Archive for category: Health

Information and stories on health topics.

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Solar Clinics in Malawi: How Off-Grid Power Is Saving Lives

Solar Clinics in Malawi: How Off-Grid Power Is Saving Lives in the Poorest Communities In some of Malawi’s most remote health posts — where fewer than 4% of rural facilities are connected to the national grid — women once gave birth by candle or torchlight. In 2025, with solar-powered “suitcases” and larger photovoltaic systems, these solar clinics in Malawi can refrigerate vaccines, light delivery rooms at night and power vital diagnostics around the clock.

Bringing Light to Rural Clinics

Malawi still faces stark energy inequities: only 11% of the population has grid access (4% in rural areas) and 13% of public health care facilities have no electricity, while another 32% rely solely on unreliable diesel generators. Unreliable power severely hampers vaccine storage, nighttime deliveries and emergency care—contributing to one of the world’s highest maternal mortality ratios.

In August 2024, We Care Solar launched its Light Every Birth initiative in partnership with Malawi’s Ministry of Health and the United States Agency for International Development’s (USAID) Momentum 1-Tiyeni Project. By mid-2025, teams had installed 800 solar suitcases — compact panels, batteries and LED lights — in rural clinics across all three regions and 28 districts. These units provide at least 12 hours of reliable light per night, power fetal monitors and charge mobile devices for telemedicine calls.

Complementing this, the United Nations Development Program’s (UNDP) Solar for Health programme has supplied and installed larger photovoltaic systems at secondary clinics and district hospitals. A 2020 feasibility study reported that 13% of Malawi’s 568 public health care facilities lacked electricity and another 32% depended on diesel, while only 21% had solar systems; UNDP estimates a full solar installation yields a 100% return on investment within 2 to 3.5 years through fuel savings and reduced maintenance costs.

Measurable Health Impacts

At more than 100 rural health centers, We Care Solar and the Judith Neilson Foundation support safer deliveries for at least 80,000 women annually. Midwives report that nighttime delivery complications have dropped by 60% since lights were installed and vaccine cold rooms maintain the required 2–8 °C range, reducing stock loss from 15% to under 1%.

A 2022 report by SolarAid and Mzuzu University found that 76% of off-grid solar systems in Malawian clinics fail within two years because of a lack of maintenance. Their joint pilot introduced local technician training and remote monitoring, achieving 90% system uptime after one year. Scaling this model, UNDP’s capacity-building component trains community-based technicians — 50% women — to install, maintain and repair both Solar Suitcases and larger photovoltaic (PV) arrays.

Sustainable Partnerships and Policy

In late 2023, Malawi’s Ministry of Health adopted a sustainability plan: by 2030, all public clinics will transition to hybrid solar–grid systems, with district health offices responsible for preventive maintenance. This aligns with the national target of 70% off-grid electrification by 2030.

International partners—USAID, UNDP, GIZ and the European Union (EU)—have coordinated through a technical working group to standardize equipment lists, set up long-term supplier agreements and develop an energy-as-a-service model that removes upfront costs for clinics. Community volunteer committees oversee solar equipment maintenance, ensuring that local voices guide the programme’s evolution.

A Model for Low-Income Regions

Off-grid solar clinics in Malawi reveal how decentralized renewable energy can transform health care in low-income settings. Indeed, by combining compact solar suitcases for basic lighting and power, larger photovoltaic systems for refrigeration and diagnostics and strong local capacity-building, clinics gain the reliability once thought impossible beyond the grid. As rural facilities report improved maternal outcomes, reduced vaccine spoilage and greater staff retention, this model offers a scalable blueprint for other countries with similar energy and health care challenges.

– Alexander Broermann

Alexander is based in Frankfurt, Germany and focuses on Good News and Global Health for The Borgen Project.

Photo: Flickr

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Public Transportation and Health Access in Malawi

Health Access in MalawiMalawi is one of the least developed countries in the world, ranking 172nd out of 193 on the UNDP’s Human Development Index. Diseases such as AIDS and tuberculosis are rampant and account for a disproportionate number of deaths in the country. As disease is such an issue, accessible health care access in Malawi is a must. Unfortunately, the majority of the population struggles to access these necessary facilities.

Lacking Transportation

Malawi has a population of around 21 million, the majority of whom live in rural areas. Roads lack proper infrastructure and accidents are frequent, and the majority of citizens lack the funds to buy a vehicle.  There are railroads, but they are often insufficient both in convenience and cost. Bikes and taxes are present, but unsafe and costly, so most Malawians must walk to their destinations. Walking is problematic as well, as there is little to no sidewalk present and destinations can take hours to get to. Transportation is even more of a struggle in rural areas, which are often lacking in taxis.

Lacking transportation extends beyond daily activities and into public health care access in Malawi as well. As the population is largely rural, and there is a major lack of funding for health infrastructure, the majority of Malawians must travel long distances to get medical attention.

In 2016, the average travel time between an individual’s home and the nearest health centre was one hour, and 2.5 hours to get to a central hospital. In 2016, roughly 20,000 Malawians died of AIDS and roughly 10,000 of tuberculosis.

Improvement and Aid

Although the state of transportation in Malawi is not ideal by any means, it is not an impossible issue. The South Eastern European Journal of National Health shows that there are multiple paths to improving the standard, such as introducing community funds and increasing the number of hospitals. No solution is simple, however, due to Malawi’s poor economy and the sheer scope of the work that needs to be done.

There are various charity groups that serve Malawi, aiming to improve the state of its health system.  Riders for Health Malawi has been serving Malawi by transporting vital test samples and medical waste since 2011. They have also established a driving school in an attempt to lower the disproportionately high accident rate.

CARE is a group that has a broader approach to aid, but still impacts health services. It provides both access to health services as well as education about health. It also supports hygiene and sanitation, and acts as a major uplifter for women in poverty.

Orant Charities Africa employs highly trained, fully Malawian staff and focuses on health care access.  It established the Kasese Health Care Centre, which acts as the only source for clean medical aid for miles, and provides ambulances when critical patients require higher care. It also sends mobile clinics to rural areas, which struggle most to get care when needed, and has recently renovated its maternity ward, which provides private and clean care for mothers in labour.

Final Remarks

Transportation in Malawi is in a poor state. This affects everything from buying groceries to medical emergencies. With poor funding and lacking infrastructure, establishing proper health connections is a challenge. It is a challenge that can be triumphed, however, and with the aid of those willing to help triumph is certain.

– Cayle Harrison

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

Photo: Flickr

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Revolutionizing Health Care: 3D Printing in Saudi Arabia

3D Printing in Saudi Arabia3D printing is transforming health care practices across Saudi Arabia. As a regional leader in medical innovation, the country is using 3D printing to advance its health care system. Producing medical devices such as prosthetics, dental implants and surgical tools allows for personalized and cost-effective treatments.

How 3D Printing Is Improving Health Care in Saudi Arabia

  • Lowering the cost of medical care. Saudi Arabians have access to free government-funded health care, but this doesn’t extend to expatriates. Expats, individuals living outside their home countries, make up more than 13 million of the nation’s 38 million residents. Nearly half the population relies on private insurance, either paid out of pocket or provided by employers. 3D printing helps lower the cost of essential medical devices such as prosthetics and surgical tools. By producing these items locally, hospitals reduce their reliance on expensive imports, making treatment more affordable for patients.
  • Accessibility. 3D printing in Saudi Arabia is expanding health care access to rural communities. While 85% of the population lives in urban centers like Riyadh, Jeddah and Mecca, the remaining 15% reside in rural areas with limited access to medical services. This unequal access to health care is partly due to a shortage of health care workers. As of 2023, Saudi Arabia needs 15,000 doctors and 20,000 nurses to meet health care demands. Most medical workers are concentrated in urban areas, leaving rural communities underserved. The government program Saudi Vision 2030 seeks to rectify this injustice through its initiatives in 3D printing to localize manufacturing. Instead of having access to supplies needed for specialized care in one hospital in an urban area, 3D printing would make it possible for any medical facility to produce the supplies needed for each patient.The free medical care for citizens also contributes to a lack of quality in the care provided. Public hospitals and clinics are overcrowded and understaffed, resulting in long wait times. 3D printing will help medical staff save time and improve patient care by providing immediate access to the tools they need.
  • Personalizing patient care. Saudi Vision 2030 concentrates on customized prosthetics, surgical tools and medical devices. Traditionally, these items are imported in bulk using a one-size-fits-all approach, which is costly and often results in poor patient fit. Even low-cost 3D printers can produce splints and other basic medical equipment at a fraction of the cost. Widespread access to 3D printing could expand health care access for low-income individuals, including those not protected by minimum wage laws.

Conclusion

3D printing in Saudi Arabia is set to improve public health further as technology advances. Saudi Vision 2030 promises a future of personalized medical care for all, whether low-income, an expat or from a rural area. Sickness doesn’t discriminate and soon, neither will access to affordable health care in Saudi Arabia.

– Sydney Uhl

Sydney is based in Vancouver, WA, USA and focuses on Good News and Technology for The Borgen Project.

Photo: Flickr

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IVI and GAVI: The Future of Vaccination in Developing Countries

IVIIn 2024, 4.8 million children below the age of 5 died worldwide, including a staggering 2.3 million newborns. Though the global mortality rate of young children is still far too high, it has almost halved in the past 25 years. In 2000, child deaths worldwide stood at an estimated 9.92 million. This decreased rate is thanks to a myriad of factors at play, but perhaps none more so than the advancement in immunization technologies.

The Work of GAVI and IVI

Organizations such as Gavi, the Vaccine Alliance and the International Vaccine Institute (IVI) are doing life-changing work, especially in developing countries.

Since Gavi’s establishment in 2000, it has aided in vaccinating more than 1.1 billion children in 78 countries; this is one-eighth of the globe’s entire population. These immunizations have, subsequently, averted more than 18.8 million future deaths, decreasing the global mortality rate drastically. Gavi particularly focuses on “zero-dose” children who have not received a single dose of their base-level vaccines and ensures that they are the first to be immunized.

The IVI, established in 1997, devoted itself exclusively to protecting vulnerable citizens of developing countries, who are situationally less capable of receiving necessary vaccinations. The remoteness of these nations creates barriers to immunization, including the lack of concrete infrastructure, weather conditions and political turbulence, among other factors. Currently, IVI operates under a treaty signed by both the World Health Organization (WHO) and 35 countries on several different continents. It is cementing local partnerships in developing countries, which lead to the issuance of immunization technologies in these nations.

Key Players

  • Dr. Sania Nishtar, CEO of Gavi, the Vaccine Alliance. Nishtar has devoted her career to campaigning and innovating solutions to global health issues. In 1998, Nishtar founded Heartfile, a nonprofit campaigning for health reform in Pakistan. More recently, Nishtar has focused on the improvement of vaccine delivery for Gavi. She has pioneered the integration of biometric technology into health care delivery, working with organizations like Simprints. Simprints has developed the first open-source biometric digital ID; its issuance in Bangladesh led to a 39% increase in maternal health coverage. Moreover, the introduction of Simprints in the Dhaka and Moulvibazar districts has confirmed the administration of more than 23,000 measles and rubella vaccines in these regions.
  • Dr. Shabir A. Madhi. Madhi is the current Dean of the Faculty of Health Sciences and Professor of Immunology at the University of the Witwatersrand, Johannesburg, South Africa. Currently, Madhi is devoted to important work on vaccines that protect both mothers and unborn babies during pregnancy from Group B Streptococcus (GBS) and Respiratory Syncytial Virus (RSV).GBS causes at least 90,000 newborn deaths and 46,000 stillbirths yearly; RSV is the leading cause of lower respiratory tract infections in children and causes at least 100,000 infant deaths per year. These deaths are highly concentrated in developing countries. Madhi has recently received licensure for a maternal vaccine that fights RSV. Vaccinating the mother against this virus drastically decreases the risk of disease in infants up to 6 months old.The rollout of this vaccination in developing countries will, undoubtedly, save countless lives. Madhi has also been working on a maternal vaccine for GBS, which, if successful, could have the benefit of protecting the mother, reducing risks of stillbirth and preventing disease in newborns. This vaccine, according to Madhi, should arrive by the turn of the decade.

Conclusion

By 2030, scientists are aiming to reach a neonatal mortality rate of at least 12 deaths per 1,000 live births, as compared to 17 deaths per 1,000 in 2024. With the increasing development and roll-out of advanced immunization technology in developing countries, this process should be faster than it has been in previous years. Deaths claimed by vaccine-preventable infectious diseases are on the decline. Thanks to numerous brilliant innovators, these numbers will keep decreasing.

– Sarina Maloy

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

Photo: Unsplash

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Accessible Health Care for Indigenous People in Paraguay

Accessible Health Care Improving for Indigenous People in Paraguay Paraguay has a long history of insecurity in various forms, particularly within Indigenous communities. About 88% of the Indigenous population lives in rural areas that are difficult to access. Due to poor living conditions, such as dirt floors and a lack of running or clean water, diseases like tuberculosis (TB) and other non-communicable diseases are extremely common.

Poverty Leads to Sickness

TB is a disease that is highly concentrated among Indigenous communities, who face a greater risk of contracting it due to ongoing displacement and exclusion from health care and other essential services. These issues are further worsened by food insecurity, inadequate housing and limited access to health care. More than a quarter of Paraguay’s population falls under the national poverty line, which puts people at a greater risk of TB, as well as many other infectious and non-communicable diseases.

Expanding Access to Health Care

In 2023, Paraguay’s Ministry of Health launched a partnership with the Pan American Health Organization (PAHO) and World Health Organization (WHO) to improve access to health care for Indigenous communities. PAHO and WHO made progress through their initiative, Expanding Access to and Quality of Primary Health Care and Integrated Health Services in the XIV Health Region, aimed at enhancing health services and increasing access for Indigenous People in Paraguay.

An outpatient care day event was held to encourage dialogue between health care providers and Indigenous People in Paraguay about the range of available health services through “outreach activities”. The program has also incorporated safeguards and adaptations for certain ancestral practices, such as “horizontal birthing”, to provide more culturally appropriate care. Home births remain the most common among pregnant women, typically with a midwife rather than in a hospital, which raises health concerns and increases the risk of infection.

Technological Innovations

The PAHO/WHO initiative helped to support a “geospatial analysis” device, used to “monitor and manage health services”. This tool has been installed and used in more than 900 Family Health facilities in rural areas of Paraguay. It has improved “service management” by recognizing areas with poor access to health services and locations of at-risk populations. It combines geographical data with “health-service planning,” which in turn helps to distribute resources more effectively.

Health Care Education

Public health training courses held by the Ministry of Public Health, with support from PAHO/WHO, helped improve health care workers’ response to epidemic outbreaks such as TB. The training enabled workers to recognize symptoms quickly, respond appropriately and treat cases effectively, helping to control the spread of these diseases. As a result, preventive actions for various illnesses have greatly improved.

Progress in Motion

The partnership between PAHO/WHO and Paraguay’s Ministry of Health has greatly improved not only the presence of health care and made it more accessible, but also visibility for the indigenous communities. Additionally, it has allowed the Indigenous People in Paraguay to become aware of the facilities that have become accessible to them. Overall, the health system is becoming increasingly supported and reinforced by these improvements and continues to get better each day.

– Bowie Aldrich

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

Photo: Flickr

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The Gavi Board’s New Plan for Improving Global Health

The Gavi Board’s New PlanThe board for Gavi, the Vaccine Alliance, has announced adjustments to its five-year plan (2026-2030) following financial withdrawals from some of its donors. The Gavi Board’s new plan for improving global health takes into account its limited resources, but also introduces the prospect of new, life-changing projects.

The Impact of Gavi

In the last 25 years, Gavi has reduced child mortality by half. This has been made possible by providing children with access to life-saving vaccines, which is especially important for underserved countries. For instance, regions in West Africa still experience deadly outbreaks of diseases like meningitis, a disease which is extremely rare in the U.S. Developing nations are unable to afford the same vaccination access as countries like the U.S. or the U.K. Gavi aims to help finance this and allow children to be saved from preventable diseases.

Gavi has also helped many countries become financially independent. Nineteen countries that Gavi once supported have now become faithful donors. Not only has the organization provided vaccines for millions, but it has also helped whole countries escape poverty.

The Trump Administration’s Foreign Aid Review

Historically, the U.S. government has been one of Gavi’s largest donors, making up 13% of its total funding. However, this has all changed after the Trump administration’s foreign aid review earlier this year. The administration has announced that its Fiscal Year 2026 budget will not provide funding for Gavi.

Gavi has provided catastrophic estimates that outline what the lack of U.S. funding could mean for the world. Its statistics show that more than 1.2 million children will lose their lives because they will not have access to vaccinations. This is because the help that Gavi provides is only made possible through the support of other countries and organizations. These changes in funding are what inspired the Gavi Board’s new plan for improving global health.

Support From the UK

Like the U.S., the U.K. has been a long supporter of Gavi. However, while the U.S. is withdrawing its support, the U.K. is pledging more than $1.5 billion to Gavi. This will provide vaccination access to millions of children over the next five years.

The U.K. Foreign Secretary David Lammy was quoted as saying: “Our ongoing partnership with Gavi will give millions of children a better start, save lives and protect us all from the spread of deadly diseases.” This pledge will also have a positive impact on the U.K. Working with health organizations across the globe provides jobs for thousands of people within the U.K.

Additionally, by funding Gavi, there is better security for U.K. citizens. Funding research and vaccine development reduces the likelihood of deadly diseases reaching the U.K. This guarantees less stress on U.K. health workers and hospitals.

The Future of Gavi (2026-2030)

The Gavi Board’s new plan for improving global health has factored in its limited financial resources. Due to the Trump administration, as well as other donors who have withdrawn their support, Gavi is now operating with $3 billion less than it anticipated for the next five-year period. As a result of these budget cuts, Gavi will be giving less support to immunization programs. Yet, the organization is continuing to ask for more funding from potential donors, so hopefully, this can change in the future.

Despite the financial challenges Gavi is currently facing, the board has announced the creation of a Respiratory Syncytial Virus (RSV) maternal vaccine program. The details of this program aren’t yet released. However, the organization has stated that it will work to eradicate one of the key causes of pneumonia in children aged less than 5. The board is also now starting its funding for the development of an Mpox emergency vaccine stockpile.

In the case of an emergency outbreak, vaccines would be provided quickly to the areas affected. This is an essential step in working to end the current Mpox epidemic in Africa. Gavi is now working to provide children across the globe with access to vaccines through its first health system strategy. This strategy will create unique programs for a variety of countries with a simpler funding process. Primary health care will be a large focus of this operation.

New funding policies have been implemented as part of the Gavi Board’s latest plan for improving global health. The board has requested that countries participating in its vaccination programs make greater financial contributions. Additionally, an amended Health Systems and Immunization Strengthening (HSIS) policy will be introduced in 2026. This policy will help countries finance their vaccine programs effectively.

Conclusion

Overall, the Gavi Board’s new plan for improving global health overcomes the obstacles the Trump administration has put in place. Gavi is still managing to introduce lifesaving programs despite its limited resources. The organization is also hopeful that if other donors decide to re-commit to being sponsors, it will achieve even greater success in protecting the globe against deadly diseases.

– Katie Gray

Katie is based in Glasgow, UK and focuses on Global Health for The Borgen Project.

Photo: Flickr

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SDG 3 in Brazil: Advancing Health and Well-Being

SDG 3 in BrazilBrazil, Latin America’s largest country, faces a diverse and unequal health landscape. From urban favelas to remote Indigenous communities, access to care varies widely. Millions lack regular health services, and regional disparities in medical infrastructure persist. These challenges make Sustainable Development Goal 3 (SDG 3 in Brazil)—ensuring health and well-being for all—a particularly urgent priority.

SDG 3 includes targets to reduce maternal mortality, combat infectious diseases, improve mental health and ensure universal health coverage. Brazil has made significant progress in some areas, although gaps remain. The country is advancing this goal through a combination of public policy, innovation and grassroots action.

According to the Sustainable Development Report, Brazil is making steady progress on SDG 3 in Brazil, particularly in reducing child mortality and expanding access to primary health care. However, ongoing challenges in infrastructure and staffing call for targeted investment and coordination. Here are five ways Brazil is working to enhance the health and well-being of its people.

1. Expanding Universal Health Coverage

Brazil created the Sistema Único de Saúde (SUS) in 1988, declaring health a right for all citizens. SUS now provides free and universal health care to more than 200 million Brazilians, including vaccines, preventive care, childbirth support and HIV/AIDS treatment.

Despite challenges, Brazil continues to strengthen SUS through mobile health units, telemedicine and community outreach. These efforts, in particular, benefit rural and underserved populations in the Amazon and Northeast. SUS is a cornerstone of progress toward SDG 3 in Brazil, as it reduces inequality and ensures that all Brazilians—regardless of income or location—can access essential care.

2. CONASS and the Oral Health Care Network

Oral health inequality remains a serious issue in Brazil, particularly among low-income populations. Many families cannot afford dental services, and untreated oral diseases disproportionately affect people experiencing poverty. In response, the National Council of Health Secretaries (CONASS) and Conasems created the Oral Health Care Network (RASB) in partnership with the Ministry of Health.

This initiative aims to make comprehensive and preventive dental care accessible through the SUS network. The federal government increased investment in oral health programs from R$1 billion to R$4.5 billion, a fourfold rise. This funding supports public dental clinics, mobile services and training for oral health teams. By addressing an often-overlooked dimension of public health, this initiative helps Brazil advance SDG 3 in Brazil more equitably.

3. Addressing Doctor Shortages in Remote Areas

Remote regions of Brazil face a chronic shortage of doctors. In 2023, the government relaunched the Mais Médicos (More Doctors Program) to place trained physicians in underserved areas.

The program now includes incentives for long-term placements, expanded residency opportunities and support for Brazilian medical graduates. Its goal is to reduce turnover and strengthen primary health care delivery where it is most needed. Brazil advances SDG 3 by implementing strategies that enhance continuity of care and guarantee equitable access to health services across all regions.

4. Community-Led Health Outreach in the Amazon

Since 1987, Projeto Saúde e Alegria (PSA) has been working in the Amazon region to deliver health services to remote Indigenous and riverine communities. These groups often lack access to public clinics and face threats from illegal mining and environmental degradation.

PSA operates mobile clinics, provides clean water solutions, and trains community health agents. In response to mercury contamination from mining and the COVID-19 pandemic, PSA expanded its water and hygiene programs. Serving more than 30 villages, PSA shows how grassroots, community-led models can close health gaps and contribute directly to SDG 3 in Brazil.

5. Brazil’s Role in Global Health Policy

In 2024, Brazil hosted the G20 Health Working Group in Salvador, highlighting the need for sustainable financing in primary health care (PHC). To advance SDG 3 in Brazil, the Pan American Health Organization (PAHO), the World Bank and the Inter-American Development Bank (IDB) co-hosted the event, bringing together global leaders to discuss sustainable health financing.

At the summit, Brazil helped launch the Alliance for Primary Health Care in the Americas, a regional initiative to boost PHC investment and resilience. Brazil’s leadership showcased its commitment to building equitable health systems, both domestically and across Latin America. This international engagement reflects Brazil’s growing role as a health leader and its long-term investment in achieving SDG 3 in Brazil.

Progress and Outlook

Through programs such as SUS, Mais Médicos and PSA, Brazil has made significant strides toward achieving universal health coverage, particularly in marginalized regions. Oral health investments and regional partnerships further illustrate its multifaceted strategy to achieve SDG 3 in Brazil. According to recent SDG dashboards, Brazil is showing steady progress in reducing maternal and child mortality and expanding primary health care.

Challenges remain—particularly in infrastructure, staffing and rural care access—but Brazil’s combination of national policy and local innovation is producing measurable impact. Continued investment and coordination will be crucial to sustain progress and enhance the well-being of all Brazilians by 2030.

– Isaac Nelson

Isaac is based in Florianópolis, Santa Catarina, Brazil and focuses on Good News for The Borgen Project.

Photo: Unsplash

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The Synonymity of Disability and Poverty in Burundi

Disability and Poverty in BurundiBurundi is a country that struggles with health care access and resources for people with disabilities. It has staggering poverty rates, with “87% of the population living below the World Bank’s poverty measure,” according to the U.S. Department of State.

Disability and Poverty in Burundi

With only 14.78% of its population living in urban areas, Burundi is the least urbanized country in Africa. As such, Burundi relies on small-scale farming to maintain its economy. This means that financial well-being is directly connected to physical ability. For many Burundians who experience limitations, this way of life makes it extremely difficult to support themselves.

While the exact metrics for Burundians with disabilities have not been adequately documented, the World Health Organization (WHO) estimates that around 10-15% of any given country’s population experiences some form of disability. Due to the country’s limited health care system, many Burundians with physical disabilities are not being adequately treated or given solutions to compensate for a lack of mobility, which makes them unable to work.

In an economy that values labor as a commodity, disability is synonymous with poverty, and the statistics support this. According to the National Library of Medicine, “68% of men and 75% of women with disability were affected by multidimensional poverty compared to 54% and 46% of their peers without disability.”

Emerging Solutions

In 2014, Burundi ratified the Committee on the Rights of Persons with Disabilities. The Burundian Constitution was revised to include Article 22, which “reaffirms the protection and equality of everyone before the law and that no one may be subject to discrimination, including, among others, on the ground of disability.”

Legislation like this is a tremendous step in the right direction to ensure that Burundians with disabilities can dispel stigma and discrimination to open up opportunities for themselves in the workforce. Financial stability is an important component of ensuring that people with disabilities are afforded the same respect as nondisabled persons.

The United Nations Children’s Fund (UNICEF) is also striving to improve the treatment of those with disabilities in Burundi. With a specific focus on youth, the organization makes it its mission to study how children with disabilities face social exclusion, barriers to equal education, and inaccessibility to social services. Furthermore, its strategy is to prepare the next generation to be more inclusive and understanding of their peers.

Conclusion

Efforts from both the government and organizations like UNICEF protect the rights of people living with a disability and in poverty in Burundi, while challenging the discrimination that hinders social acceptance. 

– Zoey Kartchner

Zoey is based in Tempe, AZ, USA and focuses on Good News for The Borgen Project.

Photo: Flickr

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People Living With HIV/AIDS in Samoa

HIV/AIDS in SamoaHIV/AIDS places a heavy burden on the health care system of Samoa, which already is known to operate with limited resources. Managing the disease requires consistent access to antiretroviral therapy, testing and long-term care services that are costly and not always easily accessible. These costs can lead to financial hardship for affected families, driving them deeper into poverty. Additionally, as individuals become too ill to work, household incomes shrink and national productivity declines.

Health Care Capacity: Data-Driven Constraints

As of 2022, Samoa allocates 6.3 % of its gross domestic product (GDP) to health, one of the highest rates among Pacific Island nations, compared to a global average of 9.8%. However, this spending is stretched: the government covers approximately 75% of that, with external aid contributing 13% and out-of-pocket spending comprising 11%.

Despite this investment, Samoa’s health workforce remains critically low, with only 0.55 physicians per 1,000 people. This falls far below the global average of 1.7 and the European Union’s 4.1 per 1,000. The World Health Organization (WHO) recommends at least 2.5 medical professionals (including nurses, midwives and physicians) per 1,000 people, yet Samoa’s national average remains below that. Rural areas fare worse, with just one health worker per 1,000 people, while some urban centers report up to eight per 1,000, according to International Health Strategies.

The imbalance means rural communities are underserved, central hospitals are overburdened and preventive outreach is limited. Faced with a dual disease burden, noncommunicable diseases like diabetes and rising infectious threats like HIV and Tuberculosis (TB) limit the workforce and curtail Samoa’s ability to mount widespread prevention and treatment campaigns.

HIV/AIDS in Samoa

As of the most recent public reports, Samoa has reported only 12 individuals living with HIV, all receiving antiretroviral treatment and in stable health, with no new locally acquired cases since 2020. A national population of approximately 216,000 (2023) means HIV prevalence is 0.005%, far below the Western Pacific regional average of 0.1%. Since 1990, 24 total cases have been recorded, with 11 still living as of the 2016 UNAIDS report. Still, low testing rates, 4–5 % of the population yearly, suggest some infections may go undetected.

People living with HIV/AIDS in Samoa often face significant stigma, leading to discrimination in their workplace and their communities. This social exclusion contributes to job loss and a lack of access to support services. This traps individuals in cycles of poverty. In a small economy, where every job counts, the loss of employment due to health-related stigma is especially damaging.

Global Support and Development Goals

International aid has been vital in Samoa’s fight against HIV/AIDS, funding prevention and treatment efforts that also strengthen education and health care. Viewing HIV as both a health and development issue makes aid more impactful and sustainable.

A key project supporting Samoa’s HIV response is the Global Fund–backed Multi-Country Western Pacific Integrated HIV/TB Program. It was implemented by the United Nations Development Project (UNDP) and Samoa’s Ministry of Health. The program focuses on testing, prevention, treatment and community outreach across 12 Pacific nations.

Conclusion

HIV/AIDS in Samoa is more than just a medical concern. It is a challenge that intersects poverty, social justice and economic development. Combating the epidemic requires medicine, education, compassion and strong international partnerships.

– DeMarlo Jon Gray

DeMarlo is based in Long Beach, CA, USA and focuses on Global Health and Politics for The Borgen Project.

Photo: Unsplash

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Colton Dixon Uses Music To Fight Poverty and Inequality

Colton DixonDove Award-winning music artist Colton Dixon is using his voice and platform to spread hope and alleviate poverty. He’s partnering with organizations like Mercy Ships and Compassion International, making a difference, one step at a time.

Partnering With Mercy Ships To Bring Healing

In Dixon’s song “Build a Boat,” he partners with Mercy Ships to create the music video that shows the lives of two twins being changed and the boat Global Mercy being built. Dixon hopes to open more people’s minds to the idea that they are capable of doing anything.

Mercy Ships is a nonprofit organization that builds and operates hospital ships to deliver medical care to those without access. The charity addresses poverty by providing health care essentials and care services to some of the world’s most underserved communities. Operating in countries with limited health care infrastructure, Mercy Ships offers free surgical care and dental services, as well as medical training to local professionals in developing nations.

By delivering health care to impoverished communities and training local professionals, Mercy Ships helps alleviate suffering, improve health outcomes and enhance host countries’ capacity to provide medical care.

Championing Child Sponsorship With Compassion International

Dixon has also supported Compassion International through multiple tours and by spreading the word with his music. Compassion International is a Christian humanitarian organization dedicated to releasing children from poverty through child sponsorship and holistic care. During his “Build a Boat” tour, Dixon partnered with Compassion International and celebrated 1,000 sponsored children.

Compassion International combats poverty by partnering with local churches to deliver holistic child-centered support that spans nutrition education, health care, emotional care and spiritual guidance. Rooted in a Christ-centered mission, its model reaches more than 2.3 million children in 29 countries, helping them build resilience and fostering long-term community impact. By equipping children with resources and mentorship, the charity not only improves individual lives but also creates ripple effects of change as graduates return to uplift their communities.

Dixon has also made an impact in the fight against poverty by partnering with Compassion International through various tours, including “A Night with Colton Dixon,” set for this spring. His 2023 Love and Light tour also gave children in need the opportunity to be sponsored. These events not only featured inspiring music and personal stories but also encouraged the audience to give. This resulted in hundreds of lives being transformed. By combining entertainment with support for poverty, Dixon continues to use his platform to raise awareness.

Conclusion

Through heartfelt music, powerful partnerships and a commitment to uplifting those in need, Dixon proves that advocacy doesn’t require grand gestures. It starts with using your platform to inspire action by joining forces with organizations like Mercy Ships and Compassion International. He not only changes lives but empowers others to do the same. His journey reminds us that hope, compassion and purpose-driven art can truly shape a better world.

– Karisma Polly

Karisma is based in Sunrise, FL, USA and focuses on Global Health, Celebs for The Borgen Project.

Photo: Flickr