Dr.DEBESH BHOWMIK

Dr.DEBESH BHOWMIK

Wednesday 13 May 2015

POVERTY AND HUNGER WITH SPECIAL REFERENCE TO AFRICA




 ---------------Debesh Bhowmik


Hunger concepts and definitions
Hunger is a term which has three meanings (Oxford English Dictionary 1971)
  • the uneasy or painful sensation caused by want of food; craving appetite. Also the exhausted condition caused by want of food
  • the want or scarcity of food in a country
  • a strong desire or craving
 hunger refers to the second definition, aggregated to the world level.

The related technical term is malnutrition, or, if malnutrition is taken to refer to both undernutrition and overnutrition (obesity, overweight) as it increasingly is, undernutrition.  Both malnutrition and undernutrition refer to the effects on people of not having enough food. 
There are two basic types of malnutrition/undernutrition. The first and most important is protein-energy malnutrition .  This leads to growth failure.  Principal types of growth failure are:
  • The two types of acute malnutrition are wasting (also called marasmus) or nutritional edema, (also called kwashiorkor).  Wasting is characterised by rapid weight loss and in its severe form can lead to death. Nutritional edema is caused by insufficient protein in the diet. ...
    .
  • Stunting is a slow, cumulative process and is caused by insufficient intake of some nutrients. It is estimated by the United Nations Children’s Fund (UNICEF) to affect 161 million children  world wide  (UNICEF Nutrition).  Stunted children may have normal body proportions but look younger than their actual age. Stunting develops over a long period as a result of inadequate nutrition or repeated infections, or both.
The second type of malnutrition, also very important, is micronutrient (vitamin and mineral) deficiency. This is not the type of malnutrition that is referred to when world hunger is discussed, though it is certainly very important.  Specific examples of micronutrient deficiency such as Vitamin A are discussed below
The United Nations Food and Agriculture Organization estimates that about 805 million people of the 7.3 billion people in the world, or one in nine, were suffering from chronic undernourishment in 2012-2014. Almost all the hungry people, 791 million, live in developing countries, representing 13.5 percent, or one in eight, of the population of developing counties. There are 11 million people undernourished in developed countries .
Undernourishment around the world, 1990-2 to 2012-4
Number of undernourished and prevalence (%) of undernourishment

1990-2 No.
1990-2 %
2012-4 No.
2012-4 %
World
1,014.5
18.7
805.3
11.3
Developed regions
20.4
<5
14.6
<5
Developing regions
994.1
23.4
790.7
14.5
Africa
182.1
27.7
226.7
20.5
  Sub-Saharan Africa
176.0
33.3
214.1
23.8
Asia
742.6
23.7
525.6
12.7
  Eastern Asia
295.2
23.2
161.2
10.8
  South-Eastern Asia
138.0
30.7
63.5
10.3
  Southern Asia
291.7
24.0
276.4
15.8
Latin America & Carib.
68.5
15.3
37.0
6.1
Oceana
1.0
15.7
1.4
14.0

Poverty is the principal cause of hunger. The causes of poverty include poor people's lack of resources, an extremely unequal income distribution in the world and within specific countries, conflict, and hunger itself. As of 2015 (2011 statistics), the World Bank has estimated that there were just over 1 billion poor people in developing countries who live on $1.25 a day or less.  This compares with compared with 1.91 billion in 1990, and 1.93 billion in 1981.  This means that 17 percent of people in the developing world lived at or below $1.25 a day in 2011, down from 43 percent in 1990 and 52 percent in 1981.  (This compares with the FAO estimate above of  791 million people living in chronic undernourishment in developing countries.) Progress has been slower at higher poverty lines. In all, 2.2 billion people lived on less than US $2 a day in 2011, the average poverty line in developing countries and another common measurement of deep deprivation. That is only a slight decline from 2.59 billion in 1981.  Progress in poverty reduction has been concentrated in Asia, and especially, East Asia, with the major improvement occurring in China. In Sub-Saharan Africa, the number of people in extreme poverty has increased.  The statement that 'poverty is the principal cause of hunger'  is, though correct, unsatisfying. 
Hunger is also a cause of poverty, and thus of hunger. By causing poor health, small body size, low levels of energy, and reductions in mental functioning, hunger can lead to even greater poverty by reducing people's ability to work and learn, thus leading to even greater hunger.
  • 1.4 billion people in developing countries live on $1.25 a day or less.
  • Rural areas account for three out of every four people living on less than $1.25 a day.
  • 22,000 children die each day due to conditions of poverty.
Rural Hunger Project partners have access to income-generating workshops, empowering their self-reliance. Our Microfinance Program in Africa provides access to credit, adequate training and instilling in our partners the importance of saving.

Poverty in Africa.
In 1990, 56 percent of Africans lived on under $1.25 a day accounting for 15 percent of those in poverty worldwide. Over the subsequent 20 years, the region’s poverty rate dropped to 48 percent. However, given the superior pace of poverty reduction elsewhere and Africa’s faster population growth, Africa’s share of global poverty doubled. Our baseline scenario anticipates a continuation of these trends: sub-Saharan Africa’s poverty rate is expected to fall further to 24 percent by 2030, representing 300 million people, but its share of global poverty balloons to 82 percent. By 2030, 21 percent of Africa’s population will be poor having stood behind the 70 cent mark today. This rate would be sufficient to lift those currently living on 70 cents or more above the $1.25 a day poverty line by 2030. This level happens to be around the average daily income of the poor in sub-Saharan Africa today. Twenty-two percent of Africans live between the 70 cent and $1.25 mark, while 25 percent live further back on under 70 cents.

In 1990, 56 percent of Africans lived on under $1.25 a day accounting for 15 percent of those in poverty worldwide. Over the subsequent 20 years, the region’s poverty rate dropped to 48 percent. However, given the superior pace of poverty reduction elsewhere and Africa’s faster population growth, Africa’s share of global poverty doubled. Our baseline scenario anticipates a continuation of these trends: sub-Saharan Africa’s poverty rate is expected to fall further to 24 percent by 2030, representing 300 million people, but its share of global poverty balloons to 82 percent.
The constraint facing these remaining poor can be characterized in two ways.
First, the poor may not be moving fast enough to reach the $1.25 threshold. This is a function of the rate of economic growth in the countries in which they live, and the degree to which this growth is equitable. Historically, sub-Saharan Africa has experienced long stretches of anemic growth. During the lost decades of the 1980s and 1990s, the region grew at just 2 percent a year, which meant that GDP per capita fell given the rate of population growth. Though growth in the region as a whole has improved in recent years, some countries continue to underperform and there are concerns that the benefits of Africa’s growth are not being shared by those near the bottom of the income distribution.
Second, the poor in Africa may start too far behind the poverty line to stand a chance of reaching the $1.25 mark any time soon. Even under an assumption of strong and equitable growth, 20 years may be insufficient to lift these people out of poverty given the distance they have to travel. As critics of the Millennium Development Goals have shown, setting targets in absolute terms risks putting goals out of reach for those starting furthest behind.
Which of these impediments best captures sub-Saharan Africa’s challenge: are the region’s poor moving too slowly or starting too far behind?
To help answer this question, it is useful to first establish some parameters linking past regional trends, today’s circumstances and future prospects.
Over the last decade, sub-Saharan Africa’s economies have together mustered an impressive 5 percent growth a year, or around 3 percent in per capita terms (see Table below). Evidence from household surveys suggests that this has, on average, translated into gains for the poor: of the countries in the region with available data, half saw per capita consumption of the poorest 10 percent of their populations rise by 3 percent or more a year during the period. Forecasts indicate that growth rates should remain high in the foreseeable future, so it is not unreasonable to expect that a 3 percent annual increase in income is sustainable for many of those living in poverty.
This rate would be sufficient to lift those currently living on 70 cents or more above the $1.25 a day poverty line by 2030. This level happens to be around the average daily income of the poor in sub-Saharan Africa today. Twenty-two percent of Africans live between the 70 cent and $1.25 mark, while 25 percent live further back on under 70 cents. 

Of course, Africa’s aggregate economic performance masks considerable differences between countries, and the location of the region’s growth engines doesn’t align exactly with the location of its poor. Over the past decade, 11 economies in the region experienced virtually no growth (Benin, Central African Republic, Comoros, Cote d’Ivoire, Gabon, Gambia, Guinea, Guinea-Bissau, Liberia, Madagascar and Swaziland), while four economies are expected to stagnate over the coming years based on present forecasts (Comoros, Madagascar, Malawi and Swaziland). For these sluggish performers, the pace of progress is such that living within reach of the poverty line today offers little assurance of escaping poverty in the foreseeable future. Three percent of Africans in 2030 are expected to be poor simply because their country growth rates lag behind regional performance. These individuals start between 70 cents and $1.25 and remain there two decades later. We classify these poor people as moving too slowly. (Head count ratio indicates poverty in the Table)


Sunday 10 May 2015

MOTHER'S DAY




MOTHER’S DAY

Mother's Day is a modern celebration honoring one's own mother, as well as motherhood, maternal bonds, and the influence of mothers in society. It is celebrated on various days in many parts of the world, most commonly in the months of March or May
Philadelphia activist Anna Jarvis (1864-1948) came up with the idea for “Mother’s Day” at the beginning of the 20th century as a tribute to her mother.
On May 10, 1908, in what is considered the first Mother’s Day celebration, she sent 500 carnations to Andrews Methodist Episcopal Church, her mother’s church in Grafton, W.Va. (which was designated as a National Historic Landmark in 1992).
The event generated an enormously positive response, and after extensive lobbying and letter-writing efforts, President Woodrow Wilson signed a proclamation on May 9, 1914, declaring the second Sunday of May “a public expression of our love and reverence for the mothers of our country.” Read his message here:


It all started in the 1850s, when West Virginia women's organizer Ann Reeves Jarvis—Anna's mother—held Mother's Day work clubs to improve sanitary conditions and try to lower infant mortality by fighting disease and curbing milk contamination, according to historian Katharine Antolini of West Virginia Wesleyan College. The groups also tended wounded soldiers from both sides during the U.S. Civil War from 1861 to 1865.
In the postwar years Jarvis and other women organized Mother's Friendship Day picnics and other events as pacifist strategies to unite former foes. Julia Ward Howe, for one—best known as the composer of "The Battle Hymn of the Republic"—issued a widely read "Mother's Day Proclamation" in 1870, calling for women to take an active political role in promoting peace.
Around the same time, Jarvis had initiated a Mother's Friendship Day for Union and Confederate loyalists across her state. But it was her daughter Anna who was most responsible for what we call Mother's Day—and who would spend most of her later life fighting what it had become.

Anna Jarvis was the driving force behind the first Mother's Day observances in 1908(photo)

On average, one woman in 30 is likely to die from pregnancy-related causes, and seven out of 10 women will lose a child in their lifetime.
Despite global improvements in children's and maternal health, inequality between the world's riIndia scored 140th place out of 179 countries in the charity organization Save the Children's 2015 report titled "State of the World's Mothers". The annual global ranking is conducted by a charity organisation, Save the Children. Relegating three spots further from 137 in 2014 to 140 in 2015, India is behind countries such as Bangladesh and Sri Lanka in the index.
 The index is measured using five indicators - maternal health (lifetime risk of maternal death), children's well-being (under-5 mortality rate per 1,000 live births), educational status (expected number of years of formal schooling), economic status (gross national per capita income), political status (participation of women in national government).The total indicators are given below,
 [i]Lifetime risk of maternal death
[ii]Percent of women using modern contraception
[iii]skilled attendant at delivery Female life expectancy

[iv] Expected number of years of formal female schooling
[v] Ratio of estimated female to male earned income
[vi] Maternity leave benefits
[vii] Participation of women in national government
[viii]Under-5 mortality rate
[ix]Percentage of children under age 5 moderately or severely underweight
[x] Gross pre-primary enrollment ratio
[xi] Gross primary enrollment ratio
[xii]Gender parity index
[xiii]Gross secondary enrollment ratio
[xiv]Percent of population with access to safe water

Norway is top of the list of the index, while Somalia has the worst mother's index based on the organisation's findings.The richest and poorest mothers and children is widening,
This Mother’s Day, let’s hope that we fare better on each of these factors and move north in the 2015 rankings, making our country mother and child friendly. Here are some organizations that are putting their best foot forward for mothers and children.
 Gates Foundation has a dedicated program for maternal and neonatal health – Maternal, Newborn & Child Health program. The program’s is on mission to ensure that women and newborns survive and remain healthy during pregnancy and childbirth and to improve health outcomes for young children. Gates Foundation has been working towards tying together tools, technology, and treatments to better healthcare services and practices, and advocate for comprehensive national and global policies that benefit maternal, newborn, and child survival and health. Their continual efforts to bring about a change in this sphere are currently ongoing in Ethiopia, northern Nigeria, and the Indian states of Bihar and Uttar Pradesh. These geographies are responsible for the majority of world’s maternal and newborn deaths. CARE – CARE has committed itself to helping woman enjoy their fundamental right – access to quality sexual, reproductive and maternal health. Their efforts to alleviate these conditions will also help in gender equality. CARE realizes that “right to health” can’t be achieved by a single institution. In order for a large-scale change in maternal and newborn health, there are host of changes that are needed that include changes in organizations and policies at all levels. They have been working in developing nations with high mortality rates for the past 50 years bringing about change in healthcare services and policies that affect the quality of life of women and children. Biosense – Their first product ToucHb is a needle free anaemia screening tool. Anaemia has been identified as the main culprit in maternal and infant death caused due to complications at birth. Early detection can exponentially reduce these deaths. The device can be easily used in the rural pockets. Institute for Indian Mother and Child (IIMC) is a non-governmental organization founded by Indian physician Dr. S. K. Brahmochary. His vision was to improve the quality of life of the BoP population. The issues of mother and child welfare as well as woman empowerment are of central importance to IIMC. Foundation for Mother and Child work in economically underprivileged communities to provide full access to Preventive Health and Balanced Nutrition. To educate the affected groups about the nutrition, FMCH has awareness programs – Accha Baccha class, pregnancy clubs and community support volunteer program. FMCH works with the main segment hit by malnutrition – children under six, mainly under three and pregnant & lactating women. FMCH also helps parents in understand the nutritional needs of a child. They regularly collect data to closely monitor the progress made by the affected segment. Apne Aap Women’s Collective works with trafficked marginalized brothel based prostitutes, their daughters, other marginalized girls and children in the red light district to ensure that they don’t fall trap to inter-generational prostitution. They run three programs: ‘Umeed’ for women in brothel-based prostitution(ages 18+), ‘Udaan’ for daughters of Umeed members and other girls living in the red light area (ages six-18), and ‘Umang’ for toddlers of ‘Umeed’ members and other children living in the red light area (ages two-five). Bempu Two major causes of newborn deaths are hypothermia and infection. Surprisingly, the simple step of monitoring temperature is often overlooked in areas that house uneducated parents or areas that have medical facilities that are short on manpower. BEMPU is developing an intuitive neonatal temperature monitor that empowers mothers to better manage their newborn’s temperature thereby preventing such death and illness. Embrace Innovations is a social enterprise working to help millions of vulnerable babies through its revolutionary low-cost infant warmers. The ‘Embrace infant warmer’ is an award winning product that has already reached 1,50,000 babies across 10 countries! Child in Need Institute (CINI) is an international humanitarian organisation aimed at promoting “sustainable development in health, nutrition and education of child, adolescent and woman in need” in India. CINI’s India wing is headquartered in Kolkata and is working in some of the most impoverished communities in India. Seva Mandir has been working in rural Rajasthan for the past 45 years. They currently work with 360,000 people in 700 of the world’s poorest communities where people live on an average of $0.35 a day. The work on a host of issues – clean drinking water, food self-sufficiency, education (preschool to primary education), women empowerment and maternal and infant health services. Access: In the recent times, there have been health reforms but have increased access to facility based maternal and newborn care, but there has been no significant improvement in outcomes for mothers and infants. The critical success factor in making a significant change lies in the enabling medical facilities to provide high quality care. ACCESS Health India works directly with providers to identify, share, and scale hospital processes and procedures that lead to better outcomes for mothers and their children. Ayzh is a for-profit social venture providing health and livelihood solutions to impoverished women worldwide. Their first product ‘Janma’, a low-cost birth kit, was launched in 2010. It is complaint with World Health Organization’s guideline for a safe and hygienic birth.