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Ending the Ebola Outbreak in the DRC

Ebola Outbreak in the DRCOn Dec. 1, 2025, the Democratic Republic of Congo’s (DRC) Ministry of Health declared the end of the Ebola outbreak that occurred in Kasai Province. Since 1976, this was the 16th outbreak recorded in the country. The outbreak first occurred in the Bulape Health Zone and was declared on Sept. 4, 2025. A total of 64 cases were reported, with 45 deaths and a case fatality rate of 70.3%.

The urgent national and international response, including surveillance, case management, vaccination and community engagement, achieved successful containment of the disease. The outbreak occurred in a rural, hard-to-reach area with poor roads and limited infrastructure. The response illustrates how effective disease control safeguards vulnerable populations, minimizes economic disruption and supports poverty reduction while strengthening health systems in low- and middle-income countries. The last Ebola patient was discharged on Oct. 19, 2025, in Bulape, triggering the required 42-day countdown before officially declaring the outbreak over. Since Sept. 25, 2025, no new Ebola cases have been reported.

National Response and Vaccination Campaign

The leadership of the DRC government and the Ministry of Health led to a rapid response to the Ebola outbreak. Pre-existing agreements with vaccine manufacturers ensured immediate availability, and Gavi, the Vaccine Alliance, played a vital role in delivering 300,000 investigational doses of the rVSV-ZEBOV Ebola vaccine. As a result, ring vaccination was rapidly implemented on Sept. 14, 2025, in the Bulape Health Zone, focusing on high-risk contacts and frontline health workers. The World Health Organization (WHO) and Médecins Sans Frontières (MSF) also contributed operational support.

A total of 112 WHO experts and frontline responders were deployed to support field operations, and more than 150 tons of medical supplies and equipment were delivered to safeguard health workers and communities. Strong government coordination and decision-making also resulted in the introduction of an Infectious Disease Treatment Module (IDTM) to deliver higher-quality patient care while enhancing health worker safety. As a result, more than 47,500 people were vaccinated against Ebola.

The United Nations Children’s Fund (UNICEF) also played a vital role in preserving vaccine cold chain integrity in a region with limited infrastructure while working in close partnership with the DRC Ministry of Health, WHO and other United Nations (U.N.) agencies. Beyond vaccination, UNICEF supported medical care for Ebola patients, strengthened hygiene measures in schools and health facilities and delivered community education on disease prevention. Operational challenges were addressed by improving access to clean water at Bulape Hospital through the installation of a piped water system, delivering lasting benefits for both the facility and the wider community. The coordinated response halted transmission, minimized secondary infections and enabled the outbreak to be declared over.

Treatment Center and Clinical Efforts

The establishment of a new treatment center in Bulape supported the successful management of the Ebola outbreak. The 32-bed facility has been operational since Oct. 9, 2025, and was built on a 4,500-square-meter site located 200 meters from Bulape General Hospital. The center features 14 tents with private rooms to ensure patient dignity and privacy. Patient monitoring systems allowed staff to provide care without direct exposure to the disease, clearly separating “red zone” (high-risk) and “green zone” (low-risk) areas for safer workflow. The center also included a water, sanitation and hygiene system with a 20,000-liter capacity supplied from a protected source 1.2 kilometers away.

Another key innovation was the introduction of the Infectious Disease Treatment Module (IDTM) to provide more humane care. The module included the use of a “patient liner,” which allows constant patient visibility while maintaining safety, and a deliberate shift in language to emphasize dignity by referring to people as “patients” rather than “cases” and facilities as “treatment centers” instead of “isolation centers.”

In terms of staffing, 50 health professionals and 75 hygienists were trained, all staff were vaccinated and 64 WHO experts were deployed.

As a result, continuous collaboration between the Ministry of Health, WHO, Africa CDC and NGO partners made timely access to treatment and vaccines critical to reducing fatalities and stopping the outbreak. The WHO Africa director, Dr. Mohamed Janabi, said, “The recovery of the last patient … illustrates the strength of partnership, national expertise and collective determination to overcome obstacles to save lives.”

Looking Ahead

The successful containment of the Ebola outbreak in the DRC demonstrates the strength of coordinated public health action, effective partnerships and community engagement. Beyond ending transmission, the response improved preparedness, strengthened health systems and built community resilience. This achievement reinforces regional health security and reflects the DRC’s growing capacity to respond effectively to future outbreaks.

– Angela D’Avino

Angela is based in Preston, UK and focuses on Good News and Global Health for The Borgen Project.

Photo: Pixabay

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Remembering Jane Goodall

Jane GoodallDr Jane Goodall- global conservation icon, humanitarian and U.N. Messenger of Peace– was a pioneering scientist whose compassion and curiosity reshaped humanity’s relationship with the natural world.

Background

When Goodall entered the forests of Gombe in 1960, she was the first to observe chimpanzees not only using, but making tools- shattering the myth that tool-making was uniquely human. Her approach revealed their emotional depth- grief, joy, friendship- and redefined our understanding of animal behaviour, and what it means to be human.

However, to remember her merely for her time spent beneath the trees in Tanzania would be to disregard much of her life’s work, for wildlife conservation was just the beginning for Goodall. Early on in her career, she recognized that protecting wildlife and championing community empowerment were undeniably inseparable pursuits, and that conservation cannot succeed in isolation from community well-being.

Today, through education, community-led conservation and youth empowerment, her work continues to uplift communities all around Africa.

Roots & Shoots

Roots & Shoots translates Goodall’s core belief– that every individual can make a difference- into an engine for poverty reduction. Founded by Dr Jane Goodall after a conversation with Tanzanian students eager to tackle poverty and environmental decline, the initiative has grown from a small youth group into a global movement that operates in more than 75 countries.

Its mission is to foster respect and understanding for all living things and inspire youth-led action to improve communities and protect the environment. Each Roots & Shoots group identifies local challenges and designs three projects: one for people, one for animals, and one for the environment. From school gardens and tree planting to beekeeping and waste recycling, these local initiatives connect to the wider Roots & Shoots mission: to promote compassion and sustainability.

Today, the program continues to fight poverty by equipping young people with leadership, vocational and environmental skills. By empowering youth to design locally relevant projects that deliver income, food security and skills while protecting the environment, the programme demonstrates how compassion can manifest practical solutions that strengthen communities and protect the ecosystems they depend on.

The TACARE Model

In 1994, the Jane Goodall Institute launched the TACARE program in the villages surrounding Gombe National Park and the Lake Tanganyika catchment in Tanzania. Faced with a shrinking forest island surrounded by deforested hillsides, farmland and housing settlements, Goodall recognized that addressing the needs of local communities is necessary for the chimpanzee habitat to succeed.

When basic livelihoods are insecure, people turn to practices such as charcoal production, slash-and-burn agriculture or deforestation, all of which degrade ecosystems and threaten wildlife. Key provisions of the program include managing soil fertility and erosion, improving medical and educational facilities and providing micro-credit programmes to launch sustainable income-generating activities. By improving economic opportunity and local well-being, the programme creates the conditions for communities to invest in conservation.

Impacting Communities

Additionally, TACARE’s use of mapping and various geospatial tools such as satellite imaging by local community members builds local leadership, understanding and long-term commitment to the agreed land-use plans. TACARE has been implicated in more than 100 communities in Tanzania and has inspired similar programmes across the region.

By placing communities at the centre, combining livelihood improvement with natural-resource stewardship, and using innovative tools to foster dialogue and decision-making, the TACARE model offers a blueprint for conservation-led development.

The Jane Goodall Institute and Women’s Education

In 1977, Goodall founded The Jane Goodall Institute, a global nonprofit organization. Headquartered in the United States, the Institute has offices in almost 30 countries across Africa, Europe and North and South America. Its model of community-centred conservation has influenced policy, research and sustainable development worldwide. Particularly, the Institute recognises that women are central to both poverty reduction and conservation, and works to foster their empowerment.

In rural Uganda, the Girls in Action program provides reusable sanitary pads, underwear and school supplies to increase school retention for girls since nearly one in four Ugandan girls aged 12 to 18 drops out of school when menstruation begins. The Initiative also offers reproductive-health training and peer counselling, encouraging young women to make informed choices about their future. Further, Girls in Action integrates environmental education into classrooms.

By enabling girls to stay in school, gain leadership skills and understanding of conservation, the programme uplifts entire households and strengthens the resilience of communities and ecosystems alike.

Empowerment

Through Dr Jane Goodall’s tireless work, conservation has become a path to empowerment and a tool against poverty. Her legacy endures not only in the forests of Gombe but in every community she has inspired to live in harmony with nature. In remembering her, the world inherits both her mission and her boundless belief in a better world.

– Elysha Din

Elysha is based in Guildford, UK and focuses on Good News and Politics for The Borgen Project.

Photo: Flickr

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4 Charities Combating Period Poverty in Poland

4 Charities Combatting Period Poverty in Poland Poland has seen a significant rise in living standards in the last 20 years, with GDP per capita doubling since 2005. However, period poverty in Poland remains a significant issue.

Period poverty is when women lack adequate access to the quantity or quality of menstrual hygiene products. Many have criticized health care for women in Poland in recent years, not only for the abortion ban but also for poor levels of gynaecological care, a lack of funding from the national health fund and difficult access to contraception. Women’s health remains a taboo issue within Poland, with 41% of Polish women reporting that menstruation was never discussed in the family home.

The Kulczyk Foundation’s Period Study

In 2020, the Kulczyk Foundation conducted a large-scale survey on young girls and attitudes toward periods within Poland. This revealed shocking levels of menstrual shame and demonstrated high levels of period poverty. The study found that 21% of schoolgirls leave school due to a lack of access to menstrual products and that one-fifth of Polish women struggle to buy appropriate menstrual products. It also revealed that women and girls had misconceptions surrounding periods, with 25% of women thinking it was impossible to get pregnant during their period and 22% believing women should not go to the dentist during menstruation.

4 Charities Combating Period Poverty in Poland

Here are four organizations and charities that are doing the most to combat period poverty in Poland.

  1. The Różowa Skrzyneczka (Pink Box) Foundation. The Pink Box foundation aims to alleviate period poverty in Poland and reduce the stigma surrounding menstruation. This programme directly counteracts menstrual poverty through publicly available boxes containing free pads and tampons. Public spaces such as libraries, parks, transport hubs and schools are used to host these boxes. So far, major cities including Rzeszów, Sopot, Gdańsk and Łódź have implemented them.
  2. Menstruation Action. Menstruation Action aims to combat misconceptions about periods and provide access to period products for schoolgirls. Early efforts by Menstruation Action involve the purchasing and distribution of 1,000 menstrual cups for those most affected by period poverty in Poland, including single mothers, those in refugee centres and orphanages. In September 2020, the “Hey Girls” campaign launched, in which they provided boxes filled with essential sanitary products to schools and organized classes on menstruation for schoolgirls. More recent initiatives include the launch of “Padsharing.” Padsharing is a support network that connects women in need with donors. Through this programme, donors anonymously place and pay for orders according to the women in need’s instructions. Menstruation Action also introduced the “Heyday” initiative in July 2021 to create the first dedicated menstrual dispensers in Poland. The idea behind this project was so that companies and institutions that would like to introduce menstrual products into their toilets can do so despite lacking the resources to do so. They also provide “period help points” across Kraków, containing free sanitary products.
  3. Yestopads.com. Yestopads is a result of the Periodic Coalition, an association of charities, organizations and female experts who want to normalise and destigmatise female menstruation. The coalition consists of more than 40 partners and supporters, aiming to help the nearly 2 million girls aged 9–19 who are either menstruating or about to menstruate. They are currently attempting to introduce the first draft act on menstruation to ensure free access to menstrual products and provide girls with adequate education on menstruation.
  4. Gohealthygirl. Gohealthygirl operates a “pink clinic.” This is a safe space in which women and girls can see a doctor for any gynaecological reason without judgment. Studies performed by this organization have revealed that women experience unpleasant comments about appearance, knowledge and sexual orientation, and many often experience poor treatment from doctors. They also provide free health guides, podcasts and articles online on women’s health to provide women and girls with accessible education about their bodies.

Looking Ahead

Despite period poverty remaining a significant issue for women and girls in Poland, the work of these organizations suggests a positive direction for removing the stigma surrounding menstruation and the reduction of period poverty in Poland.

– Alys Gaze

Alys is based in Swansea, UK and focuses on Good News and Politics for The Borgen Project.

Photo: Flickr

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Education for Somali Women: Rebuilding a Nation

Education for Somali womenThe African country of Somalia has been ravaged by war for decades. Conflict began in the late 1980s and worsened after the fall of Siad Barre’s military government in 1991 at the hands of clan-based militant movements—the Somali National Movement (SNM) in the northwest, the Somali Salvation Democratic Front (SSDF) in the northeast and the United Somali Congress (USC) around Mogadishu. Over the next 30 years, Somalia’s conflict would take many different forms, according to BBC News.

In August 2012, after years of clan violence and Islamist insurgency, Somalia’s first formal parliament in more than two decades was sworn in. The following month, Somalia’s parliament elected Hassan Sheikh Mohamud, marking the first presidential election since 1967, according to BBC News. Today, Somalia remains at war with Al-Shabab—an extremist Islamist group—yet the government has turned much of its focus toward reconstruction and long-term stability.

According to the United Nations (U.N.), 4.4 million Somalis are projected to face acute food insecurity through the end of 2025, and 1.85 million Somali children are likely to experience acute malnutrition. Somali government initiatives and nongovernmental organizations are working to support vulnerable populations, but shrinking international support threatens to stall progress.

Still, Somalia’s situation is not unsalvageable. The nation’s recovery depends not only on government institutions but also on its citizens’ resilience and commitment to rebuilding—a mission many Somali women have taken to heart. Women have become increasingly involved and influential in Somali politics, education, entrepreneurship and peacebuilding, according to the U.N.

Below is a closer look at how women across Somalia are leading the way toward a brighter and more stable future.

Driving Economic Recovery Through Entrepreneurship

For a nation rebuilding from decades of war, expanding economic opportunity is essential to reducing poverty and strengthening support for struggling citizens. In 2019, Somalia launched the Gargaara Micro, Small and Medium Enterprise (MSME) Financing Facility, designed to fund aspiring Somali entrepreneurs and small businesses.

According to the World Bank, by June 2024, Gargaara had lent more than $23 million to MSMEs across the country, with women-led businesses receiving half of all loans—at least 800 in total. Yet, despite this equal distribution by number, the total monetary value of loans to women was significantly lower than that of male-run enterprises, highlighting a persistent gender gap in capital access.

Even so, Gargaara and its partners at the World Bank have committed to expanding their reach—onboarding more Somali financial institutions, increasing available credit and building lending capacity—all with the goal of supporting a greater number of women-owned MSMEs. Their efforts underscore how vital women entrepreneurs are to rebuilding Somalia’s economy.

Expanding Women’s Political Influence and Representation

Women in Somalia are increasingly taking leadership roles in politics. In March 2025, President Hassan Sheikh Mohamud called on women to get involved in political and security work during a state iftar dinner with more than 100 women leaders, according to AllAfrica News. He praised the work women were already doing—supporting troops and caring for the wounded—and urged them to join political parties, run for office and organize beyond clan divisions.

At the local level, progress is already happening. In Hirshabelle State, women have been elected to district councils and trained in leadership, advocacy and peacebuilding through programs supported by Finn Church Aid (FCA) Somalia. FCA also works with “peace mothers” and female councilors to organize community forums where women, elders and local leaders discuss policy and inclusion. Women now hold roughly 23% of council seats in these areas.

Education for Somali Women

Education for Somali women has been a struggle for generations, but the script is finally starting to flip. “Historically, two groups of patriarchs denied Somali female children schooling—those were the Italian and British colonists,” said University of Minnesota Professor Abdi Ismail Samatar. “It’s really the liberation movement in the 1950s and then the country’s independence in 1960 and thereafter, where female children’s education was expanded. So those challenges still exist.”

Education has become one of the most powerful tools for Somali women to rebuild their lives and communities. According to the U.N., educator Amina Abdi Ali has helped more than 450 women in Kismayo learn to read, write and improve their math skills through a local adult literacy program. Larger initiatives like the Somalia Girls’ Education Programme, led by the U.N. Girls’ Education Initiative (UNGEI) and CARE Somalia, have also focused on keeping marginalized girls in school by removing barriers that prevent them from learning—especially in rural areas. According to the World Bank, the Rajo Kaaba program recently awarded scholarships to more than 2,000 Somali girls, allowing them to study in fields such as teaching and nursing.

Peacebuilding and Social Healing

After decades of warfare, civilian bloodshed and displacement, women in Somalia are taking it upon themselves to advocate for peace. One way they have done this is by establishing the Joint Programme on Women, Peace and Protection (WPP) in May 2022. With support from the United Nations Development Programme (UNDP), U.N. Women and the United Nations Transition Mission in Somalia, the WPP has taken steps to localize peace and security for women in Somalia.

The WPP has already achieved major accomplishments, illustrating its importance as a program for sustained peace. These include the development and launch of a Local Action Plan (LAP) with presidential endorsement, the formation of a Peace Working Group bringing together diverse community leaders and the establishment of a One Stop Center that supports victims of sexual violence, according to the UNDP.

Looking Ahead

“Over the last 35 years, women really have been very crucial to keeping Somali society together—not only the family, but the whole society,” said Abdi Ismail Samatar. From running businesses and creating jobs to taking leadership roles in politics, expanding education for girls and young women and pushing for peace at the local level, women are at the heart of Somalia’s recovery. Their efforts show that rebuilding the nation is not just the work of governments or aid organizations—it is also the work of women who refuse to let their communities fall behind.

– Jordan Venell

Jordan is based in Edina, MN, USA and focuses on Good News and Technology for The Borgen Project.

Photo: Flickr

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Malaria and Poverty in Africa: Funding Cuts Threaten Millions

Malaria and Poverty in Africa: Funding Cuts Threaten MillionsMalaria is the leading cause of preventable death, killing almost 600,000 people in 2023. The largest outbreaks occur in sub-Saharan Africa, where poverty is a key contributing factor. Global aid programs have been successful, averting millions of malaria-related deaths, demonstrating their necessity. Sadly, recent funding cuts threaten progress against malaria and poverty in Africa. Millions are once again at risk from a disease the world already knows how to prevent.

The Disease-Poverty Cycle

Malaria is more than a health concern. It is part of a disease-poverty cycle that threatens the welfare of generations. For many African countries, approximately 63% of malaria spending comes from foreign investment. Poor areas lack access to health clinics and mosquito nets, leaving millions vulnerable.

Malaria infections leave low-income households facing further financial strain. Missed workdays mean lost wages and medical care is unaffordable. According to the World Bank, treatment for a single case of malaria costs up to 25% of annual income, pushing vulnerable families deeper into poverty. Children bear the heaviest burden, with almost 80% of malaria-related deaths occurring in children under 5. Infections also lead to higher absenteeism and poor learning outcomes. This threatens their future earning potential, making it harder for them to escape poverty as adults.

International aid is the strongest tool to break this cycle. Subsidized mosquito nets and affordable medication have saved millions of lives and reduced the financial strain on families. But the funding cuts in early 2025 are undoing all of the progress. Unless resources are restored, the disease-poverty cycle will only tighten its grip.

How Funding Cuts Impact Malaria and Poverty in Africa

Between 2010 and 2023, the United States (U.S.) contributed an average of 37% of global malaria financing. The $15.6 billion dispersed through the Global Fund averted more than 600 million malaria cases. The recent foreign aid reductions, however, led the Global Fund to cut $1.4 billion from existing grants. These cuts significantly limit resources for the communities that rely on them most.

Within the last year, several African countries saw a sharp increase in malaria cases and deaths. Zimbabwe recorded 119,648 cases and 334 deaths, while Namibia registered 89,959 cases and 146 deaths. Without sustained aid, millions will again face illness and economic hardship. Households lose income, medical expenses increase and children miss school. Each malaria case reinforces the disease-poverty cycle, trapping generations in a world of disease and hardship.

Preventing Malaria: Funding, Care and Innovation

In light of the funding cuts, countries and organizations are taking coordinated action to reduce the impact of malaria and poverty in Africa. At the 38th African Union Summit this year, African leaders emphasized the need for foreign investment to reduce the economic burden of the disease.

African countries are reprioritizing budgets to maintain malaria prevention and treatment programs in high-risk areas. Local health workers bring diagnosis and treatment closer to households, increasing access to treatment and reducing financial strain on families. 

The National Aeronautics and Space Administration (NASA), in collaboration with Epidemic Prognosis Incorporating Disease and Environmental Monitoring for Integrated Assessment (EPIDEMIA), developed a malaria early warning system enabling targeted prevention and treatment efforts. In September 2025, the Gates Foundation pledged $912M to the Global Fund to support malaria programs and urged governments to increase funding.

Combating malaria and poverty in Africa requires urgent advocacy. The Global Fund, which provides 59% of international malaria financing, reduced malaria deaths by 29% between 2002 and 2023. It is a sustained investment that could deliver malaria-free Africa.

Key Malaria and Poverty Reduction Actions

According to the Global Fund, the following efforts can help reduce malaria and poverty.

  • Advocating for full replenishment of the Global Fund.
  • Urging governments to restore and increase contributions.
  • Pushing for transparent budgeting to ensure funds reach high-need communities.
  • Mobilizing advocacy groups to contact representatives to back global health funding. 

Looking Ahead

Despite recent funding cuts, progress against malaria reveals that the disease can be defeated. Continued support from governments, donors and communities can sustain prevention efforts and protect millions from poverty. With renewed commitment, a malaria-free Africa is within reach.

– Tina Kusal

Tina is based in Montrose, CA, USA and focuses on Global Health for The Borgen Project.

Photo: Flickr

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All About Tungiasis in Sub-Saharan Africa: What, Where and How

All About Tungiasis in Sub-Saharan Africa: What, Where and How Tungiasis is a neglected tropical disease (NTD), meaning it does not receive adequate attention.  It is most prevalent among those living in poverty in the Caribbean, South America and the sub-Saharan region of Africa. Despite this fact, Tungiasis continues to go unaddressed in global public health agendas. Tungiasis does not get much coverage in academic circles, by community health care practitioners, public health experts, decision makers, funding organizations and pharmaceutical companies. No country, particularly in the sub-Saharan region, knows its disease burden regarding Tungiasis, which is a challenge in addressing the problem.

The What

Tungiasis is a skin disease caused by female sand fleas (Tunga penetrans), commonly called jiggers. It is a zoonosis, meaning it can be transmitted between humans and animals, particularly domestic animals such as dogs, cats and pigs. The disease occurs when the female flea burrows into the skin. The most affected areas of the human body are the feet, but the elbows, hands, knees, genitals, buttocks and periungal areas (fingers or toes) are also sites of infection.

At the acute stage, victims suffer from severe pain, itching, sleep problems, inflammation, swelling, deep fissures, ulcers and abscess development due to bacterial superinfection.  Those who suffer chronically experience protracted pain, deformity, damage to the feet, disability and eventually long-term cognitive impairment. In addition to the physical manifestations of the disease, those with Tungiasis also endure social stigma and isolation.

Tungiasis Prevalence: The Where

The prevalence of Tungiasis in Sub-Saharan Africa varies by location.  The disease primarily affects children and elderly people in every country within the Sub-Saharan region of Africa.  The prevalent rates of infection in each country are as follows: 

  • Ethiopia: 46.5%
  • Cameroon: 44.9%
  • Tanzania: 42.0%
  • Kenya: 37.2%
  • Nigeria: 28.1%
  • Rwanda: 22.7%
  • Uganda: 20.1% 

These rates are averages, but some areas within these countries show higher prevalence. For example, northeastern Uganda recorded a prevalence rate of 62.8%.

Ongoing Efforts: The How

Risk factors for contracting Tungiasis include poverty, poor hygiene, lack of sealed flooring, mud/earthen housing, rearing of domestic animals, and walking barefoot. Home remedies attempted include manual extractions with non-sterile sharp instruments, which cause inflammation, significant pain, bleeding, open wounds and a high risk of bacterial and viral infections. Other methods include the use of motor oil, tobacco, naphthalene, kerosene and hydrogen peroxide. None of these methods is effective, and all are dangerous.

The most recommended treatment for Tungiasis is the use of low-viscosity Dimeticone. It is the most effective and works in mild and severe cases. Another effective treatment is the combination of coconut and neem oil. However, it is not as effective as Dimeticone and requires more application to the affected area.

Innovations for Tropical Disease Elimination (IFOTRODE), a humanitarian organization based in Uganda, carried out a two-year study in the country’s northeast. The study included quarterly detection and treatment efforts. People and animals received treatment with Dimeticone oil, and the team also organized community health promotions through local dialogues. During the study, health workers diagnosed and treated 12,540 cases. As a result, the prevalence of tungiasis in the area dropped from 62.8% to 5.7%. It appears researchers have discovered the formula required to reduce and even possibly eradicate Tungiasis.

Looking Ahead

The success of community-based efforts in Uganda shows that the right tools and attention can dramatically reduce tungiasis. Expanding access to effective treatments like dimeticone, investing in public health education, and strengthening global awareness will help eliminate the disease. With continued innovation and support, communities can achieve the goal of ending the suffering caused by tungiasis in Sub-Saharan Africa.

– Danielle Milano

Danielle is based in Pineville, LA, USA and focuses on Good News and Global Health for The Borgen Project.

Photo: Flickr

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Dying to Give Birth: Maternal Mortality in Indonesia

Dying to Give Birth: Maternal Mortality in Indonesia Experts widely recognize maternal mortality as a critical indicator of the quality of a nation’s health care system. The Sustainable Development Goals (SDGs) call for a global maternal mortality ratio (MMR) of less than 70 maternal deaths per 100,000 live births by 2030. Indonesia, however, continues to face serious challenges in meeting these targets.

Regional Disparities Highlight Inequities in Care

According to World Bank data, 140 women die per 100,000 live births due to pregnancy-related causes in Indonesia — higher than the regional average. While maternal deaths have steadily declined, Indonesia remains among the highest in Southeast Asia, with significant disparities within the country. Hypertensive disorders and non-communicable diseases account for a growing share of maternal deaths, complicating efforts to reduce mortality.

The national MMR masks stark regional differences. Provinces in Java and Bali report lower maternal mortality rates, whereas Sulawesi and Eastern Indonesia experience rates more than twice the national average. These disparities reflect unequal access to health care and differences in the availability of skilled professionals. 

Drivers of Maternal Mortality

The main medical causes of maternal death include hemorrhage, hypertensive disorders and sepsis. However, structural and social factors play an equally critical role. Studies indicate that rural and remote settings correlate with higher complication rates and insufficient referrals. The availability of obstetricians and midwives explains nearly half of the variance in maternal mortality outcomes across the country. Patients from wealthier backgrounds often migrate across provinces to seek better care, highlighting the quality gaps in rural facilities.

Distance and lack of infrastructure further endanger women’s lives. As Noorkarmila, a midwife from West Java, observes, “The long distance it takes them to get to the hospital and limited facilities… it saddens me to see [a pregnant woman’s journey] to the moment she dies, especially when there are things we can do to prevent it.”

Socioeconomic inequalities, entrenched gender norms and gender-based violence (GBV) exacerbate these risks. Nationwide surveys indicate that roughly one in three Indonesian women aged 15 to 64 has experienced physical or sexual violence, which carries both immediate and long-term health consequences such as trauma, unwanted pregnancies and chronic illness. Underreporting and weak enforcement of laws further compound the problem.

Local Initiatives Bridging the Gap

Despite these challenges, local nongovernmental organizations (NGOs) and programs are making meaningful progress. The Indonesian Global Health Foundation provides telemedicine devices to connect rural residents with doctors, midwives and nurses, facilitating more than 350 online consultations across at least 20 villages.

Project HOPE focuses on strengthening the skills of midwives, who provide the first neonatal care for half of all infants in Indonesia. Through training and ongoing supervision, midwives gain confidence in managing common obstetric and newborn emergencies, improving outcomes in sub-district health facilities and private midwife practices.

The Road Ahead

The challenge of maternal mortality in Indonesia underscores the urgent need for equitable access to health care, investment in skilled personnel, and interventions addressing social determinants of health. Achieving the SDG targets by 2030 will require sustained efforts, particularly in underserved regions, alongside comprehensive strategies to combat poverty, gender inequality and violence against women. With targeted initiatives and local innovations, Indonesia can continue its progress toward ensuring safe motherhood for all.

– Kai Xian Lim

Kai is based in Odense, Denmark and focuses on Global Health for The Borgen Project.

Photo: Flickr

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Childhood Anemia in Sierra Leone: Scale, Costs, and Solutions

Childhood Anemia in Sierra LeoneIn Sierra Leone, childhood anemia remains a widespread public-health burden with immediate clinical harms and long-term economic consequences. Recent national surveys and nutrition profiles show very high prevalence among children under 5 and point to a large absolute caseload that demands both low-cost commodities and substantial delivery investments.

The 2019 Sierra Leone Demographic and Health Survey reported an exceptionally high prevalence of anemia in children under 5. When combined with population estimates for the under-5 cohort (~1,188,000), the implied burden is roughly 900,000 young children affected. Quantifying both prevalence and headcount helps translate epidemiology into program scale and budgetary needs.

Causes and Clinical Impact

Multiple drivers contribute to childhood anemia in Sierra Leone: inadequate access to iron-rich foods, repeated infections (including malaria), intestinal parasites, and poor water, sanitation and hygiene (WASH) conditions. Clinically, moderate and severe anemia in young children associates with reduced activity, impaired immune response, delayed cognitive development and elevated risks of hospitalization and mortality—outcomes that reduce lifetime human capital.

Home fortification with multiple micronutrient powders (MNPs) constitutes one of the clearest, evidence-backed interventions for reducing iron deficiency and lowering anemia prevalence in infants and young children. Meta-analyses and program guidance report reductions in anemia (meta-analytic point estimates commonly around the high-teens percentage reduction in targeted age bands) and substantial declines in iron deficiency biomarkers. At the procurement level, UNICEF price data have shown MNP product costs can be very low (for example, roughly $1.65 for 90 sachets), but product cost is only one component of a functional program.

Delivery Costs and Program Scale

Product procurement at UNICEF commodity prices implies a modest line-item for sachets alone: covering a six-month intermittent regimen for ~903,000 children would cost on the order of $1.5 million for the sachets themselves. Implementation pilots, however, highlight that distribution, community health worker time, training, supervision and adherence monitoring drive total costs far higher. Pilot studies report per-child program costs in the low tens of dollars (for example, approximately $53 per child via community platforms and ~ $66 via facility platforms in a nine-month pilot), which projects to program budgets in the tens of millions to reach the whole affected cohort.

UNICEF, WFP and HKI

UNICEF partners with the Government of Sierra Leone on child-nutrition programs, including infant and young child feeding (IYCF) counselling, and supports behavior change and supply-chain steps that are essential to sustained impact. Recent UNICEF reporting describes local innovations and maternal/child nutrition support activities deployed in 2024–2025.

The World Food Program (WFP) has piloted local production of affordable, nutrient-enriched complementary foods for children and works through community and school platforms to improve diet quality—an approach that reduces reliance on imported products and supports local economies. WFP described a 2023 pilot equipping women’s producer groups to hygienically make nutrient-rich complementary foods.

Helen Keller International (HKI) acts as a long-standing nutrition partner in Sierra Leone and has worked with the Ministry of Health to expand access to prenatal multiple micronutrient supplementation and other nutrition services; HKI’s recent program descriptions note expansion of prenatal supplement access across more than 1,400 health facilities in recent years, an example of scaling maternal nutrition to support child outcomes indirectly.

Conclusion

The numbers outline a stark but solvable public-health challenge: a large cohort of young children faces anemia, and inexpensive commodities exist that reduce prevalence. The decisive constraints are delivery systems and integrated public-health responses. Scaling proven platforms—UNICEF’s supply and behavior-change partnerships, WFP’s local complementary-food initiatives and HKI’s facility-level nutrition expansions—offers an operational road map: combine affordable MNP procurement with funded distribution, malaria and deworming measures and maternal-child nutrition services to convert low unit costs into durable population health gains.

– Alexander Broermann

Alexander is based in Frankfurt, Germany and focuses on Good News and Global Health for The Borgen Project.

Photo: Flickr

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Innovative Ways CEPI is Fighting Lassa Fever

CEPILassa Fever is spread primarily through rodents, specifically Mastomys rats. The viral illness affects up to half a million people a year, with thousands of deaths reported each year. Despite its destructive impact on West Africa, there is still no licensed vaccine. To fight this, the Coalition for Epidemic Preparedness Innovations (CEPI) is driving forward an ambitious strategy that combines science, partnerships and capacity building. CEPI is fighting Lassa Fever, offering a blueprint for how the world can prepare for other epidemic threats.

Accelerating Clinical Trials in West Africa

A key step toward eliminating Lassa Fever lies within vaccine development and CEPI is helping to fast-track clinical trials directly in the communities that have been most affected. In 2022, CEPI supported Phase 1 trials in Liberia, marking the first test of an experimental Lassa vaccine in West Africa. This has now been followed up with Phase 2 studies across Ghana, Nigeria and Liberia, which have enrolled more than 600 participants as of 2024.

The Lassa Fever Vaccine Efficacy and Prevention for West Africa (LEAP4WA) consortium, funded by both CEPI and the European and Developing Countries Clinical Trial Partnerships (EDCTP), is now preparing for a phase 2b efficacy trial in Liberia, Nigeria and Sierra Leone. CEPI’s April 2025 LEAP4WA newsletter confirms that this trial, evaluating the ‘rVSVΔG-LASV-GPC’ vaccine candidate, will begin in 2026 with extensive preparations already underway.

Dr. Richard Hatchett, CEO of CEPI, stressed the urgency of the development of a vaccine: “Lassa Fever has been neglected far too long; through supporting trials in endemic regions, we can help those in need.” This focus on West African communities reflects one of the most important ways CEPI is fighting Lassa Fever, ensuring that science serves the people who need it most.

Understanding the Disease Through Epidemiology

Developing a vaccine is only half the challenge; understanding the virus itself is equally vital. That is why CEPI has created its ENABLE program, the largest study of its kind for Lassa Fever, which has enrolled up to 23,000 participants across Benin, Guinea, Nigeria and Sierra Leone. This ground-breaking study aims to map transmissions, symptoms and risk factors. These findings are vital for guiding future vaccination campaigns.

To ensure global data consistency, CEPI’s Enabling Science initiative, in collaboration with the World Health Organization, has developed international standards and assays for Lassa Fever. This ensures laboratories worldwide can reliably evaluate vaccines and diagnostics.

Gabrielle Breugelmans, CEPI’s Director of Epidemiology, stated, “ENABLE 1.5, running in Nigeria, Liberia, and Sierra Leone, is giving a clearer picture. Its findings will guide vaccine trial locations and help identify priority groups for vaccination.” Supporting this, CEPI’s Centralized Laboratory Network (CLN) has become the world’s largest vaccine testing network, processing more than 120,000 samples and aiding more than 60 developers. In 2025, it expanded with new members, including the Democratic Republic of Congo, which has strengthened Africa’s outbreak readiness. 

In accordance with this, CEPI’s Biospecimen Sourcing Initiative aims to reduce the time needed to collect survivor samples from months to weeks, accelerating the diagnostic process and vaccine development. Together, these innovations demonstrate the way CEPI is fighting Lassa Fever, linking local epidemiology and global lab capacity.

Strengthening Regional Partnerships and Governance

Scientific progress alone cannot subdue Lassa Fever. Strong governance and collaboration are essential to ensure vaccines are delivered fairly and effectively. CEPI has worked with the West African Health Organization (WAHO) to launch the Lassa Fever coalition. This collaboration brings together ministries of health, NGOs and civil society organizations to coordinate strategies across borders.

Oyeronke Oyebanji, the head of CEPI’s Lassa Engagement, proclaimed, “The coalition reflects growing solidarity across West Africa, strengthening health security for Lassa and other epidemic threats.” 

In parallel, CEPI supports the RegECs Project, which has harmonized regulatory and ethical approval processes across West Africa through collaboration with the African Regulatory Forum (AVAREF). This innovation has reduced delays in starting trials whilst upholding the international safety standards. Such cross-border cooperation is yet another example of how the CEPI is fighting Lassa Fever, ensuring that progress doesn’t stop at the laboratory but extends into policy and practice.

Building Clinical Trial Infrastructure

One of CEPI’s most forward-thinking strategies is investment in local infrastructure. Through the Research Preparedness Program West Africa (RPPWA), CEPI is helping establish new laboratories, train researchers and prepare trial sites capable of hosting large-scale studies. These investments are designed to outlast any single project. By strengthening scientific capacity across the region, CEPI is building resilience that will help West African countries respond not only to Lassa fever but also to future outbreaks such as Ebola or unknown diseases like “Disease X.” This commitment to sustainability is another practical way CEPI is fighting Lassa fever, leaving behind a legacy of stronger, self-reliant health systems.

A Blueprint for Future Epidemics

CEPI’s fight against Lassa fever illustrates how epidemic preparedness must go beyond developing a vaccine. Indeed, it requires embedding research with affected communities, building networks of trust and investing in long-term infrastructure. Its work shows that when science, governance and regional leadership align, neglected diseases can be confronted head-on.

Through accelerated clinical trials, pioneering epidemiological studies, regional governance initiatives and infrastructure development, CEPI is reshaping how the world approaches epidemic threats. These strategies are among the most impactful ways CEPI is fighting Lassa fever while also providing a model for addressing other emerging infectious diseases. In a region where outbreaks have too often devastated communities, CEPI’s approach offers hope not just of a vaccine but of a safer, more resilient future.

– Charlie Wood

Charlie is based in Liversedge, West Yorkshire and focuses on Global Health for The Borgen Project.

Photo: Unsplash

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A Recent History of British Development Aid in Sierra Leone

British Development Aid in Sierra LeoneThe British government plans to cut its Official Development Aid (ODA) budget from 0.5% of the country’s GDP to 0.3% by 2027. This follows cuts in 2021, when the government reduced ODA spending from 0.7% of GDP, a figure once considered the standard for G7 countries. British development aid has had a significant impact in many parts of the world, including sub-Saharan Africa, South Asia and Eastern Europe.

Currently, the only regions the British government has confirmed will continue to receive aid are those affected by current humanitarian crises: Ukraine, Gaza and Sudan. This means it is unclear whether countries like Sierra Leone, whose health care, water provision and education access have benefited enormously from British development aid, will continue to receive sufficient support. The following explores some of the most notable successes of British development aid in Sierra Leone.

Sierra Leone in Context

Sierra Leone is a small country in West Africa. It is one of the least developed countries in the world, ranking 185th out of 193 nations on the Human Development Index. About 25% of its 8.8 million people live in extreme poverty and its GDP per capita is $874.

A British colony until 1961, Sierra Leone’s recent history has been defined by crises. A civil war gripped the country between 1991 and 2002, killing between 50,000 and 200,000 people and precipitating long-term consequences such as dysfunctional infrastructure and generational trauma. The country was at the centre of the 2014 Ebola outbreak and in 2017, mudslides killed hundreds. 

Despite the shocking statistics, many outcomes in Sierra Leone have been improving significantly. In the last decade, life expectancy has increased by 7 years, while the death rate of children under 5 has fallen by roughly a quarter.

British Development Aid in Sierra Leone

  • The Freetown WASH Consortium. Established in 2009, the Water, Sanitation and Hygiene programme channelled British aid into constructing water storage facilities and public latrines, improving drainage systems and training health care workers in Sierra Leone’s capital, Freetown. By 2013, more than 144,000 people had gained access to improved water supplies and at least 33,000 had access to better sanitation facilities. The program also helped reduce the spread of cholera and malaria.
  • Secondary Education Improvement Program. Known in the local Krio language as “Leh Wi Lan”, the Secondary Education Improvement Programme took off in May 2016 with an investment of £62.5 million to improve the learning conditions and attendance of secondary schools. By the programme’s closure in 2023, the number of girls and boys attending secondary school had more than doubled.
  • Rehabilitation of Freetown’s Water Supply System. 2016 was an important year for British development aid in Sierra Leone, coming two years after the initial West African Ebola outbreak had brought the country to a standstill. June saw the investment of £38 million into rehabilitating Freetown’s water supply system, creating new pipe networks and reducing leakage to support 120,000 people’s access to clean water.
  • Saving Lives in Sierra Leone. Perhaps the most wide-reaching and well-documented example of British development aid in Sierra Leone, the £170 million Saving Lives in Sierra Leone programme improved the accessibility, availability and quality of child and maternal health services across the country. Administered in conjunction with Sierra Leone’s Ministry of Health, United Nations Children’s Fund (UNICEF) and the World Health Organisation (WHO), Saving Lives provided family planning for more than 670,000 women, as well as widespread access to free contraceptives and health care drugs. Health care facilities improved, staff received training and essential medicines became more readily available. Between 2016 and 2019, these measures helped save the lives of almost 25,000 children and more than 3,000 mothers. The Saving Lives program also contributed to the substantial decline in Sierra Leone’s maternal mortality rate, which decreased by 74% between 2000 and 2020.

Emergency Aid for Mudslide Victims 

Following the devastating mudslides of 2017, the British government delivered a £5 million humanitarian response package that enabled UNICEF to provide essential medicines and clean water for 5,000 people and an Oxfam-led group of nongovernmental organizations (NGOs) to provide clean water and sanitation for 3,000 people. The U.K.-based charity Street Child provided bedding and clothing for an additional 3,000 children. The package also included supplies for Sierra Leone’s government, such as generators and tents.

Looking Ahead

The benefits of British development aid in Sierra Leone have been widespread, felt in the country’s education, health care and water services. As Sierra Leone continues to recover from past crises and build toward long-term development, sustained international support could help ensure that the country does not lose this progress and that future generations can thrive.

– Joseph Webb

Joseph is based in Norwich, UK and focuses on Politics for The Borgen Project.

Photo: Flickr