Archive for category: Health

Information and stories on health topics.

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Mental Health in the Comoros

Mental Health in the ComorosThe Comoros, an archipelago of three islands in the Indian Ocean located between Madagascar and the southeast African mainland, is facing one of the world’s most silent mental health crises. With only one psychiatrist for 800,000 people, no national mental health strategy and 45% of the population living below the poverty line, access to psychiatric care is minimal. In addition, mental health issues remain heavily stigmatized within Comorian society, often being attributed to supernatural causes, such as jinn (demon) possession or witchcraft.

Lack of Mental Health Policy

The Comorian government has yet to adopt a mental health strategy, legislation or a specific budget for mental health care. This policy vacuum reflects decades of political instability and military coups since the country’s independence in 1975, compounded by pervasive poverty that besets the archipelago. Without a national plan, there is no framework to develop services, train providers or secure international funding for scalable solutions.

Poverty and Mental Health in the Comoros

Mental health care is too costly for most Comorian families. Without insurance systems or government-funded services, families often exhaust their savings on traditional healing or resort to physically restraining relatives with severe symptoms. The economic impact extends beyond individual families, as untreated mental illness reduces productivity, increases school dropout rates and reproduces poverty.

In 2018, the country’s Human Capital Index was only 0.40, suggesting that children born in 2018 will only achieve 40% of their productive potential, a figure partly influenced by preventable health issues, including mental disorders.

Cultural Beliefs and Stigma

Mental illness in Comoros is predominantly attributed to supernatural causes. As a result, many people first seek treatment from marabouts, who use Quranic verses, herbal remedies and amulets. These practices often delay medical treatment and can worsen psychiatric conditions. Women face particular obstacles, as cultural stigmatization often prevents them from seeking help or freely deciding about their treatment. Older people are also vulnerable, with no geriatric mental health support available.

However, organizations like Grand Challenges Canada (GCC) have supported mental health innovation in the Union of Comoros by training community health workers and facilitating psychiatric consultations via mobile phones. To reinforce monitoring and public awareness, the program also deploys tablets for weekly reporting and mobile apps to inform local communities about mental health issues.

Furthermore, youth-led initiatives like the Al Shara Youth Comoros “Moroni hub” based in Moroni, provide safe places for the youth to discuss mental health, challenge misconceptions and empower those affected by mental health issues.

Innoventive Mental Health Alternatives

Several other promising initiatives have emerged in recent years. In 2020, a telepsychiatry project was launched, with three key objectives. First, it helps raise awareness about mental health in Comoros, working to reduce misconceptions and stigma surrounding mental health disorders. Moreover, it also trains health care practitioners to manage conditions, such as depression, schizophrenia and bipolar disorder.

Finally, the project facilitates tele-consultations through Skype/Teams, connecting people and health care providers in remote areas with the country’s only psychiatrist and consultants from Madagascar and France. These tele-consultations provide diagnostic guidance and treatment recommendations, helping to mitigate the scarcity of psychiatric specialists.

E-education platforms are also slowly expanding, providing ongoing psychiatric and psychological training for health care workers. Targeted economic investment, especially from the U.S., could help develop these pivotal initiatives and bring mental health care to thousands of Comorians who currently suffer in silence. Addressing mental health care in Comoros requires sustained efforts, cultural sensitivity and international support to build more resilient communities.

– Juliette Delbarre

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

Photo: Flickr

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Improving Women’s Health Care in Africa

Improving Women's Health Care in Africa The World Health Organization (WHO) reports that women disproportionately experience health complications and barriers to health care access compared to men. Globally, both poverty and sociocultural factors hinder women’s ability to receive quality health services and care. WHO identifies these factors as: 

  • “Unequal power relationships between men and women;” 
  • “Social norms that decrease women’s education and paid employment opportunities;”
  • “An exclusive focus on women’s reproductive roles and” 
  • “Potential or actual experience of physical, sexual and emotional violence.”

COWHA’s Mission in Africa

There are organizations globally committed to improving women’s health care. One of these is the Coalition for Women’s Health in Africa (COWHA). COWHA is invested in providing girls and women with equitable access to health care and increasing their well-being. This vision is driven by an approach rooted in knowledge, advocacy and action. This three-pronged approach thrives on a collaboration with organizations in the private sector and holding governance responsible for reimagining and supporting women’s health care. 

In its 2025 Webinar Report, the Coalition for Women’s Health in Africa insists on the necessity of domestic investments, calling African governments to expand access to quality health services for girls and women, ensure financial risk protection and reduce out-of-pocket expenditures for patients and advance equity by making the health care of the most vulnerable and underserved populations a priority.

By adopting and funding these strategic priorities, COWHA can better maximize its impact in countries such as Ghana, Kenya and South Africa. In these regions, special attention goes to providing services and treatment for girls and women experiencing breast and cervical cancer, other noncommunicable diseases and needs related to sexual and reproductive health, as well as maternal and newborn care.

Statistics in Women’s Health Care

Coalition for Women’s Health in Africa reports the rates at which women and girls across the African continent experience health complications. Indeed, according to the report, around 66% of all global maternal deaths occur in Sub-Saharan Africa, 26% of women in Sub-Saharan Africa experience unplanned pregnancies and 65% of all cancer cases in Africa occur in women.

However, the organization’s framework is actively improving women’s health care in Africa and reducing oppressive conditions. Investing in knowledge and research enables COWHA to disseminate integral data on women’s health across Africa. This identifies gaps in care as well as offering life-saving interventions to enhance health outcomes. COWHA engages in conversation with policymakers, amplifying the most pressing health challenges, barriers to access and ensuring that women’s health is a priority.

Looking Ahead

The Coalition for Women’s Health in Africa’s cross-sector collaboration with governments, health care institutions and NGOs enables the implementation of targeted interventions. As a result, COWHA champions improvements in women’s health care that can have long-lasting impacts on the social and living conditions of girls and women across Africa.

– McKenzie Rentie

McKenzie is based in Dallas, Texas, USA and focuses on Celebs and Politics for The Borgen Project.

Photo: Flickr

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How Solar Energy is Transforming Rural Africa

Solar Energy is Transforming Rural AfricaSolar power is delivering more than just electricity across rural Africa, it provides education, health care access and economic opportunity in communities long left in the dark. In many remote parts of sub-Saharan Africa, sunset often means the end of the day. Without reliable access to electricity, millions of families are forced to live and work in darkness. However, solar energy is transforming Africa by changing that reality. Affordable, off-grid solar solutions are lighting up homes, schools and clinics, offering clean energy where traditional power grids have not reached. These solutions are not just providing light, they are transforming lives.

How SolarAid Is Making a Difference

Founded in 2006, the U.K.-based nonprofit SolarAid is a leading organization working to bring solar lighting to underserved areas. Through its social enterprise, SunnyMoney, it has distributed more than 2.2 million solar lights across Malawi and Zambia. These lights are safe, affordable alternatives to kerosene lamps and candles, which are not only expensive but also harmful to health.

By 2024, SolarAid’s efforts had positively impacted more than 10 million people, helping children study at night and families save money on fuel. In total, its work has helped communities avoid more than $400 million in energy-related expenses.

“When the sun goes down solar light extends the day” said SolarAid CEO John Keane in a 2023 interview with The Guardian. “That means more study time for children, more productivity and less dependence on harmful kerosene.”

Improving Rural Health Care

Solar energy is transforming rural Africa by aiding health care in off-grid communities. Since 2014, Let There Be Light International (LTBLI) has brought solar lighting systems to clinics and homes in rural Uganda. As of 2023, the organization had provided more than 6,000 solar systems to underserved areas.

These solar-powered clinics can now safely carry out nighttime deliveries, store vaccines and provide emergency care. In one example from Kayunga District, maternal deaths decreased by 45% between 2018 and 2022 thanks to better lighting and solar refrigeration for medicine.

Fueling Local Economies

In Tanzania, solar company Mobisol has installed more than 150,000 solar home systems in rural areas. These systems provide power for lighting, mobile phone charging and small appliances, helping people start income-generating activities such as phone charging stations and barbershops. Mobisol’s work has improved the lives of 750,000 people while reducing carbon emissions by an estimated 150,000 tons.

In countries like Kenya, Nigeria and Ethiopia, d.light is helping families access solar energy through a pay-as-you-go model. Founded in 2007, the company lets users pay in small, mobile-money installments. By 2023, it had reached more than 150 million people globally, including 35 million in Africa.

“Our goal is to transform the lives of a billion people with sustainable products by 2030” said d.light co-founder Sam Goldman in a 2022 interview with Reuters.

Empowering Women and Young People

Solar power is also creating job opportunities, especially for women and youth. In Senegal, the Barefoot College Africa program has been training rural women, many of them grandmothers, as solar engineers since 2012. Known as “Solar Mamas” these women install and maintain solar systems in their villages. So far, more than 1,500 women across 93 villages have received training, bringing electricity to more than 200,000 people.

Meanwhile, in Nigeria, youth-led solar startups like Arnergy and Havenhill Synergy are training and employing technicians to install and maintain solar equipment. These growing companies are contributing to both energy access and youth employment in underserved regions.

Looking Ahead

Solar energy is transforming rural Africa by not only providing electricity but also delivering opportunities. From improving health care to supporting education and fueling local businesses, solar power is proving to be a practical, affordable and life-changing solution for communities living off the grid. With millions already benefiting from these programs and more projects underway, solar power continues to shine a path toward lasting development across the continent.

– Tonia Uzor

Tonia is based in Lagos, Nigeria and focuses on Good News for The Borgen Project.

Photo: Unsplash

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Updates on SDG 1 in Ethiopia: Progress Toward Ending Poverty

SDG 1 in EthiopiaDespite ongoing instability in the Tigray region, Ethiopia is steadily advancing in its fight against extreme poverty, aligning with Sustainable Development Goal 1 (SDG 1), which aims to eradicate poverty in all its forms by 2030. This goal includes ensuring equal access to resources, basic services and economic opportunities for all. As one of Africa’s most populous countries, Ethiopia’s progress on SDG 1 is critical for the continent’s development.

Updates on SDG 1 in Ethiopia

The most recent data indicates that Ethiopia is on track in reducing extreme poverty. As of 2024, the proportion of people living on less than $2.15 per day has dropped to 14.01%, according to worldpoverty.io. A decade ago, this figure was much higher. The number of people living under the $3.65 threshold has also decreased significantly—from 72.79% in 2014 to 37.77% in 2024. These numbers reflect consistent efforts to improve access to basic services, employment and rural development. 

Government programs like the Productive Safety Net Program (PSNP) have played a key role. Established in 2005, the PSNP provides food or cash in exchange for public work to millions of food-insecure households, helping them avoid selling assets during times of crisis.

Public Health and SDG 1

Improved health care directly supports SDG 1 by reducing the financial burden of illness. Ethiopia has made significant strides in maternal health and HIV prevention. For example, new adult HIV infections fell to just 0.08 per 1,000 people in 2022, thanks to expanded education, free testing services and access to antiretroviral therapy. Maternal health has improved due to wider coverage of prenatal services and an increase in skilled birth attendants.

Gender Equality and Poverty Reduction

Gender inequality remains a root cause of poverty, including in the labor force. But there are positive updates on SDG 1 in Ethiopia when it comes to empowering women. In 2023, women occupied 41.3% of parliamentary seats—up from just 2% in 2000. The female-to-male labor force participation rate rose to 87.05%, showing progress toward economic equality.

Still, women – especially in rural areas –  face higher unemployment, limited access to land and greater exposure to unpaid labor. Government initiatives and NGO-led training programs have been essential in boosting financial literacy and entrepreneurship among women. For instance, the Adult and Non-Formal Education Association in Ethiopia (ANFEAE) launched the “Literacy Plus” program in 2008, training more than 6,200 rural women in basic business and income-generating skills.

Responsible Waste Management and Urban Poverty

Ethiopia has also made progress in responsible consumption and production, an important component in fighting urban poverty. Ethiopia now meets its targets for managing municipal, plastic and electronic waste.

In Addis Ababa, TechnoServe’s LIWAY initiative collaborated with the city cleaning agency to launch more than 580 micro-enterprises run by women and youth. These small businesses collected more than 41,800 tonnes of paper and plastic in the year 2023 alone, generating nearly $10 million in revenue while providing regular income opportunities to vulnerable groups. In a related project started earlier, 125 micro-enterprises involving 1,250 members were established; 70% remained active after a year, and half saw a rise in income. By 2021, 117 micro‑enterprises had collected 7,000 tonnes of paper and generated $400,000 in sales, creating employment for more than 2,200 women and young people.

Climate Vulnerability and Poverty

Changing weather remains a challenge that exacerbates poverty. In Ethiopia, erratic rainfall and prolonged droughts damage crops, displace rural families and reduce food security. While the country is making progress in reducing its own carbon emissions, vulnerability to climate-related shocks still poses a serious threat to SDG 1.

Integrating climate resilience into poverty alleviation programs is therefore essential. Projects like the Climate Investment Funds’ $500 million resilience initiative and the expansion of Ethiopia’s early warning systems offer promising solutions. Additionally, Ethiopia’s Drought Resilience and Sustainable Livelihoods Program, which launched in 2013, has helped rehabilitate degraded land, improve water access, and enhance food security for pastoralist communities in drought-prone areas. Lately, a new financial support for “lowlands livelihood resilience,” continues to scale the drought resilience efforts for about 3 million pastoralists and agro-pastoralists.

Looking Ahead

Updates on SDG 1 in Ethiopia reveal steady progress, especially in reducing poverty, improving gender equality and expanding access to health services. Continued investment in climate resilience, sustainable waste systems and inclusive policies will be key to ensuring that no one is left behind.

– Alexandra Diallo-Scholler

Alexandra is based in Los Angeles, California and focuses on Good News for The Borgen Project.

Photo: Flickr

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Polio in India: The Impacts of the 2025–2026 GPSAP

Polio in IndiaIndia, in the past, has had a long battle with Polio. Polio mostly affected children in India and the peak was reached in 2000, when 1,600 people were infected, the majority of them children. Back in the ’90s and early 2000s, no matter how many vaccines were created, polio remained a rampant problem in India.

The last known case in India was in Howrah, West Bengal, in 2011. India was officially declared polio-free in 2014 by the World Health Organization (WHO). Polio has affected people in India in both the past and present, with many still living with lifelong complications from the disease, such as paralysis in children.

How It Became a National Issue

Polio in India became widespread due to poor hygiene, including the use of unclean water and limited sanitation infrastructure in rural communities. Contaminated water contributes to unhygienic conditions, often because people live in poverty and environments that harm their health.

Many cannot escape these conditions, surviving on less than $3.25 a day. Statistics show that between 1993 and 2004, India had an average poverty rate of 96.8%, with more than half the population lacking access to clean water and proper sanitation facilities.

How the GPSAP 2025-2026 Will Benefit India

Over the past decade, the country has taken many steps to prevent polio from re-emerging as a major issue. These efforts include making vaccines more accessible, reducing poverty rates and improving access to clean water. The Global Polio Surveillance Action Plan (GPSAP) 2025–2026 focuses on timely detection, allowing cases of polio in specific areas of India to be identified immediately. One strategy for eradicating polio involves stool testing. If a potential virus is detected, the goal is to prevent delays in identifying and responding to cases.

The second step of action involves researching gender differences, specifically, how men and women may experience different symptoms of polio and how these differences could affect them or their children. Participants would be divided by gender and age, with men and women separated and children younger and above the age of 15 for testing. Research suggests that men may be at risk of transmitting polio through sexual intercourse. At the same time, women face an increased risk during pregnancy, especially in areas with limited health care access.

If Polio Is Eradicated, Why Take These Measures?

Although polio has been eradicated in India, it has not been eliminated in all countries. Since a virus causes polio, it can spread across borders through contaminated water, saliva or other bodily fluids. The GPSAP 2025–2026 plan is important because it helps ensure that polio does not return to India. If a case does emerge, strict measures will be taken to prevent its reestablishment in the country.

– Erin Lee

Erin is based in New York City, NY, USA and focuses on Global Health for The Borgen Project.

Photo: Pixabay

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Elderly Poverty in Kyrgyzstan: Challenges and Solutions

Elderly Poverty in KyrgyzstanIn Kyrgyzstan, aging often means slipping into poverty — limited pensions, elder abuse, economic hardship and gaps in health care leave many older adults struggling to survive. The average monthly pension is about 10,547 soms (roughly $108), which is significantly lower than the estimated monthly cost of living of 18,000 to 20,000 soms ($180–$200). The minimum pension is even lower at 6,900 soms ($71). HelpAge International reports that nearly one in three elderly people live below the national poverty line, and about 10% live alone with inadequate care. Here is information about elderly poverty in Kyrgyzstan and efforts to address it.

About Elderly Poverty in Kyrgyzstan

One can trace the roots of elderly poverty in Kyrgyzstan back to the collapse of the Soviet Union, which disrupted pensions, healthcare systems and social services across the region. Many seniors today contributed to the workforce for decades but now receive pensions that fail to keep pace with inflation. The country’s fragile economy — which is reliant on agriculture, gold exports and remittances — leaves little room for robust social spending.

Meet Vera Geykina, a 76‑year‑old widow in Bishkek who joined a theater project to raise awareness about elder abuse. Despite being active in her community, her pension barely covers her medication and heating bills. Vera’s story reflects the daily struggles many seniors face in Kyrgyzstan, where public health care access is strained, and personal savings are often depleted within years of retirement.

In rural regions, elderly people often depend on remittances sent by family members working abroad. Migration shifts and economic downturns make these payments unreliable. The World Bank reports that remittances once accounted for more than 30% of Kyrgyzstan’s GDP — underscoring just how dependent households are on this income. However, families often migrate out of necessity, leaving elderly parents behind without consistent physical or emotional support.

Health care poses another severe challenge. According to the UNFPA, elderly Kyrgyz citizens — especially women — face higher rates of chronic diseases like hypertension, diabetes and arthritis. However, many cannot afford medications or procedures. Rural clinics are often underfunded, lacking specialists or necessary equipment, while private health care remains out of reach for most pensioners.

Solutions

Despite these hardships, there are promising solutions underway. HelpAge International operates community programs offering financial aid, food deliveries, health care access and legal support for older adults. The Kyrgyz government has also introduced pension adjustments, with the latest raising the average pension to 10,547 soms. Additionally, the Babushka Adoption Foundation connects elderly people without families to international sponsors, providing $10 or more per month — nearly doubling some seniors’ minimum pensions.

– Meral Ciplak

Meral is based in Edmonton, Canada and focuses on Good News and Global Health for The Borgen Project.

Photo: Pixabay

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Health Care in Rural Peru: Students Bridging the Gaps

Health Care in Rural PeruPeru, famous to many for the memorable sites of Machu Picchu, is currently fighting a battle against preventable illness. Hepatitis A, typhoid and malaria are just a number of the diseases common among the citizens of Peru. Beyond that, nearly 12% of the population faces major nutrition-related deficiencies. One of the most widespread is anemia, affecting 40% of children. Some health conditions, however, are even more severe.

Prenatal and maternal care are almost nonexistent and pregnancy complications disproportionately affect indigenous women and those living in rural communities. Despite the severe nature of the health complications, all of them are worse because of the lack of knowledge surrounding the issue and little to no access to medical facilities.

However, a group of pre-med students from Duke University and Boston College partnered with Sacred Valley to create a sustainable but realistic solution for these rural communities. They are training women in these communities to be health advocates by informing them about nutrition, pregnancy protocols and when to seek serious help. These individuals are paving a new path to health care in rural Peru.

The Layers of Translation in Peru

One junior, Catherine May, at Boston College had an especially vital position in this operation. The majority of rural communities in Peru speak the Quechua language. Her role is to translate from English to Spanish so local translators can translate from Spanish to Quechuan. The first level of medical access must be language in these rural communities and fluency in English is a rarity.

May, used her extensive background in Spanish to translate medical advice from doctors in Sacred Valley effectively. In turn, this information is bringing health care to rural Peru by training women to look after the well-being of their community in whatever capacity they can. However basic it may seem, being able to translate medical advice from English to Spanish is necessary in bringing health care to rural Peru.

Training Local Women as Health Advocates

One of the main aspects of this program, which is based in Peru, was training women to look after their surrounding community in a medical capacity. While it was not equivalent to medical training, May said, “training them to provide some sort of security to the towns was making a measurable and impactful change.”

The doctors provide these communities with nutritional information, such as the ideal diet to remove many deficiencies and preventable illnesses. They were also provided with ample information regarding maternal and fetal care. From distributing prenatal vitamins to educational materials on childbirth, they received a well-rounded education on basic first aid care and information.

Addressing Anemia in Children

Due to widespread poverty in rural Peru, most diets rely heavily on potatoes. Vegetables, fruits and meats are considered luxuries and are consumed only occasionally. This lack of dietary diversity has led to widespread anemia.

One of the projects May and her fellow students worked on was diagnosing and treating this anemia in children. They visited several schools and used finger-prick technology to measure hemoglobin levels. Since low hemoglobin causes anemia, the results provided insight into both the presence and severity of anemia cases.

Broader Impact Moving Forward

By training women in these rural communities to stand as health advocates, they’re working toward a more realistic solution. Increasing the accessibility of hospitals and medical facilities would take decades and millions of dollars. However, this form of medical treatment is attainable, affordable and has the potential to make a significant change. The fact of the matter is, these efforts would not have been possible without these students dedicating their summers to advocating, working and translating for the underserved in rural Peru. Peru is finally making progress in medical care, thanks in part to these university students.

Bringing health care to rural Peru means taking a step forward in the world’s journey to poverty reduction. Fewer medical issues mean an ability to focus on resolving other underlying issues, such as a lack of infrastructure and social structure. For now, though, these students and NGOs are taking significant steps to bring realistic and sustainable information-based care to marginalized and rural communities. These programs are vitally important for medical progress and their amplification can potentially transform rural medical care internationally.

– Caroline May

Caroline is based in Denver, CO, USA and focuses on Good News and Technology for The Borgen Project.

Photo: Flickr

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USAID Programs in Nicaragua

USAID Programs in NicaraguaNicaragua remains one of Central America’s poorest countries. In 2016, 24.9% of Nicaraguans were living below the poverty line, a significant decline from 45.8% in 2001, according to the Pan American Health Organization (PAHO). From 2000 to 2022, Nicaragua achieved an 18% increase in its Human Development Index (HDI), rising from 0.563 to 0.669. Despite this progress, Nicaragua still ranks 32nd out of 35 countries in North and South America in HDI as of 2022, illustrating persistent development challenges. Limited access to clean water, food insecurity, malnutrition and inadequate access to health care and education mark poverty in Nicaragua, according to the World Food Programme (WFP).

The United States Agency for International Development (USAID) has played a critical role in improving well-being in Nicaragua for decades. USAID programs in Nicaragua have supported key initiatives aimed at expanding access to health care and education, strengthening civic institutions and promoting economic growth and stability. However, recent cuts to USAID funding have hindered the progress of many of these initiatives, both in Nicaragua and in other low-and middle-income countries. The gains in personal well-being across Nicaragua throughout the past decade highlight the importance of sustained foreign aid for developing nations. Below are three examples of how USAID programs in Nicaragua have contributed to improving well-being in the country.

Improving Health Care

Over the past decade the Nicaraguan government has committed to improving its health sector programs, a commitment that has steadily strengthened the country’s health care system. These efforts have contributed to improvements in life expectancy, reductions in child mortality rates and higher immunization coverage across the country, according to the World Bank Group.

Although improvements have occurred, significant challenges remain, particularly in rural areas. While the Nicaraguan government offers universal free health care to all citizens, however, unequal distribution of medical supplies and health care personnel leaves many communities underserved, according to Bridge of Life.

In 2019, Salesian Missions, with the help of USAID funding, began constructing a medical clinic for impoverished Nicaraguans living in the cities of EstelÍ, Madriz and Nueva Segovia. The facility has since been completed and offers “high-quality obstetrics, pediatrics and gynecology services,” according to Salesian Missions.

Improving Education

Bettering education and literacy rates has long been a priority of the Nicaraguan government. However, the country still lags behind other low-middle income countries in terms of adult literacy rate—ages 15+. As of 2015, Nicaragua’s literacy rate for individuals aged 15 years or older was 78% for both men and women, notably lower than the median rate of other low-middle income countries, according to the National Education Profile.

Furthermore, a large percentage of school-aged children in Nicaragua do not attend primary or secondary school. In 2015, 18% of primary school-aged children were not attending school, and this figure rose to 43% among secondary school-aged children. Rates of out-of-school children were significantly higher in rural areas compared to urban locations, according to the National Education Profile.

USAID also launched the Community Action for Reading and Security (CARS) program, which improved early-grade literacy along Nicaragua’s Caribbean Coast. Across a six year span, the program reached more than 26,000 students and raised reading fluency in early-grade learners. CARS also helped local leaders design and carry out “community action plans” to support long-term education and development, according to DevTech.

Promoting Democracy and Civic Contribution

Nicaragua has long been affected by government mismanagement and dishonest administrations. Corruption and disregard for the rule of law has pushed Nicaragua into political disasters which have had harsh effects on Nicaraguans, according to Global Liberty Alliance. This rocky political history illustrates the necessity of programs to strengthen political transparency and effectiveness.

In 2009, USAID awarded grants to 31 civil society organizations in Nicaragua to promote voter registration, voter education and civic outreach. USAID also trained more than 700 Nicaraguans in anti-corruption practices and taught more than 350 journalists how to improve news quality and access public records, according to the United States Department of State.

USAID also promoted the Citizen Participation Ordinance, which four Nicaraguan municipal councils adopted in 2009. The Ordinance strengthened the role of civil society—community groups, NGOs and everyday people—in helping to shape local projects and policies.

Fostering Economic Growth

USAID helped Nicaragua take advantage of opportunities offered by the Dominican Republic-Central America Free Trade Agreement (CAFTA-DR). As a result, in the 2009 fiscal year, more than 9,000 Nicaraguans increased their sales in local, regional and international markets. 

USAID organized training sessions covering “commodity-specific export opportunities, best practices and economic conditions favoring the country,” according to the United States Department of State. More than 2,000 people attended with nearly half of the attendees being women.

Looking Ahead

USAID programs in Nicaragua have directly improved personal well-being by investing in education, health care, civic engagement and economic opportunity. But if funding cuts continue, these gains could be lost entirely. These examples highlight why sustained U.S. foreign aid remains a necessity for Nicaragua and other developing countries working to build a more stable and prosperous future.

– Jordan Venell

Jordan is based in Edina, MN, USA and focuses on Technology and Global Health for The Borgen Project.

Photo: Flickr

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HPV Self-Test Kits: Cervical Cancer Screening in El Salvador

Cervical Cancer Screening in El SalvadorCervical cancer is one of the most preventable yet deadly cancers among women worldwide. More than 90% of cervical cancer-related deaths occur in low and middle-income countries, including El Salvador. In this Central American nation, cervical cancer remains the leading cause of cancer-related deaths in women, with limited access to traditional screening programs posing a major barrier to prevention efforts.

A Promising Alternative: Self-Collection

To combat this gap in gynecological care, the Salvadoran Ministry of Health partnered with Basic Health International to pilot self-collected HPV testing in rural areas. In the Cervical Cancer Prevention in El Salvador (CAPE) study, more than 500 women participated in self- and provider-based screening. Many preferred self-sampling, citing privacy, comfort and ease of use. This low-cost alternative has the potential to transform cervical cancer screening in El Salvador, especially for women who were under-screened or had never received a cervical exam.

Self-collection allows women to collect cervico-vaginal samples, often at home, using a small brush. This eliminates the need for a speculum exam. Additionally, this is a game-changer for women in rural areas where clinics are far away and stigma around pelvic exams runs deep. In surveys, nearly 40% of participants preferred self-collection and most of those said they would choose it again for future screenings.

Integrating Self-Tests Into National Guidelines

Thanks to strong evidence from pilot studies and advocacy by public health leaders, El Salvador became one of the first countries in the region to integrate HPV testing into its national cervical cancer screening guidelines. This includes the option for women to collect their own samples, a move that improves access and encourages early detection.

The Ministry of Health is committed to screening 70% of eligible women by 2030, which aligns with the World Health Organization’s (WHO) global elimination strategy. Furthermore, the inclusion of HPV self-collection in national policy marks a critical step toward expanding cervical cancer screening in El Salvador to reach the WHO’s 2030 elimination targets.

Scaling up Nationwide

Since self-collection was introduced, cervical cancer screening in El Salvador has grown rapidly. The country has trained more than 4,500 health care workers and screened more than 145,000 women. Screen-positive women are offered treatment at one of 74 centers across the country. Innovations like self-sampling and portable thermal ablation devices are helping to make these services more accessible and affordable, particularly for women in hard-to-reach areas.

A Model for Other Countries

El Salvador’s success shows how simple, scalable innovations can dramatically increase access to life-saving care. Indeed, by removing logistical, financial and cultural barriers, HPV self-collection empowers women to prioritize their health on their terms. As other low and middle-income countries seek to meet the WHO’s 2030 targets, El Salvador’s model offers hope and a blueprint for equitable cancer prevention.

– Anna Chiaradonna

Anna is based in Philadelphia, PA, USA and focuses on Good News and Politics for The Borgen Project.

Photo: Wikimedia Commons

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HIV/AIDS in Seychelles and the National Strategic Plan

HIV/AIDS in SeychellesThe population of Seychelles is relatively small, with only around 98,000 people reported living in the country as of 2020. However, the rates of prevalence for HIV/AIDS in Seychelles are relatively high at around 934 people, as last reported in 2020. In addition, new reported cases of AIDS appear to be rising, from 75 new cases in 2016 to 83 in 2020. According to the World Health Organization (WHO), Seychelles is experiencing what is termed a concentrated epidemic of HIV. The term concentrated epidemic is specific to the study of HIV/AIDS. It typically discusses a situation where the overall prevalence of HIV is less than 1% of the overall population, but it is sustained through certain high-risk population groups within it.

In the case of HIV/AIDS in Seychelles, the high-risk groups for increased HIV transmission include sex workers, intravenous drug users, migrant workers, adolescents and men who have sex with men. In the past, the local government in cooperation with international organizations, have taken up initiatives towards combating the spread of HIV among the local population. The Seychelles government has termed these the National Strategic Plans (NSPs) which are emblematic of the country’s response to the disease over the last 20 years. Here is some information about the plans.

Information About the National Strategic Plans (NSPs)

  1. The first National Strategic Plan was for 2005-2009, in conformity with the outline that UNAIDS set. With the establishment of the National AIDS Council in 2002, the government of Seychelles opted to move the HIV resistance efforts out of the health sector and pursue a multisectoral approach to combating the disease. International organizations, such as the WHO, UNDP and UNAIDS, also offered their financial and technical support to the plan.
  2. The second NSP was for 2012-2016. This plan was built on the foundation of the 2005 plan and focused on scaling up the response to HIV/AIDS transmission. This plan aimed to help the populations most vulnerable to the disease or the source of the “concentrated epidemic.” By the end of this period, the number of reported HIV infections nearly doubled, while incidence and mortality reduced by more than half. 
  3. The third NSP was for 2019-2023. This plan aims to meet the goal that UNAIDS set, which is the 90-90-90 plan. This objective for HIV/AIDS in Seychelles is to ensure that 90% of people living with HIV is aware of their disease status, that 90% of people living with HIV are undergoing treatment and that 90% of people undergoing treatment have a reduced viral load.

The Success of Addressing HIV/AIDS in Seychelles

Seychelles has almost completely eliminated extreme poverty, which contrasts with many other African countries. Per a recent report by the World Bank as of April 2025, the unemployment rate is only at 3.2%. However, multidimensional poverty remains an issue, since socioeconomic disparities exist due to factors such as teenage pregnancy and substance abuse. These are key factors that not only increase relative poverty rates and standards of living, but also are key drivers of HIV transmission, since they make up the populations experiencing the concentrated epidemic. The NSPs have specifically been implemented to target these vulnerable populations. A few initiatives that are part of these NSPs that have gone toward addressing the HIV/AIDS epidemic include youth-friendly health services with access to post exposure prophylaxis (PEP), and condoms and community-based interventions for youth experiencing drug abuse.

Looking Ahead

While Seychelles continues to face its concentrated AIDS epidemic, its strong governmental stance, international cooperation and commitment to short-term goals are strong indicators for the future of HIV prevention and care in the country. 

– Nikhil Kumar

Nikhil is based in Lexington, MA, USA and focuses on Global Health for The Borgen Project.

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