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En Afrique australe, la tuberculose migre avec les mineurs

Patrick Osewe's picture

Il y a quelque temps, je suis parti en mission visiter un nouvel hôpital au Lesotho. Je savais que cet établissement était destiné à accueillir des patients atteints de tuberculose multi-résistante et je sais aussi le lourd tribut que la co-infection VIH-tuberculose fait payer au pays. Je m’attendais donc à ce que les caractéristiques démographiques des patients correspondent à celle du VIH : essentiellement des patients jeunes, et de plus en plus de femmes.

Mais je n’étais pas préparé à voir deux familles entières, jeunes et vieux, hommes, femmes et enfants, confinées ensemble pour un certain temps, sous la surveillance de professionnels de santé veillant à ce que tous prennent bien leurs doses quotidiennes de médicaments.

El desafío de la TB de África meridional emigra con los minero

Patrick Osewe's picture

Hace un tiempo, formé parte de una misión que debía visitar un nuevo hospital en Lesotho. Me advirtieron de antemano que el propósito de estas instalaciones era atender a las personas que sufren de tuberculosis (TB) multirresistente a los medicamentos, y conociendo la inmensa carga de coinfecciones de VIH y TB en el país, esperaba que el perfil demográfico de los pacientes fuera similar al del VIH: en su mayoría jóvenes y cada vez más mujeres.

Para lo que no estaba preparado era para encontrarme con dos familias enteras —jóvenes y viejos, hombres, mujeres y niños— confinados juntos en el futuro inmediato para ser observados por trabajadores de la salud mientras toman sus medicamentos diariamente.

南非的结核病问题随矿工迁移

Patrick Osewe's picture

不久前,我随代表团参观了莱索托的一家新建医院。有人事先提醒说,该医院专门治疗多重抗药性结核病患者,同时我也知道莱索托因艾滋病和结核病合并感染而面临沉重负担,因此我预想结核病患者的构成应该与艾滋病感染者的构成相吻合,即基本为年轻人,而且女性感染者不断增加。

令我毫无准备的是我目睹了两个家庭——无论是老少、男女,还是儿童——整个被集中在一处,由医务人员对其每人服药过程进行监督。今后一段时间内,他们都会呆在这里。

Samoa after the disaster: The wave of fire and the kid called Tsunami

Aleta Moriarty's picture

In June 2009 Samoa was the set for the popular TV program Survivor. It was a fantastic choice. It is one of those picture-perfect places–shady palms, trees dripping with fruit, blossoming hibiscus, all framed by powder sand beaches. It is a vastly understated paradise.

A few months later, the country was once again centre stage. This time for something utterly distressing and heart-breaking as the country embarked on the harrowing search for real life survivors after they were struck by a powerful tsunami on 29 September 2009.

Galu afi means “wave of fire” and is the traditional Samoan word used to describe a tsunami. It describes the force that gains momentum as the wave generates and the sheer destruction that it brings to bear. That is what happened here.

Southern Africa's TB challenge migrates with miners

Patrick Osewe's picture

Also available in: FrançaisEspañol中文

A while ago, I was part of a mission to visit a new hospital in Lesotho. Warned in advance that this facility was intended to treat people with multi-drug resistant tuberculosis (TB)– and knowing the huge burden of HIV-TB co-infection in the country—I was expecting the patients’ demographic to match the profile of HIV: largely young and increasingly female.

What I wasn’t prepared for was the sight of two entire families—young and old, men, women and children—all confined together for the foreseeable future, to be monitored by health workers as they take their daily drugs.

'All People Want to Do Is Live Their Lives'

Elizabeth Howton's picture

"All people want to do is live their lives." Dr. Suneeta Singh made that simple yet powerful statement during a panel discussion on “Empowering Gender Minorities in South Asia” on March 14, 2012 at the World Bank. Singh, a former Bank staffer and CEO of consulting firm Amaltas, spoke via videoconference from Delhi, India, while Nepal’s first openly gay elected official, Sunil Babu Pant, dialed in from Kathmandu.World Bank panel discussion on gender indentity in South Asia

Pant told the story of how he built a grassroots movement of gay, lesbian, bisexual and transgendered (GLBT) people in Nepal, beginning in 2001. A turning point was in 2007, when the Supreme Court ruled that gay and transgendered people “are natural” and mandated certain benefits and an end to discriminatory laws. Today, the country is drafting a new constitution, and Pant said that if passed, it will be one of the most progressive in the world with regard to the rights of sexual and gender minorities.

'All People Want to Do Is Live Their Lives'

Elizabeth Howton's picture

World Bank panel discussion on gender identity in South Asia Dr. Suneeta Singh made that simple yet powerful statement during a panel discussion on “Empowering Gender Minorities in South Asia” on March 14, 2012 at the World Bank. Singh, a former Bank staffer and CEO of consulting firm Amaltas, spoke via videoconference from Delhi, India, while Nepal’s first openly gay elected official, Sunil Babu Pant, dialed in from Kathmandu.

Pant told the story of how he built a grassroots movement of gay, lesbian, bisexual and transgendered (GLBT) people in Nepal, beginning in 2001. A turning point was in 2007, when the Supreme Court ruled that gay and transgendered people “are natural” and mandated certain benefits and an end to discriminatory laws. Today, the country is drafting a new constitution, and Pant said that if passed, it will be one of the most progressive in the world with regard to the rights of sexual and gender minorities.

AIDS: translating scientific discoveries into sustainable, affordable programs

David Wilson's picture

Red ribbon for World AIDS Day, Thailand (credit: Trinn Suwannapha).

We’re entering a phase where AIDS is moving from emergency crisis financing to sustainable development financing—which is a major challenge, but one that we’re continuing to tackle, with the goal of stronger national ownership and responsibility.

 

One of the Bank’s international mandates is to support countries to develop better national health plans and budgets. Today, the Bank released an important study, The Fiscal Dimension of HIV/AIDS in Botswana, South Africa, Swaziland, and Uganda, which is a part of this mandate. The study helps countries do the long-range planning that we so desperately need in HIV programs.

 

The Bank has a long-established partnership with ministries of finance and planning, and we understand country systems. We stand ready to help countries integrate HIV into their programs and plan for it in a sustainable way.

 

We’ve seen extraordinary progress in AIDS. Today, we have more antiretroviral drugs to treat HIV than every other virus in history combined. We’ve reduced treatment costs from tens of thousands of dollars to as little as $100. And we’ve expanded our understanding of effective HIV prevention, including the role of male circumcision and the important role that treatment can play in prevention under the right circumstances.

 

Many of us involved in HIV remember the days when 70% of beds in health facilities in Africa were occupied by people with AIDS. Our successes in treatment and prevention have removed this specter and have allowed health systems to focus on other important health priorities.

Hybrid Courts in East Asia & Pacific: Does the international community have a role to play?

Peter Chapman's picture

In my previous entry, I asked what role the World Bank and other donors might be able to play in exploring whether hybrid courts might help enhance access to justice. I believe there are three key areas where we in the international community might be able to support country discussions of whether and how to incorporate community justice systems through hybrid courts.

Les « Maman Lumière » de Djibouti donnent l’exemple pour changer de comportement et améliorer la santé

Marie Chantal Messier's picture

Mothers discuss child rearing in Djibouti (credit: Marie Chantal Messier).

Nous étions assises sur des tapis de sol, dans la chaleur et la poussière du quartier Moustiquaire, le plus pauvre de Djibouti, pour parler des pratiques d’alimentation des enfants. Des voix se sont soudainement élevées dans le groupe. Plusieurs femmes insultaient et montraient du doigt l’une d’entre elles qui baissait honteusement la tête.

Mes homologues djiboutiennes m’ont expliqué que la femme embarrassée était critiquée parce que son fils ne parlait pas encore à 5 ans. Au lieu de donner de l’eau à boire à son nouveau-né comme le veut la tradition, elle avait choisi d’allaiter son dernier enfant au sein exclusivement jusqu’à l’âge de six mois.  Le groupe pensait que ce choix expliquait les problèmes de développement de l’enfant.

Ma première réaction a été de me dire : « la pression du groupe est un véritable obstacle à la promotion des méthodes d’allaitement optimales à Djibouti ! »

Djibouti’s "Shining Mothers": Role models for behavior change, better health

Guest Blogger's picture
My Djiboutian counterparts told me the embarrassed woman was being criticized because her 5-year-old son still doesn’t speak.  Rather than follow the ancestral tradition of giving water to her newborn, she chose to exclusively breastfeed her last child until he was 6 months old. The group asserted that this choice had led to the child’s developmental problems. My immediate reaction to the scene was, “Peer pressure is a true obstacle to promoting optimal breastfeeding in Djibouti!”

What Women Can Bring to the Asian Century

Isabel Guerrero's picture

Today we celebrate International Women’s day. Like every year, hundreds of events will happen worldwide to highlight the importance of rebalancing the global gender equality and integrating women in economic, development and peace processes. We will probably read or hear the phrase “women’s empowerment” many times, but tomorrow, people will refocus naturally on other day to day issues, as there is still concern about the effects of the financial crises, its impact on people’s pockets and the lack of employment for new generations.

It is true that South Asia navigated the financial crisis better than most regions and that over the last two decades it has experienced a long period of robust economic growth, averaging 6 percent a year. The idea that the world has entered the Asian Century is now becoming a reality and some countries in the region are working hard to become global leaders and getting ready to give the world economy a big boost. But if South Asia wants this boom to happen, the region needs to go far beyond today’s celebration to bring women on board now: women are a key force to shape the region’s future.

Djibouti’s "Shining Mothers": Role models for behavior change, better health

Marie Chantal Messier's picture

Also available in: FrançaisMothers discuss child rearing in Djibouti (credit: Marie Chantal Messier).

We were sitting on floor mats in the hot and dusty Quartier Moustiquaire, the poorest neighborhood of Djibouti City, observing a group of new mothers and their children discussing child feeding practices. All of a sudden, there was an uproar in the group. One woman had her head bent down in shame, and several other women shouted and pointed fingers at her.  

My Djiboutian counterparts told me the embarrassed woman was being criticized because her 5-year-old son still doesn’t speak.  Rather than follow the ancestral tradition of giving water to her newborn, she chose to exclusively breastfeed her last child until he was 6 months old. The group asserted that this choice had led to the child’s developmental problems. 

My immediate reaction to the scene was, “Peer pressure is a true obstacle to promoting optimal breastfeeding in Djibouti!”

One Day on Earth: Thinking Equal in Jamaica

Mehreen Arshad Sheikh's picture



“Anything men can do, we can too.”

Shernette Chin of Jamaica could not imagine how her life would be without her job, which provides food on the table for her kids. To Shernette, men and women are equal. “A woman can do the same thing as a man can do. If men do carpentry, women can do it.”

Global Youth Conference 2012: Addressing Youth Unemployment in South Asia

Kalpana Kochhar's picture

I’ve just concluded a discussion on addressing youth unemployment around the world with experts at the Global Youth Conference currently happening and wanted to hear your thought as well as share some of my own on South Asia. Indeed, South Asia has grown rapidly and has created more and mostly better jobs. The region created 800,000 new jobs per month in the last ten years boosting economic growth and reducing poverty. Arrive in any South Asian metropolis and you’re often hit by the richness of activity throughout its busy streets.

The region’s coming demographic transition of more young people entering the work force is expected to contribute nearly 40 percent of the growth in the world’s working age (15—64) population over the next several decades. However, youth in South Asia still face many challenges during their transition to adulthood including malnutrition, gender inequality and lack of access to quality education. More working age people with less children and elderly dependants to support will either become an asset for the region to continue growing or a curse depending on the enabling environment for the creation of productive jobs.


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