Saturday, August 8, 2020

Yemen's Multilayered War: The Failing Healthcare Infrastructure

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Anant Jani

Article Title

Yemen's Multilayered War: The Failing Healthcare Infrastructure

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Global Views 360

Publication Date

August 8, 2020

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Air strike Al-Thawra hospital, Hodeida on August 2, 2018

Air strike Al-Thawra hospital, Hodeida on August 2, 2018 | Photo credit: ABDO HYDER/AFP/Getty Images | Source: Felton Davis via Flickr

This is the 6th and last part of a short explainer article series on the current crisis in Yemen. To read the earlier parts of the series click on the link.

To read the 1st part of the series click on the link.

To read the 2nd part of the series click on the link.

To read the 3rd part of the series click on the link.

To read the 4th part of the series click on the link.

To read the 5th part of the series click on the link.

The civil war in Yemen, more so after 2015 has taken a toll on the civic infrastructure of the already fragile and poor country. Among these, the healthcare infrastructure of the country was one of the worst affected.

Apart from the physical damage to the hospitals and clinics due to the aerial bombings by the Saudi Arabia led coalition, the naval blockades exacerbated the dire situation. In June 2015 itself, aid agencies warned of the humanitarian risks brought by the US and UK-backed Saudi blockades.

The humanitarian situation aggravated further as there was a consistent famine since 2016 and Yemen was dependent on foreign aid for feeding almost 80% of its population.  According to UNICEF reports, over 3.3 million children and pregnant or lactating women suffer from acute malnutrition.

In 2017, the World Food Programme estimated that an additional 3.2 million people would be pushed into hunger. If left untreated, 150,000 malnourished children could die within the coming months.

Save the Children, the international charity and aid agency, estimated that 85,000 children under the age of five have starved to death in between 2015 to 2018.

Major healthcare operatives are dying due to the active bombing and conflict in Yemen, including personnel from MSF and United Nations Office for Coordination of Humanitarian Affairs (OCHO).

The MSF (or Doctors Without Borders), who have been in Yemen since 2007, have reported that fears of stigmatization are causing people to stay away from hospitals, with misinformation and lack of medical services only compounding the healthcare issue during the pandemic.

As of 24th July, the country reports 1640 confirmed infections and 458 related deaths.  Al Jazeera reported that “Cemeteries in Aden are overflowing with graves, suggesting that the number of people killed by the new coronavirus is higher than the official count.” Yemen and its related aid agencies also suffer from lack of PPEs and adequate information about the pandemic.

As of April 2020, there are 800,000 internally displaced persons in just one province of Yemen Marib. The number of verified civilian deaths stands at 7,700.

The United Nations has been continually asking for donations, but has failed to collect as much as it requires. While it collected $4 billion last year, it has only received $700 million, halfway into 2020.

The UN urged for $2.4 billion this year to fight the humanitarian crises and the Coronavirus. As of 2nd June, 29 countries and the European Commission pledged a total of $1.35 billion to support humanitarian efforts in Yemen, just over half of the amount needed to sustain programs through the end of this year.

In April 2020, the Saudi deputy defence minister, Prince Khalid bin Salman, said Saudi Arabia “will contribute $500m to the UN humanitarian relief program for Yemen in 2020, and an additional $25m to help combat the pandemic. It is up to Houthis to put the health and safety of the Yemeni people above all else.”

There are 41 major UN programmes in Yemen, and it is estimated that more than 30 of them will close due to lack of funds. The UN stated, “Due to the COVID-19 suppression measures, all integrated outreach activities, which include the Expanded Programme on Immunization, Integrated Management of Childhood Illness, Maternal and Newborn Health,and nutrition activities, were suspended.”

Most of Yemen's 3,500 medical facilities have been damaged or destroyed in air strikes, and only half are thought to be fully functioning. Officials warn that monetary relief may not be enough to assist in the war against the pandemic alongside the Civil War. A solution to the war must be found soon, before the pandemic eviscerates more of the healthcare infrastructure.

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February 4, 2021 4:36 PM

How Iceland Beat the Pandemic Without Imposing a Lockdown

Like the rest of the world, Iceland also has to face the COVID-19 situation. This European country of approximately 3.5 lakh population registered the first case of COVID-19 virus on the 1st March 2020 and the number of the infected hit a peak on the 5th May 2020. The active cases declining afterwards and on 24th of May there were only three active cases. Iceland’s response to COVID-19 has been widely lauded.

The country’s small population enabled extensive testing; instead of simply testing symptomatic or exposed people, also tested the general population. Along with the Icelandic health authorities, deCode Genetics, which is an organization committed to mapping and understanding the human genome, undertook the task of testing the general and non-symptomatic population for free. Consequently, Iceland has tested a higher portion of inhabitants than any other country, making it easier to trace how the infection spreads. There has been no lockdown imposed; however, the government has been taking measures to spread awareness for voluntary self-quarantine measures. The government also banned gatherings of more than 20 people on 24th of March which was relaxed to 200 from 25th of May.

The strategy followed by the government of Iceland was based on robust testing, contact tracing of infections, social distancing, increasing public’s awareness of hand-sanitation and voluntary self-quarantine, along with strict measures in healthcare institutions. Through effective contact tracing the healthcare workers were able to reach out to people who came in contact with COVID-19 infected people and recommend them to self-quarantine.

The government was very open in communicating with the citizens on the status of COVID-19 situation in the country. Half an hour long daily briefing on Iceland’s local response to the pandemic was relayed on the public’s screens for the past months until the 25th of May. The briefings were led by Þórólfur Guðnason, Alma Möller and Víðir Reynisson who are the Chief Epidemiologist, Director of Health and Director of Iceland’s Department of Civil Protection and Emergency Management respectively.

Iceland has shown that robust testing regime, contact tracing, and clear communication to the public can be very effective in controlling the COVID-19 before it could turn into a pandemic.

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