Explainer
Creed
Development
6 min read

Flourishing a way out of poverty

Is it just for rich people who have nothing to worry about other than feeling a bit happier?

Jane Cacouris is a writer and consultant working in international development on environment, poverty and livelihood issues.

Bill Wegener on Unsplash.
Beside a shack in a rubbish dump, a man wearing a black shirt and bare foot sits on a stool and looks around.
Bill Wegener on Unsplash.

Humankind stands at a crossroads today. Still emerging from the aftermath of a global pandemic, the world is faced by monumental environmental, social and political challenges. Extreme weather events, floods and food poverty are no longer only on our screens affecting poor people in countries far away; screens that we in the global North were able to switch off after a momentary sigh of compassion before getting on with our lives. Some of us are starting to feel the impacts of planetary change and have financial struggles too. But they haven’t really affected us that much yet. We still have the time, space and luxury to ponder how we can improve our emotional and mental wellbeing – perhaps carve out some more “me time” or go on more walks in nature or keep a daily journal.  

The shift from considering poverty and wellbeing simply in monetary terms to a broader, multi-dimensional understanding of these terms is not new. It began at the turn of the twenty-first century with the Millennium Development Goals (MDGs) which aimed to tackle material poverty but also access to health, education and water and sanitation - the first united global effort to eradicate world poverty. In 2015 the Sustainable Development Goals (SDGs) replaced them, going further and also recognising the importance of environmental sustainability in realising poverty goals, as well as their interconnectedness.  

In theory this all made perfect sense and since the MDGs were established in 2000, global poverty was on a declining trajectory for a number of years. However, progress towards eliminating world poverty has been slowing down since 2013. And since Covid in 2020, progress towards the SDGs has stalled with most recent reports showing a rise in the number of people living in extreme poverty for the first time since records began. If present trends persist, by 2030, a staggering 575 million people will remain in extreme poverty and 84 million children will be uneducated.  

A bleak picture. With the global machinery signed up to reduce world poverty (and that’s not even bringing the COP Climate Change talks into the mix), how have we got to this point? By diversifying our attempts to improve human wellbeing, have we taken our focus off eliminating basic, grinding economic hardship? Or conversely, is it too little too late? Did our historic focus on economic development rather than equitable human wellbeing sow the seeds of inequality and planetary disruption that we are now reaping? Should we actually go further? And as the timeframe to achieve the SDGs narrows, there are calls for the next set of human development goals to be more overtly focussed on human flourishing.  

When you are doing your best to survive, perhaps thriving isn’t top of the priority list. 

Human flourishing is the state of optimal functioning and wellbeing across all aspects of an individual’s life and their community. We flourish when we live with purpose; when we practice gratitude, forgiveness, and open-mindedness.   

A group of experts from Harvard have proposed five sets of Global Flourishing Goals to lead on from the SDGs, including striving for meaning, purpose and life satisfaction, ending economic hardship, social and political cohesion as well as protecting biodiversity. Likewise, the Christian aid and development agency, Tearfund, has long been a proponent of viewing human wellbeing holistically. The Light Wheel is a tool to guide practical action that promotes seven different areas of wellbeing – such as material assets and resources, emotional and mental wellbeing, living faith, personal relationships -  that in turn lead to whole life transformation and flourishing communities.  

But what do the world’s poorest people think about this emphasis on flourishing? When you are doing your best to survive, perhaps thriving isn’t top of the priority list. Who cares about life satisfaction and fulfilment when you are struggling to feed your children a daily meal of rice and beans? Is the concept of flourishing for rich people who have nothing to worry about other than feeling a bit happier? Is this the right track for global human Development?  

“Poverty is lack of freedom, enslaved by crushing daily burden, by depression and fear of what the future will bring.”  

“Poverty means working for more than 18 hours a day, but still not earning enough to feed myself, my husband, and two children.” 

These are quotes from a landmark World Bank study, Voices of the Poor; an unprecedented millennial effort to gather the views, experiences, and aspirations of more than 60,000 poor men and women across sixty countries. The study presented the realities of poor people’s lives through their own voices. How do they view poverty and wellbeing? What are their problems and priorities?  

Although poverty is rarely about one thing, for the world’s poorest, the bottom line was and always will be hunger - the lack of food. As expected, human wellbeing without the basic building blocks for survival - food and water – is impossible. Better health and access to education were also priorities. However, it seems that having enough materially for a good life is asking for relatively little. “But at least for each child to have a bed, a pair of shoes, a canopy over their heads, two sheets—not to sleep like we do on the ground.”  

But the responses were much broader than a desire for material and basic needs to be met. Many of the expressions of wellbeing were about relationships; social and emotional wellbeing were acutely important. Harmony within the family unit and wider community, close and reliable friendships, helping one another. Wellbeing also had important psychological dimensions for those interviewed, such as the desire for dignity and respect, to feel better about oneself, to maintain a spiritual life.  

When people were asked to rank the institutions most important in their daily lives, local churches scored well because they offer spiritual support as well as material assistance in times of need, also serving to strengthen communication between the various groups in the community. Community cohesion matters to the poorest. And relationships are at the heart of the Gospel of Jesus Christ.  

 So can you flourish your way out of poverty? If we mean the UN definition of extreme poverty, and if flourishing means wellbeing in all aspects of life, then probably no.  The poorest people in the world, like the rest of us, need the minimum building blocks of life to survive before they can thrive here on Earth.  

But from a Christian perspective the new Development discourse around flourishing is moving in the right direction. In John’s Gospel in the Bible, Jesus is clear that he came “that we may have life, and have it to the full”. When Jesus refers to a full “life”, he means the assurance of eternal life that comes through a faith in Jesus Christ. To truly flourish in our Earthly life, the hope of eternal life with Jesus is the critical aspect of wellbeing – it is what sustains and strengthens us as humans as we live our life on Earth.  This is the great equaliser between the rich and the poor. The poorest people often see this far more clearly than the rich who have less need for God and an eternal life where – as it says in the Bible - there will be no more death or mourning or crying or pain and all will be new.  

“We may be poor in material things, but we are rich in the eyes of God.”(Voices of the Poor, 2000) 

Of course it depends what weight you put on the spiritual aspect of flourishing, but perhaps on balance, those we consider to be the poorest on Earth are actually far closer to human flourishing – to having a “full life” - than we are.

Article
Care
Creed
Easter
Trauma
1 min read

Understanding the power of blood

From hospitals to hymn books, it's significant for a reason.

Helen is a registered nurse and freelance writer, writing for audiences ranging from the general public to practitioners and scientists.

A bag of blood connected to a drip.
Give blood.
Aman Chaturvedi on Unsplash.

With one billion molecules of oxygen packed into each of your 30 trillion red blood cells, blood is sometimes known as the red river of life. Countless lives have been saved through blood transfusion, but why, throughout history, across continents and cultures, has there been a special interest in the blood of one man crucified 2,000 years ago, believing it alone to have “wonder-working power”?  

Whether you are a newborn baby with half a pint of blood, or an adult with nearer nine pints, “what is certain is that you are suffused with the stuff”, writes author Bill Bryson in his book, The Body.  

Once thought to ebb and flow in waves like the sea, from the liver to other organs, having been heated in the heart, blood in fact flows in a network of vessels measuring some 60,000 miles, with the heart acting as pump, not heater. Cleverly conserved through a complex system of blood-clotting in the case of injury, blood is a precious resource that needs replacing if lost in large amounts. Victims of road traffic accidents can require up to fifty units of blood; significant amounts are needed for organ transplantation, severe burns or heart surgery. 

The first human blood transfusion in Britain, using blood from a lamb, was performed by Dr Richard Lower in 1667, given not to replace blood loss but to change character: could the old be made young, the shy be made sociable through blood transfusion? Apparently not.  

Safe transfusion awaited the discovery of blood types by Dr Karl Landsteiner in the early 20th century. Today, NHS Blood and Transplant deliver 1.4 million units of red cells to 260 hospitals each year for transfusion; about 85 million units are transfused worldwide, given to replace blood loss after accident, surgery, ulcer, ectopic pregnancy or for anaemia in cancer. Also used to boost blood cell numbers in malaria, sepsis, HIV, leukaemia and sickle cell anaemia, blood transfusion is now amazingly safe. Fatal reactions are extremely rare, “occurring only in one out of nearly two million transfusions”, writes physician Dr Seth Lotterman. “For comparison, the lifetime odds of dying from a lightning strike are about 1 in 161,000,” he adds. The risk of HIV infection has dropped dramatically, to less than one in seven million. 

History tells though of the danger of transmitting disease from the blood donor during transfusion. The World Health Organization recognises risk of infection with HIV, hepatitis, syphilis, malaria, and Chagas disease. The Contaminated Blood Scandal saw an estimated 30,000 people in the UK given blood transfusions and blood products infected with hepatitis C, hepatitis B and HIV. More than 3,000 people died as a result, and thousands more live with on-going health complications. For my final Christmas article for Readers Digest, I wrote on Stephen Christmas, a tireless campaigner for blood safety who lived with haemophilia and died in 1993, having contracted HIV through contaminated blood. 

I was a blood donor. However, I am now unable to donate blood or organs for the rest of my life since there is a possibility that my blood is ‘stained’, possibly with prion disease, after adopting embryos. The Blood Transfusion Service will not accept donations from women who have had various fertility treatments. 

And there’s another uncomfortable truth about blood donation – the NHS does not have enough blood, organs, tissues, platelets, plasma or stem cells to treat everyone who needs it. As a nurse, I remember caring for a man dying of liver cancer. Suffering from sudden, massive melaena (blood loss in black, tarry stools as a result of internal bleeding), he received emergency blood transfusion, with bag after bag of blood being infused, until the consultant called for the treatment to stop, because the bleed was too big – and blood supplies too scarce.  

Struggling to accept the stark reality of stained blood and dangerous shortages, I kept coming back to an old Sunday School song about blood, where absolute abundance and ultimate cleansing are instead promised. 

There is a fountain filled with blood 
   Drawn from Immanuel’s veins; 
And sinners, plunged beneath that flood, 
   Lose all their guilty stains. 

Gruesome and graphic in its imagery, but full of deeper meaning. And as a nurse, I’m accustomed to blood, sometimes lots of it. I’ve seen that man bleed out on the ward that night; I’ve attended a road accident, where a boy lost his leg – but not his life, because towels stemmed the massive flow of blood. I’ve raced a patient to the operating theatre after her aortic aneurysm burst within; I’ve stemmed arterial bleeding from the groin by applying prolonged pressure to the site punctured by a catheter during cardiac stenting. According to the World Health Organization, severe bleeding after childbirth is the leading cause of maternal mortality world-wide. Each year, about 14 million women experience postpartum haemorrhage resulting in about 70,000 maternal deaths globally.  

In the Bible, and in hymns of praise like this one, there is also no getting away from blood. “Like it or not, the Bible is a bloody book,” writes  Kyle Winkler. It runs through the book like a crimson thread. There’s a story of a woman bleeding for twelve years, until she touched the hem of Jesus’ garment and was healed.    

Elsewhere the Bible keeps returning to the idea of blood, shed in sacrifice, used to cleanse, save, and heal in a spiritual sense. In the Old Testament, animal blood was painted on doorposts at Passover as a sign of protection from judgment, and sprinkled ritually on the altar as a sacrifice for human sin, restoring relationship with God.  

On Good Friday, Jesus himself shed (and sweat) his blood, sacrificing his life on the cross to “wash our souls” once and for all. Millions of Christians across the world take a sip of communion wine each Sunday in commemoration of this act. It’s a beautiful gift, coming with a promise that the shed blood will “preserve thy body and soul unto everlasting life”, through the forgiveness of sins. It’s no wonder then that churches love to sing about this blood. “Would you be free from the burden of sin? There's pow'r in the blood, pow'r in the blood,” goes one hymn, while another simply says, “Your blood has washed away my sin, Jesus, thank you”.  

“God’s intention for blood isn’t gory—it’s beautiful! And I’m certainly not offended or scared by it,” writes Kyle. “Rather than question how little blood I can get by with, I’d rather stand under the cross to be covered in all that I can get!” Thank God for the fountain of forgiveness that flows from Good Friday. 

  

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