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The article below points out the difficulty in being poor when it comes to health care.  Of course this applies everywhere including the US but it looks different in Swaziland.
 
I’ve got a friend whose mother has cancer.  Alphosinah Matsenjwa bounced around the system for 3 years and now lives every day in extreme pain.  The surgery and follow-up treatments will cost $20,000.  She lives in a cement block house and sleeps on a grass mat.  I’ve been there.  She has never in her life had anything close to $20,000.
 
Alphosinah is in constant pain and doesn’t even have money for pain meds.  I can’t imagine suffering with cancer, sleeping on the cement floor, and having almost no hope for treatment.
 
Where have the poor people gone in Swaziland?  They have died.  They have not had access to education and treatment we take for granted here in the West.  Governments can play shell games with numbers and claim poverty reduction efforts are a success but you can’t tell that to Alphosinah.
 
I sit quietly contemplating this.  I am sad for my friend and his mom because I know how it feels to be a son whose mom has cancer.  I am thankful because even though I pay more for medical care each year than I do for my housing at least I have options. 
 
I pray someone reads this who can help.
 
 

lead photo

MBABANE,
4 March 2011 (IRIN) – There are fewer poor people in Swaziland today than a
decade ago, according to data from a new household economic survey. The
government has hailed the report as proof that its poverty-reduction efforts
are working, but social welfare organizations say the real reason is the high
death rate among the poor.

The Swaziland Household Income and Expenditure Survey, called “Poverty
in a Decade of Slow Economic Growth: Swaziland in the 2000s”, published
by the Central Statistics Office of the Ministry of Economic Planning and
Development on 24 February, revealed that “the proportion of the
population of Swaziland defined as poor fell from 69 percent in 2000/2001 to
63 percent in 2009/2010.”

The report says that not only is the proportion of Swazis living in poverty
lower, but also the absolute numbers of the poor. This “modest but still
significant” decline meant that 641,000 individuals were living on less
than US$2 per day – the international benchmark for poverty – in 2009/10, compared
to around 678,500 in 2000/02.

“The numbers don’t add up. The birth rate has remained high throughout
the decade compared to economic growth,” an actuary at an insurance
brokerage in the capital, Mbabane, told IRIN.

“The Central Bank reports every year that this gap [between economic and
population growth] represents a deterioration of the standard of living for
the average Swazi. All economic indicators have been declining for the past
10 years, so how could the poor have advanced?”

Between 2003 and 2010 Swaziland’s annual birth rate was 28.25 percent, while
GDP growth averaged around 2 percent, according to the Ministry of Economic
Planning and Development. Officially, unemployment jumped from 26 percent to
40 percent during the past decade.

The 37,500 fewer people defined as poor at decade’s end could be attributed
to households bucking national trends and raising their standard of living,
but the country’s high birth rate should also have led to an increased number
of poor.

Swaziland’s population reached 1,083,289 in 2000. Based on the average birth
rate, it was expected to grow to about 1,390,000 by 2010, but the United
Nations Development Programme (UNDP) estimated Swaziland’s current population
at 1.2 million, and official 2009 census data put it at 1,018,449, which is
lower than the 2000 figure.

“We seem to be short about a quarter million people,” said Alicia
Simelane, a social welfare worker in Swaziland’s second city, Manzini, who
has been following population trends since the 1990s.

“I wish we could say that 6 percent less of the population is no longer
poor because they’ve managed to improve their lives economically, but sadly
it is because we have a third fewer people than we were projected to have at
this time, and it is because of AIDS and the inability of the poor to access
health care to prevent infant deaths,” Simelane said.

With an adult HIV prevalence of 26 percent, according to UNAIDS, Swaziland
has the highest infection rate in the world. Because stigma associated with
the virus often prevents families from acknowledging that relatives have died
of AIDS-related illnesses, there are no statistics on the number of such
deaths. However, there is little doubt that HIV is responsible for a rise in
Swaziland’s annual death rate from about 22 per 1,000 persons in 2003 to 31
by the end of the decade.

Read more

 A poorer government means more poor people

 Tackling
one crisis at a time does not solve all

 HIV/AIDS
blamed for 25 percent job absenteeism

While AIDS has claimed lives
across the economic spectrum, health officials say the death toll has mostly
struck the economically disadvantaged.

Mandla Luphondvo, Communications and Marketing Manager at World Vision in
Swaziland, said poverty alleviation efforts have not been sufficient,
considering “the multiplicity of challenges that communities and
households need to deal with every day.”

Rather than lauding poverty reduction measures, the household economic survey
itself notes that “nearly three in 10 persons fall short of meeting
their daily nutritional needs and the situation remains the same as at the
beginning of the decade.” 

2 responses to “Where Have the Poor People Gone?”

  1. You are a gifted writer Scott. I can almost feel the hardness of concrete on which Alphonsinah sleeps. How does she manage the pain? Swazi stories are almost as painful as the child sex trafficking stories from Cambodia. Sometimes I have to work hard to remind myself that Jesus is still in charge. He is.
    joe