July Issue Campaign: SDG 3 – Good Health and Well-being

IN THIS ISSUE

Letter from our Executive Director

Kristen Dailey

I had the privilege of hosting the new President of Rotary International Jennifer Jones and the CEO of Rotary International John Hewko in Seattle for an event about their investments in global health. They are partnering with Washington-based Gates Foundation, World Vision, PATH, and Malaria Partners International. It was incredibly inspiring to hear about the past success in polio eradication and how that long-term campaign model could be applied to malaria.

I also felt incredibly proud that these Global Washington members are leading this effort, which could impact millions around the world. GlobalWA members exemplify the adaptability and resilience of NGOs in the face of the pandemic, using existing SDG frameworks to restabilize operations in a post-pandemic world.  You can read more about these global health interventions in the articles below, as well as a Goalmaker feature story about President Jennifer Jones who is the first female President of Rotary International.

Looking forward, I’m excited to announce that registration is now open for the 2022 Goalmakers Conference on December 7 and 8! This year, the first day of the conference will be online and the second day will be in-person in Seattle. It will be a homecoming for those of you who have attended past in-person Goalmaker conferences and we will have time on the agenda for plenty of networking, co-creating, and re-connecting. I hope you can join us! Registration information can be found here.

KristenSignature

Kristen Dailey
Executive Director

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Issue Brief

Unconditional Resilience

How NGOs evolved to survive the COVID-19 pandemic

By Aneesh Chaterjee

Holding blood samples

Blood samples for testing. Photo: Belova59, Pixabay.

On February 4, 2020, the World Health Organization released its first Strategic Preparedness and Response Plan for the novel coronavirus. The document details elaborate guidelines for how governments should prepare domestically and internationally, recommending containment strategies and encouraging international cooperation. In the context of Sustainable Development Goals (SDGs), this publication—and the advent of pandemic response and recovery strategies overall—appear to be strong institutional and structural accelerators for SDG 3, ensuring good health and well-being for all. The Goal, however, appeals not just for protection against COVID-19, but good health in the face of many other health crises. The necessary fixation on COVID-19, while bolstering certain SDG initiatives, has deprived other sectors. To bring sustainable endeavors back on course, the SDGs may prove to be a sufficient guiding framework for rebuilding post-pandemic.

Catalysts for adaptability in crisis

The steady struggle to actualize the Sustainable Development Goals has suffered significant derailment from the coronavirus pandemic in the last three years, interrupting immunization programs, skyrocketing malnutrition and the spread of disease, stemming educational reform and other initiatives.

Even in the wake of an unprecedented vaccine response, the “zero-dose” population became a new marker of inequality in vaccine distribution for COVID-19—pushing priorities further away from the broader spectrum of SDGs, in the efforts to stabilize global health. However, SDGs prove to be a guiding framework for adaptive responses to a global crisis, ones which demand flexibility and resourcefulness. To that end, one 2022 study suggests that NGOs, amid other kinds of institutions, may be particularly inclined to succeed.

NGOs reportedly suffered hefty operational setbacks: a drop in health-seeking behavior from people fearing infection at healthcare facilities, increased operational costs due to PPE, failure to administer programs during lockdowns, transitions to virtual operations reducing capacity, and even infections and death among NGO personnel, to name a few. Methods of direct disease intervention—tangible deliveries of products and services in target regions, health and frontline workers, and other in-person efforts to carry out the objectives of NGOs—were severely disrupted. Despite this, the study’s literature proposes that NGOs are primed for reflexive adaptability, leading to pivotal response programs that ensured their survival.

Covid-19 testing

Covid-19 testing. Photo Mufid Majnun, Unsplash.

Due to the nature of NGOs and their relationships with other institutions, they are adaptive in their conduct, their direction and decisions, dependent on the requirements of partner institutions; during a crisis, this isomorphic relationship is extended to the new normative standards of conduct for any organization. As such, NGOs have been theorized to be flexible in response to crisis, more prone to adhere to what is normalized as necessary for the current climate. These norms can dictate changes in services, programs, operational goals and other adjustments to an organization’s mandate, even pushing NGOs to employ strategies and programs beyond their established scope.

GlobalWA members exemplify the adaptability and resilience of NGOs in the face of the pandemic, using existing SDG frameworks to restabilize operations in a post-pandemic world.

Global Goals chart

Revitalizing the means of implementation through global partnerships

The Bill and Melinda Gates Foundation facilitates development in a variety of sectors across the world, with five program divisions overseeing a broad range of missions to address global crises, inequalities, and sector development. The Global Health Division, for instance, focuses not only on driving high-impact research and disruptive innovation to both upscale existing interventional tools and build new ones, but provides specialized programs for individual infectious diseases with serious impacts on global society: tuberculosis, HIV and malaria, to name a few.

Gates Foundation logo

As an example, the Foundation’s efforts to rid the world of malaria prioritize advanced surveillance systems in impacted regions to detect and diagnose cases, eliminating drug-resistant strains, and building a genetic database of malaria carriers to strengthen detection and response strategies.

Programs of such scope were not exempt from the crippling interference of a global pandemic. In the face of such unique circumstances, the Foundation adapted in ways that exemplify the true potential of Goal 17. In addition to developing rapid response strategies for economic recovery, their $2 billion in contributions to other institutions shows remarkable commitment to sustaining and strengthening multilateral, collaborative networks. These donations facilitate the rehabilitation of health systems, testing and contact tracing, vaccine development and economic recovery strategies, among other objectives.

The Foundation has worked frequently as facilitators of cooperation between multiple institutions, even before the pandemic. The malaria program alone exemplifies an inherent inclination to support, connect, and invest in other actors for the goal of a unified, strengthened mission toward success. In regions burdened by malaria, lack of access to readily available preventative tools, diagnostic equipment, and medication is remedied by investing in other institutions which assist in resource distribution. The Foundation also prioritizes knowledge; to provide governments with sufficient information needed to combat the disease, they invest in secondary organizations that specialize in data collection and intelligence processing. Through their mission to strengthen partnerships across the world, the Foundation proves that adaptability in crisis, and recovery in a post-pandemic world, are far from solitary endeavors.

Two laboratory technicians processing blood samples

Two laboratory technicians with Haiti’s Ministry of Health are processing blood samples in order to test for malaria. Credit Alaine Knipes (CC 2.0).

The necessity of collaborative networks crucial to Goal 17 is also embodied in the work of CARE, an expansive non-profit addressing global poverty, gender inequalities, and social justice concerns. With up to 1,459 programs addressing climate change, resource scarcity, education, and other crucial priorities, CARE’s global reach in 2021 spanned 102 nations, impacting up to 100 million people.

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Programs at CARE achieve structured targets through comprehensive sets of approaches. In the realm of reproductive health, the IMAGINE project is an ongoing initiative that provides not only the education needed to better understand sexual health and family planning, but business and technical skills that grant young women more opportunities beyond traditional motherhood. Implemented in Bangladesh and Niger, the project aims to tackle the problem of adolescent pregnancies—including fostering autonomy and independence for children forced into marriage.  CARE’s focus on HIV is represented well by the Community Score Card (CSC) initiative to work on prevention of mother-to-child transmission (PMTCT) of HIV. CSCs are tools of accountability for communities, enabling them to evaluate services and resources, identify roadblocks and challenges, and connect with service providers. The CSC project implemented in Malawi for PMTCT yielded largely positive results over 12 months, with 14 out of 15 indicators for PMTCT showing positive change.

The CSC initiative is a pioneering tool, and another example of how generating collaborative networks are essential to stabilizing crises of any kind. Following the outbreak of COVID-19, CARE engaged heavily in worldwide vaccine distribution, reaching up to 100 million people; supporting frontline workers in high-risk regions, coordinated with local authorities to strengthen health infrastructure, and collaborated with partners to dispel stigma and misinformation around vaccines.

Another effective NGO is Save the Children, which works on the ground to provide lifesaving assistance, equipment, and disseminate knowledge on how locals can prepare themselves to tackle the pandemic on their own.  Frontline workers have worked to provide testing kits and oxygen supplies in Nepal; established training facilities in Bangladesh to educate Rohingya refugees on pandemic preparedness; collaborated with local communities in South Sudan to advocate for best practices against infection; facilitated distance learning programs for children in Syria, among many other high-impact initiatives across 87 countries.

Save the Children logo

Efforts of this calibre, leveraging fostered partnerships, generating new networks with local institutions, and providing support to frontline workers, show clearly that even shocks to systems as disruptive as the pandemic may be reoriented through strength in partnerships.

Community health worker with patient

Community health worker in Brazil. Photo: Carlos Magno, Unsplash.

Robust innovation paving a road to recovery

Fostering innovation is an essential target of Goal 9, one which the Fred Hutchinson Cancer Research Center exhaustively represents—including their adaptations post-pandemic. Operating five research divisions, tackling some of the world’s most crippling maladies (including cancers, HIV/AIDS, autoimmune conditions, genetic disorders, and infectious diseases) and driving innovation in 19 research areas in disease prevention, genetics, biology, vaccine development, data science, and a host of others, Fred Hutch stands as one of the world’s leading institutions generating high-impact, disruptive innovation for a brighter future in health sciences.

Fred Hutch logo

As a prime example, the cancer research conducted at Fred Hutch displays comprehensive clinical trials for multiple variations of different cancer types.  Ranging from brain tumors to myelodysplastic syndrome, each variant and cancer type receives dedicated research teams, and patient care resources. The degree to which their research focus is diversified, and the comprehensive approach to providing a full range of resources and services for a broad range of cancers, showcases the strength and dedication to innovation, scientific development and patient outreach at Fred Hutch.

Even with their cancer research being as comprehensive as it is, the COVID-19 pandemic presented unique and unpredictable roadblocks. In an open-access article authored by Dr. Joseph Unger of the Public Health Sciences Division at Fred Hutch, he states a reduction of 20.7% in cancer care services received by patients during the pandemic. Moreover, 1 in 5 cancer patients expressed an unwillingness to participate in clinical trials—a reflection of the noticeable reluctance of patients to interface with the healthcare system during the peak of the pandemic—due to fears of contracting the virus. In 2021, patient engagement with cancer care resources rebounded to levels even greater than they were pre-pandemic. Despite this, the findings indicate potential health consequences for patients who delayed screenings, or otherwise refused to seek out proper medical attention in regard to cancer treatment.

An article published in the Fred Hutch news network by Diane Mapes highlights another vista of consequences for cancer patients: those immunocompromised are particularly vulnerable to the infection, and have faced significantly heightened risks during the peak of the pandemic. Public pushback against lockdowns, mask mandates and social distancing were detrimental to the wellbeing of cancer patients in the same way the drop in patient engagement with cancer resources heightened risks of exacerbating their condition.

The response by Fred Hutch showcases their adaptability and resilience through their dedication to fostering innovation. In October 2020, they opened the COVID-19 Clinical Research Center (CCRC), driving research, clinical trials, and interventions designed to tackle the novel coronavirus. The CCRC acts as a collaborative platform of research and development, pushing toward a stable future through rigorous and disruptive methods of managing the pandemic.

Despite the volatile conditions surrounding cancer patients during the pandemic, their dedication to push through the crisis by inculcating new methods of innovation, research, and development solidifies Fred Hutch as an institution with capacities for unparalleled survival and growth, even in the most uncertain of times.

Another priority of Goal 9 is to build efficient and resilient infrastructure. To that end, PATH is another prolific entity with immense impact on a variety of sectors, ranging from infectious diseases to policies and advocacy, medical device development, vaccine research, and other fields. A novel service generated by PATH builds dynamic new infrastructure for countries wading into the post-pandemic era: Vaccine Cost Calculators are digital spreadsheets that enable institutions to estimate the financial impact of investing in vaccines, currently available for HPV, rotavirus, and pneumococcal conjugate vaccines.

PATH logo

In the realm of scientific innovation, PATH has pioneered vital medical devices that address the needs of communities ravaged by the pandemic. Mobile rapid-response ventilators are built to address the rising ventilator shortage, with the added benefit of being fast and easy to deploy; Bubble CPAP kits are provided as ventilation alternatives for newborn children and toddlers; modular infusion pumps are built to provide life-saving infusion of nutrients and medication for patients afflicted by COVID-19; mobile chlorine generators, providing chlorine for disinfecting purposes, are engineered to address the disinfectant shortage at clinics and hospitals by generating chlorine from water, salt, and electricity.

In a more systemic example, PATH has also worked to address the global syringe shortage following mass vaccine rollouts. Working with UNICEF, PATH researchers are conducting widespread market research to test the viability of new alternatives to AD syringes (the product of choice for single-use injections across low-to-middle income countries), including the provision of logistical support to supply chains to ensure that syringes and vaccines arrive at required regions on time. The work of PATH to revitalize, strengthen, and develop global infrastructure, both within and beyond the scope of the coronavirus outbreak, is evidence of the irrefutable need to innovate in the fact of adversity.

Building ahead

GlobalWA members demonstrate the efficacy of comprehensive, grounded, and focused approaches to addressing complex global crises. While SDGs may present as rudimentary frameworks, their targets are in line with the projects and impacts of the world’s most effective and widespread NGOs. Collaborative partnerships, assistance across multiple levels of engagement, and groundbreaking scientific advancements prove to be essential in overcoming not only the current pandemic, but the broader vista of sustainability challenges outlined by the Goals.

The following GlobalWA members are providing quality healthcare services and support through their programs in low- and middle-income countries where they work.

Adara Group

We envision a world where every person has access to quality health and education services, no matter where they live. We bring this to life by delivering leading programmes across Maternal, Newborn and Child Health, and Remote Community Development.

Americares

Americares is a health-focused relief and development organization that responds to people affected by poverty or disaster with life-changing medicine, medical supplies and health programs. When people are in crisis, we make sure that health comes first. Our Emergency Programs help communities prepare for, respond to and recover from disasters. We provide millions of people around the world Access to Medicine and supplies. Our Clinical Services deliver quality health care for people who have none. We create and support sustainable programs that strengthen Community Health.

Bill & Melinda Gates Foundation

Our Global Health Division aims to reduce inequities in health by developing new tools and strategies to reduce the burden of infectious disease and the leading causes of child mortality in developing countries. Learn more.

Burkitt’s Lymphoma Fund for Africa (BLFA)

BLFA is a 501(c)3 nonprofit organization based in Seattle, Washington, that funds programs in East Africa focusing on the medical, logistical, and social support families need to have their children complete curative cancer treatment and return home. To accomplish our mission BLFA provides grants to nonprofit and healthcare partners who work directly with families and cancer patients. With our partners, we advocate for what these children and their families need, which can be different in each country. We know it takes a village to reach a village, and a cure.

CARE

CARE is a leading humanitarian organization fighting global poverty. CARE places special focus on working alongside women and girls. Equipped with the proper resources women and girls have the power to lift whole families and entire communities out of poverty. In 2020, CARE worked in over 100 countries, reaching more than 90 million people through 1,300 projects.

Days for Girls International

Days for Girls is turning periods into pathways. We increase access to menstrual care and education by developing global partnerships, cultivating Social Entrepreneurs, mobilizing volunteers and innovating sustainable solutions that shatter stigma and limitations for women and girls.

Five Angels

Five Angels assists with providing quality care and medical services to families in Shire, Ethiopia.

Fred Hutchinson Cancer Center

Since 2013, Dr. Leo Stamatatos has been developing a different kind of HIV vaccine intended to train a person’s immune system to mount a powerful antibody response against the virus that causes AIDS. Now, it is nearly ready for its first phase of testing in human volunteers. The trial will be run by the Fred Hutchinson Cancer Cancer-based HIV Vaccine Trials Network under the name HVTN 301.

HVTN 301 is among the first studies in the world to try out this next-generation vaccine concept known as germline targeting. The strategy involves cultivating rare lineages of B cells that, while lacking the right stuff to make broadly neutralizing antibodies on their own, are close to doing so. The successive vaccines drive the maturation, or evolution, of the B cells until they can bring the desired antibodies across the finish line.

Hutch researchers are also advancing the development of potential Epstein-Barr virus vaccines. Implicated in cancers, fingered as the cause of mononucleosis — and now suspected of triggering the degenerative nerve disease multiple sclerosis — Epstein-Barr virus is building a rap sheet as a seriously problematic infectious agent.

Recent findings concerning the extent of damage wrought by this common virus lend urgency to efforts to develop a first vaccine, and today in the journal Cell Reports Medicine scientists at Seattle’s Fred Hutchinson Cancer Center reported encouraging results in early laboratory tests of a new concept in EBV immunization.

Fred Hutch molecular biologist Dr. Andrew McGuire and his team are experimenting with a vaccine made of nanoparticles, each minuscule particle studded with up to 60 copies of a pair of proteins that mimic similar pairs found on the surface of the virus. A 2022 study linking a high prevalence of EBV to multiple sclerosis has increased concern in the medical community about the virus, a member of the herpesvirus family that has also been tied to lethal cancers such as Burkitt lymphoma and to cancers of the nose and throat.

Gambia Health Education Liaison Project (Gambia HELP)

Gambia Health Education Liaison Project, also known as GambiaHELP, exists to enable communities in Gambia to protect, conserve and improve their own health, the health of their community, and their natural environment. By providing books, educational opportunities, seed money, and human resources, GambiaHELP enables communities in Gambia to build a sustainable economy and environment.

GAPPS – Global Alliance to Prevent Prematurity and Stillbirth

A staggering 2.6 million stillbirths occur each year. Almost all of them take place in low- or middle-income countries and half occur just minutes or hours before birth. In low-income settings, many common factors place both mother and infant at risk of death around the time of delivery. Preventing stillbirth has not received sufficient global focus. GAPPS began the effort to elevate awareness of stillbirth as a global health issue in 2011 as part of a Lancet series on stillbirth. We must build on this foundation.

In low-resource settings, lack of access to emergency obstetric care, untreated maternal infections and other maternal health issues can result in stillbirth and ongoing maternal health issues, including obstetric fistulas and maternal death. Improving maternal health and care will prevent many stillbirths.

GAPPS is leading a collaborative, global effort to increase awareness and accelerate innovative research and interventions to improve maternal, newborn and child health outcomes around the world.

Kati Collective

The key to reaching the world’s most vulnerable populations and connecting them to essential health services are civil society organizations (CSO).

Gavi, the Vaccine Alliance, has made CSO engagement a crucial part of their 5.0 strategy with a particular focus on harnessing the full potential of partnerships between civil society and governments. These partnerships will enable countries to make equitable and sustainable progress towards their immunization goals, including reaching the nearly 10 million “zero dose” children who go without routine vaccines every year.

Kati Collective is working with Gavi to support them in achieving the new Civil Society Country Engagement Approach goals through strengthened management, alignment, networking, and coordination.

Additionally, Kati is enhancing the capacity of the CSO Constituency through the development of a monitoring and learning framework and the creation of communications products including toolkits and templates for initial and ongoing dissemination of information to facilitate multi-lateral capacity building between Gavi, governments, and CSOs to meet critical immunization goals.

Malaria No More

Malaria No More envisions a world where no one dies from a mosquito bite. The organization’s work has contributed to historic progress toward this goal. Now, Malaria No More is mobilizing the political commitment, funding, and innovation required to achieve what would be one of the greatest humanitarian accomplishments – ending malaria within our generation.

Medical Teams International

Medical Teams International is a needs-based humanitarian organization providing life-saving health services for conflict affected, refugee, and displaced populations. Medical Teams operates in eight countries supporting communities and local health facilities to ensure access to quality health services for the most vulnerable.

PATH

PATH’s global team of scientists, engineers, advocates, and experts from dozens of other specialties work in more than 70 countries around the world, all pursuing the same goal: health equity. We partner with governments, multilateral organizations, and businesses to improve health in communities experiencing disproportionate burdens of disease. When the COVID-19 pandemic began, PATH urgently supported COVID-19 response. But we also knew it was critical to maintain treatment and prevention of other infectious diseases. We continued building local capacities, strengthening health systems, and scaling up responsive programs to address diarrheal disease, HIV/AIDS, human papillomavirus, Japanese encephalitis, malaria, meningitis, and tuberculosis, among many others.

With these ongoing efforts, PATH builds on more than 40 years of experience and expertise. For example, in the Democratic Republic of the Congo, PATH partnered with the Ministry of Health during the Ebola outbreak in 2017. From the country’s first national emergency operations center, PATH provided day-to-day coordination, surveillance, and communications support to track cases and prevent further spread.

In Ukraine, PATH collaborated with health workers to increase medication adherence among tuberculosis patients. Using smart pill boxes, which send a signal to the health care worker if the box is opened, more than 80 percent of patients took more than 95 percent of their planned doses. And in Pakistan, where children under 15 bear the brunt of the country’s high typhoid burden, PATH and partners helped the government successfully introduce the typhoid conjugate vaccine, administering doses to 10 million children in just three weeks.

By maintaining efforts to address infectious diseases around the world, PATH aims to protect decades of health progress, while continuing to support ongoing COVID-19 response. To learn more about our work, visit www.path.org.

Planned Parenthood Great Northwest, Hawai’i, Alaska, Indiana, Kentucky (PPGNHAIK)

PPGNHAIK draws upon its expertise as a leading provider of sexual and reproductive health services and comprehensive sexuality education to deliver capacity building support to partner organizations in low- and middle-income countries. Through these partnerships, PPGNHAIK’s Global Programs department supports efforts to improve sexual and reproductive health outcomes for young people.

PRONTO International

PRONTO International provides simulation and team training for obstetric and neonatal emergencies. We aim to optimize care during birth. We develop and implement innovative training strategies for health care providers that act as a catalyst for individual, team, and system change.

Save the Children

Save the Children believes every child deserves a future. In the US and globally in more than 100 countries, the organization gives children a healthy start in life, the opportunity to learn, and protection from harm. Save the Children does whatever it takes for children, every day and in times of crisis, transforming their lives and the future we share.

SIGN Fracture Care International

SIGN is a humanitarian organization that builds sustainable orthopaedic capacity in developing countries by providing relevant education to surgeons, then manufacturing and donating the instruments and implants needed to treat fractures.

Spreeha Foundation

We provide access to affordable or free health care services in the underserved communities. Residents in the slums or remote areas do not have access to affordable or free health care services. In addition, lack of economic resources, information, and assistance prevents them from using private facilities. The densely populated living condition increases the chance of infectious disease outbreaks, thereby increasing mortality rates, reducing productivity, and increasing poverty.

The Max Foundation

The Max Foundation delivers life-saving, targeted cancer treatments to people in low- and middle-income countries who would have no other way to access them. Its innovative model saves lives in more than 75 countries across the globe providing patient-centered treatment, care, and support. The Max Foundation’s vision is a world where all people facing cancer live with dignity and hope.

Village Reach

VillageReach transforms health care delivery to reach everyone. VillageReach works with governments to solve health care delivery challenges in low-resource communities. Its programs focus on increasing access to quality health care at the last mile. VillageReach develops and implements new approaches and ideas to ensure vaccines and medicines are available, increases the capacity of health workers, and ensures they have access to data to improve health.

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Organization Profile

World Vision International: Landmark Efforts to Fight Infectious Diseases

By Aneesh Chatterjee

A CGPP community volunteer administers OPV drops

A CGPP community volunteer administers OPV drops during a supplemental immunization campaign in Gambella Region, Ethiopia. Photo: CGPP Ethiopia.

With a mission to better the lives of children in communities struggling against malnourishment, water scarcity, disease and many other crises, World Vision International has a global presence spanning multiple continents. Providing a range of services from disaster response to child education, World Vision’s work spans multiple sectors, generating positive impact on a broad range of pertinent global issues. In this interview with GlobalWA, we spotlight their work on curtailing infectious diseases with Senior Technical Advisor, Gagik Karapetyan.

While partnering with The Global Fund, how has World Vision contributed to the reduction, control and elimination of malaria in endemic countries, including the distribution of insecticide-treated bet nets (ITNs) and Community Case Management (iCCM)?

Despite the elimination of malaria in some parts of the world decades ago, it remains a significant public health problem for nearly half of the world’s population. In 2019 alone, there were an estimated 229 million new malaria infections with 409,000 deaths globally— about 95% of which were in 31 countries in Africa. Malaria disproportionately affects the poorest and most marginalized communities, as they are at higher risk and often lack access to effective services. Due to more vulnerable immune systems, children under age 5, pregnant women, and people living with HIV and AIDS are the most susceptible.

World Vision has been partnering with The Global Fund to Fight AIDS, Tuberculosis and Malaria (The Global Fund), since their inception, over a decade ago.  Currently, our Global Fund portfolio includes 22 projects in 14 countries and helps support our child well-being goal of “children are protected from infection and disease” as well as SDG 3 “Ensure healthy lives and promote well-being for all at all ages.”

World Vision staff member delivers treated mosquito net

World Vision staff member delivers treated mosquito net to family in Malawi. Photo: World Vision.

We support malaria vector control interventions such as scaling up the universal distribution insecticide treated nets (ITNs) and Indoor Residual Spraying (IRS). We also contribute to community and health systems, strengthening and empowering communities to work with governments, the private sector, and civil society for Integrated Community Case Management (iCCM) services.

The iCCM promotes a diagnostic and treatment approach to pneumonia, diarrhea, and malaria. We train, support, and supply community health workers (CHWs) to provide timely and effective diagnostics and treatment for sick children in areas without adequate access to case management at health facilities.  World Vision supports iCCM as a proven and effective strategy to ensure community-based services are provided to those that need them the most.

In partnership with the Global Fund, we implement malaria programs in several countries, including Angola, Malawi, Mozambique, and Central African Republic. Along with local partners and in partnership with Ministries of Health (MOH), we build the capacity of CHWs and support them in iCCM. Some of the examples of our successful and scalable malaria programs include:

Angola

With resources from the Global Fund, World Vision partners with the Ministry of Health to support the National Malaria Control Program (NMCP) to reduce malaria mortality and morbidity through iCCM initiatives. This GF program makes a significant contribution to ensuring the routine distribution of health products (rapid diagnostic tests [RDTs] and artemisinin-based combination therapies [ACTs], for example) and has introduced the iCCM approach using the government’s community system (ADECOS).

The program aimed to increase the demand for ITNs and the distribution of RDTs and ACTs, at both the health facility and community levels. Through the program, we have observed the following impacts:

  • 536 community health workers (ADECOS) have been trained on iCCM; additionally, more than 48,000 people received awareness messages about malaria, tuberculosis, and HIV.
  • 85% of confirmed malaria cases received first line antimalarial treatment.
  • 321,892 children under 5 with suspected cases of malaria were tested, and 256,739 with confirmed cases of malaria were treated.
  • Reports of low equipment and medicine stock at iCCM sites have reduced by 85%.
  • 113,437 children with pathologies other than uncomplicated malaria were referred by government health agents.

Central African Republic

Malaria is the number one cause of morbidity and mortality in the Central African Republic. Working with the Global Fund and the Ministry of Health, World Vision implemented key interventions in health systems and iCCM directives, distributed ITNs, began preventative treatment for malaria among pregnant women, strengthened medicine supply chains and streamlined data collection systems.

Between 2018-2020, up to 2,896,347 ITNs were distributed, protecting 80% of the general population. An additional 682,104 ITNs were given to vulnerable groups through continuous distribution. Furthermore, 6,341,532 malaria tests were performed; 4,319,710 positive cases were treated; 191,804 pregnant women received preventive medicine, and 239 community health workers were trained.

Mozambique

World Vision works with the Global Fund and the Ministry of Health in all 10 provinces of Mozambique to protect all populations (with an emphasis on pregnant women and children and rural populations) with ITN distribution, IRS, intermittent preventive treatment in pregnancy (IPTp), and iCCM. Since 2011, the project has reached about 12 million people with malaria information and education through teachers, volunteers, and CHWs. A total of 23.1 million ITNs have been distributed, 2,457 communities are now supported with at least one functioning community structure acting against malaria, and over 50,000 teachers and volunteers have been trained on malaria information, education, and communication. These are a few other key results:

  • Over 1,000 Community Health Workers have undergone an integrated iCCM refresher course for malaria.
  • Over 50,000 teachers and volunteers have been trained on malaria IEC.
  • Knowledge of malaria transmission through mosquitos has increased from 48.6% in 2011 to 91.8% in 2018.
  • Ownership of ITNs has increased from 63.6% in 2011 to 95.5% in 2018.
  • 98% of presumed and confirmed malaria patients are receiving first-line treatment at public facilities.

How does World Vision improve the capacity of tuberculosis detection, diagnosis and treatment for healthcare institutions?

Although the total number of tuberculosis (TB) cases is on the decline worldwide, TB is still one of the deadliest infectious diseases (with mortality rates ranking higher than HIV and AIDS). TB is the second leading infectious killer after COVID-19, and the 13th leading cause of death worldwide. Malnutrition, weaker immune systems and poor access to healthcare resources and services are driving factors behind the spread of TB, making marginalized, vulnerable and impoverished communities more susceptible to TB.

The COVID-19 pandemic has severely affected access to essential TB services, with far fewer people being diagnosed and treated. Only 2.8 million people have had access to TB preventive treatment in 2020 – a 21% reduction since 2019.

Trainees undergo mock HIV/STI testing

Trainees undergo mock HIV/STI testing to put into practice what they learned in their prior counseling training. Photo: World Vision.

World Vision is committed to identifying and treating TB, with the goal of TB elimination. This includes innovative approaches to detect and treat TB cases, especially  in children under 5 and other vulnerable groups. Projects focus on strengthening health systems and communities by promoting advocacy and social mobilization, to increase TB case detection, diagnosis, and directly observed treatment short-course (DOTS) enrollment. World Vision also supports diagnosis and treatment for multi-drug resistant (MDR) TB, as well as HIV-TB co-infection.

A long-term ally in the national TB response in many countries, World Vision has empowered communities through leadership, technical and vocational trainings, advocacy with local leaders, organizing community volunteers, linking communities to local health providers, and providing direct support to TB patients and their families. World Vision also partners with a number of local NGOs and faith-based organizations to build and strengthen their capacity to respond to the TB epidemic, in addition to establishing strong community-facility linkages.

To date, World Vision has implemented 30 TB grants from The Global Fund, totaling $198.86 million, in Somalia, Thailand, India, Papua New Guinea, Guatemala, the Philippines, Indonesia, Mongolia, Myanmar, Senegal, Kenya, and Bosnia and Herzegovina. These projects have consistently met or exceeded expected performance-based funding results. The following examples illustrate the efficacy of these programs.

India

World Vision targeted 222 million people living in the 74 most remote and under-served districts in India, working alongside six partner NGOs and the national TB program. The project focused on scaling up case detection, local-level advocacy, and systems strengthening. Integrated TB-HIV screening and treatment has been implemented in partnership with community-based HIV organizations and improved results in MDR TB treatment have been achieved through enhanced diagnosis, home-based counseling, and food support. Over 14,000 rural health care practitioners have been trained to scale up detection and improve adherence to treatment.

Haiti

Supported by The Global Fund, World Vision is implementing “Investing for impact against Tuberculosis and HIV” three-year program (2021–2023) which strives to improve prevention and treatment for HIV and TB. By adhering to human rights standards and working with the National HIV/AIDS and TB Strategic Plans, the program aims to control and halt the spread of HIV and TB by 2035. The objectives of this program will contribute to both HIV and TB National Strategic Plans. Some of these include reducing new HIV infections by 90% in the general population and priority target groups by 2023; increasing the 12-month survival rate of children and adults treated with antiretrovirals (ARVs) by 2023; reducing TB mortality by 90%, from 18/100,000 in 2015 to 6/100,000 by 2021, and reducing TB incidence from 200/100,000 in 2015 to 165/100,000 by 2021.

Through our efforts, World Vison and partners are supporting those most vulnerable, including adults and children living with HIV; orphans and vulnerable children (OVC); pregnant and breastfeeding women; newborns; TB and HIV/TB co-infected patients; incarcerated persons; migrants/displaced persons; sex workers; healthcare providers, and victims of stigma and discrimination related to the three diseases (including gay, transgender and transsexual demographics).

Malawi

TB remains a major public health problem in Malawi, with an estimated burden of 27,000 cases as of 2020. The emergence of drug-resistant TB (DR-TB), with approximately 750 incidences of rifampicin-resistant TB (RR-TB) and multidrug-resistant TB (MDR-TB) pose additional challenges. The objectives of the Malawi National TB Control Program aim for a 50% incidence reduction and a 75% mortality reduction by 2025.

World Vision’s response targets individuals living with TB patients and their families, aiming to strengthen community access to quality TB resources in targeted areas. Under this intervention, 2000 sputum collection points and house-to-house TB screening initiatives are maintained across the country.

Myanmar

World Vision partnered with FHI 360 on the USAID-funded Challenge TB Project in Kayah State, eastern Myanmar. The project (April 2017 – September 2018) aimed to improve access to quality TB care and services in 150 remote villages, through community-based care and prevention strategies under the National TB Program. The project scaled up the capacity of health volunteers, with an emphasis on recognizing signs and symptoms of TB. The project conducted 478 health education sessions, reaching over 8,309 new participants and 1,899 repeat participants with TB messages, testing, and diagnosis. Additionally, 699 patients with presumptive TB diagnosis were referred to the National TB Program for treatment and follow up.

Papua New Guinea

Between July 2019 to December 2021, World Vision sought to increase detection, diagnosis, resource access and provide high-quality medicine and laboratory facilities. By strengthening HIV-TB collaborative services and establishing a coordinated national clinical and public health laboratory service, HIV-TB diagnosis, treatment, monitoring, surveillance, and prevention was increased. As a result of the project, DOTS has been expanded to all 22 provinces, case notification rates have increased, and laboratory networks have been strengthened. Below are some more key results:

  • A considerable reduction of TB mortality was observed between 2017-2020.
  • 67% of MDR-TB cases were successfully cured, an improvement from 75% during 2016-2019.
  • In 2020, 91.96% of cases were notified, surpassing the project’s goal of 84%.
Mother and daughter posing

Mother and daughter posing with their treatment supporter in Papua New Guinea. Photo: World Vision

How does the Ingobyi project address malaria, alongside other diseases affecting children, to bring down infant mortality rates in Rwanda?

The Ingobyi project (2018-2023) and the USAIDs Rwanda Service Delivery Activity (RSDA) seeks to strengthen health systems and improve the quality of reproductive, maternal, newborn and child health (RMNCH). Additionally, malaria services are provided in a sustainable manner, with the goal of reducing infant and maternal mortality in Rwanda. At the community level, we are implementing a package of demand creation approaches, including an emphasis on social accountability, to increase the community’s use of lifesaving RMNCH and malaria services.

World Vision partners with IntraHealth International to improve the availability, quality, and utilization of RMNCH and malaria services through these objectives, among others:

  • Increased equitable access to RMNCH and malaria services;
  • Improved quality of high-impact RMNCH and malaria services;
  • Strengthened performance of health systems at central and decentralized levels, including improved skills for providers (doctors, nurses, midwives and community health workers), and
  • Strengthened referral linkages for RMNCH and malaria services between different levels of service delivery.

We are also promoting the uptake of community-based health insurance (CBHI) among savings group members to ensure their access to health services and the renewal of their health insurance in the next quarter. With this increased access to quality services, we hope to see fewer infant and maternal deaths in future.

How does the Indoor Residual Spraying (IRS) contribute to controlling and eventually – eliminating, malaria in Malawi?

Malawi is reported to have the 5th highest number of malaria cases in Eastern and Southern Africa. Close to 4 million cases of malaria occur every year, with pregnant women and children under 5 suffering the most severe cases. While malaria cases have increased by nearly 350,000 between 2013 and 2015, malaria-related deaths have declined by almost 15% between 2013 and 2017. In 2016, malaria accounted for 46% of all in-patient cases and 24% of all in-patient deaths.

Man with sprayer

Indoor Residual Spray project by World Vision and the Malawi Ministry of Health. Photo: World Vision.

Malaria prevalence has declined from 33% in 2014 to 24% in 2017. ITN ownership has increased from 70% in 2014 to 82% in 2017. The Ministry is striving to improve access to early diagnosis and treatment by expanding village clinic services, encouraging people to sleep under ITNs, spraying residence interiors, managing the environment, preventing malaria in pregnancy and promoting social and behavioral change through communication. Indoor Residual Spraying is a proven and effective malaria vector intervention if correctly implemented using WHO-recommended insecticides.

World Vision, in partnership with the Malawi Government through the Ministry of Health, is implementing Indoor Residual Spraying (IRS) targeting high-burden districts of Balaka, Mangochi and Nkhata Bay. The process involves application of a residual insecticide to internal walls and ceilings of dwelling structures where malaria vectors (female Anopheles mosquitoes) rest. The vector is more susceptible to the insecticide when it encounters the sprayed surfaces, hence the transmission cycle is interrupted and cases of malaria decrease.

The Malawi Health Sector Strategic Plan (2017-2022) prioritizes malaria as part of health sector development. The goal is to scale up malaria interventions and reach a 50% reduction of morbidity and mortality by 2022. The IRS is one of the vector control interventions to curb malaria, alongside insecticide-treated nets (ITNs), the prophylactic and therapeutic use of antimalarial drugs, and diagnostic testing. With these interventions, Malawi is on track to meet Sustainable Development Goal 3, relating to reductions in child mortality and has made considerable progress in scaling up interventions and controlling malaria.

While effective interventions such as the ones mentioned above are available, the population with the greatest burden has limited access to these resources. This is confirmed by the existing body of evidence around health and health-seeking behaviors of at-risk populations, including limited exposure to mosquitoes and the demand for drug treatment.

Volunteers with nsecticide-treated mosquito nets

Volunteers in Mozambique personally delivered insecticide-treated mosquito nets to each household in their community to help prevent malaria. Photo: World Vision.

Across Malawi, high poverty levels (50.7% in 2018) and low literacy rates (59% for women and 73% for men in 2016) are among the major factors influencing healthcare-seeking behavior. Nonetheless, the country is making progress in all major malaria indicators such that malaria-related deaths have declined by almost 61% between 2010 (59 per 100,000) and 2016 (23 per 100,000. Anemia cases decreased from 12% to 6% between 2010 and 2014.

Malaria incidence rate has been increasing from 2019 from 396 per 1000 population to 428 per 1000 population in 2021. As initially indicated, this is attributed to the COVID-19 pandemic. On the other hand, mortality rate has reduced from 19 per 100,000 to 14 per 100,000 populations in 2021. This is a national picture for malaria incidence rate and mortality rate for Malawi.

The success of the IRS intervention is exemplified in the steady decrease of malaria incidence rates. The three targeted districts have showed a decrease in malaria incidences, while the national malaria incidence rate has steadily increased.  he results observed are as follows:

  • Mangochi, an incidence rate reduction from 380 per 1000 in 2017 to 183 per 1000 in 2021;
  • In Balaka, a reduction from 464 per 1000 in 2017 to 343 per 1000 in 2021;
  • In Nkhata Bay, a reduction from 973 per 1000 in 2017 to 342 per 1000 in 2021.

These drops are attributed to Indoor Residual Spraying. It is clear that, if this continues, Nkhata Bay in particular will record a reduced malaria incidence to 193 per 1000 population by 2024.

Additionally, Mangochi is currently the least burdened in the country. The Malaria Strategic Plan 2017-2020 aimed to reduce malaria incidence rate from 386 per 1000 population to 193 per 1000 population by 2022. As might be noted from the results, the incidence rate for is below the target specified in the Plan. This is a clear demonstration that IRS interventions are effective in reducing malaria incidence.

How does World Vision’s Gifts-in-Kind (GIK) program combat the spread of infectious diseases?

The Gifts-in-Kind program receives resources donated to World Vision from various donors and partners, including governments, individuals, corporations, companies, and non-profit organizations. Donations are driven by demand, rather than donors’ resource availability. The GIK program includes donated products, services, technology and expertise. Through effective use of donations, the program allows for more flexibility in funding allocation across multiple projects.

The GIK program is an important pillar for our Global Health and Nutrition Strategy. Antimalarials, antibiotics, deworming medicines, malaria RDTs, ITNs, PPE, disinfectants, and personal hygiene products are among many health products donated to the program, which are then delivered to our programs in over 25 countries.

The World Vision Priority Health Products List is a tool that guides our efforts to secure donations that further the objectives of our strategy. The list is designed to support key interventions addressing maternal and child health in target regions. It is consistent with WHO guidance on essential medicines and health-centric Millennium Development Goals.

These are several guiding principles behind the GIK program:

  • Sectors other than “medical” should make important contributions to the program, so the list should be inclusive of them (for instance, buckets and clean water technologies are included in the list).
  • Though some training may be needed, donated resources should be community-centric, low-tech and user friendly without needing highly specialized skills to utilize.
  • Donated resources should reflect a “life cycle” approach, providing long-term sustainable healthcare for women and children.

The products in the GIK are divided into three groups:

  • Level 1: These are products for household and community levels, designed to be used at home or easily distributed in communities. They are utilized to prevent sickness and promote behaviors that maintain good health.
  • Level 2: At this level, products are meant for first-referral clinics and health centers. They are generally used by World Vision’s governmental and non-governmental (NGO) partners.
  • Level 3: This level is allocated for all other product types that may be useful in certain contexts, but do not directly match the requirements or high priority demands of the first two levels.

What is the scope and impact of the USAID Core Group Polio Project? How has World Vision worked to achieve the goals of this initiative?

World Vision leads and manages the CORE Group Polio Project (CGPP), a multi-country, multi-partner initiative providing financial support and on-the-ground technical guidance to strengthen efforts to eradicate polio. The CGPP operates in seven countries (India, Ethiopia, South Sudan, Nigeria, Kenya, Somalia, and Uganda) to improve vaccine uptake for polio (and other vaccine-preventable diseases such as measles), conduct surveillance for infectious disease threats, and strengthen dysfunctional or weak health systems.

The CGPP is funded by USAID and collaborates with WHO, UNICEF, CDC, Rotary, the Bill and Melinda Gates Foundation, Gavi, the Vaccine Alliance, and numerous Ministries of Health. In 2021, the CGPP was working with 11 international NGOs, 18,292 frontline workers and 20+ national and local NGOs equipped with the expertise to work in complex, high-risk communities.

A CGPP VCM administers OPV drops

A CGPP VCM administers OPV drops during a supplemental immunization campaign in Nigeria. Photo: CGPP Nigeria.

For more than two decades, the success of the CGPP is the innovative Secretariat model that empowers civil society and country-level local actors to work firsthand as transformative agents. These actors ensure that the polio immunization program reaches the last mile and child.

By 2021, the Project’s 19,000+ frontline workers had reached over 2.1 million households with key health education messages on immunization and AFP surveillance. Frontline workers and project staff supported the vaccination of 4,037,044 children during supplemental immunization campaigns. The CGPP continued its tradition of capacity building by training 13,611 frontline and healthcare workers to strengthen health systems, provide routine immunization, facilitate supplemental immunization activities, and teach community-based surveillance. During the COVID-19 pandemic, the CGPP developed necessary protocols to ensure the safety of all CHWs, front-line workers, and those served.

In Ethiopia, Kenya and South Sudan, we expanded the Project’s focus to include community-based surveillance for a broader range of diseases with new funding from the Global Health Security Agenda (GHSA) and Ebola Preparedness at USAID. With supervision from a new Senior Advisor for the GHSA, along with GHSA advisors at the Secretariat level in Ethiopia and Kenya, the GHSA has made impressive strides in training community mobilizers and informants to identify signs of zoonotic diseases (e.g. animal die-offs) using the same project supervision structure established for polio eradication, and Acute Flaccid Paralysis surveillance.

The CGPP integrated no-cost COVID-19 activities through the polio platform to protect communities in India, Ethiopia, Kenya, Somalia, and Uganda. With USAID COVID-19 funding, the CGPP trained volunteers and staff in Nigeria and South Sudan on pandemic and IPC measures, integrated COVID-19 surveillance, established handwashing stations, and conducted contact tracing.

The Project published 14 articles in a journal supplement in The American Journal of Tropical Medicine and Hygiene entitled “Impact, Innovation, and Inclusion of Civil Society Organizations in Polio Eradication: The CORE Group Polio Project Story.” The journal project was led by our Technical Advisors for Communication and Monitoring and Evaluation with external senior support from Professor Henry B. Perry of Johns Hopkins University.

The Project continued to engage with polio eradication leaders to ensure that the civil society and community perspectives championed by this Project have a voice in global, regional and national policy making.

For more details, please visit https://coregroup.org/our-work/programs/core-group-polio-project/.

How did the COVID-19 pandemic affect the efforts to curtail the spread of other infectious diseases? How did World Vision adapt to the post-pandemic world to continue their operations?

World Vision is responding to the devastating impact of COVID-19 in more than 70 countries. Since the WHO declared COVID-19 a pandemic on 11 March 2020, our response has already exceeded our initial goal of reaching 72 million people, and we are continuing to implement programs to help the most vulnerable children.

World Vision has been strengthening health systems to respond to the crisis through training frontline health workers and providing personal protective equipment (PPE). We are addressing vaccine hesitancy through dialogue with communities and faith leaders, and supporting community health workers in vaccine administration.

We will continue to focus on countries that have significant pockets of fragility and poverty. These include urban slums, densely populated informal settlements, and camps for refugees and internally displaced persons (IDPs). The living conditions pose the greatest risk of infection, due to limited access to healthcare, education on best practices, and heightened economic instability. Parallel with our health response, we are engaging in advocacy to address impacts of the pandemic on vulnerable populations.

In all our projects, we have adapted and integrated our COVID-19 protocols to ensure the safety of both our CHWs and our staff, as they prepare to resume program activities after country lockdowns are lifted. These included providing CHWs with PPE and training in preventative measures to mitigate the COVID-19 spread.

Dr. Hans Kluge, Europe Regional Director for the WHO, recently expressed hope that the continuing state of emergency (exacerbated by the Omicron variant) may end in 2022 so the world can begin to address other issues and indirect impacts brought on by the pandemic.

Much will need to happen in order for this to become reality, however. Globally, more than 10.1 billion vaccine doses have been administered – that is 129 shots for every 100 people worldwide. Yet, the least wealthy countries have received only 1% of the vaccinations over the last year.

Furthermore, the indirect impacts of COVID-19 will continue to evolve and affect vulnerable children and their families for years to come. Children may not be the most at risk from the virus, but hundreds of millions of children have been made much more vulnerable by the pandemic’s indirect impacts. Thus, World Vision is committed to continuing to reduce the impact of COVID-19 on vulnerable children and families through the following goals:

  • Supporting people and health systems as countries face new waves and variants of COVID-19 (e.g. vaccination programming, emergency relief);
  • Strengthening health systems and workers so they are better prepared to face future health emergencies and disasters;
  • Prioritizing efforts to support children affected by COVID-19 (e.g. education, child protection, food security, livelihoods);
  • Fortifying local economies by equipping individuals and communities to recover, thrive, and be more resilient (e.g. the Vision Fund);
  • Raising awareness about the indirect impacts of COVID-19 so the most vulnerable, particularly children, are not overlooked;
  • Providing children and young people opportunities and platforms to speak about issues affecting them, amplifying their voices with governments and partners, and advocating for opportunities for them to shape and participate in recovery efforts.

To date, we have reached over 81 million people through our COVID-19 response. Over the last 2 years, we have conducted multiple research studies, surveys, assessments, and desk reviews to better understand the ongoing needs and issues facing the communities we serve.

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Goalmaker

Rotary’s First Female President is Making History, Adapting to the Present, and Creating a Future for a Diversity of Members

By Amber Cortes

Jennifer Jones

Growing up in Windsor, Ontario, Jennifer Jones was always trying to come up with ways to help people. Whether raising money for a local hospital by starting a lemonade stand, or raiding her mother’s garden to sell vegetables—Jones says her parents empowered her and her brothers “to dream and think that anything, and everything, was possible.”

“My parents were very mindful of creating opportunity for us to weave service into our life. And it’s something that certainly carried with me through the role that I’m in now.”

That remarkable role is the very first female president of Rotary International—Jones just started this July.

“I’m very excited,” says Jones. “Smidge terrified, truth be told. But I think that’s it’s healthy to feel that because it means that you care about what you’re doing.”

Jones’s path to president started, in a way, when she first encountered Rotary in the late 80s. She worked as a rookie reporter at a radio station and was assigned to cover local Rotary Club meetings.

At the time, women were not permitted to join Rotary, so she would show up, the only woman in the room, with a microphone in hand to interview the speaker of the day.

“And I remember it being a pretty intimidating experience as a younger person.”

But that changed in 1987, when the Supreme Court ruled that the club could not exclude members on the basis of gender. It opened doors for women like Jones to join, and when a friend invited her to a meeting, she thought back to her earlier experiences and wondered what it was like now. The meeting synced with her passion for helping others perfectly.

“I felt like I walked into my home,” Jones explains. “I knew that it was the place where I wanted to spend time, and the people I wanted to spend time with.”

After a few years, Jones’s path through Rotary included becoming a club president, then a district governor, and then serving on their international board.

Now, she’s not only making history, but also bringing Rotary into the future.

Jones is taking one step at a time—but not without a larger vision for Rotary. She wants to open those same doors of inclusivity for others, so they can see their clubs reflect themselves and their communities.

“Because if we take care of our members, they take care of our communities,” says Jones. “And that means making sure that we’re creating a diverse experience for people where everyone can show up, and be part of something that’s, you know, a little bit bigger than ourselves.”

Jones feels opening up this dialogue in Rotary is important in our world right now.

“We are in a time where we need a lot of healing. And this is a really good place for people to spend time with like-minded people doing good things in the world.”

Jones’s own background as a storyteller (she owned her own media production company for 25 years), and her experiences with public speaking as a Rotary member, made her realize the value and impact of storytelling.

“I think that many times the power of storytelling is underestimated,” Jones says. For example, she says, you can use numbers and statistics to try and communicate how many hundreds of thousands of children die of waterborne illness and disease.

“Or I can tell you about a friend of mine who was in the Dominican Republic, working on some water projects. And one day, he and his friend were standing there talking with a village elder, who said: “When the well was built, the children stopped dying.’”

Statistics can be overwhelming, Jones says, but those few words spoken by the village elder said it all.

“It creates a mental image in our minds, in our hearts. And that is the power of a really good story.”

It’s this storytelling element that’s informing Rotary’s latest endeavor, the Imagine Impact Tour, launching at the end of the month.

Influencers, storytellers, and press will be invited on the tour, which has eight global stops and includes eight areas of focus that align directly with UN Sustainable Development Goals.

“For our own members, I want them to be able to see these stories being told on a global stage and feel pride in knowing that they’re part of something that is making a difference in the world,” says Jones.

Another program that Jones is showcasing is the scale up of Rotary’s work fighting malaria in Zambia. The program is sponsored by Federal Way’s local Rotary Club in partnership with Rotary clubs in Zambia and will be co-funded by the Bill & Melinda Gates Foundation and World Vision USA.

“At this point in time in Zambia, the most common cause of death for children under the age of five is malaria,” explains Jones. “And so, it’s treatable. It’s preventable. And, you know, that means that it’s unthinkable, and we need to stop it.”

Jones admits that compounding factors such as the pandemic, conflicts, ongoing climate crisis and inflation makes these challenging times ahead for many for global development organizations.

But she sees it as an opportunity to ‘adapt and retool.’

“I think it’s caused so many of us to sit back and try to reimagine how we go forward,” she says. “How do we take the best from the worst of what we’ve been through, and, you know, retool ourselves?”

For Jones this means being open to understanding different ways of doing things.

“We need to take a good look at ourselves sometimes and understand that the way we’ve always done something isn’t the way we always have to do it. It’s scary, but organizations need to adapt to doing our work in the way that is best reflective of what our world needs.”

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Member Events

July 27 – 29: Changemakers Unite

July 31: Spreeha in the Park

October 21: GlobalPDX 2022 Conference

October 26-28: Central America Donors forum 2022

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Career Center

Associate – Communications, VillageReach

Assistant – Global Operations, VillageReach

Credit Operations Officer, Global Partnerships

Summer Paid Internship, Global Washington

Youth Programs Director, Water1st

Investor Relations Assistant, Global Partnerships

Vice President of Operations and Development, Alliance for Children Everywhere (ACE)


Check out the GlobalWA Job Board for the latest openings.

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GlobalWA Events

SAVE THE DATE – December 7-8, 2022: Goalmakers Conference 2022

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Mona Foundation Featured in 425 Business: Positive Impact

In the July/August 2022 issue of 425 Business, Positive Impact section, the Mona Foundation is featured!

“Bellevue’s Mona Foundation, through a decolonized approach to giving, strives to improve lives, communities, and countries by supporting global partners focused on education – especially of young girls”

Continue Reading

U.S. – Vietnam Relations, the Legacy of War, and the Role of NGOs

Carlie Stowe, Project Manager | PeaceTrees Vietnam

Group photo commemorating the 25th anniversary of U.S.-Vietnam normalized diplomatic relations

PeaceTrees Vietnam staff, officials from the Quang Tri Women’s Union, Department of Foreign Affairs, and the U.S. Embassy in Hanoi commemorating the 25th anniversary of U.S.-Vietnam normalized diplomatic relations in July, 2020 (photo credit: PeaceTrees Vietnam)

July 11th, 2022 marks the 27th anniversary of normalized diplomatic relations between the U.S. and Vietnam. Nearly half of a century after the end of the Second Indochina War, Vietnam is a middle income country with a fast-growing economy and is one of America’s strongest international partners. Continue Reading

The Ten Biggest Mistakes People Make When They Donate to a Charity

By Bill Taylor, Founder, SE Asia Foundation

Typewriter typed out “Donations”

As our work with the SE Asia Foundation continues to mature, I’m often asked about how one can know if their charitable donations are doing all the good they expect. Usually, I just answer such inquiries with a top-of-the-head response. But recently a friend wanted to delve more deeply into that question so I decided I’d better put my thoughts together more concisely. So, here you go: Ten serious mistakes to avoid when giving, followed by one positive suggestion. Continue Reading

June 2022 Newsletter

Welcome to the June 2022 issue of the Global Washington newsletter.

IN THIS ISSUE

Letter from our Executive Director

Kristen Dailey

The term “natural capital” is not well known, but is a significant concept for global development and the Sustainable Development Goals (SDGs). It is best defined as the earth’s natural resources that can be used for economic gain. This could be economic gain for large companies, but it also provides livelihoods for small-holder farmers and small-scale fishers. Without sustainable use of natural resources, those closest to the land and sea would lose their income and often community cohesion.

However, the best solutions for sustainable development of land and sea are often those indigenous communities who have the local knowledge. Several Global Washington members are working in partnership with communities on sustainable use of natural resources as a good source of income. This includes securing land rights for small-holder farmers, scaling sustainable farming and fishing practices, and advocating for equitable supply chains. Furthermore, SDG 12 lays out targets for Responsible Consumption and Production. Learn more about the topic and the work of Global Washington members in the following article.

We are also excited to gradually get back to in-person events about global development. I hope you can join us in the coming months to network, learn, and contribute to our global development community. Stay tuned for event announcements.

KristenSignature

Kristen Dailey
Executive Director

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Issue Brief

No Shortcuts to Sustainability

By Aneesh Chatterjee

How GlobalWA Members Teach Responsible Use of Natural Wealth

An abundance of natural resources on this planet has led to the unabashed expansion of civilization at an unprecedented rate, but we have reached a precipice of consumption that cannot be ignored. Sustainable Development Goal 12 outlines how a society can produce and consume resources responsibly, without causing harm. The goal is critical, for the world’s largest and most necessary industries are inexorably tied to the earth’s natural wealth.

Fishermen, Vietnam

Fishermen, Vietnam. Photo: Quangpraha, Pixabay.

Resource protection, equitable distribution, and responsible consumption are cornerstones of the Monterey Framework, a precedent of environmental and social consciousness that underlines the far-reaching detrimental impact of the fishing industry. Human rights transgressions, unethical business practices, and the loss of access to critical resources are some of the rampant crises that initiatives like the Monterey Framework aim to address. In that mission, the world’s seafood sector is an exemplar of a movement to respect indigenous fishers and increased demand for sustainability standards for natural capital.

The crisis of finite systems

Natural resources are under the strain of depletion, exacerbated by rampant climate change, accelerated by unsustainable practices. The concept of natural capital explores how these environmental resources are crucial for socioeconomic systems that sustain global industries, commerce, and agriculture. Fertile soil, diverse marine ecosystems, and teeming forests are the groundwork for some of the world’s largest industries, both within and beyond borders.

Drought-ridden fields

Drought-ridden fields, Bangladesh. Photo: Md. Hasanuzzaman Himel, Unsplash.

The cumulative goods and services traded in the marine sector, for instance, was valued at 2.5 trillion USD per year – roughly 3% of the global GDP – in 2020.

Unsustainable practices highlight the finite nature of these assets: research shows that natural resources tend to be overused for short-term economic prosperity, rather than be preserved and consumed sustainably. With the example of the agriculture sector alone, a simulation by the UN WCMC revealed several impact drivers that generate heavy footprints on some of the world’s most vital resources: habitat modification of freshwater systems to produce cropland, the expansion of existing arable land through further modifications like deforestation, and unregulated water usage for irrigation leading to significant depletion of water resources.

Without frameworks to implement sustainable practice standards, these ecosystems are poised to crumble under the weight of rapidly developing sectors.

A grassroots approach

Smaller-scale rural farming enterprises, still suffer from the fallout of unsustainable practices, lack of access to resources and knowledge, and increasingly limited financial relief. The solution, as GlobalWA members demonstrate in their work, may be formalization: to encourage rural communities to organize and legitimize themselves as recognizable associations, so they may receive training in sustainable practices, be properly licensed, have access to financial resources, and mitigate risk for potential investors. To that end, NGOs across multiple sectors have employed innovative systems to rehabilitate unsustainable resource production, starting from assisting individual farmers to facilitating multi-sector coordination of capital and goods.

Farmers in India

Farmers in India. Photo: Rajesh Ram, Unsplash.

Modernizing practices for long-term growth 

Sustainable practices being as pivotal on land as they are at sea, a tenuous bond between silt and civilization encapsulates the resource crisis in agriculture, one of the world’s vital sectors heavily impacted by natural capital depletion.

Legitimization presents again to be a strong solution in efforts undertaken by Landesa, a non-profit organization working to secure legitimate right to land ownership for rural communities in the world’s richest agricultural belts. Estimates show that up to 1.5 billion people are affected by erosion and degradation of land; 1.8 billion are expected to suffer crippling water scarcity by 2025, and rising temperatures are projected to enable the proliferation of crop pests and pathogens. Furthermore, degraded land leading to lower and less reliable crop yields is expected to perpetuate starvation and malnourishment on a global scale.

Landsea’s mission links the practicality of land autonomy in the hands of farmers with the most drastic impacts of unregulated agriculture: legitimate land rights will allow farmers to invest in long-term preservation methods for more sustainable and reliable farming, staving off starvation, mitigating the impact of droughts, and increasing crop yields. Implementing proper irrigation systems alongside farming methods like agroforestry and terracing are made more viable through the legitimization of land ownership, and can mitigate soil erosion, dependence on rain cycles and pest invasions.

Efforts to return land rights to their rightful owners is also a matter of consideration for FSC Investments and Partnerships and their work to assist Indigenous populations. The 2018 FSC Indigenous Foundation paved the way to sustainable practices in managing and operating Indigenous territories with independence and autonomy granted to landowners. In 2020, the Foundation’s landmark initiative, the Indigenous Peoples Alliance for Rights and Development (IPARD), generated a $13 million partnership between the FSC and USAID over 5 years; this program aims to develop the operational capacities of Indigenous Peoples such that they retain proper land rights, employ sustainable practices and have access to sufficient technologies to become independent in managing resource-rich land.

Advocating for land rights to combat environmental consequences on agriculture is a theory proven in practice. A 2015 infographic illustrates how Ethiopian farmers with legitimate ownership on their land were reportedly 60% more likely to invest in erosion prevention measures, and Ghanaian farmers, 39% more likely to plant more trees. Overall, deforestation rates were lower in nations where legitimate land ownership was made possible.

Formalization of small-scale farming sectors is more than a signal for investors; the process also works to ease operations for smaller groups, allow greater access to natural capital and provide better infrastructure to manage these resources. Under the guidance of Heifer International, for instance, agricultural cooperatives of farmers have proliferated across the world, encouraging the growth of communal cooperation through registered entities. The legitimization of agricultural sectors enables farmers to more easily access natural and financial resources, cooperation with other groups and entities to incorporate the help of products and services across multiple sectors, and provide business development and financial literacy training for farmers.

These cooperatives are an exemplary result of the Rural Entrepreneurs for Agricultural Cooperation in Haiti (or REACH), Heifer’s landmark initiative to provide infrastructure, facilities, access to resources and training in financial literacy, business management and sustainable farming practices. The push for organized, registered and licensed operations enables farmers to not only access resources in a reliable and sustainable manner, but provides them with the skills to grow their enterprise beyond simply making ends meet.

Heifer’s Leveraging Success program in Honduras also aims for collective legitimization, training and collaboration. By connecting farmer associations with training enterprises, local dairy farmers were able to increase their product output by 69%, and beekeepers were able to grow their hives from 20 to 360 through the program’s duration, a 94% jump in production capacity. The Dairy Network achieves similar results in Ecuador by providing farmers with technical expertise, proper infrastructure, and well-coordinated access to financial services.

Beyond assisting the farmers themselves, NGOs have worked to implement frameworks that coordinate sustainable commerce between sectors.

Grander systems for a prosperous future

An apparent preference of investors to provide capital to larger companies rather than smaller, localized, indigenous fisheries is no mere observational bias, according to Future of Fish, a versatile non-profit focused on advancing the world’s fishing industries towards a sustainable future. In an article on the state of the fishing industry in Peru, sustainable business analyst Cristina Rocca underlines the core problem with lack of funding for smaller groups: investors are reluctant because of “high levels of perceived risk and low levels of fisher formalization”, and investors tend to be more comfortable with regulated, formalized entities that have established risk contingencies.

Unregulated fisheries are either unable or unwilling to formalize, operate with permits, licenses, sanitation standards, fishing capacity limits, and risk management strategies. Instead, they are primarily funded through informal private sources. Rocca explains why this is detrimental to local fisheries despite the possibility of larger sums paid out to cover the costs of risk: unreliability and volatility. These agreements are often made without formal contracts, through verbal agreements, paid in cash, and with no regulatory terms set. Fisheries are prone to becoming trapped into unregulated financial obligations, or left without receiving the agreed-upon amount. Such volatility proves to be an unreasonable investment for many.

The solution to volatility proposed by Future of Fish is rigorous capital coordination. A system where multiple channels of investment, types of funding, and subsets of investor priorities are organized in a transparent and comprehensive manner not only incentivizes funding sources through risk reduction, but enables the opportunity for cross-sector collaboration between multiple investors to fully fund programs with specialized branches and various operational goals. This collaboration would not be possible without an expansive multi-sector coordination system that allows investors to easily access every branch of the respective development program, and stands as a viable solution to industries prone to uncertainty and risk.

A systems approach is also evident in efforts to regulate global supply chains. Among other projects, the Earthworm Foundation has worked to ensure that Canada’s $33.2 billion forest product exports industry does not infringe on the priorities of the Tsay Keh Dene Nation (TKDN), Indigenous residents of British Columbia whose land yields some of the province’s largest supplies of timber. Through their commitment to High Conservation Values (HCV), Earthworm’s 2019 MOU with the TKDN enabled plans for long-term management of land, ensuring that forestry companies comply with the concerns of the Nation. Earthworm also held HCV training for the TKDN and their environmental consulting firm, Chu Cho Environmental, teaching them how to conduct their own assessments. HCV evaluations reveal the commitment of any enterprise to sustainable practices, a significant factor for the TKDN and their cooperation with forestry companies.

Argos International employs a framework that addresses multiple concerns in rehabilitating agricultural industries from the ground up. An exemplar of their work is the Creating Paths to Prosperity model, currently operational in Guatemala and Nicaragua. The Village Within a Village initiative grants locals with unused Argos-owned land, along with the technologies, practices and resources required to farm sustainably, leading to greater yields with smaller land spaces. Argos’ Climate Smart Agriculture program focuses on technological innovation to modernize farming practices to be more environmentally friendly, leading to lower emissions, higher produce yields per harvest and greater income for farmers. Argos’ partnership with the International Fund for Agricultural Development (IFAD) has pioneered networks that provide financial resources and relief for women, tools for entrepreneurship, credit management and encourage market-specific enterprises led by women. The versatile Harvest of Hope Centers (HHCs) provide developmental solutions for a variety of specific issues, ranging from agricultural development to malnourishment. Argos HCCs provide significant ease of access to resources for a multitude of concerns.

Nigerian farmer

Nigerian farmer. Photo: Abubakar Balogun, Unsplash.

True potential in starting small

The sectors with the most severe impacts on natural wealth are paradoxically reliant on the very resources they exploit. The degradation of ecosystems paves a road to the collapse of the sensitive global enterprises that society depends on. That being said, true sustainability might be best taught from the ground up, from the individual farmer or fisher to the global enterprises that work with them. Training, organizing, legitimizing and providing access to vital resources for workers in these industries eliminates risk, maximizes yield, teaches sustainable practices, and enables widespread collaboration between investors, associations, facilitating institutions and governments. Effective systems that can coordinate funding, resource access and supply chain regulation are also instrumental in achieving SDG targets. Transparency in operations and literacy in practice may prove to be effective in turning the tide, building towards a sustainable future.

In addition to the above-mentioned GlobalWA members, the following members are working to improve natural capital sustainable practices in the international communities where they work.

FSC Investments and Partnerships
FSC is committed to supporting community and family foresters, including small private forest owners and Indigenous Peoples, who manage many of the world’s forests that are at risk of disruption or destruction due to competition over land use. For many of these people, the forest is not just about food, fuel, and shelter. Forests also act as safety nets when drought, crop failure, or diseases strike. Unfortunately, the drive for profits often takes precedence over the rights of forest-dependent communities and overwrites the voices of marginalized groups. In turn, these activities entrench poverty, while also destroying forests, their ecosystems, and their communities.

Seattle Aquarium
The Seattle Aquarium honors our location in the traditional and contemporary territories of the Coast Salish people, who have stewarded these lands and waters since time immemorial.

Guided by our mission and values, the Aquarium is committed to developing a strong foundation for long-lasting and mutually beneficial partnerships with Coast Salish and Urban Native peoples as well as other Indigenous communities so we can conserve our one world ocean.

For too long, the people most impacted by environmental harm have been marginalized when crafting solutions, unable to lend their expertise and ensure their needs are met.

The Seattle Aquarium is aiming to change this with a new fellowship program specifically for people from marginalized communities. Fellows will be paid a living wage as they develop new programming to engage groups and organizations who have historically not been well-served by the Aquarium.

This fellowship program will further our mission of Inspiring Conservation of our Marine Environment while building cohorts of future leaders from diverse communities who can support one another, first at Seattle Aquarium and ultimately at aquariums and conservation organizations across the globe.

Agros International
Inspired by the teachings of Jesus, Agros International’s mission is to break the cycle of poverty and create paths to prosperity for farming families in rural Latin America. Founded in 1984, Agros advances a holistic model of economic and social development through four key opportunity areas: land ownership, market-led agriculture, financial empowerment, and health & well-being. To date, Agros has partnered with 45 rural communities in El Salvador, Guatemala, Honduras, Mexico, and Nicaragua, impacting the lives of over 12,000 people.

Agros’ vision is that rural poor families own agricultural land, attain economic self-sufficiency, realize their God-given potential, and pass on to future generations the values and resources that enable them to flourish.

Earthworm Foundation
We work with people from farm to boardroom to build value chains that work for people and nature.

Earthworm works to make supply chains resilient and regenerative. Supply chains deliver consumer goods that impact the health of billions of people and ecosystems.

Regenerating supply chains is about restoring soils and forests. We work alongside companies at the roots of their supply chains with farmers, local communities, governments, and partners to create regenerative agricultural practices, economic prosperity, and protect and conserve forests, thus creating replicable cases of change in sourcing regions.

EverVillage
EverVillage focuses their work on vulnerable ecosystems and populations facing climate change, humanitarian crises, natural disasters, pandemics, and poverty. They achieve this through services such as Green Infrastructure, Water for Climate, Water for Food, Community Engage!, Learn & Lead, and Impact Investing.

Nia Tero
Indigenous peoples sustain 80% of the world’s remaining biodiversity, including ecosystems essential to our global climate, fresh water, and food security.

Nia Tero exists to ensure that Indigenous peoples have the economic power and cultural independence to steward, support, and protect their livelihoods and territories they call home. These places are vital to us all.

Pangea Giving
We are a giving circle that gives our members and supporters direct, thoughtful, and effective ways to help grassroots organizations in the Global South to improve the quality of life in their communities.

Central to our mission is the commitment that our grants fund the self-defined needs of communities. We work with grassroots organizations that are embedded in communities and engaged in work that addresses these self-defined needs. Through nearly two decades of working with and learning from our grant partners, we have gained fluency in some of the critical issues facing rural communities in Latin America, East Africa and Southeast Asia.

For example:

One of our partners in Myanmar documents and spreads awareness on environmental impacts of industrial projects among ethnic minorities in Myanmar. Their projects advocate for environmental justice in areas affected by coal mining and power production.

Taa’Pit works with indigenous families in the Lake Atitlán region of Guatemala to reintroduce traditional foods, cooking techniques and agricultural practices to repair an ecosystem harmed by a history of environmentally damaging agriculture practices.

UNOSJO has defended indigenous rights in the villages of Mexico’s Sierra Juarez mountains for nearly 30 years, doing everything from educating youth on violence against women, to advocating to protect indigenous corn varieties, to maintaining the mountain roads with their own fleet of construction vehicles.

Remote Energy
Remote Energy (RE) is a 501 (c)(3) for-impact organization that trains women and men worldwide to harness the power of the sun and develop the technical PV design and installation skills required to bring clean power and positive change to their communities. Technician training programs provide the growing workforce with the practical skills needed to be competent and competitive. Solar educator training programs empower local trainers with curriculum, mentorship opportunities, and the skills needed to meet current, regional training requirements.

Mercy Corps
We act as a connector, a collaborator, a catalyst, and an advocate for change. For 40 years and in more than 40 countries, we help communities forge new paths to prosperity in the face of disaster, poverty, and the impacts of climate change.

In every community where we work, we connect people to the resources and opportunities they need to build strong, stable livelihoods that can withstand future challenges.

Addressing the underlying challenges of climate change, water security, natural resource management, and access to energy is critical to supporting people in fragile places to adapt their lives to new risks, while transforming communities and economies over time. That’s why we focus on climate solutions that deliver practical, meaningful change at the local level, then mobilize our global team to identify opportunities for scaling and replication worldwide.

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Member Events

June 24: Upaya: Young Professionals Making an Impact

June 27: Global Impact: INTERACTIVE WEBINAR | Take Action for Refugees

July 12: Devex World 2022

July 27 – 29: Changemakers Unite

July 31: Spreeha in the Park

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Career Center

Executive Director, Spreeha Foundation

Associate – Communications, VillageReach

Credit Operations Officer, Global Partnerships


Check out the GlobalWA Job Board for the latest openings.

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GlobalWA Events

July 13 Effective Partnership In Global Health

SAVE THE DATE – December 7-8, 2022: Goalmakers Conference

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Supporting the Tsay Keh Dene’s Efforts to Sustainably Manage their Territory

By Earthworm Foundation, reprinted with permission

View of trees

3M, Mars, Nestlé and Earthworm Foundation are partnering with the Tsay Keh Dene First Nation in British Columbia, Canada to help respect their rights to decide how their territory is managed. This includes protecting key areas in their territory from unwanted harvesting for pulp and paper or other industrial activities. Continue Reading

Please Don’t Complain About the Rain

Millions in Horn of Africa are in dire need of innovative water solutions

By Cathy Herholdt, World Concern Senior Communications Director

Dead livestock

Dead livestock in Somalia. Photo: World Concern.

Here in Western Washington, we have a tendency – a compulsion, maybe even – to complain about the weather. Understandable this year especially, as we’ve had an unusually cool, damp spring.

Just last evening, I went for a walk in my neighborhood, as I do most evenings. It was sprinkling when I left the house just before dinner, but by the time I got a half mile from home, the sky opened up and unleashed a torrent of rain on me. At first, I sighed in frustration and headed back home, but as the water ran off the hood of my rain jacket, I paused and looked up, letting the water run down my face. Continue Reading

2022 Grants Announced!

Group photo

We are proud to announce that in 2022 Pangea Giving is funding 13 organizations. This investment represents a total of $114,000. The Board approved the grant allocations after receiving recommendations from our three regional pods.

East Africa

Continue Reading

May 2022 Newsletter

Welcome to the May 2022 issue of the Global Washington newsletter.

IN THIS ISSUE

Letter from our Executive Director

Kristen Dailey

My kids are similar to many kids in the U.S. in that they are on athletic teams, go to school, and live in a house with running water. They get clean water at school, and when they remember their water bottle, they have access to good water while playing sports. However, it’s estimated that 450 million children around the world do not have access to clean water, which is detrimental to their health, education, household income, and overall community well-being. Climate change and the rise of global conflicts exacerbate the limited resources we have, and children bear the greatest burden.

Sustainable Development Goal 6 outlines specific targets to not only increase access to clean water, but also preserve and improve water-related ecosystems and freshwater supplies. Several Global Washington members are working on SDG 6, and in particular, bringing clean water to children. The ripple effect of these solutions can advance goals for education, hunger, climate action, and reducing poverty. Join me in learning more about these Goalmakers and proven organizations.

In the coming months, Global Washington is planning a few in-person events to bring our global development community together. One event will be a workshop on effective usage of social media for global development organizations. Find out more here. Also, save the date for our Goalmakers Annual Conference on December 7 and 8. The first day will be online and the second day will be in-person in Seattle. I hope you can join us!

KristenSignature

Kristen Dailey
Executive Director

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Issue Brief

For Children, Clean Water Means Everything

By Joanne Lu

Tanzanian child drinking water

Tanzanian child drinking water. Photo: Magdalena kula manchee, Unsplash.

For children, clean water means everything. It means staying healthy from diseases. It means having enough food to eat. It means the opportunity to go to school and improve their futures. Water, for children, means life.

However, according to a 2021 analysis by UNICEF, more than 1.42 billion people around the world, including 450 million children, live in areas of high or extremely high water vulnerability. These are areas where physical water scarcity overlaps with poor water service levels, leaving the communities there to depend on surface water, unimproved sources or water that takes more than 30 minutes to collect. In other words, 1 in 5 children doesn’t have enough water for their daily needs, including drinking and practicing basic hygiene.

“When wells dry-up, children are the ones missing school to fetch water. When droughts diminish food supplies, children suffer from malnutrition and stunting. When floods hit, children fall ill from waterborne illnesses. And when water resources decline, children cannot wash their hands to fight off diseases,” UNICEF Executive Director Henrietta Fore said in a press release.

By some estimates, every 90 seconds a child dies from a water-related disease.

The world’s water crisis, Fore says, is here. Unfortunately, climate change is only making it worse. Dry seasons are lasting longer. Rainy seasons are becoming shorter and more intense, often resulting in destructive floods and other weather disasters that wipe out crops and water systems. Half of the global population could be living in areas facing water scarcity within three years, according to UN estimates. By 2040, a quarter of the world’s children will be living in areas of extremely high water stress.

African children in line for water

African children in line for water. Photo: Jeff Ackley, Unsplash.

This intensifying crisis is why many water organizations like Friendly Water for the World are moving away from digging wells and adopting more sustainable options. As aquifers are being drained, people are digging deeper and deeper wells, in some places tapping into dangerous levels of arsenic and fluoride and poisoning entire communities, especially children. Often, wells are abandoned only 2-3 years after they are built because they have broken down or require too much maintenance that the communities cannot afford.

Instead, Friendly Water for the World is building eco-friendly rainwater catchment systems that store ​​as much as five times as much water as average plastic tanks, last 2-3 times as long, and cost 60% less. These tanks are primarily built at schools – as well as some administrative buildings and markets – eliminating the need for students to collect water. One principal says that before the rainwater catchment system was installed at his school, half of the students had to leave during the day to fetch water, interrupting their lessons.

But those children are the lucky ones, who even have the opportunity to attend school. In most countries, the household duty of collecting water falls on women and girls, which deprives them of the time and opportunity to attend school or build livelihoods.

To eliminate that burden, Water1st focuses its efforts on piping water directly to every home, as well as schools, health clinics, and community centers. Not only does it save time, relieve a physical burden, and create opportunities for women to earn income and children to go to school, but it also allows for better hygiene from high-quality toilets, showers, and faucets.

Sustainable Development Goal 6, Water1st notes, seriously raised the bar in terms of defining access to clean water. Basic water services – defined as an improved water source not more than 30 minutes away (round-trip) – fall far short of “safely managed” drinking water services, which are “located on premises, available when needed and free from contamination.”

Child collecting water

Child collecting water, Sindh, Pakistan. Photo: Department for International Development (CC BY 2.0)

Save the Children is also focused on bringing change directly into homes. Instead of broad community-centered programs, their flagship Clean Household Approach works at the household level to prevent childhood infections and improve child nutrition, especially in children under age 2. It especially helps caregivers reduce the amount of environmental contaminants that children ingest through better water, sanitation and hygiene (WASH) products and practices, including safe disposal of human feces, safe storage and treatment of drinking water, hygienic handling and safe storage of food, preventing infants and young children from consuming soil and animal feces, and handwashing with soap.

The latter, of course, became a primary concern during the pandemic, which had a profound impact on child welfare. Many of those aspects were discussed during Global Washington’s Annual Goalmakers Conference in December 2021, including both the negative and positive impacts on school WASH programs and water supply. School closures and gathering restrictions, for example, interrupted Splash’s hygiene behavior-change trainings, leading to the improper use of hygiene and sanitation facilities. Once schools re-opened, Splash was able to partner with local governments to make sure schools had soap and uninterrupted water supply for hand-washing stations – services that can and should continue long after COVID-19 no longer dominates public discourse.

Child washing hands at school

Child washing hands at school, India. Photo: soumen82hazra, Pixabay.

WASH services and programs are also essential for preventing the spread of other deadly diseases. In conflict-affected areas, like Yemen, the breakdown of WASH services have led to the deterioration of population health, especially among women and children. There have been several outbreaks of cholera, for example, as well as other infectious diseases, and the country is at risk of a polio resurgence.

In light of these needs, the Yemen Relief and Reconstruction Fund has prioritized water projects, including solar-powered water purification and desalination systems for three hospitals in Hodeidah, the area that has been most-affected by infectious diseases and malnutrition. They are also providing communities with water filters, water tanks, and water-trucking services.

Child, India

Child, India. Photo: soumen82hazra, Pixabay.

Amid a global rise in protracted conflicts, climate change and depleted water sources, children are most vulnerable to the risks posed by water scarcity and a breakdown in WASH services. However, with innovations in sustainable WASH products and programming, the world still stands a chance to not only curb the crisis, but improve clean water access for children and their families.

The following GlobalWA members are providing clean water and WASH programs in the communities they help in low- and middle-income countries.

Friendly Water for the World

Friendly Water for the World doesn’t make the rain fall, cure diseases, build schools, or plant trees. What we do is share ideas and simple technologies for capture and store rainwater, protect families from preventable diseases, make building schools easier, more inexpensively, and more environmentally sound. Perhaps just as critically, we make it possible for communities themselves to choose the technologies and approaches that best fit their needs. In one community of 10 villages, the area leader said that in the 17 years he was there, Friendly Water for the World was the first group that had ever come and asked them what they wanted before starting work, governed by the communities themselves.

We have launched a program in western Kenya to build 60 new rainwater catchment tanks, each holding 25,000 liters. Most tanks are attached to schools formerly without any access to water at all.  Currently, many students have to leave their classrooms to gather water for the school, and also for their families. Some end up dropping out altogether to become part of the constant “long walk to water.”

Made of interlocking stabilized-soil bricks, tanks are fabricated onsite with locally available materials. They are not fired using increasingly scarce wood resources, and require no mortar. We’ve trained masons and brickmakers, also making it possible for them to support their families.

Each school and each project has to have a sustainability and maintenance plan written and approved by the community itself.

Rotary District 5030

Rotary District 5030 Clubs have long been active in providing Clean Water, Sanitation and Hygiene Training solutions in developing countries, in both Urban and Rural areas.  We currently have 15 projects being implemented in Africa, South and Central America and the Caribbean, with an additional three water projects in draft stage, and four more being authorized.  These projects range in size from $30,000 up to $800,000.

One Urban project provided Clean Water, Hygiene Training and improved Sanitation  in 31 Government schools in Addis Ababa, Ethiopia supporting over 31,000 students at a cost of over $485,000.  This project will eventually be expanded by our partners to over 400,000 students.

Our projects in rural areas include providing Clean Water and/or Sanitation facilities to 14 rural schools in Ethiopia; Clean Water, toilets and hand washing stations at 4 schools serving over 625 students and teachers in rural towns in Guatemala, and a solar powered well for a fistula hospital in Uganda.  We are also providing wells and solar powered pumping stations in a Senegal village; handwashing stations for 22 schools in eSwatini; a Water storage and delivery system for a regional hospital in Cameroon ; repairs and improvement to a septic system at a home for children in Mexico; Plumbing and fixtures for an orphanage in Tanzania; and a Reverse Osmosis system for a clinic and families in Haiti .

Save the Children

Save the Children works for a world in which every child affected by an emergency  has access to a safe water supply and adequate sanitation facilities. We work towards this vision by: 1) Reducing morbidity and mortality of children exposed to poor WASH conditions; 2) Enhancing hygiene practices in schools; and 3) Designing WASH programming in a way where children are protected against dangerous situations and physical environments.

One of Save the Children’s signature clean water programs is distributing water purification materials and water containers  to increase access to safe water in Kenya, Ethiopia, Nigeria, Somalia, and South Sudan. With the support of Procter & Gamble, we’re integrating the distributions into our existing health and nutrition, gender equality, livelihoods, education and humanitarian response work . To learn more about our WASH programming, visit our website.

Water1st

Water is piped directly to every home, school, health clinic, and community center, assuring each household receives the maximum health benefits of clean water, a toilet, and a shower. Piped water to the home ends the walk for water for women and girls. With the constant burden of water fetching and illness lifted, women can earn an income, families begin to save money, and girls can go to schoo l.

All Water1st projects integrate piped water, toilets, and hygiene education. Studies have consistently shown that together — water, toilets, and hygiene — stop the spread of disease and save lives . When water is piped directly to the home and school, it allows for high-quality toilets and showers. Water faucets are placed in bathroom stalls for flushing, cleaning, and washing hands.

Water1st routinely visits our projects to evaluate and improve our work. Rigorous oversight ensures each project is generating the best possible outcomes. You can be confident your donation is wisely spent and making a real difference in the lives of the people we serve. Considering the industry-wide project failure rate is 35-50% after five years, we know monitoring is a worthwhile investment.

World Concern

World Concern is committed to improving access to life-sustaining, safe, clean water in areas of greatest need in the world.

Whether building or rehabilitating wells, constructing sand dams, installing rainwater collection systems on homes and community buildings, or providing household water filters that remove 99% of germs, bacteria, and parasites,  World Concern is implementing innovative, sustainable methods to ensure children and families are healthy and have safe, disease-free water for life.

Additionally, the cycle of sickness is broken when families understand the importance of using toilets, washing hands, and keeping themselves and their surroundings clean. We help build latrines, provide vital hygiene training and supplies, and deliver handwashing stations to communities in need.

Learn more: https://worldconcern.org/what-we-do/clean-water-health

Yemen Relief and Reconstruction Foundation

Yemen is the poorest countries in the Middle East. The country has experienced multiple conflicts that intensified around 2010, with large protests taking place in 2011, internal fighting in 2012–2014, and a war and blockade that started in 2015 and continue to date. The war and blockade have had a devastating impact on every vital sector in Yemen including public services, agriculture, and health, which faced large-scale destruction and led to significant economic loss and inflation. However, the most affected are water supply, sanitation, irrigation, and agricultural services. This led to the deterioration of population health , especially women’s and children’s health. The Institute for Health Metrics and Evaluation latest Sustainable Development Goals was published for year 2017 and shows that Yemen has a very low score of 32 and is not expected to meet any of the water and sanitation goals. The dire situation of poor water quality and sanitation has led to several outbreaks of cholera and other infectious diseases. The country made progress on polio eradication which is now at risk of resurgence.

In response to the deteriorating water situation in Yemen, Yemen Relief and Reconstruction Foundation (YRRF) prioritized water in its strategic plans .  YRRF supports several projects including 1) Water purification and desalination systems using solar energy for three hospitals in Hodeidah, the most affected Governorate by infectious diseases and malnutrition; 2) providing water filters to thousands of people with no access to clean water; 3) providing water tanks and water trucking to areas hosting internally displaced populations; 4) Providing water tanks to people in mountainous areas to allow storage of clean water.

As the war in Yemen continues with little attention, especially who compared to other conflicts in the world, Yemeni children continue to suffer and a generation is at risk of falling behind. It is time to support Yemen by lifting the blockade and starting the internal dialogue for peace without external intervention. Yemenis can and will rebuild their country but need our support and help.

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Organization Profile

A Q&A between Stephen Sara, Senior WASH Advisor (Team Lead), Save the Children, and Kristen Dailey, Executive Director, Global Washington on May 16, 2022

Our member, Save the Children, has a long history with clean water and WASH (water, sanitation and hygiene) programs in the international settings where they work. Steve describes the history, motivations and impact of their work, with examples and lessons learned.

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Q&A

Q&A with Americares WASH Technical Advisor Matteo Cinquemani

Americares installs a handwashing station

Americares installs a handwashing station at Pointe Sable, Cayemites Island, Haiti, in 2020. Photo by Almando Etienne/Americares.

1. What is your name, role, and history with Americares?

I am Matteo Cinquemani, Americares WASH Technical Advisor.

I joined Americares in 2020 to oversee and coordinate WASH projects globally, as well as to provide technical guidance and support to colleagues in the field.

2. How did Americares get started working on water and sanitation issues in international settings?

Despite being two separate sectors in our industry, Health and WASH are deeply connected. Americares is a health-focused organization that saves lives and improves health for people affected by poverty or disaster. It is virtually impossible to achieve this goal without having access to adequate water and sanitation facilities, which is not only a precondition to ensure basic hygienic conditions at a health center, but also an issue of dignity and safety for both patients and health care workers.

Americares has long addressed the issue of lack of WASH services and infrastructure in health facilities and has expanded its broader WASH projects in recent years to improve community health. A community with safe water, adequate sanitation, and a sound understanding of basic hygienic behaviors is a community with far lower prevalence of many diseases, including diarrheal disease, and skin and eye infections. At the same time, nutrition for infants and toddlers improves.

Americares installs a handwashing station at Pointe Sable, Cayemites Island, Haiti, in 2020. Photo by Almando Etienne/Americares.

3. What are the primary differences of safe water access, good hygiene, and sanitation (WASH) in America as opposed to internationally? 

While parts of the U.S. such as some Native American reservations and coastal areas are facing a critical situation primarily due to a combination of poor water resource management/overexploitation and the impact of climate change, the U.S. is largely shielded from the challenges other countries face accessing safe water. Here in the U.S. and other wealthy industrialized countries we take for granted that any hospital or clinic is at the very least equipped with functioning restrooms, piped water, and adequate septic and sewerage systems. In many other countries, health care workers often don’t have access to water to practice frequent and thorough handwashing. They might have to bring their own water bottle from home or buy water in the street, and patients avoid going to the local health center because of the risk of contracting infections, or simply because they know they will not be able to use a toilet while there.

Many low-income countries lack the support structure, capital investment, sound regulatory frameworks, and private engagement needed to develop, operate, and maintain water and sanitation services for the whole population. 

4. How does Americares get clean water access after a natural disaster or during a conflict?

In the aftermath of a natural or man-made disaster access to safe drinking water is critical. Much depends on the context of humanitarian response and the level of service coverage that was present before the crisis. In places like the U.S., something as simple as the distribution of bottled water is generally viable. In some extreme cases, the only realistic solution is to distribute water treatment items, such as powder packets or tabs that can quickly disinfect small volumes of raw water for human consumption.

At the international level, one quick and effective way to deliver safe drinking water to displaced populations that are congregated in camps or informal settlements is to truck in water. Another approach that is frequently adopted is to distribute WASH kits, which include buckets and chemicals that can be used at household level to treat water collected from unsafe sources.

More complex and longer-term interventions include setting up a treatment and distribution system for a whole community or rehabilitating the existing supply system.

A young boy washes hands at a handwashing station donated by Americares at Chidzanja Market in Balaka, Malawi, in 2020. Photo by Thoko Chikondi/Americares.

A young boy washes hands at a handwashing station

A young boy washes hands at a handwashing station donated by Americares at Chidzanja Market in Balaka, Malawi, in 2020. Photo by Thoko Chikondi/Americares.

5. Climate change is drastically changing access to water, particularly in low-income countries. How is Americares helping to solve the problem?

The current water crisis is a health crisis for most of the world’s population.

To ensure access to clean water and sanitation for all we need to see huge investment and political commitment like we have seen in China, India, and several other countries that were able to lift billions of people from poverty. Financing WASH services, as well as addressing climate change or the economic incentives to allocate freshwater to agriculture, are all extremely complex to tackle below the country level.

At Americares, we strive to improve resilience to sudden and frequent changes in water availability. We employ a variety of approaches such as using a combination of wells and rainwater harvesting to ensure reliable water for a rural health center, or increasing the storage capacity of an existing water supply system to accommodate demand during the dry season.

6. I’d love to hear more about one of Americares signature clean water and or WASH programs?

In partnership with Xylem, a leading global water technology company, Americares is improving access to water and sanitation as well as providing WASH education in health care facilities and low-income communities across more than a dozen countries. This program is showing great results, particularly with respect to the cost-effectiveness of WASH interventions, and the huge return on investment that these types of projects can achieve. Together, we have reached over 5 million people with WASH interventions in the first two years of our collaboration.

Our average project can cost as little as $20,000. Typically, we target health facilities in need of critical repairs and improvements to their water and sanitation infrastructure and we work with them to bring their facilities up to standards, whether it is by drilling a new borehole or building a septic system for the existing toilets, etc. Some of the funds are usually set aside for training and capacity development. Given the extremely high ratio of health facilities to population size, such small investments can generate a very substantial impact for thousands of patients per year.

Americares installs a handwashing station at Pointe Sable, Cayemites Island, Haiti, in 2020. Photo by Almando Etienne/Americares.

Americares installs a handwashing station

Americares installs a handwashing station at Pointe Sable, Cayemites Island, Haiti, in 2020. Photo by Almando Etienne/Americares.

7. What are the differences between providing access to clean water and WASH programs in rural versus urban environments?

A typical rural household has lower income and fewer resources to pay for services such as water. However, they have stronger relations with the rest of the community and tend to be more engaged in local politics and decision-making processes. They are more likely to personally invest in community improvements as they likely own some of the land and their family will benefit from any structural improvements. In an urban or peri-urban context, all these aspects are basically the opposite. This can greatly influence how you design a WASH project and the chances of long-term success.

The second difference has to do with the concept of “economies of density.” Infrastructure improvements—whether it is to the water or sewage system, cable internet, gas supply, or a stormwater drainage system—are generally more cost-effective in densely populated area. In rural areas, each linear meter of pipe will reach far fewer users, which in turn makes it much more expensive to finance, operate and maintain the exact same service in a sparsely inhabited area. As a result, sometimes infrastructure improvements are not always viable, and on-site technologies have to be considered. But such solutions are typically more expensive and less efficient.

Please visit the Americares website for more information.

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Welcome New Members

Please welcome our newest Global Washington members. Take a moment to familiarize yourself with their work and consider opportunities for support and collaboration!

Sehgal Foundation

Sehgal Foundation has been working closely together with the S M Sehgal Foundation in India to improve the quality of life of the rural communities in India. Sehgal Foundation has five main program areas: Water Management, Agriculture Development, Local Participation and Sustainability, Transform Lives one school at a time, and Outreach for Development. These programs are supported by a skilled research team that engages in participatory research, impact assessment, and interactive dialogues to determine informed actions to achieve sustainable results. Smsfoundation.org

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Member Events

May 24: YPIN- Purpose and Payday

May 27: WAC- A Retreat from Globalization?

May 30 – June 2: World Justice Forum 2022

June 5 – June 7: CARE National Conference

June 6: OutRight Action International: Celebration of Courage Gala

June12: Sukarya USA Presents GIVE 2022. RSVP: info@SukaryaUS.org

June 15: Opportunity International: Agriculture Finance Webinar

June 21 – June 22: Elevate – A Conference for Fundraising Events

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Career Center

Executive Director, Spreeha Foundation

Chief Executive Officer, Heifer International

Climate Partnerships Manager, FSC Investments and Partnerships (FSC I&P)

Investor Relations Officer, Global Partnerships

Donor Relations Intern, Alliance for Children Everywhere


Check out the GlobalWA Job Board for the latest openings.

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GlobalWA Events

June 7 Q2 2022 Final Mile meeting: The Value of Exchange Programs

June 15 Social Media Workshop

SAVE THE DATE – December 7-8, 2022: Goalmakers Conference

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We Are All Together!

By David Albert, Olympia Friends Meeting and co-founder, Friendly Water for the World
(From Western Friend, April 2022, reposted with permission)

Children getting water

Climate change is here. Now. It is not a matter of an occasional snowstorm, hurricane, tornado, or short heat wave. In other parts of the globe, it is now part of the daily struggle for existence.

Friendly Water for the World, a Quaker-founded organization, partners with communities, schools, and families in parts of subSaharan Africa and India. We have seen what is happening at close hand. In central Tanzania, among the Maasai, women, who are used to walking for water every day, leaving at 3 a.m. and returning at noon, now walk as much as 13 hours each night, leaving at 11 p.m., with their daughters taken out of school for this purpose. Each and every night. In western Kenya, a Friends school reports that half of the children are leaving classes to walk for water. In some places, while rainfall hasn’t diminished, it has been concentrated into shorter, more intense periods leading to serious flooding. At the same time, dry periods are becoming longer and longer, leading to crop failures. In Chennai, in southern India, the entire city of more than seven million ran out of water for several months. People couldn’t take showers for weeks; clothes couldn’t be washed; factories shut down; restaurants closed because they couldn’t supply water to their patrons. People left for the countryside, where there was also little water to be found. Continue Reading