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humanitarian inequality social cohesion disease burden organizations partnership health education shame support deprivation treatment hope limited mobility workplace challenges inequity global health rights management water sources support services chronic illness partnerships affects coping health policy medical missions social perception migrant populations economic burden dependency overcoming misunderstanding social support empathy access to healthcare humanitarian aid endemic human rights infections cultural beliefs vector social justice marginalized patient advocacy policy resources access prevalence societal burden fear reintegration health promotion stress quality of life community impact stigma psycho-social disability painful skin conditions socio-economic chronic socioeconomic community health workers violence intervention eradication livelihoods preventive measures impoverishment advocacy efforts educational campaigns policies marginalization preventable debilitating blindness trauma river blindness health disparities mobilization disempowerment rural areas solidarity screening poor hygiene discouragement socio-economic factors community health rejection community engagement awareness social inclusion social exclusion limited resources barriers discrimination awareness campaigns compassion infected job loss transmission diversity misconceptions impairment livelihood morbidity equity education taboo empowerment social societal impact vulnerability community perceptions powerlessness healthcare access risk rural isolation poverty disfigurement community participation neglect infection challenges family impact deformity social welfare charity socioeconomic impact injustice insecurity apathy public health interventions public perception development impacts self-esteem vulnerable populations opportunity integration stigmatization neglected humanitarian efforts african communities prevention impact depression mistrust lack of education accessibility inclusion control social impact hopelessness mental health dignity pandemic elimination efforts visibility prejudice epidemic healthcare resilience advocacy vulnerable economic consequences suffering equality burden social determinants community unemployment living conditions education barriers acceptance