At the World Bank Group (WBG)-International Monetary Fund Annual Meetings earlier this month in Bali, Indonesia, WBG President Dr. Jim Kim posed a critical question: “What will it take to promote economic growth and help lift people out of poverty everywhere in the world…How will they reach their ambitions in an increasingly complex world?”
Fragility, conflict and violence (FCV) have become some of the most pressing threats to economic development. Over 2 billion people live in FCV countries, and it is expected that by 2030 nearly 50 to 60 percent of the world’s poorest people will live in areas affected by conflict. This can pose major socioeconomic challenges, including a reduction of gross domestic product growth by 2 percentage points per year and driving youth to join rebellions due to conflict-driven unemployment.
The last 20 years or so have seen many shifts of emphasis in global health. Among them, two stand out: a concern that the poor do not get left behind in the rush to achieve global goals and a concern that health services are affordable.
However, these were not big issues in global health in the last century. In 1996, one of us (Timothy Grant Evans) launched the Global Health Equity Initiative while at the Rockefeller Foundation, in response to what we and others described as the “disturbing disparities” between rich and poor.
Helena Costa, a smallholder from Sao Tome & Principe, has been investing in her family’s small agribusiness for a decade, wanting it to be more productive, more profitable, and produce quality fruits and vegetable products to supply local and export markets. The quality improvements she’s invested in include food safety practices, shifting to organic production, and planting biofortified crops. However, these food quality improvements are not yet recognized by the market. So, for Helena, improving the nutritional value of her food products is an extra cost that puts her at a disadvantage in relation to her competitors.
Many of us have vivid memories of the joy and excitement of young adulthood, but this can also be a time of stress, apprehension and fear of the unknown. For many young people, this unease can lead to acute anxiety, severe depression or substance use disorders, if not recognized and managed.
Young people living in environments where they face death and suffering daily, such as in West Africa during the Ebola epidemic of 2014-2015, in post-tsunami or earthquake-affected areas, or in countries experiencing extended conflict and violence, are particularly vulnerable to mental distress and illness.
This year’s World Mental Health Day, on Oct. 10, recognizes this critical time in life with the theme “Young People and Mental Health in a Changing World.” Many changes occur during adolescence and the early years of adulthood, but they are not always acknowledged or treated.