Accumulated scientific evidence shows that proper nutrition and stimulation in utero and during early childhood benefit physical and mental well-being later in life and contribute to the development of children’s cognitive and socioemotional skills. Yet, a critical but often overlooked fact in policy design and program development across the world is the association between maternal depression and childhood stunting -- the impaired growth and development measured by low height-for-age.
It’s not so long since the days when speaking of ‘universal health coverage’ used to provoke shockwaves. Happily, the principle that “… everyone having access to the health care they need without suffering financial hardship” is now widely recognized and documented. And although few countries have achieved this goal in practice, it is clearly within reach, including in low-income countries like Rwanda.
Low-income countries face the highest risk of financial catastrophe due to surgery and have made the slowest progress
Five billion people—two thirds of the world’s population—lack access to safe, timely, and affordable surgical, anesthesia, and obstetric (SAO) care, as World Bank Group President Dr. Jim Yong Kim stated. Of the myriad barriers to accessing SAO care—safety, for example, or the lack of a well-trained workforce—one of the largest is financial. For patients, surgery can be very expensive. Not only can the financial burden of seeking surgical care be a formidable obstacle to those who need surgery, it can also have a devastating impact on those who are able to receive it. Over two billion people cannot afford surgery if they needed it today, and, of those who get surgery every year, an estimated 33 million of them will undergo financial hardship from its direct costs—81 million when the ancillary costs of care like transportation and food are included.
the world’s population – lack safe spaces in which they can thrive?
That's why the United Nations theme for International Youth Day this year focuses on “Safe Spaces for Youth.” These are spaces where young people can safely engage in governance issues, participate in sports and other leisure activities, interact virtually with anyone in the world, and find a haven, especially for the most vulnerable.
- youth day
- International Youth Day
- united nations
- Private Sector Development
- Labor and Social Protection
- Social Development
- Information and Communication Technologies
- South Asia
- Latin America & Caribbean
- Middle East and North Africa
- Gambia, The
- Sustainable Communities
Working in public health brings me close to the stories of brave patients and dedicated medical staff. Very often we also conduct quantitative and qualitative assessments of case studies. In recent years, our work in Malaysia engages a public health concern that has gripped the world – HIV. Our findings have given us hope of winning the fight against the disease.
At present, more than 70 countries in the world criminalize homosexuality and condemn with imprisonment sexual acts between people of the same sex. What solutions can be provided to solve these problems?
Surgery is a core component of health. It is a cost-effective intervention1 which is important for global health.2 However, to fully realize the health benefits of surgery, it needs to be safe. In the African continent—with a population of 1.2 billion people—it is estimated that approximately 95% do not have access to safe and affordable surgery. The Lancet Commission on Global Surgery has established six indicators to indicate the success of providing access to safe and affordable surgery.3 Four of them are included in the World Bank’s World Development Indicators (WDI) database. The perioperative mortality rate (POMR)—the number of in-hospital deaths from any cause in patients who have undergone a procedure done in an operating theatre, divided by the total number of procedures—is one of the indicators the success in achieving safe surgery, yet it is not included in the WDI as the data is sparse, including the one from Africa. The recent publication of the African Surgical Outcomes Study (ASOS) has cast an important light on the POMR in Africa.4
ASOS has shown that for patients in Africa fortunate enough to access surgical care, the patient outcomes following surgery are relatively poor. ASOS demonstrated that African surgical patients were twice as likely to die following surgery when compared to the global average, despite a similar complication rate to the global average (Table 1). This is despite the fact that surgical patients in Africa are relatively healthy when compared with similar international surgical patient cohorts,5 and one would thus expect them to do well postoperatively. Therefore, if the data from ASOS had been risk-adjusted for patient comorbidities, it is likely that the mortality following surgery in Africa is more than twice the global average. The results from ASOS are compelling as they provide comprehensive data on surgical outcomes in Africa, from 25 countries, 247 hospitals, and over 11,000 patients.
Table 1. Mortality, complications and ‘failure to rescue’ following surgery
(elective and emergency surgery)
|Mortality||207/44 814 (0.5%)||48/4792 (1.0%)||239/11193 (2.1%)|
|Complications||7508/44814 (16.8%)||624/4658 (13.4%)||1977/10885 (18.2%)|
Death following complication
(failure to rescue)
|207/7508 (2.8%)||30/620 (4.8%)||188/1970 (9.5%)|
We’re pleased to launch new dashboards in the Health, Nutrition and Population Portal, following the portal’s revamp last year. The renewed HNP portal has two main dashboards covering Population and Health. Both dashboards are designed to be interactive data visualization tools where users can see various population and health indicators. Users can access various charts and maps by selecting specific time, country or region and indicators. We have added new indicators, charts and new health topics such as Universal Health Coverage and Surgery and Anesthesia. Below are some examples of stories gleaned from our dashboards.
India’s population is projected to surpass that of China around 2022
China, with 1.4 billion people, is the most populous country in the world in 2017. However, India, the second most populous country with 1.3 billion people, is projected to surpass China’s population by 2022. China’s total fertility rate (the number of children per woman) has also declined sharply since the 1970s.
His words ring true today, as we face global crises – natural disasters, pandemics, violent conflicts, financial crises, and more – that hit rich and poor countries alike, and have lasting consequences especially for the world’s most vulnerable people. They can take the lives of millions of people and cost the world trillions of dollars in damages and lost potential.