Sunday, December 9, 2012

Completely deserving but unsexy cause

From a post recently featured on World Moms Blog, an excellent Website that features moms from all around the world.  Kind of the UN of the momblogs world. 

There’s a minuscule pot of money globally to solve those intractable problems of poverty around the world. Sure, there are a lot of sources: foreign aid, UN agencies, global and local charities. But they are dwarfed by the size and scope of human need, which governments in low-income countries cannot, for a variety of reasons, completely address. The international development world is in constant battle for this pot. 

Look at me!” says HIV/AIDS.  "Over here!” says Food Security.  "We’d like something, too!”, says Access to Credit for Small Business.  ”Don’t forget about us!”, say Malaria and Tuberculosis.  These are all worthy causes, so it’s a struggle.

And the global community does not necessarily prioritize or coordinate our global giving on the basis of need of recipient or effectiveness of the solution. Generally, it appears based largely and unscientifically on “what’s sexy” at the time.

So, what makes a cause “sexy?” Well, it helps if your cause wins some Jolie-Pitt endorsement. It helps a lot when NY Times writer Nick Kristoff writes a book about your cause. Oprah will do wonders. The more you can argue your beneficiaries are “deserving” of aid – that they had no part in creating their own suffering – the better.  Children and victims of violence pull on heartstrings and wallets.  Victims of epic natural disasters animate our compassionate imagination and spur our giving. More money flew into Haiti in the wake of the earthquake and Indonesia in the wake of the tsunami than NGOs had the capacity to spend.

So, what if you have a completely deserving, but unsexy, cause?  What if your cause is the polar opposite of sexy?  What if it's worms?


Parasitic worms affect 2 billion (that’s with a “b”) people, mostly children, around the world. They live in their tiny guts, sapping nutrition from sometimes meager meals, making them sick, lethargic and less able to learn and thrive. They rarely kill, but they exact a large slow toll on millions of humans’ potential.  They keep children from escaping poverty.  They arguably keep whole countries poor. In fact, research shows that part of what kept the American South economically lagging behind the North is explained by the parasitic worms endemic to that area.  Once hookworm eradication began, literacy rates and even income levels shot up.   

And in many areas of the world worms are so prevalent that parents sometimes view them simply as a symptom of childhood and, amid myriad other concerns, neglect to get their children treatment. Even when parents do desire treatment, health centers are often far away, expensive or under-resourced.  So, despite the fact that worms are treatable, they are often left untreated.
All of which is doubly tragic because unlike so much other global disease burden, there is, in fact, a safe, simple, and inexpensive solution.  

Deworming pills cost pennies and are completely safe even if a child does not have worms, which negates the need for expensive diagnostic tests.  Rigorous research has shown that dewormed children are healthier, attend more school and, remarkably, even make more money as much as a decade later!  But how to get the pills in the mouths of all these children?  

Enter school-based deworming.  Because there are far more teachers than health workers and schools than health centers, using the schools to distribute deworming pills, once or twice a year, is incredibly efficient and cost-effective.  Teachers can be trained easily to safely administer the tablets, and un-enrolled students can be invited to attend a “deworming day.”  Literally, millions of children can be reached this way in a matter of days. 
Source: dewormtheworld.ord
The Deworm the World Initiative, which I currently work for, is engaging countries around the world, advocating for school-based deworming and assisting countries to get programs implemented.  Kenya, where I live, is currently undergoing a mass school-based deworming program targeting 5 million children, and the state of Bihar in India has completed the second round of the largest ever school-based deworming program, reaching a staggering 17 million school children.  


But the fight, even in these places, is not over.  Even though a small pill will kill the worms currently infecting their child host, children can become reinfected if sanitation is not improved, and the overall worm prevalence will likely rebound unless a multiple year campaign is launched.  Because worms spend part of their life cycle in human guts, a sustained campaign can significantly reduce the overall prevalence of worms.  But funding a sustained campaign is often difficult for cash strapped governments, and charities struggle to raise continued funding. 

And here we come back to the unfortunate unsexiness.  In the last paragraph I mentioned "guts," "worms," and "human hosts."  I spared you "fecal contamination," "stool samples," and the grittier details of worm transmission and detection.  I also spared you the mundane details about training, monitoring and implementing a mass deworming program.  None of those details inspire or animate donors. 

What should inspire donors is the idea that this program works.  This program helps children now and well into the future, and at a relatively low-cost.  This program addresses a multiple of sectors: health, nutrition, education, and economic security.  This little pill just might unlock a lot of development.  Now we just need to unlock all that funding.

[ For the holidays instead of giving a $25 amazon gift certificate, you might considering buying a YEAR's worth of deworming for 100 children.  You can do so here. If you want to learn more about school-based deworming, visit the Deworm the World Website.]

* Views expressed in this blog are the author's alone.


  1. You're so right, worms are horrible, we have them here in Australia fairly often. I've shared this post on my page.

  2. Thanks so much for sharing and opening our eyes to some important issues around the world!!

    1. You're welcome and thanks for stopping by Allie!

  3. In conservation it is the "sexy species" that get the funding. I will definitely share this post. My daughter grew but didn't gain ANY weight from age one to one and a half - I chalked it up to the fact that she was so active but then someone suggested I deworm her and once I did she immediately started putting on weight. Growing up in U.S. it just never occurred to me that I would need to deworm my children. Now we do it every six months. Your post has been a great reminder that it is time to deworm the kids again!

    1. Funny, I've heard it described as the "charasmatic megafauna" get all the funding. No one cares about the slugs. ; )

      Wow. It is amazing how quickly the deworming pills work, isn't it? I'm glad you all figured that out and got the medicine you needed!

  4. I'll never forget when a good friend of mine when to Haiti on a mission trip. She was a nurse, and came back with pictures, including one of fecal matter with worms. Yuck! But I'm glad your post reminded me of this! I'm definitely going to check out that link!

  5. This is very insightful and something I know nothing about but I have a glimpse now. We don't realize how fortunate we are often enough.

  6. Very helpful advice in this particular post! It’s the little changes that make the largest changes. Thanks for sharing!