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Liberia decries lack of doctors
An acute shortage of trained doctors is sabotaging Liberia’s efforts to deliver health care to its people.
Health Minister Walter Gwenigale says Liberia needs at least 1,200 doctors to grapple with its post-war situation but currently it has only 120.
West Africa: New approach to malaria recommended, with more funds going to indoor spraying and new anti-malarial drugs, and less to bednets
A World Health Organization evaluation of West African countries’ progress in controlling malaria has recommended that donors allocate more funds to indoor spraying and to helping countries purchase the latest anti-malarial drugs.
Obesity epidemic is global, study shows. People are getting fatter in all parts of the world, with the possible exception of south and east Asia, a one-day global snapshot reveals
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Mozambique ex-president Joaquim Chissano wins prize for excellence in leadership
Former Mozambique President Joaquim Chissano has won the first Mo Ibrahim prize rewarding a retired African head of state for excellence in leadership.
Mr Chissano, who is credited with bringing peace to Mozambique, had been seen as a frontrunner for the prize.
World Bank head urges countries to cut Liberia’s debt
The president of the World Bank, Robert Zoellick, has called on International Monetary Fund member countries to allow Liberia’s debts to be paid off.
Liberia is $800m in arrears on old debt to the IMF, relating to loans on which repayments stopped in 1984.
U.S. military assistance for Africa: a better solution
The United States is facing increasing international pressure to play a more prominent role on the world’s most troubled continent. The continuing civil wars in Liberia and the Congo, the specter of tyranny and man-made famine in Zimbabwe, the global spread of infectious diseases, and the rising threat of international terrorism in East Africa are all issues of mounting concern.
Fifteen years of conflicts have cost Africa around $300 billion–equal to the amount of international aid received
(October 12, 2007) The cost of conflict on African development was approximately $300bn between 1990 and 2005, according to new research by Oxfam International, IANSA and Saferworld. This is equal to the amount of money received in international aid during the same period.
The study “Africa’s Missing Billions” is the first time analysts have calculated the overall effects of conflict on GDP and comes as diplomats from around the world arrive at the United Nations to discuss an Arms Trade Treaty.
It shows that on average a war, civil war or insurgency shrinks an African economy by 15 per cent. The continent loses an average of $18bn a year due to armed conflict.
“Armed violence is one of the greatest threats to development in Africa,” said Irungu Houghton, Oxfam’s African policy advisor. “The costs are shocking. Our figures are almost certainly an under-estimate but they show conflicts are costing African economies an average of $18bn a year. This money could solve the HIV/AIDS crisis, prevent TB and malaria, or provide clean water, sanitation and education.””
The research also estimates that 95% of Kalashnikov rifles used in these conflicts come from outside Africa. Kalashnikovs are the most common weapon in Africa’s conflicts. The combatants who ignore the rules of war and commit human rights abuses are almost always supplied from outside the continent.
Joseph Dube, IANSA Africa co-ordinator said: “This report describes some of the devastating economic impacts of the poorly regulated international arms trade and the shocking level of human suffering that this causes. As an African, I implore all African governments and weapons-producing governments to support a strong and effective Arms Trade Treaty. This is a call for global cooperation and cannot be achieved working alone. The government whose factory produces the rifle is as responsible as the government who permits its ships to transport them. Similarly the states that unload the cargo must monitor whose hands these weapons end up in. Without this regulation, the cost and suffering borne by Africans will continue to be immense.”
Between 1990 and 2005, 23 African nations have been involved in conflict. Oxfam, IANSA and Saferworld calculated what these countries’ GDP would have been if there had been no conflict, by comparing them to peaceful countries of a similar economic status. For example, during Guinea-Bissau’s conflict in 1998/99, the projected growth rate without conflict would have been 5.24%, whereas the actual growth rate was minus 10.15%.
This methodology almost certainly gives an under-estimate. It does not include the economic impact on neighboring countries, which could suffer from political insecurity or a sudden influx of refugees. The study only covers periods of actual combat, but some costs of war, such as increased military spending and a struggling economy, continue long after the fighting has stopped.
In countries affected by war the direct costs of violence (such as military expenditure or the destruction of infrastructure) pale in comparison to the indirect costs of lost opportunities. These include:
Inflation, debt and high unemployment.
Income from natural resources going to private individuals, rather than being invested in the nation as a whole.
More people, especially women and children, die from the consequences of conflict than in the fighting itself.
The most common weapon used in African conflicts is the Kalashnikov assault rifle, the best known being the AK-47. Kalashnikovs are nearly all made outside Africa. African governments are convinced of the need to control arms transfers and have already taken encouraging initiatives at regional level. These are important steps but will not solve the problem on their own. The arms trade is global industry and needs a global, legally-binding Arms Trade Treaty.
Oxfam, IANSA and other NGOs are campaigning for an Arms Trade Treaty which would prohibit arms transfers if they were likely to be used to commit serious violations of international humanitarian or human rights law, or undermine sustainable development. Such a treaty would not prevent responsible arms transfers for defense, policing or peacekeeping.
Oxfam International is an international development non-governmental organization.
Doctors Without Borders calls for increased use of nutrient dense ready-to-use food to save malnourished children’s lives
(October 10, 2007) The international medical humanitarian organization Doctors Without Borders/Medecins Sans Frontières (MSF) today called for increased and expanded use of nutrient dense ready-to-use food (RUF) to reduce the five million annual deaths worldwide related to malnutrition in children under five years of age. Current food aid, which focuses on fighting hunger -not on treating malnutrition- is not doing enough to address the needs of young children most at risk, MSF warned.
“It’s not only about how much food children get, it’s what’s in the food that counts,” said Dr. Christophe Fournier, president of MSF’s International Council. “Without the right amounts of vitamins and essential nutrients in their diet, young kids become vulnerable to disease that they would normally be able to fight off easily. Calls for increased food aid ignore the special needs of young children who are at the greatest risk of dying.”
RUFs, which come in individually wrapped rations, contain all the necessary nutrients, vitamins, and minerals that a young child needs. This dense therapeutic food, which has milk powder, sugars, and vegetable fats, can be produced and stored locally and transported easily, and requires no refrigeration, making it ideal for use in hot climates. It allows a child to recover from being malnourished and catch up on lost growth. Being easy-to-use, mothers-not doctors and nurses-are the main caregivers, meaning far more children at risk can be reached.
“In Somalia we are giving acutely malnourished kids packets of ready-to-use food and we see them gain weight and begin thriving within a couple of weeks,” said Dr Gustavo Fernandez, MSF head of mission in Somalia. “RUFs are practical to use in places like Somalia where security is very bad. General food distribution is also needed, but it is not going to be very effective to treat kids under three years old.”
Severe acute malnutrition in early childhood is common in large areas of the Horn of Africa, the Sahel, and South Asia – the world’s “malnutrition hotspots.” The World Health Organization (WHO) estimates that there are 20 million young children suffering from severe acute malnutrition at any given moment and MSF estimates that only three percent of them will receive RUF in 2007.
Therapeutic RUF for only severely malnourished children, as current WHO, World Food Program, and UNICEF guidelines recommend, is too restrictive. Given its nutritional benefits, RUF has the potential to address malnutrition at earlier stages and is far more effective than fortified blended flour, which is normally distributed. MSF is piloting a program using a modified RUF as a supplement to prevent children from becoming acutely malnourished.
“Instead of waiting for kids to get gravely ill we decided to act earlier,” said Dr. Susan Shepherd, MSF medical coordinator, Maradi, Niger. “We are piloting a program that gives RUF to all children under three in at-risk communities so that they get the nutrients that are missing in their normal diet.”
Through this early treatment or prevention approach in Niger, MSF is providing mothers with small containers of RUF as a supplement to their normal diet. Early results from this ongoing project, which is reaching more than 62,000 children, indicate that RUF is significantly more effective than the traditional approach of supplying fortified flours and cooking oil to mothers of young children.
MSF is calling for donors and UN agencies to urgently speed up the introduction and expansion of RUF. This is going to take a new allocation of funds to cover the cost of Euro750 million (approximately $1.05 billion) to reach the most vulnerable. But it will also take a realigning of food aid strategies with existing and newly developed products that have the nutrition needed to cure malnourished children.
MSF has been treating malnutrition with therapeutic RUF since the first products became available in the late 1990s, and in 2006 treated more than 150,000 children with acute malnutrition in 22 countries.
Doctors Without Borders/Médecins Sans Frontières (MSF) is an independent international medical humanitarian organization that delivers emergency aid to people affected by armed conflict, epidemics, natural or man-made disasters, or exclusion from health care in more than 70 countries. For the original of this article see . http://www.doctorswithoutborders.org/news/malnutrition/index.cfm Also see “Food Is Not Enough: Without Essential Nutrients Millions of Children Will Die” https://www.doctorswithoutborders.org/what-we-do/news-stories/research/food-not-enough-revolutionary-malnutrition-treatment-available-now
In pictures: India’s sanitation struggle
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