Archive for category: Health

Information and stories on health topics.

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Project HOPE: Improving Syria’s Health Crisis

Project HOPEThe end of the 24-year regime of Syrian president Bashar Al–Assad has led to the conclusion of a decade of civil war. It has also exposed major gaps in humanitarian and health care needs. Impacted areas across Syria are facing significant gaps in health care, nutrition, water supply, hygiene and sanitation. Specialized medical staff, essential medications, functional infrastructure and psychosocial support remain in short supply. At the same time, malnutrition, inadequate shelter and logistical challenges continue to hinder delivery.

In the middle of Syria’s health crisis, Project HOPE, in coordination with the Jordan Health Aid Society-International (JHASi), is delivering essential medical supplies and working with local partners to assess health and humanitarian needs. The team has identified shortages of medicine, basic medical supplies and staff. 

Problems Facing Health Care Infrastructure

Diseases, such as cholera and acute watery diarrhoea, are spreading due to Syria’s health crisis. According to Dr. Altaf Musani, the U.N. World Health Organization Director of Health Emergencies, more than 1,444 suspected cases of cholera and seven associated deaths have been recorded. He said, “We know that when cholera gets hold in camps, it can serve as a brush fire, increasing both morbidity and mortality.” He also warned that more than 416,000 children in Syria are at risk from severe malnutrition and that at least half of children under 5 suffering from severe acute malnutrition are not receiving treatment. Dr. Musani also noted that more than 50% of the maternity hospitals in northwest Syria have suspended operations due to underfunding since September 2024.

Dr. Musani said that Syria’s health crisis is partly because the country’s health facilities lack funding and face shortages of skilled workers and equipment. The war forced 50% to 70% of the health workforce to leave the country to look for other opportunities and the health infrastructure still needs investment.

The Impact of Syria’s Health Crisis

Syria’s health care system has undergone a lot of changes in the past decade. The conflict itself devastated the health care system due to loss of health infrastructure, systematic attacks on health care facilities and the mass exodus of health care workers. Parallel governance structures resulted in a fractured and inconsistent health care landscape. 

The full impact of Syria’s health crisis falls most heavily on vulnerable populations. Women in need of maternal care face restricted access to maternal health care facilities. Children experience disrupted vaccine schedules and a shortage of pediatric care. Refugees and internally displaced people lack even basic medical services. Older individuals and people with chronic conditions experience inconsistent access to necessary medications, which intensifies preventable health complications. 

HOPE in Syria

Project HOPE delivered the first nonprofit shipment of medical supplies to southwestern Syria with the support of JHASi and the Al Yusr Charity Organization. The shipment included essential medicine and medical supplies for more than 5,000 people. This part of the country had previously been inaccessible to aid organizations following the end of the Assad regime, contributing to Syria’s health crisis.

Project HOPE has been operating in southern Syria and has assessed 13 hospitals and medical centers in the Daara and Suwayda Governorates since mid-December to identify the greatest health needs. The assessment found significant gaps in health care, nutrition, mental health support and water, hygiene and sanitation services. “Southern Syria desperately needs humanitarian attention, including food aid, health sector support, clean water and mental health care services, particularly for vulnerable groups like women, children, older adults and people with disabilities,” said Laith Salman, Project HOPE’s Team Lead in Syria.

Looking Ahead

Project HOPE has made accomplishments in the field by working to relieve the complications caused by Syria’s health crisis. “A large portion of the population is experiencing trauma, depression and anxiety due to the effects of war. While there are efforts from NGOs to provide mental health and psychological (MHPSS) support, there is a significant lack of trained mental health professionals, specialized facilities and MHPSS programs in the area to help those suffering from the psychological aftermath of decades of conflict,” says Laith Salman. Syria will require continued support from NGOs to recover from its post-conflict health crisis. Project HOPE is one example of an organization providing ongoing assistance to help address the impact of the conflict.

– Abirame Shanthakumar

Abirame is based in Markham, Ontario, Canada and focuses on Global Health for The Borgen Project.

Photo: Flickr

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How Telemedicine in Sierra Leone is Improving Health Care Access

Telemedicine in Sierra LeoneSince the civil war, the health care system in Sierra Leone has suffered immense destruction, the infrastructure is lacking proper medical supplies and trained personnel, and the country is still struggling with infectious diseases like malaria and HIV/AIDS. Sierra Leone has among the lowest life expectancy rates in the world.

Most Sierra Leonean people live in rural areas (55%). This poses an inconvenience when it comes to reaching medical care, which is mainly available in urban areas, considering the deteriorated road and railway networks.

About Telemedicine

Telemedicine has emerged in the last decades to bridge the gap of health care access for difficult-to-reach areas around the world as well as for individuals who struggle to meet appointments by providing medical attention from a distance using electronic devices. This innovation can range from teleconsultation, where the patient can express symptoms to their doctor through a laptop, to telesurgery, where a surgeon uses robotic technologies to perform a surgery on their patient remotely.

The use of telemedicine in Sierra Leone could be a game-changer for the health care system.

Mobile Health

In 2011, when health workers and traditional birth attendants received phones, SIM cards, solar panel powered battery chargers and a virtual private network as well as proper training on how to use them, they reported a significant improvement in health care access in the Bombali district.

Health workers called their clients to remind them about appointments and inform them about the arrival of their medicine. Instead of regular in-person meetings, which could be challenging for patients living far from health facilities.

People started utilizing health services more after the provision of cell phones, and the remote communication with the health workers strengthened the clients’ trust and notified them of the workers’ availability and the need for another visit. The health workers’ phone reminders encouraged their clients not to miss their appointments.

The cell phones not only reinforced communication between the health workers and their clients but also between health workers themselves, they called to inform each other about the delegation of duties as well as the schedule of meetings and activities. This stronger collaboration has eased the decision to refer ambulances, which then led to timely arrivals of ambulances and the rescue of urgent cases.

Remote Patient Monitoring

Remote patient monitoring has significantly changed the healthcare system around the world, but particularly in countries that lack access to health establishments and social health specialists in rural areas.

The Sierra Leone Telemedicine Network has been operating since 2009 and has allowed patients in rural areas, otherwise deprived of proper care, to receive at-home consultations through their digital devices, like desktops or cell phones, without having to travel long distances.

This monitoring technique usually involves the use of wearable devices that measure the patient’s vital signs from a distance.

A recent study in Sierra Leone used wearable gadgets capable of measuring the heart and perspiration rate of hospitalized patients with Lassa fever remotely. Though most of the data was discarded for poor quality, indicating the need for funding to enhance the effectiveness of these devices.

Health Care Initiatives

Several initiatives have been made to alleviate the struggle of health care access for the civilians of Sierra Leone. The Minister of Health Dr Demby has inaugurated the first nationwide Health Train Campaign earlier this year. It aims to travel to all districts of the country to study the available health care resources, identify the needs and supply civilians with immediate and adequate medical attention. It seeks to follow the “Life Stages” design so that people at different stages of life, whether children, young adults, pregnant women, elderly people, receive the appropriate care they need.

In 2010, UNICEF, launched the Free Healthcare initiative (FHCI), which offered pregnant and lactating women, children under the age of 5, disabled people and Ebola survivors with free medical care and supplies in the hopes to combat the abnormally high mortality and morbidity rates among these vulnerable groups in the country.

The Rural Health Care Initiative has worked diligently to strengthen healthcare access in Sierra Leone’s rural areas. It provides medicine and transportation for patients, medical attention to expecting mothers and their newborns, malaria diagnoses and immunizations for children and help grow the country’s agricultural system by cultivating sustainable food and supporting farmers.

Conclusion

Telemedicine in Sierra Leone has played a huge role in improving healthcare, enhancing health worker performance, strengthening the relationship between the healthcare providers and the patients, delivering timely and accurate higher quality care and bridging the gap towards receiving medical attention for people living in rural, hard to reach areas. Although the current infrastructure available in Sierra Leone consists of many obstacles for telemedicine, the evolution of the healthcare system is a slow work in progress.

– Yasmine Belabed

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

Photo: Flickr

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Schistosomiasis in Angola: A Local Strategy With Global Impact

Schistosomiasis in Angola: A Local Strategy With Global ImpactSchistosomiasis in Angola continues to pose a major threat to public health- especially for school-aged children in rural, water-reliant communities. Caused by parasitic worms that infect humans through contact with contaminated freshwater, schistosomiasis can lead to fatigue, anemia and developmental delays. With more than 90% of districts at risk, Angola faces one of the highest burdens of this neglected tropical disease (NTD) in sub-Saharan Africa.

To combat this issue, Angola’s Ministry of Health, backed by the World Health Organization (WHO) and nongovernmental organizations (NGOs) such as The MENTOR Initiative, has implemented an innovative, school-based response. These campaigns provide mass deworming treatments using praziquantel, reinforce hygiene education and promote access to clean water and sanitation. This integrative model not only lowers infection rates but also improves school attendance and overall child development.

Understanding the Disease Burden

“Children are especially vulnerable as they play in the water and often don’t understand the risks,” a local health worker based in the Huila, Huambo and Zaire provinces told The Borgen Project in an interview. “We saw many children with swollen bellies and constant fatigue. Now, after regular deworming and hygiene education, those symptoms are much less common.”

Schistosomiasis in Angola has long plagued rural Angola, where many communities depend on rivers and lakes for everyday activities such as bathing, washing and even drinking. According to WHO, chronic schistosomiasis can lead to liver and kidney damage, cognitive delays and an increased risk of school absenteeism. Recent mapping by The MENTOR Initiative reveals a troubling overlap between schistosomiasis and other parasitic infections like soil-transmitted helminths (STHs). This dual burden is particularly pronounced in Angola’s south-central provinces, where more than 70% of school-aged children are at risk.

School-Based Campaigns: A Scalable Solution

Angola’s Ministry of Health, in collaboration with WHO, has responded with mass deworming campaigns centered around schools. “We coordinate with teachers and school staff,” the health worker explained. “They help us organize the children and explain the treatment to them in simple terms.” Parents are also engaged through community meetings, which help build trust and transparency around the medication process. These campaigns utilize praziquantel, the WHO-recommended drug for schistosomiasis treatment. In addition to being safe and affordable, praziquantel is effective with a single dose and is ideally suited for distribution in school settings.

According to a six‑year impact assessment of Angola’s school‑based deworming program, schistosomiasis monitoring covered nearly 600 schools between 2015 and 2021, revealing persistent transmission in multiple provinces. As a result, soil-transmitted helminth-endemic regions received deworming treatments, hygiene supplies and health education. These combined efforts have led to improved child health outcomes and increased school participation. Studies show that deworming enhances children’s physical well-being and “It’s not just about treating the disease, it’s about giving these kids a better chance at life”, the local source tells The Borgen Project.

Hygiene Education and Infrastructure

The success of deworming programs in Angola depends on an integrated approach. Medication alone cannot stop the cycle of reinfection, especially in rural areas where poor sanitation and limited access to clean water drive continued transmission. To address this, school-based campaigns include hygiene education that teaches students proper handwashing, safe defecation and how to avoid contaminated water. Schools also act as community hubs, spreading these practices to families. Some schools receive additional support through partnerships with NGOs and government agencies, gaining improved facilities like latrines, handwashing stations and water filtration systems.

WHO highlights that combining water, sanitation and hygiene (WASH) measures with deworming efforts can reduce transmission by more than 75%. This underscores the importance of holistic strategies for lasting impact.

Data-Driven Targeting

Disease mapping has played a critical role in Angola’s national response to schistosomiasis and soil-transmitted helminths (STHs). In collaboration with Angola’s Ministry of Health, the MENTOR Initiative conducted large-scale parasitological surveys across all 18 provinces. These surveys, involving more than 1.6 million school-aged children, used stool and urine sampling along with geospatial tools to determine prevalence rates and identify high-risk transmission zones.

The mapping results allowed for the strategic targeting of mass drug administration (MDA) campaigns, ensuring that treatment was concentrated in areas with the highest disease burden. By using prevalence thresholds recommended by WHO, Angola was able to tailor the frequency and intensity of treatment to the needs of each province. In addition to guiding the delivery of preventive chemotherapy, the data also support long-term monitoring, policy decision-making and evaluation of program impact.

Challenges and Local Resilience

Despite efforts, schistosomiasis in Angola continues to face several operational and infrastructural challenges. Limited access to clean water and adequate sanitation facilities in many rural areas contributes to persistent reinfection rates. Even with periodic MDA, the lack of improved WASH (Water, Sanitation and Hygiene) infrastructure undermines sustained disease control.

The program is also constrained by logistical difficulties such as inconsistent medicine supply chains and a shortage of trained personnel for implementation and monitoring. Regardless, integration of the deworming program into the existing school-based health system has helped optimize outreach and reduce costs. Capacity-building initiatives for local staff, as well as coordination with multiple stakeholders, including the Ministry of Education and international partners, have strengthened the program’s delivery and laid the foundation for more sustainable control efforts.

A Model Grounded in Elimination, Not Just Control

Angola’s approach mirrors a growing call in public health to shift from reactive control toward proactive elimination of schistosomiasis. As emphasized in Frontiers in Public Health, long-term success requires more than drug distribution; it depends on a systems-thinking model that integrates treatment with behavioral change, hygiene, snail control and environmental improvements.

By using schools as delivery platforms, Angola addresses multiple layers of disease transmission- medical, educational and ecological. This multifaceted approach offers a replicable blueprint for other countries. “The key is to involve the community and combine treatment with education and clean water,” the local health worker explained. “It’s not enough to give medicine- you have to change the environment and the habits. Angola’s model is working here and I believe it can help others, too.”

Health, Education and Hope

The integrated approach to fighting schistosomiasis in Angola demonstrates how local solutions, when grounded in data, education and community engagement, can spark meaningful change. With continued investment in health systems and infrastructure, the country is not just treating a disease but empowering a generation of children to learn, grow and thrive.

– Vasara Mikulevicius

Vasara is based in West Bloomfield, MI, USA and focuses on Global Health for The Borgen Project.

Photo: Flickr

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Diseases Impacting Ethiopia

Diseases Impacting EthiopiaEthiopia is a country in the Horn of Africa. Ethiopia is home to 126 million people. It is the second most populous country in Africa, behind Nigeria. Ethiopia is known for being the cradle of humanity. However, many different diseases are impacting Ethiopia, which have made the lives of its citizens difficult.

Neglected Tropical Diseases

Millions of Ethiopians are at risk of neglected tropical diseases (NTDs). NTDs are a group of diseases primarily caused by pathogens (such as bacteria, viruses and parasites). Ethiopia has Africa’s third-largest number of NTDs, behind Nigeria and the Democratic Republic of the Congo.

Similarly, Ethiopia has the highest number of cases of diseases such as trachoma, podoconiosis and cutaneous leishmaniasis in all of sub-Saharan Africa. It has the second highest number of cases involving ascariasis, leprosy and visceral leishmaniasis. And it has the third highest number of cases involving hookworms.

Infectious Diseases

Infectious diseases are also prevalent across Ethiopia. The most common contagious diseases in Ethiopia are HIV/AIDS, tuberculosis and malaria. The prevalence of HIV/AIDS in Ethiopia stands at around 1.5%. While this is lower than Africa’s average, it’s still higher than the global average (0.7%).

The prevalence of malaria in the country is about 0.39% to 1.1%. Research showed that population density was a standard variable in the spread of all three infectious diseases. Low urbanity and low population density correlate with a lower risk for contagious diseases.

Government Efforts

Ethiopia is still a developing country. About 68.7% of Ethiopians suffer from multidimensional poverty and a further 18% are at risk of doing so. Impoverished people are the most vulnerable to NTDs. Those living in extreme poverty lack access to proper health care and basic health services. They also live in areas where vectors of infectious diseases thrive.

However, the Ethiopian government has taken active steps to combat both NTDs and other infectious diseases. In 1999, the country developed a national plan to address onchocerciasis. The Ministry of Health established the National Onchocerciasis Task Force the following year. This task force focused on mobilizing and educating affected communities and distributing Mectizan tablets to help control the disease.

The Ethiopian Ministry of Health also established the National Dracunculiasis Eradication Program in 1993. In collaboration with The Carter Center, Ethiopia launched a national program to combat lymphatic filariasis. Additionally, the country has implemented several programs and strategies targeting other neglected tropical diseases, including podoconiosis, soil-transmitted helminths, schistosomiasis, leishmaniasis and leprosy.

Conclusion

Ethiopia continues to struggle with the burden of infectious and noninfectious tropical diseases, which disproportionately affect its underserved communities. While the challenges are significant, the country’s proactive health initiatives and partnerships offer hope. Sustained investment in public health, education and poverty reduction is essential to combat the diseases impacting Ethiopia and improve health outcomes for millions.

– Samriddha Aryal

Samriddha is based in Centreville, VA, USA and focuses on Global Health for The Borgen Project.

Photo: Wikimedia Commons

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AI Technology Developed for Breast Cancer Screening in India

Breast Cancer Screening in IndiaFor decades since its inception, mammography has been the leading method for detecting breast cancer. However, a new AI technology called Thermalytix could become a less invasive and less expensive early intervention tool, as shown through its trials of breast cancer screening in India.

Breast Cancer in India

Breast cancer is the most prevalent cancer among women worldwide. It also has the fourth-highest mortality rate out of any cancer. In India specifically, it is a significant issue. Despite having lower incidence levels, the nation continues to have similar or higher mortality rates than Western countries. One of the main contributors to this high rate of mortality is delayed detection.

Health professionals recommended that all females aged 40 and above receive yearly mammograms to screen for breast cancer. However, according to the Longitudinal Aging Study in India, fewer than 2% of the 35,083 women aged above 40 surveyed reported receiving a mammogram in the past two years. Due to this lack of thorough and routine examination, many breast cancers are not diagnosed until they are in advanced stages.

The percentage of women who reported receiving mammograms varies slightly based on socioeconomic status, other preexisting health conditions and place of residence. However, as a whole, access to and use of mammogram technology for breast cancer screening is limited. This is due to high costs and lack of adequate medical equipment and workers in India and other low- and middle-income countries (LMICs).

Predictive Screening With AI

Niramai, a tech company located in Bengaluru, India, has developed an AI technology known as Thermalytix, which detects indicators of breast cancer. Thermalytix uses computer software to analyze thermal imaging of breasts and scan them for abnormal “hot spots, warm spots and vascular patterns” and determine the probability of any malignant lesions.

Since 2016, Niramai has conducted studies on the effectiveness of Thermalytix in different clinics and hospitals across India. Over the past nine years, Niramai has invited more than 16,000 women to participate in clinical trials, improving its Thermalytix technology. Thermalytix was evaluated in terms of sensitivity (ability to identify true positives) and specificity (ability to identify true negatives) in each study.

In every iteration, Thermalytix has consistently scored between 82-98% in sensitivity and 80-88% in specificity. It has already “received regulatory approval in India” and met the health and safety criteria to receive the CE mark in Europe. Thermalytix patients found to be positive or at high risk for breast cancer are always referred to receive further testing with either mammography, MRI or ultrasound technology. However, its effectiveness as an early intervention tool is not to be understated.

Conclusion

As a lower-cost and noninvasive technology, Thermalytix has the potential to make breast cancer screening in India more accessible to the general population. If implemented on a large scale, this technology could “improve overall treatment outcomes” by catching breast cancer before it reaches the later stages.

– Delaney Gouveia

Delaney is based in Newport, RI, USA and focuses on Global Health for The Borgen Project.

Photo: Pexels

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Helena Ndume: How a Namibian Doctor Helped Blind People See

Helena NdumeFor thousands of impoverished Namibians, Helena Ndume is a miracle worker. In her 30 years as an ophthalmologist, she has performed more than 35,000 eye surgeries, giving people back their sight and livelihoods. But despite her worldwide acclaim, Helena Ndume was once living in a situation not unlike those of her patients: poverty-stricken, disadvantaged and rife with inequalities. However, instead of giving up, she persevered and changed the lives of thousands across the globe.

Early Life

Helena Ndume was born in Namibia in 1960. During this time, Namibia, like many other South African countries, was divided by apartheid, a system of racial segregation that resulted in mass discrimination toward citizens of color. Even from a young age, Ndume could not stay quiet about the injustices committed against her people. She participated in anti-colonial rallies in junior high. Eventually, she decided to leave the country when she was 15 years old.

The journey before her was not for the faint of heart. To make it to the refugee camp in Zambia, she had to first cross Angola on foot, which was in the midst of a violent civil war. Her determination and grit shone through as she successfully made the voyage. She then took advantage of her Zambian education to earn a prestigious scholarship to the University of Leipzig in Germany. With such a prestigious education, Helena Ndume could have gone anywhere in the world. However, she chose to return to her home country of Namibia to fight the economic and social turmoil there.

The Namibian Struggle

By the time Ndume returned home in 1989, the nation was undergoing rapid social and political change. Namibia had finally gained independence after its 50-year stint as a territory of South Africa and this move allowed it to break free of apartheid rule. Despite this big win, Namibians were in no position to celebrate.

The country had recently suffered a large drought, which weakened the already-lacking agricultural sector. Furthermore, even though apartheid was over, Black citizens still struggled to take their place in the workforce, which heavily advantaged the wealthy White upper class by excluding people of color from taking high-paying jobs.

As a result of a lack of opportunities and continued inequality, more than half of the Namibian population experienced extreme poverty, which manifested itself as starvation and disease outbreaks. HIV/AIDS and polio cases hit a record high during the mid-’90s, as per the Centers for Disease Control and Prevention. Both illnesses can weaken the immune system and pave the way for sight-stealing diseases, such as cytomegalovirus (CMV) Retinitis and trachoma. Without adequate health care or a cure, thousands of Namibians were left blind.

A Global Hero

This is why, Ndume says, she decided to work with Surgical Eye Expeditions (SEE) International. SEE International is a nonprofit organization that sends experienced doctors and life-changing vision technology to underserved communities. Since starting in 1995, Ndume has served at hundreds of free eye clinics to treat preventable blindness.

Blindness is often seen as a crippling affliction in many parts of the world. However, its impact is especially severe in developing countries like Namibia because of the widespread lack of health care, which affects as much as 70% of the population in some areas.

Ndume believes that blindness is closely associated with severe poverty due to its far-reaching consequences on one’s lifestyle. From causing a parent to lose their job to forcing a child to drop out of school, blindness has severe repercussions for entire families and communities.

Envisioning a Brighter Future

One of the most inspiring things about Ndume’s work is her undeniable passion for the people she serves. Ndume has stated that her patients’ joyful expressions “fuel and recharge” her to “continue serving not only the Namibian people but all of humanity.” Such sentiments demonstrate Ndume’s undeniable passion for helping others and becoming a positive change source in her community.

Her dedication to serving humanity has not gone unnoticed. In 2015, she was awarded the Nelson Rolihlahla Mandela Prize by the United Nations (U.N.), recognizing her unwavering commitment and transformative work in global health. Receiving the award was a full-circle moment for Ndume, who undoubtedly looked up to Mandela’s anti-apartheid activism as a young teen. In addition to this prize, Ndume was presented with the Lions Clubs International Humanitarian Award and the Forbes Women Africa Social Impact Award in 2022.

Looking Ahead

Although blindness is still prevalent in Namibia, Ndume’s work has given citizens a reason to hope for a brighter future. Since 1993, the poverty rate has been halved and the GDP has grown substantially, according to the World Bank. The Gini Index, which measures the income equality in a nation, is still disproportionately high at 59.1% as of 2015, but shows a promising downward trend from the previous decade.

These statistics prove that economic growth is on the horizon for Namibia, as well as greater equality and health care. Ndume’s selflessness and devotion to the betterment of her country define her as a role model and inspiration for future generations of doctors, innovators and leaders worldwide. Most importantly, her incredible story shows that anyone can make a difference in their community, no matter where they come from.

– Grace Gonzalez

Grace is based in Oakton, VA, USA and focuses on Global Health for The Borgen Project.

Photo: Flickr

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Strengthening Disease Prevention in Sudan 

Disease Prevention in SudanSudan has faced severe conflicts creating detrimental humanitarian crises, crippling its health care systems and leading to increases of fatal diseases, including malaria and cholera. This humanitarian crisis has left 15.8 million people in need of humanitarian aid. With this conflict increasing constantly, it has now left half of Sudan’s population (30.4 million) people in desperate need of aid. Where refugee camps have been set up to provide aid to people has contributed to this increase in diseases by providing poor sanitation, enabling the spread of these diseases. Here is information about disease prevention in Sudan.

Health Challenges Under Conflict

A major challenge Sudan faces in tackling the spread of disease and poverty begins with child immunization. The most prevalent diseases within Sudan include malaria, cholera, measles and dengue fever affecting 3.4 million children under the age of 5 years old. Ongoing conflict has severely disrupted vaccination efforts, worsening children’s access to aid as well as making it increasingly difficult to reach these children with essential, life-saving immunizations. While UNICEF continues to provide critical support in delivering vaccines, sustained investment and stability are essential to protecting public health. UNICEF has been providing support to Sudan since 1952, and in 2024, it helped more than 9.8 million Sudanese individuals access sanitary water and provided education and psychosocial care to 2.7 million children and caregivers. To effectively prevent the spread of infectious diseases, Sudan must prioritize the restoration and continuity of its national immunization program.

Non-communicable diseases (NCDs) represent the leading cause of morbidity worldwide, accounting for 71% of global deaths, and they are becoming more and more prevalent in Sudan. Data from the NCD Progress Monitor shows that the percentage of NCD related mortality had increased from 32% in 2015 to 54% in 2022. Sudan’s progress in implementing NDC policies has been slow as the country achieved five of the 19 NCD targets in 2022.

Organizations Assisting Sudan

Despite immense challenges, several global aid organizations are making an impact, including UNICEF and World Vision who have enabled Sudan’s development by helping individuals who have been directly affected by this ongoing conflict by providing necessary education, food and water and shelter. World Vision has been able to reach more than 3 million individuals, providing them with emergency assistance in Sudan’s unstable climate, making a significant impact. These organizations help to boost social development in Sudan, ultimately aiding them to reduce levels of poverty and increase individual’s livelihoods.

Action Against Hunger is an organization that is fixated on providing care to individuals experiencing this violence and ongoing conflict. It has been working in Sudan since 1985 to provide fresh water and food as well as malnutrition treatment to those deprived of food. From 2023-2024, it has helped more than 815,000 Sudanese people access food by working in 15 different locations in Sudan to reach the optimum number of people. This organization has also been growing rice in flood waters and farming onions, helping to create new emergency services and rebuild livelihoods, ultimately contributing to the resistance of poverty in Sudan.

Advancing With Sustainability and Purpose 

After the breakout of the war in 2023, the International Rescue Committee (IRC) established a prevalent presence in Al Jazirah State where health and nutrition services were provided and assisted 400,000 Sudanese refugees prior to the War. The IRC established a WASH program – which is an integrated water, sanitation and hygiene program – to help disease prevention in Sudan. 

– Carise Wallbank

Carise is based in the UK and focuses on Global Health for The Borgen Project.

Photo: Unsplash

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The Benefits of Telemedicine in Rural Africa

Telemedicine in AfricaAfrica is home to more than 1.5 billion people. The differences between the North and sub-Saharan regions often characterize it. The majority, approximately 1.29 billion, live in sub-Saharan Africa, which remains significantly less urbanized than the North. Although urbanization is steadily increasing across the continent, most people still live in rural areas. As of 2024, 56% of the sub-Saharan population resides in rural communities.

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

Telemedicine Services in Africa

Combined with the excessive burden of disease outbreaks and largely understaffed health care facilities, Africa’s health care systems are overwhelmed and unable to serve their population equitably. Those living in sub-Saharan Africa are notably disadvantaged, with the region having the lowest ratings in well-being and satisfaction with health care services. Most people live in rural areas and their access to health care services is even more limited. In response, many rural areas in Africa have introduced telemedicine services and the results are promising.

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

EasyClinic in Rwanda

EasyClinic is an online platform designed to improve health care access and efficiency, especially for Rwandans in rural communities. Key features of EasyClinic include generating prescriptions in only 30 seconds and delivering them via Email, WhatsApp or SMS, along with consultations with medical professionals through chat or video.

EasyClinic also utilizes AI to generate prescriptions and notes and send appointment reminders. In addition, the platform provides AI-powered diagnostic services based on the patient’s history and general symptoms.

Daktari Smart Program in Kenya

Launched in November 2021, the Daktari Smart Program utilizes telemedicine to provide specialized care to children in Kenya. This program allows Gertrude Children’s Hospital Specialists to connect with health care providers at rural facilities in Africa, allowing them to evaluate patients more accurately using telemedicine services.

The online connection also increased education for local providers and health care volunteers in more rural areas. In addition, the platform can operate at a low bandwidth, between 512Kbps to 2Mbps, ensuring the services are reliable even in rural areas with poor internet service.

Thus far, the program has provided free health care services to more than 32,400 children in Kenya, saving them time and money. This has also created more jobs for health care employees, increasing rural facility staff by 300 workers. The program has also trained more than 300 volunteers throughout Kenya’s rural communities, improving health care access for many.

Rocket Health in Uganda

Founded in 2012, Rocket Health is Uganda’s most-used telemedicine app, providing full service to more than 25,000 patients. To ensure primary care is more affordable and accessible for all Ugandans, the startup focuses on 24/7 online consultations, medication delivery and the collection of laboratory samples from patients’ homes.

Rocket Health is also introducing a new AI diagnostics feature that would allow doctors to quickly run patients through a set of questions to help them identify diseases faster. The AI service can identify up to 90% of medical conditions in combination with telephone assessments and remote lab tests. Online consultations have skyrocketed during and after the COVID-19 pandemic, with Rocket Health providing more than 400,000 online consultations.

Conclusion

Telemedicine platforms like EasyClinic, the Daktari Smart Program and Rocket Health are transforming how health care is accessed and delivered across rural regions in sub-Saharan Africa. In areas where health care systems and workers are overwhelmed, these digital solutions provide a virtual bridge between underserved populations and life-saving health services. By combining mobile technology with AI, diagnoses are often delivered faster and more accurate, allowing for even more patients to be assessed.

For rural communities that have long been excluded from equitable health care, these technology innovations are more than convenient; they are essential. As the sub-Saharan region continues to face systemic health challenges, telemedicine stands out as a key tool for closing the health care gap in the most remote and vulnerable communities in Africa.

– Grace Johnson

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

Photo: Pexels

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Trachoma in Burundi: How Burundi Beat Trachoma

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

The Impact of Trachoma

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

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

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

Progress Over Time

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

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

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

Final Remarks

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

– Cayle Harrison

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

Photo: Flickr

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USAID Programs in Côte d’Ivoire

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

Health Initiatives in Côte d’Ivoire

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

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

Promoting Peace & Education Côte d’Ivoire

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

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

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

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

Political Transition & Inclusion in Côte d’Ivoire

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

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

Final Thoughts

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

– Aedan Bingham

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

Photo: Flickr