Information and news on advocacy.

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Jordan Becomes the First Leprosy-Free Country

jordan leprosy-freeJordan, officially named the Hashemite Kingdom of Jordan, hosts the fifth largest number of refugees per capita. Jordan regularly welcomes refugees from its neighboring countries and has taken in more than 640,000 Syrian refugees since the start of the Syrian Civil War in 2011. Despite Jordan’s cultural significance and international recognition, 24.1% of its population lives below the poverty line. Jordan continues to face challenges such as water scarcity and lack of arable land, while also hosting a large number of refugees, which are an economic challenge for the country. Despite these challenges, Jordan has just celebrated a major success by becoming the first leprosy-free country in the world.

Jordan: First Leprosy-Free Country

In September 2024, the World Health Organisation (WHO) awarded Jordan with a verification of becoming Leprosy-free. Jordan has not reported any Leprosy infections from within its borders in more than two decades and became the first country in the world to receive this verification by the WHO.

This success is in line with the WHO’s mission to eradicate leprosy. The WHO has launched the Towards zero leprosy Strategy 2021–2030, which works together with countries to achieve zero leprosy in the World. The WHO is working towards “zero infection and disease, zero disability, zero stigma and discrimination and the elimination of leprosy,”

There are still more than 200,000 new infections recorded worldwide, with more than half recorded in India. Leprosy is an infectious chronic disease caused by the Mycobacterium leprae. It is spread through droplets in the mouth and nose. Leprosy is transmitted by prolonged close contact with the infected. Once treatment is started people living with leprosy are no longer infectious. Left untreated, leprosy affects the skin, upper respiratory tract, and eyes and can lead to physical deformity. Leprosy is curable and treatable, and if treated early physical deformities can be avoided entirely. The treatment is a combination of three different antibiotics, namely dapsone, rifampicin and clofazimine.

Stigma

Unfortunately, those affected by the disease not only suffer from the physical effects of leprosy but regularly suffer from stigmatization. These range from social isolation to financial hardship, as people who have visible deformations are often rejected by the job market. In some parts of the world, leprosy is regarded as divine punishment. It can also be used as grounds for a divorce.

WHO Regional Director for South-East Asia Saima Wazed congratulated Jordan for this major public health achievement: “Jordan’s elimination of this age-old disease is a historic milestone in public health and a huge success for efforts to eliminate leprosy globally. The fight against leprosy around the world is more than a fight against a disease. It is also a fight against stigma and a fight against psychological and socio-economic harm. I congratulate Jordan on its achievement.”

Jordan’s historic achievement highlights how closely collaborating with the WHO and following the guidelines as outlined by the WHO’s Towards Zero Leprosy strategy is the key to success in the fight against Leprosy. Such news inspires hope that other countries still affected by leprosy can have similar success.

– Salome von Stolzmann

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

Photo: Flickr

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Sierra Leone Launches Successful Ebola Vaccination Campaign

Ebola Vaccination CampaignSierra Leone’s Ministry of Health launched a nationwide preventive Ebola vaccination campaign. Starting on Dec. 5, 2024, the three-week effort aimed at protecting 20,000 frontline workers against the Ebola virus. While similar higher-coverage campaigns were conducted in Guinea-Bissau (2021), Uganda and the Democratic Republic of Congo (2022), this initiative is the first of its kind in West Africa. Gavi, the Vaccine Alliance, provided a single dose of the Ervebo vaccine to frontline workers, with training, technical assistance and logistical support from the World Health Organization (WHO) and the United Nations Children’s Fund (UNICEF).

In an interview with The Borgen Project, Francisco Luquero, Gavi’s Head of High-Impact Outbreaks, highlighted the importance of the initiative. “The campaign’s impact will be significant to strengthen the country’s preparedness for future outbreaks by protecting frontline workers.”

Campaign Successes

The nationwide campaign targeted various at-risk communities, including health care professionals and first responders such as ambulance and motorcycle drivers. Village hunters were also vaccinated to prevent the spread of the Ebola virus from animals to humans. Luquero told The Borgen Project that Gavi achieved 94% coverage among the target group of 20,000 frontline workers. 

“Health care workers expressed satisfaction with the campaign, recognizing its importance in protecting themselves and their communities from future outbreaks,” says Luquero. He also stated that vaccine confidence and awareness also improved due to information provided about the vaccine’s benefits and side effects, as well as guidance on what to do in case of Adverse Events Following Immunization (AEFI). Gavi noted that these information dissemination efforts, along with “robust logistical support” from WHO and UNICEF, were crucial to the campaign’s successful rollout.

Ebola 2014 – 2016 Outbreak

The 2014 Ebola virus epidemic began in Guinea. It spread to at least 10 other countries, firstly through neighboring Liberia and Sierra Leone. With no vaccine available at the time of the outbreak, health care workers were limited in their response capacities. The epidemic resulted in 28,000 confirmed infections and approximately 11,000 deaths, making the outbreak “the deadliest in history.” Sierra Leone was the hardest-hit country, accounting for an estimated 36% of recorded deaths and losing 7% of its medical personnel.

Ebola Vaccinations

Gavi funded a stockpile of half a million doses of Ervebo in 2021, just three years after WHO and the European Medicines Agency approved the vaccine. The majority of the vaccines are allocated for preventive Ebola vaccination campaigns similar to the one in Sierra Leone, targeting at-risk communities. About 5% of the remaining stockpile is reserved for emergency outbreaks. This distribution is due to Ebola outbreaks being relatively uncommon and not having a large enough stockpile to cover entire populations.

WHO defines at-risk persons through a ring vaccination strategy, which “captures a social network of individuals and locations” comprising around 150 people per vaccination ring. To be included in a preventive Ebola vaccination campaign, one must either be a frontline worker or have in the last 21 days:

  • Lived in the same household or been in close contact with an infected person displaying symptoms of the virus,
  • Had physical contact with an infected person’s “body, body fluids, linen or clothes.”
  • Being a neighbor or family member (including extended family) “at the closest geographic boundary of all contacts.”
  • Or lived in the same residence as anyone else included within the vaccination circle.

For the Future

Following the campaign in Sierra Leone, Luquero shared that Gavi plans to improve several aspects of its vaccination efforts. “Key lessons include enhancing vaccine confidence, strengthening case management protocols for adverse events, and improving supply chain and data management.” Indeed, a total of 18 countries are eligible for a preventive Ebola vaccination campaign, with the Central African Republic expected to be the next to participate.

Although the likelihood of Ebola epidemics is low, vaccinated persons must continue to take precautions to protect themselves from infection. This includes avoiding direct contact with the bodies, bodily fluids and clothing of infected individuals. Additionally, Sierra Leone would also need to improve its population’s access to clean water, sanitation and hygiene (WASH) to help mitigate the risk of the virus spreading.

While the vaccine does not eliminate the threat of an Ebola virus outbreak, these preventive vaccination campaigns can fortify health care systems and enhance community preparedness in case the virus spreads in endemic regions.

– Nesreen Yousfi

Nesreen is based in Watford, Hertfordshire, UK and focuses on Good News and Politics for The Borgen Project.

Photo: Flickr

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Changing the Stigma Around HIV/AIDS in Saudi Arabia

HIV/AIDS in Saudi ArabiaStudies conducted in Saudi Arabia have found that a big portion of HIV/AIDS cases are going unreported. The reason for this has been attributed to a stigma surrounding HIV, which causes fewer people to seek treatment. When cases go unreported it’s hard to understand how big the issue is. This has created a need for better education on what HIV is to change the stigma surrounding it.

History of HIV/AIDS in Saudi Arabia

The first case of HIV was described in the 1980s, however, reporting in Saudi Arabia did not start until 2004. Stigma has formed because people are unaware of how long this disease has been around and who it is affecting. Improvement in reporting has allowed the government and private companies to create programs to help people with HIV and in the process remove any stigma. Despite people being considerably more educated, there is still a large portion of people who feel negatively towards individuals with HIV.

Changing the Stigma

The Saudi government funded a blood screening program as early as 1984. This was a new technique at the time that helped track and diagnose the disease as it spread. In 1994, it founded the Saudi National Aids Program. Since then the government has also made treatment free for individuals diagnosed with HIV. Efforts have been made to improve public knowledge about the disease and how to get tested.

Founded as a countermeasure to the HIV epidemic, the purpose of the Saudi National Aids program is to provide education and treatment to the public. The Program has created amendments to the treatment guidelines for HIV that have allowed for more people to access care. The program claims to be responsible for improving treatment so much so that in 2018 about 93% of reported cases were currently receiving treatment.

Public awareness campaigns create awareness that the government cannot. Progress begins when citizens can support each other through difficult times. Evidence of this was found in a survey that showed that the majority of people felt that they would still be friends with someone if they had HIV/AIDS. Improvement in the resources available for communities is another way awareness is being built. The Saudi Government has released informational brochures that allow community members to educate themselves.

Making Improvements

Since the start of the 2000s, the Saudi people have worked hard to create awareness around HIV/AIDS. In that time, studies have shown improvements in public knowledge and an improvement in attitude towards the disease. The reason public awareness is so important is that it creates a safe environment for people to talk about their health issues. The improved stigma around HIV/AIDS in Saudi Arabia has led to an increase in diagnoses among men. The Saudi Arabian people have shown that they want to improve the quality of life for people with HIV/AIDS, and as public awareness rises so will the amount of people helped.

– Kaleb Monteith

Kaleb is based in Greeley, CO, USA and focuses on Good News and Global Health for The Borgen Project.

Photo: Flickr

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Energy Crisis in the Andes

Energy Crisis in the Andes The Andes, a breathtaking mountain range spanning the western coast of South America, is the longest in the world. Stretching more than 4,000 kilometers from Colombia to Chile, the region holds immense historical significance as the homeland of the ancient Inca civilization. Despite their beauty and rich history, the Andes are home to many rural communities struggling to adapt to modern times, particularly in accessing electricity and reliable energy. In high Andean rural regions in Peru, more than 30% of households lack access to electricity, highlighting the disparity between urban and rural energy access. Some of these communities have fought for access to electricity for more than a decade without success, highlighting a growing energy crisis in the Andes.

Challenges in Kewinal, Bolivia

Kewinal, Bolivia, is home to the Ragaypampa, an indigenous ethnic group, this remote community has petitioned for electricity for 15 years. Despite these ongoing efforts, Kewinal’s geographic isolation poses significant challenges. Electricity could drastically improve life in Kewinal. Without it, households rely on candles and kerosene lamps, increasing the risk of house fires. Schools lack projectors, computers and printers, leaving students ill-prepared for modern careers. Many young people leave the community in search of opportunities, while those who stay hope for progress. Health care facilities in Kewinal also suffer due to the absence of electricity. Medical centers cannot implement digital record-keeping systems, making it difficult to manage chronic illnesses. Additionally, local artisans, including woodworkers and potters, could double their incomes with access to electricity, providing economic stability and discouraging migration.

Water Scarcity in the Peruvian Andes

In Peru, water scarcity exacerbates energy challenges. Hydropower serves as a critical energy source in the Peruvian Andean-Amazonian basin, but farmers and hydropower plants compete for limited water resources. Droughts, worsened by global warming, have intensified this competition, leaving both sectors at a loss. Furthermore, irrigation for farming diverts water away from hydropower plants, reducing energy output and affecting surrounding areas. Research from the Natural Capital Project suggests collaborative strategies to balance agricultural and hydropower needs, promoting sustainable water usage and reducing conflicts.

Colombia and Ecuador

Communities in Colombia and Ecuador face similar crises, with drought and environmental degradation threatening energy production. High-altitude wetlands, known as paramos, play a critical role in water storage and distribution but have been degraded by deforestation, climate change and soil erosion. The energy crisis extends beyond rural areas, impacting urban centers like Bogotá, Colombia. Water shortages disrupt hydroelectric power, leading to rationing and the suspension of electricity exports. Conservation efforts aim to address these issues and restore balance.

Collaborative Efforts and Conservation Initiatives

Bolivia’s Electrification Program, supported by the Rockefeller Foundation, seeks to bring green energy to 56,000 rural households. Approved in 2023, the program focuses on delivering sustainable solutions to remote communities like Kewinal. “As we race to address the largest challenge of our time, the world’s most vulnerable must be prioritized. We cannot afford to leave the people of Kewinal – or anyone – behind,” says Ashvin Dayal, Senior Vice President at Power the Rockefeller Foundation.

In Ecuador and Colombia, conservation efforts led by organizations like the Fund for Protecting Water (FONAG) aim to revitalize ecosystems critical to water and energy production. FONAG has planted 40,000 water-storing paper trees and is cultivating an additional 100,000, demonstrating the potential for nature-based solutions to alleviate the energy crisis.

Looking Ahead

The energy crisis in the Andes represents a broader challenge of energy inequality and environmental degradation affecting vulnerable communities worldwide. Progress in electrification and ecosystem restoration offers hope, but significant challenges remain in reaching remote areas and addressing environmental damage. Indeed, efforts across the Andes highlight the importance of innovative, community-driven solutions and sustainable development. By prioritizing collaboration and conservation, stakeholders can potentially improve living conditions for rural populations and create a more equitable energy future.

– Michael Messina

Michael is based in Newburport, MA, USA and focuses on Technology and Solutions for The Borgen Project.

Photo: Flickr

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UNICEF’s Oxygen Plant-in-a-Box

Oxygen Plant-in-a-BoxPneumonia kills more children than any other infectious disease. Each year, more than 7 million children under 5 require oxygen as a means of treatment for this. In 2020, UNICEF launched its Oxygen Plant-in-a-Box Project. This cost-effective project supplies hospitals with life-saving gas, a means of preventing millions of deaths from pneumonia.

Before 2020 – The Situation

As of 2018, pneumonia was responsible for 16% of child deaths, with the majority amongst children below the age of 2. It killed more children than diarrhea and malaria combined. Almost all cases of pneumonia can be prevented through early diagnosis and access to antibiotics and oxygen treatment. The problem lay and continues to lie with access to this healthcare.

Pneumonia does not have a single cause, it is an acute respiratory infection of the lungs, developing from either viruses or bacteria in the air. Once infected lungs become inflamed which causes difficulty breathing. The most common symptoms are coughing, fever and difficulty breathing.

The Role of Oxygen

When pneumonia develops, inflammation of the lungs stops enough oxygen from entering the bloodstream and circulating through the body. Access to oxygen in these cases becomes lifesaving. However, it has previously been unavailable to those in countries without strong health systems, only available in higher-level facilities and hospitals.

As the leading cause of preventable child deaths, pneumonia is more deadly to children in 124 low to middle-income countries who have limited or no access to health care. It leaves around 4.2 million children under 5 with dangerously low oxygen levels. This group is more vulnerable due to exposure to polluted air and higher rates of malnutrition and diarrhea, which leaves immune systems weaker.

UNICEF’s Oxygen Plant-in-a-Box Project.

Since the COVID-19 pandemic, UNICEF and partners have worked to improve basic oxygen access, coming up with their innovative Oxygen Plant-in-a-Box Project. The Oxygen-Plant in a box produces enough oxygen to treat up to 100 children with severe pneumonia. The package contains everything necessary to install and operate a pressure swing adsorption (PSA) oxygen plant which is fully functional within days of being implemented at a health facility.

By December 2021, over 16 countries had ordered this product and were on the path to developing stronger health care systems. That month patients at the Soroti Regional Referral Hospital in Uganda were the first to receive life-saving oxygen from this project.

More about the Box

The package includes everything to produce large volumes of medical-grade oxygen for patients, with each plant holding the capacity to produce up to 720,000 litres of oxygen each day. These packages aim to support medium to large health facilities.

Kristoffer Gandrup-Marino, Chief of Product Innovation at UNICEF Supply Division, stated these plants could take up to six months to design and order, so they developed the pre-designed plants making the product cheaper and faster to manufacture and arrive, saving lives in the process.

Real Life Implementation

In Uganda, 6-month-old Constance suffered from a cough, fever and difficulty breathing. She went to her local hospital where they diagnosed her with pneumonia. Here, she was immediately provided with antibiotics and oxygen. UNICEF reports.

A few months prior this would not have been the case. Due to a deteriorating infrastructure, the Kayunga Regional Referral Hospital held very limited access to oxygen therefore constricting its ability to treat the increasing numbers of pneumonia cases in children. Now, with the Oxygen Pant-in-a-Box running, Constance is one of hundreds of children supplied with the proper medical care. The new plant covers an area of 2.8 million people, according to UNICEF.

Pneumonia is still the biggest infectious killer of children, with millions of children still contracting the infection. However, local and sustainable solutions will continue to be found to prevent more deaths from pneumonia. The Oxygen Plant-in-a-Box Project contributes to this goal, supplying oxygen to healthcare facilities and treatment to those who need it.

– Amelia Short

Amelia is based in Bradford, UK and focuses on Global Health for The Borgen Project.

Photo: Flickr

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Global HIV Infections and Deaths Are Declining

Global HIV Infections and Deaths Are DecliningGlobal efforts to combat HIV/AIDS have led to significant progress in reducing infections and deaths. Some countries are advancing faster than others, leaving vulnerable populations behind. As of 2023, approximately 39.9 million people were living with HIV/AIDS worldwide, with 53% being women and girls. Despite progress, disparities remain: while 83% of women aged 15 and older have access to treatment, only 72% of men in the same age group do.

Progress Through Antiretroviral Treatment

Antiretroviral (ART) drugs treat HIV by preventing the virus from replicating, which lowers the virus to undetectable levels and significantly reduces the risk of transmission to partners or unborn children. Since 2010, new infections have dropped by 39% and AIDS-related deaths have declined by 51%.

Despite this progress, challenges remain. In 2023, approximately 630,000 people died from AIDS-related illnesses, far from the United Nations (U.N.) target of fewer than 250,000 deaths by 2025. Over the past decade, new initiatives have expanded access to treatment in resource-limited countries, leading to significant improvements. However, barriers like HIV-related stigma, discrimination, social inequalities, national instability and conflict continue to hinder efforts to combat the epidemic.

Countries Leading the Fight

  • South Africa. Although South Africa has the highest number of people living with HIV worldwide, it runs the world’s largest free ART program. Over the past 25 years, new HIV infections have decreased by 75%.
  • Eswatini. Eswatini has achieved the ambitious U.N. 95-95-95 target, meaning 95% of people living with HIV know they are living with it, 95% are on ART and 95% of those on ART are virally suppressed.
  • Thailand. Thailand was the first country to achieve the WHO organization mother-to-child transmission target of less than 2%. 

Countries Facing Significant Challenges

  • South Sudan. South Sudan’s ongoing conflict is exacerbating struggles with inadequate health care infrastructure and limited access to ART. UNAIDS and Médecins Sans Frontières (MSF) play a critical role by providing testing, treatment and advocacy. The on-the-ground charity Crown, the Women of South Sudan, additionally mitigated the social and economic impact of HIV and AIDS by improving awareness and giving psychosocial support to vulnerable groups.
  • Nigeria. The nation faces challenges such as insufficient funding, poor health system coordination and social stigma. The country’s ART coverage is below the global average and rural areas are especially underserved​. The United States (U.S.) President’s Emergency Plan for AIDS Relief (PEPFAR) is a major contributor in the country. In PEPFAR countries, there have been 52% fewer infections since 2010. The Indigenous NGO, the Society for Family Health, also contributes by increasing community awareness and access to treatment.
  • Philippines. The Philippines has the fastest-growing HIV burden, with a 237% increase in new infections and a 315% increase in AIDS-related deaths from 2010 to 2020. Additionally, since 2010, the number of new infections among men who have intercourse with men has increased by six times in the country. Love Yourself is one of the nation’s leading organizations working to combat the epidemic. 7,000 of its clients are on free treatment and since 2011, it has reached 5 million through its campaigns. Its focus also extends to providing mental health support to those affected.

Looking Forward

Global progress in the fight against the epidemic has led to a decline in new HIV infections and deaths, but challenges remain in several countries. While nations like South Africa and Eswatini have made significant strides, others, including South Sudan, Nigeria and the Philippines, continue to face barriers such as health care gaps and stigma. Efforts from international organizations and local charities are crucial in addressing these ongoing issues and advancing treatment and prevention globally.

– Georgia de Gidlow

Georgia is based in Watford, UK and focuses on Global Health for The Borgen Project.

Photo: Flickr

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Impact of UK Foreign Aid Cuts on Global Health and Education

Impact of UK Foreign Aid Cuts on Global Health and EducationThe United Kingdom (U.K.) government’s recent decision to reduce Official Development Assistance (ODA) spending has raised significant concerns among global aid organizations and policymakers. Announced in the 2024 Autumn Budget, this reduction lowers the U.K.’s aid commitment from 0.58% to 0.5% of Gross National Income (GNI) for the next two fiscal years, slashing approximately £2 billion from foreign aid funding. These U.K. foreign aid cuts bring the budget down to £13.3 billion in 2024-25 and £13.7 billion in 2025-26, reducing resources for global health, education and poverty alleviation programs.

Impact on Health Programs

Reducing U.K. foreign aid is expected to significantly impact health initiatives supporting some of the world’s most vulnerable populations. For decades, U.K. foreign aid has funded essential health programs, including vaccination campaigns against diseases like malaria, HIV and tuberculosis and maternal and child health services.

The U.K., for example, has been a major contributor to the Global Fund to Fight AIDS, Tuberculosis and Malaria. In 2022, the U.K. pledged £1 billion to the Global Fund over three years. This funding has helped provide antiretroviral therapy to about 23 million people living with HIV, distribute 133 million insecticide-treated nets to prevent malaria and detect and treat 5.5 million cases of tuberculosis. The cuts can potentially reduce the U.K.’s contribution, impacting these life-saving interventions.

Vaccination and Disease Prevention

Reduced funding could immediately affect vaccination and disease prevention efforts in low-income regions. U.K. aid or ODA has been instrumental in helping programs such as the Global Fund and Gavi, the Vaccine Alliance, to supply vaccines and improve health infrastructure in Sub-Saharan Africa and other high-need areas. With less funding, these organizations may struggle to provide adequate immunization, increasing the risk of outbreaks.

Maternal and Child Health

Programs focusing on maternal and child health are likely to face significant challenges due to the cuts. An assessment by civil servants warned that thousands of women will die in pregnancy and childbirth and hundreds of thousands more will face unsafe abortions because of cuts to the U.K.’s foreign aid budget. For instance, the U.K. has been a key supporter of UNICEF’s maternal and child health programs.

In 2022, the U.K. contributed £39 million to UNICEF’s core resources. These funds have supported initiatives like providing skilled birth attendants and essential newborn care in low-income countries. A reduction in funding could limit the reach of these critical services, potentially affecting maternal and child mortality rates.

Clean Water and Sanitation

The U.K. has long supported clean water and sanitation initiatives in low-income regions. Reduced funding could limit the scale of these programs, compromising access to safe drinking water and adequate sanitation in areas that need it most. This, in turn, could lead to a rise in preventable illnesses linked to poor water quality and inadequate hygiene.

Impact on Education Programs

The U.K. foreign aid cuts are also expected to have a significant impact on education initiatives in developing countries. These programs have been crucial in improving access to primary education, particularly for girls and children in remote areas.

A specific initiative that could be affected is the Girls’ Education Challenge (GEC), funded by the U.K. government. Since 2012, the GEC has supported up to 1.5 million girls in 17 countries to improve their learning outcomes and find pathways for progression. The program has been particularly effective in conflict-affected areas like South Sudan and Afghanistan.

Reduced funding could limit the scope and reach of such transformative programs. Moreover, support for education has been particularly affected by previous cuts, dropping from a high of 13.5% of the aid budget in 2013 to just 3.7% in 2022. Further reductions could exacerbate this trend, potentially leaving millions of children without access to quality education.

U.K.-funded programs have been instrumental in promoting girls’ education in many countries. The cuts may limit the reach of initiatives aimed at keeping girls in school, potentially affecting gender equality in education and long-term economic opportunities for women. 

Organizations Working to Mitigate the Impact

Despite the challenges posed by these cuts, several organizations are working tirelessly to mitigate the impact. Education Cannot Wait (ECW) is one such organization, a global fund dedicated to education in emergencies and protracted crises. ECW is actively mobilizing resources and partnerships to ensure that children in the most vulnerable situations continue to have access to quality education.

In 2022, ECW investments reached 7 million children and adolescents – 48% of whom are girls – with quality education in 32 crisis-affected countries. The organization has also leveraged an additional $1.1 billion in co-funding toward these programs. Such efforts demonstrate the ongoing commitment of the international development community to finding innovative solutions in the face of funding challenges.

Looking Ahead

While the U.K. foreign aid cuts pose significant challenges to global health and education programs, the international development community remains committed to finding innovative solutions. By supporting organizations like ECW and advocating for sustained investment in global development, organizations and individuals could work toward ensuring that the world’s most vulnerable populations continue to receive the support they need.

– Isabel Gallagher

Isabel is based in Dorset, UK and focuses on Politics for The Borgen Project.

Photo: Flickr

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Concern Worldwide in Malawi Takes Action

Concern Worldwide Takes Action in Malawi Malawi, a landlocked country in southeastern Africa, sees more than 70% of its population living in extreme poverty. After gaining independence in 1964, the Malawian government implemented a Poverty Monitoring System in 1994 to address rising poverty levels. Since then, various nongovernmental organizations have dedicated their efforts to improving the health and livelihoods of Malawians. Concern Worldwide, established in 2002, plays a crucial role in addressing multiple issues that contribute to poverty in Malawi.

Poverty in Malawi

A variety of challenges cause poverty among Malawians, including extreme weather variations, difficulty accessing globally traded goods, inequalities in food production and low access to health facilities. These issues result in an increased cost of living that is disproportionately impacting women and rural communities. A study from the National Library of Health describes the connection between income and the health status of families in rural Malawi. Research reveals that by increasing the overall income level by 10%, the average health status and level of well-being of Malawians improves by up to 1.2%. Concern Worldwide understands the crucial role the economy plays in health and poverty levels and takes action from multiple angles. 

Economic Impact

Research from the World Bank explains how economic growth directly affects mortality rates and life expectancy in developing countries. Additional factors such as income and income distribution, food prices, education and access to trading and transportation are primarily impacting the 80% of Malawians living in rural areas. Improving economic conditions requires changes in multiple areas of society by increasing the minimum wage, education and the household division of labor. 

RAISE Program

Concern Worldwide has taken action to improve the economic stability of the country by educating community members. The Raising Assets and Income for a Sustainable Environment in Malawi (RAISE) program, funded by the EU and Irish Aid, provides individuals from four districts in Malawi with a Business Skills Training course to encourage small businesses. This training, offered in Chikwawa, Mwanza, Neno and Nsanje, focuses on business management, risk vs reward and budget organization. Despite navigating literacy barriers, participants claim to have learned valuable skills to increase stability in sales and organization. Not only are entrepreneurs provided the knowledge to start their businesses, but they are also provided with a capital-funded transfer to start their enterprise. 

Health

In particular, rural Malawi’s low-income households, lacking access to medical resources or transportation to health centers, contribute to the lowest mortality rate. Researchers in the National Library of Medicine suggest public health and disease as the primary causes of decreasing mortality rates in struggling countries. Flooding furthers the spread of diseases and blocks roads, preventing access to centers.

To combat this, the organization is increasing the use of accessible technology to aid those who cannot make a trip to a clinic. Chipatala cha pa foni is a mobile hotline where young women and potential mothers can ask questions and hear advice from health care professionals. This program offers potentially life-saving opportunities to women struggling with their pregnancy or overall health. The organization is also implementing entertaining, educational methods to teach young girls about sexual health and reproduction. This helps younger populations be more aware of concerns such as AIDS, HIV, teen pregnancy and early marriage. 

Environmental Relief

Malawi relies heavily on agriculture to support its economy and feed its population. This makes the country dependent on the stability and predictability of the weather. However, Malawi is among the top 10 countries in the world impacted the most by turbulent weather changes. For instance, periods of high rainfall increase the spread of malaria through mosquitoes and flooding makes access to clean water more difficult, increasing the spread of cholera. Concern Worldwide combats agricultural disturbances by implementing Climate Smart Agriculture (CSA) techniques. CSA is a form of conservation agriculture that prioritizes the land and its sustainability in the future regardless of unpredictable weather concerns.

Specifically, Concern was one of the first organizations to respond to Cyclone Freddy in 2023. The storm damaged more than 50,000 homes, destroying crops, roads, powerlines and livestock. In response, Concern Worldwide provided 45 camps for displaced families throughout South Malawi and sent blankets, mosquito nets and other supplies to impacted areas. Emergency funds were allocated to 2,000 families forced to rebuild their lives. 

Women

The ongoing conflict in Ukraine has made commonly received goods unaffordable throughout Malawi. This increases the overall cost of living and contributes to poverty in an already struggling environment. Concern Worldwide analyzes the rising economic concerns through a gendered lens, considering how these challenges impact women. Malawian women especially lack access to financial responsibility, credit centers and household decision-making, which makes them vulnerable to inequalities in supplies and food production. By encouraging women to have a greater role in household decision-making and implementing a division of labor, families are better prepared to recover from disaster in the future.

A 2022 event featuring a panel discussion on the gendered impacts of the increasing cost of living in Malawi explains the economic and social issues women face and what is being done to address them. The discussion outlines the necessity of adopting a genderless approach to social protection systems to ensure women have equal access and support. The emphasis is on how prioritizing access to social protection programs for women in need can benefit the community long-term by reducing factors that contribute to poverty. In addition to encouraging women to enter the workforce, raising the minimum wage is considered an option to combat increasing costs. This would benefit the daily livelihoods of the workforce and boost the economy in life-changing ways.

Overall Impact

Despite various adversities, Malawi’s stability is gradually improving with the help of Concern Worldwide. This life-changing NGO offers aid and assists communities in protecting and rebuilding their livelihoods. By educating the workforce, supporting women, providing environmental and health care services and backing micro-businesses, Concern Worldwide empowers Malawi to support itself and require less aid in the future.

– Lauren Sellman

Lauren is based in Rochester Hills, MI, USA and focuses on Good News and Global Health for The Borgen Project.

Photo: Flickr

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Strengthening Education in Brazil

Strengthening the Education System in BrazilBrazil, South America’s largest country with a population of 216.4 million, shows mixed results in education. Student performance declined in the latest Programme for International Student Assessment (PISA), conducted by the Organization for Economic Cooperation and Development (OECD). Despite this, illiteracy rates dropped from 6.1% in 2019 to 5.6% in 2022, indicating some improvement in basic education. The country is experiencing increased outbound student mobility, driven by rising tertiary enrollments. Projections suggest Brazil will rank among the top five nations globally for total tertiary enrollments by 2035 despite an aging population. To address these ongoing challenges, the OECD and other organizations are collaborating to enhance Brazil’s education system.

Brazil’s Education System and Socioeconomic Progress

Education in Brazil is a guaranteed social right under the Federal Constitution, providing free public access at all levels. The education system is divided into basic and higher education. Basic education encompasses early childhood, primary and lower secondary and upper secondary education. Compulsory education begins at age 4 with pre-school and continues for 14 years through the end of upper secondary education. Historically, Brazil’s economic growth has benefited from favorable demographics and robust commodity prices. This growth, coupled with specific policies, has significantly improved living standards. Between 2003 and 2014, these efforts lifted more than 29 million people out of poverty, reduced child mortality by 73% from 1990 to 2011 and broadened access to basic education.

OECD’s 5 Steps to Strengthen Brazil’s Education System

  1. Impact of COVID-19 on Brazil’s Educational Funding. COVID-19 significantly affected Brazil’s economy, resulting in reduced education spending. The OECD criticizes the rigidity of this funding, which merely satisfies spending requirements without addressing effectiveness. The organization recommends a more flexible, outcome-focused approach to funding. According to the OECD, increased investment in education would substantially improve the quality of education that students receive.
  2. Enhancing the Teaching Profession in Brazil. To enhance Brazil’s education system, the OECD recommends upgrading the teaching profession. This upgrade should include better salaries, career progression and working conditions for teachers. The organization also suggests that new teachers pass a licensing test and receive induction support during their early years to ensure they have adequate training.
  3. Improving Teacher Effectiveness and Student Outcomes. Boosting student outcomes involves enhancing teachers’ effectiveness in the classroom. This could include proper teacher training and skill improvements in areas such as classroom management. Providing incentives, such as promotions and performance-based payments, can also motivate teachers.
  4. Creating a Positive School Environment. There is a need for improvement in handling bullying and harassment on school grounds, with appropriate punishments for offenders. Schools should strive to create a positive environment for both students and teachers to improve well-being and learning outcomes, reducing the risk of dropouts.
  5. Supporting Disadvantaged Students and Preventing Dropouts. Disadvantaged students should receive continuous support from early childhood education until they complete their education. To address dropouts, teachers should focus on supporting the weakest and least motivated students, possibly through individual teaching and tutoring. Students at risk should also receive additional funding and support to remain in education.

Looking Ahead

Brazil’s commitment to advancing its education system reflects the country’s efforts to prepare for future socioeconomic challenges. Prioritizing innovation, equity and effective resource allocation can potentially address long-standing disparities in education. By fostering collaborative partnerships and emphasizing strategic improvements in education, Brazil aims to create opportunities for all students, supporting both national development and individual growth.

– Indira Smith

Indira is based in Manchester and focuses on Global Health for The Borgen Project.

Photo: Flickr

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How Supporting Poverty Eradication Benefits Global Business

How Supporting Poverty Eradication Benefits Global BusinessWith more than 700 million people worldwide living in extreme poverty—defined as surviving on less than $1.90 per day—poverty remains a pressing issue that impacts both individuals and economies on a global scale. Businesses have a unique opportunity to contribute to poverty eradication while simultaneously achieving significant benefits, including brand loyalty, sustainable growth and stronger, more resilient supply chains. Supporting poverty eradication is not only a moral imperative but also a sound business strategy that aligns with long-term corporate sustainability goals.

The Business Case for Supporting Poverty Eradication

Poverty reduction creates economic opportunities that benefit businesses in various ways. As incomes rise, more people can potentially afford goods and services, directly expanding the consumer base for companies. For instance, when businesses invest in fair wages and decent working conditions, they build a more reliable, engaged and productive workforce. Supporting poverty eradication also cultivates a positive brand reputation.

Companies actively working to reduce poverty attract consumers who value corporate responsibility, as studies reveal, consumers increasingly favor businesses aligned with social impact initiatives. Moreover, poverty eradication promotes social stability, which is essential for a thriving global economy. Poverty often correlates with social unrest, political instability and migration issues, all of which can disrupt business operations and supply chains. 

Strategies for Businesses to Support Poverty Eradication

Businesses could support poverty eradication through strategic actions focused on fair labor practices, community development and sustainable supply chains. Here are three effective strategies:

  1. Ensure Decent Work Conditions. An effective way for companies to support poverty eradication is to ensure decent work conditions within their organizations and supply chains. Decent work, as defined by the International Labour Organization (ILO), includes fair wages, safe work environments and equal opportunities for all. A business that provides fair wages and adequate social protections enables its employees to achieve a higher standard of living, which lifts entire communities out of poverty.
  2. Adopt Sustainable Procurement Practices. Businesses have considerable influence as buyers, particularly in sectors that rely on extensive supply chains. By adopting sustainable procurement practices, companies can prevent poverty-related issues within their supply chains. For instance, businesses can conduct human rights due diligence to identify potential poverty risks, such as child labor or exploitative wages and address them directly. Sustainable procurement also includes sourcing materials from ethical suppliers and prioritizing fair trade partners, which strengthens global supply chains and reduces poverty.
  3. Invest in Community Development and Education. Investing in community development programs and education can create lasting social and economic benefits. Companies that contribute to local infrastructure, health or educational initiatives improve the overall well-being of the communities where they operate. Programs that provide skills training and resources for entrepreneurship empower individuals to generate income and establish local businesses, creating a multiplier effect that stimulates the economy and alleviates poverty.

The Global Impact

The global impact of business support for poverty eradication extends far beyond individual companies or communities. When businesses commit to poverty eradication, they contribute to several Sustainable Development Goals (SDGs), including SDG 1: No Poverty. Such commitments promote economic inclusivity, gender equality and environmental sustainability, which are essential for a balanced global economy. As businesses align with the SDGs, they drive sustainable development and support the vision of a world where no one is left behind.

Supporting poverty eradication is also critical in addressing urgent global challenges such as climate change and migration. Poverty often forces people to rely on environmentally harmful practices like deforestation and overfishing, which exacerbate climate change. Additionally, poverty-driven migration can strain resources in neighboring regions, creating humanitarian crises. By helping eradicate poverty, businesses play a role in mitigating these interconnected issues, making a significant contribution to global stability and resilience.

A Sustainable Future Built on Poverty Eradication

Supporting poverty eradication is good for business and it fosters a sustainable future where companies, communities and economies can potentially thrive. Businesses that prioritize fair labor practices, ethical sourcing and community development enhance their reputation and build a loyal consumer base while contributing to global stability. By embracing these strategies, companies play a crucial role in creating an equitable world, ensuring a positive legacy that supports economic and social progress for generations to come.

– Olivia Barker

Olivia is based in Guildford, Surrey, UK and focuses on Business and New Markets for The Borgen Project.

Photo: Flickr