Science, tech & innovation for humanitarian relief

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World on the move: research on refugees, migration & conflict

“Syrian refugees are not dying from pneumonia, they’re dying from diabetes and heart problems”, says Jon Gunnarsson of Médecins Sans Frontières. “Seventy-seven per cent of all mortality is due to non-communicable disease.”   Gunnarson, who works with refugees in Jordan, says that non-communicable diseases (NCDs) represent one of the most urgent yet underfunded health crises facing Syrian refugees displaced by the country’s civil war.

There are 600,000 Syrian refugees registered in Jordan, 84 per cent of them living outside refugee camps. Many are afflicted by NCDs such as hypertension, heart disease, asthma, smoking-related illnesses, and diabetes — indeed the Middle East and North Africa region has the highest prevalence of diabetes in the world, Gunnarsson says. These conditions are exacerbated by risk factors linked to the stress and trauma of displacement, as well as lack of access to treatment. For example, smoking and inactive lifestyles are widespread among those displaced, while high rates of depression can make treatment adherence more difficult for patients, he says.


So great is the problem, that MSF – an organisation that does not usually focus on NCDs – has been building NCD clinics and testing out new treatment programmes for refugees. Underpinning these is a ‘patient-centred model of care’, that includes health education, counselling, peer support sessions and motivational interviewing. 

In this interview, Gunnarsson, who heads up an NCD nurse team in Irbid province in northern Jordan, explains why NCD care is so effective and vital for Syrian refugees, and outlines some of the results from their work in Jordan. 

http://www.scidev.net/global/migration/multimedia/treating-diseases-killing-syrian-refugees.html


New ways to treat the diseases killing Syrian refugees

In 2002, after decades of war followed by Taliban oppression, Afghanistan’s university system was in tatters, says Osman Babury, the nation’s deputy minister of higher education, in this audio interview. Just 7,000 students were enrolled in university — and all of them male as the Taliban restricted female education. Thirteen years later, there are over 300,000 students in higher education, 50,000 of them women.

But the path to a fully functioning higher education system remains beset by challenges. Persistent conflict, political volatility and the threat of Taliban attacks — including on universities themselves — make providing higher education a struggle. 

Stress and mental health problems stemming from long-term exposure to war and oppressive regimes affect huge numbers of Afghan students. And as universities in Afghanistan and worldwide increasingly become targets for extremist attacks — the devastating Garissa attack in Kenya in April being the most recent high-profile example — giving students and staff training in how to deal with these threats becomes ever more vital, Babury says. 

In this interview, Babury discusses these and other challenges, and suggests ways to tackle them head-on.

The interview was recorded on 2 June at the British Council’s Going Global conference on international education, in London, United Kingdom.

http://www.scidev.net/global/education/multimedia/afghan-universities-violence-war-conflict.html

Building Afghan universities in the face of violence

Students in Gaza face near insurmountable barriers to university education, explains Suheil Tarazi, programme manager for the British Council in Gaza, in this audio interview. Persistent conflict, buildings destroyed by bombing, a lack of funding and equipment, a student body traumatised by years of violence and war, and the world’s lowest employment rate are just some of the devastating conditions students and teachers experience each day. 

July 8 marks a year since the beginning of the seven-week war that left nearly 2,200 people dead — over 2,100 of them Palestinians in Gaza. Like many Gazans, Tarazi says, a huge number of students and lecturers lost their homes and family members in the 2014 conflict, adding to those already traumatised and displaced.

Against this backdrop, Tarazi says scholarships to study abroad can be lifelines for students, with many going on to return home to help develop universities in Gaza. 

The interview was recorded on 2 June at the British Council’s Going Global 2015 conference on international education in London, United Kingdom.

http://www.scidev.net/global/education/multimedia/education-lifelines-palestinian-students-gaza.html

Photo credit: UN Photo/Shareef Sarhan

Education lifelines for Palestinian students in Gaza

When the NGO Field Ready first arrived at a health clinic in Haiti, they found the hospital’s maternity ward dangerously short of equipment. Nurses and doctors were using makeshift tools to clamp the umbilical cords of new-born babies. So the team began printing umbilical cord clamps using 3D printing presses, trained up the staff, and this kind of printing is still in use today, long after Field Ready left the island. Rather than buying expensive equipment, which is usually imported at great cost from China and elsewhere, healthworkers can now simply print off such kit as and when they need them. 

In this audio interview, Laura James, advisor to Field Ready, which specialises in 3D printing for humanitarian relief, explains that umbilical cord clamps are just one use for this important, rapidly evolving technology. They hope to develop the capacity to create spare car parts and the more straightforward but no less vital tool, buckets – both items that are in high demand but short supply in the global south, with countries too often reliant on expensive imports.  

In time, Field Ready hope to create a global network of 3D printing technicians and designers who, through online manuals and forums, can share designs and ideas across continents and contexts. 

http://www.scidev.net/global/innovation/multimedia/3d-printing-emergency-healthcare-haiti-maternity.html


3D printing can revolutionise emergency healthcare

Hear how a Swedish social enterprise is producing innovative housing to meet the needs of the displaced. 

Tomorrow is the anniversary of the 2003 bombing of the UN headquarters in Iraq, which killed more than 20 people, including UN envoy Sergio Vieira de Mello, and injured many more. The United Nations has designated tomorrow as World Humanitarian Day, to recognise those caught up in humanitarian catastrophes and those who work to support them. 

In this audio interview, we talk to Johan Karlsson, head of business development at Better Shelter. This Swedish social enterprise designs safe and robust shelters for refugees across the world. Karlsson says such products are an important evolution in emergency shelter, bringing dignity and safety to refugees in some of the world’s most insecure places. At the centre of the project is the idea of democratic design. Technical testing, pilot and field trials, and feedback workshops bring refugees into the design process, ensuring their practical, social and cultural concerns are heard and integrated in the shelters’ design.

The shelters are now being used in Ethiopia, Iraq and Nepal. And they can be more than homes: through use as buildings such as health clinics, women’s centres, and children’s play spaces, they can meet the many needs of those displaced from their homes. 

http://www.scidev.net/global/migration/multimedia/refugee-shelter-redesigned.html


Refugee shelter redesigned

This week the UN released a report revealing that 17,000 homes and other buildings in part of the occupied Palestinian West Bank known as Area C are under threat of demolition by Israel. It reiterates the shocking vulnerability of Palestinians living in Area C, which covers 60 per cent of the West Bank and is under full Israeli control.

Life in Area C can be brutal for Palestinians. The UN reports that over 70 per cent of communities are not connected to the water grid, many have no electricity, and around six thousand people live within Israeli ‘firing zones’ used by the military. An Israeli-Palestinian NGO sets up small-scale renewable energy and clean water systems for Palestinians living high in the hills of Mount Hebron, in the southern West Bank. Elad Orian, the cofounder of Comet-ME, tells me “the Israeli authorities have been trying for a long while to drive these people off their land”. Withholding energy and water is part of this “political campaign”, he says.

The off-grid energy systems Comet-ME builds tap into this arid region’s intense sunshine and strong winds to produce clean, sustainable energy for homesteads and villages. As Orian explains in this audio interview, access to a small amount of energy each day can transform lives and livelihoods, particularly for women, who carry out the bulk of domestic tasks and who take care of cheese production that is the staple of livelihoods here. 


Battle for basic services in occupied Palestine

The contrast between the passionate ideals of the UN International Day of Peace this week (21 September) and the tragic reality of world politics in the closing months of 2015 couldn’t be starker. In 2014 180,000 people were killed in conflicts – over three times the number killed in 2010. In June the UN reported that 60 million people are now displaced from their homes — more than at any point since records began. Of the 19 million refugees, half are children. These are brutal, shameful statistics — each number representing a life destroyed or damaged, a family blown apart. Today, "strenthening the ideals of peace, within and among all nations and peoples" — as the UN said 21 September should be used for back in 1981 — feels more beyond our grasp than ever. 

In this audio interview, we speak to Ray Acheson, director of Reaching Critical Will, a disarmament research and advocacy programme at the Women’s International League for Peace and Freedom, the oldest women’s peace organisation in the world. She talks about the link between deadly technologies, the global arms trade and the wars now raging around the world, and the importance of public and political recognition of the connections between weapons sales and the growing refugee crisis.   

Acheson discusses the gendered impacts of weapons — from the role of small firearms in sexual and gender-based violence, to the ways nuclear radiation affects women and men’s bodies differently. She explains how social constructions of gender and gender roles can “reinforce the sense of men as militants, reinforcing violent masculinities, and undermining women.” And she explains why it so important to get more women around the table during peacebuilding discussions — not only to promote gender equality and break down essentialist ideas of masculine and feminine characteristics, but also to ensure the practical knowledge women often have about the mechanics of their communities feed into and shape agreements to build a more socially relevant, robust, and lasting peace.   

http://www.scidev.net/global/conflict/multimedia/women-deadly-tech-war-refugees.html


Women should be at the heart of peacebuilding talks

HIV is no longer the death sentence it used to be. With early diagnosis and treatment, people infected with the virus can now live long and relatively normal lives, and can avoid passing it to their children through pregnancy or breastfeeding. Access to free antiretroviral treatment remains far from universal — only half of those who need it get treatment — but it is improving. 

But the idea of HIV as a death sentence persists, with devastating effect, as filmmaker Tom Gibb explains in this interview for today’s World AIDS Day. Gibb makes films for the Medical Research Council and World Health Organization that aim to make health research in Sub-Saharan Africa accessible to medics, policymakers and funders.  

Another strand of his filmmaking explores how interactive drama workshops and film screenings help reduce HIV stigma and change behaviour among rural people in Malawi and Zimbabwe, as he explains here. Gibb has also teamed up with Together as One, a Harare-based youth group, to test out a filmmaking technique that aims to immerse viewers in the experiences of a young woman in Zimbabwe living with HIV. The resulting film, Chiedza’s Song — Growing up with HIV in Zimbabwe, has its UK premiere this evening at the London School of Hygiene & Tropical Medicine.


Immersive film seeks to end HIV stigma

Leonardo da Vinci, the original ‘Renaissance man’, tends to be better known for his drawings of human anatomy and the animal kingdom than buildings. But his architectural designs were no less pioneering in their fusing of imagination and practical ingenuity. Now, almost 500 years after da Vinci’s death, a ‘reciprocal’ floor design — a self-supporting arrangement involving three or more poles overlapping in turn — could transform shelters for people affected by disasters.

In this audio interview, we speak to Shaun Halbert, director of charity ReciproBoo about the use of da Vinci’s reciprocal frames in humanitarian response. “Essentially what we’re doing is taking what Leonardo da Vinci did … and asking the question: ‘Well, if it’s strong enough for a floor, why not use it for a roof?’” Halbert says. The result is a strong roof that can support the tarpaulins that people displaced by emergencies are given in the days immediately following disasters — replacing the weak structures people have tended to fashion in the past from whatever materials are to hand. 
 
The frames are made from either steel or, where possible, locally sourced bamboo, a sustainable wood that grows in the tropical belt where many natural disasters strike. When lashed together, the tensile strength of the bamboo and the engineering ingenuity of the design create a structure that is far more durable and weather resilient than those erected by refugees themselves. And, as well as shelters, the structures can be easily extended to create schools and clinics — resources in high demand but short supply during emergencies. The ReciproBoo shelter won an award at the 2015 Aid Innovation Challenge. 



Leonardo da Vinci inspires emergency shelter design

The Zika crisis unfolding in Latin America calls for the lessons learnt from the Ebola epidemic to be put into practice. 

When it comes to field response, aid agencies must recognise the importance of culturally sensitive public health information delivered by trusted messengers. 

Anne Bennett is the director of Hirondelle USA, a non-profit organisation that supports radio development in countries emerging from conflict or facing humanitarian crises. 

In this audio interview, she says that “top-down messages with a government stamp” often lack credibility in public health crises because they show a poor understanding of the everyday challenges people face. 

Take the directive from five Latin American governments telling women to avoid getting pregnant for two years, for example. “While that message might be sound biomedical advice,” Bennett says, “it’s entirely impractical for most women, especially women from vulnerable communities who don’t have access to family planning … and [where] there are high levels of sexual violence.” 

This is where community radio stations can step in, Bennett says. These stations are “trusted agents”, ideally placed to deliver information in local languages that takes into account both public health guidelines and cultural realities. 

The interview was recorded at the World Radio Day 2016 celebrations organised by SOAS Radio and the Communication for Development Network at SOAS, University of London, United Kingdom, on 15 February. 

http://www.scidev.net/global/communication/multimedia/local-radio-zika-crisis-ebola.html

The power of local radio in the Zika crisis

What are the language barriers facing refugees and what tools can help bridge these linguistic gaps? Rebecca Petras of Translators Without Borders talks to Imogen Mathers. 

Bridging the language gap in the European refugee crisis

In the face of an earthquake or cyclone, what would you do first? Most people, I imagine, would rush to a place of safety, find out what was going on, and make contact with their families. But what if you didn’t know the language of those around you or understand emergency bulletins broadcast or appearing on billboards, television or mobile screens?   

This is what happens to many of the world’s 60 million people displaced living in countries prone to environmental disasters or conflict,  as well as for local people who do not speak the language of government and public broadcasts. 
When crises strike, it’s not just the emergency itself that affects people: actually understanding what is going on and where to get help is a challenge. 

The breakdown in communication between aid workers and affected people following the Haiti earthquake of 2010 prompted the global translation NGO Translators Without Borders to form their ‘Words of Relief’ crisis project. The team have spent the past two years analysing the information needs of people in crises, designing tech-based tools to aid communication, and training up internet translation engines to recognise more obscure languages like Nepali, Dari and Pashto. 

Their deputy director, Rebecca Petras, tells us more in this interview. 


Tech tools break down language barriers in emergencies

Global conflicts now often last longer than they did, and they are becoming more complex to understand and address. Some of the worst civil wars, for example in Syria or South Sudan, have now lasted so long that young children born there hardly remember peace. Food shortages can become severe during conflict, and people are much more vulnerable to extreme weather.

But crisis response is getting smarter, and humanitarian workers can now take advantage of planning tools such as satellite imagery. 

Images from space can help aid agencies restore food supplies, decide on how best to distribute funds and predict violence.

But emergency response during war isn’t the only time satellite imagery helps. A truly effective humanitarian response must follow the lives of refugees long after the immediate aftermath of a conflict, says Taner Kodanaz, a director at DigitalGlobe. 
The firm owns and manages an array of satellites that provide accurate imagery of human activities on the ground. It uses these to cooperate with international institutions such as the UN to analyse migration patterns and identify early warning of conflict.

In this interview, Kodanaz explores the many ways satellite technology supports humanitarian response and explains how space imagery is used to achieve aid goals.

http://www.scidev.net/global/aid/multimedia/satellites-humanitarian-work-refugees.html

The power of satellites in humanitarian work

Medics are using underground clinics and surgery guided by satellite link to save lives, says Zaher Sahloul.

Attacks on health workers in Syria have become so frequent that medical relief charities have been forced to build hospitals in bunkers and deep into the side of mountains.  

The Syrian American Medical Society (SAMS), which provides medical relief across Syria and to refugees in neighbouring countries, now has 22 underground clinics in Syria. These care for some of the millions of Syrians living in hard-to-reach parts of the country and the 800,000 living in besieged areas, cut off from medical aid and supplies, electricity, telephone lines and food aid. 

Ingenuity and resourcefulness are core to these clinics, says Zaher Sahloul, SAMS senior advisor, in this interview. For example, with many power plants bombed out, Syrian hospitals must often rely on diesel-fed generators. But in areas under siege, diesel is unavailable so medical clinics have been testing ways of running generators on methane from animal waste. 

Meanwhile, satellite internet and video apps link Syrian doctors, nurses and medical students to medical teams in the United States. “This is the only way we know what is happening and what’s needed,” Sahloul says. “I can look at the patients and talk with the physicians and nurses and [they can] tell me what’s happening and seek advice.” 

Doctors, nurses and medical students are also being trained to treat the effects of chlorine gas, a chemical agent used frequently by the Assad regime. Virtual situation rooms, using apps like WhatsApp and Viber, guide health workers through chemical weapon response, from treatment to decontamination. SAMS also provide training in advanced trauma life support and how to use crisis technology like portable ultrasound kits.  

The care of the wounded and sick has been protected since the very first Geneva Convention of 1864, but the Syrian conflict has seen the rule book torn up, with attacks on healthcare reshaping conflict and humanitarian response. The story behind one SAMS hospital highlights the shocking “new normal” in twenty-first-century warfare.

SAMS wanted to build the hospital in a city in one besieged area, Sahloul tells SciDev.Net. “But people in the city told them: ‘No way are you going to build a hospital inside the city because that means we will be targeted.’” So the organisation moved it away from the city and dug it deep into the heart of a mountain, where the emergency rooms and intensive care units are served by a 24-metre ventilation shaft.  

Overall, SAMS had 72 clinics attacked last year by bombs, missiles and shells. The international relief charity Médecins Sans Frontières (MSF) has stopped sharing hospital locations because of attacks. A new report from the Safeguarding Health in Conflict coalition documents 122 attacks on health centres in Syria in 2015.

““People no longer react when hospitals are bombed, doctors are killed,” Sahloul said in his keynote speech at the MSF Scientific Days on 20 May. “This should not be allowed. Not only in Syria, but [also] in the rest of the world.”

The interview was recorded during the MSF Scientific Days. 

http://www.scidev.net/global/health/multimedia/cave-hospitals-syria-front-line.html

The cave hospitals of Syria’s front line

SciDev.Net podcasts look at key global development issues and the ways in which science can have a positive impact on equitable and sustainable development and poverty reduction. 