This country has only 10 psychiatrists. That's where 'professional grandmothers' come in.

Getting mental health care in America can be difficult. In Zimbabwe, it's near impossible.

The country is home to 15 million people and only about 10 psychiatrists. For comparison, the United States has at least 24,000 psychiatrists. But depression and anxiety are not just a first world problem.

"Common mental disorders impose a huge burden on all countries of sub-Saharan Africa," said health researcher Dr. Dixon Chibanda in a press release.


Zimbabwe has a secret weapon though: the Friendship Bench.

Image from The Friendship Bench Project, used with permission.

Developed from over 20 years of community research, The Friendship Bench Project is a different and smart way to tackle mental health care.

You can find one of the inviting benches outside some of Zimbabwe's many health clinics. Sitting down, you might get a visit from an older woman. These women are known as golden ladies or grandmothers. You can talk to them. They listen. Then, they might help you identify problems in your life or give you advice to help you feel positive and in control.

Its might seem simple, but these grandmothers are health workers — and very effective.

Photo from Grand Challenges Canada/Flickr, used with permission.

They're not just dispensing random advice. The grandmothers are health care workers who've have been trained in what's called problem-solving therapy. And it turns out it could be a pretty effective strategy.

A recent study published in the Journal of the American Medical Association compared the grandmothers against the usual care options, including a nurse assessment or optional medications. The study found that after six visits to the Friendship Bench, visitors were three times less likely to have the symptoms of depression six months later (50% versus 14%). The results were even more striking for anxiety or suicidal thoughts.

There were, of course, a few limitations to the study. Not a lot of men signed up, for example. And there's some more nuance, like exactly how the comparison was done. If you're interested, the full text is here. But the bottom line is that it seems to have worked.

Better mental health care is important for everyone, but low- and middle-income countries may need it especially badly.

"In many parts of Africa, if you are poor and mentally ill, your chances of getting adequate treatment are close to zero," said Karlee Silver in a press release about the Friendship Bench Project. Worse still, in many places in Africa, there's still a stigma — sometimes very serious stigma — around mental disorders and mental health care.

And all this adds up. In addition to adding to human suffering, the cost of treating mental health problems and lost productivity are estimated to cost low- and middle-income countries $870 billion a year. The number may grow to more than $2 trillion by 2030.

That's why it's so heartening to see clever programs like The Friendship Bench Project at work.

Photo from Grand Challenges Canada / ZAPP.

So far, over 27,500 people have used The Friendship Bench Project.  

The program's been working with a number of other organizations too, such as the Zimbabwe Ministry and Health and Grand Challenges Canada. They are currently located in a few of Zimbabwe's cities, including Harare, the capital, but are planning to expand to even more clinics.

They also plan to reach out to more vulnerable populations, such as youth or refugees, in the future.

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Shopping sustainably is increasingly important given the severity of the climate crisis, but sometimes it's hard to know where to turn. Thankfully, Amazon is making it a little easier to browse thousands of products that have one or more of 19 sustainability certifications that help preserve the natural world.

The online retailer recently announced Climate Pledge Friendly, a program to make it easier for customers to discover and shop for more sustainable products. To determine the sustainability of a product, the program partnered with third-party certifications, including governmental agencies, nonprofits, and independent labs.

With a selection of items spanning grocery, household, fashion, beauty, and personal electronics, you'll be able to shop more sustainably not just for the holiday season, but throughout the year for your essentials, as well.

You can browse all of the Climate Pledge Friendly products here, labeled with an icon and which certification(s) they meet. To get you on your way to shopping more sustainably, we've rounded up eight of our favorite Climate Pledge Friendly-products that will make great gifts all year long.

Amazon

Jack Wolfskin Women's North York Coat

Give the gift of warmth and style with this coat, available in a variety of colors. Sustainability is built into all Jack Wolfskin products and each item comes with a code that lets you trace back to its origins and understand how it was made.

Bluesign: Bluesign products are responsibly manufactured by using safer chemicals and fewer resources, including less energy, in production.


Amazon

Amazon All-new Echo Dot (4th Gen)

For the tech-obsessed. This Alexa smart speaker, which comes in a sleek, compact design, lets you voice control your entertainment and your smart home as well as connect with others.

Reducing CO2: Products with this certification reduce their carbon footprint year after year. Certified by the Carbon Trust.


Amazon

Burt's Bees Family Jammies Matching Holiday Organic Cotton Pajamas

Get into the holiday spirit with these fun matching PJs for the whole family. Perfect for pictures that even Fido can get in on.

Global Organic Textile Standard: This certifies each step of the organic textile supply chain against strict ecological and social standards. Each product with this certification contains 95%-100% organic content.

Amazon

Naturistick 5-Pack Lip Balm Gift Set

With 100% natural ingredients that are gentle on ultra-sensitive lips, this gift is a great gift for the whole family.

Compact by Design (Certified by Amazon): Products with this certification are packaged without excess air and water, which reduces the carbon footprint of shipping and packaging.


Amazon

Arus Women's GOTS Certified Organic Cotton Hooded Full Length Turkish Bathrobe

For those who love to lounge around, this full-length organic cotton bathrobe is the way to go. Available in five different colors, it has comfortable cuffed sleeves, a hood, pockets, and adjustable belt.

Global Organic Textile Standard: This certifies each step of the organic textile supply chain against strict ecological and social standards. Each product with this certification contains 95%-100% organic content.

Amazon

L'Occitane Extra-Gentle Vegetable Based Soap

This luxe soap, made with moisturizing shea butter and scented with verbena, is perfect for the self-care obsessed.

Compact by Design (Certified by Amazon): Products with this certification are packaged without excess air and water, which reduces the carbon footprint of shipping and packaging.

Amazon

Goodthreads Men's Sweater-Knit Fleece Long-Sleeve Bomber

For the fashionable men in your life, this fashion-forward knit bomber is an excellent choice. The sweater material keeps it cozy and warm, while the bomber jacket-cut, zip front, and rib-trim neck make it look elevated.

Recycled Claim Standard 100: Products with this certification use materials made from at least 95% recycled content.

Amazon

All-new Fire TV Stick with Alexa Voice Remote

Make it even easier to access your favorite movies and shows this holiday season. The new Fire TV Stick lets you use your voice to search across apps. Plus it controls the power and volume on your TV, so you'll never need to leave the couch! Except for snacks.

Reducing CO2: Products with this certification reduce their carbon footprint year after year. Certified by the Carbon Trust.

Of the millions of Americans breathing a sigh of relief with the ushering in of a new president, one man has a particularly personal and professional reason to exhale.

Dr. Anthony Fauci has spent a good portion of his long, respected career preparing for a pandemic, and unfortunately, the worst one in 100 years hit under the worst possible administration. As part of Trump's Coronavirus Task Force, Dr. Fauci did what he could to advise the president and share information with the public, but it's been clear for months that the job was made infinitely more difficult than it should have been by anti-science forces within the administration.

To his credit, Dr. Fauci remained politically neutral through it all this past year, totally in keeping with his consistently non-partisan, apolitical approach to his job. Even when the president badmouthed him, blocked him from testifying before the House, and kept him away from press briefings, Fauci took the high road, always keeping his commentary focused on the virus and refusing to step into the political fray.

But that doesn't mean working under those conditions wasn't occasionally insulting, frequently embarrassing, and endlessly frustrating.

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If the past year has taught us nothing else, it's that sending love out into the world through selfless acts of kindness can have a positive ripple effect on people and communities. People all over the United States seemed to have gotten the message — 71% of those surveyed by the World Giving Index helped a stranger in need in 2020. A nonprofit survey found 90% helped others by running errands, calling, texting and sending care packages. Many people needed a boost last year in one way or another and obliging good neighbors heeded the call over and over again — and continue to make a positive impact through their actions in this new year.

Upworthy and P&G Good Everyday wanted to help keep kindness going strong, so they partnered up to create the Lead with Love Fund. The fund awards do-gooders in communities around the country with grants to help them continue on with their unique missions. Hundreds of nominations came pouring in and five winners were selected based on three criteria: the impact of action, uniqueness, and "Upworthy-ness" of their story.

Here's a look at the five winners:

Edith Ornelas, co-creator of Mariposas Collective in Memphis, Tenn.

Edith Ornelas has a deep-rooted connection to the asylum-seeking immigrant families she brings food and supplies to families in Memphis, Tenn. She was born in Jalisco, Mexico, and immigrated to the United States when she was 7 years old with her parents and sister. Edith grew up in Chicago, then moved to Memphis in 2016, where she quickly realized how few community programs existed for immigrants. Two years later, she helped create Mariposas Collective, which initially aimed to help families who had just been released from detention centers and were seeking asylum. The collective started out small but has since grown to approximately 400 volunteers.