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Health

A Story of hope from Kangemi

Miriam Schneidman's picture

“Tuberculosis was a silent killer a few years ago,” says Rogers, a community health worker at the Kangemi Health Center, which assists people living with TB to receive effective treatment in a sprawling settlement on the outskirts of Nairobi.

Peninah, a mother of four, in Kangemi, KenyaCommunity health workers like Rogers are a vital link between patients and medical providers and are well respected and trusted. They educate, enlighten, and empower patients and people in the wider community. They work with the local area chiefs in mobilizing communities in the fight against TB.  Rogers proudly notes that he actively identifies TB cases, provides home-based care, and traces people defaulting on treatment, all critical elements in managing TB at the community level.

Detection and management of TB are critical in Africa, where roughly a quarter million TB deaths were reported in 2010. The continent accounts for about one-quarter of the global TB burden and is facing challenges in meeting the Millennium Development Goal of reducing 1990 TB mortality rates by half by 2015. However, there is also reason for hope on TB control in Africa, as seen in communities like Kangemi. In Kenya, with support from government and partners, including the World Bank (Health Sector Support Project, Total War Against HIV/AIDS Project, East Africa Public Health Laboratory Networking Project), activities are underway to strengthen the availability of drugs, channel funds directly to lower level health centers , and improve access to the latest diagnostic tools for detecting TB.  “The state-of-the-art diagnostics will go a long way to turn the tide on this pandemic,” notes Lucy Chesire, Executive Director of the TB Action Group in Nairobi.  “Patients will no longer wait months to get results.”

Tanzania: Building bridges through education and small businesses

Jacques Morisset's picture

Stevan Lee, Senior World Bank Economist, is co-author of this post.

Attracted by the prospects of large unexploited natural gas reserves in the south of Tanzania, big players are in town. The British Gas Group has publicly announced that it may invest over US$35 billion in the next 25 years – 1.5 times Tanzania’s current GDP. Policymakers and donors are jockeying to position themselves and understand what is at stake.

After the holidays, a time to reflect on the state of food in Africa

Ian Gillson's picture

As we gather in kitchens and dining rooms during this season of eating and charity, let us pause for a moment to review the state of food trade in Africa: how does cross-border commerce in key crops fare on a continent with pockets of harsh weather and unpredictable politics? How is the traffic in grains and tubers?

It’s clear that prices are high, following the February 2011 peak worldwide. The price of maize in Nairobi has tripled this year alone, while the price of a 50 kg bag of rice in Dakar has risen from $36 to $43.50. These spikes can be blamed partly on increased demand for food crops – including for biofuel production in Europe and the United States. They are also due to supply-side factors, such as higher energy prices which impact transportation and fertilizer costs, and weak harvests in large exporting countries.

But on a global scale there is no food shortage. In 2010, the world produced 2.2 billion tons of cereals, up from 820 million tons 50 years ago (a 268 percent increase). Over the same period, the world’s population has grown from three billion to seven billion people: an increase of 233 percent. In Africa, food staple production is abundant in some areas even though the continent is a net importer of food. Mali grows enough excess sorghum to supply its neighbors, and Uganda, the bread basket of East Africa, makes regular shipments of maize to Kenya, Southern Sudan and Rwanda. The problem is that the surplus food does not always get to those in need. Often shipments of perishable goods are stopped at the border and excessive inspections frequently cause delays.

Brazil and Africa: Bridging the Atlantic

Susana Carrillo's picture

Linked in the distant past through colonial-era trade enterprises, Brazil and Africa are becoming close partners again. More than two centuries after establishing a slave trade route across the Atlantic, both regions are again re-engaging, this time to exchange knowledge and further economic and social development.

Sub-Saharan African countries are looking to replicate Brazil’s successes in boosting agricultural production and exports, and private investments, which have made Brazil a key economic player in the international arena. This is no coincidence. The world is going though rapid changes, resulting in a new financial architecture, with emerging economies and countries in the South increasingly participating and influencing global decisions.

Climate Change and Health: Does it Matter?

Patricio V. Marquez's picture

Somali refugee in Ethiopian camp, UN Photo/Eskinder Debebe

The U.N. Climate Change Conference in Durban, South Africa, is in full swing now, aiming to reach consensus and agreements on addressing the  climate challenge by its close on December 9. While there are high expectations, people also realize that this is not an easy issue to tackle.  Uncontrolled, man-made carbon emissions, which climbed to a new record of 30 billion tons worldwide in 2010, are at the core of the climate change dilemma. Curbing this trend is not only a daunting multisectoral task that demands sophisticated technical solutions, but its complexity is intensified by disagreements among countries on the size of the problem and what to do about it.

Climate change should matter to all of us, since changing weather patterns, including more frequent extreme climate events (e.g., the 13 warmest years on record have been in the last 15 years) and natural disasters (e.g. in some regions the number of particularly large hurricanes has increased), negatively impact the lives and well being of ALL people—the raison d’être of development.  In this context, climate change should be seen as a critical health challenge that demands increased attention and management.  Why?

A landmark 2009 report by The Lancet Commission documented how climate change over the coming decades could have a disastrous effect on health conditions across the world. There are both direct and indirect health threats through changing patterns of disease, water and food insecurity, vulnerable shelter and human settlements, extreme climatic events, and population growth and migration.

World AIDS Day 2011

Kristina Nwazota's picture

In Burundi, a World Bank-supported project focused on educating female sex workers about the risks of contracting HIV/AIDS and other diseases has contributed to Burundi's overall declining infection rate.

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World AIDS Day 2011

Kristina Nwazota's picture

Thirty years after the HIV/AIDS virus first appeared, more than 34 million people world-wide are living with HIV. Sub Saharan Africa is most heavily impacted; some 68 percent of all those living with HIV live in the region. Despite the high prevalence, the HIV incidence rate declined by more than 25 percent between 2001 and 2009 in 22 Sub-Saharan Africa countries. In West and Central Africa, HIV prevalence remained under two percent in 12 countries.

UNAIDS Executive Director Michel Sidibé outlines what the global community is doing to further fight HIV/AIDS in Africa.

 

The Seven Billion Mark

Eduard Bos's picture

Photo: Arne Hoel, The World Bank

The UN Population Division has determined that the 7 billion world population mark will be reached today, October 31, 2011. This week’s Economist, the Guardian online, and the New York Times have written on this already, and other news media are following suit. Having produced the World Bank’s demographic projections for some years, and now working as a demographer in the World Bank’s Africa Region, let me add my perspective to the mix.

The approximate date of the world reaching the 7 billion mark is no surprise. When the Bank issued demographic projections back in 1985 (linked to World Development Report 1984– the only one in the series to have specifically focused on the demographic aspects of development), the 7 billion milestone was forecast for early 2011. This is quite close to the current estimate, especially when you consider the projection span of 26 years. At the global level, demographic projections are fairly reliable (but less so for individual countries or small regions).

A small country bringing about big change

Ritva Reinikka's picture

Thousands of Basotho joined HM King Letsie III last Friday at the inauguration of a state-of-the-art hospital in Maseru, Lesotho. The new hospital, together with its three filter clinics, is bringing modern, high-quality health care to about half a million people—or a quarter of Lesotho’s population—living in Maseru district, and also serving the country as a revamped national referral and teaching hospital. 

Prime Minister Mosisili reminded the audience of Lesotho’s history as a British protectorate. “The protectors gave the country its first national hospital in 1957 and named it Queen Elizabeth II after their Queen,” the PM said. “The new hospital is ours and we named it after our Queen, ’Mamohato.”

Why is this hospital so important? It symbolizes a fundamental change in publicly-funded health services in Lesotho.  The transformation in the country's health sector is supported by a unique partnership between the government and the private sector that is truly exciting as Africa looks for ways to reach the 2015 Millennium Development Goals, especially those related to saving mothers and children and fighting HIV/AIDS.

Eid in a dry season

Greg Toulmin's picture

I am standing in a camp near Dollo Ado, in southern Ethiopia near the border with Somalia. The camp is an open site on hard rocky land: the only vegetation is grey, thorny scrub. An endless wind is swirling around me, picking up the light soil under foot and coating everyone and everything with a thin film of orange. Dust devils spin lazily in the relentless hot sun, making it hard to see the plastic sheeting that is the only covering for the ‘huts’ in which 10,000 people are living. Welcome to Haloweyn, the newest refugee camp for the drought-triggered exodus from Somalia. Today is Eid-ul-Fitr, but nobody is celebrating here.

Haloweyn Camp, Ethiopia's border with Somalia. Photo: Robert S. Chase, World BankWe have stopped to talk to people and understand the challenges they face, but it is hard work. Many of them have scarves wrapped around their faces to protect themselves from the wind, very few of us speak any Somali, and when we do communicate they look uncertain and dazed, as well they may. This camp is only three weeks old—less than a month ago all these people were wandering through this extraordinarily arid landscape, trying to pick their way past the lines of conflict, almost all malnourished and often sick too. That those we meet seemed to have recovered their physical health already is fairly miraculous. Their reluctance to relive their experiences seems wholly understandable.

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