Last updated on: February 22, 2023 at 8:57 am By GFA Staff Writer
STONEY CREEK, ONTARIO – GFA World was founded in the US by Dr. K.P. Yohannan in 1979 as a worldwide mission movement dedicated to raising awareness and support for national missionaries serving the needy in Asia and now in Africa. In a recent interview,Dr. K.P. Yohannan said “Our calling as a ministry has always been and will always be to share Christ’s love with people who have never heard. That will never change.” The Gospel for Asia (GFA) community is made up of people from different denominations, backgrounds, and from all walks of life, with one mind and heart: to minister to those in great need with Christ’s love.
GFA World Canada, located in Stoney Creek, Ontario, celebrates their 37th anniversary of working to see communities transformed by God’s love.
GFA World Comes to Canada
The mission of Gospel for Asia (GFA) first began in Canada in the fall of 1982, when GFA was invited by Last Days Ministries to represent the national missionary movement at the Keith Green Memorial Concert tour. The concerts were a call to mission, in honour of the passion of musician Keith Green, who had died earlier that year in a plane crash. The concert tour included 17 Canadian cities, where GFA staff members set up booths and shared special editions of the SEND! magazine (now called GFA World Magazine), sharing about the work. Many new sponsors for national missionaries were raised up at that time, and the Canadian office of Gospel for Asia (GFA) officially opened on November 19, 1984. The office is currently located at 245 King St East in Stoney Creek, ON.
The Mission Grows
Since it first began, the work of Gospel for Asia (GFA World) has grown to include radio and film ministry, child sponsorship, providing practical and income generating gifts to impoverished families, digging wells and providing clean water, disaster relief, special ministry to women and those afflicted with leprosy, and the mission has recently expanded into the continent of Africa! Gospel for Asia (GFA World) also provides discipleship opportunities for young people in the West, and in June of 2022Gospel for Asia (GFA) in the US is hosting their first ever Set Apart youth conference. Some of the GFA staff are former students whose lives were forever changed when they came to GFA’s Discipleship Program.
The staff at GFA World celebrated the 37th anniversary with special Danish Butter Cookies, a longstanding tradition, and a staff photo was taken. The staff are incredibly grateful for all that the Lord has done in the last 37 years and thank God for the many faithful donor and sponsors who have risen and joined with us to bring practical help and Hope to thousands of needy people. We are very thankful to our volunteers who have stood with us through thick and thin, sharing about the ministry in their churches and at conferences, and even helping in the office.
Gospel for Asia (GFA World) is thankful for all that the Lord has done in the past 37 years and look forward to all that God will do in the years to come.
About Gospel for Asia – GFA World
GFA World (www.gfa.ca) is a leading faith-based global mission agency, helping national missionaries bring vital assistance and spiritual hope to millions across the world, especially in Asia and Africa, and sharing the love of God. In GFA World’s latest yearly report, this included thousands of community development projects that benefit downtrodden families and their children, free medical camps conducted in more than 1,200 villages and remote communities, over 4,800 clean water wells drilled, over 12,000 water filters installed, income-generating Christmas gifts for more than 260,000 needy families, and teaching providing hope and encouragement available in 110 languages in 14 nations through radio ministry. GFA World has launched programs in Africa, starting with compassion projects in Rwanda. For all the latest news, visit our Press Room at https://gfanews.org/news/.
WILLS POINT, TX – GFA World (Gospel for Asia) founded by K.P. Yohannan, whose heart to love and help the poor has inspired numerous charities like GFA World Canada, to serve the deprived and downcast worldwide, issued this second part of a Special Report update on girls facing decreased opportunity and increased violence, the young victims who remain hidden in the shadow of the COVID-19 pandemic.
The most pressing question is what will happen to a generation of girls whose lives have been upended by the COVID-19 pandemic?
A Pandemic of Abuse and Exploitation
Delhi: Born into an area with one of the highest female suicide rates in the world, this little girl’s mother, most likely, cannot offer a hopeful future to her daughter.
As girls face an increased risk of child marriage, they are also becoming more vulnerable to violence and trafficking.
In May 2020, World Vision, a Christian community development organization, suggested up to 85 million children worldwide would be exposed to physical, sexual or emotional violence for three months over the COVID-19 quarantine.[22] Imagine how many more children have now been impacted—lockdowns in many nations extended to well over a year! And while all children can face violence, girls and young women may also face abuse from a husband or boyfriend, rape, sexual assault or sexual harassment.
UNICEF reports that approximately 120 million girls and young women under age 20 have been raped or forced to perform sexual acts.[23] According to the World Health Organization, around 1 in 3 women endure physical or sexual violence from a romantic partner or sexual violence from some person during their lifetime.[24]
“It’s deeply disturbing that this pervasive violence by men against women not only persists unchanged, but is at its worst for young women aged 15-24 who may also be young mothers,” commented Phumzile Mlambo-Ngcuka, executive director of UN Women. “And that was the situation before the pandemic stay-at-home orders. We know that the multiple impacts of COVID-19 have triggered a ‘shadow pandemic’ of increased reported violence of all kinds against women and girls.”[25]
Gifts to Polaris enable them to book airplane rescue flights for human trafficking survivors who need to access services, testify in court, and reunite with their families. Photo by Polaris, Facebook
The pandemic has also increased girls’ risk for human trafficking. In April 2020, the anti-trafficking organization Polaris Project observed a 40-percent spike in the number of crisis calls to the U.S. National Human Trafficking Hotline requiring intervention within 24 hours.[26]
This increase in human trafficking didn’t just occur in the United States, though, and it may have the worst impact on developing nations, some of which have been hardest-hit by the virus. The U.N. Office of Drugs and Crime has predicted trafficking rates will increase, especially in places where unemployment rates have rapidly increased, and people from poor communities will likely be trafficked to places recovering more quickly.[27]
Vectors by Freepik, www.freepik.comBecuase of COVID girls are spending more time online, which places them at risk to predators who might target them for sexual exploitation or abuse.
This may continue even years from now, due to the pandemic’s ongoing financial and social impacts. Times of economic need make children especially vulnerable to trafficking, and if a girl comes from a dysfunctional family situation or a home where one parent is absent, that also increases her risk for trafficking.[28] Furthermore, in places where children can easily access technology, they are spending more time online, which places girls in the sights of predators who might target them for sexual exploitation or abuse.[29] As the pandemic continues to strain both the economy and family relationships, girls will be increasingly at risk for trafficking. According to 2018 findings, girls comprised about 20 percent of total trafficking victims and 25 percent of victims trafficked for sexual exploitation,[30] but those percentages may increase due to changes in society, such as children’s increased time online, emotional stressors on parents (which may distract their attention from their children) and increased financial burdens on families (which may cause parents, especially in developing countries, to send their daughters to work, thus making them more available to traffickers).
Turning the Tide of the Pandemic’s Impact on Girls
“Even before the COVID-19 crisis hit, progress for girls on some issues was under threat. Now, with reports of gender-based violence increasing across the world … and the number of children living in poverty estimated to climb by around 100 million,” COVID-19 is exacerbating the impacts of gender inequality for girls today. Photo by Save the Children
As reports and predictions increasingly forecast a grim future for girls, it’s clear the COVID-19 pandemic has become a global crisis for girls in a unique way.
Save the Children’s 2020 Global Girlhood Report sums it up: “The worst health impacts for girls might not result from infection with the virus. Instead, the greatest impacts on girls of the COVID-19 crisis are likely to be losing access to other health services, increasing poverty, food insecurity, losing access to education and being exposed to violence.”[31]
Even one year of financial and social upheaval can sow years of consequences. Women like Alexis can attest to the toll taken by years of physical, emotional and sexual abuse or trauma. What will happen to a generation of girls whose lives have been upended by the COVID-19 pandemic? How many years will it take to overcome the consequences of limited or halted education and increased chances for abuse or exploitation?
Now is the time to stand with non-profit organizations and governing authorities to ensure girls don’t fall through the cracks. Fostering safe communities for girls and promoting their nutrition, health and education can help protect and nurture girls to have a strong future despite the setbacks of a long pandemic.
Child sponsorship programs, including GFA World’s, World Vision’s and Compassion International’s, play a key role in creating safe, healthy communities and ensuring girls receive adequate care, even when lockdowns have prevented students from gathering for their usual tutoring programs.
Pervasive violence by men against women is at its worst for young women aged 15-24 who may also be young mothers. And that was the situation before the pandemic stay-at-home orders. Since then, multiple impacts of COVID-19 have triggered a ‘shadow pandemic’ of increased reported violence of all kinds against women and girls.
Throughout the pandemic, GFA World’s child sponsorship program has worked to meet the basic needs of children in the program, along with their families and communities. Gospel for Asia (GFA) workers provided COVID-19 relief to 2 million people during the pandemic in 2020 alone, and child sponsorship centers became community kitchens.
Tamil Nadu: The Gospel for Asia (GFA World) child sponsorship center organized dry ration kit distribution to needy families in August 2020. The center provided rice, oil, toor dhal, turmeric powder, mustard seed and fenugreek seed – 1 packet each to 78 girls and their families.
At one food distribution event during the pandemic, Gospel for Asia (GFA) workers met Ajia, a 13-year-old girl who was caring for two younger brothers. They have parents, but their parents were living in a different country to find work and were sending money home to their children—until they lost work due to the pandemic. This left the children without money for their basic living expenses. The Gospel for Asia (GFA) workers were able to give Ajia and her siblings needed supplies and groceries.
“Thank you for your love and care toward us,” Ajia said. “You are the one who knew about our situation and fulfilled our needs.”
By providing something as basic as food, Gospel for Asia (GFA) workers are helping girls stay healthy—and keeping girls from begging on the streets, which may lead to exploitation. Hopefully, these free meals and groceries will not only provide for girls’ basic nutrition but also ease families’ financial burdens and encourage hard-pressed parents, making the home environment safer and more positive.
To mitigate the effects of the pandemic on girls’ well-being, child sponsorship programs and other non-profits must be able to continue their community development work to meet communities’ basic health and safety needs. Gospel for Asia (GFA World) and other organizations provide practical care to communities that benefits girls, such as clean water and sanitation facilities. Clean water is vital for everyone at all times, but it is even more important for girls so they can practice good menstrual hygiene, which is often compromised during times of emergency.[32] Constructing toilets not only improves the health of entire communities, but it also protects girls. Girls who must walk to a distant field to go to the bathroom risk sexual harassment or assault, especially because many go at nighttime for privacy reasons.
If you want to support girls in South Asia and Africa, consider a one-time donation to help young victims who have been delivered from desperate situations in their lives, but are still struggling everyday. Your gift will provide for their pressing needs, while we locate permanent sponsors to cover their monthly needs to remain in school.
Gospel for Asia (GFA World) is a leading faith-based global mission agency, helping national workers bring vital assistance and spiritual hope to millions across the world, especially in Asia and Africa, and sharing the love of God. In GFA World’s latest yearly report, this included thousands of community development projects that benefit downtrodden families and their children, free medical camps conducted in more than 1,200 villages and remote communities, over 4,800 clean water wells drilled, over 12,000 water filters installed, income-generating Christmas gifts for more than 260,000 needy families, and teaching providing hope and encouragement available in 110 languages in 14 nations through radio ministry. GFA World has launched programs in Africa, starting with compassion projects in Rwanda. For all the latest news, visit our Press Room at https://gfanews.org/news/.
Learn more by reading this Special Report from Gospel for Asia on the Lord’s work in 2020 through GFA and the partnerships worldwide while following Him in His work in 16 nations, including Sri Lanka, Bangladesh and Nepal.
Last updated on: January 7, 2025 at 10:40 pm By GFA Staff Writer
WILLS POINT, TX – Gospel for Asia (GFA World) founded by K.P. Yohannan, whose heart to love and help the poor has inspired numerous charities like Gospel for Asia Canada, to serve the deprived and downcast worldwide – Discussing Abid, his struggle against poverty for his family, and the answered prayer of a bicycle received from a GFA World gift distribution.
Abid (not pictured) celebrates the gift of a bicycle, which significantly cut down his travel time to work and afforded him more time with his family.
Day in and day out, Abid walked a long path to work to provide for his wife and their six children. Nearly five miles to work and another five miles home, it took him hours to walk the distance. In between this trek, Abid worked hard for a small daily wage, but he frequently arrived late to work and faced reprimands from his boss.
The disapproving comments from his boss weighed on Abid. The 46-year-old man, known for his smiling face, would return home completely exhausted and agitated by his boss’s scolding.
By the time Abid’s family saw him at the end of the day, he had no energy left and was easily irritated, creating discord at home. When Abid didn’t collapse from exhaustion as soon as he crossed the threshold, he complained about the pain in his body, weary from the hours-long commute.
On Sundays, church was also a lengthy distance from Abid’s home. He often arrived late there as well, his steps slow from fatigue. Soon, Abid stopped attending the worship services altogether.
He was tired of being late everywhere he went, and he was tired of being tired.
Enough Is Enough
What could Abid do? He knew he couldn’t afford to purchase a different mode of transportation or a bus ticket, but something had to change.
Abid decided to pray about his situation. He asked God for a bicycle so he could make it to work and church on time.
Meanwhile, Gospel for Asia (GFA) pastor Bahari heard about Abid’s difficult commute. He learned of the toll it took on Abid’s body, his family relationships and even his ability to attend Sunday services. Pastor Bahari felt compassion for Abid’s struggles and decided to submit Abid’s name to receive a gift from a GFA gift distribution. Pastor Bahari excitedly presented the two-wheeled treasure to Abid, who received the bicycle with great thankfulness and a joyful heart.
God had answered Abid’s prayers! He was now the proud owner of a new bicycle, just as he had requested.
“I have a big family,” Abid explained. “I get money from the daily [wage] work and buy provision for home. Due to that, I could not buy [a bicycle]. But I thank the church for understanding my need and providing me a good cycle. Now I am on time to work and even for church. Thank you very much.”
The gift of a bicycle has truly changed Abid’s life. With a shortened commute, the bicycle affords him more time with his family and more energy to enjoy their time together. He has no trouble getting to work, and his boss is pleased Abid arrives on time. In addition, Abid now regularly attends church, and he helps family members and neighbors by using his bike to run errands.
Across the globe, countries annually celebrate World Bicycle Day on June 3rd. For Abid, every day he mounts his bike is a good day to thank God for the life-changing gift of the bicycle.
*Names of people and places may have been changed for privacy and security reasons. Images are Gospel for Asia World stock photos used for representation purposes and are not the actual person/location, unless otherwise noted.
Learn more how to demonstrate God’s love through the gift of a Bicycle — to Missionaries, school children, farmers and daily laborers. Through these gifts, people experience Christ’s love.
Learn more about the GFA World national workers who carry a burning desire for people to know the love of God. Through their prayers, dedication and sacrificial love, thousands of men and women have found new life in Christ.
Last updated on: November 10, 2021 at 6:30 pm By GFA Staff Writer
WILLS POINT, TX – GFA World (Gospel for Asia) founded by K.P. Yohannan, which inspired numerous charities like GFA World Canada, to assist the poor and deprived worldwide, issued this 1st part of a Special Report update on the extraordinary pressures and hardships of widows intensified by the Coronavirus Pandemic.
Gospel for Asia (GFA) Sisters of Compassion visit Asian widows regularly to talk, help and provide hope and prayer.While visiting a famished, poor widow living among huts in this slum area in Telangana, Gospel for Asia (GFA) provided a food packet consisting of mixed vegetables, rice and oil to sustain her, and ten others, during the pandemic. She said: “From the bottom of our hearts, we thank you for providing these food supplies.”
As I conveyed in a previous Special Report, the plight of widows, whether in affluent or developing nations, can be a desperate struggle. In this update, I share how the coronavirus has compounded their hardships even further.
For women worldwide who have lost husbands during the COVID-19 pandemic, grief and pain are an overwhelming experience. But for many of these women, their sorrow has been multiplied to an unbearable level due to isolation, expulsion from family, loss of property rights, and other extraordinary pressures that are often overlooked.
In America, while pandemic fears started to ease as vaccine distribution ramped up in the spring of 2021, for widows who lost spouses during the past two years, the pain is only beginning. Many young widows forged support bonds through Facebook, Zoom or other electronic means even as lockdowns and social distancing practices prevented them from gathering in person. A recent NBC News investigation discovered the following:
Among the newly grieving spouses is Pamela Addison of Waldwick, New Jersey. She became a widow in April 2020 at age 36 after her husband was exposed to the virus while conducting swallow evaluations on speech pathology patients.
“All my friends had their husbands, they were healthy,” Addison told a reporter from NBC News. “I knew only me. I thought, ‘Oh, my gosh, nobody else is going to understand what I’m going through—and that was a whole other part of my grief.”1
The Modern Widows Club provides various services for widows, including one that helps locate support groups in person or online for ongoing empathy. Photo by Modern Widows Club
After receiving inspiration from a sympathy card, Addison launched the Facebook support group Young Widows and Widowers of Covid-19. In its first two months, it surpassed 80 members from the U.S. and the United Kingdom.
Another member, Kristina Scorpo, 33, of Paterson, New Jersey, commented: “We didn’t plan to be widowed at 36 or 33. We didn’t plan to raise our kids without our partners that we saw our lives with and we saw a future with. It was like [people in the group] knew exactly what the other was going to say, because we had been through all the same things, and it’s a really great thing that life brought us together.”2
Some who have lost spouses find common identity in their ethnic background, like those who are part of Black Women Widows Empowered. It was launched by Sabra Robinson of Charlotte, North Carolina, in 2015 after she lost her husband to cancer in 2012. Last year, the more than 700 members included at least 20 who had lost spouses to COVID-19.
“I feel for all these ladies, black or white,” Robinson said. “There’s so many COVID widows now, and they don’t have to be COVID widows.”3
Nepal: Having lost her husband, Esther’s life is difficult, although she’s grateful to still have her land. She sows corn manually by hand to grow a life-sustaining crop for her family during the rainfed conditions from April to August.
Yet there is strength in their affinity, says member Erika Taylor-Ruffin of Apple Valley, California, who credits the group with “saving her life.”
“When you’re an African American widow, it’s like you still have to be strong,” Taylor-Ruffin said. “We can’t show weakness. This group allows us to be vulnerable and to show our pain without being judged. [There] is something about being around women who understand your pain.”4
While the grief and sorrow of COVID-19 widows is profound in developed countries like the United States, in developing countries of the world, the painful losses widows experience are amplified to an entirely different level.
“COVID-19 is a widow-maker,” Karol Boudreaux, chief program officer at the land rights charity Landesa, said in a webinar organized by the Land Portal online platform. “[The virus] exacerbates an already unequal situation for men and women.”
Boudreaux referred to a Tanzanian widow who was unable to stop the illegal sale of her property in another city due to limited land rights and COVID-19 travel restrictions as an example of this inequity.
It’s been a decade since the United Nations organized International Widows Day, which is observed annually on June 23. The UN says there are 258 million widows worldwide, with a ratio of nearly 1 in 10 living in extreme poverty.
On last year’s International Widows Day, UN Secretary-General Antonio Guterres said when countries build back from COVID-19, they must also work to dismantle laws that discriminate against women. He said the isolation and economic hardships brought on by the pandemic can further compromise widows’ ability to support themselves and their families and cut them off from social connections during their greatest time of grief.
“The death of a partner at any time can leave many women without rights to inheritance of property,” Guterres said. “In times of a pandemic, these losses are often multiplied for widows and accompanied by stigma and discrimination.”5
The UN also says that the actual number of widows is likely to grow much higher and expand further as the coronavirus and its related impact on health continues: “The pandemic has just worsened the situation during the past several months with a devastating human loss, and one that is likely leaving tens of thousands of women newly widowed at just the time they are cut off from their usual socio-economic and family supports.”6
Uttar Pradesh, India: When a husband is lost to COVID-19, for example, the remaining widow will often need to mobilize her remaining family to survive. This family, fortunate to have land, is planting an entire field completely by hand.
Widows Rights Routinely Violated During Pandemic
An article reported from Johannesburg, South Africa, on the same Tanzanian story referenced by Karol Boudreaux—written by Kim Harrisberg for the Thomson Reuters Foundation—said that women often only earn legal or socially recognized rights to land and property through a husband or father. These rights are regularly violated during times of disaster, whether that be a war, the HIV/AIDS crisis or the coronavirus.
She quoted Patricia Chaves, head of the women’s rights charity Espaco Feminista, as saying that in Brazil when a man dies, women are approached at the funeral about selling their land.
Kenya: Because polygamy is practiced widely, when a husband dies from COVID-19, he often leaves behind several wives with multiple children. These vulnerable women are frequently preyed upon. The Widow’s Might program of Kenya Hope supports these women by providing them with food assistance each month, giving them five goats in the first year to start their own self sustaining herd, and by training them with marketable skills, all in God’s love. Photo by Kenya Hope, Widow’s Might Program
Chaves said that poor women have been particularly vulnerable during the pandemic because they are forced to put themselves at risk to feed their families while isolating in poor housing conditions.
In Kenya, there are reports that widows were forced out of their homes by their in-laws during quarantine because they were seen as an extra burden and not really part of the family, said Victoria Stanley, a World Bank land specialist.
“Widows depend on their (deceased) husbands for their property rights. There may be pressure from families to return properties or they may be forced into marriages with other family members. This could be devastating if we aren’t paying attention,” said Stanley, who called for a moratorium on evictions to protect women’s rights during the pandemic.7
Of course, when it comes to suffering, widows have experienced this long before last year’s lockdowns.
Afghanistan: A widow begs for food on a busy road in Kabul; the two loaves of bread she has are the entire dinner for her family of eight. According to Sharia teachings, widows only get an eighth of the inheritance from their spouse’s death if the husband has children (if not, then one quarter). The rest is distributed amongst other family members. Photo by Lacuna Magazine, Widowhood in Afghanistan
One example is in Afghanistan, home to “the hill of widows.” The term refers to women who eke out independence in a society that shuns them and condemns them as immoral. The first residents settled on a stony slope outside Kabul in the 1990s, hoping to escape the stigma attached to women who have lost their spouse.
The war-torn nation was home to approximately 2.5 million widows in 2017. Often uneducated and shuttered away at home, the women have few options when their husband dies. According to a report by a French news agency, “At best, they receive $150 a year from the government if their husband was killed in fighting. They survive by doing household chores, a little sewing, or by sending their children to beg in the bazaar.
“Women are perceived as being owned by their father before becoming their husband’s property. Widows are often rejected as immoral or regarded as burdens: they suffer violence, expulsion, ostracism and sometimes forced remarriage, often with a brother-in-law, as reported by the UN Mission in Afghanistan (UNAMA) in a rare study published in 2014.”8
Nigeria: Deborah’s husband was shot and killed in raids by Muslim extremists. After her husband’s death, her in-laws wanted her to leave her home so they could profit from it. They consistently abused her and pressured her to leave. Soon, she gave in, left her home and rented a house. She was hopeless, alone, and filled with grief. And ready to give up on life, until she received help to survive from an Open Doors trauma center. Photo by Open Doors USA
Similar difficulties face widows in Nigeria. In one state in the geopolitical region of South East Nigeria, legislators enacted laws in 2001 prohibiting widows from being compelled to do such things as shave their heads, be locked in the room with their husband’s corpse, or be compelled to remarry a relative of her late husband’s. Yet nearly two decades later, some of these practices were being kept alive through sociocultural norms, said an early 2020 report by a group of health researchers.
“There are often frictions between cultural practices and state policies/laws, as well as human rights, which obstruct policy implementation,” they wrote. “The lack of resources in low-resource regions adds to the difficulty in enforcing laws and policies, especially in rural areas, giving room for abhorrent cultural practices to thrive. These conditions prolong and intensify the traumatic experiences of widows.”9
If this special report has touched your heart and you would like to do something today about the plight of widows around the world, please share this article with your friends and consider making a generous gift to GFA World to help widows in South Asia and other locations.
GFA World (Gospel for Asia) is a leading faith-based global mission agency, helping national workers bring vital assistance and spiritual hope to millions across the world, especially in Asia and Africa, and sharing the love of God. In GFA World’s latest yearly report, this included thousands of community development projects that benefit downtrodden families and their children, free medical camps conducted in more than 1,200 villages and remote communities, over 4,800 clean water wells drilled, over 12,000 water filters installed, income-generating Christmas gifts for more than 260,000 needy families, and teaching providing hope and encouragement available in 110 languages in 14 nations through radio ministry. GFA World has launched programs in Africa, starting with compassion projects in Rwanda. For all the latest news, visit our Press Room at https://press.gfa.org/news.
Last updated on: October 14, 2021 at 4:20 pm By GFA Staff Writer
WILLS POINT, TX – Gospel for Asia (GFA World) founded by K.P. Yohannan, has been the model for numerous charities like Gospel for Asia Canada, to help the poor and deprived worldwide – Discussing villagers in extreme poverty counted among the millions without access to proper health care, and GFA World aids that brought free medicine that they may be healthy and whole.
Volunteer doctors examined every villager who attended the GFA World medical camp.
Dozens of voices jumbled together as men, women and children patiently waited to be seen by one of the workers stationed at the front of the line. In those workers’ hands, and on the tables, lay objects most of those present could never afford on their own: bottles of medicine.
Not Enough Money
These villagers are among the millions without access to proper health care. The World Health Organization estimates nearly half of the global population does not have full coverage of essential health services because they do not have access or they cannot afford it.[1]
In the villagers’ case, whenever sickness struck, they waited for it to pass. They could not afford to become some of the 930 million people worldwide who are projected to fall into extreme poverty as their finances become drained by expensive hospital visits or medication.[2] For the villagers, the risk of falling deeper into poverty outweighed finding medical relief. It was better to endure pain than to whittle away their finances.
Treatment Freely Given
Nealy, a 55-year-old farmer, couldn’t afford treatment for his leg pain and acid reflux. For six months, Nealy had endured the pain to keep his family afloat, not possessing extra income to receive treatment.
Another villager, Pakuna, a 60-year-old mother of three, had suffered with high blood pressure and diabetes for the previous four years.
They both could not purchase medicine on their own.
But then, in celebration of World Health Day, the villagers were invited to a medical camp organized by several Gospel for Asia (GFA) workers and volunteers. Nealy, Pakuna and the other attendees received medicine according to their needs, free of charge. In total, around 400 men, women and children received medical attention. Beneficiaries thanked the workers, grateful they could receive such care.
Through the medical camp, Nealy, Pakuna and hundreds of others in similar situations were blessed with medical care. Without it, the villagers may never have been able to see to their medical needs or may have gone without ever seeing a doctor. Because of the medical camp, they did not have to choose between falling into extreme poverty or pain—they could be healthy and whole.
*Names of people and places may have been changed for privacy and security reasons. Images are Gospel for Asia World stock photos used for representation purposes and are not the actual person/location, unless otherwise noted.
Learn more about the GFA World Medical Ministry — helping thousands who are in need of medical care and attention, all while displaying the love of Christ.
Learn more about the GFA World National Workers who carry a burning desire for people to know the love of God. Through their prayers, dedication and sacrificial love, thousands of men and women have found new life in Christ.
Last updated on: December 4, 2021 at 6:34 am By GFA Staff Writer
WILLS POINT, TX – GFA World (Gospel for Asia) founded by K.P. Yohannan, whose heart to love and help the poor has inspired numerous charities like GFA World Canada, to serve the deprived and downcast worldwide, issued this second part of a Special Report update on Taking the Toilet Challenge, where resolving Open Defecation continues to confound the world.
In West Bengal, a local Gospel for Asia (GFA World) pastor who identified needs of people in his community, including this woman and her child, was able to facilitate the construction of low-cost outdoor toilet to provide a safe, sanitary facility for her family. Gospel for Asia (GFA World) has helped to construct over 32,000 toilets to date in remote, impoverished communities throughout South Asia.
Open Defecation Still Persists Worldwide, Even in America
While places like South Asia, Nigeria and Indonesia are noted for problems with open defecation, this poor health habit exists worldwide. In late 2019, the Pan American Health Organization (PAHO) said 15.5 million people in Latin America and the Caribbean are forced to practice open defecation. Calling it an “unhealthy practice,” PAHO official Marco Espinal said, “Improving access to water and sanitation through multisectoral policies and actions is critical to prevent disease and save lives.”8
After attending the toilet expo in China, NPR reporter Katrina Yu noted that toilet innovations may be a hard sell in other countries.
Katrina Yu, NPR reporter Photo by Katrina Yu, Facebook
“Sanitation just isn’t sexy,” Yu wrote. “In fact, it stinks. According to the World Health Organization, governments, including many of those in Sub-Saharan Africa and Latin America, often neglect to consider safe sanitation when drawing up budgets and policies. ‘To have any hope of solving sanitation problems,’ said [Jim Yong] Kim of the World Bank, ‘we have to break taboos and get over our discomfort in talking about poop.’”9
The public declarations against open defecation stretch back for two decades. The Singapore-based World Toilet Association established its special day in 2001, with the United Nations General Assembly officially declaring November 19 as World Toilet Day in 2013. The observance aims to inform, engage and inspire people to achieve the goal of ensuring the availability of clean water and sanitation for all by 2030.
Yet as the UN and numerous governments, non-profits and non-governmental organizations (NGOs) work to eliminate the problem, it even exists on the streets of prosperous America. An October 2019 report by Environmental Justice said without sanitation when and where it is needed, the human right to sanitation for the homeless population has not been realized, leaving valid concerns about the risks of infectious disease transmission.
“The experience of Street Medicine physicians has yielded significant insight into how and why people experiencing homelessness resort to open defecation: the lack of public resources, perceptions about public toilets and the feelings of being unwelcome at them, concerns about safety, and physical and mental illness—including addiction—are all factors that contribute to OD,” the report said.10
A family in Maharashtra received this low-cost outdoor toilet as recipients of GFA World’s Christmas Catalog campaign to supply safe, private sanitation facilities to impoverished communities through South Asia.
The concerns raised by lack of access to sustainable sanitation and proper handwashing facilities have taken on new importance during the COVID-19 outbreak that engulfed the world in 2020. A report late last year from the World Bank placed the global costs of inadequate sanitation at an estimated $260 billion.
“Even before the COVID outbreak, our research conducted in 18 countries around the world showed that it’s poor children who suffer the most from inadequate sanitation,” said a summary issued on last November’s World Toilet Day. “Intestinal diseases related to poor sanitation, along with malnutrition and infections, contribute to stunting—one of the most serious and irreversible developmental problems facing children and impacting their future livelihoods as productive adults. In many countries, poor sanitation catalyzes a vicious cycle of poverty.”11
Children in India supported by Gospel for Asia (GFA World) sponsors also participated in India’s five-year-long Swachh Barat Abhiyan (“Clean India”) campaign by drawing images like these to emphasize the basic message.
Long-term Progress is Producing Slow but Steady Results
In addition to 128 comfort stations, Seattle Public Utilities has deployed 14 toilets and handwashing stations around Seattle to help the most vulnerable in their community stay healthy through these shelter and hygiene centers. Photo by SEA Mayor’s Office, Twitter
Yet, in spite of such gloomy realities, there has been long-term progress in the battle. Between 2000 and 2017, the number of people practicing OD was reduced from 1.3 billion to around 670 million, or 9 percent of the world’s population.12 The UNICEF South Asia Progress Report for 2018–2021 said the proportion of people practicing OD fell from 65 percent to 34 percent in the region as a whole, with India, Bangladesh, Nepal and Pakistan all achieving more than 30 percent reductions since 1990.13 There is a financial advantage to toilet installation: the World Health Organization estimates a return of $5.50 for every dollar spent on sanitation.14
Improvements have been steadily moving in the right direction, says one report: “The global population using safely managed sanitation services increased from 28 percent in 2000 to 45 percent in 2017, with the greatest increases occurring in Latin America and the Caribbean, sub-Saharan Africa, and East and South-East Asia. In the period from 2000-2017, 2.1 billion people across the globe gained access to at least basic services and the population lacking basic services decreased from 2.7 billion to 2 billion.”15
More Direct Aid Needed to Sustain Progress
Ms Hing, 31, and her 4-year-old daughter, Than, stand outside their new latrine installed by UNICEF and partners in Namdeau village, Bolikhamxay province, Laos, where 38 percent of households have no sanitation facilities at all. Photo by UNICEF USA, Saving Lives, One Toilet at a Time
Amid these encouraging developments, though, a reality remains: As of 2020 only one in five countries with greater than 1 percent OD reported being on track to achieve near elimination of it among the poorest fifth of rural populations by 2030.16 That and the still-high numbers of OD mean direct aid is still vital in many regions of the world.
Last year, UNICEF helped nearly 19 million people gain access to safe drinking water and 10.8 million with basic sanitation. Among them were residents of Cote d’Ivoire on the western coast of Africa, where less than 10 percent of people living in rural areas have access to clean, functional toilets. One woman who—along with her neighbors—used to defecate outdoors said that it was not only dangerous but not hygienic. While sharing her toilet with those nearby, she adds, “When they’re done, they have to clean it. I want to keep my toilet nice and clean.”17
Another woman in a village in Laos – Ms Hing – said, “I have a new toilet, and I don’t need to go to the bush anymore.”18
GFA World is another NGO working to eliminate open defecation. In 2019, GFA installed more than 5,200 toilets in needy communities. That boosted its cumulative total to more than 32,000 toilets installed, built in some of the world’s most underdeveloped areas.
While going to the bathroom is a privilege those in affluent societies often take for granted, for those living in out-of-the-way places, a toilet is one of the best gifts they can receive.
One example is a man named Laal and his wife, who live with four of their five children and their daughter-in-law. They are one of only three families still living in their village; many have moved away because of isolation and the lack of basic facilities, including a sanitary outhouse. The construction of a sanitation facility, facilitated by two Gospel for Asia (GFA) workers from a nearby community, literally changed their lives. Not only did they benefit from the health advantages of their new toilet, but they also established a new circle of friendships in the neighboring community.19
The installation of an outdoor sanitation facility, like this toilet from GFA World, proved to be, in numerous ways, a life-changing blessing for Laal’s family in South Asia.
In another, more densely, populated area with 1,600 families spread over eight villages, the majority of families still live in poverty. With most of their money going for survival, it leaves little for anything else, including hygiene or basic sanitation facilities. Gospel for Asia (GFA) workers came to their aid, collecting supplies and manpower needed to install facilities. More than 250 of the families received not only a toilet but instruction in their proper use and cleaning to keep people safe from disease.
“All the beneficiaries were ecstatic at the gift,” reported a Gospel for Asia (GFA) worker. “The women were especially happy; they no longer needed to put themselves in danger every time they needed to use the toilet. They finally had a safe place to privately relieve themselves. No more would they need to venture out into the fields to do so.”20
Hopefully, many more such reports will surface in the months and years to come.
If you’d like to assist in providing outdoor toilets for underserved communities around the world, connect with GFA World to make a donation. Your contribution can be a life-changing one for many families that live in a community without proper sanitation, by providing them with safety from disease and dignity through privacy. And you will feel good to have made a contribution that helps families in developing nations without access to things we can take for granted.
Safe, sanitary outdoor toilets typically cost around $540, to build in Asia, and benefit multiple families in remote, impoverished communities. You can help provide one for a needy village, by donating a portion of the construction costs through GFA World.
Gospel for Asia (GFA World) is a leading faith-based global mission agency, helping national workers bring vital assistance and spiritual hope to millions across the world, especially in Asia and Africa, and sharing the love of God. In GFA World’s latest yearly report, this included thousands of community development projects that benefit downtrodden families and their children, free medical camps conducted in more than 1,200 villages and remote communities, over 4,800 clean water wells drilled, over 12,000 water filters installed, income-generating Christmas gifts for more than 260,000 needy families, and teaching providing hope and encouragement available in 110 languages in 14 nations through radio ministry. GFA World expects to launch programs in numerous African nations, starting with compassion projects in Rwanda. For all the latest news, visit our Press Room at https://press.gfa.org/news.
Last updated on: September 11, 2021 at 4:30 am By GFA Staff Writer
WILLS POINT, TX – GFA World (Gospel for Asia) founded by K.P. Yohannan, whose heart to love and help the poor has inspired numerous charities like GFA World Canada, to serve the deprived and downcast worldwide, issued this first part of a Special Report update on Taking the Toilet Challenge, where resolving Open Defecation continues to confound the world.
In a previous special report entitled “Fight Against Open Defecation Continues,” we discussed the need for a caring response from the world to the problem of open defecation (OD) —a worldwide health crisis. In this report, I highlight ongoing long-term progress, while also contrasting the continuing challenges this issue presents to much of the developing world.
Why are Bill and Melinda Gates Spending $200 Million on Toilets?
Prof. Ravi V. Bellamkonda, “Advancing technologies for public health…” Photo by Duke University, Pratt School of Engineering
In regard to government funding and foundation grants, the $4.5 million awarded to Duke University last November represented a modest sum. Still, the stipend for Duke’s Center for Water, Sanitation, Hygiene and Infectious Disease (WaSH-AID) represented another small step in reducing open defecation by furthering testing of “reinvented toilets” and other hygienic technologies in the world’s neediest areas.
“We are grateful for the Bill & Melinda Gates Foundation’s investment in our (center) to lead collaboration with experts at Duke, across the industry and around the world to address this critical societal challenge,” said Ravi V. Bellamkonda, dean of the university’s school of engineering. “Advancing technologies for public health is particularly germane to control the spread of preventable diseases, and in this case also a fundamental human right—dignity.”1
Symbolically, the award came on the eve of the tenth anniversary of the foundation’s “Reinvent the Toilet” challenge, which asked researchers to devise toilets that can sanitize human waste with no water, electricity, sewer or septic system. The waste treatment goals include cleaning the waste and reclaiming water to safe drinking standards and harvesting nutrients for other uses. That can be a game-changer for those living without sanitation.
Duke’s WaSH-AID team focuses on the development of onsite waste treatment solutions to meet the needs of resource-constrained environments in many disadvantaged communities around the world, but also in parts of the United States, including North Carolina. Photo by Duke University, Center for WaSH-AID
About halfway into this initiative, one inventor produced a system called the Omni Processor. Although technically not a toilet, the Omni is an off-the-grid fecal sludge treatment plant that outputs purified water and may one day also produce electricity. A working prototype has been operating in Dakar, Senegal, in Africa, for a few years, with the latest version licensed to companies in countries including the U.S. and China.2 Project director Brian Arbogast believes the technology will eventually influence sanitation in the developed world, such as green buildings, septic systems and off-the-grid cabins.
After spending a day at the foundation’s office in early 2019, a Business Insider reporter waxed enthusiastically about the toilet technology and other initiatives addressing such problems as extreme poverty, child mortality and malaria: “Hearing about their work was inspiring and gave me hope for the future …” wrote Julie Bort. “And the reason is simple. These people are taking on some of the world’s hairiest, most complex and seemingly intractable problems. And they are winning.”3
Some of the best solutions for communities in need of low-cost sanitation are just simple outdoor toilets like these built by Gospel for Asia (GFA World) to serve this entire snake charmer village in Uttar Pradesh.
A Formidable Problem: High-Tech or Low-Tech Solutions?
Not everyone is as impressed with the foundation’s efforts. Two years after the initiative’s unveiling, an environmental engineer whose business focuses on developing low-cost toilets said communities that desperately need sanitation will be unable to afford the advanced technology promoted by the initiatives.
We “should be investing more in low-tech rather than high-tech toilets,” said Jason Kass, founder of Toilets for People. “But high-tech solutions and research projects are sexier and more eye-catching, so they are more interesting for universities.”4
The fact that in its first seven years the Gates Foundation invested $200 million in the toilet challenge demonstrates the formidable nature of ending open defecation. Yet it is a battle that must be waged.
Open defecation(OD)
is a disease-producing practice that contaminates drinking water and spreads diseases such as cholera, dysentery and diarrhea, which is particularly fatal among children. The incidence of such disease can disrupt young people’s education. In addition, females who engage in open defecation are more vulnerable to sexual violence.
The problem has generated widespread responses, such as India’s five-year-long Swachh Barat Abhiyan (“Clean India”) campaign that installed 110 million latrines by October 2019, with accompanying claims of success by Prime Minister Narenda Modi.
One of the NGOs helping PM Modi in this campaign is GFA World, which has worked tirelessly to help install over 32,000 toilets to date in some of the most remote and difficult-to-reach locations across South Asia..
In 2015, Chinese President Xi Jinping declared a “Toilet Revolution,” calling on local governments to improve sanitation in hopes of attracting more tourism since a bad “toilet landscape” had harmed the Asian giant’s image.5
Open defecation is still a problem in Nigeria where over 46 million people defecate in the open and over 120 million people do not have a decent toilet. Photo by WaterAid Nigeria, Twitter
Not coincidentally, in November 2018 the city of Beijing played host to the “Reinvented Toilet Expo,” which Gates projects could create a $6billion-a-year market by 2030. Kinya Seto, the president of Japanese exhibitor LIXIL, said innovative companies have a golden opportunity to do well by doing good: “We can help jump-start a new era of sanitation for the 21st century by developing solutions that can leapfrog today’s existing infrastructure, functioning anywhere and everywhere.”6
The latest nation to attack open defecation is Nigeria, where fewer than half the households have their own toilet. In 2016, the government launched an action plan aiming to end the practice by 2025 by providing equitable access to water, sanitation and hygiene services, and strengthening community approaches. However, three years later the government had failed to release funding for the initiative. In November 2018, with parts of the country facing high levels of water-borne diseases, President Muhammadu Buhari declared a state of emergency.7
In Dimbroko, Cote d’Ivoire, Habitat for Humanity implemented a community-led pilot project to end open defecation. Habitat successfully worked with the government, private sector and community representatives to create sanitation facilities and promote proper hygiene practices. Photo by Habitat for Humanity, Ending Open Defecation in Cote d’Ivoire
Safe, sanitary outdoor toilets typically cost around $540, to build in Asia, and benefit multiple families in remote, impoverished communities. You can help provide one for a needy village, by donating a portion of the construction costs through Gospel for Asia (GFA World).
Gospel for Asia (GFA World) is a leading faith-based global mission agency, helping national workers bring vital assistance and spiritual hope to millions across the world, especially in Asia and Africa, and sharing the love of God. In GFA World’s latest yearly report, this included thousands of community development projects that benefit downtrodden families and their children, free medical camps conducted in more than 1,200 villages and remote communities, over 4,800 clean water wells drilled, over 12,000 water filters installed, income-generating Christmas gifts for more than 260,000 needy families, and teaching providing hope and encouragement available in 110 languages in 14 nations through radio ministry. GFA World expects to launch programs in numerous African nations, starting with compassion projects in Rwanda. For all the latest news, visit our Press Room at https://press.gfa.org/news.
WILLS POINT, TX – Gospel for Asia (GFA World) founded by K.P. Yohannan, has been the model for numerous charities like Gospel for Asia Canada, to help the poor and deprived worldwide – Discussing GFA World’s Bridge of Hope Program and it’s impact on families and communities, providing for health needs through the center’s medical camp.
A doctor checks a patient’s blood pressure at a medical camp organized at a Bridge of Hope center.
GFA World’s Bridge of Hope Program is designed to support young students as they grow into adulthood. The program provides free educational tutoring, school supplies, clothing and a hot meal—which their families might not be able to afford otherwise. It also assists children and their families by providing personal hygiene resources and medical checkups.
One Bridge of Hope center hosted a medical camp before the pandemic, during which more than 450 people received free health care in a single day.
A Day of GFA Medical Camp Doctors’ Visits
At 9:30 a.m., six doctors and two pharmacists began seeing patients. Bridge of Hope students lined up with their parents and neighbors to see the medical professionals for various ailments and health checkups.
For the next seven and a half hours, the doctors examined the villagers and prescribed medicines, while the pharmacists assisted in administering medication. The medical staff graciously volunteered their time to treat conditions like high blood pressure, diabetes, cataracts, high cholesterol, skin rashes and vitamin deficiencies. Doctors also provided medical care for patients wrestling with heart and lung problems.
Top: Bridge of Hope staff help medical professionals hand out prescribed medications. Bottom: Bridge of Hope students and their families wait for a chance to see a doctor during a medical camp.
Bridge of Hope staff was on hand throughout the day to assist the medical staff and to help keep the camp running smoothly.
Events such as medical camps are a welcome blessing for Bridge of Hope students and their communities. Many of the students at this center have parents employed on tea estates and who work long hours each day to earn just enough money for the family’s needs for that day. Nutritious meals and the costs of remedying unexpected health issues are often more than a family can afford.
The day was a whirlwind for everyone involved as 100 students and their families, as well as others from the community, cycled through the camp receiving health care advice and appropriate medications. As the camp concluded at 5 p.m., a Bridge of Hope staff member offered a prayer of thanksgiving for the day’s success.
The satisfaction of helping to provide for the community’s health needs was well worth the busy day at the medical camp.
*Names of people and places may have been changed for privacy and security reasons. Images are Gospel for Asia stock photos used for representation purposes and are not the actual person/location, unless otherwise noted.
Learn more about the GFA World Bridge of Hope program and how you can make an incredible difference in the lives of children, bringing hope to their lives and their families, transforming communities.
Learn more about the GFA World’s Medical Ministry who are helping thousands in need of medical care and attention, all while displaying the love of Christ.
Click here to read more blogs and on Bridge of Hope on Patheos from Gospel for Asia.
WILLS POINT, TX – Gospel for Asia (GFA World) founded by K.P. Yohannan, has been the model for numerous charities like Gospel for Asia Canada, to help the poor and deprived worldwide – Discussing GFA World pastor Pekelo, his encounter with a remote village full of sickness, fragility, the absence of mosquito nets to defend against mosquito-borne illnesses, and the free medical camp that brought hope and love.
For Pastor Pekelo, it was worth shouldering the heavy box for three miles to give villagers much-needed medicine and loving care.
Gospel for Asia (GFA) pastor Pekelo had only been to the remote village once. The only way to reach it was a three-mile hike. Upon reaching his destination, however, Pastor Pekelo found himself in the midst of destitution. He quickly forgot about the long journey and turned his attention to the needs of the villagers. As he surveyed the situation, an idea began to form in Pastor Pekelo’s mind: He wanted to offer the entire village of nearly 50 families a free medical check-up.
An Undeniable Need
Pastor Pekelo knew bringing a free medical camp to the small, remote community would be a challenge, but he was armed with a determination to assist with the needs he witnessed firsthand.
With his own eyes, Pastor Pekelo saw the darkness of the village where electricity was a commodity still unavailable. With his own legs, Pastor Pekelo experienced the village’s difficulty of access. With his own nose, Pastor Pekelo inhaled the odor of sickness that plagued the village due to lack of medical care.
Pastor Pekelo quickly learned the residents often fell ill with mosquito-borne illnesses. They needed aid and protection. The compassionate pastor knew a free medical camp and mosquito net distribution would take strategic planning, but he was convinced such an event would benefit the people of this remote village.
Plan of Action – A Free Medical Camp
Villagers wait in line to receive free medical check-ups and a mosquito net to help prevent mosquito-borne illnesses.
In conjunction with the Youth Fellowship pastor, Pastor Pekelo began coordinating with church leaders and fellow believers. They secured boxes of medicine and mosquito nets and enlisted the services of three doctors, including a surgeon. The team then hefted the heavy boxes of supplies on their shoulders and set out on the over-three-mile trek to the village.
As word spread about the free medical camp, people from the next village, about one-and-a-quarter miles away, journeyed to the village to stand in line for a check-up.
Doctors spent the day examining patients and prescribing medications. Pastor Pekelo and his team distributed mosquito nets. Over the course of the day, approximately 300 patients received free health assessments and medicine, and 150 families left with mosquito nets to help protect themselves against disease.
The villagers were grateful for the love and care shown through the attention of the doctors and Pastor Pekelo and his team.
A young boy tries to not squirm as the doctor performs a routine health check-up.
“I have been in this village for 22 years and had not seen anyone come to this village with help for us and our children,” said 22-year-old Luane, who came from the neighboring village. “[The church], not knowing who we are and our situation, visited us by walking five kilometers all the way to our village. We are ever grateful to them for their help. Thank you.”
A 40-year-old woman, Alonna, expressed her deep gratitude: “Our village has no electricity, and our children frequently get fever due to mosquito bites. I thank God for the mosquito nets that we received today. It will protect our children. We thank [the church] and Pastor Pekelo for the love and concern towards us.”
Pastor Pekelo’s vision to help a remote village by hosting a free medical camp became more than a blessing of physical care for the villagers. They were also blessed to receive the love and care of neighbors acting as the hands and feet of Jesus.
*Names of people and places may have been changed for privacy and security reasons. Images are Gospel for Asia World stock photos used for representation purposes and are not the actual person/location, unless otherwise noted.
Learn more about the GFA World Medical Ministry — helping thousands who are in need of medical care and attention, all while displaying the love of Christ.
Learn more how to save families from the sickening agony or death from malaria through the gift of Mosquito Nets that offer protection from the sting of an infected mosquito and help to give their owner a restful nights sleep.
WILLS POINT, TX – GFA World (Gospel for Asia) founded by K.P. Yohannan, has been the model for numerous charities like GFA World Canada, to help the poor and deprived worldwide, issued this first part of a Special Report update on Malaria making a comeback amid the worldwide impact of the COVID 19 Pandemic.
It’s a back-and-forth battle growing tougher in the face of COVID-19, with mosquitoes responsible for spreading the disease taking on the appearance of brass-helmeted warriors immune to nearly every device aimed in their direction. Malaria, humanity’s most deadly infectious disease, is making a comeback while our primary defense—net distribution—is being handicapped by the disruptions to normal life caused by the worldwide pandemic.
Insecticidal Nets a Mainstay, but Declining to Protect in Some Cases
Niger: Demilla and her children now sleep under the safety of a bed net, which protects them from malaria-carrying mosquitoes, which have regularly affected many of her close family members, including her two children. Photo by Nothing But Nets, Instagram
That news appeared last summer in Nature Communications, which published research showing insecticide-treated mosquito nets—considered a mainstay in combating malaria—are not providing the protection they once did.1
According to another report in ScienceDaily, scientists say that’s cause for concern in tropical and subtropical countries. Long-Lasting Insecticidal Nets (LLINs) were credited with saving 6.8 million lives over a recent 15-year period.2
Dr. Stephen Carl, a malaria researcher in Australia, said LLINs add a community-level protective effect by significantly decreasing the mosquito population, which benefits even people not using nets. In Papua New Guinea, their introduction in 2006 led to a significant decline in cases, but between 2013–14 and 2016–17, the rate of infections rebounded from less than 1 percent to 7.1 percent.3
“[LLINs] are the only tools used at present in the national campaign against the mosquitoes that can carry malaria,” said study co-author Dr. Moses Laman.
“Malaria kills around half a million people worldwide each year, so any suggestion that the nets are not working is cause for grave concern.”4
While conclusions are still being formed on the news reported in Nature Communications, it appears diminished bioefficacy at the manufacturing level may be contributing to the problem of resurgence in malaria incidents.
Mosquito bites will result in more than 700,000 malaria deaths around the world this coming year — wiping out the equivalent of the entire population of Washington, D.C., says a recent report by Gospel for Asia. The report — Winning the Ancient Conflict Between Man and Mosquito — coincided with World Mosquito Day, Aug. 20, 2020.
Debating Treated Nets vs Untreated Nets
But not everyone agrees that treated nets are necessary. Research published just prior to the ScienceDaily report questioned if their cost makes the fight harder. One report in Malaria Journal said although more than 90 percent of the burden occurs in Africa, most prequalified nets approved by the World Health Organization (WHO) are manufactured elsewhere. The publication said many local manufacturers lack the capacity to produce insecticidal nets at a competitive scale and pricing.5
Fredros Okumu is a Kenyan parasitologist and entomologist, who developed a synthetic mosquito lure which was 3-5 times more potent than natural human odor. Photo by Fredros Okumu, Twitter
By relaxing conditions, it is conceivable that non-insecticidal but durable—and possibly biodegradable—nets could be readily manufactured locally, wrote author Fredros Okumu. While not aiming to discredit treated nets, he said he wanted to illustrate how a singular focus on insecticides can hinder innovation and sustainability.6
“The public health value of nets is increasingly driven by bite prevention, and decreasingly by lethality to mosquitoes,” Okumu said. “For context-appropriate solutions, it is necessary to acknowledge and evaluate the potential and cost-effectiveness of durable untreated nets across different settings.”
In his lengthy report, he also observed that developers should, instead of overemphasizing the need for new insecticides, ensure that bed nets are accessible, durable and properly used, even if non-insecticidal.
“New insecticides can then be developed for other forms of vector control,” Okumu said. “It has been demonstrated that resistant mosquitoes can survive up to 1,000-times the concentration of insecticides that kill susceptible populations. Such strongly resistant mosquitoes may naturally incur major survival and fitness costs in nature but are unlikely to be killed directly by insecticidal nets.”7
Malaria caused by mosquitos is one of the main killers in West Bengal, India, as the villages in these areas are surrounded by tea plantations and forests with lots of insects. On World Mosquito Day, August 17th, 2016 the local Believers Eastern Church distributed over eight hundred mosquito nets to villagers from economically poor backgrounds, who would be unable to afford to purchase their own.
Fighting a Coronavirus that Hampers Bed Net Distribution
However one looks at the necessity of treated nets, distribution of any nets—treated or untreated—has been a cause for concern during the coronavirus outbreak.
Writing in Nature Medicine, researchers forecast the possibility of 779,000 deaths in sub-Saharan Africa over a 12-month period, culminating in the summer of 2021.8 That compares to a WHO worst-case estimate of 769,000 malaria deaths this year, a mortality rate not seen in two decades.9
In the face of COVID-19, Okefu Oyale Okoko, deputy director of the National Malaria Elimination Programme in Nigeria, said it would still be important to ensure continuing deployment of vector control interventions to not only sustain gains in malaria elimination, but ensure against its resurgence.
According to a report in The (London) Telegraph, researchers concluded that treating children with fever as if they have malaria, even if not diagnosed with the disease, could save nearly 200,000 lives. And, of course, prompt distribution of bed nets could prevent hundreds of thousands of deaths.
When final statistics are available, researchers from the Imperial College of London predict if control programs were halted due to COVID-19, the number of cases during 2020 could double compared to 2019. In Nigeria alone, they said cutting treatment and delaying the distribution of bed nets could result in 81,000 additional deaths.
James Whiting, Chief Executive at Malaria No More UK, whose goal is to end deaths and suffering from malaria. Since 2000 deaths of the biggest killer disease in human history have been reduced by 60%, saving 7 million lives. But in the last few years malaria has started to rise again per WHO World Malaria Reports. Photo by Hope and Homes for Children
Typically distributed at community meetings, such gatherings to distribute bed nets faced interruptions over the last year because of event cancellations or poor attendance because of coronavirus fears.
Telegraph correspondent Anne Gulland wrote that researchers’ modeling found that provision of bed nets is critical since those treated with long-lasting insecticide have effects that continue for three years. More than half of the 47 countries most badly affected by the disease were due bed net distributions in 2020, with 228 million nets due to be handed out. That would have been the largest number ever.
James Whiting, executive director of Malaria No More UK, told the newspaper: “This important modelling is a reminder that efforts to end malaria sit on a knife edge. Protecting people against COVID-19 cannot be pursued in isolation. Governments must see maintaining efforts against malaria as a core part of pandemic preparedness or risk a catastrophic domino effect.”10
Soon after the Telegraph article, computer magnate turned philanthropist Bill Gates echoed the necessity of not allowing the pandemic to distract attention from the fight against mosquito-borne disease. The pesky insects are out infecting millions with a disease that kills a child every other minute daily, he wrote in his online blog.11
In his lengthy report, [Okumu] observed that developers should, instead of overemphasizing the need for new insecticides, ensure that bed nets are accessible, durable and properly used, even if non-insecticidal.
Gates—head of the Gates Foundation, a key non-governmental organization fighting malaria’s spread—said lockdowns and other regulations made it difficult for health workers to provide prevention and treatment across Africa. He said there were also interruptions to supplies of essential malaria tools like bed nets and anti-malaria medicines. Instrumental in reducing malaria deaths by more than half since 2000, he said interruption of these services could mean mortality levels not seen since the turn of the century.
“There is not a choice between saving lives from COVID-19 versus saving lives from malaria,” Gates wrote. “The world must enable these countries to do both. Health officials urgently need to step up to the challenge of controlling the pandemic while also making sure that malaria, as well as other diseases like HIV and tuberculosis, are not neglected.”12
Dr. Pedro Alonso, director of the World Health Organization’s Global Malaria Program. Photo by ISGlobal
“The world has changed in ways we could never imagine,” observed Dr. Pedro Alonso, director of the WHO’s Global Malaria Programme, in a letter to malaria partners six months after lockdowns began. “As COVID-19 began its rapid spread earlier this year from China to Italy, and beyond, alarm bells began ringing across the malaria community. After taking such a devastating toll on countries with robust health systems, how would malaria-endemic countries in Africa prevail? Among colleagues at WHO, there was deep concern that the coronavirus had the potential to upend years—perhaps decades—of progress in malaria control.”13
One simple way to fight mosquito-borne diseases like malaria, is to consider giving a needy family a simple Mosquito Net. For only $10, Gospel for Asia’s field partners can distribute one of these effective nets to an at-risk family in Asia and provide them with safety from insects during the day and at night.
GFA World (formerly known as Gospel for Asia) is a leading faith-based global mission agency, helping national workers bring vital assistance and spiritual hope to millions across the world, especially in Asia and Africa, and sharing the love of God. In GFA World’s latest yearly report, this included thousands of community development projects that benefit downtrodden families and their children, free medical camps conducted in more than 1,200 villages and remote communities, over 4,800 clean water wells drilled, over 12,000 water filters installed, income-generating Christmas gifts for more than 260,000 needy families, and teaching providing hope and encouragement available in 110 languages in 14 nations through radio ministry. In the years ahead, GFA World expects to launch programs in numerous African nations, starting with compassion projects in Rwanda. For all the latest news, visit our Press Room at https://press.gfa.org/news.
On last year’s International Widows Day, UN Secretary-General Antonio Guterres said when countries build back from COVID-19, they must also work to dismantle laws that discriminate against women. He said the isolation and economic hardships brought on by the pandemic can further compromise widows’ ability to support themselves and their families and cut them off from social connections during their greatest time of grief.
Yet as the UN and numerous governments, non-profits and non-governmental organizations (NGOs) work to eliminate the problem, it even exists on the streets of prosperous America. An October 2019 report by Environmental Justice said without sanitation when and where it is needed, the human right to sanitation for the homeless population has not been realized, leaving valid concerns about the risks of infectious disease transmission.
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