184 posts categorized "Foreign Aid"
Esperança would not be alive today were it not for second-line ARV medication for HIV, activists, community health projects, PEPFAR foreign assistance funds, and hope. (Photos by Rebecca J. Vander Meulen)
By Rebecca J. Vander Meulen
Thuli was standing in front of us, telling us that she “should” have been dead—but that she was alive, thanks to anti-HIV antiretroviral medication. While others were crying tears of joy, I left the celebration banquet sobbing with anger and jealousy. I rejoiced in Thuli’s health, but I was angry that she probably would have already lost her life if she had been living in Mozambique instead of South Africa.
The year was 2004, and antiretrovirals, or ARVs, were not yet widely available here. What was the prescription for most Mozambicans who were recently diagnosed with HIV? A healthy diet (not an easy task for the average subsistence farmer), treatment of opportunistic infections, and hope. Many people told me they’d rather die not knowing their status than find out they were living with HIV and “die early” from the associated despair and shame. Hope, while potentially a useful supplement to medication, seemed to me to be a sorry substitute for it.
One evening this October, a woman was admitted to the health center in Cobue, a small village in a remote corner of Mozambique. Because of the Anglican Diocese of Niassa’s comprehensive Salt, Light, Health community health project and the many Life Team activists who work in the Cobue region, Cobue offers better health services than most communities its size.
I had been told that this woman was “not well.” The next morning, upon meeting her, these words proved to be a dramatic understatement. Infected ulcers and bed sores covered large areas of her body. These raw wounds left her unable to sit up or walk.
Cobue’s seasoned doctor, made woozy by these oozing sores, began removing dead tissue. A traditional midwife and the patient’s mother waved cloths to keep the flies at bay.
Her prognosis was poor. But her name? Esperança. The Portuguese word for “hope.” And for Esperança, hope proved to be stronger than the bacteria that fought for her life.
A team of dedicated people worked for hours each day to clean Esperança’s sores. Though I imagine the process was agonizingly painful, I never heard Esperança complain or grumble. But behind Esperança’s wounds lurked an even more concerning problem: her immune system had been decimated by HIV.
HIV works within the human body by attacking CD4 cells, which serve as commanders in the body’s defense system. Someone with a healthy immune system typically has a CD4 count of maybe 1000. A CD4 count of 350 or below indicates widespread damage to the immune system, and is a cause for significant concern. Esperança’s CD4 count was 12.
She had first been diagnosed with HIV in 2008 and had faithfully taken her ARV medications twice a day, as instructed. But the ARVs were no longer working.
In hushed discussions with the doctor, I compassionately hoped that Esperança could at least recover to the point of being able to sit up before she died.
How rational—or naïve—I was.
Three days into her wound care, with thousands of milligrams of antibiotics circulating through her body, Esperança greeted us with glee. Giddy, she explained that she had managed to leave her bed overnight to go to the bathroom outside. This was something she hadn’t done in weeks.
Esperança, already all too familiar with death (having lost her only child), now admits that death was on her mind during these days of hospitalization. But that morning, her joy of having been able to get out of bed overwhelmed her thoughts of death.
A team of efficient and dedicated people in high places got authorization from the national Ministry of Health for Esperança to begin a new regime of ARVs—a significantly more expensive set of “second-line” medications that are only available to a small proportion of Mozambicans living with HIV.
Within days, Esperança's increasing mobility and healing sores proved that these new ARVs were effectively halting HIV’s reproduction within her body. Esperança continued to improve, and was discharged from the hospital only a month after I’d dreamed that she’d be able to sit up before she died.
She arrived home to surprised celebration. Friends and neighbors told her they didn’t think she’d ever step foot in Mala again. The “Mother’s Union” women’s group surrounded her with prayers of thanksgiving.
Esperança had clung to the hope that too often eludes me. She had the courage to live beyond the facts, fully aware of the possibility of being humiliated in that hope.
William, a fisherman turned HIV technician extraordinaire, and one of Esperança’s primary caregivers, explained that “most people didn’t think she’d live to seek the weekend.” “I praise God,” he said.
Esperança has gained seven pounds in the past two weeks.
Today’s global World AIDS Day theme is "Getting to Zero: Zero new HIV infections. Zero discrimination. Zero AIDS related deaths.” Properly managed, HIV is no longer a death sentence. We are still far from that reality here in Mozambique, where tens of thousands of people still die annually from AIDS-related causes. But Esperança’s life gives flesh to the vision of zero deaths.
Esperança wouldn’t be alive today without second-line ARVs. She wouldn’t be alive if her family hadn’t received treatment and teaching about HIV from Salt, Light, Health and Life Team activists. She wouldn’t be alive if her mother, her primary care-giver over the past months, had given up. She wouldn’t be alive without the daily wound care she received from a team of informally trained lay people. She wouldn’t be alive without the thoughtful conversations between several different doctors, hundreds of miles apart. She wouldn’t be alive without the activists around the world who lobbied over the years for lower ARV prices, and the PEPFAR funds that made her medication available. But the obligatory prerequisite to all of that was her own deep hope. Esperança’s esperança.
Yes, medicines saved Esperança. But had she had any less esperança, she would never have made it to the phase where she could have received these medicines. Esperança lives today not only because of the miracle of newfangled medicines, but also because of good, old-fashioned hard work and her resilient human spirit.
I didn’t know Esperança before October. But I imagine that she must have practiced living out her name for years. Only a well-practiced "hoper" could have hoped like she did.
Rebecca J. Vander Meulen (http://rvmphotography.com) is a photographer and community development facilitator who has been based in the province of Niassa in northern Mozambique since 2003.
By Christine Melendez Ashley and Faustine Wabwire
Bread for the World’s efforts to create a circle of protection and push Congress to
reduce our deficits in a responsible manner are critical to ensuring
vulnerable people affected by natural disasters at home and abroad have
the support they need. These programs continue to be at risk as Congress
works to craft a farm bill and a deficit reduction package.
In the past year, Bread has worked to protect and strengthen domestic nutrition programs, such as the Supplemental Nutrition Assistance Program (SNAP, formerly food stamps) and child nutrition programs. These programs have provided quick and substantial help to New York, New Jersey, and other affected states in the wake of Hurricane Sandy. For example:
- The U.S. Department of Agriculture (USDA) rushed emergency food to affected areas for distribution through food banks and emergency food channels.
- USDA has authorized 13 affected states to issue replacement SNAP benefits for food purchased and lost in the month of October. They also authorized an extra two weeks of benefits for everyone on SNAP in and around New York City—a benefit totaling $65 million.
- Some of the worst affected states have also been authorized to allow SNAP recipients to purchase hot, ready-to-eat foods. This is not allowed under normal SNAP rules.
- USDA approved free school lunches for all children in New York public school districts for the month of November.
Bread has also been a strong advocate for effective foreign assistance programs and international food aid. In the last several years, Bread has pushed for robust funding of these programs. Hurricane relief efforts abroad are being carried out through foreign assistance programs at USAID. For example:
- USAID has provided 50 metric tons of food aid to Haiti to help address food insecurity concerns.
- USAID has distributed plastic sheeting to help approximately 10,000 people, family hygiene kits have helped nearly 12,500 people, and an estimated 6,400 blankets.
- USAID has also provided items such as wheelbarrows and tools helpful for clean-up to displacement camps most affected by Hurricane Sandy.
In the last two years, Congress has introduced proposals to decimate these programs. Despite these threats, Bread has pushed back and prevented these proposals from becoming law, thus enabling these programs to respond quickly and effectively to dramatic need. As Congress works to avoid the “fiscal cliff” and negotiate a budget deal, we must continue to push for a circle of protection around programs that effectively serve the most vulnerable in the United States and around the world.
Christine Melendez Ashley is a policy analyst in Bread for the World's government relations department.
Faustine Wabwire is Bread for the World Institute's foreign assistance policy analyst.
The House and Senate are both on recess until after the November 6 elections. They are expected to return to Washington as early as November 13. For information on communicating with your members of Congress during this campaign season, contact your regional organizer or use our online election resources.
Election season is in full swing. While members of Congress finalized a stop-gap spending bill that will fund federal programs through March of next year, they put off acting on other pieces of legislation, including the farm bill. After November, members of Congress will make difficult decisions about deficit reduction, particularly the $1.2 trillion in across-the-board cuts scheduled to take effect in January and the expiration of the 2001 and 2003 tax cuts. Bread members must continue to push for a proposal that safeguards programs that help vulnerable people in the United States and abroad.
This week, the Senate passed a six-month continuing resolution (CR, temporarily funding government operations until a budget is passed) to fund federal discretionary programs at roughly current levels, plus a 0.6 percent increase for the first part of the 2013 fiscal year. The CR also included a clean six-month extension of Temporary Assistance for Needy Families (TANF). The negotiated CR does not alter the path of scheduled across-the-board spending cuts, or sequestration, which is still scheduled to go into effect January 2. The House passed the CR last week.
The House and Senate left Washington without taking action on the farm bill—a bill governing federal farm and food policy. The current farm bill is set to expire on September 30, 2012. This legislation governs domestic nutrition programs, including the Supplemental Nutrition Assistance Program (SNAP, formerly food stamps), and international food aid programs that are vital to hungry and poor people. Leadership in both chambers have indicated that they will take action on the farm bill after the elections, during the lame duck session of Congress. The Senate continues to push for a full five-year reauthorization of the farm bill while the House is open to a temporary extension with the full bill being resolved next year. How leaders decide to move forward will be informed by the outcome of November elections.
While farm programs technically expire on September 30, harmful administrative changes (like federal farm commodity price supports reverting to 1949 law) will not go into effect right away. The 2008 farm bill covers all of 2012’s calendar year crops, allowing some wiggle room for Congress to decide how to move forward. Additionally, provisions included in the continuing resolution secure SNAP funding through next year. The last time the farm bill was allowed to expire was in 2007, when the bill expired on September and an extension was not passed until December 26.
The bipartisan group of Senators called the Gang of Eight continues its work to develop a comprehensive, bipartisan package that would replace the sequester and expiring tax cuts with a framework for deficit reduction, including additional tax revenues and further spending cuts. While producing a deal laying out the specifics of what programs to cut and what taxes to raise is unrealistic for the lame duck session, the proposal could establish a process for committees to find the specific savings. If successful in reaching a deal that Congress enacts, the Gang of Eight proposal could determine the available funding for programs for hungry and poor people for the next 10 years. Those involved in the Gang of Eight include Senators Warner (D-VA), Durbin (D-IL) , Conrad (D-ND), Bennet (D-CO), Chambliss (R-GA), Crapo (R-ID), Coburn (R-OK), and Johanns (R-NE).
More than 80 members have cosponsored House Resolution 760, which rejects the cuts to SNAP included in the proposed House farm bill (H.R. 6083). The resolution is non-binding, but it is an opportunity for members of Congress to show strong support for protecting SNAP by cosponsoring the resolution. We are encouraging Bread members to ask their representatives to cosponsor. A full list of cosponsors can be found online.
On Friday afternoon, Republican Study Committee Chairman Jim Jordan (R-OH), along with Reps. Paul Broun (R-GA), Steve Chabot (R-OH), and Tim Huelskamp (R-KS), introduced a proposal to block-grant farm bill nutrition programs. Under this plan, SNAP, the Emergency Food Assistance Program, Community Food Projects, Commodity Supplemental Food Program, Senior Farmers Market Nutrition Program, and the Fresh Fruit and Vegetable Program would be consolidated into a single block grant to the states, with funding returned to FY2008 levels. Members argue this proposal will streamline programs and give states more flexibility while cutting spending. Like other SNAP block grant proposals introduced this Congress, this proposal will not likely become law, despite possible attempts to attach it to a moving farm bill in the lame duck session. For more information on why block-granting SNAP would be harmful, please see our Block Grants 101 fact sheet.
Special Supplemental Nutrition Program for Women, Infants and Children (WIC) is facing potentially devastating cuts. Although the continuing resolution extends funding through March at levels agreed to last August in the Budget Control Act , WIC is subject to approximately 8.2 percent in automatic cuts on January 2 if Congress fails to come up with a deficit-reduction plan to replace the sequester. These cuts could mean a loss of benefits for more than 700,000 low-income women and young children.
Poverty-focused foreign aid makes up a small part of total discretionary funding, which must be approved by Congress each year in the appropriations process. The continuing resolution funds programs at the Senate levels for FY 2013. PFFA is subject to cuts in January when sequestration is enacted. The programs would take an 8.2 percent cut, according to the OMB report. These cuts could mean lives lost around the world. For example, as a result of the sequester:
- 276,500 fewer people would receive HIV/AIDS treatment, potentially leading to 63,000 more AIDS-related deaths and 124,000 more children being orphaned.
- 656,000 fewer children annually will have access to quality primary school education, making their road to overcoming poverty that much harder.
Earlier in the week, Senator Rand Paul (R-KY) submitted a proposal to cut off aid to several countries, including Pakistan, Libya, and Egypt. The Paul amendment failed by a vote of 10-81.
The Foreign Assistance Transparency and Accountability Act (S. 3310), introduced by Senator Lugar, with support from Senator Rubio, was passed by the Senate Foreign Relations Committee on September 19. The objective of this bill is to improve transparency and accountability within U.S. foreign aid by instituting a standard monitoring and evaluation requirement across all agencies that administer U.S. foreign assistance. Additionally, it calls for information garnered from the evaluations to be made public. The companion legislation is the Poe-Berman bill in the House. Our hope is that both bills will be taken up by the full House and Senate during the lame duck session.
The 2001 and 2003 tax cuts expire at the end of this year, and Congress is in the midst of debating which parts to extend, including the Earned Income Tax Credit (EITC) and the Child Tax Credit.
We expect the tax credits to be an important issue in the lame duck session, along with the rest of the tax cuts. The bipartisan Gang of Eight senators are also looking at the tax credits as part of the tax cuts and possibilities for tax reform.
Food aid is reauthorized in the farm bill process and funded in the appropriations process. Like other discretionary programs, funding is extended at Senate levels for the FY2013 budget as part of the continuing resolution. Food aid is still subject to sequester and may be cut by 8.2 percent, which would result in over 3 million people losing access to vital food assistance and 377,200 fewer children having access to quality primary school education.
When famed statisitician Hans Rosling presented UNICEF child mortality numbers at the Social Good Summit in New York on Monday, he said the figures are among "the most serious statistics we have, as well as the most motivating." The child mortality rate has improved dramatically over the last 20 years, but 19,000 children around the world still die each day. Who can hear that and not feel compelled to act?
The Social Good Summit, a three-day conference held during UN Week and sponsored by Mashable, the UN Foundation, and the Bill & Melinda Gates Foundtion, examined how social media can be used to solve our greatest global challenges. One of the most interesting things about the summit was the widespread sharing of statistics about hunger, poverty, education, public health, and foreign aid across various social media platforms.
Some of the data was sobering, other figures were inspiring, but all of the numbers should serve as motivation to continue the fight to help the world's poor and hungry people. As Rosling said, "The world is getting better, but is not yet good."
By Jason Fileta
We are officially in the heat of the election. Secret videos, name calling, and robocalls are all queued up. I feel saturated with promises, discouraged at the disunity in our nation, and tempted to just ignore it all. Here is what keeps my attention: Though millions of people around the world living in extreme poverty will be affected by our next president's decisions, neither candidate has said how they will tackle the issue. Recently, in addressing the Circle of Protection, both President Barack Obama and Governor Mitt Romney focused on domestic poverty and hunger, but there was a massive hole in their speeches: global poverty.
What happens in the White House affects everyone’s house—even in a rural village halfway around the world. President George W. Bush showed us the impact that a U.S. president can have on the global poor—last year alone, 3.9 million people with HIV/AIDS received life-saving antiretroviral therapy because of the President's Emergency Plan for AIDS Relief (PEPFAR). There are 3.9 million people alive today because of poverty-focused development aid, and they must continue to receive support. The recipients of this assistance cannot vote in our election to ensure that they continue receiving life-saving support—that's where you come in!
“Micah’s Challenge to Our Next President” is a national grassroots effort of Christ followers lending their voices to people in extreme poverty. We are proclaiming our Christ-centered concern for people in extreme poverty, and urging our next President to share that concern. Add your voice at: http://www.micahchallengeusa.org/lend-your-voice
A weekly legislative update from Bread for the World's government relations team.
The House and Senate are both in session beginning Wednesday of this week due to the Jewish holidays. They won’t stay in session long, though. It’s an election year, and members of Congress are eager to get home to campaign.
Programs that help people who are hungry and poor have been consistently under threat of devastating cuts during budget negotiations—whether that be the annual budget for the next year or a comprehensive deficit reduction bill that budgets for the next 10 years. New developments affecting those negotiations include a continuing resolution passed in the House, a new report from the administration outlining the effects of across-the-board budget cuts scheduled to begin in January, and the bipartisan negations being conducted by the Gang of Eight in the Senate.
Last week, the House passed a six-month continuing resolution (CR, temporarily funding government operations until a budget is passed) to fund federal discretionary programs at roughly current levels, plus a 0.6 percent increase for the first part of the 2013 fiscal year. The Senate is expected to vote on (and pass) the CR this week.
The farm bill—a bill which governs federal farm and food policy—is set to expire on September 30, 2012, and programs for two of Bread for the World's mini-campaigns, Supplemental Nutrition Assistance Program and International Food Aid, are authorized through the legislation. The Senate passed its version of the Farm Bill last June. However, with seemingly no chance of leadership allowing floor time for the House Committee on Agriculture farm bill, Iowa Democrat Bruce Braley filed what is called a discharge petition. If signed by a majority of the House (218 members), it would force the House to vote on the bill. The petition had 27 signatures as of Thursday afternoon.
Congress could still pass a farm bill extension before September 30 or they could let the bill expire and deal with an extension or re-authorization in the lame duck session in November/December once the outcome of the elections is clear.
On Friday, the administration released its sequestration report ($1.2 trillion in across-the-board spending cuts that are scheduled to begin in January and last nine years), detailing how automatic cuts would be implemented. The report, well over 300 pages, provides an estimate of the percentages and dollar amounts that would be cut from every discretionary and mandatory spending account at the program, project, and activity levels, as well as a list of accounts that are exempt from cuts. The negotiated CR does not alter the path of sequestration.
The bipartisan group of Senators called the Gang of Eight continues to meet, trying to develop a comprehensive, bipartisan deficit reduction agreement that would replace the sequester with a comprehensive plan for deficit reduction, including additional tax revenues and further spending cuts. If successful in reaching a deal that Congress enacts, their proposal could determine the available funding for programs for hungry and poor people for the next 10 years. Those involved in the Gang of Eight include Senators Warner (D-VA), Durbin (D-IL) , Conrad (D-ND), Bennet (D-CO), Chambliss (R-GA), Crapo (R-ID), Coburn (R-OK), and Johanns (R-NE).
A market in Liberia. (Photo by Laura Elizabeth Pohl/Bread for the World)
by Kristen Archer.
Liberia is about the same size as Virginia, but its poverty rate is nearly quadruple that of African-Americans in that state.
“Hunger and poverty among African-Americans mirror the unjust circumstances many people in African nations endure,” said Rev. Derrick Boykin, associate for African-American leadership outreach at Bread for the World. “However, hunger and poverty impacts many African nations more severely, often resulting in disease or even death.”
Haitians build a USAID-funded irrigation canal. A rice field is at right. From the Bread for the World Institute 2011 Hunger Report. (Photo courtesy USAID)
In a New York Times opinion piece yesterday, Rev. David Beckmann wrote about how our fate is tied to poor people around the world. He describes why Americans should care about U.S. foreign assistance and why it's a great return on investment. You can read the full story below.
Our Fate Is Linked to Helping Others
by Rev. David Beckmann
This is not the time to cut back on international development assistance. For every dollar our government spends, only less than one cent (0.6 cents) is spent on foreign aid. The return on our small foreign aid investment can be measured in the millions of people we are helping throughout the world, and in our country’s economic well-being and national security.
by Keaton Andreas.
It is critical that we raise our collective voice on behalf of poor and hungry people as Congress debates funding for anti-poverty programs, which is exactly what a Bread for the World Covenant Church did this past Saturday.
Hunger was the topic of discussion this weekend at St. Charles Borromeo Catholic Church in Warr Acres, Okla. The Covenant Church hosted the forum “Fighting Hunger in Oklahoma.”
Oklahoma is the fifth hungriest state in the United States, with 47,871 families living in extreme poverty (less than $11,057 a year for a family of four) and a poverty rate for children under five of nearly 28 percent.
Fabric for sale at a Tanzania marketplace. (Racine Tucker-Hamilton/Bread for the World)
by Rev. David Beckmann
Great news for African development today! Bread for the World applauds members of Congress for their support for the renewal of the Third Country Fabric provision of the African Growth and Opportunity Act (AGOA). AGOA seeks to increase mutually beneficial trade ties between the United States and Africa and promises to lift millions of Africans out of poverty.
Several months ago, African ambassadors met with the chairs and ranking members of the Congressional subcommittees on Africa to discuss the urgency of renewing this provision. It has come at a critical time, as declines in apparel orders (due to the uncertainty of this provision’s renewal) were already leading to job losses in several African countries.
Get updates on issues and actions to take on behalf of hungry people.