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Grassroots Men and Children Speak Out - Women's Empowerment is Progress for All!

“COFAPRI is truly giving power to our wives, daughters, and our sisters and girls in our villages here. This helps them primarily, but it also helps us all with our families." - Bukanda Isaac, DR Congo.

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Wurrie-Kenda

Children's Education in Sierra Leone - Overcoming Challenges

Wurrie Kenda has grown up in Kroo Bay without any education. She is now at the Community School and is learning quickly. It is children like Wurrie that make WYCF's school such a special place....

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DRC-empowerment

Empowering Survivors in DR Congo

Help Safe World Field Partner, COFAPRI, to support rape survivors and their children in the mountain villages of Eastern DR Congo.

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Frederic Kazigwemo served time in jail for killing several people in 1994 | Photo: Benjamin Duerr/Al Jazeera

Rwanda genocide survivors back reconciliation

Mbyo is a Reconciliation Village, located one hour's drive from the capital of Kigali. Murderers and survivors of the Rwandan genocide, are neighbors. Attempting to rebuild the country.
Caroline Murphy

UK Heiress walks away from fortune after rift over her plans to turn firm into a co-operative

UK
I have been vocal in my belief that leadership of this business must include those working on the ground if it is to continue to deliver for the clients who have placed their trust in us over the years.
IWMF-logo-3

International Women's Media Foundation: 'Protect Confidentiality of Sources'

IWMF (International Women's Media Foundation) urges the Supreme Court to recognize journalists' protection against compelled disclosure of confidential sources...
Pari Gul

The Afghan policewomen taking on the Taliban

The tiny but growing number of policewomen in Afghanistan not only risk death in the line of duty, they also face personal attack from extremists, and bigotry within the ranks

Field Partner News

Shalom-education

Starting Young - Teaching Children's Rights in Tanzania

We promote Child Rights Clubs in schools, covering issues such as child marriage, FGM, domestic violence, disabilities, street children.... Last year, 7000 children participated...

Alliance News

fly-sister-fly

Partnering for advocacy in rural Kenya

Pastoralist Child Foundation and the Fly Sister Fly Foundation partnered for an advocacy campaign in Samburu County. They held interactive sessions on early marriages, FGM/C, and challenges girls face in the pastoral nomadic community.

The worst country in the world to be a sick child

2-month-old-baby-SomaliaA two-month-old baby is treated for severe acute malnutrition with medical complications in Puntland, Somalia. Photo: Rachel Palmer/Save the Children

The worst country in the world to be a sick child

A league table from Save the Children establishes the safest - and most dangerous - places in the world for a child to fall sick, which correlate closely with their chances of getting to see a health worker

Chad and Somalia are the riskiest places in the world to fall sick if you are a child. Switzerland and Finland are the safest. That's the conclusion of an index produced by Save the Children, which ranks 161 countries based on the availability of health workers.

There is an inevitable link, it seems. The analysis shows that children living in the bottom 20 countries – with just over two health workers for every 1,000 people - are five times more likely to die than those further up the index.

It stands to reason. Children die of malnutrition, of diarrhoea, of malaria, of pneumonia and many other diseases in the poorest countries in the world. They need treatment, but often it is not just the drug or the food supplement that is lacking - it is the nurse or the community health worker who can diagnose what is wrong and do something about it. In some places, children never see a health worker in their sometimes pitifully short lives.

The index is being published on Tuesday ahead of a UN high level meeting on non-communicable diseases in two weeks' time, which campaigners hope will call for increases in the numbers of doctors, nurses, midwives and community health workers for the developing world. The World Health Organisation estimates that the world is 3.5 million short. The index not only reflects the numbers in each country, but also their success in reaching children. It takes into account the percentage of children receiving three doses of the vaccine for diphtheria, whooping cough and tetanus and the number of women giving birth with a skilled birth attendant.

On those measures, the worst places in the world for sick children are Chad, Somalia, Lao, Ethiopia and Nigeria. The best are Switzerland, Finland, Ireland, Norway and Belarus. The UK comes 14th and the US 15th.

This is what Justin Forsyth, chief executive of Save the Children, says:


A child's survival depends on where he or she is born in the world. No mother should have to watch helplessly as her child grows sick and dies, simply because there is no one trained to help.

World Leaders must tackle the health worker shortage and realise that failing to invest in health workers will cost lives. Even the poorest countries in Africa can make real progress if they stick to their pledge of investing 15% of their budgets in health.

Some countries have done remarkable things in spite of the shortages, says the charity. Community health workers are not as expensive as nurses and are more likely to stay. Bangladesh and Nepal have made strides in bringing down children's death rates by investing in community health workers and are on track to meet millennium development goal 4, which is to reduce mortality by two-thirds.

But more help is needed from the rich world - and only eight developing countries have met a commitment to spend 15% of their national budgets on healthcare, Save the Children points out.

Meanwhile, Amnesty International has just published a report showing that - in spite of Sierra Leone's much-vaunted free healthcare for pregnant women and their children - mothers are still being asked to pay for drugs they cannot afford.

Erwin van der Borght, Amnesty International's Africa programme director, says there is no monitoring or accountability system, allowing poor practice and mismanagement to go unchallenged and allowing some people to plunder expensive medicines. He adds:


The healthcare system remains dysfunctional in many respects. Government figures show that since the introduction of the initiative, more women are delivering their babies in health facilities. However, many women continue to pay for essential drugs, despite the free healthcare policy, and women and girls living in poverty continue to have limited access to essential care in pregnancy and childbirth.