How Haiti Curbed Cholera
10 years after UN Peacekeepers introduced cholera to Haiti, against all odds, Haiti’s cholera crisis now appears to be over. A year without cholera is testament to the fearless and tireless work of Haitian health workers.
In Uganda, a lesbian activist helps straight people fight stigma of a disease once thought of as ‘gay.’
Maria Nantale developed a new strategy to reach those most at risk of HIV
Uganda has the 10th highest rate of HIV in the world – 6.2% overall and 7.6% among women. Across the country, more than 1.2 million people are believed to carry the virus that causes Aids.
It is also one of the most homophobic countries in the world. Earlier this month an LGBT advocate was killed in the eastern Ugandan town of Jinja, not far from where the activist Maria Nantale works in Mbale. Last week, lawmakers said they would introduce legislation to bring in tougher punishments for homosexual acts, conjuring memories of the so-called “kill the gays” bill that was proposed in 2013 and initially included the death penalty for certain cases.
Twice a week, from dawn until dusk, Maria Nantale holds an “outreach” in the town of Mbale, population 76,000. She asks a local person to play some music while her “peer” educators discuss condom use and sexual health, and invite people to get tested for HIV. Her mobile lab is run by a trio of nurses, a lab technician and a psychological counsellor.
Many people in marginalised groups don’t get tested for the virus due to the double stigma of being both HIV positive and queer in a homophobic country. The method employed by the impeccably dressed, energetic anti-HIV campaigner is to attack that stigma head on, testing and counselling people outside and in public, in front of their friends, neighbours and family.
As a lesbian herself and an outspoken woman in a male-dominated community, gaining people’s trust was no easy task. “This has taken me years,” she says.
Read the full story and see photos by Jake Naughton at The Guardian.
A decade after Haiti’s 2010 earthquake, nothing symbolises America’s failure to help the nation “build back better” than a new port that was promised, but never built.
After sinking tens of millions of U.S. taxpayer dollars into an ill-advised plan to build a new seaport, the US quietly abandoned the project last year. It is the latest in a long line of supposed solutions to Haiti’s woes that have done little – or worse – to serve the country’s interests. Read the full investigation at The Guardian’s The Long Read.
Produced with support from the Pulitzer Center on Crisis Reporting
On the run from the armed cattle rustlers of rural Kenya
On a hot morning in May, Wilson Kemei stands with an old Soviet rifle in his hands, ready to protect the hundreds of people taking refuge in a tiny, makeshift camp in Baringo county. They have fled there after gunmen shot and killed their neighbours in January.
Six years ago, Kemei was recruited to the Kenya Police Reserve (KPR), a ragtag militia whose members wear mismatching uniform – a camouflage jacket here, green army trousers there, with toes poking out of rubber sandals. They receive as little as a single day of training before being handed a gun, weapons like the wooden-stock SKS rifle clutched by Kemei.
“It’s not good,” says Kemei, 41, of the malfunctioning weapon. “You have to cock it one bullet at a time.”
The reservists are tasked with carrying out the work that Kenya’s police and armed forces have been unable to do: fighting off armed bandits who are terrorising Baringo county and other parts of central Kenya as they steal livestock and shoot anyone who gets in their way.
Once you’ve read about the problem, check out the solution: Seeds of Green: As drought kills Kenya’s livestock, some herders are fighting hunger by growing their own grass. By Anthony Langat and me for U.S. News & World Report.
Kenya’s hospitals have almost ground to a halt, with millions facing a third month in a row without healthcare as doctors strike over low pay and poor working conditions.
The public healthcare system has long been overburdened and underfunded, but has now virtually stopped functioning after 5,000 doctors walk out in December after attempts to reach a compromise with the health ministry stalled.
“The machines break down frequently, the doctors are overwhelmed. The patients, they are so many that they are lying on the ground,” said Dr Judy Karagania, an ophthalmology resident at Kenyatta National hospital (KNH) in Nairobi, who is taking part in the industrial action.
Karagania and her colleagues are refusing to return to work until the government makes good on a 2013 agreement to dramatically increase salaries, hire thousands of new doctors and address drug and equipment shortages.
As the standoff drags on, Kenyans are suffering from the lack of care.
“The army doctors are turning away patients,” said Karagania, who normally works as a resident medical officer at KNH. “They’re only handling the emergencies of emergencies.”
Read the full article in The Guardian.