The Federally Administrated Tribal Areas (FATA) of Pakistan is a semi-autonomous tribal region in northwestern Pakistan, bordering Pakistan's provinces of Khyber Pakhtunkhwa and Balochistan and Afghanistan to the west and north. It consists of seven tribal agencies and six frontier regions and are directly managed by Pakistan's Federal Government.
FATA has been in the spotlight for all the wrong reasons. The region has seen conflict and instability for almost three decades. Since the start of the 21st century, it has suffered more with escalation in violence, forced isolation of its population by extremist groups and instability. But things have begun to change. The security operation in North Waziristan Agency has been followed by large scale programmatic/development interventions by civil authorities. This has resulted in decrease in violence, initiation of the return process for the internally displaced populations and the restoration of the writ of law.
यह एक सच्चाई है: लकड़ी, चारकोल, कोयले, गोबर के उपलों और फसल के बचे हुए हिस्सों सहित ठोस जलावन (सॉलिड फ्यूल) की खुली आग और पारंपरिक चूल्हों में खाना पकाने से घर के भीतर होने वाला वायु प्रदूषण दुनिया में, हृदय और फेफड़ों की बीमारी और सांस के संक्रमण के बाद मृत्यु का चौथा सबसे बड़ा कारण है।
लगभग 290 करोड़ लोग, जिनमें से ज़्यादातर महिलाएँ हैं, अभी भी गंदगी, धुआँ और कालिख- पैदा करने वाले चूल्हों और ठोस जलावन से खाना पकाती हें। हालत यह है कि इतने ज़्यादा लोग इन खतरनाक उपकरणों का इस्तेमाल कर रहे हैं जो भारत और चीन की कुल आबादी से भी ज़्यादा हैं।
इसे बदलने की जरूरत है। और बदलाव हो रहा है जैसा कि मैंने पिछले सप्ताह में एक्रा, घाना में संपन्न क्लीन कुकिंग फोरम 2015 की कई बातचीतों को सुना। घाना के पेट्रोलियम मंत्री और महिला व विकास उपमंत्री की बात सुनकर, मुझे अहसास हुआ कि सर्वाधिक जरूरतमंद परिवारों को स्वच्छ चूल्हे व स्वच्छ ईंधन उपलब्ध कराने की गहरी इच्छा निश्चित रूप से यहाँ मौजूद है। लेकिन इच्छाओं को सच्चाई में बदलना एक चुनौती है। यह बात न केवल घाना में बल्कि दुनिया के कई हिस्सों के लिए भी सही है।
बाद में मैंने इस बारे में काफी सोचा खास तौर पर जब हमने पेरिस में होने वाली जलवायु परिवर्तन कॉन्फ्रेंस (सीओपी21) पर ध्यान दिया जहाँ दुनिया के नेता जलवायु परिवर्तन के दुष्प्रभाव कम करने के वैश्विक समझौते पर सहमति बनाने के लिए इकट्ठा होंगे। उस लक्ष्य तक पहुंचने की एक महत्वपूर्ण कुंजी ऊर्जा के स्वच्छ स्रोतों को अपनाना भी है। इस लिहाज से, संयुक्त राष्ट्र संघ का सस्टेनेबल एनर्जी गोल (एसडीजी7) का एक मकसद - किफायती, भरोसेमंद, वहनीय (सस्टेनेबिल) और आधुनिक ऊर्जा तक सभी की पहुंच सुनिश्चित करना - यह भी है कि ऐसे 290 करोड़ लोगों तक खाना पकाने के स्वच्छ समाधान पहुंचाएँ जाएँ, जो आज उनके पास नहीं हैं।
Economic and social development should not be left to economists and specialists only.
This message is manifested in “Window of Opportunity,” a video highlighting the ambitions and goals of the World Bank’s 2015-19 Country Partnership Strategy in Pakistan.
Truck drivers, entrepreneurs, doctors, teachers and thousands of other citizens from Pakistan shared their ideas and helped identify opportunities and challenges to guide future policies and action areas.
These individuals come from a myriad different backgrounds but are united by a common drive to open up windows of opportunities for Pakistan.
Bangabandhu Sheikh Mujib Medical University (BSMMU) is a leading post-graduate medical institution and the only medical university in Bangladesh. It plays a unique role in enhancing the quality of medical education and research. BSMMU is one of the largest beneficiaries of the Academic Innovation Fund (AIF) under the Higher Education Quality Enhancement Project (HEQEP) which has brought about significant improvements in the quality of medical education and research.
Launching the first-ever virtual classroom for medical education in Bangladesh
Teaching quality in medical education and training is increasingly a thorny issue in Bangladesh. Teachers in medical colleges are inadequate both in quantity and quality. Currently there are only around 120 pharmacology teachers across 86 medical colleges in Bangladesh.
To address the challenge, the AIF supported the Department of Pharmacology of BSMMU to establish the first-ever virtual classroom system for medical college students in Bangladesh. The system has a great potential of changing the landscape of medical education and training in Bangladesh. The “Virtual Teaching-Learning Program on Pharmacology” sub-project was launched to pilot innovative use of information technology in medical education by establishing a virtual classroom environment. Under the pilot, medical college institutions across Bangladesh are connected to the virtual classroom. It allows senior medical professors in Dhaka and even international experts from abroad to deliver their lectures to students in medical colleges in different regions. Students can attend real-time online classes, download teaching materials, and assess their competence in self-administered test.
“So far 36 topics are available to the students for free. An online question bank has been uploaded containing about 4,000 questions. We also established a synchronous teaching system that is so far connected with 32 medical colleges. Professors in Dhaka now remotely teach classes to students outside of Dhaka, and sometimes international guest lecturers also give lectures via the synchronous system. It is an exceptional experience for students in remote areas to listen and ask questions to renowned medical professionals. The bandwidth of internet connectivity is the only challenge. BSMMU is connected to high-speed Bangladesh Research and Education Network (BdREN), whereas colleges in remote areas have only narrow-band connectivity and cannot receive our synchronous broadcasting. It is now essential for the colleges to get broad-band internet connectivity.” says Professor Mir Misbahuddin, the sub-project manager at Department of Pharmacology, BSMMU.
Establishing a world-class genetic research environment
The “Modernization of Genetic Research Facilities and Patient Care Services” sub-project by the Faculty of Basic Medical Sciences is another success at the BSMMU. The sub-project installed a Next Generation DNA Sequencer, the only one of its kind in the country, and established a modern fully equipped genetic research laboratory. The sub-project aims to promote research on human genetic diseases in Bangladesh, which have never been addressed due to the lack of proper facilities, and invites international experts in genetics and molecular biology to train medical researchers in Bangladesh.
“With this Next Generation Sequencer, we can now analyze the DNA sequence of Bangladeshi citizens and explore the genetic data of most prevalent genetic diseases in Bangladesh.’ explains Laila Anjuman Banu, sub-project manager and professor of Genetics & Molecular Biology. “Currently, we are developing a database of patients suffering from breast cancer and hypertrophic cardiomyopathy in Bangladesh. The database is useful for researchers in Bangladesh for further researches on developing molecular diagnostics and designing targeted therapeutics in the near future. This is a cutting-edge arena for medical research worldwide. We have published two papers already using this new sequencer.” she added.
AIF sub-projects awarded to other departments such as Anatomy, Urology, and Palliative Care have been equally successful.
It is Day Ten since the earthquake struck Nepal and the scale of the devastation is only just becoming evident. The official death toll has now crossed 7,000, of which 5,000 have been confirmed in remote rural areas. As many as 15,000 people are injured, many critically. Aftershocks continue to rattle central Nepal and most people are still too jittery to come to terms with what has happened.
I am lucky that my family is safe. We have been fortunate. The majority of the people in Kathmandu are camped out in makeshift tents set up at various open spaces across the city — schools, army barracks and open fields. Some of these are coordinated by the rescue workers while others are set up by local residents. In some places, cremations happen only 5 meters away from where people sleep. The rain makes it very difficult in an already emotionally scarring time. This is just in Kathmandu.
Rural areas, where 80% of Nepalis live, are devastated. Entire villages have disappeared, buried under landslides triggered by the multiple quakes. Where they haven't, village houses, made mainly of mud and wood, have been reduced to dust, leaving people exposed to the elements. This is happening in some of the most difficult-to-reach hilly and mountainous terrain.
The number of casualties rises by the hour. Although my family and I are safe, many of my friends have lost relatives. Many people we know no longer have their houses. Our staff’s granddaughter needs to have her leg amputated. My "Didi" who took care of me as a child and is a second mother to me - lost her cousin who was crushed when their house collapsed. She really does not even know how to begin to mourn, knowing she still has to keep herself and many other safe.
The heritage we have lost is equally unimaginable. Centuries-old temples and palace squares are down in dust. Imagine the Due Torri in Bologna or the Washington Monument in Washington D.C. crumbling into rubble. The loss has been demoralizing.
The international community has reacted swiftly and relief efforts are in full swing. Hercules and IL-76 military aircrafts have been flying around the clock bringing in supplies, relief materials and workers. Kathmandu, a valley, has only two major highways connecting it to the rest of the world by land - one with China and one with India. Reports of damage to those highways has limited what can be brought into the city by land.
However, this is the just the beginning. The greatest challenges are yet to come. The monsoon season is just a month away. The wet monsoon months are synonymous with outbreaks of various diseases including dysentery, cholera, and hepatitis. With many people's homes destroyed, crowded camps will continue to provide refuge in the coming months. Such densely packed and crowded places with poor hygiene conditions will be ripe breeding grounds for diseases, especially in Kathmandu, where clean water is a scarcity even under normal circumstances.
Here’s my plea to everyone reading this.
The first response has been absolutely fantastic and lifted our spirits, but the support will need to be sustained over time. Relief will not only be limited to rebuilding but also preventing disease outbreaks, which will be more prevalent during the monsoon months.
We will need clean water, medication, waterproof clothes, and infrastructure support to build hygienic camps for people who have lost their homes.
Dealing with potential outbreaks will be more challenging with this devastation. Please support organizations involved in Nepal’s relief effort and also help build awareness around the impending health and sanitation issues.
It has been a very scary last few days. It has been the first time that I’ve had to confront my own mortality: sitting, waiting in the eerily quiet night knowing there will be another shock. But also overcoming this anxiety to help my family and everyone at home, and then, once they are safe, the rest of the country.
We need your support. Nepal needs you.
Blog in English: http://blogs.worldbank.org/endpovertyinsouthasia/nepal-needs-your-support
Blog in Spanish: http://blogs.worldbank.org/voices/es/nepal-necesita-su-ayuda
Blog in Arabic: http://blogs.worldbank.org/voices/ar/endpovertyinsouthasia/nepal-needs-your-support
Blog in French: http://blogs.worldbank.org/voices/fr/le-nepal-a-besoin-de-votre-aid
What we're doing in Nepal: http://www.worldbank.org/en/country/nepal/brief/fact-sheet-world-bank-do...
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Encouraging healthy habits to reduce the risk of non-communicable diseases
Each time I visit local hospitals in Sri Lanka, my confidence in the public health service is renewed. I see a selfless commitment by both doctors and nursing staff towards their patients, often going beyond their call of duty. I wonder if it is their religious faith of caring for the sick which is considered a meritorious act, that make them go that extra mile.
My visit to the Base Hospital in Horana, in the Kalutara District reinforced this belief. My colleague and I learned first-hand about systems and processes in place to encourage behavioral change to reduce the Non Communicable Disease (NCD) burden that is becoming a silent killer. The fact that seventy percent of the deaths in Sri Lanka are due to NCDs is scary; especially when a sizable portion of the deaths are under sixty five. As the country transitions into a more affluent society, poor food choices and less active lifestyles are exacerbating the situation. Most Chronic NCDs are preventable and if not, its onset can be delayed if risk factors such as smoking, alcohol, chewing beetle leaves, obesity, unhealthy diet, high salt, sugar, trans fats, processed foods and sedentary lifestyles are addressed.