A-Kins Newsletter 2019 · PROJECT MANAGERS A-Kins Newsletter 2019 Mission: V O L U M E 5 , I S S U E 1 O C T O B E R , 2 0 1 9 To build a network of interna-tional workforce, mobilizing

Optimal Wellbeing

for

ALL

A - K I N S A N A L Y S T S A N D

P R O J E C T M A N A G E R S A-Kins Newsletter 2019 O C T O B E R , 2 0 1 9 V O L U M E 5 , I S S U E 1

Mission: To build a network of interna-tional workforce, mobilizing communities to be self-sufficient, executing effective and efficient assessments, feasibility studies, and implementing projects for the complete physical, mental and social wellbeing of all. –Optimal Wellbeing.

What do we do? A-Kins Analysts and Project Managers, a minority woman owned community based small business, is a specialty provider of Health Consulting Services including:

• Health Care Advisory & Support Services

• Health Care Strategic Plans/Project

Management

• Business Plan Develop-ment/Financial Resource Planning/Analysis

……….Health Care Systems Development; Research; Analytics; and community based social determinants of health -Economics.

“Successfully implementing challenging projects in challenging places”.

I N S I D E T H I S I S S U E :

African Men: A Sustainable Health

Care System

1-29

The Mandate 2

Ego Versus Heart 3-4

Psychological Spectrum of

Behavioral Health

4-14

African Men’s Health Outcome Versus

African Economy and Trade with Western

World

14-29

A - K I N S N E W S L E T T E R

© O C T O B E R 2 0 1 9 A L L R I G H T S R E S E R V E D

Africa: A Sustainable Economy, Means a Sustained Health Care System…...

Men's Health in Africa

P A G E 2

A - K I N S N E W S L E T T E R 2 0 1 9

V O L U M E 5 , I S S U E 1

The African mandate to African men is to protect the Land, the People, and the Societies. The more men in the household, the better the protection of the land, the people, and the societies, to which they belong i.e. their her-itage. Hence, the great need for African Men to have male children. The African man is seen as the head of the house-hold. In order to be strong and healthy, African Men and their sons often get the best plate of food in the house. African Men are fed to be strong, working-the-land, “omo-onile” -as sons of the soil/land (omo oni ile), so they can provide for the house-hold. While the men of

African Men:

A Sustainable Health Care System

Broken Men…….

the house, are out all day working, to provide for the family, the women take care of the household, the home front. This is often misun-derstood in some cultures, as the women being the head of the household, but it is not the case. Men are the head of the households, even when men are out, pro-

tecting the Land, people and societies, for extended periods of time. Upon the return of men and their sons, to the households, the women of the house-hold celebrate their home-coming, providing good food for their men and sons to eat, be strong, and healthy. The men are left alone to rest. They do work hard! Today, the traditions have continued, but with a little tilt. The women still hold the fort in the households, when their men and sons are gone. Wom-

en still celebrate the return of their men with good food and good rest. They feed their sons and wish them good health for the journey ahead; but the men, they seem to have forgotten the charge of our forefathers: “Protect the Land, the People and the So-cieties, -that is, our heritage”. They have forgotten how to be good providers, in the new world……….. The Healthy African Man is one whose heritage is not far from his heart. He keeps the aged culture of protecting the

land, his family, and transfers the rich-wise heritage cultural values, engraved like aged-stone on his heart, to the chil-dren in his household. The health of the African Man begins at the “home-land”, with the “family-people”, and the “heritage/cultural value-societies. Even though the African culture poses African

In order to raise

healthy Black Men in

the world, one must dig

deep, and learn from

Africa.

The Mandate of the

African Man:

“Protect the Land, the

People and the

Societies, that is, our

heritage”.

P A G E 3



African Men:


Do African men

remember their

heritage, the

societies of cultural

values,…..do they

transfer the rich

wise inherited

culture to the

Children, preparing

them for the

future?

Do African Men

protect the people,

....are the families,

households and

communities

protected, and are

the women and

children safe?

Do African Men

protect the land,

......…is the Land

protected and tilled,

bearing its fruit in

its season?

Men as hard-hearted, the healing of their bodies ac-tually begins “at the en-graved stones, in their hearts”. So, African Men’s health can be linked to their heart, and ultimately, their bodies and souls/mind follow. Healing the heart of the African man, is the first step in African Men’s health. The African man is lost in this world when he forgets his heritage, in-printed upon his heart. He stops protecting his family/community and has no home-land to call his own. His heart begins to fail, and so does his health. When the health of African men fail, it becomes a heavy burden, as many lives in the household depend on one shoulder. The women have stepped-in, holding the fort in the households and providing for the fami-lies, at the same time. The African households would like to celebrate African Men once again. The homecoming of men who protect the Land, the People, and their Heritage/Cultural Societies. Do Afri-

can Men need mentors to teach them of these aged mandates or have they left their values in the fields of the world? The social norms and in-stincts of an African Man is to “Protect the Land, the People and the Societies”, that is his heritage. These instincts, give African Men behavioral norms that are different from other men. These behavioral norms are in-printed on their hearts like aged stones, and are in their genes. The norms may not fit into other societies, cultural norms, and situa-tions African Men may face throughout life. The African man fails in these new soci-eties and new communities, because his in-print instincts are constantly being tamed to conform to other social norms that do not fit the in-print mandate upon his heart: “Protect the Land, the People and the Socie-ties”, that is, his heritage. Some of the new society/community norms, in the world today, in a haste to understand African Men, have placed them in various psychological boxes, all

P A G E 4



African Men:


through life; in an attempt to make African Men fit in the -new world, new com-munities, and new socie-ties, they find themselves in. One must remember, there is a whole continent of African Men, in Africa. These men are functional in their own skin, and on their own land, “Protecting the Land, the People and the Societies”. Psychological boxes do not play a role in raising African Men in the continent of Africa. So, why are they used to raise Black Men in other continents? Every survival instinct in black men has its place in each society. Raising young African Men, to conform to the new society they find themselves in, does not warrant psychological box-es. Other Men in the world are also placed in several psychological boxes. These boxes should be studied, but prevention should pre-vail. Prevention in Men’s health begins with a fine balance between the Ego and the heart of Men, where the aged-stone heritage is in-printed!

Behavioral Health Disorders in African Men/Black Men. When a child is born, most of the time, the race of the child is defaulted to the race of the mother, except when the child comes out black. The black child is classified as black based on his color. The black child is raised in the new world system, with the notion that black children are hyperactive, and difficult to teach. Most black children are living their in-printed instincts to be inquisitive and learn from the environment. They are active, strong children, with strong will; that is, they know what they want at an early age, and go for it. These behaviors’ are their coping skills, survival instincts -In-printed upon their hearts. These copping skills are often misinterpreted as: “stubborn”

Men’s

Behavioral Health

Prevention:

….A fine balance

between the Ego and

the heart of Men!

-strong-willed, “uncontrolled” -they know what they want, and they go for it, “hyperactive with a lack of focus”-learn-better-by-doing, by activities. It is no surprise that when the black child is given a sport, hands-on, or speech project, at school or work, they excel more than their peers. This is how black children learn, and cope with the new society/new communities, they now find themselves in, all over the world -Acculturation. Once black children become old enough to know what is right-from-wrong, and go to school, they are often classi-fied as: distracting, talkative, not keeping their hands to themselves, lacking in focus, and one with poor attention span, in the class. These smart children are tamed and placed in the psychologi-cal box- “Attention Deficit Hyperactivity Disorder”, be-fore the age of 12years. This is done in order to save the class from being distracted by the active, talkative, hand-on black children. Most black children do learn best this way. They are then placed on medication to “calm-the-nerves”, so, other children

P A G E 5

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Afr

ican

Men

:Ps

ycho

logi

cal S

pect

rum

of B

ehav

iora

l Hea

lth D

isor

ders

Hyp

er-A

ctiv

e In

fant

sCo

nduc

t D

isor

der

Att

enti

on D

efic

it

Hyp

erac

tivi

ty D

isor

der

Ant

isoc

ial

Pers

onal

ity

Dis

orde

rO

ppos

itio

nal

Def

iant

Dis

orde

rIn

stit

utio

naliz

atio

n or

Inca

rcer

atio

nIn

term

itte

nt E

xplo

sive

Dis

orde

r

Ego

P A G E 6



African Men:

A Sustainable Health Care System can focus and learn in the classroom. The medication makes the these children fall asleep, and become less en-gaging in the class; becom-ing frustrated children, in the school system, they find themselves in. Those chil-dren who’s parents refuse medication, get a visit from the social worker. Out of frustration, the black children “act-out”, more often than not, and before the age of 15 years, they are placed in yet another psy-chological box -“conduct disorder”. This disorder is also added to their names. In an attempt to be heard, they act on their strong-will, and yet, another psychologi-cal box, -“Oppositional Defi-ant Disorder” is also added to the list, at the end of their names. By the time they graduate high school, they have had more detention time than any average man, in his lifetime. These black children are set up for a tough adulthood, from the age of 18 years. By 18 years, any other “brush with authority” earns the black child an automatic,

psychological box place-ment, - “Antisocial Person-ality Disorder”; because of the array of disorders al-ready listed at the end of their names, while in the school system. This makes it easy for law enforcement to pick black young men up at the age of 18 years for mi-nor offenses, and get them detained, institutionalized, or incarcerated, -easily justi-fied- by their array of school-tract-records, the behavioral health disorders, listed at

the end of their names, and earned, over years of being in the new world-school sys-tems. I propose Flex Schools. Hav-ing grown up in Africa, I have seen whole nations raise black men, and lead them through successful careers, without psychological boxes coming to play. I have seen African children learning by being them-selves, not hav-ing to change their outward nature, or learning mode, for the sake of “the class”. These are brilliant children who learn very fast and often be-come bored, waiting for the class to move to the next topic. They often get into trouble, while they wait for others to catch-up. In these Flex Schools, there will be various modes of learning, not just one-for-all. The children can learn at their own pace. They will be allowed more independent learning, as a challenge, re-ducing boredom at school. Flex school also avails chil-dren spots, a way to help children spend-energy, and develop the ability-to-focus. The new world school sys-tems have however scraped

Men’s

Behavioral Health

Prevention:

….Flex Schools for

young active minds!

Men’s

Behavioral Health

Prevention:

As sports is to

physical health,

life copping skills

is to mental health!

P A G E 7

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Oth

er M

en:

Psyc

holo

gica

l Spe

ctru

m o

f Beh

avio

ral H

ealt

h D

isor

ders Su

icid

al

Dis

ord

erB

ord

erlin

e Pe

rso

nal

ity

Dis

ord

erM

ajo

r D

epre

ssio

nB

ipo

lar

Dis

ord

er

Dis

rup

tive

M

oo

d

Dys

regu

lati

on

D

iso

rder

Inte

rmit

tent

Man

ic E

pis

od

es

Ego

Inte

rmit

tent

Man

ic E

pis

od

es

Ped

iatr

ic B

ipo

lar

Dis

ord

erD

rug

Ab

use

D

iso

rder

P A G E 8



African Men:

A Sustainable Health Care System recess and phys-ical education in most schools, killing learning and focus for many African Children. In the Flex schools, children will be given the oppor-tunity to learn to cope with the new societies, new communi-ties, and situations they find themselves in, in the new world. Learning copping skills, and how to behave in the community at their own pace, without psychological boxes, helps build self-esteem, and what the new world expects of black chil-dren, with no prejudice. Behavioral Health Disorders in Other Men Other children also get placed in psychological box-es! I believe most of these boxes are missed in the ear-ly stages. These boxes, if dis-covered and prevented ear-ly, could help prevent devas-tating outcomes in the fea-ture.

When a child is born, most of the time, the race of the child is defaulted to the race of the mother. So, when a child is born, the mother is asked for her race and the child is de-faulted to this same race. The in-print on the young child’s heart, often driven by the developing-ego is quite different from that of African children. African children are

more out-spoken, and more active. At a very early age, the chil-dren (in other men category) are placed in a Disruptive Mood Dysregu-lation Disorder psychological box, because of their lack of

expression. They act-out in elaborate fashion, that ex-ceeds expected age, and is in- excess expectation-of-action, for the situation at hand. These act-out events often occur when nothing goes the child’s way. The child shows signs of lack-of-ability-to-cope with certain situations, before the age of 10 years. The child is really deficient in talking-about-feelings, and situational coping skills begin to fail. These disorders, are usually seen in these chil-dren, in situations where things do not go their way. With impaired expression, and lack of ability to talk through situations, or learn to cope, the child (in the other men category), starts show-ing signs of irritability, and frustrations in life, before the

Men’s

Behavioral Health

Prevention:

Are all young black

men hyperactive?...No!

Are all other young

men depressed:...No!

P A G E 9



African Men:


age of 18 years. This child is now placed in the Pedi-atric Bipolar Disorder psy-chologic box. This disor-der is very-high-risk for drugs. These children often turn to drugs for coping, the –Drug Abuse Disorder psychological box. The child who turns to drugs in order to get through tough low-times in life, often ends up hav-ing Borderline Personality Disorder, yet another psy-chological box. These chil-dren have “highs” in life when all goes well, and they cope with “lows” in life, by using drugs, when all is not well. They quickly become Bipolar –Bipolar Disorder, another psycho-logical box, having multiple swings of “high and low” moods, lasting short inter-vals of time period. They intermittently cope with these “highs and lows” pe-riod of their life, by using drugs. As young adults, the chil-dren (in other men catego-ry) become very high risk for Major Depression and Suicide. If these psycholog-ical boxes were never dis-covered or prevented, they

may harm themselves or oth-ers. Hence, the increase in school shooting, and mass shooting, we see in US today -Intermittent Manic Epi-sodes, an -extreme end. There is a need for mental health programs in the school systems. As sports is to physical health, life-copping-skills is to mental health! African Men: Home/Land and Psychological Spectrum of Behavioral Health Disor-ders. For young African men, one must review the man-date of the African Man, and Black Men, all over the world. Mandates, written up-on their hearts, in order to bring healing to their body,

Men’s

Behavioral Health

Prevention:

The measure of one’s

Manhood is really not

in age, but in the

ability to cope,

“in”

adverse life

situations.

soul, and minds. Starting with home-land, “Omo onile”. In Africa, a child is born to the land. It is said that the soul of one, is attached to the land, one’s home-land. Healing for the African Men begins with a sense of belonging to the land they call home. This is a part of the heritage teachings, and the heritage tales and songs all African children learn. It helps to bring stability to the life of a child, “the knowing of belonging”, one’s Home-Land Heritage. A sense of security, that is, a knowing that even when all falls apart, this land, that one’s soul is attached to, stands surely, as one’s land. It encourages the young African child to work hard at preserv-ing the land he owns. Building on the land, is a constant dream, all through life, for the African child. A goal to aim for, and focus on, while one grows, from a child to a young adult. A sense of ownership helps with the African child’s self-esteem, as equal owners in the land they call home, with liberty and justice for all.

P A G E 1 0

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Afr

ican

Men

: Hom

e/La

nd &

Ps

ycho

logi

cal S

pect

rum

of B

ehav

iora

l Hea

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Dis

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rs

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of U

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din

g o

r B

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ds

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ntu

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illen

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erit

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Cult

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enti

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!

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P A G E 1 1

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Afr

ican

Men

: Peo

ple,

Fam

ily/C

omm

unit

y &

Ps

ycho

logi

cal S

pect

rum

of B

ehav

iora

l Hea

lth

Dis

orde

rs

Lack

of

Un

der

stan

din

g o

r B

ein

g H

eard

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ds

to =

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ten

t Ex

plo

sive

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ord

er

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avio

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ealt

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ord

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Wo

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(15th

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Cen

tury

)

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rld

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-Mill

enn

ium

)

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ck H

erit

age/

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ltu

reP

reve

ntio

n is

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w!

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orn

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to h

is

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ilyA

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om

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nit

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itia

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s to

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ily U

nit

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geth

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om

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of

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ilies

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ilies

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un

ity

Paid

Ap

pre

nti

ce

Wo

rksh

op

s/Co

llege

Sch

ola

rsh

ips

Jail

Jail

Com

mu

nit

y Su

pp

ort

s yo

un

g Fa

mili

es

Acc

epte

d in

to t

he

Mar

riag

e In

stit

uti

on

, w

ith

Cu

ltu

ral/

Her

itag

e R

ole

s an

d a

Tra

de

Com

mu

nit

ySu

pp

ort

ed S

mal

l B

usi

nes

ses/

Job

s

Hyp

er-A

ctiv

e In

fan

ts

Att

enti

on

Def

icit

H

yper

acti

vity

Dis

ord

er

Inst

itu

tio

nal

izat

ion

o

r In

carc

erat

ion

An

tiso

cial

Per

son

alit

y D

iso

rder

Co

nd

uct

Dis

ord

er

Op

po

siti

on

al D

efia

nt

Dis

ord

er

P A G E 1 2

A-

KI

NS

N

EW

SL

ET

TE

R

20

19


Afr

ican

Men

: Soc

iety

, Her

itage

/Cul

tura

l Val

ues

&

Psyc

holo

gica

l Spe

ctru

m o

f Beh

avio

ral H

ealth

Dis

orde

rs

Lack

of

Und

erst

andi

ng/L

ack

of B

eing

Hea

rd, L

eads

to

= In

term

itte

nt E

xplo

sive

Dis

orde

r

Beh

avio

ral H

ealt

h D

isor

ders

Old

Wor

ld(1

5th-1

8thCe

ntur

y)

New

Wor

ld(1

9th-M

illen

nium

)

Bla

ck H

erit

age/

Cult

ure

Prev

enti

on is

Now

!

Fam

ily B

irth

Att

enda

ntPr

enat

al C

linic

sM

ater

nal C

are

by t

he C

omm

unit

y A

ccor

ding

th

e Cu

ltur

al H

erit

age

Pren

atal

Car

e an

d Su

ppor

t by

the

Co

mm

unit

y

Child

ren

are

Sepa

rate

d fr

om A

dult

s an

d ra

ised

by

the

ir F

amily

Nan

nies

Pre-

Scho

olCh

ildre

n’s

Folk

-Tal

e G

roup

s, L

earn

Cul

tura

l Va

lues

by

Play

Pre-

Scho

ol F

lex

for

thos

e Ch

ildre

n w

ho L

earn

by

Doi

ng o

r ha

ve

Stre

ssor

-Cop

ing

Skill

Nee

ds

Hom

e Sc

hool

or

One

Cl

assr

oom

for

all

Pupi

ls

in t

he S

choo

l

Elem

enta

ry/

Prim

ary

Scho

olPr

e-Pu

bert

y Cu

ltur

al V

alue

Gro

up, L

earn

Cu

ltur

al V

alue

s by

Doi

ngEl

emen

tary

/Pri

mar

y Sc

hool

Fle

x fo

r th

ose

Child

ren

wit

h So

cial

Nee

ds/

Lear

ning

Str

esso

r-Co

ping

Ski

lls

App

rent

ice/

Wor

ksho

ps

Mid

dle/

Hig

h Sc

hool

or S

econ

dary

Sc

hool

Pube

rty

Cult

ural

Val

ue G

roup

, Lea

rn C

ultu

ral

Valu

es b

y R

ole

Ori

enta

ted

Act

ivit

ies

in t

he

Com

mun

ity,

in o

rder

to

Gai

n A

ccep

tanc

e in

to

Adu

ltho

od

Mid

dle/

Hig

h B

oard

ing

Scho

ols,

(T

akin

g th

e Ch

ildre

n A

way

from

St

ress

or/O

ffen

sive

Sit

uati

ons

in

thei

r Fa

mili

es o

r Co

mm

unit

ies)

App

rent

ice/

Wor

ksho

ps

Colle

geYo

ung

Adu

lts

wor

king

wit

h El

der

Men

tors

in

orde

r to

bui

ld t

he C

omm

unit

yR

e-In

trod

ucin

g Yo

ung

Adu

lts

into

th

e Co

mm

unit

y, w

ith

Fully

D

evel

oped

Cop

ing

Skill

s fo

r A

ppre

ntic

eshi

p/Co

llege

Wor

k/Jo

bsW

ork/

Jobs

Acc

epta

nce

into

Tr

adit

iona

l Mar

riag

e In

stit

utio

n an

d Tr

adit

iona

l Her

itag

e/Cu

ltur

al R

ole

Inst

itut

ions

or

a Tr

ade

Acc

epta

nce

into

the

Com

mun

ity

as

Equa

ls, w

ith

Libe

rty

and

Just

ice

for

All

Hyp

er-A

ctiv

e In

fant

s

Att

enti

on D

efic

it

Hyp

erac

tivi

ty D

isor

der

Inst

itut

iona

lizat

ion

or In

carc

erat

ion

Ant

isoc

ial P

erso

nalit

y D

isor

der

Cond

uct

Dis

orde

r

Opp

osit

iona

l Def

iant

D

isor

der

P A G E 1 3



African Men:

A Sustainable Health Care System African Men: People, Fami-ly/Community and Psycho-logical Spectrum of Behav-ioral Health Disorders. A child is also born into his community, through his family. “My people, my fami-ly and my community” can-not be separated from the African Child’s soul. It is like taking his soul out of his body, while he is yet alive. A community with broken families (i.e. when at war), adopts the-community-of-families, to take over the upbringing of the children. Hence, in an African commu-nity, no child is left behind! All children are cleaned, fed, taught their cultural values and their heritage. They have a stable-upbringing within the community, even though their family may be broken as –omo-odo (as the child who has come to dwell with us). They are also given their inheritance, their land, in due time. It is believed that every child belongs to the land, and has equal rights, to exist within the community, the land. Young families with young children are always supported and encouraged within the com-munities.

Children in families with stressor factors are often re-moved from the stressor situ-ations and given to other families, within the commu-nity, or other community members to raise. This gives the children affected, a sense of “stability”, while being raised. Young men within the community are linked to cul-tural mentors and also trade apprentice mentors, with the aim to get them in a trade as young adults, preparing to have young families of their own, within the community. This gives the young men a sense of community owner-ship, a sense of belonging, while they contribute to the building of the economy of their community. All of the apprenticeships are paid, so, the young men, can save up for their marriage. In due time, the young men become young adults with their own young families, contributing to the upkeep and economy of the community. These young men are wel-come into the traditional in-stitute of marriage, with re-spected elder mentors by their side. They also have trade mentors –apprentice mentors, who help them with

the success of their new trade or business. These mentors, are by the young men’s side, during the ad-versities that may come their way through-out life. The young men become matured, learning copping skills and long-suffering for their families, along-side their community and trade mentors. African Men: Society, Her-itage/Cultural Values and Psychological Spectrum of Behavioral Health Disor-ders. When a woman is with child, the community goes out of its way to make both mother and unborn child comfortable, they hold them, the mother and un-born child, sacred! This is our cultural heritage. Ma-ternal prenatal care is im-plemented by the commu-nity. A child is known to be born to the cultural herit-age of his people -family, community, and the land. All children are placed in age-groups for heritage/cultural learning. The learn-ing starts –At Play. Children learning folk tales, songs and dance, by their moth-er’s feet, and then, out in

P A G E 1 4



African Men:

A Sustainable Health Care System the community, by age-group activities –By Doing. Adolescents and young Adults learn –By Role Ori-entation Methods, within the community. Learning a desirable trade via appren-ticeship. At the end of the apprentice-mentorship, the young adult is graduated and introduced to the mar-riage institution. There, the men are thought how to be the heads of the house-holds and likewise, the women, how to make a home and be a wife. Young men graduate with a sense of ownership, and a sense of self, “who they are, and what their herit-age is”. The status of every man within the community, and their career path is clear. Each man is once again linked to a mentor, learning copping skills, alongside his mentor through life, and then goes on to be a mentor himself, and life goes on in cy-cles…....….

Dividing Africa into three, one can easily see where the needs are by population density. One can compare health out-comes of African Men and associated social de-terminants of health i.e. poverty level, and eco-nomic development or trade. The North Sub-Sahara or North of Africa comprise of Tunisia, Egypt, Libya, Algeria, Morocco/Western Sahara, and Mauri-tania nations. The South is known as South of Sub-Sahara or South of Africa and comprise of Angola, Botswa-na, Namibia, Zambia, Zimba-bwe, Mozambique, Malawi, Madagascar, Mauritius, Eswatini, Rwanda, Swaziland, Lesotho, South Africa. The Mid Sub-Sahara comprise of all other African Western, Eastern and Central nations (please see maps below). The population estimate of Mid Sub-Sahara Africa is about 1 billion; North Africa follows with about 225 Million, and South Africa, about 65 Million population. About 49% of the population are Male in each of the three re-gions in review. The me-

dian age of each the three regional popula-tions, that is, the age at which the population is divided into two equal halves, is 21years in both Mid Sub-Sahara Africa and South Africa. In these two regions, the estimated life expectancy of males is 61 and 60 years, respectively. While North Africa has the me-dian age of 26 years, and the life expectancy of men is 71 years, 2018. Top 3 causes of male deaths in Africa are often classified into un-intentional accidents, in-cluding motor vehicle ac-cidents; blood disease/infections, including ma-laria; and other chronic cardiovascular diseases, like hypertension. Life expectancy is direct-ly correlated with eco-nomic situation in Africa, as cost of health care is directly correlated to poverty line. Poverty line is a proxy to economic situation in Africa. There-for, it is important to un-derstand that the life ex-

P A G E 1 5



North-Sahara

North Africa

Dividing Africa into 3 & Estimating Population

Mid Sub-Sahara

West/East/Central Africa

South Sub-Sahara

South Africa

Average Population of

225 Million (20%)


65 Million (5%)


1 Billion (75%)

US African American Population, 2018: 4,384,043.5 (13.4% of US population)

US African American Male, 2018: 2,156,949.4 (49.2% of US African American population)

North Africa

West/East/Central

South Africa

For the purpose of this comparison analysis,

Africa is divided into 3: North-Sahara, Mid Sahara and South-Sahara. The North Sub-Sahara or North of Africa comprise of Tunisia, Egypt, Libya, Algeria, Morocco/Western Sahara, and Mauritania

nations. The South is South of Sub-Sahara or South of Africa and comprise of Angola, Botswana, Namibia, Zambia, Zimbabwe,

Mozambique, Malawi, Madagascar, Mauritius, ESwatini, Rwanda, Swaziland, Lesotho, South Africa. The Mid Sub-Sahara com-

prise of African Western, Eastern and Central nations.

African Men:


References: US Central Intelligence Agency -CIA https://www.cia.gov/library/publications/resources/the-world-factbook/

P A G E 1 6



African Men:


References: US Central Intelligence Agency -CIA Library World Fact Book

P A G E 1 7



African Men:



P A G E 1 8



African Men:



P A G E 1 9



Rate of Poverty Versus Population Life Expectancy

North Africa

West/East/Central

South Africa

African Men:


In 2010, US Estimates On Average 9 Out of 10 are not Living Below Poverty Line, and the 2018 Average

Male Life Expectancy is 77.8 years.

In 2011, India Estimates On Average 8 Out of 10 are not Living Below Poverty Line, and the 2018

Average Male Life Expectancy is 67.8 years.

2018 Average Male Life

Expectancy at Birth is 71

years.

On Average

7 Out of 10 are not Poor

On Average


On Average




years.



years.


P A G E 2 0



African Men:

A Sustainable Health Care System pectancy of men in Afri-ca is directly linked to jobs, economic develop-ment! If you have a good job in Africa, your economic life avails you of good healthcare (100% out -of-pocket costs). You can afford to keep you and your family alive for longer –life Expectancy at birth. Unlike US, where the life expectan-cy is correlated with healthy food and life-style, these come natu-rally to African Men. Healthy lifestyle and healthy feeding is easier to achieve in Africa, but the cost of health-care, and quality of health care is a tall order, that is hard to reach. Estimating the number of jobs that will corre-late with a significant change in health out-comes for African Men , would have to depend on estimating median age or half of Mid Sub-Sahara and South Afri-ca.; that is, 21 years and over. This half of the population is combined

with half of north Africa, with a median age of 26 years and above. For each of these regions, about 49% of the popula-

tion in each nation are men, therefore one is creating Jobs for at least 55 Million Men 26 years and above in North Africa; 245 Million jobs for Men 21 years and above in Mid-Sub Sahara Africa; and 16 Mil-lion jobs for Men 21 years and above in South Africa (please see calculations be-low). Economic development in the world is tied to having trade agree-ments and exporting lo-cal produce and services –local commodities, to western countries i.e. US, and China. Third-World countries who trade (GDP percent of export trade) with the Western World and Chi-na, at a ratio of at least 2:1 have more econom-ic development and sta-bility; and ultimately, better health outcomes than other Third-World countries, due to the affordability of healthcare (out-of-pocket costs) for the people and better pre-ventive healthcare affordability by their Government. An exam-

Men’s

Behavioral Health

Prevention:

As men’s health is to

Heritage/Cultural

Values in-printed

upon their Hearts,

so is men’s Mental

Health to Copping

Skills and

Mentorship

As poverty is to poor

health outcomes, so is

lack of jobs for men to

poor economic

development and

poor health outcomes

for the man,

his family and

his community

or nation.

P A G E 2 1

A-

KI

NS

N

EW

SL

ET

TE

R

20

19


Nor

th A

fric

an M

en’s

Hea

lth:

Jo

bs =

P

reve

ntiv

e H

ealt

h

In N

ort

h A

fric

a: 4

9% o

f 22

5 M

illio

n a

re M

ale

= 11

0 M

illio

n M

ale

55 M

illio

n M

ale

5

5 M

illio

n M

ale/

Men

50%

Mal

e Po

pu

lati

on

50

% M

ale

Pop

ula

tio

n

26 y

ears

71

yea

rs

Bir

th0

year

s

Ther

efo

re, N

ort

h A

fric

a n

eed

s ab

ou

t 55

Mill

ion

job

s fo

r M

en 2

6 ye

ars

and

ab

ove

.

The

po

vert

y se

en in

3 o

ut

of

10 p

eop

le w

ou

ld r

edu

ce a

nd

mo

re m

en a

nd

th

eir

fam

ilies

will

be

able

to

aff

ord

hea

lth

car

e.

P A G E 2 2

A-

KI

NS

N

EW

SL

ET

TE

R

20

19


In M

id S

ub

-Sah

ara

Afr

ica:

49%

of

1 B

illio

n a

re M

ale

= 49

0 M

illio

n M

ale

245

Mill

ion

Mal

e

245

Mill

ion

Mal

e/M

en

50%

Mal

e Po

pu

lati

on

50

% M

ale

Pop

ula

tio

n

21 y

ears

61

yea

rs

Bir

th0

year

s

Ther

efo

re, M

id-S

ub

Sah

ara

Afr

ica

nee

ds

abo

ut

245

Mill

ion

job

s fo

r M

en 2

1 ye

ars

and

ab

ove

.

The

po

vert

y se

en in

7 o

ut

of

10 p

eop

le w

ou

ld r

edu

ce a

nd

mo

re m

en a

nd

th

eir

fam

ilies

will

be

able

to

aff

ord

hea

lth

car

e.

Mid

Sub

-Sah

ara

Afr

ican

Men

’s H

ealt

h:

Jobs

=

Pre

vent

ive

Hea

lth

P A G E 2 3

A-

KI

NS

N

EW

SL

ET

TE

R

20

19


In S

ou

th A

fric

a: 4

9% o

f 65

Mill

ion

are

Mal

e =

32 M

illio

n M

ale

16 M

illio

n M

ale

1

6 M

illio

n M

ale/

Men

50%

Mal

e Po

pula

tion

50

% M

ale

Popu

lati

on

21 y

ears

60

yea

rs

Bir

th0

year

s

Ther

efor

e, S

outh

Afr

ica

need

s ab

out

16 M

illio

n jo

bs f

or M

en 2

1 ye

ars

and

abov

e.

The

pov

erty

see

n in

2 o

ut o

f 10

peo

ple

wou

ld r

educ

e an

d m

ore

men

and

the

ir fa

mili

es w

ill b

e

able

to

affo

rd h

ealt

h ca

re.

Sout

h A

fric

an M

en’s

Hea

lth:

Jo

bs =

P

reve

ntiv

e H

ealt

h

P A G E 2 4



African Men:

A Sustainable Health Care System ple is India. India has a population of over 1 Bil-lion people, and a 2 -3:1 ratio of trade with West-ern-World countries, in-cluding US-3, United Emirates-2 and China-1. India’s maternal and child health outcomes, including Maternal Mor-tality Rate is 145 Deaths per 100,000 –57th out of 184 nations in the world, 2017. Its Infant Mortali-ty Rate is 39 Deaths per 1,000 live births –46th out of 224 nations in the world, 2018. It is howev-er still working in its life expectancy for both male and female, 69.1 years –163rd out of 223 nations in the world, 2018. North of Africa, has a trade ratio of 2:1 (Western World i.e. US –2, China –1). It has an average male life expec-tancy of 71 years, 2018. North Africa has an aver-age Maternal Mortality Rate of 183 Deaths per 100,000 –8th to 102 worst nation out of 184 nations in the world, 2017. Its average Infant Mortality is 22 Deaths

per 1,000 live births –26th to 130th worst na-tion out of 224 nations in the world, 2018. The South and Mid Sub Sahara African nations however have the worst maternal and child health outcomes in the world, apart from war zone

countries like Afghani-stan. The average Infant Mortality Rate in 2018 range from 93 to 29 Deaths per 1,000 live Births (2nd to 65th worst nation in the world –with Afghanistan ranking 1st). Average Maternal Mor-tality Rates in 2017, range from 119 to 1,150 Deaths per 100,000 (2nd-62nd worst nation in the world apart from Afghan-istan, ranking 1st). The male life expectancy

in South African, and Mid Sub Sahara African nations, is 60 and 61 years respectively, while the average ratio of trade with the Western World versus China is 0.3:1 for Mid Sub Sahara African nations, and 1:2 (Western World; Asia) for South African na-tions, 2017. Therefore, creating jobs for Men, is directly cor-related with the life ex-pectancy of Men in Afri-ca, so they can afford health care for their families, live longer, and reduce the percentage of those living below the poverty line, helping the Government afford more preventive health care for the nations, via paid taxes by the rich. Subsistence, sustenance farming is actually keep-ing Africa alive. That is, Africa has kept its na-tions alive by farming and trading within it ’s self –Africa trading within Africa . Wealth and poverty in the New World is corollate with trade with other nations

As subsistence/

Sustenance faming

is to Living in Africa,

so is good healthcare

outcomes to Western

World Trading

in Africa.

P A G E 2 5



2018 Male Average Median

Age is 26 years. These young

men need jobs.

In 2017, On Average 20-40% Export GDP

Trade with Western World (2)

& China (1), 2:1 Trade Ratio


Trade with Western World (1)

& Asia (2), 1:2 Trade Ratio


Trade with Western World (0.3)

& China (1), 0.3:1 Trade Ratio

In 2017, India, On Average 19.1% Export GDP

Trade with Western World (3-USA, 2-United Emirates)

& China (1), 2-3:1 Trade Ratio

In 2017, US On Average 12.1% Export GDP

Trade with Western Americans (2-Canada, Mexico)

& China (1), 2:1 Trade Ratio

North Africa

West/East/Central

South Africa

African Men:


Trade with Western World Versus Median Age



men need jobs.



men need jobs.


especially in the Western World. The Third World coun-tries trading with US, for in-stance, have more men work-ing, and better health out-come for men, and longer male life expectancy. It is my hope to help the na-tions understand that the

P A G E 2 6



African Men:

A Sustainable Health Care System health outcomes of Men is directly linked to their Ego, their hearts, as is their jobs/trade. Men’s health is also correlated with health out-comes of their of families. Poverty line is linked directly to the Economy of the na-tions -jobs, by correlation;

while high Health Care costs and poor Health-Outcomes co-rotates with Poverty-lines in African Nations.

MACROECONOMY

Global

Demand/Supply

INVESTMENTING IN

COMMUNITIES

MICROECONOMY

Local

Demand/Supply

TAX

Systematic All Inclusive Innovative

Sustenance

Subsistence

Farming

Traditional Rules of Engagement

Rich Health Care and Tax Payments Covers the Poor

P A G E 2 7

A-

KI

NS

N

EW

SL

ET

TE

R

20

19


Afr

ican

Men

:Ps

ycho

logi

cal S

pect

rum

of B

ehav

iora

l Hea

lth

Dis

orde

rsB

ehav

iora

l Hea

lth

D

iso

rder

sD

efin

itio

ns

Ch

ildre

n b

orn

wit

h a

hig

h d

egre

e o

f cu

rio

sity

an

d a

ctiv

ity.

Is d

iagn

ose

d b

efo

re t

he

age

of

12 y

ears

as

hyp

erac

tive

, im

pu

lsiv

e, e

asily

dis

trac

ted

, d

iffi

cult

y fo

cusi

ng,

tal

kati

ve

child

ren

wit

h s

ymp

tom

s m

anif

este

d a

t h

om

e an

d a

t le

ast

on

e o

ther

loca

tio

n li

ke s

cho

ol o

r p

lay

acti

viti

es.

Last

ing

mo

re t

han

6 m

ont

hs.

Imp

uls

ive

crim

inal

act

ivit

y w

ith

no

rem

ors

e o

r re

gard

for

the

righ

ts o

f o

ther

s. H

ost

ile a

nd

man

ipu

lati

ve.

Thes

e ar

e b

ehav

iors

th

at o

ccu

r b

efo

re t

he

age

of

15 y

ears

.

Act

s o

f d

iso

bed

ien

ce t

o r

ule

s an

d la

ws

wit

ho

ut

rem

ors

e o

r re

gard

for

rep

ercu

ssio

n.

Last

ing

mo

re t

han

6 m

ont

hs.

Is d

iagn

ose

d a

t 18

yea

rs a

s im

pu

lsiv

e cr

imin

al a

ctiv

ity

wit

h n

o r

emo

rse

or

rega

rd fo

r th

e ri

ghts

of

oth

ers.

Ho

stile

an

d m

anip

ula

tive

. Th

ese

beh

avio

rs o

ccu

r b

efo

re t

he

age

of

18 y

ears

an

d/o

r w

ith

a p

rio

r h

isto

ry o

f co

nd

uct

d

iso

rder

bef

ore

th

e ag

e o

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yea

rs.

Imp

uls

e co

ntro

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ord

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ten

sio

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hat

esc

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ou

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to

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qu

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, an

d o

ften

lead

ing

to r

elie

f, re

gret

, an

d o

r em

bar

rass

men

t. T

hey

are

un

pla

nn

ed e

pis

od

es a

nd

rea

ctio

ns

are

dis

pro

po

rtio

nal

to

th

e si

tuat

ion

at

han

d. T

hes

e im

pu

lsiv

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ehav

iors

may

last

ab

ou

t 30

min

ute

s p

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pis

od

e.

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m D

eten

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n t

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ail.

Hyp

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fan

ts

Att

enti

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Def

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Dis

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Inst

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po

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plo

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D

iso

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P A G E 2 8

A-

KI

NS

N

EW

SL

ET

TE

R

20

19


Oth

er M

en:

Psyc

holo

gica

l Spe

ctru

m o

f Beh

avio

ral H

ealt

h D

isor

ders

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avio

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ealt

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ion

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per

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at a

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o t

he

situ

atio

n a

t h

and

an

d

inco

nsi

sten

t w

ith

a

ge o

f ch

ild.

Thes

e o

ccu

r se

vera

l tim

es b

efo

re t

he

age

of

10 y

ears

.

Ad

ole

scen

t w

ith

sev

er im

pai

rmen

t in

so

cial

or

occ

up

atio

nal

fu

nct

ion

, m

arke

d b

y ir

rita

ble

mo

od

wit

h in

crea

sed

ac

tivi

ty o

r go

al d

irec

ted

act

ivit

ies,

an

d a

t le

ast

thre

e (3

) sy

mp

tom

s fr

om

Man

ic e

pis

od

es b

elo

w.

Un

stab

le r

elat

ion

ship

s, s

elf-

imag

e, a

ffec

ts, a

nd

exc

essi

ve im

pu

lsiv

ity

in w

ays

that

are

sel

f d

amag

ing.

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ysfu

nct

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al e

ffo

rts

to a

void

ab

and

on

men

t, a

sso

ciat

ed w

ith

mo

od

inst

abili

ty a

nd

su

icid

al b

ehav

iors

.

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ern

of

sub

stan

ce u

se in

volv

ing

tole

ran

ce, w

ith

dra

wal

, cra

vin

gs, a

nd

usi

ng

mo

re f

or

lon

ger.

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sin

g “u

se o

f so

m

uch

tim

e” -

on

dru

gs, i

nter

rup

tin

g so

cial

, rec

reat

ion

al a

nd

fu

nct

ion

al w

ork

/sch

oo

l/h

om

e ac

tivi

ties

.

Cyc

les

of

man

ic a

nd

hyp

om

anic

ep

iso

des

, va

ryin

g in

leve

l of

seve

rity

/dys

fun

ctio

n,

wit

h o

r w

ith

ou

t d

epre

ssiv

e ep

iso

des

. Se

e m

ania

bel

ow

.

Seve

r d

epre

ssiv

e m

oo

d w

ith

fu

nct

ion

al im

pai

rmen

t: a

pp

etit

e an

d s

leep

dis

turb

ance

, lo

w e

ner

gy a

nd

ag

itat

ion

/ret

ard

atio

n,

low

sel

f-es

teem

, p

oo

r co

nce

ntra

tio

n,

loss

of

inte

rest

, ex

cess

ive

guilt

fee

lings

an

d fe

elin

gs o

f h

op

eles

snes

s. T

hes

e m

ay o

r m

ay n

ot

incl

ud

e su

icid

al t

ho

ugh

ts.

Last

ing

two

(2)

or

mo

re w

eeks

per

ep

iso

de.

Seve

r im

pai

rmen

t in

so

cial

or

occ

up

atio

nal

fu

nct

ion

: im

pu

lsiv

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itab

ility

, gr

and

iosi

ty,

incr

ease

d e

ner

gy, g

oal

d

irec

ted

act

ivit

y o

r p

ysch

o-a

gita

tio

n,

flig

ht o

f id

eas,

tal

kati

ven

ess

and

red

uce

d n

eed

fo

r sl

eep

. M

arke

d c

han

ges

fro

m b

asel

ine

are

no

tice

d.

Thes

e ca

n o

ccu

r w

ith

or

wit

ho

ut

Psyc

ho

tic

feat

ure

s (h

allu

cin

atio

ns:

hea

rin

g vo

ices

or

seei

ng

thin

gs).

Las

tin

g m

ore

th

an o

ne

(1)

wee

k p

er e

pis

od

e.

On

e w

ith

su

icid

al t

ho

ugh

ts,

inte

nt o

r p

lan

.Su

icid

al D

iso

rder

Maj

or

Dep

ress

ion

Bo

rder

line

Pers

on

alit

y D

iso

rder

Bip

ola

r D

iso

rder

Dru

g A

bu

se D

iso

rder

Inte

rmit

ten

t M

anic

Ep

iso

des

Ped

iatr

ic B

ipo

lar

Dis

ord

er

Dis

rup

tive

Mo

od

Dys

regu

lati

on

Dis

ord

er

Published Letters to the Editor

The Best of Two Worlds: Bar Beach, on the Island, Lagos Nigeria

Author: Folorunso Akintan MD MPH MBA

The publisher is encouraging feedback on this issue. Please do write back and let us rub minds. You may send your feedback via:

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Looking forward to hearing from you!

Contact Author: Folorunso Akintan, MD MPH MBA

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A-Kins Newsletter 2019 · PROJECT MANAGERS A-Kins Newsletter 2019 Mission: V O L U M E 5 , I S S U E 1 O C T O B E R , 2 0 1 9 To build a network of interna-tional workforce, mobilizing