Archive for category: Children

Information and stories addressing children.

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Ciudad de los Niños: A Non-Profit’s Impact on Tijuana’s Children

Ciudad de los Niños (City of Kids): A Nonprofit's Impact on the Children of Mexico Ciudad de los Niños is a civil organization serving the community of Tijuana, Mexico. It offers a home for children from unsafe families, as well as childcare, psychological and educational programs. From a guiding value of co-responsibility, the nonprofit shares a commitment with society and families to protect, care for and support children experiencing social disadvantages. These disadvantages include financial hardship, mental health issues, disabilities and not having safe or reliable parental care. 

The Borgen Project spoke with Marta Beltrán, director of Ciudad de los Niños; Maryel Nieves, head of communications; Gladys, coordinator of CAI Albergue Infantil; and Cinthia Saavedra, coordinator of Unidad de Servicios Especializados, to gain further insight into the organization’s work. 

CAI Albergue Infantil (Children’s Shelter)

The Albergue Infantil is a shelter home for children who have experienced abuse or abandonment from their caregivers. The children’s cases are evaluated by the state. In this process, the children are moved to shelter homes like the Albergue Infantil offered by Ciudad de los Niños. There is no specific time frame for the length of cases, so children can spend anywhere from a few months to several years at the home.

Coordinator Gladys works directly with these children. She focuses on creating a family-like atmosphere and wants the children to have a loving and dignified childhood. She ensures that all fundamental emotional needs are met, guided by love.

Unidad de Servicios especializados (Unit of Specialized Services)

The Unidad de Servicios Especializados is Ciudad de los Niños’ psychological unit. Here, the nonprofit offers therapy to children and parents for mental health, trauma and disabilities.

Typically, the children are between 3 to 17 and a half years old. For kids with disabilities, the unit offers speech therapy, teaches sign language and provides hearing aids. For parents, they work with therapists outside the organization to connect them. Psychiatric services are included at the unit for patients who may need medication.

Prices are adjusted and decided after an assessment of family income. This allows low-income families to access needed psychological services. Equity is practiced, as the price is set using context and understanding of differing situations.

Initially, patients can have a hard time, as the therapists challenge them and help them confront difficult emotions. However, as treatment progresses, patients begin to feel proud of themselves for their successes. Similarly, the workers often have to figure out solutions, but feel very fulfilled seeing their patients’ progress.

Estancia Infantil (Day Care)

Ciudad de los Niños offers a daycare for working parents. To qualify for the program, both parents must be employed. However, the organization makes exceptions. If a parent is continuing their education, they may still qualify, since they cannot be with their child during class. Also, in consideration of summer vacation, children who are alone at home due to their parents’ working hours are accepted into the daycare. 

The daycare promotes equity, as low-income families can receive scholarships. Furthermore, the requirement helps ensure that working families have better access to childcare, as there is less competition from families with a stay-at-home parent.

Programa Educativo (Educational Program)

The children at Ciudad de los Niños attend public school and are further supplemented through educational programs at the organization. The organization connects with the schools to understand what each child needs to improve. They also focus on the students’ homework. Additionally, Ciudad de los Niños offers its own curriculum on art, plastic art and ecology.

The education program goes beyond its unit. It is present in all the aforementioned units, most notably at the Unidad de Servicios Especializados. In the case of mental disabilities, the unit implements pedagogy to provide effective aid to patients with neurodivergence.

All of the units work together. A child in the Albergue Infantil may go to therapy at the Unidad de Servicios Especializados and participate in the Programa Educativo after school for a concept they may not have understood at school.

Volunteers

Ciudad de los Niños welcomes volunteers across its programs, including at the Estancia Infantil, which supports young children. Volunteers assist with caregiving, play-based learning and basic needs such as organizing supplies. In the past, volunteers have donated school supplies and toys through independent fundraising efforts. The organization fosters a welcoming environment for volunteers, often including them in group activities and highlighting their contributions on social media.

Looking Ahead

Ciudad de los Niños offers direct aid to the community of children and even parents in Tijuana, Baja California, Mexico. At the Albergue Infantil, children are given a second chance at a childhood filled with love, respect and integrity that they did not receive in their original homes. At the Unidad de Servicios Especializados, children with mental disabilities or traumatic upbringings can seek healing and peace through the help of psychologists and therapists. Likewise, at the Estancia Infantil, hardworking parents receive child care support. This allows for social mobility, as parents can grow their careers or have two incomes instead of one. Finally, in the educational program, children receive further instruction in subjects like arts and ecology and receive help with their homework. Parents and children experiencing financial challenges, mental health concerns, disabilities and unsafe homes can find help at Ciudad de los Niños.

– Andrea Roji

Andrea is based in San Diego, CA, USA and focuses on Good News for The Borgen Project.

Photo: Ciudad de los Niños

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Vietnam’s Two-Child Policy Repealed: Here’s What That Means

Vietnam’s Two-Child Policy
Vietnam is in trouble. The country, in recent years, has become one of South-East Asia’s most talked about and exciting economies. The capital, Ho Chi Minh City, has become a thriving powerhouse of investment. However, demographics tell a different story. In 2015, Vietnam was declared an ‘aging’ country. Meanwhile, by 2035, it could become an ‘aged’ country. With a significant percentage of the population over 65, the momentum of the Vietnamese economy is coming to a gradual halt. When the birth rate dropped to 1.91, lower than the recommended replacement rate of 2.1, the government quickly acted and repealed Vietnam’s two-child policy.

Vietnam’s Two-Child Policy

Since 1988, the Vietnamese government has kept a rule of no more than two children per mother – this was in response to an extremely high birth rate of more than four babies in the 1980s. Given Vietnam’s struggling post-war economic state, it introduced the policy to control overpopulation. Demographics could, however, quickly stagnate the emerging Vietnamese economy in the 2030s, primarily hurting the poor the most, with rural and underdeveloped areas struggling to grow economically.

Challenges for the Elderly

Elderly Vietnamese often move from thriving cities, with developed infrastructure, to rural areas after retirement. With only two children to care for elderly relatives, many Vietnamese struggle in their old age, coupled with the lack of infrastructure in certain peripheral provinces. Younger Vietnamese workers are reluctant to move to these rural areas, with a lack of work opportunities and limited access to services. This disconnects retirees from their family, keeping young people in cities such as Hanoi.

The Vietnamese government spends a significant amount on health and social care. In the late ‘80s and early ‘90s, the percentage of state budgets spent on health, population and family-planning was around 30%. The rising elderly population would only continue the burden on government services, should the situation worsen. Many wonder what effect this rise will have on the existing poor in Vietnam; will the burden increase if poor families are having more babies? It is unclear that those in poverty will have more children as a result of these reforms.

Boosting Birth Rates

Vietnam already spends 5% of the state budget on health, population, and family planning. If these birth-rate boosting measures were not put in place, social programs for the elderly are expected to cost 0.4% of GDP by 2050. The long-term costs clearly outweigh the risk.

The Vietnamese government also seems to be specifically targeting population centers such as Ho Chi Minh City, for increased fertility. Compared with the overall birth rate of 1.91, Ho Chi Minh City saw levels as low as 1.39. The government, in response to this, instituted a ‘baby bonus’ – a grant of around $120 for those having two children before 35.

By encouraging wealthier areas to have more children, alongside a robust family planning safety net, Vietnam can increase its birth rate whilst taking the burden away from poorer families. This allows the long term economic development and diversification necessary for Vietnam to continue its economic growth, further providing for the poorest in the country.

Why This Was Necessary

The window of opportunity was shortening. Vietnam has been clearly moving towards a situation all too common in Asian countries with strong or developing economies. An aging population, rapidly turning into an aged one, and not enough working-age adults to combat this. 

Short-term fixes have been put in place, such as a raise in the retirement age from 55 to 60 for women, and 60 to 62 for men. The Prime Minister has even made personal pleas, asking women to marry before 30 and have two children before 35. These efforts, however, are only small aspects of a larger story.

Repealing Vietnam’s two-child policy demonstrates a structural shift in the Vietnamese government’s approach to combating the aging population. This move will not only help the poor in the long-term, but future-proof the Vietnamese economy against imminent stagnation.

– Lee Stonehouse

Lee is based in Newcastle upon Tyne, UK and focuses on Good News and Politics for The Borgen Project.

Photo: Wikimedia Commons

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Rwanda CHWs Child Survival: Volunteers Reduce Child Deaths

Rwanda CHWs child survivalRwanda’s community health worker model, widely known as “Rwanda CHWs child survival,” drove the nation’s under-5 mortality rate to plummet from 158 deaths per 1,000 live births in 2000 to about 40 in 2023, a drop exceeding three-quarters. That feat makes Rwanda one of only four low-income nations to clear the 75 % benchmark since 2000.

Life-Saving Trios in Every Village

At the core of Rwanda’s child survival strategy is a network of about 45,000 CHWs, three elected volunteers in each of the country’s nearly 15,000 villages. The “binôme,” a male-female CHW pair, treats common childhood illnesses such as malaria, diarrhea and pneumonia, diseases that pose serious risks to young children. Meanwhile, a female maternal health worker monitors every pregnancy from the first trimester to postpartum.

Most recruits complete about three months of intensive classroom and hands-on instruction in integrated community case management, maternal-newborn care, nutrition counseling and family-planning services. They must score at least 80 % on a post-course exam before being certified; brief refresher modules update drug protocols and data-reporting skills each year.

Cash for Results Keeps Quality High

Since 2009, Rwanda’s Ministry of Health has operated a community performance-based financing (cPBF) scheme that sends group bonuses directly to legally registered CHW cooperatives. These quarterly bonuses, wired through the Ministry of Economy and Finance, are released only after each group meets specific maternal and child health targets.

Under the original split, 30% of every payment went to individual workers and 70% stayed in the co-op account to build capital. Co-ops invest that reserve in income ventures and about 52.7% choose livestock projects such as dairy goat or poultry sheds. In contrast, others buy bicycles, maize mills, or seeds for micro-loan funds.

Profits boost household income and keep attrition low, while the promise of the next bonus keeps each village team laser-focused on service coverage and timely referrals.

RapidSMS: A Text That Saves a Life

A 2018 nationwide evaluation reported that Rwanda’s CHWs fired 9.3 million RapidSMS messages between 2012 and 2016, flagging births, danger signs and supply gaps in real-time. Those real-time alerts let supervisors dispatch antibiotics, restock bed nets and organize ambulances faster, raising antenatal care, facility delivery and post-natal rates in the districts studied.

Scaling Up Again

Rwanda is digitizing its frontline workforce by formulating an electronic Community Health Information System (eCHIS). It was built in 2023 and a pilot has already helped train 600 community health workers across three districts to capture visits on a smartphone app.

Also, on May 30, 2025, Rwanda’s Health Ministry rolled out a new AI-powered mobile platform to train and support all 58,567 CHWs on their smartphones, replacing costly face-to-face workshops. The system links each visit to the community electronic medical records (cEMR) database so supervisors can track patient trends and drug stocks in real-time.

Conclusion

Rwanda’s experience proves that community trust, modest pay for performance and real-time data can significantly reduce child deaths. Health ministries that are struggling with high under-5 mortality now have hope to combat it, especially with the Rwanda CHWs child survival model.

– Arabella D’Aniello

Arabella is based in The Hague, Netherlands and focuses on Good News for The Borgen Project.

Photo: Wikimedia Commons

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Addressing Healthcare in Nepal

Healthcare in NepalNepal is a country in South Asia, home to some 30 million people. The country is located in the Himalayas, bordering China and India. Nepal is also known for being the home of the tallest mountain in the world; Mt. Everest, as well as being the birthplace of the Buddha. Nepal is a developing country, and as a result, it still faces certain challenges when it comes to healthcare. Rural healthcare in Nepal can be particularly challenging.

About Healthcare in Nepal

Nepal is a predominantly rural country. Approximately 79% of the country lives in rural areas. As a result, there is a significant urban and rural divide in the country when it comes to healthcare. Because of the country’s hilly and mountainous terrain, expanding healthcare programs to rural areas can be challenging. Rural areas have fewer clinics, healthcare personnel and medical equipment than urban areas. Rural healthcare in Nepal faces many such challenges. The access to proper healthcare is not distributed evenly throughout the country.

A mix of public and private services provide healthcare in Nepal. The government provides basic healthcare services. Private sectors provide a larger number of services. People in urban areas rely more on the private sector for healthcare. People in rural areas rely more on public healthcare services. Pharmacies are the leading providers in the private sector. But in general, most citizens rely more on the private sector. About 63% of Nepalese relied on the private sector regardless of their economic background. Public hospitals are the primary healthcare facilities in the country, followed by primary healthcare centers, health posts, private facilities and basic healthcare service centers.

Challenges With Healthcare Access in Nepal

About 20.3% of the Nepalese population lives below the poverty line, according to the Asia Development Bank (ADB). The United Nations classifies Nepal as one of the least developed countries in the world. This makes it difficult for the Nepalese government to provide adequate healthcare, especially in rural areas. The country’s economic status makes rural healthcare in Nepal a challenging endeavor for the government.

Despite its economic situation, the Nepalese government has taken efforts to improve the country’s healthcare situation. The country’s constitution declares healthcare a fundamental human right. It also guarantees that every Nepalese citizen has a right to free basic healthcare services from the state. In addition to this, the Nepalese government has initiated a national immunization program to vaccinate the population against various diseases. In 2015, the government passed the Immunization Act, which confirms the right to vaccinations for all children by way of an efficient immunization program.

Nepal has also had programs specifically designed to vaccinate children. About 65% of 1 to 2-year-old Nepalese children have received all necessary vaccines. However, there is still room for improvement. Specifically, there are significant disparities regarding who receives vaccines. Education level and caste play a big role in vaccine distribution. People belonging to lower castes, and those who have not received any education are less likely to be properly vaccinated. The urban and rural divide comes into play here, as people living in rural and remote areas are less likely to have received proper vaccinations due to their caste or education level.

Solutions

In 2012, the country began the Reaching Every Child program to vaccinate all Nepalese children. The program is part of the broader National Immunization Program, designed to properly immunize and vaccinate citizens from deadly diseases. Through this program, the Nepalese government aims to vaccinate every child across the country, regardless of whether they live in urban or rural areas.

Other strides have been taken to expand rural Nepal’s access to healthcare. The Internet Society is leading an Effective Broadband for Health program for rural areas in Nepal. The program established wireless broadband services in Nepalese villages. It also provided remote villages with telemedicine solutions, and helped build proper healthcare infrastructure.

Looking Ahead

Nepal still has a lot of room for improvement when it comes to expanding healthcare to rural areas. Rural areas still lack things like healthcare infrastructure, personnel, medicine and accessibility. However, the country is actively working to improve the situation. The constitution declares healthcare a human right and gives every citizen access to free basic healthcare services. Additionally, companies like the Internet Society are also working to expand healthcare access to remote areas through wireless broadband services. 

– Samriddha Aryal

Samriddha is based in Centreville, VA, USA and focuses on Celebs for The Borgen Project.

Photo: Wikimedia Commons

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Digital Birth Registration in Nigeria

Digital Birth Registration in NigeriaIn Nigeria, more than 50% of children under 5 years old remain unregistered at birth, leaving more than seven million children without legal identity or access to essential services. Without formal documentation, these children often cannot receive vaccinations, enroll in school or access societal protection programs. Birth registration is a fundamental right under the Convention on the Rights of the Child. It plays a critical role in protecting children from trafficking, child labor and early marriage. However, digital birth registration in Nigeria is a powerful tool for addressing this gap.

In partnership with UNICEF and the National Population Commission (NPC), the Nigerian government has launched an ambitious initiative to digitize birth registration in Nigeria. It aims to do this through an integrated Electronic Civil Registration and Vital Statistics (e-CRVS) system. The program aims to register more than nine million under 5 children and five million infants using mobile devices and a cloud-based digital database.

How Digital Registration Works

The pilot phase of the e-CRVS program was active at test sites in Nasarawa, Lagos, Kano, Borno and Enugu states, where local health facilities and mobile teams register children at the point of care. Digital tables and software allow frontline workers to capture live birth data and instantly generate certificates. The system is linked to Nigeria’s National Identity Number (NIN) platform, operated by the National Identity Management Commission (NIMC), ensuring each child receives a permanent identity number for life.

This integration allows public institutions to cross-reference birth records with healthcare, immunization and education systems. It also makes tracking child development easier, planning vaccine campaigns and ensuring social services reach the most vulnerable.

Health Benefits of Legal Identity

A legal identity is not just a certificate but a gateway to health equity. According to UNICEF, children enrolled through digital birth registration in Nigeria are more likely to be vaccinated, receive medical care earlier and attend school. In regions with low birth registration, health systems often struggle to track and follow up with children who miss vaccines or drop off routine care schedules.

Digital birth registration allows real-time data to be shared with national immunization registries, helping ministries of health identify gaps, forecast demand and avoid supply chain breakdowns. This is particularly crucial in rural areas where children are most at risk of preventable disease and malnutrition.

Supporting Sustainable Development Goals

Nigeria’s digital birth registration initiative aligns with Sustainable Development Goal (SDG) 16.9, which calls for providing legal identity for all, including birth registration, by 2030. The initiative also contributes to broader SDGs focused on child health (SDG 3), inclusive education (SDG 4) and gender equality (SDG 5) by ensuring that girls and boys alike are counted and protected from birth.

Final Remarks

According to the latest edition of the ID4D Global Dataset, approximately 1.25 billion people do not have a digitally verifiable identity, primarily due to documentary requirements and distance to registration points. Many of these people reported the consequences following them into adulthood through financial and technological barriers. Nigeria’s scalable model could serve as a blueprint for other low and middle-income countries seeking to close the identity gap.

By digitizing birth registration, Nigeria is improving access to basic health and education services and restoring visibility, dignity and protection to millions of children who have long been left out of the system. As implementation continues, the program could reshape how governments track child welfare, deliver public services and uphold the rights of every child, starting from day one.

– Rebecca Lee

Rebecca is based in Scotland and focuses on Technology and Global Health for The Borgen Project.

Photo: Flickr

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Street Children in the Comoros

Street Children in Comoros

When one thinks about the issue of street children, the Comoros rarely, if ever, come to mind. Yet, the visibility of children working and living on the streets is a growing reality across the country’s three islands: Anjouan, Mohéli and Grand Comore. For many Comorians, encountering groups of children selling goods or soliciting money and cigarettes on the streets has become increasingly common.

Despite this, institutional policies, government data and international reporting on these vulnerable children remain absent. Although a few governmental programs were implemented in 2021 targeting child labor and education, they remain insufficient and fail to address the increasing phenomenon of street children. Similarly, international organizations are predominantly directing their efforts toward combating child labor and addressing de-schooling, leaving street children, especially those without family support, largely overlooked.

Street Children and Poverty

The causes behind the issue of street children in the Comoros are multifaceted. However, extreme poverty stands out as the main factor. In a country where more than 40% of the population experiences poverty, many children resort to street work to secure basic subsistence or help feed their families. Most of them have left the school system, which, although compulsory until age 15, lacks strong enforcement mechanisms to check and enforce school attendance. In 2023, more than 20% of primary school-aged children were out of school in the Comoros, excluding the high absenteeism rates.

Street Children and Parental Migration       

Another major cause contributing to this problem, closely linked to extreme poverty, is the migration of many Comorian parents to the French-administered island of Mayotte. This mass migration leaves many children homeless as their parents seek better economic opportunities.

Street Children and Mental Health

Children with disabilities and mental health conditions face higher risks of living and working on the streets. This is due to a lack of proper psychiatric care, exacerbated by the presence of only one psychiatrist in the country and the high cost of medications, alongside educational exclusion. According to the most up-to-date UNICEF report from 2015, 73% of these children did not attend secondary school and only 2.9% progressed beyond secondary education, illustrating the exclusion children with disabilities encounter.

Gender-Based Vulnerabilities

Girls and young women are disproportionately affected by educational exclusion and societal norms that promote submission to male authority. This often leads to mistreatment, sexual abuse, early sexual activity starting as young as 12 and unwanted pregnancies. These factors contribute significantly to the increasing number of young women living on the streets, as some parents repudiate their daughters who have terminated unwanted pregnancies.

Life on the Streets Equates Survival

Once children are on the streets, whether they return home after working or both work and live there, survival becomes the primary goal. The lack of reliable housing exposes youth to physical, sexual and emotional abuse. Health issues such as parasitic diseases, pneumonia, sexually transmissible diseases and HIV are common, compounded by past and present trauma. Without adequate support, children become the perfect targets for drug dealers, both as consumers and sellers.

The absence of comprehensive systems and official data exacerbates their plight. The Comoros lacks social structures to shelter street children, with few competent host families. Children’s judges rarely place them under those families and there are not enough inspectors to follow up. The lack of official and international data on the number of children living and working on the street in the Comoros also worsens the situation, as their abuses remain undocumented and unacknowledged, leaving children vulnerable to aggressors who can commit crimes with impunity and many disappearing without anyone noticing.

Efforts Toward Empowerment

Despite the alarming situation, some organizations like Ticket to Life and MAEECHA are working to address these challenges, offering hope for street children in the Comoros. Ticket to Life provides vocational training and education to street children, children with disabilities, refugees and all of those who suffer from poverty. Since its creation in 2022, it has helped 400 children through scouting and sewing training. It enabled some students to open their sewing shops and become an integral part of their local communities, transforming their future. By 2026, Ticket to Life intends to assist another 2,000 children.

MAEECHA operates in Anjouans and focuses on education equality and support for isolated children through its Education, Care, Support and Inclusion (ECMA) program. Its center of professional insertion helps out-of-school children, including those at risk of street involvement due to family breakdown or abandonment. It provides professional vocational training in several fields, such as agriculture, sewing, electronics, carpentry and culinary arts, targeting about 60 children annually. It is supported by partnerships with French and European organizations promoting apprenticeships and certifications.

Conclusion

The phenomenon of street children in the Comoros is a multifaceted issue rooted in systemic poverty, inadequate social structures and violence. Working and/or living on the streets exposes children to sexual, physical and emotional abuse. While Ticket to Life and MAEECHA are making strides in providing support and comprehensive governmental action, the involvement of international organizations focused on this issue and American aid would help address the root causes of street children. It would also help protect the rights and futures of the Comorian children, especially as an increasing number of them attempt to join the French-administered island of Mayotte, often at the peril of their lives.

– Juliette Delbarre

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

Photo: Pexels

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Things To Know About Child Poverty in San Marino

Child Poverty in San MarinoSan Marino is Earth’s oldest constitutional Republic, named after the legendary stonemason Saint Marinus. Despite its rich history, San Marino continues to face challenges related to child poverty. Of the roughly 5,000 children aged 15 or younger, about 6.1% live below 50% of the national poverty line.

This statistic models an ongoing socioeconomic issue that requires persistent attention and committed action from the government. However, children are protected under the Children’s Rights Convention, which provides a vital foundation for their welfare. San Marino offers accessible resources to all adolescents to ensure that protection and stability are allotted to them. This commitment to their well-being is a cornerstone of the nation’s policy.

Justice

Criminal justice is another major issue in San Marino, particularly regarding the treatment of minors. Under the country’s Penal Code, which defines all criminal offenses, children aged 12 or younger cannot be charged with misdemeanors. Arresting a child at that age is considered both illegal and inappropriate. This legal provision reflects understanding child development and safeguarding children’s rights.

However, any child older than 12 can be prosecuted, which has sparked debate about the appropriate age of criminal responsibility. Adolescents under 18 may be granted a pardon under specific circumstances, such as limited cognitive capacity, allowing for flexibility in sentencing. While San Marino does not have dedicated juvenile detention centers, it has established separate divisions for questioning minors, ensuring a more sensitive and age-appropriate approach to handling such cases.

Infant Mortality Rate

San Marino’s low infant mortality rate is a critical health indicator that demands ongoing attention to prevent any potential rise. Between 2013 and 2023, the mortality rate for children under the age of five stood at 1.4 deaths per 1,000 live births, according to the United Nations Children’s Fund (UNICEF). At that time, the population was approximately 33,733. By 2025, it has declined slightly to around 33,572, reflecting a gradual decrease over two years.

Respiratory infections are the most common cause of under-5 mortality in San Marino, with children experiencing symptoms ranging from mild to severe. In response, UNICEF reported that local health clinics have taken action to stabilize rates by providing targeted treatment. For instance, children experiencing diarrhea are given oral rehydration solutions, including fluid-based or pre-packaged treatment packets. These proactive health care measures support the well-being of San Marino’s youngest residents and help lay the foundation for a healthier future generation.

Conclusion

San Marino stands at a critical point, ready to tackle pressing challenges. Issues like child poverty in San Marino, complexities within the criminal justice system and managing mortality rates highlight the nation’s commitment to its youth. With the country introducing the Children’s Rights Convention and with UNICEF’s support, initiatives and instruction have been adhered to with great commitment. Furthermore, the public remains focused on expanding and improving communities, an essential goal for the country’s future. By addressing these concerns with practical solutions, San Marino can reinforce its legacy as the world’s oldest republic and build a more prosperous, equitable society for all its citizens.

– Janae Bayford

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

Photo: Unspalsh

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Addressing Diseases Impacting New Zealand

Diseases Impacting New ZealandNew Zealand is one of the many nations across the world that is suffering from a wave of harsh diseases, diseases that unfortunately impact the most vulnerable. Here is information about the diseases impacting New Zealand.

Diseases Impacting Children in New Zealand

Children in New Zealand are facing risks of disease. In 2020, immunization coverage of children six months or younger was at a healthy 80%. However, in 2022, that number has fallen to a dangerous 67%. This decline is especially concerning because the six-month mark is when government-funded vaccines typically protect children from serious illnesses like polio, pertussis (whooping cough) and diphtheria.

In certain parts of New Zealand, there has also been a large outbreak of measles. In 2019, measles infected more than 2,000 people in Auckland, and more than 5,000 people were infected in Samoa; most of the people affected by this were young children. Many of these children also live in the most impoverished, broken areas of the country and thus do not have access to the care they need. 

It is not just children at risk of these diseases. Cardiovascular disease has impacted New Zealanders’ lives to the point where it accounts for one-third of all deaths in the country and almost one million people there live with cardiovascular disease. Other risk factors include a higher risk of heart disease and diabetes.

Solutions

The Institute of Environmental Science and Research, known as the ESR, is a branch of government that is directly responsible for protecting the health of people across the country. It works quickly to detect diseases that are ravaging local communities and broadcast early warnings of outbreaks. They also monitor the environment around them to catch imbalances in food and water supply to make sure that resources are being given to those who need them the most.

The New Zealand government has also worked quickly to address poverty in the nation, just as quickly as they have worked to combat diseases. In 2018, the government passed the Child Poverty Reduction Act, a “goal to halve child poverty and reduce it to 10% of children (on one measure) over 10 years – ie by 2028.” This legislation mentions improving the lives of young children by providing better access to primary care, food security and better household conditions. With these incentives in place, young children living in poverty have bright futures ahead of them.

– John Menechino

John is based in Marietta, GA, USA and focuses on Global Health for The Borgen Project.

Photo: Unsplash

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Grassroots Movements Are Shaping Pro-Poor Policies in Brazil

Pro-Poor Policies in BrazilBrazil is incredibly diverse, comprising 26 states, more than 5,000 municipalities and 205.3 million people of diverse races, ethnicities and gender identities. Stark contrasts mark the nation. While it exudes cultural diversity, systemic discrimination and inequalities perpetuate intergenerational poverty in Brazil. According to the World Bank, as of 2021, 12.5 million Brazilians lived below the international poverty line. Against this backdrop, grassroots organizations have emerged as key agents of change. By focusing on community-driven solutions, these organizations are reshaping the pro-poor policies in Brazil and creating tangible improvements for its most vulnerable citizens.

National Union for Popular Housing (UNMP): Housing Justice

Brazil faces a severe housing crisis, with a deficit of more than six million homes and 25 million Brazilians living in inadequate conditions. This includes overcrowding, limited access to water and insufficient sewage systems. The city of São Paulo alone has more than 400,000 families residing in precarious housing. The UNMP, founded in 1989, has become one of Brazil’s leading advocates for addressing poverty and its housing crisis. The organization currently has mobilized 350,000 members across 23 Brazilian states.

The UNMP combines action and negotiation, aiming to provide affordable housing for the most vulnerable in Brazil. The UNMP’s strategies include occupying buildings, shaping housing laws through policy advocacy and collaborating with the government to develop cooperative housing projects under programs such as My Home My Life (MCMV). One of the UNMP’s most notable achievements was including Article 183 in the 1988 constitution. It guaranteed that the social aspect of property would take precedence over profit-driven motives, thus enshrining the right to suitable housing as a human right under Brazilian law.

Pastoral da Criança (PDC): Tackling Child Malnutrition

Child health remains a critical issue in Brazil. Undernutrition, stunting and dental caries disproportionately affect Black and low-income children, whose stunting rates are approximately 11% higher than those of white children. The pandemic and economic crises have worsened these challenges as food insecurity reached 15% in 2022, reversing earlier reductions in poverty in Brazil. Poor-quality parental education, low income and inadequate housing have perpetuated the unfavorable conditions experienced by Brazilian children.

Founded by Dr. Zilda Arns Newman, the PDC is a Catholic social organization that seeks to improve this. It focuses on developing children below 6 years old, particularly those in vulnerable circumstances. Volunteers for the PDC visit homes to monitor child malnutrition, arranging Weigh Days to ensure that children develop steadily. They teach families how to properly nurture their children’s growth, demonstrating how to cook affordable yet nutritious meals.

They also inform mothers how to recognize and treat common illnesses in children. These efforts have significantly reduced infant mortality rates, helping Brazil meet a U.N. Millennium Development Goal ahead of schedule. Thus helping to shape pro-poor policies in Brazil. However, rising poverty and food insecurity threaten to undo this progress, underscoring the need for sustained grassroots intervention.

Marielle Franco Institute (IMF): Empowering

The brutal assassination of Marielle Franco (a Black, favela-born councilor and fearless human rights defender) in 2018 sent shockwaves throughout Brazil and became a galvanizing moment in the fight for social justice. Her legacy endures through the IMF, which has evolved into one of Brazil’s most vital organizations combating systemic oppression through three key pillars of action.

The Institute acts as a watchdog against police brutality against marginalized communities and advocates for climate justice, particularly for those living in the urban peripheries. The IMF offers programs and opportunities to marginalized groups that aid the development of their leadership skills and teach them how to exercise their political rights. This multifaceted approach demonstrates how the Institute goes beyond traditional activism, building an entire ecosystem for structural change.

Looking Forward

Grassroots initiatives such as the UNMP, Pastoral da Criança and the IMF exemplify how organized communities can influence pro-poor policies in Brazil. Their achievements illustrate that change is achievable when marginalized voices lead. Nevertheless, Brazil’s shifting poverty rates highlight the vulnerability of these advancements.

Ongoing progress necessitates grassroots activism and a steadfast commitment from the government toward equity. These movements demonstrate that the quest for justice is ongoing, but it is a struggle that can be won.

– Emilia Bartle

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

Photo: Wikimedia Commons

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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.

Photo: Unsplash