Use this test question in your presentation to see if your students are aware of the fantastic global health improvement that happened during the last 50 years. Our public survey in Nordic countries show that this important trend is not well known. The last two slides show the results from our public surveys. The US public scored better than random on this question.
Reflection on African Healthcare systems - The Ugandan context and Health Sys...MAK1stABMSC2019
Dr. Elsie Kiguli-Malwadde. Prof. Francis Omaswa. African Center for Global Health and Social Transformation (ACHEST)
Makerere University's 1st African Biomedical Scientists' Conference 2nd March 2019
La Federación Internacional de Diabetes (IDF) lanza su 7ma Versión del Atlas sobre la Diabetes. Aquí la previa del mismo que estará disponible a partir del 1 de diciempre.
This 6th edition of the IDF Diabetes Atlas once again sets the standard for evidence on the global epidemiology of diabetes. The new estimates build on the groundwork laid by previous editions, and confirm the precipitous rise in diabetes over
the last few years. An astounding 382 million people are estimated to have diabetes, with dramatic increases seen in countries all over the world. The overwhelming burden of the disease continues to be shouldered by low- and middleincome
countries, where four out of five people with diabetes are living. Socially and economically disadvantaged people in every country carry the greatest burden of diabetes and are often the most
affected financially.
A view on the effect of social life on Health in Iraq by an Iraqi physician who worked for 3 years in different areas of Iraq..
A lecture given at the University of Utah/ college of social and behavioral science in February 2013
Global nursing: the Dance between Health and DevelopmentMary Ellen Ciptak
Global Nursing and Healthcare Considerations
Chronic Noncommunicable disease
Global Health Bodies
Humanitarian, grassroots global organizations
International organizations
Use this test question in your presentation to see if your students are aware of the fantastic global health improvement that happened during the last 50 years. Our public survey in Nordic countries show that this important trend is not well known. The last two slides show the results from our public surveys. The US public scored better than random on this question.
Reflection on African Healthcare systems - The Ugandan context and Health Sys...MAK1stABMSC2019
Dr. Elsie Kiguli-Malwadde. Prof. Francis Omaswa. African Center for Global Health and Social Transformation (ACHEST)
Makerere University's 1st African Biomedical Scientists' Conference 2nd March 2019
La Federación Internacional de Diabetes (IDF) lanza su 7ma Versión del Atlas sobre la Diabetes. Aquí la previa del mismo que estará disponible a partir del 1 de diciempre.
This 6th edition of the IDF Diabetes Atlas once again sets the standard for evidence on the global epidemiology of diabetes. The new estimates build on the groundwork laid by previous editions, and confirm the precipitous rise in diabetes over
the last few years. An astounding 382 million people are estimated to have diabetes, with dramatic increases seen in countries all over the world. The overwhelming burden of the disease continues to be shouldered by low- and middleincome
countries, where four out of five people with diabetes are living. Socially and economically disadvantaged people in every country carry the greatest burden of diabetes and are often the most
affected financially.
A view on the effect of social life on Health in Iraq by an Iraqi physician who worked for 3 years in different areas of Iraq..
A lecture given at the University of Utah/ college of social and behavioral science in February 2013
Global nursing: the Dance between Health and DevelopmentMary Ellen Ciptak
Global Nursing and Healthcare Considerations
Chronic Noncommunicable disease
Global Health Bodies
Humanitarian, grassroots global organizations
International organizations
Assessment of Social Determinants of Health in Selected Slum Areas in Jordan ...Musa Ajlouni
This presentation summaries the main findings of a study which was performed to asses the Social Determinants of Health (SDH) in selected slum Areas in Jordan and suggest some policy directions to deal with the challenges related to these SDH.
These slides give an overview of public health and the role of local public health departments in keeping people healthy, presents housing, health and some of the vulnerable populations who are the primary focus of our work, and shows the Healthy Chicago Public Health Agenda - the blueprint for our work at the Chicago Department of Public Health. Lastly, it highlights some of our work and accomplishments with vulnerable groups.
These slides give an overview of public health and the role of local public health departments in keeping people healthy, presents housing, health and some of the vulnerable populations who are the primary focus of our work, and shows the Healthy Chicago Public Health Agenda - the blueprint for our work at the Chicago Department of Public Health. Lastly, it highlights some of our work and accomplishments with vulnerable groups.
Leveraging Assets to Improve Health and Equity in Rural Communitiesnado-web
This presentation was delivered at NADO's Annual Training Conference, held in Anchorage, Alaska on September 9-12, 2017.
A growing body of research shows that people living in rural communities experience inequities in health and well-being compared to their urban counterparts. The NORC Walsh Center for Rural Health Analysis, with funding from the Robert Wood Johnson Foundation, is conducting formative research to explore opportunities to improve health
and equity in rural communities using an asset-based community development approach. This session will provide an overview of rural health disparities data, followed by preliminary findings and key recommendations to strengthen rural communities
based on an enhanced understanding of culture and history, priorities, assets, partners, and promising strategies unique to and common across rural communities and regions.
Michael Meit, MS, MPH, Co-Director, NORC Walsh Center for Rural Health Analysis, NORC at the University of Chicago, Bethesda, MD
1.1.3 AWHN Conference 6 2010 Federation:
Commission on the Social Determinants of Health: gendering health inequities.
Southgate Institute for Health, Society & Equity,
Flinders University
Adelaide
Non communicable diseases in the Arab World.
Presented by Pr Habiba Ben Romdhane, Head of the Cardiovascular Diseases Epidemiology and Prevention Laboratory - Tunisia.
International Symposium on Social Determinants of NCDs, 6-7 May 2013, Istanbul - Turkey
Nursing and challenges for geriatric care in acute hospitalsgrace lindsay
The presentation provides an overview of issues and challenges for nursing in dealing with the health needs of older people in an acute care health care setting. Some of the specific considerations are highlighted including assumptions and stereotyping.
The Importance of Community Nursing Care.pdfAD Healthcare
NDIS and Community 24/7 Nursing Care is a specific type of support that may be provided under the NDIS for individuals with complex medical needs who require ongoing nursing care in a community setting, such as their home or a supported accommodation facility.
India Diagnostic Labs Market: Dynamics, Key Players, and Industry Projections...Kumar Satyam
According to the TechSci Research report titled “India Diagnostic Labs Market Industry Size, Share, Trends, Competition, Opportunity, and Forecast, 2019-2029,” the India Diagnostic Labs Market was valued at USD 16,471.21 million in 2023 and is projected to grow at an impressive compound annual growth rate (CAGR) of 11.55% through 2029. This significant growth can be attributed to various factors, including collaborations and partnerships among leading companies, the expansion of diagnostic chains, and increasing accessibility to diagnostic services across the country. This comprehensive report delves into the market dynamics, recent trends, drivers, competitive landscape, and benefits of the research report, providing a detailed analysis of the India Diagnostic Labs Market.
Collaborations and Partnerships
Collaborations and partnerships among leading companies play a pivotal role in driving the growth of the India Diagnostic Labs Market. These strategic alliances allow companies to merge their expertise, strengthen their market positions, and offer innovative solutions. By combining resources, companies can enhance their research and development capabilities, expand their product portfolios, and improve their distribution networks. These collaborations also facilitate the sharing of technological advancements and best practices, contributing to the overall growth of the market.
Expansion of Diagnostic Chains
The expansion of diagnostic chains is a driving force behind the growing demand for diagnostic lab services. Diagnostic chains often establish multiple laboratories and diagnostic centers in various cities and regions, including urban and rural areas. This expanded network makes diagnostic services more accessible to a larger portion of the population, addressing healthcare disparities and reaching underserved populations. The presence of diagnostic chain facilities in multiple locations within a city or region provides convenience for patients, reducing travel time and effort. A broader network of labs often leads to reduced waiting times for appointments and sample collection, ensuring that patients receive timely and efficient diagnostic services.
Rising Prevalence of Chronic Diseases
The increasing prevalence of chronic diseases is a significant driver for the demand for diagnostic lab services. Chronic conditions such as diabetes, cardiovascular diseases, and cancer require regular monitoring and diagnostic testing for effective management. The rise in chronic diseases necessitates the use of advanced diagnostic tools and technologies, driving the growth of the diagnostic labs market. Additionally, early diagnosis and timely intervention are crucial for managing chronic diseases, further boosting the demand for diagnostic lab services.
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
Health Education on prevention of hypertensionRadhika kulvi
Hypertension is a chronic condition of concern due to its role in the causation of coronary heart diseases. Hypertension is a worldwide epidemic and important risk factor for coronary artery disease, stroke and renal diseases. Blood pressure is the force exerted by the blood against the walls of the blood vessels and is sufficient to maintain tissue perfusion during activity and rest. Hypertension is sustained elevation of BP. In adults, HTN exists when systolic blood pressure is equal to or greater than 140mmHg or diastolic BP is equal to or greater than 90mmHg. The
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This document is designed as an introductory to medical students,nursing students,midwives or other healthcare trainees to improve their understanding about how health system in Sri Lanka cares children health.
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
COVID-19 PCR tests remain a critical component of safe and responsible travel in 2024. They ensure compliance with international travel regulations, help detect and control the spread of new variants, protect vulnerable populations, and provide peace of mind. As we continue to navigate the complexities of global travel during the pandemic, PCR testing stands as a key measure to keep everyone safe and healthy. Whether you are planning a business trip, a family vacation, or an international adventure, incorporating PCR testing into your travel plans is a prudent and necessary step. Visit us at https://www.globaltravelclinics.com/
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
Deep Leg Vein Thrombosis (DVT): Meaning, Causes, Symptoms, Treatment, and Mor...The Lifesciences Magazine
Deep Leg Vein Thrombosis occurs when a blood clot forms in one or more of the deep veins in the legs. These clots can impede blood flow, leading to severe complications.
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
1. Effect of social life on Health
in Iraq
Sarah Al-Obaydi,
M.B.Ch.B, MPH
2. preface
• All data presented here are taken from
international non-profit organizations since Iraq
lacks local agencies with creditable statistical
data.
4. • Population: ≈36 million
• Composition: Arabs (3/4), Kurds (1/5),
Turkmen, Assyrians, Chaldeans,
Armenians and many others.
• Language: Arabic
• Religion: Islam (75-80%), Christianity (mainly
Catholic), Yazidis, Mandais, Jews.
5. Health indicators:
Indicator Iraq USA
Life expectancy at birth m/f
in Years
62/70 76/81
Infant mortality rate 31 7
Under-five mortality rate
per 1000 live births
39 8
Adult mortality rate per
1000 population
222 106
Maternal mortality ratio -
Interagency estimates is
/100,000 live births
63 21
10. Health system in Iraq
• Healthcare access in Iraq is a Right granted by
the Iraqi constitution.
• Generally all types of health care are provided.
• No insurance system.
12. Healthcare expenditure & workforce
• Iraq spends 5.2% of its GDP on healthcare.
• Healthcare workforce:
Iraq U.S
Physicians per 10,000
population
6.9 24.2
Nurses and midwives per
10,000 population
13.8 98.2
13. Medical education:
• 22 medical colleges distributed all over Iraq
• Iraq follows the British curriculum (6 years)
• After graduation: rotating doctor countryside
doctor residency training board
certification (4-5 years)
17. I. Income:
• Generally income is considered
low.
• 7 million Iraqis are living below
poverty line.
• In 2011, 50% of Iraqis lived in
slum conditions
• Many Iraqis can not afford
private healthcare.
18. II. Education:
• Adult literacy rate 78
45%
46%
9%
Males
% primary school
attendacne
% secondary
school attendance
No attendance
46%
34%
20%
Females
20. III. Community:
• Environment:
▫ Air: no safety & emission regulations
▫ Water: poor sewage system
▫ Food: no regulations on restaurants
21. III. Community:
• Culture:
▫ Tribes more seen in rural areas
▫ Early marriage (rural)
▫ IPV
▫ Stigmatization of some diseases
22. III. Community:
• Religious beliefs:
▫ Misinterpretation of Islamic religion and rules.
▫ Concealed sexual relationship increased STIs
▫ Spiritual healers
24. III. Community:
• extraordinary situations:
I. War(s)
• Weakened the economy
• Increased disability
• Displacement
• Psychological distress
25. III. Community:
II. Ongoing violence and political instability:
• More disability
• Increased the number of internally displaced
population
• Many healthcare professionals fled Iraq
26. III. Community:
• The role of non-profit organizations
▫ Iraq-based (e.g: Iraq builders, IHAO, Ghawth)
▫ International :
General health and service programs (AMAR,
UNHCR)
Helping IDPs (IRC, UNHCR, WHO, AMAR..etc)
27. A look at the future?
• Political stability is a major determinant of social
life in Iraq
• Need to improve infrastructure
• Need to build a strong public health system
• Need to provide a safer, more respectful
environment for physicians.
Like WHO, UNICEF, UN
As a physician who worked in Iraq for 3 threes I find some numbers over/underestimate the reality, I will try to express my point of view about each number according too my experience there.
I will start with some health indicators to let you have a look at where health in Iraq is,
Health indicators are used to compare countries to know how they stand in terms of health and wellbeing..those data are from UNICEF, 2010
The most important thing to note is that this data is before ISIS invasion, in areas where ISIS is, those numbers are worse now because of lack of healthcare in those areas and displacement of most of its people.
Mortality rate: in __/1000
Vaccination rates vary from urban to rural areas, parental education and transportation availability (esp rural, e.g some mothers I used to see in the PHC used to come late for the vaccination schedule because they were not able to get transportation to the PHC at vaccination date assigned for them).
Also this data is before ISIS since now doctors and nurses are unable to reach areas invaded by ISIS .
A study by UNICEF showed that each governorate in center/south Iraq has at least 20% malnutrition in children under 5, no difference between boys and girls, or urban and rural areas.
From my experience, I believe the percentage of death due to diarrhea is much higher than 6% . And since last year, it is getting much worse again because IDPs are living in tents on the streets with lack of clean water
* We don’t have a good judicial system that ensures everybody is getting his/her right nor to protect the healthcare workers against the repeated offenses from the public
Healthcare is mainly governmental.
The public sector is regulated by the ministry of health and departments of health in each governorate, but the problem is that the regulation is weak and there is a huge deficit in the equipment, medications, medical personnel due to corruption in these governmental offices.
There are some private hospitals that are growing in addition to private clinics.
Iraq GDP in 2010 was 81.1124 Billion
US spends 17.4% on healthcare
Physician: pop ratio is very low, for instance one day when I was working in the PHC, I checked the number of patients I received and it was 120 patients in less than 4 hours! (imagine the quality of care you can provide when you have this number to examine in this short time period).
http://data.worldbank.org/indicator/SH.XPD.TOTL.ZS (2014 data)
We enter medical college directly from high school, so no 4 years of science, we study for 6 years, the first 3 years are basic knowledge, starting year 4 we go to hospital rounds and start to learn how to take Hx and perform PE
After graduation we are hired by the government as a rotating doctor, depending on your performance in med school you are assigned to hospitals accordingly, after 1 year we are assigned to work in countrysides, usually in a primary healthcare centers for a year just after completing this year, we will be eligible to start residency training in the specialty we want and this takes 4-5 years based on the specialty.
https://en.wikipedia.org/wiki/Medical_education_in_Iraq
https://search.wdoms.org/
One of the reasons was that Iraq relied on physicians trained in the UK during the 70s and 80s while after 1991, no more Iraqi physicians were able to get such training and those with high training got older, retired or left Iraq, so we can say that clinical training started to become less efficient over time.
e.g) during my medical rotation, only one internist had MRCP and now he is retired.
the doctor is responsible for his own security , no one will defend him if he was threatened or attacked by relatives on patients or corrupt hospital employees.
Out of the 35 doctors who were assigned to the hospital I started my work at in 2009, 17 left Iraq!
Tribal rules especially in rural areas are a major challenge for practicing physicians and other health care providers. News has mentioned these incidents more than once, yet we don’t have statistical data to show the impact of this problem. Many Iraqi doctors have fled Iraq escaping from such tribal demands.
2. After graduation, iraqi physicians have to follow certain regulations imposed by MOH in order to be able to get a specialty and/or to work in private sector at least as a GP. Those are: working for 1 year at hospitals in center of the city, 1 year in countryside PHCs, and then choose a specialty and start residency in that one. While these regulations seem easy and physicians should be aware of them when they started medical school, it is the abuse of these regulations is the problem.
e.g:
For instance few months ago, 150 countryside doctors we supposed to become specialty residents but because one of the physicians objected on the way of the unfair residents are distributed the MOH deferred all the 150 physicians’ distribution till this day as a punishment for objection.
3. Doctors are required to stay for weeks or sometimes months in hospitals but the MOH doesn’t provide them with a respectful place to stay in . (I used to bring my own food, my own blanket to sleep because food is bad and not always enough to feed all residents, and no enough beds for all residents).
Another major issue was transportation to and from countryside, this is not paid and the physician is required to provide his/her own transportation to and from his work place, and usually this is very expensive because those places are rural, and of course dangerous!
There is not data if there are certain diseases that affect Arabs more than Kurds or vice versa for instance,
But we know that people living in certain regions are more vulnerable to certain diseases, for instance people living in the north of Iraq are more vulnerable to Iodine deficiency due to high altitude , also people living in the Marshes are subject to Bilharziasis because the water is stagnant in those areas, Malaria is more common in the north . Also, sickle cell anemia is found in North and south more commonly than the center of Iraq
Iraq GNI per capita (US$), 2009 is 2210
% of Iraqis who lived in slum conditions year 2000 :17%, year 2011: 50%
Many Iraqis can’t afford going to private doctors and hospitals despite the poor quality of care provided by the public healthcare system as mentioned before
For instance, one day in my rotation year, a patient had SVT and I had to ask his relatives to buy Adenosine for him because it is not available in the hospital.
As WHO put it “Education and Health go hand in hand”
educated girls have fewer babies, and they have them later in life. Educated girls also make better mothers. A literate girl or woman is also far more likely to be health literate.
Before 2003, there were many health education programs and ads on TV, after 2003 none!
When I used to work in PHC, I tried to hand health education leaflets, and gave health education lectures, but this was considered a waste of time by some of my colleagues! (back to poor training and perception of medical career)
Infrastructure
Percentage of pop using improved drinking water sources= 79% (urban 91%, rural 55%)
Percentage of pop using improved sanitation facilities=73% (urban 76%, rural 66%)
*MOH is not doing its role well, no public health policies
Tribal traditions remain culturally important to many Iraqis.
Early marriage in rural areas or even in the urban areas means no more schooling for women.
4. Women may be victim of partner violence and she will not admit that. and there are no facilities or programs that help such women
5. Although there are mental healthcare facilities to treat mental illness and drug addiction, poor understanding of mental illnesses by the society and stigmatizing those patients, lead many mentally ill not to seek medical assistance. Other diseases are STIs.
The majority of Iraqis are Muslims. Misinterpretation of the Islamic religion and rules can:
1.Lead to behaviors that in turn adversely affect health care (females can’t be examined by male physician) this can partly explain the high maternal mortality rate because female physicians might not be available all the time.
2. Religious- based sectarian violence which rendered many people disabled, many physicians unable to practice in certain areas.
Male-female sexual relationship before marriage is prohibited by religion, such relationship is concealed STIs go undetected spread of STIs
One day in the pediatrics hospital I worked in, an 18 month kid was admitted to the ER seizing, and when I took the history of the disease, the mother gave me something she said the spiritual healer have it to her to dissolve in water and give it to the kid to treat his diarrhea, after analysis there was some kind of poisonous material in it that obviously caused seizure
Poor health care system and lack of regulations' on pharmacists. Medicines can be sold without prescription. Pharmacist though may have fairly good medical knowledge they are not trained to prescribe medications. And to consult a pharmacist will lead to faulty medical decision and will negatively affect health of the public.
Increased number of psychologically distressed people due to traumatizing events in Iraq after 2003 including torture, kidnapping, blackmailing, intimidation and harassment by militias
Have lead to many Iraqi to be internally displaced living poor lives poor access to clean drinking water and sanitation poor access to healthcarehealth crisis (Internally displaced people : 1.3 million)
Percent of professionals who have left Iraq since 2003 - 40%
Iraqi Physicians Before 2003 Invasion - 34,000
Iraqi Physicians Who Have Left Iraq Since 2005 - 12,000
Iraqi Physicians Murdered Since 2003 Invasion - 2,000
Most of the help given to IDPs in terms of clothing, food, health services is provided by non for profit organizations that are either Iraq-based or international..
The iraqi based are dependant on people’s donations to help each other
International NGOs are either supported by the international society such as UNHCR , IRC, WHO or by people’s donations such as AMAR.. They run programs that support people inside Iraq but since they are dependant on funds, sometimes they are forced to stop their humanitarian services due to lack of funds, (this is what happened with 184 programs that are managed by UNHCR
Other organizations such as AMAR foundation, a London-based started long time ago in 1991 to help people of the marshes but expanded to implement many very helpful programs to support Iraqis, build schools, healthcare centers and with ISIS crisis now, helping IDPs as well, this organization is merely dependant on donations of supporters and have 2 offices in US one in DC and one in Utah as they are collaborating with LDS charities
An urgent need to improve public health to educate people about how to take good care of their health