Information and stories about global health.

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The Durban Promise for African Health Sovereignty

durban promiseMany people in Africa cannot get the care or medicines they need, or they must pay for treatments themselves, causing nearly 11 million low-income Africans to fall into poverty every year. Determined to rectify this inequitable situation, participants at the 2025 Conference on Public Health held in Durban, South Africa, endorsed a pledge stating that Africa will begin to manufacture, regulate, and procure its medical items internally. Known as The Durban Promise for African health sovereignty, the assertion aims to promote health care equity by lowering costs and creating millions of jobs for its citizens, helping to alleviate poverty and provide universal health coverage to all Africans.

The Need for African Health Sovereignty

Africa currently imports about 70% of its medicines, 90% of its medical devices, and 99% of its vaccines. This drives up costs and limits medical treatment accessibility for many Africans. Adding more urgency to the situation, global health funding in Africa has declined 70% since 2021. Significant cuts to the USAID and reduced contributions from European donors seemed to make universal health care coverage (UHC) for Africa even less attainable.

However, African leaders anticipated the reductions and were actively seeking alternative sources of health care subsidies. As a result, China pledged $50 billion to support Africa’s health care program, funding that has accelerated the building of hospitals and clinics. Indeed, with significant financing, the Durban Promise is on the way to becoming a reality, bringing universal health care coverage within reach.

The Road to UHC

African governments have been working towards universal health care coverage for more than 20 years, but have faced significant obstacles. The Abuja Declaration of 2021 asserted that 15% of African national budgets should be allocated for health care, though many African countries still spend less than half that amount in the medical arena.

In 2023, African leaders signed The Lusaka Agenda, compelling governments to meet Abuja obligations and to implement actions that would lower the cost of medicine. However, this agenda was not fully successful due to challenges with domestic financing. With minimal results from these initial affirmations, in October 2025, African governments signed The Durban Promise, a roadmap for African health sovereignty and security that suggests an innovative medical financing structure to move Africa’s health care goals forward.

The 2025 G20 Summit

The annual G20 summit, which the African Union joined in 2023, brings together developed and emerging economies to address urgent global issues. The 2025 summit, held in Johannesburg, South Africa, marked the first time the assembly met on African terrain. The agenda from the South Africa’s President Cyril Ramaphosa discussed the challenges of developing nations, which include the pressing issue of health insecurity. Ramaphosa’s compelling arguments led to increased funding from the World Health Organization and a Global Health Security Pact for equitable vaccines and sharing of data during global health emergencies. The pact further addresses African health security and the goals of the Durban Promise.

The Presidential Declaration

At the 39th African Union Summit in Addis Ababa, Ethiopia, in February 2026, countries made the commitment of the Durban Promise, according to AfricaCDC. The Presidential Declaration on Advancing Local Manufacturing of Health Products in Africa was issued with the objective that the African continent will produce 60% of medical products internally by 2040. The declaration includes two key strategies led by the African Center for Disease Control (CDC) focusing on securing the goal of health autonomy: The Platform for Harmonized African Health Products Manufacturing (PHAHM) and The African Pooled Procurement Mechanism (APPM).

By creating a single health product market, the PHAHM will help align regulatory and manufacturing policies across the African Union. The APPM could enable African countries to leverage their joint bargaining power to make the market more predictable and desirable for suppliers, leading to supply security. Together, these approaches can help African health care to thrive.

Outlook for African Medical Sovereignty

There is much to do in order to achieve the goal of producing 60% of medical products on the African continent in less than 15 years. As daunting a task as it may be, with a thoughtful, well-executed plan and targeted efforts, the result can be a robust health program that will contribute to regional income and poverty reduction as articulated in The Durban Promise.

– Debbie Barto

Debbie is based in Monroe, WA, USA and focuses on Technology and Global Health for The Borgen Project.

Photo: Flickr

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How Maternal Health Programs Reduce Mortality Rates in Benin

Mortality Rates in BeninAccording to the World Health Organization (WHO), Benin has a maternal mortality ratio of 518 deaths per 100,000 live births, meaning hundreds of women die each year from preventable pregnancy-related complications. Common causes include blood loss, infection, high blood pressure, insufficient post-partum care and even financial limitations. 

These causes highlight the role of maternal health programs in reducing maternal mortality rates in Benin by offering assistance, care and education. These services improve survival rates, reduce long-term health complications and strengthen families and communities. Several international organizations are actively working to reduce maternal mortality rates in Benin.

Médecins Sans Frontières

Médecins Sans Frontières (MSF), also known as Doctors Without Borders, partners with the Benin Ministry of Health (MOH) to support activities in villages that promote pregnancy education and awareness, consultations and access to contraceptives. MSF has also assisted several health centers by supporting staff recruitment, improving working conditions and supplying essential medical equipment and medicines. 

In addition, MSF has supported more than 9,920 people with safe deliveries, assisted 3,253 people with family counseling and conducted more than 22,211 prenatal consultations. These efforts directly reduce preventable maternal deaths by ensuring that women have access to skilled medical professionals, safe delivery environments and essential reproductive health services. By expanding access to skilled care, MSF plays a key role in reducing maternal mortality rates in Benin.

UNFPA

Another organization working to improve maternal health in Benin is the United Nations Population Fund (UNFPA). UNFPA is an international reproductive health agency of the U.N. that operates in more than 150 countries. Its mission is “to deliver a world where every pregnancy is wanted, every childbirth is safe and every young person’s potential is fulfilled.” 

UNFPA also addresses the “three delays” in maternal health: deciding to seek care, reaching a health facility and receiving adequate treatment. During its previous program cycle in Benin, UNFPA reached more than 985,944 new modern contraceptive users, prevented more than 290,296 unintended pregnancies and educated more than 809,820 adolescents and youth about reproductive health. By addressing both medical barriers and social obstacles, such as education and access to contraception, UNFPA helps prevent high-risk pregnancies and long-term complications, lowering maternal mortality rates in Benin.

Benin Mamas

Benin Mamas is a local nonprofit organization supporting maternal health through programs such as the Safe Motherhood Initiative, Mental Health and Postpartum Support, Smart Starts: Saying No to Teen Pregnancies and Mamas Speak Up. Through empowerment programs, educational workshops and targeted interventions, Benin Mamas expands access to maternal health care across rural and underserved communities.

Final Remarks

Together, these three initiatives demonstrate how maternal health programs support underserved and rural communities by filling gaps in government services and expanding access to essential care. By strengthening reproductive health services and promoting education, MSF, UNFPA and Benin Mamas help reduce maternal mortality rates in Benin and build a more sustainable future for families.

– Bianca Gunawan

Bianca is based in Jakarta, Indonesia and focuses on Good News and Global Health for The Borgen Project.

Photo: Flickr

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How Mobile Clinics Are Expanding Dental Care in Rural Bolivia

Dental Care in Rural BoliviaLimited access to dental care is an often overlooked public health challenge in rural Bolivia, particularly for low-income and geographically isolated communities. Untreated tooth decay and gum disease can lead to chronic pain and infection, making it harder for children to concentrate in school and for adults to work consistently. In a country where household budgets are often tight, delaying care can also lead to higher costs later, especially when treatable problems become emergencies. Mobile dental clinics are one approach to helping close these gaps by bringing preventive and basic restorative services directly to underserved communities.

Why Dental Care Is Difficult To Access in Rural Bolivia 

Bolivia’s geography and settlement patterns create real barriers to routine care. Rural communities may be located far from clinics, with travel costs and time away from work making a dental visit impractical. Where dental services exist, they may be limited to urgent pain relief or extractions rather than preventive treatment or restorations. 

At the national level, the WHO’s Oral Health Profile for Bolivia highlights the economic impact of oral disease. It estimates per-capita spending on dental care at approximately $4.20 and productivity losses from five untreated oral diseases at $152 million. This is an indicator of how oral health problems can translate into missed work and reduced earning capacity. 

What Mobile Dental Clinics Do Differently

Mobile dental clinics reduce access barriers by bringing equipment and staff directly to remote areas, often in coordination with local schools and community authorities. Depending on the program, services may include examinations, cleanings, fluoride applications, sealants, basic restorations (fillings) and extractions, along with hygiene education. This approach is important because it shifts care upstream, preventing decay and addressing early-stage problems before they develop into infections that require more complex interventions.

Evidence From Mobile-Clinic Programs Operating in Rural Bolivia

One example of measurable outcomes comes from the Suyana Foundation. It operates mobile dental clinics in the Department of La Paz and tracks multi-year data on service delivery and oral health indicators in the communities it serves. In a program summary covering Bolivia, Suyana reports that between 2021 and 2023, its mobile dental clinics provided approximately 38,000 dental consultations. 

Over the same period, the foundation recorded improvements in standard oral health indices. These included a 21% drop in the CPOD/DMFT index (from 6.7 in 2021 to 5.3 in 2023) and a 44% reduction in the simplified oral hygiene index (IHOS) (from 2.5 in 2021 to 1.4 in 2023). Suyana also reports child-focused results: the incidence of new caries among 10-year-old children fell by 38% from 2022 to 2023 in its Bolivian program. 

Additionally, the number of students rehabilitated to “zero cavities” status increased from 296 in 2021 to 1,229 in 2023. These figures reflect the impact of a single organization rather than the entire country; however, they provide concrete evidence that mobile, prevention-oriented dental services can improve outcomes in areas with limited baseline access.

How Public Nonprofit Partnerships Expand Reach

Mobile-clinic models often depend on partnerships because logistics and sustainability are as important as clinical work. Public authorities can support coordination with schools, referral pathways into local health establishments and alignment with national standards. Nonprofits can add specialized staff, equipment, outreach capacity and external funding.

In Bolivia’s health ecosystem, organizations like Fundación ProSalud have a national presence, providing lower-cost health services through a network of clinics. These clinics help complement public provision and support broader access goals. Volunteer-based outreach models also operate in rural areas. 

In Cochabamba and surrounding regions, the nonprofit Mano a Mano runs “jornadas”—weekend medical and dental trips where teams travel to remote communities to provide care. This shows how mobile or pop-up services can reach areas that permanent facilities do not consistently cover.

Why Dental Access Matters for Poverty Reduction

Dental care can look “secondary” compared to infectious disease or maternal health, but it has direct poverty links. Pain and infection can reduce school attendance and workplace productivity, while delayed treatment can force families into higher-cost emergency care. The WHO’s estimates of productivity losses from untreated oral diseases underline that oral health is not only a clinical issue but also an economic one, especially for households living close to the margin.

Mobile dental clinics address this problem by reducing the time and travel costs of seeking care and emphasizing prevention. When clinics provide sealants, fluoride and early restorations, they can reduce the likelihood that a child needs repeated extractions or that an adult loses workdays due to avoidable infection.

The Future of Dental Care in Rural Bolivia

Mobile clinics are not a substitute for long-term investment in permanent facilities and the oral-health workforce. But in rural Bolivia, they can function as a practical bridge, expanding coverage now while building community habits around preventive care. Evidence from programs such as Suyana’s mobile clinics suggests that sustained outreach can improve measurable oral-health outcomes, particularly for children. 

As government standards, local coordination and nonprofit delivery capacity align, mobile dental services can continue reducing preventable pain, missed school days and productivity losses in underserved regions. 

– Tom Basu

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

Photo: Flickr

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Nanozymes hold promise for developing countries

NanozymesNano enzymes (nanozymes) are an emerging technology that could transform the fields of disease diagnosis, environmental remediation and food safety. Made from nano materials, nanozymes can mimic the functions of natural enzymes while exhibiting enhanced optical, electrical and chemical properties. Due to their low cost, high stability and ease of mass production, nanozymes hold promise for developing countries as they have the potential to provide affordable, accessible healthcare solutions to those living in poverty.

What are Nanozymes

Nanozymes are processed from various types of nanomaterials and must be biodegradable and biocompatible as they are used in living and environmental systems. Their synthetic nature makes them highly stable, unlike natural enzymes that degrade, enabling reliable mass production with standard techniques such as chemical reduction. Nanozymes are generally classified into four groups: metallic-based, metal oxide-based, carbon-based, and others (such as metal-organic frameworks).

Nanozymes possess numerous properties that make them extremely valuable, with different types of nanozymes exhibiting unique attributes and capabilities. Noble metal- (e.g. silver and gold) based nanozymes possess antibacterial activity, providing the ability to treat infectious illness. Metal- and carbon-based nanozymes exhibit antioxidant properties and have the potential to treat neurodegenerative diseases such as Parkinson’s disease and Alzheimer’s as well as other conditions such as cancer and kidney disease.

Due to their high catalytic activity, metal, metal-oxide and carbon-based nanozymes can function as biosensors, aiding in detection of cancer, viruses and food-borne pathogens and can also be used to treat environmental pollution due to their bioactive nature. Metal-organic nanozymes, with high porosity and catalytic activity, can also be used for environmental remediation.

Diagnosis of Ebola

The Ebola virus is one of the world’s deadliest viruses. Without treatment, up to 90% of cases are fatal. From 2014 to 2016, West Africa experienced the largest ever Ebola outbreak with more than 28,600 people infected. Due to vaccines and early isolation, the number of new Ebola cases has since decreased considerably, though innovative detection solutions could potentially reduce the rate even more. A new method that could even more rapidly detect the virus uses an MNP-based immunochromatographic strip capable of identifying the Ebola virus glycoprotein. The proposed strip provides results quickly and is simpler to use than the standard test strip, as it does not require specialized facilities and people can read it with the naked eye. With a sensitivity of more than 100 times that of standard tests, the anticipated nanozyme strip could have great benefits for Ebola diagnosis.

Nanozymes for Treatment Of Water

Industrial production can discharge high concentrations of chemicals into wastewater. This can lead to environmental pollution and human health issues without proper treatment. Traditional biochemical water treatment techniques can be inefficient in degrading wastewater chemicals, while nanozymes are capable of efficiently oxidizing chemicals and eliminating them from the wastewater. Nanozymes are just beginning to enter the water treatment market space and are another way in which nanozymes hold promise for developing countries.

Food Microbe Detection

Foodborne microbes such as Listeria and Salmonella can cause sickness and even death. The risk of foodborne illness is highest in low- and middle-income countries due to inadequate food storage conditions, poor preparation practices and lack of food safety laws.

Traditional food microbial detection techniques can be time-consuming, requiring several processing steps, while food microbe biosensing nanozymes can detect microbial contaminants in food more efficiently with high accuracy, according to Biomimetics.

Swift detection of food contaminants can halt the provocation of foodborne illness and reduce the monetary burden on individuals. Affordable food microbial-sensing nanozymes are currently on the market and can provide great benefits to those in developing countries who have minimal economic resources.

Shown to increase the speed and efficiency of key health-related activities such as disease diagnosis, food safety monitoring and environmental treatment processes, nanozymes hold promise for developing countries that could greatly benefit from their low cost, straight forward production process and their fast-acting capabilities.

– Debbie Barto

Debbie is based in Monroe, WA, USA and focuses on Technology and Solutions for The Borgen Project.

Photo: Flickr

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Healing the River: Schistosomiasis in São Tomé and Príncipe

Fighting Schistosomiasis in São Tomé and PríncipeSchistosomiasis or bilharzia thrives where people lack safe water and sanitation. Schistosomiasis remains endemic in São Tomé and Príncipe, primarily caused by Schistosoma intercalatum. The World Health Organization (WHO) classifies the country as requiring preventive chemotherapy, indicating ongoing transmission. Despite multiple rounds of mass drug administration, the disease persists in certain communities, particularly near streams and rice fields, where children remain at risk. Ongoing surveillance is essential to monitor and address localized transmission hotspots.

A Low-Level but Stubborn Threat

Recent studies confirm that São Tomé and Príncipe maintains a low but persistent level of schistosomiasis transmission, primarily caused by Schistosoma intercalatum. According to research published in PLOS Neglected Tropical Diseases in 2023, national prevalence remains low following repeated rounds of mass drug administration and health education campaigns. Ongoing surveillance continues to identify limited transmission in certain communities, underscoring the need for sustained control measures under World Health Organization guidance.

Momentum Since 2014

After a nationwide mapping survey in 2014, the Ministry of Health launched preventive chemotherapy with praziquantel in schools. In 2015 alone, more than 31,000 school-age children received treatment—an essential step to cut infections and protect those most at risk. Continued surveillance has turned up only sporadic cases, including a rare neuroschistosomiasis report in 2020, underscoring why vigilance still matters even as prevalence drops.

A 2024 Milestone: Halting Mass Drug Administration

Regional partners now point to a major achievement. The WHO Africa region’s ESPEN program reported in its 2024 annual review that São Tomé and Príncipe halted mass drug administration (MDA) in all endemic implementation units, marking a key waypoint toward elimination. ESPEN’s 2025 data updates also list STP among countries that did not conduct MDA in 2024, consistent with a transition from blanket treatment to targeted surveillance and response.

Water, Sanitation and Hygiene: The Long Game

Treatment alone cannot finish the job. Lasting gains depend on safe water, sanitation and hygiene (WASH) so people aren’t re-exposed to rivers and irrigation canals. UNICEF reports recent WASH actions in STP, including strengthening handwashing behaviours and coordinating a multisectoral WASH platform—efforts that protect families from schistosomiasis and other infections. Global JMP updates from WHO/UNICEF show why this matters: many health facilities and households worldwide still lack basic WASH services, a gap that sustains NTD transmission.

What’s Needed Next

São Tomé and Príncipe continue national efforts aligned with World Health Organization (WHO) guidance to control schistosomiasis. Current work includes post–mass drug administration monitoring, integrating surveillance into primary health care and coordinating with education and water agencies to sustain prevention gains. The Ministry of Health, with support from WHO and international partners, maintains praziquantel distribution in areas where transmission remains and tracks infection data to guide control strategies. These ongoing initiatives reflect the country’s commitment to meeting the WHO’s 2030 targets for neglected tropical diseases.

Why it Matters

Eliminating schistosomiasis saves children from anaemia, abdominal pain and missed classes, and it strengthens primary health care. With MDA paused and WASH investments growing, São Tomé and Príncipe has a real shot at stopping transmission. Sustained funding for surveillance and water infrastructure can help the islands turn a quiet success into a permanent victory.

– Katie Williams

Katie is based in the United Kingdom and focuses on Global Health for The Borgen Project.

Photo: Flickr

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Addressing Maternal and Child Health in Burkina Faso

Ongoing Efforts to Address Maternal and Child Health in Burkina Faso Burkina Faso has the 11th-highest child mortality rate in the world. More than 5% of children die before their fifth birthday, and approximately 2% of infants die within their first month of life. Barriers to access to health care include distance to health care facilities, cost of health care, transportation costs, widespread poverty and delayed access to emergency obstetric care. The government is aware of this pervasive issue and has been working alongside other organizations for at least two decades to address the problems.

Displacement and Health Care Disruptions

Insecurity, climatic shocks and COVID-19 led to forced displacements across Burkina Faso. By 2020, more than 1 million people, especially women and children, were deprived of essential health care services due to facility closures, staff shortages and limited resources. Pregnant women delivered their babies in unsafe conditions, children did not receive critical vaccinations, and people with chronic illnesses experienced treatment disruptions.

Health Financing Reforms

Burkina Faso’s Ministry of Health and those who have partnered with it have responded in several ways. The government of Burkina Faso implemented three major health financing reforms to improve maternal and child health:

  • a national subsidy policy for maternity care, which translates to an 80% reduction in health care fees at health centers,
  • a results-based financing scheme,
  • free health care for maternal and child care for those under 5 in all public health facilities.

The result of this endeavor increased health care appointments, decreased household costs, reduced cesarean deliveries and intra-hospital infant mortality.

Training Midwives in Obstetric Ultrasound

In 2021, Burkina Faso’s Ministry of Health introduced a new initiative. The goal was to train midwives in basic obstetric ultrasound during consultations to improve pregnancy monitoring. These ultrasounds help determine gestation date, detect fetal abnormalities, ectopic pregnancies, assess fetal growth and determine the most suitable delivery method. In 2023, 18 midwives were trained. They performed more than 2,000 ultrasounds between January 2024 and March 2025. This led to the identification and management of 10 high-risk pregnancies.

Strengthening Health Systems

A shortage of equipment, staff and supplies also threatens the expansion of this initiative into other districts. In response to this threat, Burkina Faso began a new initiative funded by the Canadian Embassy with the goal of strengthening health care systems in regions of the country most affected by humanitarian crises. The goal was to improve access to primary health care services and provide lifesaving support to those who need it most.

This initiative was successful in that seven health care centers and 24 labs were equipped with essential medicines, medical-technical materials and lab supplies. A total of 371 community-based health workers received training to provide care and strengthen local community networks, including women’s groups. More than 30,000 people were reached, educating them about COVID-19 prevention, available health care services and reproductive health options.

This initiative strengthened disease surveillance and emergency response mechanisms. Health care workers conducted hygiene awareness campaigns using a megaphone and bicycles in remote areas. Since then, women’s groups and community leaders have initiated conversations about family planning and gender-based violence.

A Hopeful Outlook

Burkina Faso demonstrates concern for the well-being of its citizens. These relationships foster optimism and hope for both a better future and maternal and child health in Burkina Faso

– Danielle Milano

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

Photo: Unsplash

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HIV/AIDS in Guatemala

hiv/Aids in guatemalaHIV/AIDS has been one of the most taboo diseases to date, with many having negative attitudes and beliefs about people who have it. Harmful stereotypes about HIV/AIDS have prevented those who need help from getting the proper treatment they deserve. In Guatemala, this is no different. This article will explain the facts about HIV/AIDS in Guatemala as well as what it’s like to live with the disease.

HIV/AIDS Has Steadily Been Rising Since 1990

HIV/AIDS has affected the lives of more than 30,000 registered citizens in Guatemala since 1990. In 1990, the case toll was 8,000. However, in 2024, an estimated 33,000 citizens contracted HIV/AIDS. Of this 33,000, around 21,000 men and 12,000 women are living with HIV/AIDS. While homosexuality is legal, laws to protect LGBTQ+ citizens are not comprehensive. This has led to discrimination among LGBTQ+ citizens, which further stigmatizes diseases such as HIV/AIDS. According to Lokal Travel, “Despite legal acceptance, the LGBT community often faces discrimination and, in some cases, violence.” Because of this, having a disease such as HIV/AIDS can not only come with discrimination, but

also violence that could be life-threatening.

Highest Rates of HIV/AIDS

Queer men and transgender women are the most at-risk individuals to contract HIV/AIDS. This is because comprehensive sex education isn’t taught, leading to a lack of protection being used during sex. UNAIDS reports that “ the HIV prevalence rate is 22.2% among the transgender population, compared to 0.2% for the general population.” It also reports that even though rates among the general population for HIV/AIDS are beginning to decrease, transgender women are still contracting the disease at the same rate as before. This highlights the lack of protection transgender women face within healthcare in Guatemala.

Stigma Surrounding HIV/AIDS Testing Is High

Getting tested for HIV/AIDS is crucial to preventing the disease from spreading. If caught in the early stages, HIV can be managed through medication, making the person undetectable to others. However, without testing, the disease will continue to cause havoc within the person’s body. UNAIDS reports that around 47%-73% of transgender women avoid being tested due to the stigma surrounding HIV/AIDS in Guatemala. This stigma can further result in mental health issues such as anxiety and depression, forming within citizens living with HIV/AIDS in Guatemala.

HIV Clinics

According to AIDS Health, AHF has built clinics in Guatemala to help promote citizens being tested for HIV/AIDS. The clinic can offer ARV treatments to those living with HIV/AIDS in Guatemala. This helps those living with HIV/AIDS have access to life-saving treatment without having to pay a fortune. Because of this, over the past years, the clinics have performed more than 600,00 rapid tests across various settings, a monumental achievement that has been able to reduce some of the stigma surrounding HIV/AIDS and allow citizens to feel comfortable being tested and treated.

HIV/AIDS Can Affect Anyone

Miscommunication about HIV/AIDS has been raging since the 1980s. Many people hold false assumptions that only queer men can contract HIV/AIDS. However, they’re excluding a large chunk of the vulnerable population.

According to The MANGUA Project, “HIV prevalence among other vulnerable groups is 18% in people with tuberculosis (TB), 13% in prison populations, and 3.3% among youth at social risk,” showing how people who are in vulnerable positions are equally at risk for HIV/AIDS. This is important to emphasize so that HIV/AIDS can become destigmatized. It can show that anyone can contract HIV/AIDS if they are in an unsafe situation.

– Alexis Thomas

Alexis is based in Author’s City and State: Raleigh,NC/Wake, USA and focuses on Global Health for The Borgen Project.

Photo: Flickr

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Health Care in Rural India

Health Care in Rural IndiaIndia is the most populous country in the world, home to some 1.4 billion people. It is a very diverse nation, both demographically and geographically. India is still a developing country; therefore it faces a lot of challenges in terms of healthcare. Health care in rural India, in particular, faces many challenges and obstacles. Access to quality health care is still an elusive goal for many Indians living in rural areas of the country.

Background

According to the country’s Ministry of Finance, approximately 65% of Indians live in rural areas. As with many other countries, India also faces a divide between urban and rural areas. People living in rural areas face significant obstacles that hinder their access to proper health care. Rural areas face a lack of qualified medical professionals, inadequate medical supplies and limited awareness regarding diseases. There is a need to improve health care access in rural India. Proper health care is a right that all humans have. Access to quality health care in rural India needs to be reformed and expanded.

The National Health Mission (NHM)

The Indian government has implemented measures to improve access to proper health care. In 2013, New Delhi launched the National Health Mission (NHM). The purpose of this mission is to improve health care access in rural and underserved areas. The NHM encompasses two sub-missions: the National Rural Health Mission (NRHM) and the National Urban Health Mission (NUHM).

The mission aims to expand proper health care access to underserved areas in India. Additionally, the government has also launched a health insurance program (Ayushman Bharat) in 2018. This program provides free health care access to poorer Indians who cannot afford private health care services. Under Ayushman Bharat, the government established Health and Wellness Centers (HWCs) throughout the country. These centers aim to bring health care access closer to the people.

First-Hand Problems

The Borgen Project spoke with Arjun Singh, an immigrant from India, on the topic of health care in rural India. Mr. Singh has witnessed first hand the problems that rural areas face in accessing health care. Mr. Singh grew up in a small village in northwestern India. Specifically, he grew up in Rajasthan, a large state situated in western India. Rajasthan is located in the desert. It is a mostly rural state.

Around 75% of people in Rajasthan live in rural areas. Mr. Singh states how difficult it was for him and his family to get access to proper health care. He states that village clinics have inadequate medical infrastructure and they’re routinely understaffed. There is a shortage of qualified medical personnel. One study stated that around 45% of personnel are absent from subcenters and aid posts.

However, Mr. Singh has clarified that things may be different now than they were during his time in India. In the decades since he left India, health care access in rural areas has improved. He stated how government initiatives such as the National Health Mission and Ayushman Bharat have made significant strides in improving rural access to proper and quality health care.

– Samriddha Aryal

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

Photo: Flickr

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Mobile Vaccination in Nigeria is Saving Kids Lives

mobile vaccination in nigeriaNigeria is the most populous country in Africa, and it has the second-highest number of children who have not received any vaccines in the world. But it’s addressing this problem with mobile vaccination teams. While there is still a long way to go, mobile vaccination in Nigeria has proven to be very successful.

What Are Zero-Dose Children?

Children who have not received any vaccinations are referred to as zero-dose children. These children make up a substantial portion of preventable deaths in children worldwide. Most zero-dose children live in lower and middle-income countries.

Globally, “Nigeria has one of the highest proportions of zero-dose children.” In 2021, experts estimated that more than 2.2 million zero-dose children were in the country. The children of teenage and young mothers are particularly likely to be zero-dose children.

There are many reasons parents do not vaccinate their children. The majority of zero-dose children in Nigeria are born to poor families. As a result, they often live in an area where a health center is not readily accessible. Meaning they have to pay for transportation to the health center, something many of them can not afford to do. This need to travel also means that parents must take a day off from work, meaning lost wages.

Another common reason is misinformation about vaccines and their safety. Young mothers face extra challenges, and many avoid traditional health centers due to stigmatization and hostility from other mothers there as well as the health care workers. The social stigma that comes with being a young mother prevents them from returning after their first visit.

Mobile Vaccination in Nigeria is Working

Several steps make up mobile vaccination in Nigeria. Step one is identifying an area with a high number of zero-dose children. In Nigeria, vaccination of children is “lowest in the north,” according to the New Incentives. This knowledge, together with short surveys of areas, gives decision makers real-time data on the vaccination status of children.

Step two is providing parents with correct information about vaccines and their importance. That includes talking about possible side effects and addressing misinformation about vaccines. The final step is vaccinating the children. All of this requires working with the local communities and their leaders.

Mobile vaccination in Nigeria has proven to be very effective. One study found that thanks to mobile vaccination, six states in Northern Nigeria saw an average increase in fully immunized children aged 12–23 months, from 19% to 55%.

Conclusion

Mobile vaccination in Nigeria has been proven to be effective and is saving lives. While there is still more work to do, particularly with the children of young mothers, this is a fantastic start. With continued use of mobile vaccination and strong leadership, Nigeria can help save more lives.

– Axtin Bullock

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

Photo: Flickr

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The Fight Against HIV in Suriname

hiv surinameWith a population of just 640,000, Suriname is both the least populated nation on the continent and the smallest in size. Despite its modest scale, Suriname stands out as a constitutional democracy where Christianity remains the dominant faith. Although it rarely makes international headlines, the country deserves attention, not only for its rich cultural diversity but also for the pressing challenges its people continue to face, for example, the fight against HIV in Suriname.

The Prevalence of HIV

The prevalence of HIV is pretty high, estimating for almost 8,000 people per year, most of them being adults. Men are at a higher risk of this disease. In Suriname, the lack of up-to-date and detailed data on HIV prevalence continues to hinder effective policymaking. To address this, international support helped strengthen national statistics offices across the region, improving data collection and reporting.

However, economic challenges such as currency devaluation and inflation have led to major cuts in health spending, resulting in frequent shortages of antiretroviral treatment. Experts emphasize the need for renewed advocacy and updated investment cases to ensure the sustainability of HIV services.

Key Groups in the Fight Against HIV in Suriname

In Suriname, NGOs play a central role in HIV prevention among sex workers and men who have sex with men. Their outreach includes individual counseling, group education sessions, condom and lubricant distribution, and referrals to health services. For sex workers in gold mining areas, prevention efforts are integrated with malaria programs. These initiatives have shown clear success.

HIV prevalence among sex workers in Paramaribo dropped significantly, from 24.1% in 2005 to 5.8% in 2012. Most sex workers now demonstrate strong awareness of HIV prevention (96.5%), high rates of testing (82.7%), and frequent condom use (90%), according to the UNAIDS report. Still, challenges remain, particularly with consistent and correct condom use. The prevalence among sex workers remains higher than in the general population, highlighting the need for ongoing targeted interventions.

The Link Between Poverty and HIV in Suriname

The fight against HIV in Suriname cannot be separated from the country’s broader social and economic challenges. More than 17% of the population lives in poverty, while 1.1% survives in extreme poverty. Poverty is especially pronounced among households with children and in the center of the country, living much below the average poverty line. These economic hardships could directly affect the national HIV struggles. Limited household resources often mean reduced access to health care, HIV testing, and consistent treatment. What is more,  women—despite outperforming men in education—remain underrepresented in the workplaces, leaving them economically vulnerable and at greater risk of health inequities.

Fighting the Disease

Suriname has made significant progress in the fight against HIV, with support from the Global Fund and local civil society organizations. Today, 83% of diagnosed individuals are receiving antiretroviral treatment, and 90% of them have achieved viral suppression — a major step toward the UNAIDS 90-90-90 targets.

As international donor funding gradually phases out, Suriname faces the critical challenge of sustaining these achievements domestically. The country’s Sustainability Action Plan for 2021–2024 makes strategies to maintain HIV prevention and treatment services, expand local funding and continue prioritizing key populations. With sustained commitment and focused action, the fight against HIV in Suriname can continue to yield progress and bring the country closer to ending the epidemic.

– Julia Skowrońska

Julia is based in Wrocław, Poland and focuses on Global Health for The Borgen Project.

Photo: Flickr