Showing posts with label health. Show all posts
Showing posts with label health. Show all posts

Wednesday, January 27, 2016

A Passion for World Camp

Wonder what it's like to be on-the-ground in Malawi seeing our life-changing programs in action? To get an in-the-field perspective, we chatted with our Country Manager, Solomon Chipingo-Phiri (Chipingo). He filled us in on his love for World Camp's work, what makes Malawi great and some of his passions.
What inspired you to join the team at World Camp as Malawi Country Manager?
I am inspired by the opportunity to contribute to the improvement of underprivileged people World Camp serves and the empowerment philosophy we adopt in our work.

Why are you passionate about World Camp’s mission?
It makes people proactive and strategic actors in the development of their lives and their surrounding communities rather than being passive recipients of development. World Camp has a bottom up approach which is dignifying to the people it works in partnership with.

Why is World Camp’s work so important in Malawi?
The government ministries have good plans, but they are limited by financial resources. World Camp works to complement the government initiatives contributing to the specific development of heath and education. World Camp has a distinction in its work in that it aims at empowering the locals to identify their problems and devise solutions for those problems, while working with them as a partner. This assures the sustainability of our projects.

What’s a favorite memory from Camp Hope?
A favorite memory of Camp is during the Memory Tree activity. This is where campers share what they have gained and are able to recount the treasures they have amassed from camp. I like the true stories because they are honest and come from their hearts rather than from their heads. It makes me cherish the hours that I invest in camp.

What is the most rewarding thing about your job?
To see hopeless lives being transformed and impacted with my contributions.

What do you love the most about your home country Malawi?
It is a land of peace and the people are so lovely. It has a rich culture that believes in family and a supportive structure morally and socially.

What do you do when you are not working at World Camp?
Reading, watching my favorite channels on TV, creative beauty arts and composing songs which I 

Thursday, November 5, 2015

Access to Health Care: How Governance Plays a Role

By Intern Rachael Thorn

World Camp’s work focuses on helping the people of Malawi access health care. There are many challenges to health access in Malawi and issues surrounding governance are a starting point to help us understand lasting and sustainable solutions for communities. 

Malawi’s government decreases its capacity to provide fundamental services to its citizens through poor governance that would ultimately only strengthen Malawi as a whole. The 2014 report of the Corruption Perception Report ranks Malawi as 110 out of 174 (with number 1 being the country with the least amount of corruption). Its score is 33 on a scale of 0 (highly corrupt) to 100 (not at all corrupt) (Transparency International).

Corruption Perceptions Index 2014
The perceived levels of public sector corruption in 175 countries/territories around the World:


What does this have to do with access to health care? Let’s take a look at Malawi’s government. Malawi appears to have a patronage system, which means the government rewards contacts in the private sector for their support or in exchange for furthering their political advantage. Between a patronage system and the large income disparity present in Malawi, we begin to see a vicious cycle of poverty and stagnation for lower classes. As there is less room for reward in sectors like education and health, for government officials and companies, less money is put into these underfunded sectors. Largely, a system has been put in place that is beneficial for some, but not for those who depend on the state to provide fundamental public services.

The 1998 Local Government Act was an attempt to introduce a framework that diminished instances of corruption. This was implemented “to further the constitutional order based on democratic principles, accountability, transparency and participation of the people in decision making and development processes” (Commonwealth Local Government Forum). However, Malawi’s rule of law lacked the ability to enforce this accountability that would come from the democratic process, because it was proposed without outlining methods to constrain the patronage system already in place. Thus, the pedestal of democracy did not have the legs to stand on and the tradition of patronage continued to dictate the priorities of the public sector.

We must remember that it is difficult to talk about the corruption in any country because it is only the perception of corruption that it is verifiable. Thus, to quantify it, such as the Corruption Perception Report does, only tells us part of the story. It is more important to understand that the citizens perceive this corruption based on the quality of life in their daily experiences and accessibility to public services. World Bank’s “survey results suggest that users (households and businesses) regard public institutions as delivering generally inferior quality services or alternatively that none of the public institutions listed are performing exemplary public service in Malawi. The performance and the perceived honesty/integrity of institutions are highly correlated” (eldis). It may be difficult to view public institutions as reliable for many citizens after the 2013 Cashgate scandal in which over 70 people were arrested in regards to illegitimate payments from the government that were being paid to civil servants who had previously supported political players.

Why is understanding corruption in state governance important? Where do we go from here? One major form of change comes through social mobilization that comes out of education, awareness and empowerment. World Camp is working towards all of these things. We face the systemic problems everyday and have to continue to believe that they are not unchangeable. The first step in mobilization is understanding where the foundation is cracked and how that crack trickles down to affect almost every aspect of society. The first of the World Bank suggestions for moving towards progress says: 

“In fighting corruption not only must the approach be holistic, but it must also be carried and supported by all stakeholders in the society” (Governance and Corruption Diagnostic Survey in Malawi). 

Continuing support of our work to include all citizens of Malawi in having an empowered voice can lead to improved access to health care and education. Our holistic programs reflect the suggestion of the World Bank and looking towards the future, the hope instilled in our partner communities can become empowerment—and empowerment can become change. 

Tuesday, September 8, 2015

Reflections on Camp Hope

By Intern Zoey Ponder

As this summer’s sessions of Camp Hope wind to an end and World Camp begins to prepare for our year-round programming, we all take the time to pause and reflect on our time spent at Camp. I was lucky enough to spend four days at two different camp sessions this year and will forever remember how touching this opportunity has been. 

Camp Hope is held in a beautiful setting, sort of off the beaten path about an hour outside of Lilongwe. The campsite lies against the backdrop of amazing rocky peaks and surrounded by quiet villages and farmland. The last fifteen minutes of the drive in is filled with kids yelling “azungu” (a friendly nickname for someone with light skin) and waving at the car as we bounce up and down on the dirt road. The campsite itself has large boys’ and girls’ dorm rooms as well as a huge dining hall in the center. Off to the right of the dorms and dining hall is a soccer field and the main hall and classrooms are over on the far side of that. 

Meal times are some of the silliest times. Kids have three meals and three snacks each day to help teach the value of nutritious eating and to provide valuable nutrition they may not receive at home. It was at Camp Hope that I tried Malawian food for the first time. Everyone is encouraged to eat as much as they want, as it was explained to me by an enthusiastic camper, “This is Africa, EAT EVERYTHING!” Meal times are also utilized to teach campers important food groups, staying hydrated and to celebrate the “Super Campers”. Super Campers are campers who are celebrated for their accomplishments at Camp during “Camp Kawawa” - which is essentially a big party of singing and dancing and giving out awards for any number of accomplishments that can earn one the “Super Camper” certificate. 

Outside of mealtimes the day is filled with loads of activities, special classes on all sorts of topics from the stigma attached to HIV to arts, crafts and campfires. I was very impressed to see the kids memorizing their ART (antiretroviral therapy) treatments and pill names so they can advocate for themselves and understand their treatment. Kids at Camp Hope get the chance to learn a lot about HIV and how they can help keep themselves healthy, like the importance of taking your treatment each day and the value of nutritious food. 

Camp HopeOne of my favorite activities was the creation of a goals book. Campers got a picture of themselves taken in front of the Camp Hope sign, which many of them were very excited to share with me—and let me tell you these kids know how to strike a pose! Inside their books, they are encouraged to write what they want to achieve with their lives. Many of them wrote professions like a nurse or an accountant. They then wrote how to achieve these goals, what might stand in their way and how to overcome those obstacles. It was amazing to see kids who very seriously wanted to figure out how to achieve their goals. They were even asking me how to reach their goals and wanting me to share my goal book to them. It was an honor to have them want to share their books with me. 

Camp Hope really is a wonderful place for these kids. I saw so many of them laughing, holding hands, dancing together and sharing stories of struggle and hopes of a very bright future. These kids face a lot every day, but they are brave. Together, I saw them standing tall, whether it be dancing on the stage at Stage Night or in the lunch room receiving their “Super Camper” award. I am very proud of everyone who took part in this year’s Camp Hope and I can only hope that Camp Hope will continue to reach more kids each and every year.

Monday, August 31, 2015

A Hopeful Future

HIV was first reported in Malawi in 1985. Since then, the spread of HIV has reached 10.8% of the adult population. “Malawi has a generalized HIV epidemic. HIV prevalence among persons aged 15 to 49 years has been declining steadily from 16.4% in 1999 to 11.8% in 2004 and then 10.6% in 2010.” Not only does the disease affect the adult population, but about 170,000 children also live with HIV (Malawi AIDS Response Progress Report 2015).

HIV Prevention
Photo: AVERT
An HIV prevention poster in Mzimba, Malawi.

Counsellor explaining about HIV testing and treatment on World AIDS Day, Malawi - See more at: http://www.avert.org/hiv-aids-malawi.htm#sthash.qndVapSH.dpuf
Counsellor explaining about HIV testing and treatment on World AIDS Day, Malawi - See more at: http://www.avert.org/hiv-aids-malawi.htm#sthash.qndVapSH.dpuf
Counsellor explaining about HIV testing and treatment on World AIDS Day, Malawi - See more at: http://www.avert.org/hiv-aids-malawi.htm#sthash.qndVapSH.dpuf
Increased prevention work and education over the past decade attributed to the decline in new cases. Although, Malawi’s infrastructure and economic standing make it difficult to truly erase it from epidemic status. Recent years indicate positive steps in the right direction, but prior decades of poor governance and constrictive bureaucracy left behind a lot of work to be done.

HIV prevention and access to antiretroviral drugs are the focuses to curbing the spread of the disease. Initiatives currently implemented include: expanding voluntary HIV testing and counseling (HCT/ VCT), prevention of mother-to-child transmission services, condom promotion and distribution, voluntary medical male circumcision (VMMC), blood safety measures, mass media campaigns, and life skills education (LSE) for young people (AVERT).

Many non-governmental organizations (NGOs) collect high volumes of data in their hands-on work to identify the most common causes of transmission and the most affected demographics. Organizations such as the World Bank, the Global Fund, the World Health Organization, the President's Emergency Plan for AIDS Relief (PEPFAR), and the Joint United Nations Programme on HIV and AIDS (UNAIDS) have all taken an active role in funding and planning to decrease incidence and increase awareness in Malawi (AVERT).

HIV/AIDS Prevention
Photo: AVERT
Counselor explaining HIV testing and treatment on World AIDS Day, Malawi.
UNAIDS, specifically, leads the way in analyzing target goals to catalyze initiative to eliminate HIV/AIDS. Their plan for 2015 has been very successful. The target goal for 2015, as set out in the Millennium Development Goal 6 of 2000, has been surpassed. This year, UNAIDS “celebrates the milestone achievement of 15 million people on antiretroviral treatment—an accomplishment deemed impossible when the MDGs were established 15 years ago… [Worldwide,] new HIV infections have fallen by 35% and AIDS-related deaths by 41%” (UNAIDS).

Malawi’s steadily improving situation reflects the larger global picture, but meeting goals requires working within localized communities. Greater awareness and education will lead to a better perspective on HIV prevention in Malawi. For example, many adults do not get tested, but simply assume they are living with HIV because of its prevalence. Unsafe sex is justified by choosing partners based on their societal status or perceived cleanliness. Even if precautions are taken, condom use and safe sex practices are rarely being implemented on a consistent basis. Education, access to testing sites, and decreased stigmatization of testing will be key factors in the next five years in continuing to improve the state of Malawi’s HIV epidemic.

Looking to the future, UNAIDS’s highlights its target goals for 2020, “90% of people living with HIV will know their HIV status, 90% of all people with diagnosed HIV infection will receive sustained antiretroviral therapy, and 90% of all people receiving antiretroviral therapy will have viral suppression” (UNAIDS 90-90-90).

By World Camp Intern Rachael Thorn