming in Kenya.” Other authors on the paper include Joan Hamory Hicks and Edward Miguel). This paper concludes that deworming in Kenyan schools can show significant, long-term gain in employment and earnings and among dewormed children. Continue reading

New Commitments at the 64th World Assembly 2011

Today at the World Health Assembly, 16 countries made new commitments to the UN Secretary-General’s Global Strategy on Women’s and Children’s Health. The World Health Assembly is the decision-making body of WHO. It meets annually to determine policies for the Organization. With new commitments made this year to the Global Strategy on Women’s and Children’s Health, great strides will be made in maternal and child health. United Nations Secretary-General Ban-Ki-moon expresses the impact of addressing issues affecting mothers and children:

“Every woman, Every Child. This focus is long overdue. With the launch of the Global Strategy for Women’s and Children’s Health, we have an opportunity to improve the health of hundreds of millions of women and children around the world, and in so doing, to improve the lives of all people.”