Archive for category: Health

Information and stories on health topics.

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3 Ways the US Fuel Blockade Challenges SDG 1 in Cuba

SDG 1 in CubaMotivated by a desire for the island’s government to change regimes, U.S. President Donald Trump signed Executive Order 14380 on January 29th, 2026, authorizing the imposition of heavy tariffs upon oil provisions sent to Cuba and delivering a huge blow to the progress made toward SDG 1 in Cuba. 

The island is one of Latin America’s poorest countries and had already been struggling with an energy crisis before Trump’s tariffs were put into place. With 12% experiencing unemployment and an astonishing 89% living in extreme poverty, Cuba’s citizens are suffering under the weight of food shortages and medicine shortages, blackouts and poor wages. 

While the island has long endured social problems, as of 2026, the poverty rate has soared by 49% since 2025, with the island now suffering from blackouts, a lack of drinkable water and outbreaks of mosquito-borne and hygiene-related illnesses, creating a nation-wide poverty crisis that is driving 78% of people living on the island to make emigration plans. Here are three ways that the U.S. fuel blockage on Cuba is threatening the United Nations’ Sustainable Development Goal (SDG) 1: no poverty in Cuba: 

1. Debilitated Healthcare System 

Cuba’s hospitals are unable to function effectively due to frequent power outages, leading to thousands of patients awaiting surgeries that are unable to be performed without sufficient water and electricity. Despite relying on generators during the reoccurring blackouts, hospitals and other important institutions are grappling to optimize the few hours of electricity provided each day, with laboratories shortening their workdays from five to two hours every week in order to preserve fuel.

A spike in hygiene-related and mosquito-borne illnesses, which the heaps of rubbish now piling on the streets of Cuba have caused, is putting the healthcare system under further strain. The Cuban Government responded to the fuel shortage with rationed waste collection in an attempt to save fuel, resulting in garbage piles being burned as citizens desperately scramble to get rid of the piles of waste marinating in the streets.

Health officials report that the flux of stagnant water left inside discarded waste has led to an increase in reproduction of the Aedes aegypti species. With a large number of vectors swarming inside homes and public areas, the transmission of mosquito-borne illnesses has drastically increased, resulting in countless new cases of diseases like chikungunya, which causes significant pain and often debilitating symptoms in patients.

Rubbish piles further raise concern, as parents struggle to monitor their children in streets filled with waste that can cause serious health issues if consumed out of hunger or inhaled during a burning. With so few resources available, hospitals struggle to care for their rapidly increasing number of patients.

2. Grid Collapse

A preexisting energy crisis, which the fuel blockade has made worse, has left schools with no choice but to reduce the number of classes delivered to students each day, resulting in online classes and even cancellations, and businesses unable to operate, forcing them to shut down and leave workers unemployed. 

A cessation of fuel deliveries to the Antonio Guiteras Thermoelectric Power Plant has led to frequent breakdowns and left the island powerless in the resulting outages. Without power for lights and technological devices, schools and businesses  are unable to run as usual. However, it is speculated that, due to the crumbling public transport system, attendance would be low even if there was power. With a lack of fuel affecting the everyday commutes of students and workers alike, and a high prevalence of blackouts, the Cuban workforce is  paralyzed, leaving countless unemployed and jeopardizing SDG 1 in Cuba. 

The interruption to studies has even prompted students at the University of Havana to conduct a sit-down protest in March, angered by officials’ lack of action when the U.S. first began enforcing the blockade. A rare occurrence, the protest was responded with force, until Higher Education Vice Minister Modesto Ricardo Gomez called off university security, claiming their voices had a right to be heard and taken seriously.

3. Limited Access To Clean Water 

A water shortage caused by frequent blackouts over the island has left Cubans panicked. Due to fuel shortages, the island is experiencing voltage fluctuations. This causes delays in pumping schedules and damages to machinery, thus affecting the regular delivery of clean water to citizens. With no reliable access to clean drinking water, citizens have resorted to collecting water from tanker trucks and relying on aid vessels for supplies. 

The lack of clean water is leading to an increase in hospital patients, with people suffering from dehydration in the summer heat. Low water supply also means there is little to be spared for showers and cleanliness, leaving citizens vulnerable to illnesses due to poor hygiene and unsanitary food. There is very little water that can be boiled to wash dishes or cook food, therefore creating an environment where sickness can thrive.

Here is some information about aid being delivered to combat the poverty crisis in Cuba:

The Nuestra América Convoy

In 2015, the United Nations developed a 2030 vision, outlined by 17 SDGs, the first goal being no poverty. While the U.S. fuel blockade threatens to impede SDG 1 in Cuba, there are several organizations taking action to help citizens. The Nuestra América Convoy, for example, mobilized hundreds of volunteers from more than 30 countries to deliver aid to the island in the form of critical medical and food supplies. 

Aiming to aid, and stand in solidarity with, the citizens of Cuba, the delegation of Cuban Americans partnered with the International Association of Democratic Lawyers, National Lawyers Guild and U.S. Peace Council to visit Hospital Hermanos Ameijeiras and Parque Maceo, which is one of the more affected parts of Cuba. 

On March 21st, the group delivered around 20 tons of humanitarian aid to a drop point in Havana, providing significant humanitarian relief to the Cuban people. Now returned from their trip, having successfully helped hospital patients and residents of the area, volunteers plead for change and emphasize that the blockade will only make the situation in Cuba, as well as the island’s relationship with the U.S., worse.

The US’s Offer of Aid

While Cuba’s leader, Miguel Díaz-Canel, had previously rejected the offer, Cuba is now accepting the U.S. government’s $100 million in humanitarian aid. Secretary of State, Marco Rubio, has met with Pope Leo XIV to discuss the delivery of aid to Cuba, planning to distribute the provisions through the Catholic Church. The Cuban government claims it will accept assistance from the U.S., but explains that the island’s citizens may be confused by an offer of help by the same government that has made the poverty crisis significantly worse.

Achieving the United Nations’ SDG 1 in Cuba is critical to saving countless lives, as well as improving the living conditions of the island’s 10,899,951 residents. These three consequences of the U.S. fuel blockade, however, are not only delaying, but drastically reversing the progress made towards achieving this goal. The aid that volunteers are delivering to the island helps counteract these issues, but it is unclear whether it will be enough to combat the ever-growing poverty rate in Cuba.

– Ruby Fraser 

Ruby is based in Cannes, France and focuses on Global Health and Politics for The Borgen Project.

Photo: Pixabay

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Telemedicine: Health Care access for Afghan Women

Health Care access for Afghan WomenAfghanistan, a country beset by constant, unequivocal political unrest, faces a time of profound inequality. When the Taliban reasserted control over the country in August 2021, a cascade of reactions found the country’s health care system on the verge of collapse. In the first half of that year alone, Taliban forces attacked health care facilities, leaving 12 health care workers dead and damaging more than 25 buildings.

The impact on Afghan women has cut the deepest. Now lacking almost all fundamental rights, health care has taken a backseat. Not a single woman received screening for any cancer form and less than 10% received screening for sexually transmitted infections. Even where diagnosis is possible, treatment for these demographics remains virtually inaccessible. 

Barriers to Health Care Access for Afghan Women

These obstacles to health care access for Afghan women are not accidental but structural. The Taliban’s governance has systematically dismantled the conditions in which women can safely seek and receive medical attention. At the center of this is the Mahram Policy, which requires female health workers to be accompanied by a male guardian at all times outside the home.

On December 21, 2022, women were banned from working with NGOs nationwide, except in health care. Yet the requirement for them to be chaperoned now hinders their ability to provide and receive adequate health care. Even when women reach a facility, barriers persist; whether they would like to or not, male doctors can scarcely provide the necessary care except in life-threatening conditions. 

Additionally, medicines are in short supply and the financial burden of travel pushes families to impossible decisions, leading women to disregard their health and rely on traditional cures. 

The Organizations Still Showing Up

Despite the deteriorating environment, the international humanitarian response has been remarkable. In 2024 alone, nearly one million patients, 65% of whom were women and children, received primary care across 47 implemented health facilities. Alongside these infrastructural changes, the International Committee of the Red Cross (ICRC) has upgraded equipment, improved staff competency and educated hospitals on mass-casualty incidents. 

Through expanding services into urban areas, organizations like the ICRC are pivotal in improving access to health care and alleviating difficult living conditions in Afghanistan. Médecins Sans Frontières (MSF) has equally refused to retreat. Operating across eight provinces, MSF has seen the number of patients it treats double in the last three years. 

The organization prioritizes the most acute needs: emergency trauma care, maternal health and malnutrition. In 2024 alone, the organization admitted more than 400,000 emergency patients and assisted in more than 45,000 births. Despite attacks from the Taliban, the remaining feeding center and trauma facility in Kunduz have become vital for Afghanistan’s health care infrastructure.

What makes these organizations so significant is not just the scale of their operations but the conditions under which they persist. They hold together the health care system in a place of such turmoil, despite uncertain funding, restrictions on female staff and the collapse of broader public health systems. 

Telemedicine: A Bridge No Wall Can Close

Among the most promising developments for Afghanistan’s health care system is the expansion of telemedicine. When physical access is blocked by Taliban restrictions, a mobile phone may still get through. Telemedicine is being pursued by many organizations and charities, with evidence of its impact.

The Central Asia Health Systems Strengthening project connected seven tertiary care facilities with 14 secondary care facilities across the region. The project enabled more than 6,000 teleconsultations and delivered 52 e-learning sessions to more than 2,000 health staff. A tele-ICU service running from 2020 to 2023 provided the same number of teleconsultations to nearly 1,600 patients. 

This began as a response to COVID-19 before expanding into neonatal, pediatric and surgical critical care. Researchers found that increased consultation frequency was associated with reduced patient mortality, demonstrating clinical applicability. 

Arian Teleheal

Dr. Waheed Arian grew up in Afghanistan during the Soviet conflict, sheltering in cellars from rockets and bombs. Later, his family fled to Pakistan, where he contracted malaria and tuberculosis in a refugee camp. He arrived in the U.K. at 15 with $100 in his pocket, went on to study medicine at Cambridge and is now the founder of Arian Teleheal.

Founded in 2015, Arian Teleheal began by connecting Afghan hospitals to a global network of volunteer specialists via smartphones and tablets. As expensive medical systems are inaccessible to medics in these low-resource settings, this enables medical personnel and patients to receive appropriate care by being routed to a network of more than 150 international volunteers. The results have been unparalleled, with a three-year study finding that Arian Teleheal’s volunteers have helped care for thousands of patients. 

The organization has also since partnered with the World Health Organization (WHO) to provide emergency, mental health and psychosocial support to people in need across the globe.

Final Remarks

Initiatives such as these show great promise for those in need in Afghanistan, who face a health care system rocked by political repression, stripping the right to provide medical care freely. As humanitarian organizations struggle to fill the gap, telemedicine is emerging as a quiet revolution. Where Taliban restrictions try to block the door, a smartphone may still get through.

 – Juliette Dall’Aglio

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

Photo: Flickr

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Health Action in South Sudan

Health Action in South SudanAmylia Deng’s sense of purpose and drive to make an impact emerged at a young age. As a naturally observant adolescent, she keyed in on the challenges around her, especially those affecting women and children, and she knew she wanted to be a part of that change. Growing up in South Sudan and Kenya gave her a unique perspective. Exposure to both environments shaped her worldview — one experience rooted in resilience and community, the other established with opportunities and possibilities.

Health Action in South Sudan

As CEO of Health Action in South Sudan since January 2019, Amylia Deng has dedicated herself to driving lasting impact. She helped enroll more than 200 children back into school, opening doors to children and families faced with financial, structural and social barriers. Deng said that many families cannot afford school fees or live in areas where schools are inaccessible. “There are also cultural factors where education is not always prioritized. Some children are forced into labor or early marriage instead of being in classrooms,” she said.

According to recent United Nations (U.N.) data, South Sudan has one of the lowest literacy rates in the world. Around 70% of adults cannot read or write, approximately 84% of girls over the age of 15 are illiterate, and an estimated 2.8 million children are not in school.

Even before she fully understood it, Deng identified as an activist, author and had a flair for fashion. Writing became her way of processing and telling stories, activism became her voice and fashion allowed for self-expression. All three combined, allowing her to communicate who she is and what she stands for.

Representing South Sudan on a Global Stage

As a diplomat working within the Ministry of Foreign Affairs in South Sudan and author of two books — Even After the Darkest Moments and Rising from the Ashes — her journey has led her to represent South Sudan on the global stage. In 2022, she founded Amylia Cosmetics. In 2024, she was crowned Miss International South Sudan.

When asked what challenges she has witnessed as a South Sudanese woman that still drive her work today, Deng said she witnessed limited access to education, early marriages, lack of opportunities and societal expectations that often silence women’s potential. She personally experienced instability and moments where she had to navigate systems that were not built to support young women. These experiences continue to drive her work because she knows what it feels like to have potential but limited access.

Deng said access to education is still one of the most urgent needs. Beyond that, there is a strong need for economic empowerment, health care and protection from gender-based violence. She emphasized that women and children need systems that not only support survival but also create pathways for growth and independence.

According to a statement by U.N. Women Regional Director for East and Southern Africa, Anna Mutavati, approximately 5 million women and girls in South Sudan need help, with half requiring gender-based violence services.

The 2025 Multiple Indicator Cluster Survey for South Sudan showed that 19% of children are stunted, only 42% attended primary school and 43% of women were married before age 18.

Deng said she would want the world to understand that South Sudan is more than a challenge. It is a country full of resilient, talented and ambitious people who, despite difficult circumstances, continue to rise, create and hope for a better future.

The challenges and responsibilities Deng carried early on had an impact on her life’s trajectory. They forced her to grow quickly and shaped her mindset. The roots of her drive and resilience, however, came from the strength of the women around her and her family.

From a global perspective, Deng said the international community should play a supportive but respectful role when partnering with local leaders and organizations in improving access to education in developing countries, rather than imposing solutions. She mentioned investment in infrastructure, teacher training and sustainable economic education programs as critical. Most importantly, she said those efforts should focus on long-term impact rather than short-term visibility.

A Crown as a Catalyst for Health Action in South Sudan

In many ways, Amylia Deng has become a bridge between the two worlds of hardship and possibility that originally influenced her. For her, the crown is not just an achievement but a duty and an honor to make an impact.

“Success is impact,” Deng said. “Changing lives. Creating opportunities where there were none. Building something that outlives me. It is not just about personal achievement. It is about how many people I can bring up with me.”

In closing, Deng expressed that young people, especially girls, growing up in difficult situations, do not have to let their environment determine their future. “You may start with less,” she said, “but you are not less. Stay focused, believe in your vision even when no one else does. Do not be afraid to take up space. Your story matters. You have the power to change not only your life, but the lives of others.

– Erin Sian Mongillo

Erin is based in North Haven, CT, USA and focuses on Celebs for The Borgen Project.

Photo: Flickr

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Establishment of Mexico’s Universal Health Care System

Mexico's Universal Health CareIn an April 7 press conference, Mexican President Claudia Sheinbaum announced the creation of Mexico’s universal health care system, which is scheduled to achieve full coverage by 2028. Sheinbaum described the initiative as a “historic step” toward achieving free, accessible and quality health care for all of Mexico’s more than 120 million citizens. The country plans to roll out the new system in phases, beginning with the issuance of health ID cards for citizens over 85 years old this year. By 2027, the exchange of services between institutions will begin, and the process will conclude in 2028 with coverage of treatment for chronic conditions and the ability to refill prescriptions at any health institution.

The Necessity of a New System

Since the creation of the Mexican health care system in 1943, fragmentation has created disparities in quality and access due to divisions based on economic, social and regional factors. As of 2023, the system was divided into the Mexican Social Security Institute (IMSS), which covered salaried private sector workers; the Institute for Social Security and Services for State Workers (ISSSTE), which covered salaried public sector workers; PEMEX, which covered workers in the oil industry; and IMSS-Bienestar, or INSABI, which covered those who did not qualify for the others, such as contract workers, the unemployed and the self-employed. INSABI replaced Seguro Popular in 2018, causing the number of citizens without access to health services to increase by 15.6 million in only two years. As of May 2023, the government had dismantled INSABI. However, the effects still remain, increasing the need for Mexico’s universal health care system.

In 2025, Mexico ranked below Organisation for Economic Co-operation and Development (OECD) averages in life expectancy (75.5 years), preventable mortality (243 per 100,000), eligible children vaccinated against diphtheria, tetanus and pertussis (DTP) (78%) and women screened for breast cancer (20%). Mexico spent $1,588 per capita on health, compared with the OECD average of $5,967. Much of this was due to fragmentation’s effects on the rural poor. Because access to health services was based on employment status and proximity to salaried jobs in the public or private sector, the poor could not always use the closest hospital or institution if a specific subsystem ran it. Additionally, changes in the labor market caused by the COVID-19 pandemic placed more than half of the population in the informal sector. This created disparities in quality of care between the formal and informal sectors, effectively splitting the country’s health care system in half.

How a Universal System Will Address These Issues

Beyond providing free coverage for its citizens, Mexico’s universal health care system will integrate these subsystems into a national network. In doing this, the government hopes that quality care and accessibility will transcend employment status or geographical location. Citizens will be able to use any health care institution, regardless of personal factors, with a health ID card. The card will be connected to an app displaying an individual’s medical records, upcoming appointments and available services.

The health ID card and connected app should streamline the health care process and improve efficiency. The consolidation of subsystems should also help efficiency, as specialized equipment can now be shared across hospitals that it previously could not. Patients will have the option to remain at a specific health center for the full duration of care, removing forced transfers that shortened treatments. The unification of these subsystems is necessary for both universal coverage and an efficient, centralized network.

Looking Ahead

According to Sheinbaum’s timeline, the exchange between institutions will begin by Jan. 1, 2027, with services covering emergency care, high-risk pregnancies, heart attacks, strokes, cancers, vaccinations and primary care consultations. The second half of 2027 marks the beginning of coverage for specialized medical services. By 2028, universal coverage will include prescriptions, referral-based hospitalization and specialized outpatient care. Mexico’s universal health care system represents a significant shift in access for millions of citizens, particularly those in the informal sector and rural communities who have historically been underserved.

– Joshua Megson

Joshua is based in Albemarle, NC, USA and focuses on Good News for The Borgen Project.

Photo: Wikimedia Commons

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Improving WASH in South African Schools

WASH in South African Schools South Africa is a country where access to clean water and sanitation is not readily available to all, and this directly impacts education. Around 462 million students globally attend schools without access to water, sanitation and hygiene (WASH).

When sanitation is not safely managed, it can contaminate soil, food and water sources, spreading disease and causing death in extreme cases. South Africa’s government is taking steps to improve WASH for its next generation.

The Impact of Poor WASH on Education

Improving education has remained a major challenge for the South African government, and this is directly linked to the lack of WASH services in schools. The problem is especially prevalent in underprivileged, water-scarce areas, where students leave school without completing their education due to the inaccessibility of water and toilets within schools.

Even with South Africa investing in schools and policy reforms, WASH access differs depending on socioeconomic status and community. South Africa’s informal settlements, where citizens face limited access to housing, education and job opportunities, are often the most affected.

This disparity causes students in lower-income communities to have higher exposure to waterborne diseases, making them unable to focus properly due to dehydration, lack of privacy, illness and poor sanitation. This limits classroom time, stunting cognitive development and reducing attendance rates.

A New Sanitation Solution

South Africa has looked to other countries for help in improving WASH in its schools. A South African delegation attended the 2018 Reinvented Toilet Expo in Beijing, where a new sanitation system was showcased. The system purifies solid waste and urine, removes all pathogens and recycles the output as flushable water — a solution South Africa was ready to implement.

At the event, South Africa partnered with Enviro Loo to adapt the system for local schools. The system was installed in 2020, and Enviro Loo has since continued to install it in South African schools and informal settlements, reaching more than 41 locations with more being built.

Enviro Loo is also part of the South African Sanitation Enterprise Programme (SASTEP), a government initiative that organizes sanitation solutions and tracks new systems and technologies to increase WASH access in South African schools.

Measurable Results

The effects of the new system have been immediate. Schools now have bathrooms located in hallways next to classrooms, rather than in secluded areas.

  • Absenteeism has dropped by 80% since installation.
  • Students from informal settlements are attending class with confidence, knowing they have access to clean toilets and proper sanitation.
  • Students are arriving at school earlier and remaining in class for the full school day, improving educational outcomes.

Looking Ahead

South Africa is continuing to expand WASH access for its next generation. Indeed, with its continued partnership with Enviro Loo and the Gates Foundation, students are better able to focus on their education, and the program offers a model for addressing sanitation-linked barriers to learning in other developing countries.

– Kianna Phosouvanh-Sythong

Kianna is based in Upper Darby, PA, USA and focuses on Good News and Global Health for The Borgen Project.

Photo: Flickr

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Poverty and Health in Sierra Leone Following the Civil War

Poverty and Health in sierra leoneIn January 2002, the 11-year civil war of Sierra Leone came to an end, leaving behind one of the worst humanitarian catastrophes the country had seen since gaining its independence in 1961. Up to 4.5 million people faced displacement and 100,000 people had been mutilated by rebel forces.

The country’s economy was left in pieces, and its people carried the weight of psychological and physical trauma. Despite this, in the face of adversity following the civil war, the people of Sierra Leone have continued to show a desire to overcome the struggles they encountered. As January 2026 marks 24 years since the end of the civil war, this article reflects on poverty and health in Sierra Leone and how the country has progressed.

The Immediate Response

Following the end of the civil war, the international response was swift and targeted. Nongovernmental organizations (NGOs) such as Médecins Sans Frontières (MSF), which had been active within conflict zones in Sierra Leone from 1995, provided the country with significant support, including malaria vaccination campaigns and medical care in a country that no longer had the infrastructure required to support its population’s health.

In 2004, MSF reduced its presence in Sierra Leone, stating that although many people still lived in poverty, the country was no longer undergoing a humanitarian crisis.

With that departure, the Ministry of Health in Sierra Leone took on responsibility for basic health care and hospital programs, and the country began rebuilding through different initiatives. Although Sierra Leone ranked as one of the poorest countries in the world, the health sector introduced schemes such as the cost recovery scheme in 2006 and the Free Health Care Initiative (FHCI) in 2010, and the sector began to see economic recovery.

The road to escaping poverty and rebuilding health care in Sierra Leone was not without turbulence. In 2014, the Ebola epidemic created further setbacks in the landscape of poverty and health in the country.

Solving the Poverty Paradox

The economic recovery of Sierra Leone following the civil war required both the help of NGOs and a population willing to put in the work, in part to avoid creating an overdependence on aid. While NGO activity started as wholly philanthropic, it eventually helped inspire the country’s population to cultivate its own agriculture and economy.

A prime example of a collaboration between NGOs and the Sierra Leonean population was the Kalangba-based Sierra Leone Children’s Fund. The fund allowed community farms to be created, providing jobs for people living in the area and increasing local trading.

Initiatives such as these allowed the country to develop its own economic landscape and provided a level of development that deploying aid alone could not achieve.

Public Resilience

For many of the population, health and poverty in Sierra Leone have always existed alongside struggle. That struggle, however, has also created a desire to foster independence.

In an interview with The Borgen Project, a Civil Affairs Officer who worked with the United Nations in Sierra Leone in the years following the civil war said that the people of Sierra Leone have “shaken off the desperation to be helped” when asked about whether international organizations’ involvement in the country’s rehabilitation has created dependency.

Looking Ahead

Poverty and health in Sierra Leone still have a long way to go in terms of promoting health care and reducing poverty following the civil war. The country is still rebuilding its economy. Despite this, in many ways, the country is adapting to its own economic conditions. In 2025, the World Bank Group reported that in the face of global insecurity, Sierra Leone’s economy had remained stable.

Health care in Sierra Leone also continues to grow, with the introduction of new facilities across the country.

These new implementations and improvements reflect the resilience of Sierra Leoneans following the civil war, who, in the face of adversity, have remained committed to rebuilding their country.

– Bernice Attawia

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

Photo: Flickr

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Poverty Reduction in Cuba

Poverty Reduction in CubaWhile poverty reduction in Cuba has been at the forefront of its government’s policies since the 1959 revolution, poverty, food insecurity and inequalities in universal services still exist today. As of 2019, Cuba’s multidimensional poverty index score was 0.003, with only 0.7% of its population considered poor. Although one of the lowest in the region, certain indicators, such as the Cuban childhood poverty figure, have steadily increased since 2012. With an economic dependence on the tourism industry and imports, while also suffering under the United States’ strongest trade embargo; Cuba remains at risk for instability.

Since 1959, Cuba’s socialist program has addressed poverty by prioritizing food rations, healthcare, literacy and housing for all of its citizens. Despite hardships due to frequent natural disasters, a resource-poor environment and forced isolation from the world market; the Cuban people have remained both steadfast in their principles and adaptable in moments of crisis. As Cuba recovers from the impacts of the COVID-19 pandemic and fights against the United States’ oil blockade, unity and creativity are of the utmost importance when reducing poverty.

Healthcare

Cuba’s planned, state-controlled economy allows for much of the national budget to fund universal healthcare, education and food rations. During the Batista regime of the 1950s, nearly half of the country’s physicians were located in Havana. The centralization of healthcare in cities created severe disparities between quality of care for rural and urban citizens. At that time, Cuba had a single rural hospital, and the rural infant mortality rate was 100 deaths per 1,000 births.

In 1960, the government formed the Rural Medical Service, placing recent graduated physician volunteers in rural areas, and by 1970, there were 53 rural hospitals in Cuba. Through the Family Doctor and Nurse Program, every Cuban has had access to one of more than 13,000 teams of neighborhood doctors and nurses since 1999. These local doctors ensure that the Cuban Health System regularly engages with all of the country’s citizens.

It also gives the government access to aggregated community diagnoses that lead to greater analysis of risk factors and the nation’s most pressing needs. This has led to a reduction of the infant mortality rate from 38.7 per 1,000 live births in 1970 to 4.0 per 1,000 live births in 2018, and has strengthened women’s health services through the establishment and expansion of the National Maternal-Child Health Program. Furthermore, Cuba’s commitment to universal healthcare and public health exceeds its own borders. Since the end of 2018, approximately 400,000 Cuban health professionals have worked in more than 150 countries.

Food and Housing

Although to varying amounts, food rations have been a staple of poverty reduction in Cuba. Recently, limited access to foreign currency for imported food, natural disasters such as Hurricane Melissa and fuel shortages have led to increased food security issues for the island. As the government-issued food baskets are almost entirely imported, Cuba has partnered with the World Food Programme (WFP) for assistance in reducing imports and increasing food self-sufficiency. 

This partnership seeks to improve assistance in maintaining food access amid natural disasters, and to strengthen nutrition systems for vulnerable groups, such as expanding school lunches for children. In 2025, 1,540,107 Cubans benefitted from the World Food Programme’s aid—particularly through food assistance and disaster relief from Hurricane Melissa.

Cuba’s 2019 Constitution reiterates these goals. It defines healthcare, education, food security and shelter as human rights, and upholds the state’s goal to achieve food security and housing for all of its citizens. The Cuban government plans to increase shelter construction programs and food rations to accomplish this. By deeming these basic necessities as natural rights, the Cuban government seeks to create both a baseline of security and a healthy, well-educated workforce.

Future Strategies 

Due to the recent oil blockade, Cuba has turned to solar power. In 2025, Cuba, with financial help from China, installed around 1,000 megawatts of solar generation. As of February 2026, the Cuban government announced it would waive personal taxes for up to eight years for business people investing in renewable energy. Even local taxi drivers have installed solar panels on the roofs of their vehicles in response to the scarcity of oil. While the oil blockade presently harms Cubans, they are already preparing for an alternative future.

Leader Miguel Díaz-Canel has begun preparations for poverty reduction in Cuba amid increased sanctions and economic instability. Alongside investments in renewable energy, Díaz-Canel has prioritized a decentralization of authority—giving more power to local municipalities and state-owned enterprises—with the goal of expanding local production and reducing reliance on imports. Above all, Díaz-Canel cites “cooperation and collaboration…based on principles of solidarity, integration and complementarity,” as the core principles necessary for Cuban prosperity.

– Josh Megson

Josh is based in Albemarle, NC, USA and focuses on Good News for The Borgen Project.

Photo: Wikimedia Commons

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Caribbean Health Systems: Lab Training and AMR in Barbados

AMR in BarbadosIn Barbados, laboratory professionals are helping lead one of the Caribbean’s most important public health efforts: strengthening the fight against antimicrobial resistance (AMR). Through regional training workshops focused on advanced diagnostic technologies, laboratory information systems and shared surveillance strategies, Barbados is emerging as a key hub for Caribbean cooperation against drug-resistant infections. As AMR continues to threaten health systems worldwide, Barbados offers a model for how regional investment in public health infrastructure can improve long-term development outcomes.

Why AMR Matters

AMR happens when bacteria and other microorganisms evolve, making antibiotics and other medicines less effective. The result is infections that are harder to treat, longer hospital stays and a higher risk of severe illness or death. For smaller island nations, the challenge extends beyond medicine into development itself. 

Limited diagnostic infrastructure can delay treatment decisions, raise health care costs and place greater strain on already stretched public health systems. For Caribbean countries with limited standard laboratories and uneven access to advanced testing equipment, these delays can weaken infection control efforts and reduce the quality of data needed for policy decisions. This is especially significant in lower-resource settings, where preventable illness can deepen poverty by increasing medical expenses and reducing workforce productivity.

How Barbados Is Strengthening Regional Laboratory Capacity

At the center of this effort is the Best-dos-Santos Public Health Laboratory in Bridgetown, where regional training sessions have brought together laboratory professionals from across the Caribbean. Recent workshops organized by the Pan American Health Organization (PAHO) focused on Laboratory Information Management Systems (LIMS), AMR characterization and new diagnostic technologies, including Matrix-Assisted Laser Desorption/Ionization Time-of-Flight (MALDI-TOF) mass spectrometry and infrared spectrometry. These tools allow laboratories to move more quickly from identifying pathogens to determining which antibiotics will work. 

Just as importantly, digital systems such as WHONET and SEDRI-LIMS help countries standardize data collection and share reliable surveillance information across borders. This regional interoperability strengthens the Caribbean’s ability to track resistant infections and coordinate public health responses more efficiently. Barbados’ growing leadership in this space reflects years of capacity-building support through PAHO and the U.K. Fleming Fund. 

According to PAHO, the Best-dos-Santos laboratory has improved microbiology workflows, reporting systems and regional coordination. This positions the country as an emerging reference center for AMR surveillance in the Eastern Caribbean.

The Link Between Stronger Labs and Global Development

Stronger laboratories do more than improve diagnostics. Faster, more accurate testing reduces unnecessary antibiotic use, supports better patient recovery and lowers the long-term costs associated with resistant infections. In practical terms, this means fewer preventable deaths, shorter disruptions to employment and less financial pressure on households already vulnerable to health-related poverty.

For the Caribbean, this also represents a broader investment in resilience. Over the past year, PAHO-supported initiatives delivered 34 critical pieces of laboratory equipment to 14 laboratories in nine Caribbean countries, helping expand the region’s diagnostic capacity and data quality. These improvements strengthen not only clinical care but also national action plans and regional health security.

A Model for Regional Public Health Cooperation

Barbados’ leadership points to a larger shift toward regional self-sufficiency in health infrastructure. As AMR grows into one of the century’s most serious public health threats, Barbados is showing how regional cooperation can turn limited resources into collective strength. By sharing technology, expertise and surveillance systems, Caribbean countries are building a collective response to a problem that no single nation can solve alone. 

Investments in laboratory systems today are helping the region build healthier, more resilient futures tomorrow.

– Angela “Phoenix” Garrett

Angela is based in Chicago, IL, USA and focuses on Good News and Global Health for The Borgen Project.

Photo: Flickr

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Amparo Confidence Sockets and Kenyan Amputees

Kenyan AmputeesIn Kenya, as of 2025, approximately 0.9% of the population is living with disabilities. Of that population, 42% experience disabilities related to motor function and 80% live in more rural parts of Kenya. Due to the nature of Kenya’s public health facilities, which often lack adequate equipment to provide more adapted amenities for Kenyans with mobility-related disabilities, a large number of Kenyans live with only the most basic levels of aid. 

Despite this, technology being deployed in the form of the Amparo Confidence Socket in Kenya has the capacity to modernize and revolutionize the lives of Kenyan amputees.

Causes of Amputations in Kenya

Around the world, amputations happen often for a plethora of reasons. In Kenya, a disproportionate number of amputations occur due to many different factors. For instance, in Kenya, around 550,000 people are living with diabetes, with more than one in three undiagnosed.

When diabetes is not managed, which can be the case when someone is living with undiagnosed diabetes, amputations may end up being the only form of treatment. Another factor is amputations related to trauma. In Kenya, 35.7% of amputations are a result of trauma-related incidents. 

Part of the high number of trauma-related incidents includes poor road infrastructure, which has the capacity to cause accidents weekly. Even with the different reasons as to how Kenya, as a country, ended up with a high portion of its population requiring aid in relation to their motor-related disabilities, there are still many barriers to achieving access to technology that could help. These barriers limit the availability and use of such technology.

The Amparo Confidence Socket

Designed for individuals with amputations in areas that often lack resources, the Amparo Confidence Socket was created as an “off-the-shelf prosthetic socket technology.” This allows for a more streamlined fitting process and increased portability. It makes the technology accessible to more rural communities.

The company Amparo, in partnership with the Global Disability Innovation Hub at University College London, deployed the Confidence Socket in Kenya as part of a clinical trial. The aim was to evaluate its effectiveness. It was later found that participants in the study had improved mobility after being fitted with the Confidence Socket. 

Despite some later complaints about decreased comfort, the Amparo Confidence Socket notably increased users’ access to prosthetic services. It also supported improved mobility outcomes.

Going Forward

The Amparo Confidence Socket has the capacity to truly revolutionize the experience of amputees in Kenya. There is still room for improvement in the comfort and long-term use of the Amparo Confidence Socket in Kenya. However, its introduction, along with its flexibility in transportation and fit, has the potential to revolutionize the lives of Kenyan amputees.

– Bernice Attawia 

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

Photo: Unsplash

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Village Health Workers Close the Immunization gap in Lesotho

Immunization gap in LesothoIn Lesotho’s mountain communities, a missed vaccine is often not just a missed appointment. It can result from distance, transport costs, difficult terrain or uncertainty about where services are available. That is what makes the immunization gap in Lesotho both a poverty issue and a health issue. During the Ministry of Health’s nationwide measles-rubella campaign in October 2025, village health workers helped reduce these barriers by going door-to-door. They directed parents to vaccination points and helped health teams reach children who might otherwise have been missed.

A Campaign Built Around Outreach

Lesotho began preparing early for the October 2025 campaign. The World Health Organization (WHO) reported that the national drive ran from Oct. 20–24, followed by mop-up efforts from Oct. 25–27 in low-coverage areas. The campaign was expected to reach 196,308 children ages 0–59 months through four interventions: measles-rubella vaccine oral polio vaccine, vitamin A and deworming tablets.

The WHO also said 85 participants joined training beforehand, including district health officials and representatives from the education and local government sectors. This campaign also built on earlier progress. According to the UNICEF Lesotho Annual Report 2024, measles-containing vaccine first-dose coverage rose from 84% in 2023 to 93% in 2024. The same report stated that UNICEF supported the administration of 12,564 measles-rubella vaccines in hard-to-reach areas during Africa Vaccination Week. It also highlighted media partnerships and outreach efforts to improve vaccine confidence. 

How Village Health Workers Closed the Gap

Lesotho’s immunization gap has narrowed because village health workers performed practical, local work that a central system alone could not. First, they went house-to-house. The WHO’s reporting from Qacha’s Nek stated that village health workers explained the importance of immunization directly to families and guided them to vaccination sites.

In places where households are scattered across steep terrain, door-to-door outreach helps families who might otherwise miss the campaign entirely. This approach is crucial for those who do not know where to go, when vaccinators will arrive or who cannot risk a difficult trip without clear information.

Second, they helped build trust. The WHO reported that in Mokhotlong, health teams used patient dialogue and accurate information to speak with parents who were initially hesitant about vaccination. Village health workers were central to that effort because they were known in their communities and could speak as trusted neighbors rather than as distant officials.

Third, they noticed who was missing. A Gavi VaccinesWork report described how a village health worker in Leribe realized that a mother’s children had not appeared at a temporary vaccination point and alerted nursing staff. That follow-up uncovered a deeper problem: the family had fallen behind on routine childhood vaccines because the mother could not afford the $1.50 medical booklet or the roughly $1.60 return fare to Motebang Hospital. The case showed how village health workers do more than spread information. They help health teams identify children whose absence is tied to poverty rather than refusal.

Why Poverty Keeps Children at a Distance

The Leribe case shows why the immunization gap in Lesotho is tied to poverty. According to the World Bank, Lesotho’s unemployment rate was at 30.1% in 2024 and about 45.7% of the population lived on less than $3.00 per day. In that context, even minor health-related costs can become real barriers to routine care. For families living that close to the edge, access is shaped not only by whether vaccines are available but by whether reaching them is affordable.

Partners Supported Local Action

Lesotho’s Ministry of Health led the campaign, but local efforts were strengthened by external support. Gavi, the WHO and UNICEF provided financial and technical support for planning, implementation and monitoring. UNICEF’s 2024 annual report also stated that it developed community-based health policies and standardized training toolkits for village health workers, helping strengthen care quality at the community level.

The campaign showed that inclusion matters. A December 2025 VaccinesWork report stated that Lesotho printed 400 braille information packets ahead of the campaign, the first time the country’s immunization system had made vaccine information available in braille. According to the same report, 110,733 children under 5 received the measles-rubella vaccine, polio drops, albendazole and vitamin A during the Oct. 20–24 campaign. 

This matters because closing the immunization gap in Lesotho is not only about delivering vaccines. It is also about making sure information reaches parents in forms they can use.

Final Remarks

Lesotho’s October 2025 campaign did not erase every structural barrier in a single week. The immunization gap in Lesotho is still shaped by poverty, geography and the limits of routine service delivery. But the campaign showed what progress looks like in practice: village health workers who know which households have young children, local chiefs opening their homes as vaccination sites and health teams that follow up when children do not appear. 

In mountain communities where exclusion can happen quietly, this kind of community-based effort makes health care more accessible to families who are most likely to be missed. If Lesotho continues investing in village health workers, outreach and inclusive communication, more children from low-income families will be far less likely to be left behind.

– Tom Basu

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

Photo: Rawpixel