Archive for category: Health

Information and stories on health topics.

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Malaria in South Korea: Poverty’s Hidden Role

Malaria in South KoreaMalaria in South Korea is climbing near the Demilitarized Zone (DMZ), the divide between North and South Korea. The Korea Disease Control and Prevention Agency (KDCA) raised a nationwide malaria warning on August 19, 2025. This came after it detected the year’s first mosquito in Korea carrying the Plasmodium vivax parasite.

This strain hadn’t been prevalent outside of military officials since the ’90s. However, officials and citizens are rallying together to fight for accessible health care and transportation options in rural areas.

Malaria’s Borderland Comeback

The return of Plasmodium vivax malaria in 1993 had spread mainly among soldiers stationed along the DMZ. Studies estimate that 60% and 90% of cases during this period were young men in their early 20s performing mandatory service near the northern edge of Gyeonggi Province, alongside the DMZ. These troops often lived outdoors in field conditions, which increased their exposure to infected mosquitoes.

Since then, malaria in South Korea has persisted in the regions surrounding the border, making the borderland a place vulnerable to disease due to its limited resources and health care. Today, rural civilians and military personnel make up most new cases of malaria. Farms and rice paddies serve as breeding grounds for mosquitoes.

As of August 2025, South Korea reported 373 malaria cases and health officials project the number will rise as the peak season continues through September. Since infected mosquitoes refuse to stop at the border between North and South Korea, transmission continues unchecked as they travel into rural South Korean cities.

Rice Paddies: Perfect Breeding Ground for Mosquitoes

Rice paddies provide perfect breeding grounds for Anopheles mosquitoes, the primary sources of malaria in South Korea. Research shows that more than 50% of Anopheles sinensis larvae are discovered in rice paddies near the western DMZ region, including areas like Ganghwa and Paju. These flood-prone plains and rice fields provide an ideal environment for mosquitoes to breed and spread throughout rural South Korea.

Malaria transmission is especially widespread near border villages, such as Wolgot‑myeon in Gimpo‑si and Naega‑myeon in Ganghwa‑gun. This highlights the urgent need for resources to combat the growing health crisis as malaria spreads in these rural communities.

Poverty: The Quiet Catalyst

Poverty, poor housing and health care gaps drive the spread of malaria in South Korea, reminding us that this is not just a mosquito problem. Malaria outbreaks are inequality crises that demand urgent solutions.

  • Health care gaps: Near the DMZ, clinics are far away and few are between the cities lining the border. Residents often face lengthy journeys and high transportation costs to access care. Delays in diagnosis and treatment give malaria parasites more time to spread and multiply.
  • Housing conditions: Underserved households often lack essential resources, needing mosquito nets, materials to seal windows and proper air conditioning. This leaves residents vulnerable on hot summer nights when mosquitoes are more prone to bite.
  • Outdoor working conditions: Farmers and forestry workers labor at dawn and dusk, right when Anopheles mosquitoes bite the most. In rural areas, these work environments are often highly staffed, which can significantly increase the disease’s transmission rate.
  • Elderly poverty: South Korea has one of the highest elderly poverty rates in the Organization for Economic Co-operation and Development (OECD) and many older residents live in rural DMZ counties. These seniors remain both highly exposed and medically vulnerable due to the lack of support and resources available in rural areas.

The Malaria Trap

Malaria in South Korea not only threatens health but also directly impacts the livelihoods of the rural cities along the DMZ. A review found that families bear most of malaria’s economic burden, accounting for an average of 71% of the total costs, including lost wages and health care expenses. Each infection forces workers to miss days in the fields, reduces wages and drains already limited household resources.

Even under universal health care, costs for medication, hospital visits and transportation weigh heavily on those infected with malaria, as many rural cities don’t have health care facilities available. Although the public transportation system in South Korea is well-developed, vulnerable populations are disproportionately affected by transportation costs to health care facilities.

Globally, malaria traps low-income families in a vicious cycle: illness reduces income, limiting access to transportation, health care and medicine, which in turn makes preventing future infections harder. Experts call this the “malaria trap” because it keeps people in a never-ending loop.

Groups Tackling Malaria in South Korea

Tackling malaria in South Korea requires more than mosquito control and pesticides. The fight demands coordinated efforts between government agencies, international organizations and community-based groups. Several agencies and organizations are working to contain malaria near the DMZ, which is proving difficult to change overnight.

  • The Korean Red Cross: The Korean Red Cross operates mobile clinics, health programs and disaster relief services across South Korea. It often fills gaps where access is limited. While it doesn’t focus specifically on malaria, its outreach and emergency services support rural and border communities that would otherwise go without care.
  • Against Malaria Foundation Korea (AMF Korea): Founded in August 2023 in Seoul, AMF Korea is the local arm of the globally acclaimed Against Malaria Foundation. It distributes long-lasting insecticidal nets (LLINs) to high-risk communities. AMF Korea’s cost-effective, data-driven model and grassroots presence in Korea highlight the potential for local-level malaria prevention efforts.

Additionally, the South Korean government has implemented a five-year plan to eradicate the disease. The strategy focuses on ensuring that everyone can access malaria testing and treatment. It also emphasizes monitoring and evaluating the spread of the disease. The plan also aims to build a network linking public agencies, private organizations and the military to coordinate efforts and contain malaria transmission in South Korea.

Conclusion

The resurgence of malaria in South Korea demonstrates that gross domestic product rankings or international borders cannot deter infectious diseases. The parasite thrives wherever poverty leaves people vulnerable, especially near a Korean rice paddy under the shadow of the DMZ.

Local and global organizations have driven significant progress, but expanding access to health care and medicine in South Korea’s rural communities will have the most profound impact. To eliminate malaria for good, South Korea and its partners must continue fighting mosquitoes and the inequality that allows the disease to persist.

– Nicole Fernandez

Nicole is based in Reno, NV, USA and focuses on Global Health for The Borgen Project.

Photo: Wikimedia Commons

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Global Telehealth Network: Increasing Health Care Access

Global Telehealth NetworkAfrica is home to more than 1.5 billion individuals, with approximately 1.29 billion residing in sub-Saharan Africa. While Africa’s population is gradually moving toward more urbanized regions, 56% of those in sub-Saharan Africa live in rural communities. In general, Africans face many struggles with health care, including a lack of infrastructure, facilities, personnel and support.

Health Care Challenges

More than 600 million individuals in Africa lack access to health care services. While Africa contains 16% of the world’s population and 23% of the global disease burden, it only receives 1% of global health expenditures. Africa has the highest disease burden compared to the other continents. Yet, it also has the lowest ratio of health workers to the population.

It carries nearly a quarter of the disease burden on a global scale, yet only holds around 3% of health care workers. According to the World Health Organization (WHO), Africa has a mere 2.6 doctors per 10,000 people, compared to 37.6 doctors per 10,000 in Europe. In addition, an estimated deficit of 11.1 million health care employees is projected by 2030, with most of the disparity affecting Africa.

Combined with the excessive burden of disease outbreaks and largely understaffed health care facilities, Africa’s health care systems are overwhelmed and unable to serve its population equitably. Those living in sub-Saharan Africa are notably disadvantaged, with the region having the lowest ratings in well-being and satisfaction with health care services.

With most of Africa’s population residing in rural areas, their access to health care services is even more limited. In response, health organizations have partnered with local governments and introduced telemedicine services.

Telemedicine Services in Africa

Telemedicine involves using apps designed for personal communication devices like tablets and phones to deliver various health care services. Some telemedicine services offer telephonic or face-to-face communication with health care workers, SMS for treatment support or questions and online platforms to view medical records or schedule health consultations. Many companies throughout Africa and beyond are investing and creating these online platforms to better serve their communities, especially those in rural areas with limited access to health care resources.

While telemedicine does support underserved populations, this alone is insufficient to address health care concerns to the fullest extent. A key component of improving the health of underserved populations is prevention. Preventive measures are linked to lower rates of illness and mortality in cancer, chronic disease, mental health, vision, oral health and immunizations. With the combination of telemedicine and effective preventative initiatives, there is hope for improving the health of vulnerable communities.

The Global Telehealth Network

One organization that emphasizes support through telemedicine and prevention is the nonprofit organization, Global Telehealth Network (GTN). GTN was established to improve health care disparities in rural and underserved communities by assisting in health promotion and disease prevention. Volunteer doctors and psychologists for GTN help health care workers in rural areas who face complicated health issues.

The Borgen Project spoke to the President and Chief Medical Officer at GTN, Jack Higgins, about the organization’s telemedicine pilot programs and other initiatives for helping those in rural areas with a lack of access to health care resources.

Higgins said, “Somebody’s health depends as much on where they live, their family history or their cholesterol levels. Basically, by zip code, you can almost predict the average life span for people, because of the inequalities in our society and in Africa, it’s more so because the poverty is even worse. The problems with clean water are even worse and other environmental concerns and sometimes political concerns.”

Access to Medical Professionals

Considering the shortage of medical professionals, especially in rural areas, GTN has specifically focused on those regions. Higgins said, “Uganda and Kenya both have decent health systems in the cities; it’s out in the rural areas where they have almost nothing. And that’s our biggest concentration, connecting them to the people in the cities whenever possible, because they can get consultations without having to go for 10 hours or whatever to see a doctor.” Physicians can treat more patients effectively and efficiently by allowing faster health care services.

Higgins also discussed GTN’s prevention efforts in combination with telemedicine. Higgins said, “It turned out we could do this online in a way that is totally feasible, in that the cost could be much less than it would be if you had to hire a person who’s going to sit there somewhere all the time, whether their patients come in or not. So the hope is that by making preventive care really available to people, it’ll make it easier for them.”

Building Community Resources for Sustainable Health

Despite its efforts in prevention via telemedicine services, Higgins explained that these efforts will grow more effective by providing community resources: “If the kids are drinking dirty water and they’re starving, they’re malnourished, then you’re not going to go very far in terms of really helping that community. So we started partnering with other organizations that have other skills and now we’re developing these community resource centers that can offer a lot of different things.”

GTN has begun building coalitions with rotary clubs and nonprofit organizations to provide services and resources to underserved populations. These include WASH stations, libraries, Climate-smart agriculture training, solar power projects and increased internet access. However, these efforts cannot be fully implemented without proper funding.

Higgins said, “There won’t be enough money coming from the governments to do the job. A combination of philanthropy and NGOs, nonprofits like us can hopefully give them the assistance they need to create sustainable and high-quality health care systems and that’s what we’re about.”

Conclusion

The work of Global Telehealth Network shows that expanding telemedicine alongside community resources can bridge rural health care gaps. However, a lasting impact will depend on strong partnerships and sustainable funding.

– Grace Johnson

Grace is based in Chicago, IL, USA and focuses on Technology and Global Health for The Borgen Project.

Photo: Pexels

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African Vaccination Week: Sierra Leone, Ethiopia and South Sudan

African Vaccination WeekThe 2025 African Vaccination Week (AVW), celebrated in April, was themed “Immunization For All is Humanly Possible.” The celebratory week began in 2010 as a World Health Organization (WHO) initiative to promote vaccination and its necessity within global health. The WHO found that in 2023 alone, vaccination saved 1.8 million lives in Africa.

The four goals of this year’s AVW were clear. The first was to reach un-immunized children through better initiatives. The second was to display the benefits of vaccines for African society. The third was to emphasize the importance of vaccines for the health care system coverage. The fourth was to increase immunization through further investment.

Sierra Leone

In Sierra Leone, celebrating AVW involved governmental action focused on minimizing national gaps in immunization. Along with support from the WHO, UNICEF and Africa’s CDC, Sierra Leone has received more than $200 million worth of support from Gavi, an international vaccine supplier.

From April 24 through May 2, Gavi assisted Sierra Leone in conducting mobile drives to vaccinate disadvantaged areas. It supplies missed dosages to children and adults, promotes positive campaigns and more.

Ethiopia

Celebrating AVW in Ethiopia began with a commemoration held at the Woreda 03 National Health Center on April 30. An area facing some of the largest historical disparities in immunization, the event was financially supported by the WHO. Among the organizations in attendance were UNICEF representatives, advocates from the Gates Foundation, Save the Children and Ethiopian leaders.

Ethiopia’s State Minister of Health, Dr. Dereje Duguma, gave a speech highlighting the importance of vaccines. Duguma also thanked the volunteer efforts that have resulted in the vaccination of hundreds of children within the Woreda region in the previous six months.

South Sudan

The 2025 AVW marked several significant advances in South Sudan’s efforts toward national immunization. South Sudan is introducing three new vaccines to its standard program this year. Gavi is helping supply South Sudan with Pneumococcal Conjugate vaccine (PCV), the Rotavirus vaccine and the second dose of Measles-Containing Vaccine (MCV2).

In addition to introducing these immunizations and with support from UNICEF and the WHO, the nation has also launched its “Big Catch-Up” initiative. Targeting 30 counties across South Sudan, the initiative is holding vaccination activities to reach untreated children.

Looking Forward

Across Sierra Leone, Ethiopia and South Sudan, the 2025 African Vaccination Week event focused on immunizing unvaccinated citizens. The AVW’s Pan-African framework has motivated ongoing vaccine efforts and improved overall health care. According to WHO data, since 2011, a cumulative 180 million lives have been saved due to health system improvements, including vaccination.

With continued support from global organizations such as UNICEF, the WHO and Gavi, immunization rates in Africa are expected to keep rising, providing greater safety in an increasingly populated world.

– Piper Aweeka

Piper is based in Alicante, Spain and focuses on Good News and Global Health for The Borgen Project.

Photo: Flickr

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HIV/AIDS in Slovenia: A Case of Universal Treatment

HIVAIDS in SloveniaSlovenia is a success story in many aspects of development, and their success in keeping HIV prevalence low is no different. Universal access to treatment, a focused prevention strategy and gradually decreasing stigma surrounding HIV/AIDS have coalesced to form a unified approach.

HIV/AIDS in Slovenia has failed to escalate into a dominant issue, largely thanks to significant progress in addressing broader inequality, with Slovenia having one of the lowest income inequalities in the European Union. With this foundation, Slovenia is a great illustration of how reducing social and economic inequality has helped to mitigate HIV/AIDS rates.

A Foundation of Effective Treatment

As of 2022, the HIV/AIDS prevalence rate of the Slovenian population between 15-49 was 0.1%, with the most affected group being men who have sex with men (MSM). While there was a rapid increase in MSM cases by 2008, prevalence has remained low due to strong, universal access to treatment which encompasses Slovenian citizens and migrants with employment status.

Strong public health frameworks across the country ensures access to treatment is viable for most of the population with citizens, migrant workers, asylum seekers and refugees receiving comprehensive medical services, including HIV care.

The Infectious Disease Clinic at the medical faculty for University of Ljubljana leads the way for active antiretroviral therapy with voluntary clinics and testing centers available across the country to ensure treatment can be effective through early diagnosis.

Prioritizing Prevention Key to Success

Alongside universal access to treatment, continuous focus on prevention has enabled transmission rates to be continuously low, promoting safe behavior regarding sexual activity. The Institute of Public Health in Slovenia has continued to promote educational messages annually to align with World AIDS Day, encouraging awareness through mainstream public health messages to destigmatize the issue.

Initiatives in primary and secondary schools have also contributed to an effective prevention strategy, distributing HIV education materials and encouraging condom use more broadly. A significant increase in condom use in Slovenia demonstrated that, at least in heterosexual contexts, HIV related promotion surrounding condom use was effective. Despite the culmination of these disparate efforts succeeding in maintaining low HIV prevalence, deep-rooted stigmas remain that threaten to entrench social inequalities.

The Power of Stigma

There is an evident stigma attached to HIV/AIDS in Slovenia, which relates to broader conservatism in the country. While that has gradually receded, it is still prominent. A significant number of people in Slovenia conceal their HIV-positive status out of fear of discrimination. Lingering stigma and discrimination are one of the primary barriers in completely eradicating HIV infections, including discrimination within public health care settings.

Slovenia holds solutions to these issues though and one includes the work of non-governmental organizations (NGOs). Legebitra is an NGO based in Slovenia’s capital city of Ljubljana. It has spearheaded programs surrounding HIV prevention and treatment since 2009, opening multiple HIV and STI testing clinics across Ljubljana and other major cities in Slovenia.

It is not only testing where Legebitra has made an impact, but its educational programs are vital at addressing stigmatized issues. Its “HIV+” program has provided counselling to people living with HIV, as well as increasing awareness of taboo subjects which endanger marginalized groups. Crucially, Legebitra offers its testing services and educational programs for free, ensuring that people living in poverty do not suffer the intersectional consequences of low socio-economic status and discrimination.

A Nation Moving Forward

Grassroots, community-based educational messaging and maintaining accessible treatment for deprived groups has softened stigma surrounding HIV. There is a correlation between poverty rates and HIV prevalence, stemming from socio-economic inequalities affecting vulnerable populations such as migrants and the unemployed. Slovenia’s health care policy of providing comprehensive HIV care to migrant workers and asylum seekers has enabled marginalized communities to have access to sufficient care, demonstrating that Slovenia’s progress towards social progression has helped to mitigate HIV infections.

Focusing on cases involving MSM has proved a prudent strategy, with HIV prevalence remaining low despite the initial increase in cases from 2006. Efforts made to psychologically support vulnerable groups at risk from HIV and provide free treatment has supplemented Slovenia’s broader trend of mitigating inequalities and ensuring that while HIV/AIDS in Slovenia is not a universal problem, everyone has the universal right to access help.

– Oscar McClintock

Oscar is based in Cambridge, UK and focuses on Global Health for The Borgen Project.

Photo: Unsplash

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Digital Midwifery in Bolivia: Rural Mothers and Mobile Tech

Digital Midwifery in Bolivia

In the remote highlands of Bolivia’s Andes, where health care facilities are scarce and distances vast, accessing postpartum care has long been a challenge for new mothers. However, since 2023, a transformative initiative has been underway: midwives equipped with mobile devices and WhatsApp provide virtual postnatal check-ins. They offer guidance on breastfeeding, wound care and infant development, all from the comfort of home.

Bridging the Gap With Technology

Bolivia’s mountainous terrain often makes traditional health care services inaccessible to rural populations. For mothers in these regions, reaching the nearest clinic can mean walking across rugged landscapes for hours or even days. Recognizing this challenge, the Bolivian government, in collaboration with organizations like the Pan American Health Organization (PAHO) and Plan International, has been integrating traditional midwives into the formal health care system.

This integration involves training midwives and equipping them with tools to enhance maternal and neonatal care in indigenous communities. For many, this training includes learning how to use mobile technology as a bridge to connect isolated mothers with professional advice. By introducing WhatsApp consultations, midwives can now conduct remote check-ins, answer urgent questions and provide ongoing support to families who would otherwise remain cut off from timely medical care.

A New Era of Maternal Care

The use of mobile technology has revolutionized postpartum care in these communities. Midwives, who are often deeply rooted in the culture and languages of the Indigenous populations they serve, are uniquely positioned to build trust and reduce barriers to care. WhatsApp has become a lifeline for mothers, allowing them to communicate efficiently through voice notes, video calls and photos.

Through these platforms, midwives provide personalized advice on topics such as breastfeeding techniques, recognizing the early signs of postpartum depression, monitoring wound healing after childbirth and ensuring proper infant nutrition. These conversations go beyond clinical checklists—they validate traditional practices while introducing evidence-based recommendations, striking a balance that resonates with local families.

Importantly, this method of care strengthens emotional bonds. Mothers report feeling less isolated and more confident, knowing someone is “just a call away” to answer questions or provide reassurance. This culturally sensitive approach, rooted in both tradition and innovation, ensures that health advice is not only accessible but also trusted.

Impact and Future Prospects

The early results of this initiative are promising. Communities that once faced high rates of postpartum complications are seeing improvements in maternal and infant health. Mothers express greater confidence in caring for themselves and their babies. They report that quick access to midwife guidance helps them resolve health concerns before they become emergencies.

Beyond individual families, the ripple effect is significant. Fathers and extended family members are also included in digital consultations, learning how to support new mothers more effectively. Midwives are gaining professional recognition and increased status within the health care system, bridging the divide between traditional knowledge and modern medicine.

This initiative also reduces the financial burden on families. Without the need to travel long distances, mothers save time and money, resources that can instead be directed toward food, childcare or household needs.

Challenges and Future Prospects

Despite its successes, digital midwifery in Bolivia still faces challenges. Connectivity remains unreliable in some areas; not every household can access smartphones or stable electricity. Training programs will need to be ongoing to ensure midwives are confident using digital platforms and adapting to updates in technology.

Nevertheless, the growth potential is substantial. Policymakers and health organizations are considering ways to expand this model to other rural regions of Bolivia and even across neighboring countries in Latin America. By continuing to blend traditional midwifery practices with digital health tools, Bolivia is setting a precedent for culturally sensitive, accessible and scalable maternal health care.

If successful, digital midwifery could serve as a blueprint for addressing maternal health gaps in other parts of the world with similar geographic and cultural barriers to Bolivia. The initiative highlights how low-cost, user-friendly technology, when placed in the hands of trusted community leaders, can reshape health care systems and save lives.

– Marina Martin

Marina is based in Rapid City, SD, USA and focuses on Global Health for The Borgen Project.

Photo: Flickr

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Drones in Nepal Delivering Hope via Medical Supplies

Drones in Nepal

Nepal’s mountainous terrain and fragile road network create severe challenges for medical access. In Dudhauli Municipality’s Ward 12, residents face hour-long drives on rocky roads prone to landslides and flooding during the monsoon season, often cutting them off from urgent care. In such regions, delays in medical delivery can be the difference between life and death. That is why medical drones in Nepal are vital to local communities.

Amma: The Drone Project Bringing Medicine to Villages

In response, a collaboration between Storming Universe, Kathmandu University and partners in Portugal is pioneering a new solution. The project, called Amma, meaning “mother” in Nepali, focuses on using drones to deliver life-saving supplies such as blood and essential medicines directly to isolated villages.

A recent test flight transported supplies from Sirthauli Hospital to Ward 12, demonstrating drones’ potential to bypass treacherous terrain. Locals and medical teams expressed optimism, seeing medical drones in Nepal as a reliable and faster alternative to traditional transport methods.

Partnerships Driving Innovation

The Amma project benefits from wide-ranging support. Turkish Airlines has provided transportation backing, while Madhuka Drone Services, a Nepali company specializing in drone services, is exploring integrating the technology into regular operations. With local adoption, the initiative could scale nationwide, offering thousands of communities a safer path to health care.

This effort builds on earlier partnerships with groups like Options Consultancy Services and Nepal Flying Labs, which worked with the Government of Nepal to test drones for delivering tuberculosis samples and COVID-19 vaccines. These trials highlighted the role of medical drones in Nepal in addressing health system shortages and bringing “last mile” health care to underserved populations.

Global Context and Local Solutions

Globally, drones are gaining recognition for their role in health care logistics. From carrying sputum samples in rural India to delivering emergency medicines in sub-Saharan Africa, drone technology is transforming access to essential care. In Nepal, 80% of the population lives in rural areas, with many communities several hours away from hospitals. Drones could play a vital role in reducing preventable deaths.

Moreover, local innovators such as Prokura Innovations, supported by UNICEF’s Innovation Fund, build low-cost drones domestically, ensuring technology is adapted to Nepal’s unique terrain and needs. These efforts emphasise sustainability, training local operators and embedding services within national health systems.

A Beacon of Hope

Though challenges such as limited payload capacity and regulatory hurdles remain, the Amma project represents a hopeful shift in Nepal’s health care delivery. By harnessing drone technology, isolated communities gain faster medical care and renewed trust in the possibility of timely health care.

As Amma and similar initiatives expand, medical drones in Nepal carrying blood, vaccines and medicines could soon become common across the country’s skies. Ultimately, they could offer lifelines of hope and survival.

– Robert Darke

Robert is based in London, UK and focuses on Technology and Solutions for The Borgen Project.

Photo: Flickr

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Malaria in Bangladesh: How Bangladesh Struck Back

Malaria in BangladeshMalaria is one of the most prevalent and deadly diseases in South Asia, taking the lives of an estimated 600,000 people globally in 2023. That same year, however, in Bangladesh, it claimed only six. In fact, between 2008 and 2023, the country reduced malaria by 96%. This is a direct result of Bangladesh’s incredible effort to eliminate malaria. This effort is soon to bear fruit.

What Is Malaria?

Malaria is a mosquito-borne disease that can spread to vertebrates. Symptoms can include fever and headaches as well as vomiting and, in extreme cases, death. The World Health Organization (WHO) estimated 263 million malaria cases in 2023 alone.

In fact, travel is a major driver of malaria transmission in Southeast Asia. Understanding how migration influences the spread of the illness is essential to stopping it. Researchers and organizations in Bangladesh have developed several tracking methods, including travel surveys and mobile phone data.

Addressing the Issue

Climates like Bangladesh’s provide ideal breeding conditions for malaria-transmitting mosquitoes to thrive. This threat has been countered for decades with insecticide-treated nets; today, most families own at least one. However, these nets are insufficient to eliminate malaria; they primarily work to reduce transmission rates rather than fully eradicate the disease. To address malaria in Bangladesh, broader and more comprehensive solutions beyond nets are required.

Thankfully, nets are not the only tool Bangladesh has to combat malaria. In 2021, the WHO approved the first malaria vaccine, which Bangladesh quickly adopted and rolled out on as wide a scale as possible. Today, the country has established a strict treatment regimen for those afflicted, using the most up-to-date version of the vaccine to reduce the burden of the disease.

Additionally, in 2021, Bangladesh launched its National Strategic Plan for Malaria Elimination (2021–2025), outlining the ambitious goal of eliminating malaria from the country by 2030. The plan emphasizes early detection and treatment, monitoring evolving malaria strains, distributing insecticide-treated nets to at-risk populations and strengthening advocacy efforts to ensure widespread access to treatment.

Final Remarks

Malaria cases in Bangladesh have been steadily declining for years and the trend is expected to continue. From 2022 to 2023, infection rates fell by 9.2%, with predictions showing further decreases in the future. This consistent decline highlights Bangladesh’s perseverance, persistence and determination in combating the threat of malaria.

Bangladesh’s success proves that with the right mix of time, resources, international aid and strong leadership, no disease is unbeatable, not even one as deadly as malaria. The steady decline in cases shows what’s possible when governments, health organizations and communities work together toward a shared goal.

While challenges remain, Bangladesh’s progress stands as a powerful reminder that elimination is within reach and that with persistence, global health victories once thought impossible can, in fact, become reality.

– Cayle Harrison

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

Photo: Wikimedia Commons

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Ever-Improving: Health Care in Barbados

Health care in BarbadosBarbados is a small island in the eastern Caribbean Sea, northeast of Trinidad and Tobago and east of Saint Vincent and the Grenadines. Since gaining independence in 1966, Barbados has advanced in many areas, with health care being a notable success.

While challenges remain, particularly health care inequality and the rise of noncommunicable diseases (NCDs), Barbados’ system has grown impressively, often ranking near the top globally. Key achievements include robust public health services, universal health care and improved disease screening and data management.

Struggles With Noncommunicable Diseases

The Caribbean has some of the highest consumption of sugary drinks and obesity. This has made NCDs extremely prevalent. Food environments are shifting to less healthy options, increasing sedentary living. These are key factors driving the rise of NCDs. The four main NCDs, cardiovascular disease, diabetes, cancer and chronic respiratory disease, account for eight of 10 deaths in the region. Barbados is not foreign to this issue.

As recently as 2024, 75% of all deaths in the Caribbean were from NCDs. Barbados and its economy also take a hit due to this health crisis, as approximately $75 million is lost annually from the impact of NCDs on the island’s workflow. NCDs account for between 1.36% and 8% of the GDP for Caribbean countries, leading to an impact felt across the region. As recently as 2021, people between the ages of 30 and 70 had a 14% probability of dying from NCDs. However, there is a bright side for health care in Barbados.

Progress in Health Care Services

Barbados has universal health care coverage for all citizens and permanent residents, with the government serving as the main provider of health services. This makes health care in Barbados free at the point of delivery, allowing the public to access the care they need. The country also has a strong primary health care system, supported by nine polyclinics and two satellite clinics, all located along the island’s major road networks.

Health care in Barbados has also improved in terms of data storage and screening procedures. The country’s Information Systems for Health have advanced, as the Ministry of Health and Wellness and the Pan American Health Organization (PAHO) hosted stakeholders in July 2025 to strengthen the health information ecosystem. At this meeting, they identified gaps, strengths and opportunities to make health care systems more data-driven. Additionally, Barbados has enhanced screening and diagnosis for NCDs, particularly breast cancer.

In 2024, the International Atomic Energy Agency helped improve access to cancer care by training 40 medical imaging professionals from 13 Caribbean countries to detect breast cancer better. This effort was supported by the PAHO, the University of Texas MD Anderson Cancer Center and City Cancer Challenge, which collaborated to provide diagnostic training across the region.

Conclusion

Health care in Barbados has seen significant progress despite ongoing challenges. NCDs remain a concern, but advancements in public health offer a clear path forward. With improved screening procedures, stronger data systems and accessible primary care, Barbados continues to demonstrate notable successes in its health care system.

– Amari Jennings

Amari is based in Orlando, FL, USA and focuses on Technology and Global Health for The Borgen Project.

Photo: Wikimedia Commons

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Zero Maternal Deaths Goal: Women’s Health in Honduras

Women’s Health in HondurasWomen in Honduras living in poverty often lack the resources to access hospitals, increasing the risk of maternal deaths. In 2023, the country recorded 47 deaths per 100,000 live births due to pregnancy-related causes. According to the World Bank, this reflects major progress since the 2000s, when the maternal mortality rate stood at 199 per 100,000. Still, many women remain without adequate health care and face preventable complications during childbirth, including severe bleeding.

Women’s Health in Honduras

The health of young women and those living in poverty is critical, as it not only shapes their own lives but also affects their families and the wider Honduran community.

In Miskito communities, limited health care resources leave mothers at risk, with preventable deaths during childbirth often caused by prolonged labor and severe bleeding. High transportation costs to hospitals like Puerto Lempira further prevent many impoverished families from accessing essential medical care. Some families lack the funds to send women to hospitals during emergencies, often viewing it as a heavy expense.

Women in Honduras face higher poverty risks than men due to limited job opportunities. As of 2024, only 39.5% of women participate in the labor force, compared to 74.9% of men, a 35.4% gap highlighting barriers women encounter in securing work. This economic inequality makes it harder for women to escape poverty. As a result, their health needs are frequently deprioritized within impoverished households.

The Zero Maternal Health Model

In 2021, skilled physicians and birth professionals attended only 52% of births in Honduras. The new Zero Maternal Health Model seeks to change this, aiming for no mother to die during childbirth. Now the national standard for women’s and obstetric care, the model introduces a practical methodology that has transformed how hospitals manage obstetric emergencies.

Instead of simply revising protocols on paper, it has reorganized hospital systems with a “code red” response, enabling faster, coordinated action to save mothers’ lives. The plan was first introduced in Intibucá, where its success led to rapid adoption nationwide. Today, all 28 hospitals in Honduras’ national health system have implemented the Zero Maternal Health Model, significantly improving women’s health outcomes.

As part of the 2022–2026 National Mortality Reduction Plan, the model and its “code red” system have delivered remarkable results, including a historic 27.4% drop in maternal mortality in 2024. The initiative now ensures access to specialized, life-saving care for women in poverty and those in remote areas without the burden of long and costly travel.

Dr. Nuri Bonilla, an obstetrician-gynecologist at Gabriela Alvarado Hospital, highlighted the transformation brought by the new model. “We went from a hospital where each emergency was chaotic to having organized teams, rapid response alarms and protocols that truly save lives,” she said.

This model has been made possible because of the partnership between the Ministry of Health, Pan American Health Organization (PAHO) and the Government of Canada. Thanks to these efforts, thousands of lives can be saved in Honduras and more women now have access to improved health care.

Initiative Strengthening Women’s Health in Honduras

The partnership between PAHO and Global Affairs Canada is accelerating progress in women’s health in Honduras and strengthening maternal care in five other South American countries: Bolivia, Colombia, Ecuador, Guyana and Peru.

The project has expanded health care access for women across these nations and provided critical support for survivors of gender-based violence. It has also advanced the health of women and adolescent girls in vulnerable situations by increasing access to gender-sensitive, rights-based and culturally appropriate services.

Across the six countries, the project has trained 64,000 health care workers in maternal care, neonatal care, adolescent pregnancy prevention and response to gender-based violence. This project has been in effect from 2021 to 2024. It has helped fight the persistent inequalities affecting the health of women and adolescents, not only in Honduras but also in other neighboring South American countries.

World Renew Grants

World Renew is an organization that addresses global hunger and poverty through community development and disaster response programs. Reports indicate that in Honduras, a woman is killed every 16 hours. Between 2005 and 2016, the female homicide rate increased by 263%, highlighting the country’s severe gender-based violence crisis.

World Renew has given a grant to women in Honduras to help them improve their skills and provide small business management. This is significant as it has helped women in Honduras grow food in their gardens. Schemes like this have resulted in healthier diets and a financial income from selling produce that will help them escape poverty. Not only has this grant improved their health, but it has also given them an income source.

– Alice Haston

Alice is based in Liverpool, UKm and focuses on Good News and Global Health for The Borgen Project.

Photo: Wikimedia Commons

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Pregnancy Crisis in Gaza

Pregnancy Crisis in Gaza

A lack of access to food, water, medical care and safety has brought on the pregnancy crisis in Gaza. Since October 7, 2023, thousands of women have been at risk in every stage, including during pregnancy, childbirth and the postpartum period. Hospitals along the Gaza Strip, including in its biggest cities like Rafah and Khan Younis, have been facing severe bombings and shortages of every kind, from fuel to food to trained medical staff. The ongoing pregnancy crisis in Gaza has made carrying a healthy pregnancy to term nearly impossible.

International humanitarian organizations such as Doctors Without Borders, the United Nations (U.N.), Project HOPE and many more have aided women in Gaza. However, they are currently facing difficulties due to a blockade. Without the necessary aid, thousands of pregnant women in Gaza are at risk of starvation, infection and complications.

Facts About the Pregnancy Crisis in Gaza

  1. There are an estimated 55,000 pregnant women in Gaza, according to the United Nations Population Fund (UNFPA). Approximately 11,000 of those women are at risk of famine. One in three pregnancies is now considered high risk. One in five babies is born prematurely or underweight. It is estimated that 17,000 pregnant women will need to be treated for malnutrition within the following year.
  2. Postpartum hemorrhage is one of the leading causes of death among pregnant women in Gaza. Due to a lack of accessible medical care, most pregnant women do not receive prenatal checkups, which are essential for monitoring the health of both the fetus and the mother. Without access to the care they need, expectant mothers in Gaza are unable to detect conditions like preeclampsia and eclampsia, both of which can lead to postpartum hemorrhage.
  3. According to Human Rights Watch, as of January 2025, only seven of the 18 remaining functioning hospitals along the Gaza Strip offer emergency obstetric and newborn care. Out of 11 field hospitals, only four offer obstetric and newborn care. This has led to encampments becoming impromptu birthing centers. These centers lack trained medical personnel and adequate resources to support a healthy birth. Without a secure birthing place available, pregnant women are at risk of severe infection during childbirth.
  4. Since October 7, 2023, the rate of pregnant women miscarrying in Gaza has risen 300%, according to the International Planned Parenthood Foundation. About 15% of pregnant women in Gaza require emergency obstetric care to maintain a healthy pregnancy.
  5. Currently in Gaza, 15% of babies born require intensive care. Recent formula shortages and a lack of adequate food for the expectant mothers have caused that number to increase rapidly. It is estimated that 71,000 children in Gaza will need to be treated for malnutrition within the next 11 months.
  6. Several humanitarian organizations have been doing everything they can to provide aid to the women of Gaza. However, they have been facing difficulties due to a blockade. Within the two months of the ceasefire, UNFPA estimates that it reached 146,000 women and girls with reproductive health services. Project HOPE established three antenatal clinics in Gaza, treating women for malnutrition, hepatitis, miscarriage and other afflictions.

Conclusion

Due to the ongoing war, Gaza’s infrastructure has been destroyed, including the remaining hospitals in Rafah and Khan Younis, further worsening the current pregnancy crisis in Gaza. With support from UNFPA and Project HOPE, the current humanitarian crisis and its effects can be reversed.

– Zoe Alatsas

Zoe is based in Brooklyn, NY, USA and focuses on Global Health and Politics for The Borgen Project.

Photo: Pexels