Archive for category: Global Poverty

Key articles and information on global poverty.

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Disability and Poverty in Guinea

Disability and Poverty in GuineaIn 2018, the poverty rate of people who lived in Guinea was at an astounding high, with 43.7% of Guineans living below the poverty line, which is equivalent to about 5.8 million people. One year before, in 2017, 1.5% of the population lived with disabilities. Although these percentages are vastly different, the correlation between disabled individuals and poverty is hard to miss. Here is information about the relationship between disability and poverty in Guinea.

Effects of Poverty

Increases in global commodity prices led to rising inflation levels, pushing more people into poverty as they were unable to access affordable food, effectively depriving them of their necessary nutritional intake. The effects of high food inflation caused Guineans to resort to unhealthy coping mechanisms, which have a long-term impact on their daily lives and, ultimately, their ability to earn a living. More than half of the entire population is also experiencing extreme food insecurity and poverty. This ultimately also leads to high rates of malnutrition.

Despite this, the percentage of people below the poverty line has decreased from 55.2% in 2012, suggesting that living conditions are actively improving over time.

Effects of Disability

People with disabilities in Guinea face significant discrimination and are highly vulnerable to violence. For example, people with albinism are subject to many myths and stereotypes about their condition, such as the belief that they bring good luck. This myth often results in these individuals being kidnapped or becoming victims of ritual crimes.

Guinea signed and ratified the United Nations Convention on the Rights of Persons with Disabilities in 2007-8. This convention works to help individuals see disabled people as subjects with rights who are capable of claiming those rights, making their own decisions rather than just objects of charity and social services. After this, Guinea adopted multiple measures to help foster human rights and the rights of people with disabilities. Multiple organizations originated as well in order to protect disabled people.

Organizations Addressing Disability and Poverty in Guinea

Disability and poverty in Guinea correlate, as disabled people have a poverty rate of 14.4%. Numerous organizations advocate for disabled rights, such as the Guinean Network of Disability Organizations for the Promotion of the International Convention on the Rights of Persons with Disabilities (ROPACIDPH). This organization directly advocates for the rights of disabled children and adults with education, health support, training/advice/parental guidance, etc. While there are some good things in place to advocate for disabled people who may be suffering from poverty or other related issues, their lives will only be improved if the laws put in place are strictly enforced. For example, recently, there was an event held in support of the deaf community for the International Day of Sign Languages by ROPACIDPH that its Facebook page showed.

There are also many organizations, like the World Food Programme (WFP), actively working to provide food assistance to those in need. “In 2023, WFP provided vital nutritious food to more than 1 million vulnerable people, including schoolchildren and pregnant or breastfeeding women. This work improves food security and nutrition, reducing maternal malnutrition, mortality risk, low birth weight rates, and malnutrition among children under 5.”

Organizations such as the United Nations Development Programme (UNDP) have also helped people with reduced mobility start 100 businesses to help them become self-sufficient and not need to rely on the government or other people to survive. These businesses were all met with great success. One business has ended up making more than $6,000 a month.

Looking Ahead

As these organizations continue to work to improve the lives of these individuals, their living conditions continue to get better and better with continued support and advocacy. As time has progressed, the poverty level and food insecurity continue to drop, and more help has been provided over the years. Disabled individuals have also become more recognized in Guinean communities, and many conventions were put in place to help support them.

– Bowie Aldrich

Bowie is based in Syracuse, NY, USA and focuses on Good News and Global Health for The Borgen Project.

Photo: Unsplash

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Everything To Know About Hunger in Dominican Republic

Hunger in Dominican RepublicDespite decades of stable economic growth, hunger in the Dominican Republic remains an issue. Almost 5% of the population experiences undernourishment (ranking 92nd), and approximately 35% of the population faces moderate food insecurity. However, the rate of undernourishment has been on a steady decline for decades falling from 23% in 2004.

The Facts

In 2024, the Dominican Republic ranked 41st out of 127 countries on the Global Hunger Index. The index gave the Dominican Republic a score of 7.8 which they consider to be a “low” ranking. The hunger index is calculated using a weighted score of four categories: undernourishment, child stunting, child wasting and child mortality. The Dominican Republic has steadily decreased their Global Hunger Index score falling from a “moderate” hunger score of 15 in the year 2000.

The percentage of undernourished increases among those under the age of 5 to 7%. Anemia affects 61% of children aged between 6 and 11 months. Children have a higher health risk when exposed to the dangers of malnutrition. It can have many long-term effects on developing children, and in severe cases even cause death.

The World Food Programme (WFP) estimated that one out of three households in the Dominican Republic lacked access to a nutritious diet. However, food insecurity is most intense among those households facing extreme poverty, or the immediate fallout of a natural disaster.

The Why

Poverty, a weak agricultural structure, and natural disasters are the driving factors of hunger in the Dominican Republic. There is a strong correlation between poverty and food insecurity. Impoverished individuals often forgo meals in order to provide for children, pay bills or simply due to a lack of access. Natural disasters disrupt an already tenuous food system on the Caribbean island by destroying crops, flooding agricultural lands and drought.

Facts About Poverty in the Dominican Republic

The Dominican Republic is an upper-middle-income country and ranks 98 out of 189 countries on the Human Development Index. About 23% of the population lives on less than $6.85 USD per day. Approximately 3% of the population is living in extreme poverty. The financial strain of poverty exacerbates the difficulties of food insecurity by reducing purchasing power.

Natural Disasters

The Dominican Republic has experienced extreme storms and hurricanes, sometimes followed by intense droughts. This extreme weather destroys crops, and disrupts their food system. The global Climate Risk Index ranked the Dominican Republic number eight out of the 10 countries most at risk of extreme climatic events.

The country’s poor are the most vulnerable to these extreme weather events because they rely on small-scale agriculture for their livelihoods and sustenance. For example 90% of the direct-victims of storms Olga and Noel were under the poverty line.

The Good News

The Dominican Republic has experienced significant economic development in recent years averaging 5% growth in the last five years. This has lifted almost 3 million people out of poverty within the country.

The World Bank expected the Dominican Republic’s economy to grow by 4% in 2025. This economic growth is going to be key in the country’s financial ability to ameliorate the effects of increasing extreme weather events, and continuing to reduce poverty.

Solutions

Hunger in the Dominican Republic has been on the decline in recent decades. This is due, in no small part, to the work of NGOs like the World Food Programme (WFP). The WFP has a strategy of investing in the country to improve in three key sectors. It is:

  • Improving the quality of basic public services such as energy, water, social protection and health.
  • Increasing the number of high-quality jobs.
  • Increasing climate resilience.

The entire WFP budget for Dominican Republic programs it implements amounts to $1.89 billion. This funding has had a massive impact on hunger in the Dominican Republic by alleviating poverty and providing basic services. Since 2017, 1.3 million households have received cash assistance for health care, cement has replaced 9,000 dirt floors and 27,000 Dominicans have received job/business training.

Foreign aid, and the work of NGOs, are essential to the continued economic growth of the Dominican Republic. Sustaining a growing economy within the Dominican Republic is the key to eliminating hunger in the Dominican Republic.  

– Justin Doyle

Justin is based in Kamloops, BC, Canada and focuses on Global Health and Politics for The Borgen Project.

Photo: Unsplash

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Path Out of Poverty? Higher Education in Romania

Higher Education in RomaniaAlthough the European Union maintains a high standard of education throughout the member states, the higher education system in Romania is outdated and struggles with polarities in access between urban and rural regions.

Romania’s Education Trends

The Romanian government allows higher education institutions to operate independently, within the framework of the Romanian legislation. Through budgets and advice from the Ministry of Education, the government creates programs and materials to support higher education in Romania, according to the European Commission. Romania has more public than private institutions, and institutional departments and faculty members oversee internal educational and university matters.

In 2024, a survey revealed that 16.8% of Romanians, aged 18 to 24, left school before completing higher education in Romania, according to the European Union. Through education, individuals learn elementary skills but also prepare to find work and contribute positively to their society and economy. With a growing number of young people leaving the education system early, Romania’s societal and economic progress faces increasing challenges. Another factor affecting Romania is that, unlike other EU nations, many who leave the education system early are women. Given the prevalence of the gender wage gap throughout the world, Romania experiences even greater economic inequities when fewer women complete higher education.

Although the Romanian economy has rebounded since the COVID-19 outbreak, Romania struggled to provide online education, and the pandemic especially caused tremors that still affect the country’s struggling education system. There is a strong correlation between inadequate education and high rates of unemployment. Jobs requiring fewer skills and experience lead to decreased overall wages, working conditions and job mobility for Romanians and minorities living in the country.

Discrepancies: Lack of Funding and Access

According to the International Trade Administration, a report from a Romanian Non-Governmental Organization notes that 38.1% of Romanian children face poverty, with nearly half of the country’s children struggling to access quality education and less able to pursue higher education in Romania. Additionally, only 0.15% of Romania’s GDP is reserved for research, with a slight expansion to 2% by 2024. Low funding rates negatively impact education and job opportunities for Romanians.

Poverty negatively impacts the Roma, an ethnic group of people from northern India who migrated to many European and other nations. Poverty among the Roma both stems from and results in a lack of education. According to the World Bank Group, 70% of the Roma experience poverty and high rates of illiteracy and reduced educational skills caused by the inadequate quality of and access to education. Segregation prevents the Roma from gaining the same level of education as their counterparts in Romania, according to Broken Chalk. Like other populations living in poverty, personal and familial conditions play a significant role in the ability to gain education or attend higher education. Education often becomes a lower priority in households struggling to meet basic needs. The outcome of an uneducated population, in cyclical poverty with no upward mobility, is dire for the Roma.

In addition to the Roma, other Romanians living in poverty struggle with affording education for their family members or themselves. Romania spends less money annually per university student compared to other developed nations, according to the Organisation for Economic Co-operation and Development, with too little financial aid to enable students to afford education. The government’s underinvestment and the resulting lower quality of educational institutions make it less viable for students to achieve a positive gain when paying for an education.

Modernizing the System

Recent governmental policies seek to minimize the effects of poverty through renewed access to education for Romanians and the Roma. The government is allocating funds for educational improvements to target access and quality, as reported by the Organisation for Economic Co-operation and Development. Access to education remains the key concern, especially as Romania increases efforts to extend skills and work habits to minority and impoverished populations. Romanian efforts have specifically earmarked educating teachers on how to engage with students and foster a knowledge of real-world problems and events. These improvements are key to establishing a stronger education system for all citizens and especially promoting learning opportunities in younger generations.

New policies aimed at supporting agencies have been created to encourage Romanian populations to send their children to school with a positive outlook for their future via education. Romania created one such initiative, the Relevant Curriculum, Open Education for All – CRED, which allows the country to assess and directly change certain current policies to improve education, according to CRED. By analyzing its lower educational standards, the government can create a stronger foundation and path for its students to achieve higher education in Romania. A subsection of the CRED project is the Second Chance – ADS, where modern policies allow and give support to those who left education previously to return. By modernizing the Romanian education system, more individuals, including those in rural areas, can access quality education, enabling the population to become more informed and reducing the risk of cyclical poverty.

Progress and Hope via Education

Romania’s current efforts to enhance and improve educational policies and funding will lead to greater access to skilled jobs and a stronger economic outlook, and progress towards inclusive communities and eradicating poverty. New education policies increase professionalism and excellence through the foundational years of education, focusing on individuals’ well-being and well-roundedness and ensuring that students become stronger job applicants, according to the European Commission. By increasing funding and equity and enabling citizens to gain a strong education in the country, minimizing brain drain, the Romanian government will improve the entire country’s outlook. Through education, Romania will thrive and attract individuals from across the world, positively impacting its economy and society. National and international efforts may also increase the hope and positive outlook within Romania among its citizens, fostering hope for a future of equality and prosperity.

– Avery Kachmarsky

Avery is based in Los Angeles, CA, USA and focuses on Business and Politics for The Borgen Project.

Photo: Flickr

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Trachoma in Burundi: How Burundi Beat Trachoma

Trachoma in BurundiAfter a long history of trials and tribulations, the WHO has declared Burundi free of trachoma as a public health risk. This marks a major milestone in the country’s health, as only seven others in its region have achieved such a feat. The World Health Organization (WHO) celebrates this milestone not just as Burundi eliminated trachoma, but as the first neglected tropical disease the country has successfully eradicated.

The Impact of Trachoma

Trachoma is a bacterial eye disease caused by Chlamydia trachomatis. It remains a public health problem in 32 countries, primarily in impoverished regions with weak or nonexistent water, sanitation and hygiene infrastructure. The disease spreads through direct contact with the eye and nasal discharge from infected individuals, especially children, or indirectly through flies that have come into contact with these secretions.

In severe cases, blindness from trachoma is irreversible, making early intervention critical. Globally, trachoma is the leading infectious cause of blindness, with millions of people at risk, particularly in sub-Saharan Africa. The disease disproportionately affects women and children, who are often the primary caregivers and more likely to be in close contact with infected individuals.

In Burundi, poor access to clean water and proper sanitation, especially latrines, has historically contributed to the spread of disease. Rural areas often rely on shared or open defecation sites, which attract flies and increase exposure risk. Limited public awareness and inadequate hygiene education further exacerbated the situation, allowing trachoma to persist unchecked for years.

Progress Over Time

According to baseline surveys conducted in 2007-2010, more than 5% of children aged 1-9 had trachoma, indicating that it was endemic in multiple parts of the country. WHO intervened with its SAFE strategy and provided aid across 12 districts. The government of Burundi also cooperated by following WHO guidelines and mapping the disease. Although WHO aimed to eliminate trachoma by 2020, Burundi missed this target due to delays in implementing the strategy across several regions.

From 2018 to 2021, the National Institute of Health (NIH) conducted a public health survey to record the baseline impact of trachoma on Burundi. The results showed that the prevalence of trachoma in Burundi exceeded the ideal threshold and that only around 8% of households had access to sanitary latrines. In 2023, however, things had changed. The WHO reported that, among several other countries, Burundi had met the threshold for eliminating trachoma.

It accomplished this by successfully implementing the SAFE strategy across the country and increasing sanitation (though it is still relatively poor). After two years of consistently meeting the threshold, the WHO declared Burundi free of trachoma as a public health risk.

Final Remarks

Burundi’s trachoma elimination reflects years of persistent effort, collaboration and community health interventions. While challenges remain in sanitation, this success proves the country can overcome major public health threats with sustained action.

– Cayle Harrison

Cayle is based in Columbia, SC, USA and focuses on Global Health and Politics for The Borgen Project.

Photo: Flickr

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Energy Poverty: Renewable Energy in Lesotho

Renewable Energy in LesothoThe Kingdom of Lesotho has stood at the precipice of expanding renewable energy projects in recent years. According to the World Bank Group, the nation has a great capacity to utilize wind, solar and hydropower resources, which is abundant and can completely cover their national energy needs if harnessed.

Despite this, only 50% of the population has access to electricity. Lesotho’s efforts to reduce poverty have decreased urban impoverished groups by a small margin, but rural areas stagnated, likely needing decentralized electricity for development. Additionally, their high unemployment rates will make unaffordable energy, inequality and poverty persist if not addressed.

In order to prevent economic collapse in the wake of worsening climate effects and unpredictable economic surprises such as the U.S. tariff on Lesotho’s textile industry, focusing on improving domestic renewable energy in Lesotho can create jobs and reduce poverty.

What Is Energy Poverty?

A negative impact to populations is the lack of access to energy in households, depriving them of heating, cooling and functioning lights. As the problem occurs behind closed doors, governments often overlook this aspect in developing energy sectors.

Energy poverty can continuously affect vulnerable populations’ income levels. These impacts include less access to hygiene, healthcare issues and educational barriers. Improving household inequalities with renewable energy in Lesotho utilizes resources local to impacted areas.

Economic processes, such as humanitarian aid or budgetary spending, often tackle poverty. Lesotho’s poverty rate of 49% as of 2017 proves that these efforts are not enough. Concrete steps to stimulate the energy sector can provide relief for the at-risk population.

Additionally, the process to eradicate poverty and to provide renewable energy intertwine. To solve either issue, the government must commit to a combination of strategies. Strategic Planner for the United Nations, Subhra Bhattacharjee believes that to deliver clean energy, ending poverty is important as it is a requirement for future sustainable development.

PowerPoor: A Model for Energy Poverty

In addition to increasing their capacity to harness renewable energy in Lesotho, the government can improve their energy sector further by mitigating energy inefficiencies. Lesotho’s relatively small population gives them the opportunity to employ PowerPoor’s Power-Act tool in an effort to reduce inefficiency. 

Power-Act is the project’s idea to customize advice based on assessments of energy profiles of vulnerable citizens. As a secondary step in poverty reduction, this can prevent energy access from being unaffordable and can increase the country’s quality of life.

Looking Ahead

With better electricity infrastructure, using renewable energy in Lesotho will physically improve their initial energy needs, increase jobs and their overall quality of life. In combination with structured plans to reduce inefficiency, they can teach energy preservation to prevent future decline.

– Aliyah Omar

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

Photo: Unsplash

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Acumen’s Agricultural Investments in Ethiopia

Agricultural Investments in EthiopiaA large portion of Ethiopia’s population is experiencing poverty and a lack of necessities. However, the nation of Ethiopia has been an assembly point for organizations and nonprofits seeking to fund agricultural investments.

Poverty in Ethiopia

Despite some progress in poverty reduction, ongoing climate and inadequate infrastructure issues leave roughly 68.7% of Ethiopia’s population facing multidimensional poverty. Multidimensional poverty expands on the financial aspects of poverty, assessing a population’s social aspects and living conditions. In Ethiopia, additional portions of the population risk falling into this elevated category if poverty rates continue.

Ethiopia struggles with a lack of clean water, a strong health care system and increasing food insecurity, all hindering efforts to reduce poverty. Malnutrition, largely driven by food insecurity, disproportionately affects children and can prevent individuals from accessing education or employment that could lift them out of poverty.

Treating malnutrition requires a functioning health care system, but Ethiopia’s medical infrastructure is underfunded and lacks sufficient professionals and resources. According to the World Food Program (WFP), more than 10 million people currently face food insecurity and many more risk displacement due to ongoing conflict in the region.

In 2021, Ethiopia’s government introduced the Food Systems Transformation Plan, aligning national policies with the United Nations Sustainable Development Goals (SDGs). The plan will enable organizations to fund agricultural investments in Ethiopia, including the agricultural sector. It also has the potential to create jobs, helping more Ethiopians earn a stable income and contribute to economic growth and poverty reduction.

About Acumen

Acumen, a nonprofit organization, focuses on using capital to reduce global poverty through innovations. Founded in 2001, the organization works to help impoverished populations access health care, education and clean water and address food security.

Acumen utilizes innovations to enhance energy and bring beneficial agricultural techniques that increase productivity and support communities. Acumen has worked to eradicate poverty around the world, but has recently focused on sub-Saharan Africa and East Africa.

EthioChicken 

Acumen supports efforts to fund agricultural investments in Ethiopia, including EthioChicken. EthioChicken was founded in 2010 and has since increased food access and boosted local economies in Ethiopian communities. EthioChicken has enabled customers to consume 83% more eggs, a nutritional food and find a new source of revenue.

Different breeds of chickens have different growth and survival rates. Before EthioChicken, many breeds were unsustainable due to diseases, climate and other growth hindrances, creating a negative balance in the agricultural sector and eliminating possible economic gains and health benefits. EthioChicken provides farmers access to improved chicken breeds, helping farms achieve higher survival rates and better growth.

This allows farmers to sell more eggs and generate additional income by selling older chickens for meat. Each chicken comes with nutritious feed and medicine to prevent disease and protect the flock. Healthier chickens lead to more nutritious meals, supporting communities struggling with both poverty and malnutrition.

After Acumen and other organizations invested in EthioChicken and similar agricultural programs in Ethiopia, the company expanded rapidly, reaching around 35 million chickens sold to farmers annually. Acumen’s support also helped improve Ethiopians’ economic and health conditions in raising, selling and purchasing the chickens.

With continued backing for initiatives like EthioChicken, Ethiopia’s agricultural sector is poised to grow, offering new opportunities for its impoverished population.

Future Policies and Initiatives To Reduce Poverty in Ethiopia

Government initiatives like the Food Systems Transformation Plan, the Homegrown Economic Reform and the National Food and Nutrition Policy show Ethiopia’s active efforts to reduce poverty and secure international support for agricultural investments. For example, Ethiopia’s Ministry of Health states that the National Food and Nutrition Policy aims to ensure food and nutritional security while improving public access to nutritious foods.

While Ethiopia’s government has collaborated with international organizations, all regions within the country must work together to improve the well-being of Ethiopians and reduce poverty. This unity helps prevent conflicting interpretations or unwilling participants from undermining national policies. According to the Consultative Group on International Agricultural Research (CGIAR), sectoral fragmentation poses a major threat to a unified national approach in Ethiopia, as various groups have competing interests in controlling parts of the country’s food system.

However, sustained efforts and legislation to reduce poverty remain essential to driving social progress and enabling effective collaboration with organizations that fund agricultural investments.

– Avery Kachmarsky

Avery is based in Los Angeles,CA, USA and focuses on Business and Politics for The Borgen Project.

Photo: Flickr

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Spanish Foreign Aid Grows Amid European Budget Cuts

Spanish Foreign Aid Grows Amid European Budget CutsWhile top contributing Organization for Economic Co-operation and Development (OECD) member countries have been slashing funding, Spain is one of three countries committing to increasing foreign aid expenditures. After more than 20 years of international net growth, total Overseas Development Spending (ODA) by the OECD Assistance Committee (DAC) dropped by 9% in 2024 and could drop another 9% to 17% in 2025. Meanwhile, Spanish foreign aid funding increased by 12% in 2024; since 2021, the budget for the Spanish Agency for International Development Cooperation (AECID) has more than doubled.

Spanish Foreign Aid: Then and Now

Spain established its ODA fund in 1976.  As a leading donor, reaching the United Nations’ (U.N.) target for Sustainable Development Goals (SDGs) by 2015 was the expectation. To reach this goal, affluent countries must allocate 0.7% of their gross national income (GNI) to foreign aid spending, though few have done so. However, an economic crisis spanning from 2008 to 2011 saw cuts to ODA spending, with the contribution falling from 0.46% of GNI in 2010 to 0.12% in 2015. Besides a 2016 spike to 0.43%, Spain has since experienced slow and steady growth, currently contributing 0.24% of its GNI. As of 2024, Spain ranks as the 12th largest DAC donor out of 32 in terms of net financial contribution. 

While Spanish foreign aid is far from meeting the 0.7% target, the country has voiced intentions to continue increasing ODA funding with specific policy initiatives outlined in the 2024-2027 Spanish Cooperation Master Plan for Sustainable Development and Global Solidarity. The Master Plan addresses the need for cross-cultural dialogue to ensure contextually appropriate efforts, with primary focuses including water and sanitation, health accessibility and food security. 

Triangular Partnership

An avid promoter of multilateral cooperation, Spain’s plan advocates for Triangular Partnership. This involves an actor looking for support to address a development issue, an experienced partner to lend knowledge and an institution providing financial support. The concept offers that countries facing poverty have important stories to tell and no country is too rich to learn from them. Additionally, in 2023, Spain passed the Law on Cooperation for Sustainable Development and Global Solidarity, legally binding SDG commitments, including budgeting 0.7% of the national GNI toward foreign aid. Approved across all political bodies in the Congress of Deputies, it implements a statute improving conditions for aid workers and outlines the need for reform in the AECID, subsidy legislation and financial cooperation.

International Conference on Financing for Development

Besides monetary contributions, Spanish foreign aid takes an active role in international collaboration. A recent example is its hosting of the 2025 Financing for Development Conference in Seville. The fourth of its kind since 2002, the Financing for Development conference addresses the relationship between the movement of finances and societal priorities, ensuring fiscal policy coordination. The primary focus was on the importance of multilateral financial cooperation to reach the SDGs. Actionable areas outlined in the official document include international development cooperation and development effectiveness international financial architecture and systemic issues.

Moving Forward

In essence, Spanish foreign aid bodies are reaffirming their commitment to reaching the 0.7% GNI contributions to ODA efforts despite foreign aid budget cuts trending across Europe. Official reports include acknowledgements of the legally binding nature of previous and ongoing agreements and specifically promote the importance of multilateral cooperation for reaching these goals across all DAC countries. 

– Emily Galán

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

Photo: Flickr

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USAID Programs in Côte d’Ivoire

USAID Programs in Côte d'IvoireFrom its establishment in 1961, the United States Agency for International Development (USAID) has been at the forefront of civilian aid and assistance for developing countries. USAID programs in Côte d’Ivoire have increased health, peace, education, political stability and gender inclusivity. But, the nation still has many major problems, from malaria incidence to domestic tranquility, to overcome with the help of USAID. Since the agency’s dissolution, data and documents about its work have become increasingly scarce.

Health Initiatives in Côte d’Ivoire

Côte d’Ivoire has many health issues. Malaria and maternal mortality are specific challenges to the country’s health security. USAID programs in Côte d’Ivoire are focusing on its health security by tackling these and other problems such as HIV/AIDS and child health. USAID training and education initiatives have rapidly increased the learning and adaptation of medical practices, even while the country spends just 3.13% of its GDP on health care. This has led to a more resilient and adept health care system which is seeing better performance every year.

Two Food for Progress USAID programs began that increase food security for the country by processing crops locally instead of exporting raw crops to be processed. This incentivizes more regional trade and partnerships that unify the economic activities of the regions.

Promoting Peace & Education Côte d’Ivoire

Côte d’Ivoire is still healing its wounds from the Second Ivorian Civil War that began with post-election conflict and ended in 2011, which resulted in a UN/French/Ouattara victory (Ouattara being the current illegitimate president’s opposition leader). The U.S. Secretary has recently provided more than $45 million “to help Côte d’Ivoire and its neighbors prevent conflict and promote stability in the face of regional threats.” The U.S. has recently been successful in laxing tensions in the Coastal West Africa region and has provided nearly $300 million in assistance to accomplish such.

The new Millennium Challenge Corporation Compact with the Côte d’Ivoire, valued at $536.7 million, has two major parts:

  1. Accelerate transportation projects aimed at stimulating the country’s short-term economic growth and employment.
  2. Fund educational initiatives to support projects and programs for the youth of the country.

In the education sector, Côte d’Ivoire has successfully brought its primary school enrollment to 102% of the gross population considered of age to be going to primary school. This figure is up from 55% in 1970. The U.S. embassy in Abidjan also offers educational programs for the nation to advance their studies in the U.S. or abroad, including Fulbright Fellowships, Mandela-Washington Fellowship and EducationUSA.

Political Transition & Inclusion in Côte d’Ivoire

The U.S. is strengthening democracy and governance in Côte d’Ivoire through institution building. Politically, there is a major emphasis on greater inclusion of women and youth as these historically marginalized groups will be playing a larger role as the country further develops. Protecting and promoting their rights concurrently increases the country’s political stability and security.

USAID programs in Côte d’Ivoire were actively enabling the $14.2 million Political Transition and Inclusion program, whose goal is to support “national and local government efforts to be more inclusive of citizens’ democratic ambitions, and responsive to their needs and concerns.” This program specifically identified the disconnect between the government and citizens being the most significant challenge the country faces. No current data or documents could be found about the program’s current performance. Beyond this and other USAID initiatives, many more projects exist that incentivize community resilience, modernizing the justice system, and free and fair elections.

Final Thoughts

Côte d’Ivoire has made significant developmental progress, specifically within health care and domestic stability. Whether USAID programs in Côte d’Ivoire make a lasting impact will be seen in the 2025 October elections and future equity and economic metrics.

– Aedan Bingham

Aedan is based in Worcester, MA, USA and focuses on Business and Global Health for The Borgen Project.

Photo: Flickr

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Chagas Disease in Bolivia: A Public Health Crisis in Rural Areas

Chagas Disease in Bolivia: A Public Health Crisis in Rural Areas Bolivia is a landlocked country in South America, bordered by Brazil to the north and east, Paraguay and Argentina to the south and Chile and Peru to the west. With a population of more than 12 million people, Bolivia is one of the most culturally diverse nations on the continent, home to numerous Indigenous groups. Politically, it is a presidential republic and around 78% of its population identifies as Roman Catholic. Despite progress in democratization and economic development, Bolivia still grapples with poverty, limited access to health care in rural areas and stark regional inequalities.

When it comes to public health, Bolivia faces a unique and often overlooked challenge: Chagas disease. Caused by a parasite transmitted by blood-sucking insects, this tropical disease has quietly affected hundreds of thousands, particularly in impoverished, rural communities. Bolivia has one of the highest rates of Chagas infection in the world, making it both a public health burden and a social justice issue. This article explores the reality of Chagas disease in Bolivia and the ongoing efforts to fight it.

Chagas Disease in Bolivia

Chagas disease in Bolivia, caused by the parasite Trypanosoma cruzi, continues to pose a serious public health challenge across Latin America and Bolivia remains one of the most affected countries. The disease is widespread across Bolivia, with seven out of the country’s nine departments considered endemic, regardless of altitude. Although major international health efforts, especially those targeting insect vectors and the safety of blood transfusions, have led to a significant decline in infection rates over the past two decades, the burden is still considerable.

By 2005, Bolivia reported around 620,000 cases of infection, down from more than a million in the mid-1980s. Before large-scale control efforts began in 2000, infection rates in Bolivia were alarmingly high, with 90% of adults infected. In 2025, approximately 80% of Bolivian territory is considered endemic. Despite progress, health authorities still diagnose more than 10,000 new cases each year.

The Knowledge of Citizens

People living in rural parts of Bolivia are much more familiar with the insect that spreads Chagas disease. In many rural communities, more than 80% of people could easily recognize the vinchuca, a blood-sucking bug responsible for spreading the parasite. In contrast, only about half of the residents in cities like La Paz and around two-thirds in Santa Cruz were able to identify it correctly. Many rural communities know when it’s most active—often during hot and dry weather—and describe how it enters homes from nearby forests or hides near animal shelters. Locals also talk about its nighttime activity and blood-feeding habits. Interestingly, some communities have noticed a decline in the number of vinchucas in recent years, though the threat is still very real.

Fighting the Illness

Since 2015, Médecins Sans Frontières has been working with Bolivia’s Ministry of Health to improve care for Chagas disease, especially in remote rural areas. One of its most innovative efforts is eMOCHA, a mobile system that allows people to report sightings of triatomine bugs (vinchucas) via free SMS messages. The system uses GPS technology to send technicians directly to affected homes for fumigation and follow-up. Previously, this process could take up to a month—now it happens within days. The pilot project in Narciso Campero Province has shown promising results and may be expanded nationwide or adapted for tracking other diseases.

MSF has also provided training to rural health centers, donated medical supplies like electrocardiography devices and rapid tests and helped treat hundreds of Chagas patients in areas like Monteagudo. Its model suggests that it’s possible to deliver diagnosis and treatment at the primary care level—even in Bolivia’s most remote communities. MSF is now working on a comprehensive manual, in partnership with the Ministry of Health, to help scale the program to other endemic regions.

Looking Ahead

While often overlooked, Chagas disease remains a daily reality for many Bolivians—especially those in rural areas. With the impact of community knowledge, international support and smart technology, progress is underway. However, the road to full disease control remains long and sustained investment is essential.

– Julia Skowrońska

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

Photo: Flickr

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The Years-Long Struggle of Cancer Patients in Gaza

Cancer Patients in GazaIn 2021, cancer was one of the leading causes of death in Palestine. Its mortality rate was higher in the Gaza Strip than in the West Bank, whose population exceeds that of the Strip by a million people. The Gaza Strip is flanked by the Rafah crossing at the far south, bordering Egypt and the Beit-Hanoun crossing up north, bordering Israel across 365km². After the Israeli blockade in 2007, the economy and health care took a severe blow and the movement of people, medicine and food shipments in and out of the Gaza Strip has been severely restricted.

Patients seeking treatment in the West Bank or East Jerusalem have been vulnerable to the continuous shutting of both crossings as well as arbitrary travel permit approvals. A weak health care system coupled with strict travel guidelines has made life impossible for cancer patients in Gaza far before the current conflict.

Incidence of Cancer in the Gaza Strip

Cancer is a widespread disease among Gazan civilians. Between 2014 and 2018, 8,326 cases were recorded. The most common types were breast cancer (18%), colon cancer (10.7%), lung cancer (11.4%), leukemia (9.1%), lymphoma (7.9%), prostate cancer (7.7%), bladder cancer (6.3%), brain cancer (5.3%), stomach cancer (3.2%), pancreatic cancer (2.5%) and kidney cancer (2.2%).

Women accounted for 10% more cases than men. For women, the most common type was breast cancer; for men, it was colon cancer. Among the 620 child cases reported, Leukemia was the most prevalent.

Health Care Access Restrictions

Many patients with various illnesses are referred outside Gaza to the West Bank, East Jerusalem and Jordan for specialized treatment. In 2019, the Palestinian Center for Human Rights (PCHR) statewide reported that the number of medical cases referred for specialized treatment was 26,855 cases, with 6,352 children. Gaza City recorded the highest referral rate, accounting for 46% of all cases across the Strip. However, exiting Gaza, even for medical care, is extremely difficult.

Due to the 18-year blockade, civilians must apply for a permit to cross through the Beit Hanoun (Erez) checkpoint far north of the Strip. Israel completely dictates the approval of the permits and the decisions are arbitrary, with some licenses approved after being rejected and others delayed or even dismissed without proper explanation. The delays can be life-threatening, especially for urgent cases; 8.8% of patients succumbed to their illness six months after they applied for their permit. Israel has also been inconsistent throughout the years; in 2012, the acceptance rate was 94%; in 2017, it dropped to 54%; from 2019 to 2021, it reached 65%, regardless of the urgency of the medical case.

The approval of the permits could depend on gender, age and condition; men aged 40 and below and patients with urological conditions have the lowest approval rates, respectively 47% and 44%. Children are the most vulnerable as they require a legal guardian to accompany them, which requires extra approval. From 2019 to 2021, 54% of parents who applied for a permit did not receive the approval in time for their child’s hospital appointment and neither parent didn’t accompany 32% of children. This is due to the rejection of the parent’s permit and the non-application of the parent to be a companion.

Post-War Circumstances

Before the ongoing crisis, the health care system in Gaza was already lacking proper supplies for cancer patients, hence the need for referral. The constant bombing, lack of fuel, medical supply shortages, insufficient staff and the targeting of hospitals and health care workers have shot the struggle of cancer patients in Gaza to unfathomable heights. The Turkish Palestinian Friendship Hospital was the only hospital in the strip specializing in oncology. However, it was forced to close within the first month of the Israeli attacks on Gaza; 12 cancer patients died within 10 days of its closure.

By May 2025, 94% of Gaza’s hospitals were damaged or destroyed, leaving only 19 operating for more than two million people. Seven of them only offer basic emergency care. Northern Gaza struggles the most as the civilians residing there have practically no access to health care. Leaving the strip is more impossible than ever. On top of the rejection of referral permits, Gazan citizens have to pay the Egyptian travel agency (Hala) $2,500 for a child and $5,000 for an adult to cross the Rafah border leading to Egypt, which is equivalent to more than fourfold the average Gazan’s yearly income.

The situation worsened after the border closed on March 2, blocking life-saving medicine, food shipments and fuel from entering the Strip for over four months. With a surge in critically wounded patients and the total collapse of the health system, hospital occupancy has soared beyond 200%. Meanwhile, 2,000 cancer patients in Gaza are being overlooked, as their conditions are deemed non-urgent.

Conclusion

Cancer patients in Gaza have suffered from more than their illness. Due to the 18-year-long siege on the Strip, many have lost their lives before accessing proper care. The current war has only accentuated their struggle as the collapsing health care system, influx of casualties and incessant bombings and evacuation orders on hospitals have deprived them of life-saving medical attention.

– Yasmine Belabed

Yasmine is based in Algeria and focuses on Technology and Global Health for The Borgen Project.

Photo: Pixabay