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Health

Tuberculosis: A Pre-Historic Disease in Modern Times

Saurabh Mishra's picture

We will not make any serious inroads to reduce incidence unless we address poverty, crowding and stigma.

Tuberculosis (TB) remains a social disease and a syndrome of poverty. The epidemic has evolved and so has its treatment, yet TB mortality cases are reported to almost two million people around different pockets of the world. It was a standard epidemic since antiquity and continues to infect at least nine million new individuals in the first decade of the 21st century.

Historically, TB has been one of the major causes of mortality worldwide and as recently as 2009 claimed approximately 1.7 million lives globally. Approximately 11-13 percent of these individuals are also HIV positive and of these, almost 80 percent reside in the African continent. However, incidence rates are falling globally very slowly in five of WHO’s (World Health Organization) highlighted regions. The exception to this is the South and South East Asia belt where the incidence is stable. These facts demonstrate that the race is being won in some quarters but the finishing line is still a mere dot in the horizon.

Bangladesh: Mapping climate change and food security

South Asia's picture

Bangladesh food security projectBangladesh can be described as “ground zero” at the intersection of climate change and food security.

The country is widely recognized as one of the places most vulnerable to the effects of a changing climate, which strains food systems alongside rapidly growing and urbanizing populations. Yet, despite these dual challenges, the World Bank expects Bangladesh will meet its Millennium Development Goal (MDG) of halving the number of people living in extreme poverty by 2015.

Given the impact of the global food crisis and numerous natural disasters, how is Bangladesh managing this feat? And can we map the country’s progress?

The price of success – and how can we ensure that we can afford to pay it?

Sundararajan Gopalan's picture

Talking to a Sri Lankan friend about his 80-year old mother, who has been living alone ever since his father passed away 4 years back, brought back memories of my own mother who passed away at the age of 76 in 2008. As my Sri Lankan friend was worried about his mother’s living arrangements (he is happy to have her move in with him, but she prefers to stay alone in the house that has been her home for 46 years), I began to muse about my own father who lives alone at 85 years. He is in reasonable health for his age, and is largely independent, except that he needs oxygen support every night while sleeping as his lungs have lost significant capacity due to fibrosis, and his eyesight has deteriorated considerably. I was feeling guilty for not taking care of him in his old age. Again, it is his decision not to move in with any of his children, as he wants to stay in the apartment which he is familiar with and to be ‘independent’. We have appointed a care-taker who stays with him all day, while my sister and brother-in-law who live just a kilometer away give him company in the nights. Still the guilt feeling is no less.

Celebrating Bangladesh and Nepal’s Progress in Achieving the Millennium Development Goals

Joe Qian's picture

The United Nations hosted the Millennium Development Goals (MDG) Summit in New York City last month, with the participation of over 120 global leaders from both developed countries and emerging markets. This year’s summit was an especially momentous occasion since it marks 10 years since the Goals were set into motion and begins the 5 year countdown to 2015 when the goals are to be met.

At the awards ceremony on September 19th, both Bangladesh and Nepal received MDG country awards for advancements towards the development goals in health indicators with India receiving a nomination for greatly increasing access to education.

We asked South Asia's Human Development Director, Michal Rutkowski about these achievements.

Dying to Measure

Mark Ellery's picture

Starting with water and sanitation interventions and then trying to gauge the health impact can actually take us away from our desired goal of securing health improvements. Reversing this approach to start with health impact (first) and then determine causality (second) may create a more effective framework to optimize the trade-offs between water, sanitation and a range of other interventions!

The water and sanitation sector has been subject to numerous health impact studies. These are complex undertakings that require careful intervention and control conditions, extensive and carefully managed data sets, considerable time and money. Even in the best cases, quantifying the health impact of water and sanitation interventions is plagued by the high levels of uncertainty that surround the confounding variables. Furthermore, such studies do not quantify the relative health impact of choosing to invest in water and sanitation rather than breast feeding, or female literacy, or any other intervention. Even worse, such studies can draw a positive correlation between an intervention and the health impact … while the overall health for the particular target population has decreased. In such a scenario, it could be legitimately argued that investing in water and sanitation (and not female literacy) was the wrong choice - if the goal was a positive impact on health.

World Bank Commits $900 Million to Recovery in Pakistan

South Asia's picture

Pakistan’s deadly floods have affected more than 14 million people, with some estimates putting the figure considerably higher. The affected area covers 132,421 km, including 1.4 million acres of cropped land. Continuing rains have caused additional flooding and hindered relief activities.

Bangladeshi Communities Build "New Lives"

Meena Munshi's picture

In 2008, I sat with a focus group of about 15 women in a rural village of Bagerhat district in southern Bangladesh. I and some colleagues had visited their village the day before and saw their desperate living conditions and the family conflicts that erupted because of it. This village, and many others, had been hit by cyclone Sidr four months earlier.

We asked the women about their aspirations; they responded with blank stares. But after just two hours of discussion, these women had absorbed and understood the importance of savings, of credit, of good governance, and how they could rebuild (and improve) their lives and livelihoods. At the end of the meeting, one woman told us, “We came here because we thought you would give us food, but we’re not hungry anymore. We have hope.”

The women in Bagerhat and 7 other districts are part of the Social Investment Program Project (SIPP), which has been working in Bangladesh since 2004, when it started as a US$18 million pilot, to introduce community driven development to the country’s rural communities.

No Pandemic but Endemic - Managing Avian Influenza Outbreaks in Nepal

Miki Terasawa's picture

Nepal has faced seven avian influenza outbreaks in animals since early-February this year. In the Central, Southern and Eastern Regions, these outbreaks were quickly spotted by field monitors and successfully contained by Rapid Response Teams, thanks to the Avian Influenza Control Project (AICP).

The project is helping the Government of Nepal to prepare, prevent and control avian influenza outbreaks together with our partner organizations, including USAID, FAO, OiE, WHO and UNICEF. Implemented jointly by the Departments of Livestock Services and Health Services, the project is strengthening surveillance, diagnostic capacity, and prevention and containment activities, improving bio-security in poultry production and trade, and raising awareness through communication activities.

New evidence reaffirms that migration is costly but still worthwhile for Bangladeshis

Zahid Hussain's picture

The International Organization for Migration (IOM) presented their Final Report on The Bangladesh Household Remittance Survey 2009 in a workshop held in Dhaka on May 12, 2010.  This survey collected data from a nationally representative sample of 10,926 migrant households.  The findings of the survey confirm most of what we know about migration and remittance based on smaller surveys and anecdotal evidence.  In particular, the findings are in line with the ones from the World Bank Survey (2007), which was smaller in scope. 

I summarize below what appears to me as some emerging stylized facts about the profile of Bangladeshi migrants and their remittance behavior.

Migrants tend to be young (32 years old on average) married males who have at least completed primary education (over 75 percent). They go to the Middle-East (nearly 73 percent) and Asia (22) with the help of relatives (55 percent) and intermediaries (45 percent) after obtaining a low skilled or semi skilled job contract (79 percent) for which they had to wait for about 6 months.

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