Archive for category: Disease

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Diseases Impacting Egypt

Diseases Impacting EgyptEgypt, a country known for its pyramids and ancient civilizations, is facing a public health crisis. Sanitation, lifestyle habits and limited health care access, which are all characteristics of poverty, have led to multiple diseases impacting the Egyptian population. Ischaemic heart disease, kidney disease, liver disease and strokes are the prominent diseases impacting Egypt. Though these illnesses are among the top leading causes of death in Egypt, there are organizations and researchers that are successfully making a change that incorporates ending poverty.

Ischaemic Heart Disease (IHD)

IHD is the leading cause of death in Egypt. Commonly known as coronary artery disease, the AHA describes it as heart damage due to narrowed heart arteries. According to the World Health Organization (WHO), it is responsible for 129.3 deaths per 100,000 in Egypt. Poor diet and low physical activity are both factors that can cause IHD and are also caused by poverty. Low-income communities are more likely to be exposed to unhealthy lifestyles like poor nutrition and limited health care access because of financial instability.

To fight this disease and any others, poverty has to be addressed. Extending clinics to rural regions with affordable care options will help fight the problem. Community education programs will bring awareness about diseases impacting Egypt and aid prevention. To raise awareness, the Egypt Healthcare Authority and the Egyptian Society of Cardiology teamed up to start the “Discover the Undiscovered” campaign. By partnering with 45 health facilities, they have been able to bring vast awareness to this dominating disease. Not only will each of these actions help IHD victims, but it also actively combats poverty.

Kidney Disease

Chronic kidney disease has become an increasing health concern for the adult population and is high among the diseases impacting Egypt. It has become so prevalent that it is among their leading causes of death. According to the Mayo Clinic, chronic kidney disease is the gradual loss of kidney function.

Limited health care access and the lack of annual screenings result in most of their diagnoses occurring at severe stages. Issues due to poverty like contaminated water, limited health screenings and low health literacy have all contributed to the rise in kidney disease. Polluted water can damage kidneys over time, and the effects are more dangerous in areas where there is no proper filtration. In underdeveloped areas, there is a low health literacy and limited access to health care, which leads to a lack of health screenings, and results in the disease advancing. Clean water access, early screening and awareness programs are ways to fight poverty as well as addressing the rise of kidney disease.

The Egyptian Society of Nephrology and Transplantation has begun a mission to raise awareness, gain early detection and research into kidney disease. They have successfully collaborated with other medical societies to exchange knowledge and gain expertise. These efforts have made changes to health access and ending poverty.

Cirrhosis of the Liver

Another disease that is taking hold in Egypt is liver disease, more specifically cirrhosis of the liver. According to the Mayo Clinic, cirrhosis disease causes the advanced scarring of the liver. The most likely cause of cirrhosis is typically alcohol consumption or hepatitis. Poor sanitation, lack of health care access and poor nutrition are poverty factors that have contributed to the rise of this disease. 

The Egyptian Association for Research and Training in Hepato-Gastroenterology (EARTH) aims to advance research and improve treatment for the millions of Egyptians who have liver disease. They have been able to foster research that has led to improved treatment options. EARTH has organized educational conferences with other medical organizations to exchange the latest clinical practices and innovations. They also use peer networking to communicate new knowledge and discoveries that through time leads to research findings that combats this disease. With these new efforts, they are building a stronger domestic health care system by reducing the dependence on foreign aid and making treatment more affordable and accessible. 

Stroke

Strokes are also among the diseases impacting the Egyptian population. According to the Cleveland Clinic, a stroke is a disease in which a blood clot or broken vessel prevents blood from getting to your brain. Low health literacy and financial problems that feed into poverty issues have led to treatment delays, thus the acceleration of the disease. Establishing stroke-ready hospitals in rural areas as well as adapting health care access to reasonable levels will fight strokes and poverty.

The Ain Shams Neurology is an Egyptian research department that has made progress in the research and treatment of stroke victims. Ain Shams established the first stroke units in Egypt, and it remains among the leading units in the country. It has not only been able to treat and manage patients, but the department also provides education programs for students. 

Looking Ahead

The people of Egypt face numerous health concerns. The diseases impacting Egypt are in fact poverty-linked. Fighting poverty as well as disease takes time and resources that Egypt is actively trying to find. Through this hardship, there have come many organizations that have fought to help the sick. Researchers have made substantial progress with the research of these diseases, bringing unprecedented attention and progress to Egyptian health care, and in ending poverty as well. 

– Emily Herlehy

Emily is based in Denton, TX, USAand focuses on Global Health for The Borgen Project.

Photo: Unsplash

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Drug-Resistant Tuberculosis Treatment in Peru

Tuberculosis Treatment in PeruPeru, located in western Latin America, has one of the highest tuberculosis rates in the region, with 33,000 reported tuberculosis cases in 2023. However, the country is leading efforts to improve treatment.

What Is Tuberculosis?

Tuberculosis is one of the most deadly infectious diseases in the world. It is an airborne disease that attacks the lungs, but it can also affect the kidneys, spine and brain. While antibiotics are used to treat tuberculosis, some people develop drug-resistant strains, meaning the bacteria no longer respond to the usual medications.

Treating drug-resistant tuberculosis requires special medications, which can cause side effects and may take months or even years to work. In comparison, non-drug-resistant tuberculosis typically takes up to nine months to treat.

Tuberculosis Treatment in Peru

Every year, doctors in Peru diagnose around 1,500 people with multidrug-resistant tuberculosis, one of the most difficult forms of the disease to treat. The standard treatment can take up to two years and involves daily pills along with two or three injections a day. That changed in 2024, when Peru became one of the first countries in Latin America to adopt new treatments for drug-resistant tuberculosis: bedaquiline, pretomanid, linezolid and moxifloxacin (BPaLM). These regimens are shorter, take just six months and eliminate the need for injections.

This shorter treatment period comes with several benefits. Patients need fewer visits to the health center, reducing their transportation costs. It also causes fewer side effects than previous treatments. Fewer visits make it easier for people to stay in treatment while continuing to work. Peru did not implement this new treatment program overnight. Since 2023, doctors, nurses and health monitors have been receiving training on how to use the treatment, manage its potential side effects and support patients throughout both treatment and recovery.

The new regimen is also included in Peru’s National Tuberculosis Plan, which makes tuberculosis treatment free for patients. The new treatment, with all its benefits, has proven successful. More than 1,200 people have received the shorter regimen as of March 2025 and treatment success rates have increased from 60% to 90%. Additionally, dropout rates, the number of people who stop treatment, have dropped from 25% to just 7%.

Leading the Way in Tuberculosis Treatment

As a result of its success in implementing the new treatment, Peru is leading the way in tuberculosis treatment. In June, Peru held a regional meeting that brought together 20 different countries to accelerate collaboration and scale-up of the implementation of the new treatment. The meeting was held with PeerLINC, a global peer-to-peer knowledge hub for tuberculosis. About 200 clinicians and health officials participated in the meeting and the training on the new treatment.

Peru’s experience shows that with strong national leadership, targeted training and patient-centered care, even the most challenging forms of tuberculosis can be effectively treated. By cutting treatment time, reducing side effects and improving success rates, Peru is setting a new standard for managing drug-resistant tuberculosis in Latin America and globally. As other countries look to replicate this success, Peru’s progress offers a powerful example of how innovation and commitment can transform public health outcomes.

– Axtin Bullock

Axtin is based in Georgetown, MA, USA and focuses on Technology and Global Health for The Borgen Project.

Photo: Unsplash

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Palliative Peace: Cancer Patients in Syria

Cancer in SyriaThe consequences of war are immense; it impacts every aspect of life, from transportation to crop cultivation and the ash and smoke of conflict taints everything. Countrysides are ravaged, cities are turned to rubble and families are displaced, but all that is widely known; however, what is not frequently discussed is the systematic harm.

For 13 years, Syria was plagued by a violent civil war and during this time, people who had cancer found themselves in a precarious situation. Oncology institutions suffered from scarce supplies, staff and necessary medical equipment. Even in the developed world, cancer remains a prominent reason for mortality. With conflict, this issue is exacerbated and worsened.

Challenges

War affects every aspect of ontology care. For one, the ability of patients to continue financing treatment is hindered. Despite the abundance of humanitarian assistance and aid programs, many Syrians experience severe financial distress, with social support, medical insurance frameworks and affordable treatment being conspicuously absent. This burden results in treatment costs exceeding 40% of a household’s capacity to pay. However, this matter is intensified by the number of internally displaced persons living in the territories of the Idleb and Aleppo governorates. It is a structural predicament, derived from the base of all institutions being shaken by the roar of artillery.

It’s not just patients who suffer; the oncology institutions are also affected. Supplies are limited due to the logistical challenges caused by the conflict. Most advanced oncology centers are concentrated in major cities, making it extremely difficult for people in other parts of the country to access essential care. The Al-Bayrouni center in Damascus is responsible for a significant portion of care; further, such an institution is the only location in the country able to address thyroid care. Uncommon cancers can only be treated in specialized departments, which are only present in specified localities.

Confounding factors, such as cost, location and scarcity, combine to worsen the effects of cancer. These barriers prevent patients from accessing essential palliative care, allowing the disease to progress unchecked. As a result, mortality rates rise, with early-stage cancers advancing rapidly to more severe stages. Between 2019 and 2022, 61% of cancer patients in Syria were stage III or above at diagnosis, which exemplifies the issue. Even at the conception of care, the ailment is too far developed for adequate and affordable remedies, making the process easy to ameliorate.

Solutions and Aftermath

The abdication of Bashar Al-Assad has induced a dramatic shift in the domestic conditions of Syria. The underlying conditions for many of the present maledictions abated with the presence of the new administration. The newfound peace rectifies issues derived from logistical limitations; roads no longer carry the burden of armed militants and paramilitary organizations, which means that both individuals can travel with relative ease and supplies can be rendered more efficiently.

In an important administrative step, the debt of Syria has been paid for by the Gulf States, thereby allowing for additional loans from the World Bank. This exciting opportunity heralds the possibility for the revitalization of infrastructure, such as medical institutions, roads and state-sponsored welfare programs. The creation of a robust framework is not possible and, in topological terminology, a base capable of holding additional structures is now present.

If these corrections are implemented, the people of Syria will benefit greatly. Tangible societal changes could make medical care in Syria more affordable, reducing mortality rates and giving low-income populations access to essential cancer treatment. Affordable health care is a cornerstone for survival; it creates a healthier, more productive population capable of working, saving and contributing to the economy. As the conflict subsides, medical institutions could be revitalized through international support, domestic stability and strengthened oncology infrastructure.

Conclusion

Many of the challenges rooted in the conflict may begin to ease as a transitional state takes shape, fostering a fragile but hopeful peace. This shift will directly benefit people with low incomes, who will gain access to a developing market capable of meeting critical health care needs. Additionally, the rate of brain drain is likely to fall, allowing for a stable labor force. A new horizon is emerging, with a bright future dawning over a land once shrouded in darkness.

– Jackson Hufman

Jackson is based in Glenwood, MD, USA and focuses on Good News and Politics for The Borgen Project.

Photo: Flickr

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Yemen’s Pervasive Health Care Crisis: Diseases Impacting Yemen

Yemen’s Pervasive Health Care Crisis: Diseases Impacting Yemen It has been more than a decade since the Yemeni civil war has thrust Yemen into one of the most dire humanitarian crises in modern history. Many of Yemen’s hospitals have collapsed or are now severely damaged by the prolonged political crisis, plunging Yemen’s health care system into a complete state of distress. As a result of its current state of political, economic and overall societal turmoil, 15.3 million Yemenis have no access to clean water, sanitation systems or hygiene supplies, leaving the majority of citizens at risk of exposure to diseases like cholera, diphtheria and measles. With a decline in feasible hospital facilities, sanitation systems and hygiene supplies, the risk of disease exposure has become even more probable in Yemen. Below are statistics highlighting diseases currently impacting Yemen and efforts that can potentially alleviate its current health care crisis.

Neglected Tropical Diseases (NTDs)

Neglected tropical diseases are diseases that stem from a combination of environmental conditions, poor sanitation infrastructure and poor health care conditions. Malaria, dengue fever, cholera and schistosomiasis are among only some of the most common NTDs. In 2022, an estimated 110,000 cases of malaria were reported in Yemen; there were more than 2.5 million suspected cases of cholera, accounting for the largest case of cholera ever reported. There have been annual reports of thousands of cases of dengue fever. These statistics cover only a fraction of NTD cases that currently taint Yemen’s health care system and are a product of its state of political strife, while simultaneously compounding Yemen’s current humanitarian crisis. 

Malnutrition

Malnutrition is one of the current prime causes of disease risk in Yemen. More than 18 million Yemenis currently struggle with food insecurity and at least 80% of its civilians currently live below the poverty line. More than 45% of children in Yemen suffer from malnutrition and the poverty crisis has left millions of Yemenis at risk of neurological, chronic and other long-term diseases like cystic fibrosis, renal failure, congenital heart disease and neuromuscular diseases.

The Impact of the COVID-19 Pandemic

The outbreak of COVID-19 completely exacerbated Yemen’s already severe health care and economic crisis. Due to Yemen’s severed health care system, there were only six COVID-19 testing sites available, a fairly limited amount of available protective equipment and a lack of health care professionals equipped to handle the consequences of the pandemic. The disruption of COVID-19 also caused a 19.6% decline in the influx of remittances, sequentially leading to an average 20% household income reduction. While the COVID-19 crisis has since smoothed over, the economic disruption has continued to pervade civilian life, as the percentage of Yemeni civilians susceptible to acute malnutrition and long-term chronic illnesses has increased since the start of the pandemic.

Looking Forward

While tragedy still persists in Yemen, there have been many initiatives dedicated to halting its humanitarian emergency. The World Health Organization (WHO) is currently providing medical aid to around 12.6 million people in Yemen, with an emphasis on alleviating acute malnutrition, improving maternal health care and improving disease surveillance, amongst many other focuses. 

UNICEF has also contributed to efforts in increasing health care services by providing primary medical care as well as vaccines, medical equipment and training. Doctors Without Borders has brought medical professionals to Yemen to support hospitals, health facilities and governorates throughout the country as well. The organization’s doctors have also been focusing on “maternal and child health, specialist and emergency care and responding to malnutrition and outbreaks of preventable diseases such as cholera, diphtheria and measles”. Through the efforts of Doctors Without Borders, medical teams in Yemen have admitted 165,200 people to hospitals, conducted 26,900 surgical interventions, enrolled 11,900 children in feeding programs and treated 12,800 patients for measles.

While many humanitarian organizations and nonprofits have contributed to alleviating diseases currently impacting Yemen, issues persist. Sustained humanitarian aid to countries like Yemen depends on continued advocacy to keep the issue a priority for lawmakers. This support is essential for achieving long-term, measurable change.

– Ava Lachini

Ava is based in Los Angeles, CA, USA and focuses on Global Health for The Borgen Project.

Photo: Flickr

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Fighting Poverty by Preparing for the Next Pandemic

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

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

Challenges in Pandemic Planning

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

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

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

Tracking Zoonotic Threats

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

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

The Impact on Global Poverty

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

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

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

Rapid Response and Vaccine Development

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

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

Looking Ahead: A Shared Global Strategy

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

– Joseph Laughon

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

Photo: Flickr

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Malaria Vaccine in Burundi

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

Background

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

Malaria in Burundi

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

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

The Future

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

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

– Zoe Felder

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

Photo: Flickr

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Diseases Impacting Tonga

Diseases Impacting TongaTonga is a country located in the Pacific Ocean. It is made up of about 171 islands and atolls. The nation has more than 100,000 people, most of whom live on the main island, Tongatapu. The country is known for its pristine beaches and whale-watching hub. However, Tonga is dealing with many diseases that are impacting the lives of its citizens.

Main Health Issues

The main health concerns impacting Tonga are noncommunicable diseases (NCDs), such as obesity and diabetes. Tonga has the second-highest obesity rate in the world, with more than 70% of Tongans obese. Additionally, an estimated 40% of Tonga’s population has type 2 diabetes, while 30–40% are affected by NCDs.

The leading cause of NCDs in Tonga is poor diet. Tonga is a developing country and according to the Asian Development Bank, 20% of its population lives below the poverty line. Most people cannot afford healthier food options, relying on cheap imported fat, sodium and sugar foods. Mutton flaps, in particular, are a common and affordable staple despite their extremely high-fat content. Over time, they’ve become a prominent part of Tongan cuisine, with many people developing a lifelong taste for them from childhood.

Smoking is another major contributor to the high rates of NCDs in Tonga. Tobacco use is widespread, with an estimated 30% of adults smoking and 19.5% of youths aged 10–14 also using tobacco. Cigarette use significantly increases the risk of NCDs such as cancer, heart disease and diabetes.

Among communicable diseases, Tonga experienced a measles outbreak in 2019, with more than 500 confirmed cases but no reported deaths. The outbreak affected several Pacific island nations, including neighboring countries like Fiji and Samoa. In Tonga, the outbreak began after rugby players returned from New Zealand.

Solutions

The Tongan government has taken steps to combat the NCD epidemic in the country. It has increased taxes on unhealthy foods such as mutton flaps, turkey tails, corned beef and sugary drinks. The government also plans to make healthier options (such as fish) more available.

Nongovernmental organizations (NGOs), including the Pacific Community (SPC) and World Health Organization (WHO), are also active in Tonga. They support awareness campaigns, school-based health programs and community screenings for hypertension and diabetes.

The Tonga Health Promotion Foundation, a local NGO, collaborates with government and international agencies to promote physical activity and reduce tobacco and alcohol use. These combined efforts aim to shift dietary habits and reduce risk factors contributing to NCDs in Tonga.

Conclusion

Tonga faces a severe health crisis driven by poverty, poor diets and widespread tobacco use. NCDs like obesity and diabetes are rampant, affecting a large portion of the population. While government policies and taxes on unhealthy foods help, long-term change depends on partnerships with NGOs like WHO and SPC. These efforts aim to improve public health and secure a healthier future for Tongans through education and prevention programs.

– Samriddha Aryal

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

Photo: Flickr

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Expanding Somalia’s Vaccination Program

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

On the Ground

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

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

Somalia’s Vaccination Program

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

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

Looking to the Future

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

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

– Emily Galán

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

Photo: Flickr

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The State of Higher Education in Haiti

Higher Education in HaitiHaiti has suffered with both environmental disasters and political chaos since 2010. As the poorest country in the western hemisphere, it is no surprise that more than half its population lives in poverty. The nation constantly struggles with food insecurity, clean water and access to quality health care. Limited job skills training exacerbated these struggles, highlighting the urgent need for better higher education in Haiti.

The State University of Haiti in Port-au-Prince, the country’s biggest university, has seen sharp fluctuations in attendance numbers. In the 2022-2023 school year, almost 30,000 students were enrolled. That number reduced by half, with fewer than 15,000 students attending the current 2024-2025 school year. This sharp drop is directly linked to the dangerous conditions in Port-au-Prince, where armed gangs have taken over large parts of the city and even the countryside. This sharp drop in attendance shows the impact Haiti’s instability has had on higher education in Haiti.

How Higher Education in Haiti Impacts Poverty and Stability

  1. Brain Drain: Haitians are leaving the nation for opportunities elsewhere. When educated people leave Haiti for schools abroad and do not come back, the country loses crucial talent. The nation desperately needs nurses and doctors to help sick Haitians. Engineers are essential to fix power and repair infrastructure. Without these trained professionals, the country becomes even more unstable, leading to fewer jobs for everyone. Brain drain has contributed to the steady decline of other nations. While it is difficult to calculate the exact number of people leaving the country for university overseas, at least 1.3 million people have been internally displaced from their homes due to the violence.
  2. Clean Water: Universities educate people to become engineers and construction managers, fields that Haiti desperately needs, as they work to address issues related to clean water. Less than 1% of Haiti has proper sewer systems, which leads to contaminated water and causes deadly diseases like cholera and typhoid. Without an educated population to address this issue, Haiti will likely continue to struggle to find practical solutions for clean water and sewage, which can result in the spread of disease and illness.
  3. Disaster Management: Frequent earthquakes plague Haiti, which sometimes have disastrous effects for the nation. How Haiti responds to these disasters is dependent on educated Haitians that do the work to rebuild buildings and bridges following intense earthquakes. If Haitians do not receive training to address these complex issues the impact of earthquakes can be long lasting and result in instability as power and transportation remain unreliable. A perfect example of how universities provide important training to Haitians was the training program that the State University of Haiti launched to train students at foreign universities so they could return more prepared for disaster management.

Rebuilding Haiti: ACTIVEH

There are groups working hard to strengthen higher education in Haiti. One great example is Action Toward Initiatives & Volunteering for Education in Haiti (ACTIVEH). This nonprofit started in Port-au-Prince in 2011 and is working to improve Haiti’s higher education system by giving students real-world experience and leadership skills.

ACTIVEH runs a volunteering and community service program and an internship program. Since 2014, it has brought in more than 250 students from 10 different universities and helped more than 150 students get internships.

Haiti’s current crisis has impacted the number of students attending its universities and prevented people from getting an education so that they can contribute in a positive way. This decrease in trained professionals weakens Haiti’s ability to solve its most urgent problems, which are what cause poverty in the country.

Looking Ahead

Despite these huge roadblocks, groups like ACTIVEH show the amazing strength and potential within Haiti to rebuild its education system. By doing so, they offer a real way to bring stability and reduce poverty. Supporting these efforts is absolutely crucial for Haiti’s long-term recovery and for the well-being of its people.

– Jeff Mathwig

Jeff is based in Philadelphia, PA, USA and focuses on Global Health and Politics for The Borgen Project.

Photo: Pexels

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Fighting Diseases in Mozambique With an App

Diseases in MozambiqueMozambique, a country in southeastern Africa, has implemented a new digital system and app that helps community health workers in poor and rural areas fight diseases.

Community Health Workers in Mozambique

To ensure access to health care for everyone in the country, community health workers serve Mozambique’s more rural and impoverished areas. Community health workers diagnose and treat many diseases in Mozambique, including malaria, pneumonia, malnutrition and diarrhea.

They also provide family planning services, antenatal care, postpartum care and pregnancy tracking. Further, they give healthy children check-ups and follow-up care for patients with tuberculosis and HIV.

What is upSCALE?

upSCALE consists of two different applications. One is an app for supervisors of community health workers. The app allows them to monitor health care workers’ performance and monitor the stock levels of medical and health care supplies. It also allows them to schedule and follow up on supervisory visits.

The second application is designed for community health workers themselves. It features the Mozambique Ministry of Health’s official curriculum. It guides users through treatment, diagnosis, patient referrals, follow-ups, registration and routine health checks.

The program provides community health workers with mobile phones and supervisors with tablets to access the apps. Community health workers receive an initial five-day training on using the app, followed by a two-day refresher each year. Supervisors receive additional training tailored to their role. Between 2017 and 2022, the upSCALE app registered approximately 650,000 patients and supported health care services for more than 200,000.

How upSCALE Helps Fight Diseases in Mozambique

The app was originally developed to improve the quality and coverage of local health care. It aims to address community health workers’ inconsistent adherence to clinical guidelines and the inadequate supply of medications and health supplies. The app has largely been successful in both of these goals. By allowing supervisors to monitor the real-time stock of medication and health supplies, they can ensure that the stock never runs out.

Both apps have also helped the Ministry of Health fight diseases in Mozambique by giving the sector accurate and up-to-date information about the spread of diseases in the country. The information is also disease-specific, allowing the government to make informed decisions about community health interventions.

On a local level, the information enables supervisors to target their interventions and allocate resources more effectively. It has also been valuable for malaria treatment, helping to fill key knowledge gaps in malaria research.

Conclusion

The upSCALE app has proven to be a game-changer in Mozambique’s fight against disease. The country has strengthened health care delivery in underserved areas by equipping community health workers and their supervisors with essential digital tools. With improved adherence to clinical guidelines, real-time data sharing and better resource allocation, upSCALE saves lives and shapes the future of public health in Mozambique.

– Axtin Bullock

Axtin is based in Georgetown, MA, USA and focuses on Technology and Global Health for The Borgen Project.

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