Nestled among the towering peaks of the Himalayas, Nepal continues to battle a deep-rooted poverty crisis, with more than 25% of its population living below the national poverty line. In the 2024 Human Development Index (HDI), the country ranked 146th out of 193, placing it among the lowest in South Asia. Although its HDI value improved to 0.601, this progress remains uneven and fragile. Indeed, national indicators may suggest advancement, but they often mask the stark internal inequalities.
This article will focus on Nepal’s poverty crisis and precisely those left furthest behind in communities in western regions and near borders, where poverty is deeper and millions still struggle to access even the most basic necessities. In these areas — such as Karnali, Sudurpashchim and remote parts of Lumbini Province — many experience acute multidimensional poverty, facing overlapping deprivations in education, health and living standards.
Food insecurity remains a pressing issue: according to the World Food Programme’s Fill the Nutrient Gap analysis (2021), 23.1% of the population does not consume a nutritionally adequate diet and 33% of pregnant women suffer from anemia. Although stunting rates have declined in recent years, one in four children under the age of five is still affected. Once again, these indicators fail to reflect the full extent of disparities between peripheral regions and urban centers. Here is more information about Nepal’s poverty crisis and measures that are addressing it.
Geographic Isolation
Remote mountain communities are the ones that suffer the most serious consequences, as they often rely on narrow, unpaved roads to reach markets, schools, clinics and other essential services. The United Nations Children’s Fund (UNICEF) reports that many children routinely walk up to several hours to attend overcrowded, under-resourced schools, leading to high dropout rates.
Worsening the situation, heavy rains and winter snowfall can render these routes impassable, isolating villages for days or even weeks. When roads vanish under mud and rock, families must subsist primarily, if not entirely, on their own harvests. But subsistence farmers lack the diversification needed to absorb such shocks. As the United Nations Development Programme (UNDP) warns, unpredictable swings from prolonged drought to sudden downpours throw planting cycles off balance, leaving soils cracked and barren. More frequent landslides then ravage crops and upend local economies, at times forcing residents to start over with nothing.
Health Infrastructure
Improving access to health care remains one of Nepal’s most critical and unresolved development challenges. While the country has made notable advancements in public health over recent decades — reflected in increased life expectancy and reduced maternal and child mortality — many rural clinics continue to operate with outdated, inadequate or even nonfunctional medical equipment, severely compromising the quality and consistency of care.
In pursuit of universal health coverage, the Government of Nepal has launched the National Health Insurance Program (NHIP), a policy initiative aimed at minimizing direct health care costs for individuals and promoting fair access to essential medical services. However, despite its promising framework, the program’s implementation has been uneven and threatens to undermine its potential impact. Enrollment rates remain low, with families either unaware of the program or discouraged by complicated procedures and limited services. A shortage of trained health care workers makes it even harder to provide quality care, especially in remote areas.
A survey that the Asian Development Bank (ADB) conducted across five provinces – Koshi, Madhesh, Bagmati, Gandaki and Sudurpaschim – in December 2024 found that more than half of Nepal’s medical equipment, much of which the country acquired during the COVID-19 pandemic, remains unused or broken. The causes include limited maintenance capacity, poor logistics and insufficient training. Compounding these issues are weak and fragmented data systems that make it difficult to identify who would most benefit from targeted interventions.
Without a reliable foundation of digital infrastructure and data integration, the NHIP risks falling short of its goal to provide sustainable health protection for all. Strengthening biomedical training, equipment management and preventative maintenance policies will be essential to ensuring that no one is left behind.
Economic Development and Grassroots Solutions
On the economic side, the International Monetary Fund (IMF) urges reforms to promote job creation, fiscal stability and inclusive growth throughout the nation. In 2023, agriculture accounted for approximately 26.2% of Nepal’s gross domestic product. However, since the 2010s, the sector’s growth has slowed to an average annual rate of just 3%. The agricultural landscape remains dominated by low-value crops and subsistence farming. The absence of facilities like collection centers, cold storage and grain stores leads to significant post-harvest losses. As a result, farmers are unable to shift from low-value cereals to high-value perishable crops like fruits and vegetables, which require proper storage to sell during peak demand at better prices.
In response, the Nepalese government, supported by international aid, is now prioritizing the expansion of microfinance programs and entrepreneurial training to empower local businesses. Promising results are already emerging from localized initiatives. For instance, several communities have adopted small-scale irrigation projects and diversified crop production, helping mitigate the impacts of changing weather patterns while stabilizing food sources.
Farmer-Managed Irrigation Systems
One notable example is the modernization of more than 100 Farmer-Managed Irrigation Systems (FMISs), supported by the ADB as part of a broader program to enhance irrigation infrastructure across Nepal. These initiatives, aligned with the National Water Plan 2002–2027 and ADB’s Strategy 2030, aim to improve irrigation performance across 17,452 hectares.
The work includes constructing permanent gated water intake structures, selectively lining canals and improving water control systems. These interventions have enhanced water use efficiency and fairer distribution. Just as important, they have created the conditions for more farmers to shift toward climate-smart techniques and mechanized farming tools.
In parallel, the project has also invested in the people who manage these systems — supporting local Water Users Associations (WUAs) and gradually expanding their role into cooperatives with stronger business and governance structures. Moreover, the emphasis on including women and disadvantaged groups has made these efforts more equitable and representative of the communities they serve. These grassroots responses also offer replicable models for other regions facing similar challenges.
Collaboration Easing Nepal’s Poverty Crisis
Collaboration between NGOs, multilateral organizations and community groups can strengthen the country’s social safety net and ensure that vulnerable populations get the support they need during Nepal’s poverty crisis.
For Nepal, this means not only investing in health, education and infrastructure, but also strengthening governance, fostering civic engagement and rebuilding trust in institutions. For families in remote villages, it offers the promise of a future where they can thrive and create lasting opportunities for generations to come.
– Lucrezia Frascati
Lucrezia is based in London, UK and focuses on Global Health for The Borgen Project.
Photo: Unsplash
The Reality of Nepal’s Poverty Crisis
This article will focus on Nepal’s poverty crisis and precisely those left furthest behind in communities in western regions and near borders, where poverty is deeper and millions still struggle to access even the most basic necessities. In these areas — such as Karnali, Sudurpashchim and remote parts of Lumbini Province — many experience acute multidimensional poverty, facing overlapping deprivations in education, health and living standards.
Food insecurity remains a pressing issue: according to the World Food Programme’s Fill the Nutrient Gap analysis (2021), 23.1% of the population does not consume a nutritionally adequate diet and 33% of pregnant women suffer from anemia. Although stunting rates have declined in recent years, one in four children under the age of five is still affected. Once again, these indicators fail to reflect the full extent of disparities between peripheral regions and urban centers. Here is more information about Nepal’s poverty crisis and measures that are addressing it.
Geographic Isolation
Remote mountain communities are the ones that suffer the most serious consequences, as they often rely on narrow, unpaved roads to reach markets, schools, clinics and other essential services. The United Nations Children’s Fund (UNICEF) reports that many children routinely walk up to several hours to attend overcrowded, under-resourced schools, leading to high dropout rates.
Worsening the situation, heavy rains and winter snowfall can render these routes impassable, isolating villages for days or even weeks. When roads vanish under mud and rock, families must subsist primarily, if not entirely, on their own harvests. But subsistence farmers lack the diversification needed to absorb such shocks. As the United Nations Development Programme (UNDP) warns, unpredictable swings from prolonged drought to sudden downpours throw planting cycles off balance, leaving soils cracked and barren. More frequent landslides then ravage crops and upend local economies, at times forcing residents to start over with nothing.
Health Infrastructure
Improving access to health care remains one of Nepal’s most critical and unresolved development challenges. While the country has made notable advancements in public health over recent decades — reflected in increased life expectancy and reduced maternal and child mortality — many rural clinics continue to operate with outdated, inadequate or even nonfunctional medical equipment, severely compromising the quality and consistency of care.
In pursuit of universal health coverage, the Government of Nepal has launched the National Health Insurance Program (NHIP), a policy initiative aimed at minimizing direct health care costs for individuals and promoting fair access to essential medical services. However, despite its promising framework, the program’s implementation has been uneven and threatens to undermine its potential impact. Enrollment rates remain low, with families either unaware of the program or discouraged by complicated procedures and limited services. A shortage of trained health care workers makes it even harder to provide quality care, especially in remote areas.
A survey that the Asian Development Bank (ADB) conducted across five provinces – Koshi, Madhesh, Bagmati, Gandaki and Sudurpaschim – in December 2024 found that more than half of Nepal’s medical equipment, much of which the country acquired during the COVID-19 pandemic, remains unused or broken. The causes include limited maintenance capacity, poor logistics and insufficient training. Compounding these issues are weak and fragmented data systems that make it difficult to identify who would most benefit from targeted interventions.
Without a reliable foundation of digital infrastructure and data integration, the NHIP risks falling short of its goal to provide sustainable health protection for all. Strengthening biomedical training, equipment management and preventative maintenance policies will be essential to ensuring that no one is left behind.
Economic Development and Grassroots Solutions
On the economic side, the International Monetary Fund (IMF) urges reforms to promote job creation, fiscal stability and inclusive growth throughout the nation. In 2023, agriculture accounted for approximately 26.2% of Nepal’s gross domestic product. However, since the 2010s, the sector’s growth has slowed to an average annual rate of just 3%. The agricultural landscape remains dominated by low-value crops and subsistence farming. The absence of facilities like collection centers, cold storage and grain stores leads to significant post-harvest losses. As a result, farmers are unable to shift from low-value cereals to high-value perishable crops like fruits and vegetables, which require proper storage to sell during peak demand at better prices.
In response, the Nepalese government, supported by international aid, is now prioritizing the expansion of microfinance programs and entrepreneurial training to empower local businesses. Promising results are already emerging from localized initiatives. For instance, several communities have adopted small-scale irrigation projects and diversified crop production, helping mitigate the impacts of changing weather patterns while stabilizing food sources.
Farmer-Managed Irrigation Systems
One notable example is the modernization of more than 100 Farmer-Managed Irrigation Systems (FMISs), supported by the ADB as part of a broader program to enhance irrigation infrastructure across Nepal. These initiatives, aligned with the National Water Plan 2002–2027 and ADB’s Strategy 2030, aim to improve irrigation performance across 17,452 hectares.
The work includes constructing permanent gated water intake structures, selectively lining canals and improving water control systems. These interventions have enhanced water use efficiency and fairer distribution. Just as important, they have created the conditions for more farmers to shift toward climate-smart techniques and mechanized farming tools.
In parallel, the project has also invested in the people who manage these systems — supporting local Water Users Associations (WUAs) and gradually expanding their role into cooperatives with stronger business and governance structures. Moreover, the emphasis on including women and disadvantaged groups has made these efforts more equitable and representative of the communities they serve. These grassroots responses also offer replicable models for other regions facing similar challenges.
Collaboration Easing Nepal’s Poverty Crisis
Collaboration between NGOs, multilateral organizations and community groups can strengthen the country’s social safety net and ensure that vulnerable populations get the support they need during Nepal’s poverty crisis.
For Nepal, this means not only investing in health, education and infrastructure, but also strengthening governance, fostering civic engagement and rebuilding trust in institutions. For families in remote villages, it offers the promise of a future where they can thrive and create lasting opportunities for generations to come.
– Lucrezia Frascati
Photo: Unsplash
5 Countries Supporting Foreign Aid
Sweden
In April 2025, Sweden pledged $12.7 million to support Rohingya refugees in Bangladesh. More than one million Rohingya live in Bangladesh after fleeing violence and persecution in Myanmar. The package is funding sanitation facilities, food assistance and aid for victims of gender-based violence. Women and children account for more than 75% of the refugee population and in refugee camps, hygiene conditions are poor and malnutrition and abuse are rampant.
Sweden also backed Start Fund Bangladesh, an initiative empowering local organizations to respond quickly to emergencies. Additionally, in 2023, the nation helped fund the World Health Organization’s efforts in Ukraine, which provided care to 5.6 million people with noncommunicable diseases and emergency surgery and trauma care to 38,000 people.
Japan
Japan revised its foreign aid laws to improve efficiency in April 2025. The revisions allow the Japan International Cooperation Agency (JICA) to provide guaranteed reimbursement to banks in developing countries if borrowers do not repay loans. This helps banks continue to give loans to local businesses. The revisions also allowed JICA to help foreign businesses issue bonds to encourage investment. The changes focus on private sector development, a vital part of sustainable growth in developing countries.
Indonesia has maintained a longstanding partnership with Japan through the Official Development Assistance (ODA) program provided by JICA. Indonesia receives the most aid from Japan, with Japan providing 45% of the cumulative aid Indonesia has received since 1960. In February 2025, Japan worked with UNICEF Indonesia to bring nutritious meals and improved education to 2,500 children in schools across the Papua province of the country.
Slovenia
Slovenia sent two shipping containers full of school supplies, sports equipment and medical supplies to Madagascar in March 2025. Businesses, sports associations and the Olympic Committee of Slovenia provided the donations. The aid package followed the construction of a primary school in Antananarivo, the capital of Madagascar, by the nonprofit Caritas Slovenia. The construction began in September 2024, funded partly by the Slovenian Ministry of Foreign and European Affairs.
Education remains a significant challenge in Madagascar, with fewer than one-third of children enrolled through grade five. Only 17.5% achieve adequate literacy levels among those who complete grade five, highlighting the importance of the aid. Also in 2024, Slovenia sent $16.4 million of humanitarian aid to Ukraine and Palestine. On top of that, it gave $23.8 million to developing countries in the Western Balkans, including Serbia, North Macedonia, Bosnia and Herzegovina.
Italy
In March 2025, Italy announced a donation of $73.2 million to Syria. The aid package will support rebuilding after the fall of the Assad regime in December 2024, with focus areas including hospitals, infrastructure and food supply chains. About 43% of hospitals in Syria are not fully operational and 246 health facilities are at risk of closing due to bankruptcy. Additionally, nine million Syrians are food insecure, while the malnutrition rate in children has risen 3.1% since 2019.
Italy also continues implementing its Mattei Plan to support agriculture, education, health, energy and water access in several African countries, including the Democratic Republic of the Congo, Ivory Coast and Mozambique. In May 2025, Italy reaffirmed its collaboration with the African Development Bank as part of the Plan. The partnership aims to invest more than $400 million in private sector development in Africa over the next five years.
South Korea
South Korea sent Myanmar $4 million in aid after a 7.7 magnitude earthquake in March 2025. The aid provided the country with 500 tents, 40,000 water bottles and 80,000 blankets. The earthquake destroyed 55,000 homes and displaced 200,000 people.
In 2024, South Korea increased its foreign aid by $780 million compared to 2023, reaching $3.94 billion. This accounted for 0.21% of its gross national income, the highest level since joining the Development Assistance Committee (DAC) in 2010. Aiming to become a leading donor, South Korea is working toward entering the DAC’s top 10, currently ranking 13th. For 2025, it has allocated $4.7 billion to its foreign assistance budget.
These countries are leading the fight against poverty, ensuring foreign aid remains a policy focus in the future. Their efforts will continue to help millions of people.
– Tyler Payne
Photo: Flickr
Bolsa Família: Poverty Alleviation in Brazil
Hunger Reduction
With the provided cash offerings, many families who had previously suffered from hunger have food security. Last year, the Brazilian Ministry of Social Development and Assistance, Family and the Fight Against Hunger (MDS) gave $30 billion to needy families through the Bolsa Família.
Improved Health and Education
For years, youth mortality rates in Brazil remained high, mainly due to limited access to routine checkups and vaccinations. In response, the Bolsa Família program introduced conditional cash transfers, requiring families to take their children for regular medical visits to receive financial support. So far, more than eight million people have benefited from the initiative, which strongly emphasizes improving family health care.
Furthermore, the initiative has increased educational development with evidence of higher enrollment and academic successes from disadvantaged citizens. A prominent aim of Bolsa Família is to stop children from inheriting the poverty their parents endured by focusing funds toward advancing schooling. As a result, the school enrollment rate has increased by 5.5-6.5%. Similarly, the dropout rates declined by 0.4 and 0.5 points and the grade promotion rate increased by 0.4-0.5 points.
Women Empowerment
Career training and greater access to social assistance programs have opened new job opportunities for women and provided affordable child care services. Women make up 54% of Brazil’s conditional cash transfer program beneficiaries, an investment widely seen as one of the most effective ways to empower women. With increased autonomy, many can now make informed decisions about family planning, creating ripple effects that improve their long-term well-being.
Eliminating Child Labor
Since their consolidation into the Bolsa Família program, initiatives like Bolsa Escola, Bolsa Alimentação, Cartão Alimentação, Auxílio-Gás and the Child Labor Eradication Program have significantly contributed to reducing child labor in Brazil. In 2023, the government reinstated Bolsa Família, enhancing financial support to low-income families. Eligible households now receive approximately R$150 (about $30) per month for each child under age 6, bolstering assistance to vulnerable communities.
What’s Next?
The Bolsa Família program has had a global impact, serving as a model for other countries seeking to address the challenges of poverty and prevent its persistence. Looking ahead to 2030, the program aims to remove Brazil from the Hunger Map while significantly reducing nutritional insecurity across the country.
The goal is to increase disposable income to result in more grocery shopping, recognizing those needing protection and engaging the government to collaborate to eradicate hunger. The program’s lifespan has made a world of a difference to many lives for nearly 23 years and will continue its efforts of poverty alleviation in Brazil.
– Melody Aminian
Photo: Flickr
Prevention Strategies: Malaria in Africa
Geographic Burden and Progress
Countries near the equator, such as Nigeria, the Democratic Republic of the Congo, Uganda and Mozambique, face the highest malaria burden. Nigeria alone recorded about 68 million infections. However, prevention efforts across the continent have prevented an estimated 2.2 billion cases and 12.7 million deaths globally, with most of those malaria cases projected to occur in Africa. Some countries have made significant progress. In Rwanda, for example, malaria cases dropped from 4.9 million in 2019 to 749,000 in 2023. Rwanda’s success stems from its focus on high-risk areas, expanded access to free treatment for adults and vaccination programs for children.
Poverty and Risk Factors
Beyond humid weather conditions, poverty plays a major role in malaria transmission. In Nigeria, many families lack access to mosquito nets, insect repellents or screened housing. Poor working conditions also increase exposure. More than 60% of Nigerians work in agriculture and another 9% in trade, professions that require early morning and evening hours outdoors when mosquitoes are most active. Educational barriers further exacerbate the problem. People without formal schooling are less likely to understand malaria transmission or prevention, making them more vulnerable. If left unchecked, malaria disrupts livelihoods, increases health care costs and perpetuates the poverty cycle.
Vaccination and Treatment Strategies
In 2021, the RTS, S/AS01 malaria vaccine became the first to receive a World Health Organization (WHO) recommendation for widespread use. The Centers for Disease Control and Prevention (CDC) supported this rollout, citing the vaccine’s effectiveness in reducing malaria incidence and child mortality. In pilot programs, the vaccine decreased malaria in children by 30% and reduced overall mortality by 13%, even in areas with high usage of long-lasting insecticidal nets (LLINs).
Alongside vaccination, the CDC also promotes LLINs as an effective physical and chemical barrier against mosquitoes. These nets remain a cornerstone of malaria prevention, especially in rural and high-risk regions. For those already infected, Artemisinin-based combination therapies (ACTs) offer a fast-acting solution. Derived from the sweet wormwood plant, Artemisinin targets the malaria parasite in its blood phase, often clearing the infection within hours when administered intravenously. While not preventative, it remains critical for reducing symptoms and preventing severe illness.
Controlling the Source
Anopheles stephensi, a mosquito species resistant to insecticides and active during daylight, has spread to countries like Djibouti. After nearly eradicating malaria in 2012, Djibouti saw a resurgence of 73,000 cases by 2020 due to the insect’s rapid spread. To counter this, the United States (U.S.)-based company Oxitec released tens of thousands genetically modified (GM) male mosquitoes in Djibouti in 2025. These mosquitoes cannot bite or transmit disease. When they mate with wild females, the female dies shortly after, reducing the mosquito population. Although still in early stages, this approach could offer long-term benefits for vector control across East Africa.
A Path Forward
Malaria prevention has evolved through vaccines, targeted treatment, insecticide-treated nets and now genetic engineering. However, continued investment in education, infrastructure and health care access remains crucial. By tackling malaria transmission and its root causes, public health strategies not only save lives but also create pathways out of poverty for millions across Africa.
– Abegail Buchan
Photo: Flickr
The Hidden Struggles of Japan’s Working Poor
The Reality of the Working Poor
The term “working poor” originated in the United States (U.S.) and refers to individuals who remain below the poverty line despite being employed. More than 30% of employed individuals in Japan fall into this category. Those most affected include younger workers earning lower wages, graduates unable to secure stable employment and middle-to-older generations with limited access to skills development.
A significant factor contributing to the growing population of Japan’s working poor is the decline of Shūshin koyō or lifetime employment. This traditionally guarantees job stability from graduation to retirement. In contrast, there has been an increasing shift toward temporary and contract-based employment, leaving workers vulnerable to financial instability. Budget cuts, particularly within Japan’s civil service, have also led to an increase in irregular jobs that offer lower wages and uncertain futures.
Japan’s economic stagnation has exacerbated financial insecurity, reducing the government’s role in providing social welfare and emphasizing individual responsibility more. As irregular work contracts become more common, private pensions and health care benefits decline, leaving workers unprotected. Critics say “years of deregulation of the labor market and competition with low-wage China have brought a proliferation of such low-paying jobs in Japan. These jobs are “largely uncovered by an outdated social safety net, created decades ago as a last resort in an era when most men could expect lifetime jobs,” compounding the circumstances of Japan’s working poor.
Cultural Barriers
With 80% of those living in poverty included in Japan’s working poor, the country’s deeply ingrained societal norms further complicate matters. The stigma surrounding financial struggle discourages individuals from seeking government aid, even when entitled to assistance. Many people avoid discussing poverty due to concerns about social judgment or personal shame.
The concept of “invisible homelessness” is on the rise. Financially unstable workers, though employed, often resort to living in internet cafés rather than renting permanent housing. The bureaucratic complexity of accessing public assistance discourages individuals from getting the needed help.
Efforts to Combat the Issue
Government intervention has played a role in alleviating poverty through tax reforms and welfare policies. However, historically, Japan has emphasized family and community-based support rather than direct state intervention. Many relief laws, such as the 1874 Relief Regulations and the 1929 Relief and Protection Law, limited aid to only the most vulnerable individuals while excluding the working poor.
However, Japan’s welfare programs have expanded since the Daily Life Security Law (1946, revised 1950). Policymakers have now reviewed plans to increase Japan’s spousal tax deduction threshold to help relieve household financial pressures further. Additionally, in October 2021, Japan’s minimum wage increased from approximately $6.3 to $6.4. For context, Japan’s average loaf of bread costs roughly $1.58. Many argue, therefore, that this minimum wage must be increased further or that a universal “basic income” should be introduced. This would mean that the Japanese government would provide every individual with a standard fund needed to live.
However, this is contentious as there is, as yet, no other country in the world with such a system. There are concerns over where the funds could come from and objections because it could reduce the country’s work ethic. Nongovernmental organizations (NGOs) also play a vital role in supporting struggling workers. Groups such as the Moyai Support Center in Tokyo and HomeDoor in Osaka provide housing assistance, job training and community advocacy efforts. However, as these organizations are only local to certain cities and with the perpetuation of stigma, there are still members of Japan’s working poor who need help.
Key Takeaways
Japan’s working poor continue to face economic uncertainty exacerbated by stagnating wages, irregular employment contracts and deeply ingrained cultural stigma. While governmental policies and NGO efforts aim to combat the issue, lasting change requires systemic reform and societal shifts.
Expanding employment assistance can help workers transition to stable jobs with better pay and benefits and strengthening vocational training will also improve their chances of securing steady work. Critics maintain that increased state involvement is paramount for protecting wages and benefits, regardless of employment type.
Greater awareness and open conversations about financial struggles are critical for breaking the stigmas that reinforce the cycles of poverty. By fostering a culture of support and advocacy, Japan could create a future where no worker is left to struggle in financial hardship.
– Amber Lennox
Photo: Pexels
A Framework for Change: Akokán Fighting Poverty Through Art
While Cuba has a history of overcoming challenges, these challenges have become more and more frequent in recent years. Since the pandemic in 2019, the Cuban economy has struggled to bounce back, with inflation recently estimated to be at 30%. However, spiralling prices are not the only worry for Cubans. Powerful storms regularly hit the island, leading to blackouts due to the outdated Soviet-era power grids. As such, food insecurity has become a big concern on the island, with some estimating that as much as 37.8% of the population is food insecure.
The sugar industry, for example, has declined significantly since 1959, with more than 160 mills reduced to just 20 in 2024. This has resulted in the island importing a product it once dominated. And, with a population of 8.62 million (2023) that shrank by 18% in just two years, brain drain and an aging population have significantly impacted economic output.
The Role of Art in Cuba
Since the Special Period in the 1990s, resilience has become a core element of Cuban identity. Despite recent government efforts to limit artists who seek to raise awareness about the economic difficulties on the island, art has become a vehicle for hope and innovation in Cuba.
What makes Cuban art distinctive is its tendency to use daily objects and turn them into thought-provoking works that deal with themes of struggle and paradox. Yoan Capote, for example, uses oil-based paints with fishing hooks to explore the theme of migration in Cuban culture and the dangers associated with crossing the sea.
Beyond the artwork, the galleries encompass the Cuban spirit of renewal, as the popular Fábrica de Arte (Vedado, Havana) demonstrated: a previously run-down cooking oil factory that became a gallery for emerging and established artists. The space stands as a source of hope for generations in Cuba as it celebrates artistic creation in an environment of economic downturn and struggle.
Akokán
Art is a source of hope and expression in times of difficulty in Cuba. However, some organizations have gone the extra mile to channel the island’s artistic wealth into the most marginalized communities. In 2016, a group of professors and students from the Colegio Universitario San Gerónimo in Havana formed a project called Akokán.
This historical, cultural and environmental project aims to bring out the creative potential of the people from Los Pocitos. Los Pocitos is a community on the outskirts of Havana that faces growing violence, unemployment, housing insecurity and a lack of public spaces. Across the enormous scope of meaningful projects Akokán has delivered, Dame una Mano (lend me a hand) uses urban art for social transformation and strengthening identity.
Additionally, Akokán holds an annual event in Los Pocitos, which celebrates the artistic and innovative achievements of the community.
A Framework for Change
Mass migration, food insecurity and poverty are just a few challenges Cuba faces today. However, a by-product of such a struggle is artistic excellence. What distinguishes Cuban art is its inherent capacity to adapt to societal needs by working with rather than against. Historically, during economic downturns, Cubans have found innovative ways to improve their daily lives. However, a sense of hope manifests through art, culture and conservation.
– Alfie Williams-Hughes
Photo: Pexels
Women Coders: Empowering Women in Ethiopia
Fast forward to the global tech boom of the 2000s and Africa now represents the fastest-growing region for technology worldwide—an enormous opportunity for poverty alleviation through economic growth and increased market access. But as the tech sector grows, gender disparities also widen. In Ethiopia, the digital economy has magnified decades-old inequalities in income, leadership and opportunity.
The Feminization of Poverty
With a population nearing 127 million, Ethiopia ranks as Africa’s second most populous country and one of its fastest-growing economies. Yet, approximately 69% of the population—about 82 million people—live in multidimensional poverty. Additionally, 18.4% or more than 22 million Ethiopians remain vulnerable to poverty. Women in Ethiopia are particularly affected, facing a unique phenomenon known as the feminization of poverty, a concept representing the disproportionate number of women facing debilitating barriers to personal development. The following statistics reflect systemic barriers:
These gaps cost the country an estimated $3.7 billion annually, underscoring the economic consequences of gender inequality.
Tech Training for a New Generation
In Ethiopia, where only half of all primary school girls reach fifth grade, forging a new path to sustainability and financial independence for future generations of women is critical. SheCodes, in partnership with the Delac Foundation, provides a tech-based solution to these ongoing challenges.
The initiative offers coding education to 5,000 Ethiopian women, delivering free online workshops in front-end development, product design and project management. Indeed, with every purchase at SheCodes, one Ethiopian woman receives free coding education through online workshops focusing on product development, design and management.
Founded in 2017 by Matt Delac, SheCodes initially started as an idea supporting only 10 female students. Almost a decade later, SheCodes has provided online training to more than 235,000 women, of whom 2,257 reside in Ethiopia and across 191 developing countries.
Closing the Gender Gap Through Technology
The program’s work includes growing the number of women coders seeking professional and career development by boosting female participation in technology. This increased involvement is pivotal in poverty reduction, driving economic growth and the continued ascent of women and their families.
Research from the World Bank demonstrated how helping women break into the male-dominated digital and tech sector improves income, raises employment and creates new opportunities for all. The Harvard University Center for African Studies demonstrated how women-led tech firms experienced a 34% higher return on investment than those led solely by men. With one coding class at a time, SheCodes bridges the employment and wage gap, equipping aspiring women coders in Ethiopia with the skills to build a better future.
Looking Ahead
Mental Health in Saint Vincent and the Grenadines
The government of SVG continues to make efforts to advance treatment for mental health conditions. Although increasing care and resources for the mental health community in SVG has been difficult, it has made improvements.
Mental Health and Post-Colonialism
Colonialism has had a long-lasting impact on trauma-based mental health struggles. The legacy of colonial-era psychiatry shaped social stigmas around mental health diagnosis and care. For example, enslaved Africans brought to the Caribbean were diagnosed as mentally ill if they tried to escape their masters. Post-abolition psychiatric treatments included locking patients in asylums, away from society. However, a broader, more comprehensive approach to reframing mental health diagnosis and care can help overcome stigma.
The Mental Health Centre
Saint Vincent and the Grenadines has one psychiatric hospital called the Mental Health Centre. The colonial British Government was built it in 1938 to keep psychiatric patients away from society. It was designed to house 90 patients.
The center serves a different purpose today. It provides inpatient, outpatient and drug rehabilitation services. It can now house more than 160 inpatients. As of 2020, the total number of hospital admissions was 401, with 387 being involuntary. About 29.4% of inpatients stayed in the center for less than a year.
Schizophrenia, substance abuse and related disorders, such as psychosis, are the main mental health conditions that receive treatment in SVG. As of 2020, out of 1,125 treated cases of psychosis, 954 were men and 171 were women.
Suicidal behavior among Vincentian adolescents is disproportionately high at 26%. Economic class disparities, substance use, being bullied, access to mental health services and loneliness are all risk factors.
Legislation
SVG passed the Mental Health Act in 1981 and amended in 1991. It includes sections for admission to the psychiatric hospital, mental review board, approved homes, and protection of property of persons suffering from mental disorders.
Psychiatrist Shortage in SVG
The shortage of psychiatrists in Saint Vincent and the Grenadines is alarming. The Saint Vincent Times explained in an April 7, 2025 article, “The recruitment of mental health professionals is hindered by various factors, including limited resources, inadequate incentives and the growing global competition for qualified psychiatrists.” The government of SVG is aware of this issue and is working to recruit qualified mental health professionals.
Government Efforts To Improve Mental Health in SVG
The government, led by Prime Minister Ralph Gonsalves, recognizes that mental health services in Saint Vincent and the Grenadines are still weak. Gonsalves has expressed the importance of providing mental health support to marginalized groups such as prisoners and disaster survivors.
About 6% of the government’s health expenditure goes to mental health care. Mental health services and medication in SVG are free of cost to patients and national health insurance covers them. However, it is a cost to the state. The state’s limited resources continue to be a challenge to improving mental health services for Vincentians. Additionally, the stress of poverty and lack of employment leads to increased depression, anxiety, and other mental health struggles.
Examples of mental health programs implemented by the government include Mental Health Awareness, Mental Health and Suicide Awareness and Psychological First Aid and counseling.
Conclusion
Although SVG has made progress, mental health in Saint Vincent and the Grenadines still has a long way to go. Ongoing efforts to address poverty, increase mental health awareness, fund mental health programs and recruit mental health professionals will help close the gaps in SVG mental health care needs.
– Vijji Michael
Photo: Wikipedia Commons
Making Mental Health in Global Aid a Priority
Mental Health in Crisis Settings
Access to mental health care remains limited in many low-income countries. In Syria, more than half of displaced children report symptoms of depression and anxiety, but only a small portion receive psychological support, as reported by Médecins Sans Frontières. Children with untreated mental health conditions often struggle in school. Adults experiencing psychological trauma may find it difficult to participate in the workforce, while entire communities suffer from weakened social cohesion. These ongoing challenges perpetuate the cycle of poverty.
A Shift Toward Integrated Solutions
Several organizations now recognize the value of integrating mental health into humanitarian aid. The International Rescue Committee (IRC) equips local health workers in Lebanon and South Sudan with training in psychological first aid and ongoing mental health care. This approach ensures sustainability and culturally appropriate care while reducing stigma.
In Nepal, Transcultural Psychosocial Organization (TPO) runs community-based mental health programs that are both cost-effective and scalable. By training teachers, social workers and community leaders to identify and refer individuals with mental health needs, TPO Nepal ensures that services reach even the most remote areas. These community-based models improve sustainability and reduce stigma.
Mental Health Crisis Among Marginalized Groups
Even in high-income nations, marginalized communities face significant mental health challenges. Indigenous groups in Canada and Australia report high rates of suicide and depression linked to intergenerational trauma and systemic neglect. A 2023 report by the United Nations Permanent Forum on Indigenous Issues called for culturally grounded mental health services as part of international development partnerships.
In British Columbia, Canada’s First Nations Health Authority has launched community-led healing programs rooted in Indigenous traditions. These initiatives, supported in part by development funding, serve as a model for mental health in global aid that respects cultural identity while addressing clinical needs.
Likewise, refugee communities in Europe face significant barriers to mental health care. Programs like the Mental Health and Psychosocial Support Network bridge the gap by providing trauma-informed therapy to displaced people from Syria, Afghanistan and other war-torn countries.
The Economic and Social Payoff
According to the World Bank, each dollar invested in mental health generates a $4 return through better health outcomes and increased productivity. According to the WHO, untreated depression and anxiety in low-income countries cost $1 trillion annually. Moreover, mental health support enhances the effectiveness of other aid sectors. For instance, in education, children receiving psychosocial support are more likely to stay in school. In post-conflict reconstruction, communities with mental health services are better equipped to rebuild trust and social infrastructure.
Moving Forward
Expanding the role of mental health in humanitarian aid involves increasing financial investment, integrating psychological support into broader health initiatives and supporting community-based, culturally informed services. Training local health workers can potentially improve the accessibility and continuity of care while helping reduce stigma. As humanitarian needs become more complex, aligning mental health with long-term development efforts could enhance the overall effectiveness and sustainability of global aid.
– Rhasna Albuquerque
Photo: Flickr
Tajikistan Migration: Solutions for Families Left Behind
In response, international organizations and the Tajik government are shifting focus from emergency support to sustainable progress. They’re investing in programs that empower women, support children and help returning migrants reintegrate. These efforts mark a significant initiative in addressing Tajikistan’s migration and development.
Empowerment of Families Left Behind
According to the International Organization for Migration (IOM), women and children in Tajikistan often face increased emotional and economic hardship when male family members migrate for work. In rural areas, where formal employment opportunities are limited, women must take on new responsibilities, often without support or resources.
To address this, in August 2021, the United Nations (U.N.), in collaboration with the Government of Tajikistan, launched a Joint Program titled “Empowerment of Families Left Behind for Improved Migration Outcomes” in the Khatlon region. The program aimed to support families affected by labor migration, particularly in the Kulob and Dusti districts.
The program provided vocational training to 45 women, resulting in state-recognized diplomas and trained 80 social workers in child rights, case management and psychosocial support. Social services reached 200 children and 290 women, offering guidance and referrals. Women participating in the program reported increased confidence and independence, with some launching small businesses to support their households.
Furthermore, it helped establish more than 60 specialized agricultural schools, serving 300 women farmers and 851 children. These schools provide education and community support, giving children a sense of stability while promoting agricultural literacy in a country where farming remains a dominant livelihood. These solutions underscore a growing emphasis on sustainable Tajikistan migration and development strategies.
The 1+1 Approach
Similarly, the Food and Agriculture Organization (FAO) launched a matching grant initiative, encouraging migrants and their families to invest in agriculture. For every dollar a migrant contributes to a small enterprise, the program offers a matching grant. This 1+1 model supports returnees, women-led households and individuals seeking to transition from remittance dependency to independence. Business development and financial literacy training are core components of the initiative, ensuring participants are equipped for long-term success.
Reintegration
Reintegration remains a challenge for migrants returning to Tajikistan, especially when their journey ends due to deportation or economic strains abroad. The IOM offers various reintegration services, including entrepreneurship training, legal assistance and psychological support. These programs aim to turn a forced return into an opportunity for community reinvestment and stability, making them a key part of Tajikistan’s migration and development goals.
Final Thoughts
With international partners and local stakeholders collaborating, Tajikistan is beginning to transition from dependence on remittances to proactive development. By investing in the skills, well-being and resilience of migrants and their families, these programs offer a model for inclusive, community-based solutions to global labor migration challenges.
– Giovanni Garcia
Photo: Wikimedia Commons