Sub-Saharan Africa (SSA) continues to have much higher fertility and lower contraceptive usage than any other region: the contraceptive prevalence rate of 22% is less than half that of South Asia (53%) and less than a third that of East Asia (77%).
‘Stunted children today means stunted economies tomorrow.’ This sentiment, recently expressed by African Development Bank President Akin Adesina, encapsulates the sea change in how malnutrition is now viewed by global actors. Mr. Adesina was speaking at an event to launch a new global investment framework called Investing in Nutrition, co-authored by the World Bank and Results for Development Institute, which firmly establishes the importance of nutrition as a foundational part of development.
I personally felt mental health’s deep-rooted importance when I returned home to Rwanda in 1996, just after my people were traumatized by the 1994 Tutsi genocide. At a time when we needed mental health services the most, there was only one psychiatrist in the entire country.
À Analamanga, des jeunes femmes attendent leur tour, leur bébé dans les bras, au centre du Programme national de nutrition communautaire (PNNC). Un agent de santé vérifie le poids et l’âge d’une petite fille de six mois et note minutieusement ces informations. Pour la plupart des nouvelles mères, c’est le poids de leur bébé qui détermine avant tout l’état de santé de l’enfant. Pourtant, la taille constitue le paramètre le plus important afin d’anticiper l’évolution de la croissance et de la santé des nourrissons.
In Analamanga, Madagascar, young women stand with their babies at a Programme National de la Nutrition Communautaire (PNNC) center, one of Madagascar’s community nutrition sites. A nutrition worker cross-checks the weight and age of a six-month-old girl, diligently recording the figures. For many new mothers, the weight of their baby is the most important indicator of their child’s health. But in fact, height is the key metric for understanding their future health and development.
On March 24th the global community marks World TB day to commemorate the day in 1882 when Dr. Robert Koch discovered the cause of tuberculosis. At the time, the tuberculosis (TB) epidemic was raging out of control in Europe and the Americas, and this discovery paved the way for millions to be successfully treated. Today, TB remains a major public health threat with 4,000 lives lost daily to this highly curable disease. But this TB day stands out from previous ones.
Tears cascade down her face as she embraces the mound, her cheek pressed to the dirt, a body six feet below. She wails, screams, bends backward and then throws herself back on the grave, again and again. A wreath sheathed in plastic nestles below a simple cross marker with a name and a date: April 24, 2015 -- marking one of the 4,809 lives claimed by Ebola in Liberia.
More than 3,500 people, including Presidents and Prime Ministers, have gathered in Bali this week for the fourth International Conference on Family Planning . The unmet need for family planning is an urgent human right and development issue. We’ve no more time to lose!
Dear Colleagues and Friends,
I wanted to take this opportunity to wish you a Happy New Year, and reflect on several notable events from 2015 - a year of remarkable progress in global health, and remarkable expansion for the World Bank Group's health, nutrition and population portfolio, which grew to more than $10 billion.
Amid the devastating effects of West Africa’s Ebola outbreak to human lives, communities, institutions, systems and the economy, there are lessons to be learned for the region to be better prepared to handle future outbreaks.
Granted, the Ebola outbreak in Nigeria was caught early before it spiralled out of control, unlike in Sierra Leone, Liberia and Guinea, but Nigeria was also able to successfully contain the disease. The country would have not been able to respond so swiftly if it had not had a history of responding to public health emergencies, such as recurrent cholera and Lassa fever outbreaks and lead poisoning, and developed an appropriate response capacity.
Some components of the Ebola response in Nigeria were adapted from the country’s polio eradication efforts, as well as infrastructure and capacity built in response to an Avian Flu outbreak in 2006. Until recently, polio had debilitated thousands of Nigerian children annually. In 2015, Nigeria marked the one-year anniversary of Wild Polio Virus interruption, and had before been declared Ebola-free.
So we ask: How did a previously weak system suddenly gain the momentum to operate efficiently and yield favorable outcomes? Are there lessons we can learn related to the effectiveness of future disease surveillance and emergency response efforts? In both instances [Ebola and polio], we found an alignment of several factors – what we call the seven “P’s:”