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 4:47 PM

Kitchen Garden: An unusual arsenal in Kenya’s fight against malnutrition

Vegetable gardens have been in vogue since long across the world as a hobby to source  some fresh vegetables for household consumption. However in Kenya, the government and citizens both have moved towards taking it to the next level.

Hassani Oyo, a musician and resident of Nairobi, Kenya, has started vertical bag gardening in the backyard of his home to grow exotic vegetables like cabbage, spinach and kale for his own use as well as for sales to his neighbours and local vegetable vendors. This low cost method of gardening uses minimal farming space and very less water.

Another gardening story emerges from Busia County in western Kenya. where a local community-based organization, Sustainable Income Generating Investment (SINGI) is promoting the use of Kitchen Gardens. SINGI in partnership with other organizations are actively involved in training farmer groups about healthy agricultural practices and sharpening their production skills.

Roselida Orodi, the chairperson of Esikoma Ushirika Farmers Self Help Group states that, “Most households produce enough vegetables for domestic consumption with a surplus which is usually sold to the local market and beyond”. The biggest advantage is that these vegetables are able to withstand high temperatures. During summer, when the demand increases, they are usually sold for higher prices to earn good profits.

Jessica Muhonje of Singingire vegetable farmers group, says that she sells vegetables worth 15 U.S dollars per day. With indigenous vegetables gaining popularity, she adds that, “People flock to my homestead to purchase the vegetables”.

Kenyan government has also launched the “One Million Kitchen Gardens Plan” for households across the country. Brainchild of Agriculture Chief Administrative Secretary, Anne Nyaga, the program aims to use kitchen gardens as a tool to achieve food security, fight malnutrition, and to deal with the food crisis caused by the Covid-19 pandemic. In the initial phase kitchen garden kits were provided to 15,000 households of  Makueni county. “We would like to put emphasis on a balanced diet through these kits so that we can be able to boost our immunity and create an immunity that is able to fight COVID-19 and other diseases” says Anne Nyaga. She also adds, “The government is launching a campaign to establish kitchen vegetable gardens, we have issued guidelines to support both rural and urban dwellers with technologies for setting up within the resources available”.

These success stories inspire many others to join the kitchen garden bandwagon in Kenya. Setting up a kitchen garden is not tough, according to Mr. Oscar Ludelu, a landscaper and horticulturist. However, a few factors, like cost and what type of garden one needs is to be kept in mind before starting a kitchen garden.

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