scholarly journals The politics of exclusion: fighting for patients with Kidney failure in Yemen’s War

2019 ◽  
Vol 42 (3) ◽  
pp. e311-e315 ◽  
Author(s):  
André Heller Pérache ◽  
Crystal van Leeuwen ◽  
Chiara Fall

Abstract Background To contribute toward the dialogue on addressing non-communicable and chronic disease in humanitarian emergencies, this article will explore the experiences of Médecins Sans Frontières in attempting to find support for the haemodialysis network in Yemen. With the changing profile of the global disease burden and a broadening concept of emergency health needs to include chronic illness and disability, the aid sector has committed through the World Humanitarian Summit and the Sustainable Development Goals to leave no one behind and thus to meet the health needs of these previously excluded and highly vulnerable people. The civil war in Yemen compromised the medical supply chain supporting the health facilities providing dialysis for patients with end-stage renal disease. The article will critique the aid sector’s slow response to this issue and expose the gap between principles, commitments, and practice related to noncommunicable disease in emergencies. Method Following direct experiences from the authors as leaders in the aid response in Yemen, reviews of grey literature from aid and health actors in Yemen were conducted along with a review of literature and policy documents related to noncommunicable disease in emergency. Key informant interviews and press statements supported analysis and events that took place in the time span of roughly 4 years that frames this period of analysis. Results Examination of the impacted patient population, interviews, literature and documented events indicates that there is discord between policy, commitments stated by aid donors and practice. Conclusion The aid sector must use a more contextualised approach when designing programmes to manage the burden of non-communicable diseases in health contexts where crises occur, particularly for lifesaving forms of therapy. Aid agencies and the global health community must increase pressure on donors and implementing agencies to live up to their commitments to include these patient populations.

2022 ◽  
Vol 34 ◽  
pp. 1-9
Author(s):  
Stefano Michelassi

Chronic Kidney Disease (CKD) is recognized as one of the major categories of noncommunicable epidemic diseases and in the last decades it has been largely growing in incidence and prevalence all over the world. Ideal management of CKD pandemic should be comprehensive of measures of tertiary, secondary, primary and primordial prevention. So, it should include prompt diagnosis and treatment of traditional and non-traditional risk factors for CKD, optimal conservative treatment for non-dialysis dependent CKD patients and appropriated dialysis therapy or renal transplantation for patients with end-stage renal disease. However, these goals are not easy to obtain on a global scale. It would be possible only by a broad and holistic approach, ranging from good governance to achievement of the sustainable development goals (SDGs).


Author(s):  
Jo Boyden ◽  
Andrew Dawes ◽  
Paul Dornan ◽  
Colin Tredoux

This chapter focuses on adolescence and youth, which is increasingly accepted as a particularly sensitive phase of human development, characterised by significant changes in the brain and body. Much is made of the heightened brain plasticity and emotional responsiveness during this period, wherein learning and adaptation are accelerated. This is the primary rationale for viewing adolescence as a second critical window for policy interventions to build on investments in early life and boost later chances. Indeed, there has been considerable policy momentum around adolescent sexual and reproductive health, community engagement, and labour market readiness. Adolescents are also touched by many of the Sustainable Development Goals, particularly SDG 4 on quality education and SDG 8 on decent work and economic growth.


2021 ◽  
Vol 9 (3) ◽  
Author(s):  
E Kennedy ◽  
A Jafari ◽  
K Stamoulis ◽  
K Callens

The sustainable development goals (SDGs) represent a global agreement on priorities for health, environment, social and economic development (UN, 2016). SDG2 – zero hunger – explicitly addresses food insecurity, malnutrition in all its forms and sustainable agriculture. Countries are pursuing a range of policies and programs to achieve the targets embedded in SDG2. The European Union has invested in 66 countries under the FIRST program (Food Insecurity Impact, Resilience, Sustainability, and Transformation); 24 of the FIRST countries are priorities for EU investments. In 2019, FAO was asked by the EU to conduct a stocktaking exercise for the 24 priority FIRST countries to ascertain, to date, the progress in addressing SDG2. The stocktaking involved four related activities: 1. Country diagnostic reports 2. Literature Review of articles relevant to food security, nutrition, agriculture, social safety nets, gender and political economy 3. Quantitative analyses 4. Key informant interviews. Details on the results of 1, 2 and 3 can be found in a companion publication (Kennedy et al, 2020). The purpose of the key informant interviews was to capture experiential evidence that is often not adequately captured in journal articles. The interviews provided a “boots on the ground” perspective that helped elucidate the challenges at the country level in implementing policies and programs targeting SDG2. The purpose of this paper is to summarize the information provided by thought leaders involved in various aspects of SDG2 in 24 FIRST countries.


2021 ◽  
Vol 45 ◽  
pp. 1
Author(s):  
Willy Dunbar ◽  
Jean William Pape ◽  
Yves Coppieters

Objectives. To present the epidemiology, social and cultural factors driving the HIV epidemic among men who have sex with men (MSM) in the Caribbean region and to highlight the regional and national responses, and what remains to be addressed to close the gaps in order to ending AIDS by 2030. Methods. A literature review was performed in the following databases: PubMed and Scopus. Articles published in the past 10 years were selected. The outcomes of interest were sociocultural risk factors, description of regional and national efforts and potential challenges and barriers to effective control of the epidemic among MSM. This report concentrates exclusively on publications related to MSM living in the Caribbean countries. Results. 11 peer-reviewed studies, 9 grey literature reports and programme frameworks were thematically analysed. The prevalence of HIV among MSM is high and the rates also do vary among Caribbean countries. Several factors influence the epidemic among MSM in the Caribbean but stigma and discrimination underlie the social vulnerability and play a central role in driving the HIV epidemic. Conclusions. To end the AIDS epidemic by 2030, MSM can no longer be kept unchecked in the era of the Sustainable Development Goals with the motto ‘Leave no one behind’.


2018 ◽  
Vol 15 (4) ◽  
pp. 72-74 ◽  
Author(s):  
Pamela Scorza ◽  
Ohemaa Poku ◽  
Kathleen M. Pike

As of 2015, with the adoption of the Sustainable Development Goals (SDGs), the United Nations has a new roadmap for development that will guide global and national agendas for the next 15 years. Mental health was explicitly included in the SDGs, for the first time being recognised as an essential component of development. This is a major achievement that has taken decades of unrelenting advocacy. Still, mental health lacks clear, measurable indicators within the SDGs, threatening its progress in the realm of global development. The task now is for the global mental health community to actively work within health systems, and with other sectors, to integrate mental health interventions and indicators into programmes aimed at other goals and targets. In this way, the direct impact of mental health on development and the impact of mental health on other development goals will be recognised and quantified.


Author(s):  
Judith R. Bueno de Mesquita ◽  
Connor Fuchs ◽  
Dabney P. Evans

This chapter examines the Universal Periodic Review (UPR), a new peer-review procedure that provides scrutiny of each UN member state’s human rights record every five years. The review process culminates in a set of recommendations issued to each “State-under-Review” (SuR). The UPR provides an unprecedented opportunity to routinely hold all states to account for their obligations under international human rights law, including health-related human rights. Health recommendations have featured prominently in the recommendations issued to SuRs and have a comparatively high implementation rate. Empirical data indicate that the UPR could have a potentially, or already, important role in holding states to account for health-related human rights as well as political global health commitments, such as those found in the Sustainable Development Goals. However, certain shortcomings should be addressed, including an uneven spread of recommendations across different health issues and limited engagement of the public health community.


2021 ◽  
Author(s):  
Will Tillett ◽  
Oliver Jones

Of the two billion people worldwide lacking access to at least basic sanitation, seven out of ten live in rural areas. Progress has been made on increasing rural sanitation and access levels are rising, but barriers remain in reaching the ‘last mile’ or some 10 to 20 per cent of the population who live in the most challenging contexts. The factors affecting the ability of households to construct and use toilets, as well as the challenges sanitation programmes face in reaching specific groups, are highly diverse. Applying one-size fits all approaches has been proven not to work; therefore, we need more nuanced, adapted, and targeted approaches to capture the universality element of the Sustainable Development Goals (SDGs) and ensure that no one is left behind. However, we recognise that challenges can be persistent and there are limited documented examples of how to overcome these challenges at scale. The Sanitation Learning Hub, UNICEF, and WaterAid commissioned this study to map rural sanitation approaches in challenging contexts and the guidance currently being used, drawing out emerging experiences and lessons. It involved key informant interviews (KIIs) with 44 interviewees, and consulting over 180 documented resources. This Learning Brief provides an overview of the study findings.


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