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Global Health, Global Poverty

Endometriosis in Uganda: A Silent Crisis and the Power of NGOs

Endometriosis in UgandaEndometriosis is a severe, chronic and progressive disease that affects one in 10 women of reproductive age globally. It happens when endometrial tissue grows outside the uterus, usually on the ovaries, fallopian tubes and pelvic lining. This tissue reacts to hormonal cycles, causing internal bleeding, inflammation and scarring. When left undiagnosed or untreated, the disease can spread to other organs like the bladder or bowel and result in infertility or, in severe cases, require the removal of the uterus and ovaries.

In Uganda, many women are led to believe that menstruation cramps, debilitating pain and heavy bleeding are part of being a woman. Yet, the reality is that intense cramps, heavy periods, constant fatigue, gastrointestinal distress, pain during intercourse and the ineffectiveness of nonsteroidal anti-inflammatory drugs (NSAIDs) are the hallmarks of endometriosis.

Absence of a Targeted Health Care Policy

According to Grace Nagawa, Executive Director of the Endometriosis Foundation Uganda, one in seven Ugandan women may have endometriosis. However, there is no government or international data on its prevalence. This absence is not trivial as it prevents precise assessments, targeted allocation of resources and the implementation of proper public health policies. To date, endometriosis remains absent from Ugandan public health legislation. Furthermore, despite the government’s recent increase in the national health budget to more than $1 billion in 2025/26, there is still no dedicated national budget for endometriosis.

This oversight results in limited specialist resources for diagnosis and treatment, which is exacerbated by the low awareness of the condition. Many Ugandan women face years of misdiagnosis, with the first correct diagnosis taking nine to 10 years. This delay often leads to progression to advanced stages of the disease, such as Stage 4, which constitutes the most severe one. Uganda also faces a severe shortage of endometriosis specialists. Following the death of Dr. Kiggundu in 2025, only four specialists remain to treat the condition nationwide, resulting in an unmet demand for care. Critical diagnostic equipment, notably laparoscopes, is also lacking, especially in regional hospitals.

Socioeconomic Repercussions on Women and Girls

The socioeconomic impact of endometriosis in Uganda is huge. Severe pain often disrupts education and employment. According to a 2025 value-for-money audit, around 64% of Ugandan girls miss school due to menstruation. The financial burden of endometriosis is also considerable, as the cost of hormonal treatments and surgery is prohibitive for many.

Laparoscopic surgery, the most effective diagnostic method, can cost more than what most affected women can afford. While wealthier Ugandan women can afford a laparoscopy or receive treatment abroad, notably in Nairobi, the most impoverished are forced to suffer in silence. Chronic pain, delayed diagnoses and disrupted lives also contribute to mental health issues, such as anxiety, depression, isolation and trauma.

Local Efforts: NGOs Are Leading The Fight

Despite these challenges, two Uganda-based NGOs are working to support and empower women and girls affected by endometriosis:

  • Endometriosis Foundation Uganda aims to improve health by educating the public and health care professionals through awareness walks and charity marathons. It also partners with health organizations to enhance diagnostic and treatment processes. For example, it organizes training sessions with the Endometriosis Foundation in Kenya, where gynecologists have more expertise, enabling better support for Ugandan women unable to seek treatment abroad.
    The organization also helps women who are economically affected by endometriosis and cannot afford treatment or surgery. Finally, its mission also consists of advocating for better access to health care, timely diagnosis, appropriate treatment and national investment in medical research.
  • The Endometriosis Care Center Uganda (ECCU) is a critical NGO established in 2021 and runs four main programs. The Health Promotion Program offers free screening clinics, symptom assessments, treatment options and referrals to endometriosis specialists. The Habitation and Rehabilitation Program provides women and girls with face-to-face therapy sessions, telecounselling and self-help groups to help them cope with chronic pain and the emotional fallout of endometriosis.
    Through the Social Capacity Building and Empowerment Program, ECCU promotes narrative-sharing among women with endometriosis, fostering peer support between women at different stages of their medical journey. This program also provides life-skills development, confidence and talent nurturing to help women and girls return to education and employment after years of illness.
    Finally, through its Lobbying and Advocacy Program, ECCU advocates for recognizing and including endometriosis in the Ministry of Health’s data systems and Ugandan legislation. Finally, it also works toward implementing laws and policies that improve the diagnosis, treatment options and provision of resources for endometriosis in Uganda.

Conclusion

Endometriosis poses a critical health and socioeconomic challenge in Uganda. A significant number of women are affected, often struggling for years with misdiagnosis and untreated symptoms. The Endometriosis Foundation Uganda and the ECCU are working to improve access to health care, awareness and diagnosis and advocate for policy change.

While their efforts are critical to supporting affected women and girls, major gaps remain. There is a pressing need for a comprehensive approach involving the Ugandan government, international organizations and local NGOs. Key issues include the shortage of endometriosis specialists, the high cost of treatment and the lack of targeted health policies and data.

– Juliette Delbarre

Juliette is based in London, UK and focuses on Global Health for The Borgen Project.

Photo: Flickr

July 23, 2025
https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg 0 0 Hemant Gupta https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg Hemant Gupta2025-07-23 07:30:042025-07-23 03:10:09Endometriosis in Uganda: A Silent Crisis and the Power of NGOs
Africa, Food Security, Global Poverty

Extreme Weather and Food Security in East Africa

Food Security East AfricaEast Africa is grappling with worsening food security due to the increasing frequency and severity of extreme weather patterns. In countries like Ethiopia, Somalia and Kenya, shifting rainfall patterns and prolonged droughts are devastating agricultural systems, the backbone of local economies. This instability is contributing to widespread food insecurity, displacing millions and threatening livelihoods across the region. According to the U.N. Office for the Coordination of Humanitarian Affairs (OCHA), food insecurity affected more than 48.1 million people in East Africa as of May 2024, largely due to weather-related shocks.

Ethiopia, Somalia and Kenya: A Regional Snapshot

Each country in East Africa faces unique but interrelated challenges. In Somalia, four consecutive failed rainy seasons, including the October–December 2024 deyr season, have caused severe pasture and water shortages, significantly reducing crop yields and weakening livestock health.

Across Ethiopia, insufficient rainfall during the June 2023–September 2023 kiremt season led to localized cereal shortfalls and about 4.5 million livestock deaths.

Meanwhile, northern and eastern Kenya experienced its driest rainy seasons in more than 40 years, exacerbating desertification and displacing pastoralist communities.

FAO’s Global Information and Early Warning System

FAO’s Global Information and Early Warning System (GIEWS) is a critical tool used across East Africa to anticipate and respond to food crises. It provides near real-time monitoring of agricultural production, food prices and extreme weather patterns.

In Somalia, for instance, GIEWS reported that the 2024 deyr rainy season saw below-average and erratic rainfall, leading to pasture and water shortages in pastoral areas and below-average cereal yields. As a result, the livestock-to-cereal terms of trade deteriorated; in January 2025, a goat in Burao Market could purchase only 48 kg of sorghum, compared to 68 kg the previous year, a decline that severely impacted household food access.

The R4 Rural Resilience Initiative

The World Food Program (WFP), in partnership with Oxfam, is helping farmers manage weather-related agricultural risks through the R4 Rural Resilience Initiative. R4 enables smallholder farmers to access crop insurance, savings accounts, and weather adaptation training.

In Ethiopia alone, as of 2020, more than 54,000 households have enrolled in the program since its launch and participants have reported improved yields and greater resilience to seasonal shocks. R4 not only safeguards livelihoods but also reduces the need for emergency food aid during extreme weather events.

Kenya’s National Smart Agriculture Strategy

Kenya has implemented a National Smart Agriculture Strategy aimed at mainstreaming adaptation to extreme weather into every level of agricultural planning. The strategy focuses on three key pillars: increasing productivity, building resilience, and lowering emissions. It promotes drought-resistant crops, precision irrigation, and agroforestry techniques. Supported by international donors and NGOs, the initiative seeks to create a sustainable agricultural model that can withstand future weather-related challenges.

Toward a Resilient Agricultural Future

The future of food security in East Africa depends on continued investment in adaptive strategies that address both immediate hunger and long-term resilience. Strengthening regional cooperation, funding scalable programs like GIEWS and R4, and supporting national policies such as Kenya’s CSA Strategy will be crucial.

By aligning weather adaptation with food systems planning, East African nations have a path forward to reduce vulnerability and build sustainable food security.

– Joseph Hasty

Joseph is based in Winter Park, FL, USA and focuses on Global Health for The Borgen Project.

Photo: Flickr

July 23, 2025
https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg 0 0 Naida Jahic https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg Naida Jahic2025-07-23 03:00:292026-04-16 10:21:40Extreme Weather and Food Security in East Africa
Disease, Global Poverty, Health

Palliative Peace: Cancer Patients in Syria

Cancer in SyriaThe consequences of war are immense; it impacts every aspect of life, from transportation to crop cultivation and the ash and smoke of conflict taints everything. Countrysides are ravaged, cities are turned to rubble and families are displaced, but all that is widely known; however, what is not frequently discussed is the systematic harm.

For 13 years, Syria was plagued by a violent civil war and during this time, people who had cancer found themselves in a precarious situation. Oncology institutions suffered from scarce supplies, staff and necessary medical equipment. Even in the developed world, cancer remains a prominent reason for mortality. With conflict, this issue is exacerbated and worsened.

Challenges

War affects every aspect of ontology care. For one, the ability of patients to continue financing treatment is hindered. Despite the abundance of humanitarian assistance and aid programs, many Syrians experience severe financial distress, with social support, medical insurance frameworks and affordable treatment being conspicuously absent. This burden results in treatment costs exceeding 40% of a household’s capacity to pay. However, this matter is intensified by the number of internally displaced persons living in the territories of the Idleb and Aleppo governorates. It is a structural predicament, derived from the base of all institutions being shaken by the roar of artillery.

It’s not just patients who suffer; the oncology institutions are also affected. Supplies are limited due to the logistical challenges caused by the conflict. Most advanced oncology centers are concentrated in major cities, making it extremely difficult for people in other parts of the country to access essential care. The Al-Bayrouni center in Damascus is responsible for a significant portion of care; further, such an institution is the only location in the country able to address thyroid care. Uncommon cancers can only be treated in specialized departments, which are only present in specified localities.

Confounding factors, such as cost, location and scarcity, combine to worsen the effects of cancer. These barriers prevent patients from accessing essential palliative care, allowing the disease to progress unchecked. As a result, mortality rates rise, with early-stage cancers advancing rapidly to more severe stages. Between 2019 and 2022, 61% of cancer patients in Syria were stage III or above at diagnosis, which exemplifies the issue. Even at the conception of care, the ailment is too far developed for adequate and affordable remedies, making the process easy to ameliorate.

Solutions and Aftermath

The abdication of Bashar Al-Assad has induced a dramatic shift in the domestic conditions of Syria. The underlying conditions for many of the present maledictions abated with the presence of the new administration. The newfound peace rectifies issues derived from logistical limitations; roads no longer carry the burden of armed militants and paramilitary organizations, which means that both individuals can travel with relative ease and supplies can be rendered more efficiently.

In an important administrative step, the debt of Syria has been paid for by the Gulf States, thereby allowing for additional loans from the World Bank. This exciting opportunity heralds the possibility for the revitalization of infrastructure, such as medical institutions, roads and state-sponsored welfare programs. The creation of a robust framework is not possible and, in topological terminology, a base capable of holding additional structures is now present.

If these corrections are implemented, the people of Syria will benefit greatly. Tangible societal changes could make medical care in Syria more affordable, reducing mortality rates and giving low-income populations access to essential cancer treatment. Affordable health care is a cornerstone for survival; it creates a healthier, more productive population capable of working, saving and contributing to the economy. As the conflict subsides, medical institutions could be revitalized through international support, domestic stability and strengthened oncology infrastructure.

Conclusion

Many of the challenges rooted in the conflict may begin to ease as a transitional state takes shape, fostering a fragile but hopeful peace. This shift will directly benefit people with low incomes, who will gain access to a developing market capable of meeting critical health care needs. Additionally, the rate of brain drain is likely to fall, allowing for a stable labor force. A new horizon is emerging, with a bright future dawning over a land once shrouded in darkness.

– Jackson Hufman

Jackson is based in Glenwood, MD, USA and focuses on Good News and Politics for The Borgen Project.

Photo: Flickr

July 23, 2025
https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg 0 0 Hemant Gupta https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg Hemant Gupta2025-07-23 03:00:012025-07-23 00:39:08Palliative Peace: Cancer Patients in Syria
Electricity and Power, Global Poverty

Everything to Know About Renewable Energy in Djibouti

Renewable Energy in DjiboutiThe development of renewable energy in Djibouti has become a national priority as the country aims to achieve 100% energy generation from renewable sources. Situated in the Horn of Africa, Djibouti currently relies heavily on energy imports to meet domestic demand. As energy needs rise and climate risks intensify, the government has launched major renewable energy projects to promote energy independence and long-term economic growth.

Why Djibouti Needs Renewable Energy

Djibouti faces high electricity prices due to its reliance on imported fossil fuels. The country also experiences power shortages that hinder industrial growth and daily life. According to the World Bank, only 65% of the population had access to electricity in 2022—and in rural areas, that number drops below 20%. This limited access disproportionately affects poor and remote communities, where families are forced to rely on expensive diesel generators or go without electricity entirely.

Without reliable power, small businesses struggle to operate, students are unable to study after dark and health clinics face life-threatening service disruptions. In fact, 50% of Djiboutians lack reliable electricity, contributing to significantly higher infant mortality and economic instability in off-grid regions. Djibouti’s overall poverty rate remains high, with more than 17% of the population living below the national poverty line.

To reduce costs and improve access, Djibouti’s government created the National Energy Strategy, which aims for 100% renewable electricity production by 2035. Launched in 2020, the initiative focuses on geothermal, solar and wind energy projects supported by international investors and development organizations.

Major Projects Advancing Renewable Energy in Djibouti

Several large-scale energy projects have transformed renewable energy in Djibouti from a goal into a reality:

  1. Ghoubet Wind Power Plant: In 2023, the 58.9 MW Ghoubet Wind Power Plant became Djibouti’s first utility-scale wind energy facility. Developed by Africa Finance Corporation, Climate Fund Managers and Great Horn Investment Holding, it marked the country’s first privately financed independent power project. Taking advantage of the highest annual wind speeds in Africa, the plant significantly boosts Djibouti’s renewable energy generation and decreases its reliance on imported electricity from Ethiopia. The $122 million project was completed in just 24 months and supplies power at a competitive rate of $0.07–$0.08 per kWh. It is expected to improve supply reliability, strengthen the business environment and mobilize additional foreign investment. The project also supports job creation and climate resilience by avoiding the emission of approximately 154,526 tons of CO₂ equivalent per year—contributing to long-term economic and environmental gains for Djibouti’s young population.
  2. Fiale Geothermal Project: Located in the Lake Assal region, the Fiale Geothermal Project has received funding from the World Bank and the African Development Bank. The project aims to generate 50 MW of geothermal power and will eventually serve more than 300,000 people. Djibouti’s geothermal resources, among the best in East Africa, have the potential to support continuous, low-cost energy production.
  3. Grand Bara Solar Plant: In 2021, the government partnered with Engie and the Djiboutian Office of Development and Energy Efficiency to begin construction on a 25 MW solar facility in the Grand Bara Desert. The plant includes battery storage systems to ensure an uninterrupted supply and has already started providing clean power to underserved rural areas. Indeed, full completion is expected by late 2025, with plans to expand capacity as demand grows.

Key Benefits of Renewable Energy in Djibouti

Key benefits of renewable energy in Djibouti are:

  • Increased Energy Independence: Reduces reliance on energy imports from Ethiopia
  • Lower Energy Costs: Renewable energy projects will decrease electricity tariffs over time
  • Job Creation: New facilities have created hundreds of construction and maintenance jobs
  • Climate Resilience: Clean energy reduces emissions and environmental damage

Ongoing Challenges and Solutions

While renewable energy in Djibouti continues to expand, the country faces obstacles. These include limited technical expertise, underdeveloped grid infrastructure and high upfront costs. To address these issues, Djibouti has partnered with the United Nations Development Programme (UNDP) to train local engineers and expand grid connectivity to rural communities.

Additionally, the African Development Bank (ADB) launched the Desert to Power initiative in Djibouti to improve solar access across the region. Since 2022, it has funded mini-grid projects reaching more than 50,000 residents in remote areas.

Djibouti’s commitment to renewable energy has placed the country on a path toward energy security, economic growth and environmental sustainability. Through targeted investment and international cooperation, renewable energy in Djibouti is no longer a distant goal, but a rapidly growing reality.

– Hayden Chedid

Hayden is based in Parker, CO, USA and focuses on Technology and Global Health for The Borgen Project.

Photo: Unsplash

July 23, 2025
https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg 0 0 Jennifer Philipp https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg Jennifer Philipp2025-07-23 01:30:322025-07-22 13:32:51Everything to Know About Renewable Energy in Djibouti
Electricity and Power, Global Poverty

Renewable Energy in Slovenia: Ending the Energy Poverty Gap

Renewable Energy in SloveniaMany families suffer from a wide gap in access to energy to properly support themselves and their homes. Presently, Slovenia is currently working on engaging hydro-energy in their nationwide effort to redistribute access to both sustainable and efficient energy for their lower-income citizens. Here is information about renewable energy in Slovenia.

An Overview of Renewable Energy in Slovenia

As an overview, one-third of Slovenia’s energy comes from hydroelectric sources, with the other two-thirds coming from renewable energy in Slovenia that encourages a lowering of greenhouse gas emissions.

Utilizing the power of the Sava River, rushing water powers the hydro-electric plants to become renewable energy in Slovenia. Indeed, along the banks of the Sava River, is home to many small and large plant chains that all work together to produce energy leading into a single unit. In total, there are four Slovenian plants generating power on these banks to effectively and, most importantly, sustainably power the nation.

Not only are these plants and renewable sources that have spread all over the nation sustainably generating Slovenia; these renewable sources have led to the opportunity for many low-income families that did not have access to energy to power their homes properly. 

Energy Poverty in Slovenia

As it stood in 2023, the percentage of Slovenian families that experts considered energy-poor households was at 7.2%, with an even larger number of 41 million people across Europe unable to power their homes. Within a faction of the Slovenian government, the Eco Fund as it is noted, promotes projects that invest in support of lower-income families to gain energy access in their homes sustainably; which includes the promotion of hydro-electric plants. The Eco Fund looks to support projects across Slovenia that reduce carbon and greenhouse emissions while reducing energy waste.

The tools the Eco Fund plan to utilize include properly insulating roofs, installation of energy-efficient windows and replacement of heating devices, along with the spread of renewable energy in Slovenia broadly. All of these tools give lower-income families the chance to both save money and power.

Using these plans to efficiently power the nation, the Eco Fund looks to cut energy-poverty almost in half. With the investment of proper tools in lower-income homes, the Eco Fund seeks to reach by 2026 the use of renewable energy in Slovenia to almost 8,000 homes within lower-income communities.

Looking Ahead

Looking into the future, it is clear that the chance for Slovenia to reduce improper energy use and the energy poverty gap within its nation is something that will be reduced soon. Slovenia and the Eco Fund work to not only reduce energy-use but the poverty gap that is present in their nation to broadly expand chances for citizens to live better lives. 

In a broader lens, Slovenia’s example of changes with its Eco Fund offers a look into the reduction of energy cost and carbon and greenhouse emissions that should be more accessible for all in the future. Furthermore, this investment gives a look into how being sustainable is a well-rounded opportunity that helps the poverty gap for lower-income families and helps countries become less energy inefficient as a whole.

– Angelina Tas

Angelina is based in Cleveland, OH, USA and focuses on Good News and Technology for The Borgen Project.

Photo: Flickr

July 23, 2025
https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg 0 0 Jennifer Philipp https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg Jennifer Philipp2025-07-23 01:30:162025-07-22 13:28:27Renewable Energy in Slovenia: Ending the Energy Poverty Gap
Global Poverty, Government

How Colombia’s New Labor Law Can Help Reduce Poverty

Colombia's new labor lawColombia’s new labor law, signed into effect by Colombian President Gustavo Petro on June 26, is intended to support workers’ rights by delivering job stability, increased benefits and ensured protections. While the law is popular among trade unions, it stalled in Colombia’s congress as the opposition claimed it would detriment employment and businesses. New benefits for workers are expected to increase costs for business owners, but providing workers with more power within their industries can reduce poverty.

Aims of Colombia’s New Labor Law

  • Workday and overtime reforms. The law redefines the standard workday as eight hours and caps overtime at two hours per day or 12 hours per week, ensuring that workers cannot be exploited with extended hours. Salaried workers’ overtime, Sunday and holiday pay will rise, with Sunday and holiday rates set to progressively increase from 75% to 100% over three years. In addition, employers will have to provide higher compensation for overnight work, which has been redefined as 7 p.m. to 6. a.m. For workers, these reforms will likely result in higher earnings for those in service sectors, retail, hospitality and logistics. At the same time, employers may see increased labor costs, especially for businesses relying heavily on late or weekend shifts.
  • Mandatory contracts. Colombia’s new labor law limits the use of short-term and fixed-term contract workers to encourage stable job growth and retention. Indefinite-term contracts will now be the standard, allowing workers to agree to a job for an undefined period. Fixed-term contracts will convert to an indefinite agreement if they extend more than four times or exceed a timespan of five years. This change will give employees more job stability and predictability, less flexibility for seasonal hiring and more long-term obligations for employers.
  • More benefits for gig workers. Employers will be required to provide gig-economy workers, like food delivery drivers, with medical coverage and social security benefits, in addition to formally classifying these workers as freelancers. Employers will be subject to higher compliance costs and restructuring of their business models. However, workers will be granted better access to health care, job protections and fairer treatment.
  • Supporting remote work. Provisions regarding telework in Colombia’s new labor law provide a connectivity allowance for remote workers who earn up to twice the minimum wage. Also, it requires companies, depending on their size, to offer remote work to their employees.
  • Emphasizing worker protections. Anti-discrimination laws were expanded with this bill and included pregnant women, disabled workers and employees nearing retirement. This enactment will help enhance diversity and equity in the workplace.
  • Uplifting community members and child care. Around 69,000 community mothers who provide care and education to children in their communities will be officially incorporated into Colombia’s Institute of Family Welfare. This state entity reaches around three million Colombians and provides support services for children and families. With this enactment, community mothers will have more state assistance and access to necessary resources. This is likely to positively impact the care they can provide the children under their supervision.&
  • Protecting students. According to the bill, student interns must be provided monetary compensation and benefits such as vacation time and severance pay. Around 400,000 students who participate in internships will gain complete labor rights and full pay.

How It Can Help Reduce Poverty

With increased access to reliable contracts and government support, workers in Colombia can more effectively sustain jobs to support their families. In addition, poverty can be ameliorated by providing workers with easier access to welfare benefits and higher minimum wages. For workers in Colombia, these reforms subsidize the amount of income they are spending on necessary services, leaving room for emergencies and adequate nutrition.

Formalizing the gig economy, paying workers more and limiting atypical contracts are expected to increase labor costs. However, these reforms have the promising potential to underpin the workforce, provide fair compensation and benefits and help sustain poverty reduction by offering workers viable and endurable opportunities.

As employment in Colombia steadily rises, workers must be supported with effective social services and protected by enforced labor laws. Compliance from employers, government oversight and support for workers and businesses will be critical to improving conditions for Colombian workers and effectively reducing poverty throughout the country.

– Erin Hellhake

Erin is based in Old Bridge, NJ, USA and focuses on Global Health and Politics for The Borgen Project.

Photo: Unsplash

July 22, 2025
https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg 0 0 Hemant Gupta https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg Hemant Gupta2025-07-22 07:30:302025-07-22 13:21:54How Colombia’s New Labor Law Can Help Reduce Poverty
Education, Global Poverty, Women's Empowerment

Investing in Girls’ Education in Malawi

Girls' Education in MalawiIn Malawi, many girls, especially those living in rural areas, face steep challenges in staying in school. While more girls are enrolling in primary education than ever, many are forced to drop out long before graduation. Early marriage, poverty, long and often unsafe journeys to school and a lack of menstrual hygiene products are just some of the obstacles that stand in their way. Nearly 42% of girls in Malawi are married before their 18th birthday, which often ends their education early. These barriers not only limit their potential but also deepen cycles of poverty and inequality that affect entire communities.

CAMFED: Scholarships and Mentorship

The Campaign for Female Education (CAMFED) has made significant strides in Malawi by providing holistic support for girls’ secondary education. Since its launch, CAMFED Malawi has supported more than 646,000 students by covering school fees, uniforms, books and menstrual supplies. It has also trained 4,710 students in government schools with essential services and mentorship through its Learner Guide model.

CAMFED fosters long-term educational engagement through its alum network, the CAMFED Association. The association reached nearly 110,000 students in 2023 with mentoring, life-skills development and leadership training. These initiatives are directly credited with boosting retention and completion rates among rural girls.

Let Girls Learn Initiative

In Malawi, the Let Girls Learn initiative, backed by USAID and the U.S. Department of State, led to focused efforts that helped more girls continue their education beyond primary school. One of the key projects, called Apatseni Mwayi Atsikana Aphunzire (AMAA), was carried out by Save the Children and Concern Worldwide across five districts. The program built girl-friendly school facilities, supported girls’ transitions to secondary school and offered life-skills training to boost their confidence and resilience.

Globally, the Let Girls Learn program contributed $25 million to support locally driven education programs in 13 countries, including Malawi. These efforts addressed major obstacles such as school fees, period poverty and child marriage while promoting leadership, inclusion and long-term access to learning.

National Strategy and Policy Reform

The government of Malawi has prioritized gender equity in education through its National Strategy for Girls’ Education. The project integrates school access with child protection, gender-based violence prevention and reproductive health education. The strategy supports the re-enrollment of young mothers, the enforcement of anti-child marriage laws and teacher training to create safe and inclusive learning environments.

Implemented with organizations such as UNICEF and the Global Partnership for Education, this policy framework addresses the systemic and social causes of girls’ dropout rates.

Building a Brighter Future

The combined impact of local nonprofits, international partnerships and national education reforms is reshaping the landscape for girls in Malawi. Programs like CAMFED have supported thousands of students. A recent World Bank report highlights that investing in girls’ education is one of the most effective ways to reduce poverty, improve health outcomes and promote gender equality.

Educated girls are more likely to delay marriage, have healthier families and contribute to economic growth. By supporting comprehensive approaches that combine schooling with health, mentorship and legal protections, Malawi is laying the foundation for a more equitable and prosperous future.

– Joseph Hasty

Joseph is in Winter Park, FL, USA and focuses on Global Health for The Borgen Project.

Photo: Flickr

July 22, 2025
https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg 0 0 Hemant Gupta https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg Hemant Gupta2025-07-22 07:30:272025-07-22 13:22:11Investing in Girls’ Education in Malawi
Global Poverty, Health

Health Reforms in Uganda

Health Reforms in UgandaLocated in East Africa, Uganda is landlocked between South Sudan, the Democratic Republic of the Congo, Kenya, Tanzania and Rwanda. Since the late ’80s, when the current government came into power, Uganda has been aiming to improve its health care system through changes in financing, centralization and engagement with the private sector. Health reforms in Uganda are implemented to address infrastructure, human resources and access to health care.

Ministry of Health Strategic Plan

Uganda’s Ministry of Health Strategic Plan (2020/21–2024/25) guides the country’s health sector priorities in alignment with the National Development Plan III and Vision 2040. It focuses on improving access to quality health care, enhancing health system efficiency and promoting disease prevention.

The plan emphasizes universal health coverage, infrastructure development, human resources and digital health integration. It also outlines strategies for strengthening governance, financing and community health systems to achieve better health outcomes and resilience.

Sector-Wide Approach

In the early 2000s, Uganda’s Ministry of Health implemented a Sector-Wide Approach (SWAp) as part of its broader health reform strategy. This model aimed to align all stakeholders, the government, donors and implementers, under a unified national health plan. While decentralization of the health sector had already begun in the ’90s, SWAp helped reinforce the process by channeling resources and decision-making to local governments.

A key advantage of SWAp was its role in reducing aid fragmentation. By encouraging pooled funding and sector-wide planning, the approach helped prioritize high-impact investments in alignment with national goals. Though some major global health donors operated outside the SWAp framework, the model enhanced coordination and accountability for many key health programs.

SWAp also strengthened district-level governance. It provided Uganda’s districts with planning, monitoring and performance review tools, while increasing attention to health information systems and evidence-based management. Though the SWAp was initially successful, its impact has declined due to capacity constraints and a weakening Ministry of Health.

The National Health Insurance Scheme

Uganda is currently seeking to establish a National Health Insurance Scheme (NHIS) to improve financial risk protection through pooled contributions, where wealthier individuals subsidize others. Although Parliament passed the NHIS Bill in March 2021, the President has not yet signed it into law. Furthermore, the revised version is pending Cabinet approval.

Currently, health insurance coverage in Uganda remains extremely low. Only around 1% of the population is insured, leaving the vast majority exposed to high out-of-pocket health costs. Many households are pushed into poverty due to medical expenses, particularly in rural areas where access to care is limited.

The proposed NHIS, if enacted, would pool contributions from citizens, allowing those with greater financial means to help offset health care costs for lower-income Ugandans.

Moving Forward

Through its strategic health plan, Uganda has formulated a solid plan for moving forward. The future of the health care sector in Uganda is bright, especially with reforms like NHIS, which could be a sustainable way to establish high-quality, accessible health care.

– Ariana Wang

Ariana is based in Dallas, TX, USA and focuses on Global Health for The Borgen Project.

Photo: Pixabay

July 22, 2025
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Foreign Aid, Global Poverty

USAID Programs in Albania 2025

USAID Programs in Albania 2025In January 2025, the United States Agency for International Development (USAID) experienced a temporary freeze of most of its funding programs going to foreign countries. This temporary freeze allowed officials to re-evaluate some programs and revise funds distribution for more efficiency.

For USAID programs in Albania, statistics show that most funding supported peace and security efforts. To put it into perspective, out of the $21 million that USAID provided Albania in 2020, $16 million was for strengthening national defense, $4 million was for improving the governing democracy system and about $200 thousand was directed at economic growth. While part of this funding responded to the COVID-19 pandemic, these three areas have remained the primary focus of USAID programs in Albania.

USAID Compete SëBashku

As of 2025, Albania continues to receive funding from USAID, with several projects still up and running. Most USAID programs in Albania focus on the country’s economic growth, aiding the country’s democracy and supplying resources to help alleviate poverty. USAID Compete SëBashku works to bolster Albania’s economic functions. The program works to create more opportunities for businesses to start and grow, creating more jobs for underprivileged citizens and strengthening both the buyer and supplier networks in Albania. The program, launched in 2024, is in coordination with the European Union (EU) as well and has received $12 million from the U.S. alone to help bolster the agrifood system.

The CIDR in Albania

There has also been much work on improving cybersecurity; one of the USAID programs in Albania is the Critical Infrastructure Digitalization and Resilience (CIDR). A large-scale program operating in multiple European countries that USAID supports with funding. The plan is to conclude the program in 2026 by reaching the aim of strengthening the digitized use of government for Albania and the private sectors, making them much more resilient to cyber attacks or breaches of digital security. As Albania’s economy and business opportunities grow, strengthening cybersecurity can potentially ensure the safety of transactions and deals, while also assuring citizens’ personal lives.

Another project scheduled to conclude in 2026 is Improving Community Resilience (ICR). This program primarily targets neglected citizens and larger communities susceptible to poverty or strife. Furthermore, it involves providing media engagement in areas that don’t normally have it, other protection programs for women and young girls and encouraging an engaging community that lends a helping hand. The ICR supports the excluded, discriminated, conflicted and abused citizen. The program works to bring justice, health care, education and social protection to these individuals through the charitable actions of other citizens in social care services. 

Looking Ahead

USAID programs in Albania remain active, supporting long-term development through targeted efforts in governance, security and economic growth.

– Russell Bivins

Russell is based in Phoenix, AZ, USA and focuses on Good News for The Borgen Project.

Photo: Flickr

July 22, 2025
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Agriculture, Food Security, Global Poverty

How Urine Fertilizer in Burkina Faso is Boosting Food Security

Urine Fertilizer in Burkina FasoIn Burkina Faso, smallholder farmers are grappling with a crisis that is both old and new: declining soil fertility and skyrocketing fertilizer prices. In a country where approximately 80% of the population depends on agriculture for their livelihood, even slight drops in yield can push families deeper into poverty. Now, an unusual solution is turning human urine into a powerful, low-cost fertilizer that could help farmers grow more food with fewer resources.

Urine Fertilizer in Burkina Faso

Human urine is naturally rich in nitrogen, phosphorus and potassium, the same nutrients found in commercial fertilizers. By separating urine at the household level using urine diversion toilets, farmers can collect, sanitize and apply it directly to their crops. According to a study in Burkina Faso, using urine fertilizer and compost together increased maize and eggplant yields by up to 90% compared to unfertilized plots.&amp;amp;amp;lt;/p&amp;gt;</p&gt;</p>

style=”font-weight: 400;”>Programs led by organizations like CIRAD and the Institut de Recherche pour le Développement are helping farmers in Burkina Faso and neighbouring countries adopt safe collection and application practices. These nutrient recycling pilots demonstrate that farmers can reduce reliance on expensive imported fertilizers while protecting groundwater from untreated waste runoff.

How it works

Simple ecosan toilets separate urine and feces, allowing households to store urine in sealed containers for a few weeks to kill pathogens. Once sanitized, the liquid can be diluted and spread on fields as urine fertilizer. A recent study in Mali found that farmers using urine fertilizer on rice paddies produced 1,623 kg/ha, outperforming plots fertilized with mineral fertilizer and achieved a benefit-cost ratio of 3.3. Farmer cooperatives and local nongovernmental organizations (NGOs) provide training on safe handling, dosage and storage, helping communities overcome taboos around human waste. Many see this as a crucial step for smallholders who struggle to afford chemical fertilizers, which can use 20% to 30% of their annual household budget. 

Benefits for Health, Food Security and the Environment

Urine recycling boosts both yields and reduces pollution. Poor sanitation systems in West Africa often leak nutrients into rivers and groundwater, harming ecosystems and drinking water supplies. By recovering the nutrients from urine for farming, communities can close the loop between sanitation and agriculture in a safe, circular way. This practice directly supports the Sustainable Development Goals (SDGs):

  • SDG 2 (Zero Hunger): Increasing food production for rural families
  • SDG 6 (Clean Water and Sanitation): Improving waste management 
  • SDG 13 (Climate Action): Replacing synthetic fertilizers whose production is carbon-intensive

Looking Ahead

Nutrient recycling is not so widespread in Burkina Faso, but the evidence shows it could be transformative for food security in regions where soil fertility is falling and fertilizer prices are rising. As farmer cooperatives expand training and share success stories, more communities may see that the solution to hunger can be as simple as the waste they flush away.

– Rebecca Lee

Rebecca is based in Scotland and focuses on Technology and Global Health for The Borgen Project.

Photo: Flickr

July 22, 2025
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