Palliative care is crucial in mitigating the suffering of individuals who are suffering from serious and/or terminal illnesses. Of the 54 African countries, 43 have no access to basic palliative care systems. Furthermore, even fewer can provide high-quality care to those who need it. Uganda is paving the way for palliative care in Africa. The country is building a nationwide service for citizens to receive care and comfort in the final stages of their lives.
Current Situation in Africa
Basic palliative care services are unavailable in 79.6% of Africa. The vast majority of the continent’s seriously ill population is denied specialized assistance that would improve their quality of life. Relieving the suffering and stress from somebody’s final days is widely regarded as the compassionate thing to do, as palliative care supports both a patient and their loved ones through difficult times.
Palliative care, when available, is offered to people with illnesses such as cancer, heart disease, dementia and HIV/AIDS. In 2023, there were approximately 396,200 AIDS-related deaths in Africa. The data suggests that most of these individuals would not have had the appropriate medical care, guidance and comfort in the lead-up to their passing. Similarly, it is estimated that 367,000 Africans get diagnosed with dementia annually; again, it can be implied that few of these people receive palliative care that would provide comfort in a time of confusion.
Furthermore, half a million Africans are believed to die from cancer annually. In the next 50 years, the figure is projected to increase by 40%. Therefore, palliative care services need to be implemented now so that the future is as comfortable as possible for those facing cancer and other serious illnesses.
Uganda Paving the Way
Uganda’s population is currently estimated at 46 million and is growing at a rate of 2.9%. This expanding East African nation is making remarkable progress in palliative care, following a comprehensive framework that supports everyone involved in the medical process: patients, health care staff and their loved ones.
The Palliative Care Association of Uganda
The Palliative Care Association of Uganda (PCAU) is one of the key forces driving this positive change in Uganda. Established in 1999, the organization provides holistic care and pain relief for needy people. With more than 1,500 individual members and 230 medical facilities offering PCAU services, they implement a framework supporting seriously ill patients in Uganda. PCAU has developed a strategic plan with five focus areas:
- Capacity building
- Advocacy and awareness creation
- Palliative care research and information
- Governance and support functions
- Sustainability and financial efficiency
Those affiliated with PCAU work hard to implement these strategies. Indeed, outcomes are being achieved with the support of the Ugandan Ministry of Health, ensuring 55,000 people in Uganda receive palliative care.
Hospice Africa
Another key provider of palliative care in Uganda is Hospice Africa. Founded in the U.K. in 1992, the charity trains health care staff. It provides palliative care across Africa, with a significant focus on Uganda. Its clinical headquarters is in Kampala, where programs are implemented, patients are treated and morphine is manufactured.
Uganda serves as the base for Hospice Africa, which provides much of its medical attention there. Notably, 95% of Ugandan cancer patients do not seek curative treatment, highlighting the demand for holistic care. In 2023, three Hospice Africa Uganda sites cared for 2,110 individuals needing medical attention. Among these new patients, 66% were diagnosed with cancer and 7% were younger than the age of 18.
Hospice Africa Uganda’s reach is growing. The financial year 2022/2023 saw a 12% increase in patients as the charity expanded and received more funding to help care for seriously ill people.
What the Future Holds
Uganda is an African nation leading by example in providing palliative care to its citizens. Furthermore, the country is inspiring the rest of the continent to follow suit. However, there is still much work to be done. In October 2024, the Ugandan Ministry of Health reported that only 11% of the 500,000 Ugandans needing palliative care were receiving it. While more progress is needed in Uganda, the country is setting a positive example with its strategic frameworks to assist those needing end-of-life support.
By 2050, the Ugandan population is expected to exceed 100 million, making it encouraging to see effective frameworks for providing holistic care already in place. The increasing availability of palliative care in Uganda is poised to enhance the quality of life for the country’s growing population.
– Megan Hall
Megan is based in Suffolk, UK and focuses on Global Health and Celebs for The Borgen Project.
Photo: Flickr
Tourism in Ethiopia: A Promising Path to Poverty Alleviation
The Role of Tourism in Ethiopia’s Economy
Tourism in Ethiopia has made significant strides, contributing more than 6% to the nation’s Gross Domestic Product (GDP). The sector directly and indirectly employs more than two million Ethiopians, a number that continues to rise as the country attracts more international visitors. Ethiopia experienced a 48% increase in tourism over the past decade due to government efforts to improve infrastructure and market the country as a top destination.
The growth of the tourism sector is especially crucial in rural Ethiopia, where poverty is more pronounced. Tourism is seen as a pathway to economic diversification, providing new income opportunities, especially for women and youth, through job creation in hospitality, guiding, transport services and artisanal handicrafts. But for tourism to effectively reduce poverty, the benefits must flow to the poorest and most vulnerable members of society.
Government Policies
Recognizing the sector’s potential, the Ethiopian government has put in place several policies to align tourism with national poverty alleviation goals. The Growth and Transformation Plan (GTP) identifies tourism as a key sector in driving economic growth and employment. It encourages investment in rural areas to spread the economic benefits beyond major cities like Addis Ababa. Infrastructure improvements, such as road networks and airports, are also part of the strategy to open up remote areas to tourists, helping locals benefit from tourism revenues.
Another important policy is the Sustainable Tourism Master Plan (STMP), which aims to develop sustainable, eco-friendly tourism that benefits local communities. The plan emphasizes the conservation of the environment and cultural heritage while promoting community-based tourism initiatives that ensure tourism revenue stays within the local economy.
Promoting Pro-Poor Tourism in Ethiopia
Several international organizations, nonprofits and local alliances are working on the ground to promote tourism as a means of poverty alleviation in Ethiopia. The World Bank has invested in projects like the Sustainable Tourism Development Project, which aims to create jobs and increase incomes for people living near key tourist destinations such as the Simien Mountains, Lalibela and Lake Tana. Similarly, the United Nations World Tourism Organization (UNWTO), through its Sustainable Tourism-Eliminating Poverty (ST-EP) initiative, works with the Ethiopian government to promote eco-tourism and community-based tourism projects that can directly benefit impoverished populations.
At a more localized level, the Ethiopian Sustainable Tourism Alliance (ESTA) focuses on empowering rural communities through community-based eco-tourism projects. ESTA provides training in hospitality and entrepreneurship, allowing local people to capitalize on tourism in their regions. These ongoing initiatives help locals set up guesthouses, provide guiding services, or sell handicrafts, ensuring that they can directly benefit from the growing number of tourists visiting the country.
SNV Ethiopia, a nonprofit development organization, also plays a significant role in fostering community-based tourism initiatives. SNV’s projects emphasize the empowerment of local communities, helping them build sustainable tourism businesses that offer authentic cultural experiences to visitors.
Initiatives for Local Communities
Several tourism initiatives have been developed across Ethiopia with a specific focus on alleviating poverty. Community-based tourism projects are among the most promising, particularly in areas like the Simien Mountains, where locals serve as guides, porters and lodge operators. In these projects, tourism provides a direct source of income for the community.
Looking Ahead
Ethiopia’s tourism sector holds immense promise, but challenges such as infrastructure limitations and a lack of community resources still need addressing. Expanding access to rural areas and enhancing local skills could be key to unlocking tourism’s full potential. Ensuring sustainable practices in tourism development can potentially protect Ethiopia’s rich cultural and natural heritage while continuing to foster economic growth. With targeted investments and a focus on inclusive development, Ethiopia is well-positioned to turn tourism into a driving force for poverty reduction and a better future for its citizens.
– Yuhan Ji
Photo: Flickr
The Gates Foundation in India: Helping the Fight Against Poverty
Transforming Sanitation in Wai
The unsafe disposal of human feces is a global issue harming public health, increasing psycho-social stress and hindering human and economic development, with more than 80% of untreated sewage still being discharged into the environment. In India, sanitation remains a vital public health challenge, with 11% of the population – around 155 million people – still practicing open defecation in 2022, according to the World Bank.
One notable example of progress is the city of Wai in Maharashtra, which has implemented an inclusive and equitable sanitation model. The initiative aims to reduce health risks by preventing the accumulation of harmful waste in areas lacking proper sanitation infrastructure. With help from the Gates Foundation and through collaboration with its citizens, Wai was the first municipality in India to introduce scheduled desludging of all septic tanks, providing safe waste treatment for its entire population – regardless of their financial status.
Helping Marginalized Farmers in Odisha
In 2023, the Union Home Minister and Minister of Cooperation announced that 65% of India’s population is part of the agricultural sector, providing livelihoods for millions. In Odisha, 70% of the population depends on agriculture for income. A partnership called ADAPT has been established between the Government of Odisha, the Gates Foundation and Samagra- a private consulting firm, to assist marginalized farmers and improve productivity. The goal is to help the state’s policymakers make data-informed decisions in the agricultural sector.
With the ADAPT Dashboard, a Decision Support System that combines agricultural data from various sources into an online platform accessible to government officials, the State of Odisha can then meet farmers’ needs efficiently – anticipating challenges and optimizing the raw material supply chain. ADAPT also shares information on seed treatment, soil health, irrigation and insurance with farmers to increase their productivity.
There has already been a 90% reduction in crop losses with the Customized Pest Advisory service, confirming that while this initiative is boosting agricultural productivity, it is also helping more farmers to thrive despite climate challenges and market fluctuations.
Building Inclusive Financial Systems
Financial inclusion is another pillar of the Gates Foundation’s work in India. One of its key initiatives in this area is supporting the Pradhan Mantri Matru Vandana Yojana (PMMVY) scheme in partnership with the Center for Digital Financial Inclusion (CDFI). This program aims to empower women by providing financial assistance during maternity, reducing the financial burden on low-income families during pregnancy and enhancing maternal health.
Since 2017 and with the Gates Foundation’s involvement, the PMMVY scheme has offered $59.50 in direct cash transfers to lactating mothers, compensating for the wage losses they experience during pregnancy and postnatal care. With access to health care services frequently relying on the family’s financial situation, this digital inclusion initiative is crucial for marginalized women who may otherwise be excluded from the formal banking system or cannot rely on their family’s financial support. The program ensures transparency and accountability by delivering the payments digitally, illustrating India’s inclusive growth and economic development.
Conclusion
Through its focus on sanitation, agriculture and financial inclusion, the Gates Foundation is helping the fight against poverty in India. The success of Wai’s sanitation model, the ADAPT partnership in Odisha and the PMMVY scheme demonstrate how targeted interventions can improve health, economic stability and livelihoods. These initiatives show how combining innovative solutions with data-driven policies and equitable access to services can help India build a more inclusive future.
– Alissa Naydenova
Photo: Flickr
Tackling Malnutrition with Sanku’s Dosifier Technology
The Problem of Micronutrient Malnutrition
Micronutrient malnutrition, often referred to as ‘hidden hunger,’ affects 2 billion people globally. This type of malnutrition results from a lack of essential vitamins and minerals, which can lead to severe health issues. In rural communities in Africa, where poverty rates in Africa are high, nutritious food is limited. In Tanzania, 95% of the population, more than 50 million people, do not benefit from large-scale food fortification programs because they rely on small-scale mills that cannot fortify their flour. These people mainly consume maize flour. Maize flour, although calorie-dense, is nutritionally low. This, in turn, makes them susceptible to preventable diseases and increased mortality rates.
Sanku’s Innovative Dosifier
Sanku’s solution to this is its award-winning dosifier, a device designed specifically for small rural mills in East Africa. The dosifier adds precise amounts of critical nutrients such as iron, zinc, folic acid and vitamin B12 to the calorie-dense maize flour during the milling process. By partnering with local millers, the organization ensures that the fortified flour reaches those who need it most. Sanku has installed nearly 500 dosifiers across 400 mills in Tanzania and Kenya and, therefore, provides this fortified flour to 7.1 million people. The dosifier allows millers to sell the fortified flour at the same price as unfortified flour.
Leveraging IoT
To further expand its reach, Sanku had partnered with Vodafone, incorporating Internet of Things (IoT) technology into its dosifiers. This partnership allows for real-time monitoring of the fortification process, ensuring they are working effectively. With Vodafone’s IoT SIM cards, one Sanku working can now monitor 100 mills, fortifying flour for 500,000 people. This real-time data helps Sanku track maintenance needs, power supply and fortification levels remotely. Moreover, Vodafone’s mobile payment service, M-Pesa, simplifies financial transactions for millers, making it easier for them to purchase fortification premix.
Reaching Millions
Sanku’s ambition is to reach 25 million people in East Africa by 2025, ultimately preventing malnutrition-based diseases, In 2023, the organization also launched a nutrient-premix facility in Tanzania, giving it more control over its supply chain and reducing cost. Sanku’s impact extends beyond just health improvements. By providing fortified flour to vulnerable communities, the organization saves billions in GDP and helps boost productivity. In 2019, Sanku’s dosifier technology was recognized by Time Magazine as one of the top 100 inventions of 2019, highlighting its potential to transform food insecurity globally.
Vision 2030
Sanku’s long-term goal is to reach 100 million people with fortified flour by 2030. The organization is already scaling its efforts beyond Tanzania and Kenya with plans to expand into Malawi and Rwanda. With the continued support of partners like Vodafone, it is set to make a significant dent in global malnutrition. Sanku’s dosifier technology represents a breakthrough in the fight against hidden hunger by enabling small-scale mills to fortify flour with essential micronutrients. With ambitious plans to scale further and reach 100 million people by 2030, Sanku is on its way to making a lasting impact on global food security.
– Ellisha Hicken
Photo: Flickr
Ending Period Poverty in Indigenous Communities
NACCHO
National Aboriginal Community-Controlled Health Organisation (NACCHO) works towards menstrual health equity, or what it calls “period parity,” for all. The NACCHO clinics are trusted among Indigenous people. The practitioners are culturally sensitive and use holistic health approaches. This organization is writing a free teaching guide based on the views of Indigenous students. The focus of the guide is period care products and the biological aspects of menstruation.
Share the Dignity
Share the Dignity’s Indigenous Menstrual Health (IMH) focuses on making sure Aboriginal and Torres Strait Islanders have access to affordable period products. Their approach to ending period poverty in Indigenous communities is working hard to address issues that are a part of the Water, Sanitation, and Hygiene (WASH) system.
Building strong relationships with Aboriginal and Torres Strait Islanders has been an important part of the process. The organization has teamed up with researchers and Indigenous people to start initiatives such as “It’s in the Bag” donations and “Dignity Vending Machines.” These initiatives aim to make period care easy to access discreetly and start important conversations within the communities.
Nunavut Tunngavik Inc.
Nunavut Tunngavik Inc. (NTI) buys, stores and distributes menstrual supplies and necessary equipment to schools and youth program organizations in Nunavut. The NTI is working with Inuit-owned businesses to buy and ship menstrual products to those who need them the most. Schools and health centers sell products, but they are often inaccessible due to their high costs- $20 for a box of 40 tampons. NTI recognizes the barriers blocking access to materials. The organization knows that to be successful in the fight for ending period poverty in Indigenous communities, it must help remove those barriers.
Moon Time Connections
Founded in 2017, Moon Time Connections is a national Indigenous-led period equity group under True North Aid (TNA). The mission of the TNA is to offer humanitarian support to remote and Northern Canadian Indigenous communities. Moon Time Connections works under the TNA umbrella to distribute products to Indigenous menstruators across Turtle Island, focusing on the accessibility of menstrual products and providing menstrual education.
Nicole White is the founder of Moon Time Connections. When White learned that students were missing school because of their lack of access to menstrual products she decided to take action. As of 2024, Moon Time Connections is working towards ending period poverty in Indigenous communities by increasing their support nationwide. So far, this includes offices in Saskatchewan, Ontario, Manitoba and British Columbia. It has shipped over 4 million period products to over 120 northern Indigenous communities, according to TNA.
Fighting Period Poverty in Indigenous Communities
Addressing period poverty in Indigenous communities is a complex and urgent issue. Support from organizations is important for providing resources and support where it is necessary the most. By working with Indigenous people and taking the time to understand the challenges they face, these organizations have made significant strides towards ending period poverty for Indigenous populations worldwide.
– Alysha Miller
Photo: Flickr
ShareTheMeal: Social Media Helping Fight Hunger
Advocacy and Engagement
Many people use multiple platforms such as Instagram and Twitter to raise awareness for issues across the world. Various organizations and individuals have used platforms for advocacy and engagement to help fight global hunger.
In 2015, the World Food Program (WFP) created the ShareTheMeal campaign which allows users to help those in need with just a few taps on their phone. This helped the cause as the ease of creating a change meant that people were more likely to donate and help the issue, as well as create awareness and a place for people to make a change on the issue of global hunger.
Social media can mobilize people to fundraise which is one of the ways how the ShareTheMeal campaign works. Sharing campaign links through social media brings users closer to helping those in need with only a few taps. ShareTheMeal campaign requires €0.70 minimum to pay and in 2022 it has helped provide 150 million meals around the world.
Real-Time Updates and Wider Reach
The fast-paced nature of social media means that there are real-time updates and the updates can reach people faster. With a broader and quicker reach, people all over the world take an interest and want to find out more. This can be seen through the ShareTheMeal campaign by highlighting certain issues quickly and in depth. In 2020, the Beirut blast further worsened the already existing food crisis in Lebanon. Within 48 hours, ShareTheMeal set up a campaign and helped provide food to people who were struggling, WFP reports.
ShareTheMeal also created a campaign to support people living in Palestine without proper resources to feed themselves and supported 1.1 million people with food just in July 2024. This highlights how campaigns that are on social media can reach a vast number of people quickly and create mass awareness and support for issues surrounding global hunger.
ShareTheMeal
This is just one of the many campaigns on social media currently trying to tackle the issue of global hunger. Charities and organizations that are using social media are important to help both large-scale issues as well as small scale, both by raising awareness and funds for global hunger.
– Rosie Miller
Photo: Flickr
Uganda Paves the Way for Palliative Care in Africa
Current Situation in Africa
Basic palliative care services are unavailable in 79.6% of Africa. The vast majority of the continent’s seriously ill population is denied specialized assistance that would improve their quality of life. Relieving the suffering and stress from somebody’s final days is widely regarded as the compassionate thing to do, as palliative care supports both a patient and their loved ones through difficult times.
Palliative care, when available, is offered to people with illnesses such as cancer, heart disease, dementia and HIV/AIDS. In 2023, there were approximately 396,200 AIDS-related deaths in Africa. The data suggests that most of these individuals would not have had the appropriate medical care, guidance and comfort in the lead-up to their passing. Similarly, it is estimated that 367,000 Africans get diagnosed with dementia annually; again, it can be implied that few of these people receive palliative care that would provide comfort in a time of confusion.
Furthermore, half a million Africans are believed to die from cancer annually. In the next 50 years, the figure is projected to increase by 40%. Therefore, palliative care services need to be implemented now so that the future is as comfortable as possible for those facing cancer and other serious illnesses.
Uganda Paving the Way
Uganda’s population is currently estimated at 46 million and is growing at a rate of 2.9%. This expanding East African nation is making remarkable progress in palliative care, following a comprehensive framework that supports everyone involved in the medical process: patients, health care staff and their loved ones.
The Palliative Care Association of Uganda
The Palliative Care Association of Uganda (PCAU) is one of the key forces driving this positive change in Uganda. Established in 1999, the organization provides holistic care and pain relief for needy people. With more than 1,500 individual members and 230 medical facilities offering PCAU services, they implement a framework supporting seriously ill patients in Uganda. PCAU has developed a strategic plan with five focus areas:
Those affiliated with PCAU work hard to implement these strategies. Indeed, outcomes are being achieved with the support of the Ugandan Ministry of Health, ensuring 55,000 people in Uganda receive palliative care.
Hospice Africa
Another key provider of palliative care in Uganda is Hospice Africa. Founded in the U.K. in 1992, the charity trains health care staff. It provides palliative care across Africa, with a significant focus on Uganda. Its clinical headquarters is in Kampala, where programs are implemented, patients are treated and morphine is manufactured.
Uganda serves as the base for Hospice Africa, which provides much of its medical attention there. Notably, 95% of Ugandan cancer patients do not seek curative treatment, highlighting the demand for holistic care. In 2023, three Hospice Africa Uganda sites cared for 2,110 individuals needing medical attention. Among these new patients, 66% were diagnosed with cancer and 7% were younger than the age of 18.
Hospice Africa Uganda’s reach is growing. The financial year 2022/2023 saw a 12% increase in patients as the charity expanded and received more funding to help care for seriously ill people.
What the Future Holds
Uganda is an African nation leading by example in providing palliative care to its citizens. Furthermore, the country is inspiring the rest of the continent to follow suit. However, there is still much work to be done. In October 2024, the Ugandan Ministry of Health reported that only 11% of the 500,000 Ugandans needing palliative care were receiving it. While more progress is needed in Uganda, the country is setting a positive example with its strategic frameworks to assist those needing end-of-life support.
By 2050, the Ugandan population is expected to exceed 100 million, making it encouraging to see effective frameworks for providing holistic care already in place. The increasing availability of palliative care in Uganda is poised to enhance the quality of life for the country’s growing population.
– Megan Hall
Photo: Flickr
Organizations Providing Aid to Palestine
Islamic Relief
Islamic Relief is dedicated to assisting the world’s most vulnerable populations. Founded in 1984 by Hany El-Banna in response to the famine in East Africa, the organization mobilized the Muslim community to support those in need, securing more than $176,000 to fund various poverty-reduction projects. From then on, the organization grew to support many other disadvantaged groups.
Today, it has lifted more than a billion people out of poverty, contributed to the increase in life expectancy and expanded access to education. Islamic Relief is currently partnering with organizations to provide aid to those in Gaza, offering hot meals, clean water, recreational activities and an orphan sponsorship program.
The Palestine Children’s Relief Fund
The Palestine Children’s Relief Fund (PCRF) is a key organization delivering aid to civilians in Gaza and the West Bank. Founded in 1991 by humanitarians in the USA, PCRF focuses on providing health care to ill and injured children who lack access to local medical services. Since its inception, the organization has sent more than 2,000 children abroad for specialized medical care. It has also provided international doctors and nurses to local hospitals at no cost.
UN Organizations
U.N. organizations, such as the United Nations International Children’s Emergency Fund (UNICEF) and the United Nations Relief and Works Agency (UNRWA), also provide aid to the Palestinian people. In Gaza, UNICEF is on the ground, distributing clean water and administering essential vaccines. The organization focuses on the suffering of children in Palestine while advocating for an immediate ceasefire and ensuring the protection and access to resources for all children.
Additionally, UNRWA provides Palestinian families with support services, such as food, water, cash assistance, education and health care. While both U.N. organizations were initially skeptical about the dire situations faced by these disadvantaged groups, rising injury and death tolls, along with the destruction of essential infrastructure, have demonstrated the extreme vulnerability of the Palestinian people and their urgent need for assistance.
Final Note
While the humanitarian crisis in Palestine persists, numerous nonprofit organizations are successfully providing aid to the people of Gaza. Much of this success is due to the countless individuals who recognize the importance of humanitarian efforts in preventing the destruction of a vulnerable population and restoring hope for a better future.
– Sophia Kharal
Photo: Pixabay
Medical Reforms in Chile
Reforms included a focus on rural and ambulatory services and increased community involvement in health care by the government. Furthermore, importance was placed on opening nationwide health centers, moving resources that the hospital sectors once controlled into the community and expanding the milk distribution program. This six-year health plan was a response to some of the previous health plan’s shortcomings, most notably the lack of comprehensive and complete health care coverage and lack of focus on primary care.
With the military coup in 1973, Allende’s “The National Health Service” was replaced by the “National System of Health Services” under the new leadership. Medical care could no longer be provided for free and competition within medical practice became the norm. The Secretary-General said at the time, “We want to incorporate into the health system certain aspects of the market economy…competition will allow the physician who provides the best care to gain a larger clientele.”
Problems With the Current System
Chile’s health care system is currently financed by two main entities: the Fondo Nacional de Salud (FONASA) and the Instituciones de Salud Previsional (ISAPRE). Approximately 80% of the population is covered by FONASA. The remaining 20% relies on ISAPRE, which includes additional charges based on risk assessments. This structure often leaves many elderly and chronically ill individuals unable to afford the necessary services.
Due to insufficient resources, many of those under the FONASA cannot take advantage of hospital services. Indeed this has led many to not be enrolled with a public health care facility, which has caused an increase in emergency care department visits. The current system faces several additional challenges, including:
Program for Universal Primary Health Care
In December of 2023, the World Bank approved a loan of $200 million to aid Chile’s current efforts to reform its health care system. By 2027, it hopes to reach approximately 187 out of 346 municipalities with an emphasis on primary care. The program will have three main areas of focus:
All three focus areas aim to target the population not covered by FONASA. Those with coverage who are not currently in a Public Health Care (PHC) system. The goal is to reduce the number of patients seeking care directly in emergency services. Other medical reforms in Chile seek to further these objectives by expanding effective coverage in PHC. Additional reforms seek to establish a more resilient system, improving the model for both social and health care and optimizing resources for monitoring and evaluating the health care system.
Final Note
With these new implementations, the health care system in Chile aims to grow stronger. Furthermore, care could become more accessible and reliable for its citizens. Chile aims to build on the foundations established by the health care systems of the past and learn from past mistakes and shortcomings.
– Isabella Chavez
Photo: Pexels
DRC Begins Mpox Vaccination Program
Provisions from the EU
To curb the spread of the virus, the DRC relies on the European Union (EU), donation of 265,000 MBA-BN vaccines, with the help of the U.S. Government, Gavi and Africa CDC. These vaccines require two shots administered one month apart and are available only to adults, according to UNICEF.
With a population of more than 100 million, this means there is a limited amount of doses, so officials have had to target the campaign to those most vulnerable to Mpox. So far, the campaign has focused on the country’s North Kivu and Equateur provinces, the two regions that have recorded the highest number of cases. Within these areas, the Ministry of Health will provide the doses to the most at-risk groups, such as those with existing health problems. UNICEF has coordinated the transport and delivery of the vaccines, as well as the storage and shipment across the DRC.
Further Expected Doses
Although officials in the DRC are currently working with a limited supply of vaccines, the nation has also signed an agreement with the government of Japan, which promises the supply of LC-16 vaccines. LC-16 only requires one shot for immunisation and is currently the only one that has approval for children. One of the most disproportionately impacted, children under 15 are some of the most vulnerable to the virus, accounting for 60% of all recorded cases and 80% of deaths in the DRC, according to UNICEF.
Logistical Difficulties
Alongside limited availability, officials have also faced difficulties when planning the implementation of the Mpox vaccination program itself. Vaccines must be kept as low as -20 degrees Celsius, and, once defrosted, need to be used within 40 days to be effective. Officials are therefore working with a limited time frame in which they can transport and administer doses from the central storage facility in Kinshasa. This poses particular difficulty for the nation’s more rural areas which take longer to reach, an issue that has only been exacerbated by the ongoing conflict in the DRC between the government and rebel groups. This has made access to rebel-controlled regions much more limited and therefore made the transportation of medical resources such as vaccines to these areas much more difficult.
Government efforts, educational campaigns and attempts to raise awareness about the virus, and vaccines are just some of the ways the DRC is currently working to combat the spread of Mpox. Its collaboration with international organizations has proved key to the start of the Mpox vaccination program, and further provisions from nations such as Japan will hopefully allow for the continued suppression of the virus.
– Izzy Tompkins
Photo: Flickr
Fragility and Rule of Law in CAR
Politics, Violence and Economy
CAR has a long history of instability, state disintegration and political violence. It straddles the Sahel region, with a majority Muslim population, while savanna communities are mainly Christian. The conflict has regularly broken out between the Muslim ex-Seleka rebels and the Christian anti-balaka rebels. In 2013, Seleka rebels stormed the capital, Bangui and the country descended into a brutal civil war that continues in some parts of the country.
CAR suffers acutely from gender-based violence (GBV) against women and girls, recording 23.644 cases of GBV in 2022. Inadequate food and water resources, poor health care and weak housing infrastructure exacerbate tensions within households. These challenges, along with socio-cultural norms that are unfavorable to women, have led to sub-optimal survival strategies.
An unstable economy also influences fragility in CAR. Its government has failed to provide basic public goods, including water, food and health care. Poor education and job insecurity have stunted its growth. CAR has a rich endowment of natural resources but has not benefited due to mismanagement. According to the World Bank, the country has also suffered from flooding, fuel shortages and declining international timber trading. These challenges risk an already fragile economy.
Solutions
MINUSCA is a multidimensional United Nations peacekeeping operation set up by the Security Council in 2014. Its mission is to assist CAR in building national stability. It prioritizes the country’s security, rule of law, human rights and political crisis. MINUSCA provides military and police services from regions such as Rwanda to handle disarmament, demobilization and reintegration in CAR.
Cooperazione Internazionale (COOPI) focuses on supporting victims of GBV in CAR. Women and girls gather in a welcoming home in Bangassou where they are encouraged to participate in activities such as knitting and patternmaking, providing them with psychosocial support.
Pelvia, an 18-year-old girl spoke about the positive effect COOPI has had on her life. She spoke about the skills she has learned and how they have provided her with an income to buy necessities that she would otherwise be unable to afford. Pelvia is also glad for the company and support of the other women and girls who have shared similar traumatic experiences, UNOCHA reports.
Economic Growth
CAR receives most of its financial aid from the International Monetary Fund (IMF). In June 2024, the IMF approved an extended $25 million disbursement to continue the push for economic growth in CAR. The aid has been distributed to assist the economy and sustain priority spending on basic public services. The IMF forecasts that CAR’s economy will grow by 1.4% in 2024.
Looking Ahead
Fragility and rule of law in CAR are improving. The country has a long road to stability but there are positive forecasts for its future.
The Economist Intelligence reports that the country’s economic activity will continue to rise over the next few years, with help from the IMF’s funded program. Whilst many areas of CAR are still overrun by rebel groups, the government, with assistance from Russian and Rwandan forces, has control over several major cities, including the capital. This allows for a more stabilized political structure and open rule of law in these areas.
– Millie Trussler
Photo: Flickr