Archive for category: Global Health

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Virtual Reality Surgical Training in Low-Resource Countries

5 Ways Virtual Reality Surgical Training Transforms Low-Resource CountriesIn many low-resource countries, surgical training faces limitations due to a lack of equipment, mentors and opportunities for hands-on practice. Virtual reality (VR) technology has emerged as an affordable and scalable solution to bridge these gaps. Here are five ways VR is transforming surgical education in these regions.

5 Ways VR Surgical Training Transforms Countries

  1. Teaching Without Cadavers or Overseas Travel. Virtual reality surgical training allows surgeons to practice complex procedures without cadavers or international fellowships. In a joint session between Bahir Dar, Ethiopia and the United Kingdom (U.K.), 13 Ethiopian and 30 U.K. participants viewed 360° VR-recorded orthopedic operations with live commentary; nearly all delegates reported that VR training enhanced learning value, aided surgical performance and surpassed conventional resources. In a separate randomized controlled trial involving surgical residents, immersive VR significantly boosted self-confidence compared to traditional instruction. These results demonstrate that VR training yields measurable confidence gains in settings where cadaver access remains scarce.
  2. Training Surgeons in Nepal for Emergency Procedures. Oxford Medical Simulation (OMS) has partnered with global health educators to deliver VR-based emergency medical training scenarios in low-resource hospitals, including settings like Patan Hospital in Nepal. These applications let users practice decision‑making under pressure for emergencies such as trauma and obstetric crises. A pilot study showing that VR simulation is at least as effective as traditional simulation in acute care scenarios referenced Oxford’s platform and underscored its decision‑making training capabilities. At least 150 students showed that self-assessed competence was significantly higher in VR-based courses compared to e-learning alone, though similar to tutor-led sessions. Course suitability ratings favored tutor-led training, with VR ranked in the middle. Researchers concluded that while VR enhances the learning experience, the number of sutures performed during practice remains the strongest predictor of skill.
  3. Reducing Training Costs Dramatically. Traditional cadaver labs cost schools up to $10,000 per cadaver and limit how many students can train at once. Synthetic cadavers like SynDaver’s models cost around $70,000 but avoid tissue decay and pay for themselves within a few years. Virtual reality surgical training is even more affordable. VictoryXR’s virtual cadaver labs cost about $15,000 and let multiple students study photorealistic anatomy simultaneously. Though haptic feedback remains limited, VR reduces costs and expands access to advanced surgical training for schools with fewer resources.
  4. Enhancing Cataract Surgery Skills in Ethiopia. Orbis International teamed with FundamentalVR in 2025 to deliver virtual reality surgical training for cataract surgery to ophthalmologists across Ethiopia. The new tool uses affordable gaming hardware and focuses on manual small-incision cataract surgery, the technique most commonly performed in low-resource countries. It enables independent learning through automated performance monitoring and feedback, helping residents build skills in a realistic simulation before entering the operating room. The VR platform integrates with Orbis’s telemedicine and e-learning platform, Cybersight and is already in use at partner hospitals in Ethiopia, Bangladesh, China, Mongolia and India. By targeting local surgical methods and offering affordable, portable training, this program aims to grow the number of skilled cataract surgeons and improve patient outcomes in underserved communities.
  5. Improving Competency for Laparoscopic Surgeries. OMS launched VR training for laparoscopic cholecystectomy in partnership with local medical universities in countries like Nepal and Ethiopia. Trainees practiced precision skills such as bead placement, bead transfer, balloon cutting and intracorporeal suturing. Post-training assessments showed significant improvements, with task completion times reduced by up to 137.8 seconds for suturing exercises. The mean workshop score increased from 8.15 to 9.3, reflecting greater surgical proficiency and confidence. Sentiment analysis also found that 88% of participants reported an increased interest in pursuing surgery as a career.

Strengthening Surgical Training Systems

Virtual reality surgical training is revolutionizing how surgeons gain critical skills in low-resource nations. By eliminating reliance on cadavers, costly labs and overseas fellowships, these programs empower countries to build strong surgical workforces locally. Early results show marked gains in surgeon competency, speed and confidence. As this technology continues to expand, it holds the potential to transform patient outcomes and strengthen health systems where surgical care has long been out of reach.

– Hayden Chedid

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

Photo: Flickr

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Recent Innovations in Mental Health Care in Africa

Mental Health Care in Africa According to the World Health Organization (WHO), Africa has the highest suicide rate in the world. The continent’s suicide rate stands at 11 people per every 100,000, which is higher than the global average of nine people per every 100,000. Approximately 29 million Africans suffer from depression.

Despite these staggering statistics, Africa spent less than $1 per capita on mental health. The continent also has an average of one mental health worker per 100,000 people compared to the global average of nine.

Within the last few years, the need for mental health services in Africa has risen. Luckily, organizations and platforms around the world have begun to recognize this demand. Here are three recent innovations to improve mental health care in Africa.

Supporting Mental Health Care in Africa

At its inaugural Digital Well-Being Summit, social media giant TikTok discussed plans for improving in-app support for users struggling with mental health, with a focus on sub-Saharan African users. The summit in Johannesburg brought together policymakers, industry leaders and mental health experts from South Africa, Nigeria, Kenya, Ghana, Zimbabwe and beyond. The event acted as a platform to discuss enhancing online safety tools, providing users with reliable information, and expanding user access to experts on the app.

TikTok announced that its $2.3 million global Mental Health Education fund will now be expanded to encompass sub-Saharan African organizations for the first time since its establishment. The selected organizations include the South African Depression and Anxiety Group, Mentally Aware Nigeria Initiative, and Kenya’s Mental360. They will be provided with funding and support from TikTok to create relevant, evidence-based content that discusses mental health in African communities.

TikTok has committed to expanding its in-app mental health helplines to the continent. African users will now be able to easily access helplines that will connect them with expert support and mental health resources such as counselling and psychological support. It will also be easier for African users to report harmful content related to bullying, hate, self-harm, and other topics that violate TikTok’s community guidelines.

The summit also introduced TikTok’s new Mental Health Ambassadors. In a partnership with the WHO, TikTok’s Mental Health Ambassadors will use their platforms to give guidance and advice to users. The inaugural group of verified healthcare professionals from the WHO Fides Network includes Sanam Naran and Dr. Siya from South Africa, Dr. Claire Kinuthia from Kenya, and Dr. Wales from Nigeria.

“Weaving Lives Together” Helps Communities Recover

The Weaving Lives Together project in Northern Nigeria aims to provide support to violence victims. It introduces creative interventions to fill the gaps left by other mental health resources. Its goal is to bring together mental well-being and economic opportunities to support both psychological recovery and socio-economic livelihoods.

Weaving Lives Together is the result of a partnership with the Neem Foundation, Creative Women in Lagos, and fashion house Ituen Basi. People, especially women, are given a creative outlet to turn their artistic expression in fashion and textile arts into opportunities for economic independence.

The initiative received funding through the One King’s Impact Fund at the School of Global Affairs at King’s College of London, a fund to support interdisciplinary solutions to global challenges. They are committed to fighting for whole-life health, peace and justice, and gender equality worldwide.

Digital Innovations in Mental Health Care in Africa

King’s College of London is also sponsoring and funding a new digital platform for depression intervention in African countries. This initiative expands upon the success of Zimbabwe’s Friendship Bench project, a model that has provided Zimbabweans with therapy for common disorders such as anxiety and depression by trained health workers.

Led by Dr. Gabrielle Samuel of the Department of Global Health and Social Medicine, the new platform will make mental health support more accessible, especially to those in underserved communities. People will be able to access self-guided therapy via their mobile phones, which will expand the reach of health workers and reduce wait times for those seeking help.

Mental health care in Africa has long needed improvement, with suicide and depression rates higher than global averages, especially in males. These three new innovations are only part of the efforts to bring better mental health counselling, resources, and education to the continent.

– Hannah Fruehstorfer

Hannah is based in Pittsburgh, PA, USA and focuses on Good News and Global Health for The Borgen Project.

Photo: Flickr

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Fighting Poverty by Preparing for the Next Pandemic

Preparing for the Next Pandemic After the COVID-19 pandemic, the World Health Organization (WHO) and the international community are trying to prepare for the next outbreak. Epidemiologists label this future pandemic as “Disease X,” likely from one of the 25 known virus families; they estimate that it could be significantly deadlier than previous pandemics. Fighting global poverty has been central to how the international community fights against disease.

Preparing for the next pandemic supports people in low- and middle-income countries in two key ways. First, addressing systemic challenges such as pollution, deforestation and limited access to sustainable health care can reduce the likelihood and impact of future outbreaks. Second, the effects of disease tend to be more severe for populations living in poverty. The international community can help by funding existing health initiatives—particularly in tropical regions of the Americas, Africa and Asia—and by supporting efforts like the Coalition for Epidemic Preparedness Innovations’ (CEPI) 100 Day Mission, which aims to accelerate vaccine development and save lives. 

Challenges in Pandemic Planning

Experts suggest that one of the most difficult parts of improving global public health is preparing for the next pandemic before it happens. The major challenge is getting governments to invest ahead of time, despite not knowing exactly when, where or how the next major disease will strike. Caroline Buckee, professor of epidemiology and associate director of the Center for Communicable Disease Dynamics (CCDD), noted,  

“One of the confirmatory lessons for me—it’s not a new lesson—was that governments and people are reactive. And it’s very hard to get significant investment in preparedness. When it comes to pandemics, or epidemics in general, one of the hardest things about preparedness is that if you’re doing it really well, no outbreak—or only a small outbreak—occurs. Proving that you have averted an epidemic is difficult, so politically, how do you justify the investment required? It’s a really hard problem.”

One of the ways epidemiologists prepare for something that is both unpredictable and inevitable is by ranking the likeliest outbreaks to become a major issue, including “another possible Disease X, a term used to describe a currently unknown pathogen with pandemic potential.” 

Tracking Zoonotic Threats

One of the ways health experts accurately prepare is through pathogen rankings like the Priority Zoonotic Disease Lists and the Research and Development Blueprint. The Coalition for Epidemic Preparedness Innovations, in partnership with the University of California, Davis, has developed a new analytical tool called SpillOver to help predict the most likely risks.

SpillOver evaluates the likelihood of animal-to-human spillover among viruses, like the zoonotic transfer that occurred with the 2020 coronavirus pandemic. So far, the project has isolated 12 separate zoonotic diseases that are most likely to infect, ranging from Simian foamy virus to Lassa virus. SpillOver 2.0 will incorporate more data in order to more holistically analyze which diseases we need to prepare for. 

The Impact on Global Poverty

This massive effort of analyzing and preparing for the next pandemic is critical to fighting global poverty for two major reasons. First, pandemics disproportionately harm the global poor. Analysis from The Lancet found that if a pandemic of similar proportions to the 1918 influenza epidemic were to occur in 2025, there would be 62 million fatalities, 96% of which would be in lower-income countries. By contrast, investing in poverty relief helps combat disease spread through improved health systems, increased health education and more effective sanitation. 

Secondly, the fight against poverty and the effort to control pandemics are linked. The wider systemic issues that cause global poverty also increase the risk of a disease outbreak and that same outbreak developing into a full-blown pandemic. The WHO has warned that this next pandemic, labeled Disease X, “could be 20 times more lethal than COVID-19, with very high costs, possibly no vaccines and enormous social and economic impacts.” 

The most likely risk is a zoonotic disease from a tropical region, all places suffering from high poverty rates, climate change and deforestation. These three main factors increase the likelihood of a tropical animal-to-human outbreak turning into the next COVID-19. While deforestation increases the possibility of spillover, combating deforestation not only helps prevent outbreak but also can reduce poverty as well. 

Rapid Response and Vaccine Development

As daunting as this may be for the global poor, the international community and health experts are learning from the last pandemic. CEPI is leading efforts to ensure that life-saving vaccines can be made available across the developing world in as little as 100 days, compared to the traditional five-year timeline. 

Started in 2014 to help combat Ebola, CEPI also played a critical role in reducing the COVID-19 vaccine development timeline to 12 to 18 months. By focusing on increased research, development and mass production, “…CEPI has simultaneously advanced the development of 11 rapid response platforms to deploy against unknown threats, or Disease X.” Being able to predict which diseases may emerge from and affect the developing world is critical to fast-tracking vaccines, which have historically saved an estimated 154 million lives worldwide. 

Looking Ahead: A Shared Global Strategy

While preparing for the next pandemic is difficult and full of uncertainties, expert opinions suggest that focusing efforts will be critical to combating global poverty. By identifying the most likely pathogens as potential future “Disease X” threats, the international scientific community has helped concentrate resources that can be used effectively in the developing world. Hence, fighting global poverty and protecting global health appear to be essential parts of the same strategy.

– Joseph Laughon

Joseph is based in Sacramento, CA, USA and focuses on Technology and Global Health for The Borgen Project.

Photo: Flickr

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Using AI to Support Maternal Health in Pakistan

How A Scientist Is Using AI to Support Maternal Health in Pakistan Pakistan has one of the highest maternal mortality rates in South Asia. Despite being a signatory to Agenda 2030, the country still lags considerably behind in achieving the Sustainable Development Goals (SDGs). Approximately 20% of the deaths that occur among women of childbearing age are related to maternal complications.

Dr. Maryam Mustafa, assistant professor of computer science at Lahore University of Management Sciences and co-founder of Awaaz-e-Sehat (“Voice of Health”), is harnessing speech-based artificial intelligence to revolutionize maternal health in Pakistan. Funded by the Gates Foundation’s Grand Challenges, her AI app enables under-resourced frontline maternal health workers to record and assess patient information by talking into a smartphone.

Maternal Health Challenges in Rural Pakistan

Maternal health in Pakistan faces serious obstacles, especially in rural areas where women lack access to skilled care. Pakistan Maternal Mortality Survey 2019, conducted by the National Institute of Population Studies and funded by the United States Agency for International Development (USAID), reveals considerable demographic differences between rural and urban areas of Pakistan.

The maternal mortality ratio (MMR) is nearly 26% higher in rural areas than in urban areas due to a major difference in health care services provided to people living in urban areas as compared to those living in distant regions. In addition, delays in medical care during obstetric complications are another factor that leads to maternal deaths. Every year, thousands of women die from causes like bleeding, infections and high blood pressure during pregnancy. In Pakistan, an estimated 154 women die per 100,000 live births. Globally, maternal mortality has decreased by approximately 40% since 2000; however, this progress has slowed.

How Awaaz-e-Sehat Works

In many clinics, doctors and nurses only have a few minutes to spend with each patient. Symptoms, like swelling, headaches or blurred vision, can go unnoticed. Awaaz-e-Sehat helps by guiding health workers through structured questions in Urdu or other local languages before digitally saving each response. The app also analyzes responses for warning signs, such as high blood pressure or anemia and sends automatic alerts if a patient is at risk. The tool was tested at Shalamar Hospital in Lahore, where it supported care for 500 pregnant women in its early phase.

Helping Women at Home

Not all women in Pakistan can regularly travel to clinics for checkups. To help bridge this gap, Awaaz-e-Sehat also works through WhatsApp. Pregnant women can respond to voice messages from home, answering simple health questions. Artificial Intelligence (AI) reviews their responses and if something seems wrong, a health worker receives a prompt to follow up.

Making a Difference

After several months of use, the Awaaz-e-Sehat team saw a clear improvement in early risk detection. The tool helped identify health concerns in about 40% of patients, compared to only 7% in traditional short visits, highlighting a notable step forward in maternal health in Pakistan.

What Comes Next

Dr. Mustafa and her team plan to expand Awaaz-e-Sehat across more clinics and provinces. By collaborating with hospitals, health organizations and the government, they aim to provide AI-powered support to a broader range of health workers and expectant mothers. Their goal is to help Pakistan reach the United Nation’s (U.N.) target of fewer than 70 maternal deaths per 100,000 live births by 2030. 

– Anna Chiaradonna

Anna is based in Philadelphia, PA, USA and focuses on Good News and Politics for The Borgen Project.

Photo: Flickr

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Expanding Health Care Access for Myanmar Refugees

Health Care Access for Myanmar Refugees Refugees from Myanmar face staggering levels of trauma, stress, and mental and physical health challenges, made worse by living conditions in refugee camps across Southeast Asia. The toll on health is especially severe, but telehealth offers hope by expanding health care access for Myanmar refugees.

The Crisis in Myanmar

Since 2017, nearly 1.5 million people have fled Myanmar amid the country’s humanitarian crisis, and 3.5 million are considered internally displaced. Most of these refugees are Rohingya Muslims from Rakhine State, who have lived without citizenship and faced persecution since 1962. Following the military coup in 2021, the military forced additional ethnic groups — including the Shan, Karen, and Kachin, among others —to flee their homes. Around 70% of the refugees are women and children. Many now live in overcrowded camps in neighboring Bangladesh.

The twin forces of violence and displacement have stripped Myanmar’s refugees of their homes, livelihoods, social support networks and health care, leaving them deeply impoverished. UNDP reported that as of 2024, nearly half the population in Myanmar lived below the poverty line, while 76% lived at or close to subsistence level, numbers which surged just in the three years since 2021.

As is common in conflict situations, access to health care is a luxury. This is due not only to cost and shortages of trained medical personnel, but also to the challenge of delivering proper care in temporary and scattered refugee camps.

In Cox’s Bazar refugee camp in Bangladesh, where most refugees have relocated, communicable and waterborne diseases run rampant, and mental health is severely impaired.

Telehealth as a Lifeline

Telehealth expands health care access for Myanmar refugees by connecting them with the care they need. The digital delivery of services simplifies the diagnosis, treatment, monitoring and follow-up for many physical and mental health conditions. Patients also do not have to travel as far — Cox’s Bazar is more than an hour by foot from the nearest health center, and clinics within the camp are understaffed and not always open 24 hours a day.

Within a few months of the military coup, the Ministry of Health of the National Unity Government launched its “Telekyanmar” initiative to provide telehealth services to people in Myanmar. The program’s telehealth clinics grew rapidly; by month three, almost all of Myanmar’s 330 townships had a telehealth clinic. As of May 2024, more than 71,000 people have registered with Telekyanmar, with over 178,000 consultations provided by both general practitioners and specialists.

The World Health Initiative, a U.S.-based nonprofit, also runs a program within Cox’s Bazar and at HOPE Field Hospital inside the camp since 2018. It provides a “specialized medical care that would otherwise not be available,”  drawing on the expertise of volunteer physicians across a range of clinical disciplines, as well as virtual care devices donated by Teladoc Health.

One such device, the wheeled and collapsible Teladoc Health Lite, includes a touchscreen interface, audio system, port panel and a storage compartment for peripherals like stethoscopes and privacy headsets — all enabling clear and seamless video and communication between doctor and patient. Even with subpar Internet connectivity, doctors from anywhere in the world can beam in from their own remote devices, according to the World Telehealth Initiative.

The Global Case for Telehealth

The benefits of telehealth cannot be overstated. Essential health care services remain out of reach for half of the world’s population because they are “inaccessible, unavailable, unaffordable or of poor quality.” Every year, millions die from conditions that would be entirely preventable in high-income countries.

The poor suffer the most from this lack of access to critical health care, and telehealth offers a way to address this by enhancing and simplifying access to specialty providers.

Telehealth brings numerous other benefits:

  • Lower costs for patients and health systems
  • Increased flexibility in scheduling and delivery
  • Elimination of geographic distance
  • Facilitation of mental health support
  • Promotion of health equity
  • Decreased transmission of infectious diseases

The Future

Despite the advantages, challenges remain. Telehealth requires reliable Internet access, appropriate devices, and training for patients on device use and for providers on how to deliver care effectively. Language differences and cultural barriers can also complicate care delivery, and privacy worries are a reality for displaced persons who have not had the best relationship with authorities.

However, these obstacles are not insurmountable, given the ongoing, demonstrable improvements in the technology. Telehealth represents a promising approach with significant potential to expand health care access, improve health outcomes and help chart a pathway out of poverty for one of the world’s most vulnerable populations.

– Amanda Sablan

Amanda is based in Kensington, MD, USA and focuses on Technology and Global Health for The Borgen Project.

Photo: Flickr

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Malaria Vaccine in Burundi

Malaria vaccine in BurundiBurundi boasts of two capital cities, Gitega in Burundi’s center serving as the political capital, with Bujumbura to the southwest as the economic capital. Burundi is the second poorest country in the world as of 2025, with more than 80% of the population facing the risk of contracting malaria.

Background

Malaria is an infection that mosquitoes spread to humans, and is most commonly found in sub-Saharan Africa and other regions such as South America and Southeast Asia. While a healthy person can survive the infection, the people who face the most risk are children, the elderly, people with no prior immunity to the disease, and pregnant women. Malaria can spread from mother to unborn child, causing the child to contract the disease through birth. This can result in premature births, low birth weights, stillbirths, and miscarriages. Malaria is an epidemic disease in Burundi and the leading cause of death throughout the country, but thanks to a recent vaccine initiative, life in Burundi is taking a turn for the better.

Malaria in Burundi

According to a recent study on Burundi people accepting the malaria vaccine, nearly 55% of people surveyed expressed worry about side effects from the vaccine. People being wary of the malaria vaccine in Burundi is not surprising when considering the lack of available information about the vaccine. These fears, together with an unawareness of the vaccine at all, are the reason that the vaccine was not more readily available in Burundi.

The malaria vaccine is becoming much more available in Burundi thanks to the new Vaccine Independence Initiative. Throughout an information and exchange workshop in Bujumbura, Burundimany global health organizations sent representatives to “mobilize national decision-makers around the Vaccine Independence Initiative and to develop concrete recommendations for integrating the initiative into the country’s strategic and operational plans.” With this new initiative, the malaria vaccine will become the standard vaccination for children and adults, ensuring that everyone receives protection against the disease.

The Future

The introduction of the malaria vaccine to Burundi’s standard vaccine regimen could help to lessen malaria hospitalizations and reduce symptoms of infection. The vaccine itself is only the first step, and together with other methods of malaria prevention, it helps lessen rates of infection even more drastically.  For the people of Burundi, coupling the vaccine with mosquito nets can show a much lower rate of infection and severity of symptoms. Using the vaccine with mosquito nets and anti-mosquito spray has shown to lessen rates of infection even more.

Adding the malaria vaccine to the standard regimen that children receive has shown a 13% drop in child deaths. These statistics show that the war on malaria in Burundi is beginning to slow, and the people are on the winning side.

– Zoe Felder

Zoe is based in Charlotte, NC, USA and focuses on Good News and Global Health for The Borgen Project.

Photo: Flickr

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Expanding Somalia’s Vaccination Program

Somalia's Vaccination ProgramLack of health care accessibility has left Somalia with extremely low vaccination rates and high levels of child mortality. To combat this, the Somali administration has implemented national programs to amplify the routine vaccination of children against polio and measles. Recently, two vaccines are now also a part of the initiative’s coverage; rotavirus and the pneumococcal conjugate vaccine (PCV).

On the Ground

In Somalia, there is about a 10% chance that a baby of one month will not make it to the age of 5. This is largely due to low immunization rates, which are especially important for children, as they are more vulnerable to disease. High child mortality rates correlate with slow economic development, poor education and lack of government healthcare funding.

Historically, Somalia has had some of the lowest vaccination rates across the world; however, since its election in 2022, the Somali government is proving its commitment to lowering under-5 mortality rates by investing in nationwide immunization programs.

Somalia’s Vaccination Program

In 2022, the Somali government joined the U.N. and WHO to create the “Big Catch-Up” vaccination plan targeting polio and measles. The campaign achieved the vaccination of 3.2 million children under five against polio, and another 3.5 million against measles. More recently, in 2024, the Somali government implemented the Immunization and Polio Eradication Task Force (SIPE), a multi-agency initiative between the government, WHO and U.N. It also launched the Child Survival Forum to prioritize “zero dose” children, monitor progress and design action plans. An example of its success includes the nation-wide implementation of an electronic immunization registry to efficiently trace individuals’ vaccination records.

In April 2025, SIPE introduced two new vaccines to its agenda; the rotavirus vaccine and PCV. Rotavirus is deadly due to diarrheal effects which can severely dehydrate the child and cause malnutrition. Meanwhile, pneumococcal bacteria can lead to illnesses including pneumonia and meningitis, which are infections of the lungs and infections of the spinal cord and brain tissue, respectively. Together, vomiting, pneumonia and measles account for 43% of child deaths in Somalia.

Looking to the Future

Projections from 2023 suggest that by 2030, Somalia’s child mortality rate could see a decrease from 104 out of 1,000 newborns dying to approximately 91 out of 1,000. Additionally, Lives Saved Tool (LiST) projections show that accounting for both rotavirus and pneumococcal related illnesses, an estimated 28,974 lives could be saved and 1,309,326 cases could be averted between 2024 and 2030.

Government prioritization and financial investment in a robust national immunization initiative are already seeing success. Expansion since implementation, and partnerships with institutions including WHO, U.N. and Vaccine Alliance, prove Somalia’s commitment to a strong, lasting vaccination program for children. Ultimately, slow progress is better than no progress, and the impact of efforts to combat major social obstacles is best observed on a broader scale of time.

– Emily Galán

Emily is based in Edmonton, Canada and focuses on Global Health and Politics for The Borgen Project.

Photo: Flickr

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LoCHAid and the Future of Hearing Aids in Developing Countries

Hearing Aids in Developing CountriesAccording to the World Health Organization (WHO), one-fifth of the world suffers from some degree of hearing loss. Hearing impairment is especially prevalent in underprivileged regions, yet few have access to hearing aids in developing countries. The consequences of hearing loss can be extreme, including hindering communication, possibly involuntarily isolating an individual from their peers, creating higher risk for mental health issues, diminishing opportunities for education or employment and $980 billion spent on “health sector costs (excluding the cost of hearing devices), costs of educational support, loss of productivity and societal costs,” according to WHO.

Age-Related Hearing Loss (ARHL)

In particular, age-related hearing loss (ARHL) is a prominent problem globally, affecting 226 million elderly people. According to experts from Georgia Tech and Lamar University, ARHL is five times as common in many developing nations throughout Asia and Africa than in wealthier countries. Although no “cure” exists for ARHL to date, hearing aids often help alleviate its effects.

WHO estimates that only 3% of those who need it have adopted hearing aids in developing countries compared to 20% in higher-income countries. The number one barrier for not having hearing aids is its unaffordability.

LoCHAid’s Low-Cost Solution

LoCHAid has created hearing aids that cost less than $1 in components per hearing aid. However, this price fails to include assembly, which raises the price to $2.40 if bought from MacroFab, according to PLoS One article. Yet these numbers are still notable, especially in comparison with other products on the market and their several-thousand-dollar price tags. LoCHAid hearing aids can even be customized to every individual with 3D-printable features, and their target is specifically elderly patients with ARHL. Also increasing its accessibility is the fact that LoCHAid is sold over-the-counter instead of requiring a specialist, which is crucial for those who may not have such a resource available to them.

LoCHAid is unique in how well it treats ARHL acoustically. LoCHAid uses innovative open-source technology instead of requiring parts that are impossible to acquire. Plus, it uses inexpensive materials that still manage to be durable and effective.

Other Hopeful Solutions

Besides the recent invention of LoCHAid seeking to address the affordability of hearing loss technology, there are fortunately many organizations fighting for this cause.

The Global Foundation for Children with Hearing Loss (GFCHL) focuses on minimizing the impact of hearing loss in children around the world. With initiatives in Kenya, Bhutan, Vietnam, Mongolia, Nepal, and Ecuador, the Global Foundation for Children with Hearing Loss trains educators and families in early intervention for children suffering from hearing loss, helping them adapt with technology and communication lessons.

Nonprofits Hear the World Foundation and World Wide Hearing teamed up to screen 85,000 Peruvian kids and give 2,000 the hearing aids they needed.

Addressing Needs of Those in Poverty

As hearing loss is such a prevalent global poverty and exacerbated by lack of accessible resources in many developing countries, these affordable hearing aids in developing countries will transform lives for millions of hard-of-hearing people. By addressing their hearing impairment, these people will have new opportunities–from social to employment–open to them. This is especially important for those in poverty, providing a light at the end of the tunnel.

– Klara Jones

Klara is based in Los Angeles, CA, USA and focuses on Good News and Technology for The Borgen Project.

Photo: Flickr

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New Center for Nuclear Medicine in Uzbekistan to be Established

Nuclear Medicine in UzbekistanCancer occurs in roughly 108 people per 100,000 people in Uzbekistan. Compared to the rest of the world, this rate is relatively low. However, Uzbekistan’s cancer mortality rate sits at around 67%, an alarmingly high number. Breast, stomach, and cervical cancers are the most common diagnoses. Luckily, Uzbekistan is working to change this.

New Nuclear Medicine Center in Uzbekistan

The Uzatom Agency, the Uzbek executive authority responsible for implementing state policy for atomic energy use, and the S. Berezin Medical Institute (MIBS) have formed a partnership to open a new medical center to introduce modernized nuclear medicine in Uzbekistan. This project was announced at the St. Petersburg International Economic Forum and will be supported by the Ministry of Health of the Republic of Uzbekistan.

Founded in 2003, the S. Berezin Medical Institute established networks of diagnostic centers and providing new diagnostic technology and treatment methods. MIBS operates more than 80 centers across 60 cities in the Commonwealth of Independent States (CIS). Annually, MIBS provides more than 1.5 million MRI and CT scans, as well as 4,000 examinations every day.

Focusing on Nuclear Medicine in Uzbekistan

The agreement between the Uzatom agency and MIBS aims to focus on implementing nuclear medicine in Uzbekistan as an integral part of improving and modernizing the country’s healthcare system, specifically its oncology care system.

The center will have new, state-of-the-art equipment for numerous procedures and services. It could have technology capable of performing positron emission tomography combined with computed tomography (PET/CT), magnetic resonance imaging (MRI), computed tomography (CT), and high-precision radiosurgery systems, like Gamma Knife and CyberKnife. There are also plans to equip the center with a laboratory for the production of radiopharmaceuticals, radioactive drugs used for diagnostic imaging and treatment. Additionally, the center will provide radionuclide therapy and perform isotopic-based diagnostic research.

This new nuclear medicine center will improve upon Uzbekistan’s health care system by providing doctors with the technology to detect cancer earlier than previously possible, track metastases, and treat a patient’s tumors and complex diseases rather than defaulting to surgery and painful operations.

Improving Uzbekistan’s Health Care System

This project is part of Uzbekistan’s goal to modernize its health care system and to start rolling out reforms by 2026.

A series of reforms have already been established in the Syrdarya region of the country. As of September 2023, some achievements of these reforms include the establishment of a state health insurance fund, a more structured primary health care (PHC) system, new provider payments and contracts with health facilities, and advanced e-health information systems for pharmacies.

A report by the World Health Organization (WHO) specifically emphasizes the successes of the PHC reform in Syrdarya. It holds the following accomplishments in high regard: expanded roles and increased autonomy for nurses, greater capacity for family doctors to spend more time on complex cases, evidence-informed clinical guidelines and protocols, and stronger connections between PHC teams and community health organizations.

More Efficient and Organized

The successful execution of these reforms has laid a foundation for a more efficient and organized health care system beyond Syrdarya and across Uzbekistan. With the introduction of centers for nuclear medicine in Uzbekistan and other healthcare reforms in the works, the country is making great progress towards its goal of modernizing its health care system and creating a healthier country.

– Hannah Fruehstorfer

Hannah is based in Pittsburgh, PA, USA and focuses on Good News and Global Health for The Borgen Project.

Photo: Flickr

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Spain Leads Infant Health Breakthrough Against RSV Infections

rsv infectionsSpain has emerged as a global leader in protecting infants from respiratory syncytial virus (RSV), launching a successful immunization campaign that dramatically reduced hospitalizations and intensive care admissions. According to Salut, the campaign cut ICU admissions by 90% and hospitalizations by 87%, while the overall number of RSV infections dropped by 68.9%.

In 2022, the European Union (EU) authorized the use of nirsevimab, the first monoclonal antibody (mAb) designed to prevent lower respiratory tract infections caused by RSV in newborns and infants during their first exposure to the virus. Carlos Rodrigo, clinical director of pediatrics at Germans Trias I Pujol Hospital in Badalona, praised the campaign’s acceptance rate. “The population’s acceptance rate was very high, as shown by the 87.7% coverage in Catalonia,” Rodrigo said. “If not surpassed, the expectations have been completely fulfilled.” Children under 6 months of age carry the highest risk and economic burden from RSV infections in Spain, making early prevention efforts especially critical.

Understanding RSV and Its Global Impact

RSV stands as one of the most common childhood infections and ranks as a leading cause of hospitalization in children under 5. Most children contract the virus by the age of 2. For infants and toddlers, RSV can cause serious symptoms, including breathing difficulties, low oxygen levels and dehydration. The virus plays a major role in global morbidity and mortality among children by driving epidemics of acute lower respiratory tract infections (RTIs). Recognizing this impact, Spain introduced its monoclonal antibody as a proactive measure to prevent severe RSV infections in infants and reduce strain on health care systems.

How Spain’s Monoclonal Antibody Strategy Works

Unlike vaccines that train the immune system over time, monoclonal antibodies like nirsevimab deliver immediate protection. This quality makes them especially useful during an infant’s first RSV season, when timely immunity matters most. Rodrigo emphasized the breakthrough: “The success of the measure is so evident that this year many other countries—such as the United States (U.S.), the United Kingdom (U.K.), Germany and Italy—will surely adopt it. The antibody is very well tolerated and the results are among the most spectacular ever seen in medicine.” He likened Spain’s RSV antibody rollout to historic breakthroughs such as penicillin or the polio vaccine. “It’s a huge, spectacular success,” he added, “a saving of suffering for parents and babies and of very high costs for the health care system.”

Building a Blueprint for Global Infant Health

Spain’s RSV prevention campaign offers valuable lessons for health policymakers worldwide. To replicate its success, health systems may need to plan proactively, ensure supply chains and implement targeted infant immunization strategies. Monoclonal antibodies may become key tools for protecting vulnerable populations, not only in Spain but worldwide. By prioritizing infant health and embracing innovative tools, Spain has made a significant leap forward in health care. Its model shows that with foresight and coordination, countries could reduce hospitalizations, protect children and ease the financial strain on health care systems.

– Abirame Shanthakumar

Abirame is based in Ontario, Canada and focuses on Global Health for The Borgen Project.

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