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Brazil, China and other “emerging” nations want to take the lead on aid and development

The group of nations known (by wonks anyway) as BRICS — Brazil, Russia, India, China and South Africa — are fast moving away from being recipients of foreign assistance and toward taking a more active role as donors, drivers of aid and development.

It’s worth paying attention to this shift, what’s driving it and the broader implications beginning with the prediction that the U.S. will soon be second to China as a world economic power. These ‘development’ issues may soon be viewed less as charitable America sending help overseas and more about assuring that a globalized world doesn’t simply increase inequities everywhere.

Flickr, Blog do Planalto

BRICS 2011 meeting in China

At this group’s recent summit meeting in New Delhi, these countries which now represent half the world’s population said they want more of a say in how the world fights poverty, reduces inequities and who gets to make the decisions. As the Mail & Guardian online reported, the BRICS are reshaping a reluctant world order partly out of anger at the West’s historic dominance:

The BRICS grouping’s political clout has grown with its importance to the world economy and the latest summit declared its intention to set up (its own) development bank.

Continue reading

Kentaro Toyama, geek heretic, on “The Two Indias”

Kentaro Toyama

Kentaro Toyama is a Seattle man on a mission.

A computer and information scientist who co-founded and ran Microsoft Research in India, Toyama has become something of a ‘geek heretic‘ who is now devoted to fighting poverty and transforming our approach to aid and development. A big task but Toyama seems to be enjoying his new career.

Toyama provides a glimpse of that mission in an article he published this week in The Atlantic – The Two Indias: Astounding Poverty in the Backyard of Amazing Growth. Opening line:

“Incredible India” is the brand this country’s Ministry of Tourism has been pushing in a global marketing campaign launched in 2002, and it couldn’t be more fitting. Over the last decade, India has witnessed a stunning acceleration of rapid changes, both good and bad, that it began in the 1990s.

India’s economic growth over the past decade is second in the world only to China’s. The country which handles so many of our computer technical problems is widely perceived as on a path to prosperity and progress. But wait, look a bit deeper, says Toyama.

Though theoretically a democracy, India’s governance has resembled something of a feudal system in practice. Politicians and bureaucrats often act like dukes and barons with term limits. They routinely apply a corrupt layer of graft for their personal benefit…. (and) Though rates of poverty are declining, in 2005 the World Bank estimated that 42% of India’s population still lived at under $1.25 a day (PPP), and nearly twice as many under $2. Thus, 800-900 million Indians live in conditions that most developed-world citizens would consider destitution.

Kentaro’s article in The Atlantic is brief, but worth a read. And worth reading between the lines to follow his thinking. There’s a warning here, against assuming overall economic growth is an accurate measure of progress against poverty — and against business as usual.

One in four children malnourished worldwide — a health impact as big as AIDS

Child malnutrition has an impact equivalent to that of the AIDS pandemic, one writer says, commenting on a new report from Save the Children which says hunger and malnutrition cause 2.6 million children deaths every year.

As the BBC reports, this is not due to lack of food but to rising food prices, nor is it limited to poor countries:

The charity says that children under two are most in need of help because the body and brain are developing fast at that age. Prolonged malnutrition for these children can irreversibly stunt their growth and reduce their IQ by as much as 15 points.

India is home to a third of the world’s malnourished children. Some 43% of them suffer from malnutrition and three out of four are anaemic.

Malnutrition doesn’t just kill, of course. Save the Children estimates lack of food and a proper diet also cause physical and mental disabilities for hundreds of millions of children who survive on poor diets.

Here’s a video about India’s massive child malnutrition problem from Al Jazeera:

Other news stories based on the Save the Children report:

AP 1 in 4 children malnourished

Guardian New report says 2.6 million children malnourished

Independent Business Times 300 million children die every hour due to malnutrition

India marks one year without polio, inches toward eradication goal line

UNICEF

Child receives polio vaccine

India will have made it one year, as of Friday, without a reported case of polio — a milestone everyone in the global health community is celebrating.

Except for maybe all those skeptics who say, or said, polio will never be eradicated.

The goal here is a world completely without polio, of course, since if this infectious disease exists anywhere it can spread everywhere — as China recently discovered.

But this accomplishment by India, which not that long ago had the world’s lion share of polio cases, does a lot to get us closer to the day when this crippling, sometimes deadly, disease is eradicated.

I’ve seen the ravages of polio in poor countries and, back in 2003 when I was a reporter for the Seattle PI, traveled to parts of India where the polio cases were exploding and reported on the country’s difficulties trying to rid itself of this infectious disease.

It may sound a simple enough goal to vaccinate all kids against polio, but it’s not. I can attest to how complex and challenging it has been — because of the nature of this disease, the lack of health care resources in the countries most in need and the various forms of political opposition that can emerge to obstruct what might seem to many an obvious good.

India’s not out of the woods yet and the disease remains entrenched in three countries, Afghanistan, Pakistan and Nigeria. But the fact that India appears to have completely rid itself of this disease is evidence that the global campaign to eradicate polio is that much closer to reality.

Indian health officials deserve a lot of credit for reaching this milestone, but credit for getting us where we are today should go first to Rotary International — which for decades has sustained the global vaccination effort against all odds (and lots of skepticism) — and then to organizations like UNICEF, the World Health Organization and, lately, the Bill & Melinda Gates Foundation.

The Gates Foundation has thrown a lot of money at this effort over the last ten years or so. Both Bill Gates and his father Bill Sr. also have been outspoken public champions of polio eradication — even to the point of apparently finally winning over the world’s leading polio eradication skeptic D.A. Henderson.

Here’s Bill Gates’ celebrating India’s achievement on Huffington Post

Other news stories of note:

Globe and Mail: How India conquered polio

Washington Post: Polio focus leaves other diseases behind

Reuters: India’s victory fuels endgame vaccine talks

Scientific American: India on track to be declared polio free

 

Gates Foundation TB chief demotes himself, heads to India

Gates Foundation

Peter Small in India

Peter Small wanted to get back on the front lines.

Small, who qualifies as one of the old-timers at the Gates Foundation having started there in 2002, has stepped down as head of the tuberculosis program at the philanthropy and moved — with his two young children and wife — to New Delhi to help fight one of the world’s biggest, and somewhat neglected, killers.

“I wanted to be there on the ground, engaging with the people who are doing the hard work,” said Small.

Tuberculosis kills nearly two million people every year. One of every three people on the planet are infected with the bacterium. And the potentially deadly bug is becoming increasingly resistant to drugs.

It’s a modern plague fought with an inaccurate diagnostic test developed before cars were invented, a frequently ineffective vaccine created during the (last) Great Depression and 50-year-old drugs. Continue reading

PATH encounters vaccine foes, charges of unethical research in India

 

Flickr, Dey

 

One of every four deaths from cervical cancer worldwide is a woman in India.

The cancer, which kills 250,000 women every year, is almost always caused by a sexually transmitted virus, human papillomavirus or HPV. There is a vaccine against HPV that studies have shown prevents this infection. India, it turns out, has more than its fair share of HPV and cervical cancer.

In 2009, Seattle-based PATH, with funding from the Bill & Melinda Gates Foundation, launched a project aimed at assisting India with introducing the HPV vaccine.

It didn’t work out as planned, as a report in Nature News this week — entitled Vaccines trial’s ethics criticized — describes in some detail.

The sub-headline of the Nature article, “Collapsed trial fuels unfounded vaccine fears,” is perhaps a bit closer to capturing the essence of this tale. But you could also say it was actually the unfounded fears that caused the collapse, which continues to fuel allegations of unethical research. An excerpt:

A scientific investigation has exonerated the vaccines but uncovered a more familiar problem in India: ethical irregularities.

Sounds bad, but I don’t think that was really the main problem here either. The problem, at least insofar as I can tell, is that the scientific and medical community basically sat on the sidelines and hoped to avoid controversy instead of dealing with it head on. Continue reading

Has India jinxed microfinance?

Flickr, prolix6x

Indian woman cooking rice

The anti-poverty scheme known as microfinance is in crisis, or maybe several crises.

The political sacking of Muhammad Yunus as head of the pioneering Grameen Bank, allegations of loan-shark profiteering by some microfinanciers and suicides of poor people caught in “debt traps” have led to a drumbeat of negative media stories about microfinance.

The drumbeat is loudest in India where the crisis is most intense. But it has reverberated worldwide, including in Seattle. Continue reading

Microfinance flap keeps getting weirder

World Economic Forum

Muhammad Yunus

There is a crisis in the anti-poverty scheme microfinance, centered in India but reverberating globally.

I posted on the local implications of this mess in October, before it exploded in India but back when there were signs of trouble. I’ve tried to keep up as it has gotten more intense and weirder by the moment.

In the latest (even weirder) turn of events, the Nobel Peace Prize-winning pioneer of microfinance, Muhammad Yunus, has been accused of embezzling funds based upon allegations made by a Norwegian documentary filmmaker who has taken a critical look at the whole microcredit movement. Continue reading