Archive for category: Health

Information and stories on health topics.

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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

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Chagas Disease in Bolivia: A Public Health Crisis in Rural Areas

Chagas Disease in Bolivia: A Public Health Crisis in Rural Areas Bolivia is a landlocked country in South America, bordered by Brazil to the north and east, Paraguay and Argentina to the south and Chile and Peru to the west. With a population of more than 12 million people, Bolivia is one of the most culturally diverse nations on the continent, home to numerous Indigenous groups. Politically, it is a presidential republic and around 78% of its population identifies as Roman Catholic. Despite progress in democratization and economic development, Bolivia still grapples with poverty, limited access to health care in rural areas and stark regional inequalities.

When it comes to public health, Bolivia faces a unique and often overlooked challenge: Chagas disease. Caused by a parasite transmitted by blood-sucking insects, this tropical disease has quietly affected hundreds of thousands, particularly in impoverished, rural communities. Bolivia has one of the highest rates of Chagas infection in the world, making it both a public health burden and a social justice issue. This article explores the reality of Chagas disease in Bolivia and the ongoing efforts to fight it.

Chagas Disease in Bolivia

Chagas disease in Bolivia, caused by the parasite Trypanosoma cruzi, continues to pose a serious public health challenge across Latin America and Bolivia remains one of the most affected countries. The disease is widespread across Bolivia, with seven out of the country’s nine departments considered endemic, regardless of altitude. Although major international health efforts, especially those targeting insect vectors and the safety of blood transfusions, have led to a significant decline in infection rates over the past two decades, the burden is still considerable.

By 2005, Bolivia reported around 620,000 cases of infection, down from more than a million in the mid-1980s. Before large-scale control efforts began in 2000, infection rates in Bolivia were alarmingly high, with 90% of adults infected. In 2025, approximately 80% of Bolivian territory is considered endemic. Despite progress, health authorities still diagnose more than 10,000 new cases each year.

The Knowledge of Citizens

People living in rural parts of Bolivia are much more familiar with the insect that spreads Chagas disease. In many rural communities, more than 80% of people could easily recognize the vinchuca, a blood-sucking bug responsible for spreading the parasite. In contrast, only about half of the residents in cities like La Paz and around two-thirds in Santa Cruz were able to identify it correctly. Many rural communities know when it’s most active—often during hot and dry weather—and describe how it enters homes from nearby forests or hides near animal shelters. Locals also talk about its nighttime activity and blood-feeding habits. Interestingly, some communities have noticed a decline in the number of vinchucas in recent years, though the threat is still very real.

Fighting the Illness

Since 2015, Médecins Sans Frontières has been working with Bolivia’s Ministry of Health to improve care for Chagas disease, especially in remote rural areas. One of its most innovative efforts is eMOCHA, a mobile system that allows people to report sightings of triatomine bugs (vinchucas) via free SMS messages. The system uses GPS technology to send technicians directly to affected homes for fumigation and follow-up. Previously, this process could take up to a month—now it happens within days. The pilot project in Narciso Campero Province has shown promising results and may be expanded nationwide or adapted for tracking other diseases.

MSF has also provided training to rural health centers, donated medical supplies like electrocardiography devices and rapid tests and helped treat hundreds of Chagas patients in areas like Monteagudo. Its model suggests that it’s possible to deliver diagnosis and treatment at the primary care level—even in Bolivia’s most remote communities. MSF is now working on a comprehensive manual, in partnership with the Ministry of Health, to help scale the program to other endemic regions.

Looking Ahead

While often overlooked, Chagas disease remains a daily reality for many Bolivians—especially those in rural areas. With the impact of community knowledge, international support and smart technology, progress is underway. However, the road to full disease control remains long and sustained investment is essential.

– Julia Skowrońska

Julia is based in Wrocław, Poland and focuses on Global Health for The Borgen Project.

Photo: Flickr

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The Years-Long Struggle of Cancer Patients in Gaza

Cancer Patients in GazaIn 2021, cancer was one of the leading causes of death in Palestine. Its mortality rate was higher in the Gaza Strip than in the West Bank, whose population exceeds that of the Strip by a million people. The Gaza Strip is flanked by the Rafah crossing at the far south, bordering Egypt and the Beit-Hanoun crossing up north, bordering Israel across 365km². After the Israeli blockade in 2007, the economy and health care took a severe blow and the movement of people, medicine and food shipments in and out of the Gaza Strip has been severely restricted.

Patients seeking treatment in the West Bank or East Jerusalem have been vulnerable to the continuous shutting of both crossings as well as arbitrary travel permit approvals. A weak health care system coupled with strict travel guidelines has made life impossible for cancer patients in Gaza far before the current conflict.

Incidence of Cancer in the Gaza Strip

Cancer is a widespread disease among Gazan civilians. Between 2014 and 2018, 8,326 cases were recorded. The most common types were breast cancer (18%), colon cancer (10.7%), lung cancer (11.4%), leukemia (9.1%), lymphoma (7.9%), prostate cancer (7.7%), bladder cancer (6.3%), brain cancer (5.3%), stomach cancer (3.2%), pancreatic cancer (2.5%) and kidney cancer (2.2%).

Women accounted for 10% more cases than men. For women, the most common type was breast cancer; for men, it was colon cancer. Among the 620 child cases reported, Leukemia was the most prevalent.

Health Care Access Restrictions

Many patients with various illnesses are referred outside Gaza to the West Bank, East Jerusalem and Jordan for specialized treatment. In 2019, the Palestinian Center for Human Rights (PCHR) statewide reported that the number of medical cases referred for specialized treatment was 26,855 cases, with 6,352 children. Gaza City recorded the highest referral rate, accounting for 46% of all cases across the Strip. However, exiting Gaza, even for medical care, is extremely difficult.

Due to the 18-year blockade, civilians must apply for a permit to cross through the Beit Hanoun (Erez) checkpoint far north of the Strip. Israel completely dictates the approval of the permits and the decisions are arbitrary, with some licenses approved after being rejected and others delayed or even dismissed without proper explanation. The delays can be life-threatening, especially for urgent cases; 8.8% of patients succumbed to their illness six months after they applied for their permit. Israel has also been inconsistent throughout the years; in 2012, the acceptance rate was 94%; in 2017, it dropped to 54%; from 2019 to 2021, it reached 65%, regardless of the urgency of the medical case.

The approval of the permits could depend on gender, age and condition; men aged 40 and below and patients with urological conditions have the lowest approval rates, respectively 47% and 44%. Children are the most vulnerable as they require a legal guardian to accompany them, which requires extra approval. From 2019 to 2021, 54% of parents who applied for a permit did not receive the approval in time for their child’s hospital appointment and neither parent didn’t accompany 32% of children. This is due to the rejection of the parent’s permit and the non-application of the parent to be a companion.

Post-War Circumstances

Before the ongoing crisis, the health care system in Gaza was already lacking proper supplies for cancer patients, hence the need for referral. The constant bombing, lack of fuel, medical supply shortages, insufficient staff and the targeting of hospitals and health care workers have shot the struggle of cancer patients in Gaza to unfathomable heights. The Turkish Palestinian Friendship Hospital was the only hospital in the strip specializing in oncology. However, it was forced to close within the first month of the Israeli attacks on Gaza; 12 cancer patients died within 10 days of its closure.

By May 2025, 94% of Gaza’s hospitals were damaged or destroyed, leaving only 19 operating for more than two million people. Seven of them only offer basic emergency care. Northern Gaza struggles the most as the civilians residing there have practically no access to health care. Leaving the strip is more impossible than ever. On top of the rejection of referral permits, Gazan citizens have to pay the Egyptian travel agency (Hala) $2,500 for a child and $5,000 for an adult to cross the Rafah border leading to Egypt, which is equivalent to more than fourfold the average Gazan’s yearly income.

The situation worsened after the border closed on March 2, blocking life-saving medicine, food shipments and fuel from entering the Strip for over four months. With a surge in critically wounded patients and the total collapse of the health system, hospital occupancy has soared beyond 200%. Meanwhile, 2,000 cancer patients in Gaza are being overlooked, as their conditions are deemed non-urgent.

Conclusion

Cancer patients in Gaza have suffered from more than their illness. Due to the 18-year-long siege on the Strip, many have lost their lives before accessing proper care. The current war has only accentuated their struggle as the collapsing health care system, influx of casualties and incessant bombings and evacuation orders on hospitals have deprived them of life-saving medical attention.

– Yasmine Belabed

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

Photo: Pixabay

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Organizations Advancing Disease Prevention in Serbia

Disease Prevention in SerbiaSerbia, a country in the Western Balkans between Southeastern and Central Europe, faces many diseases. It is suffering from the dual burden of communicable and noncommunicable illnesses to the growing threat of antibiotic-resistant bacteria spreading across Europe. Health organizations are working relentlessly to strengthen disease prevention efforts in Serbia.

European Center for Disease Prevention and Control

Over the past few months, the European Center for Disease Prevention and Control (ECDC) has visited Serbia. It aims to better understand the strengths and weaknesses of Serbia’s handling of communicable diseases, antimicrobial resistance (AMR) or antibiotic-resistant bacteria.

AMR is a major global concern as antibiotic use continues. Within the European Union (EU) alone, 35,000 people die each year from antimicrobial-resistant bacteria. The visits by ECDC experts ensure that roadmaps can be produced to follow AMR trends across the country, focusing on important sectors such as public safety, human and animal health.

The ECDC organized these visits using a “One Health” approach. The approach is a collaborative, multi-sectoral goal to achieve positive health for humans, animals and the environment, recognizing that the health of these three groups is interconnected. Using the approach, the EU hopes to increase disease prevention in Serbia and throughout Europe.

In addition to supporting the One Health initiative, the ECDC visited Serbia to help strengthen the surveillance of communicable diseases. On March 18, 2025, the agency released a report on its visit outlining several key recommendations:

  • Case definition revision. Revise case definitions within Europe’s most recent legal framework to understand “notifiable” diseases at the EU level in 2025.
  • Decrease surveillance burden for data providers. An automatic “integration of clinical and laboratory data” will decrease the chance of error within the system.
  • Improve notification timelines. Hold more meetings with stakeholders to collect overviews of notifications, which will aid in the surveillance of diseases.

The World Bank Group

The World Bank Group began a Noncommunicable Disease Prevention and Control Project for Serbia to aid in improving the Serbian health system. Efforts within the project include five main goals:

  • Improving the competence of providers.
  • Increasing accessibility to services.
  • Strengthening clinical and public health services.
  • Supporting project management, monitoring and assessment.
  • Improve government response in cases of emergency.

The World Bank Group initiated the project in December 2024. Efforts in the project are primarily focused on health facilities and construction, with a secondary focus on health and a tertiary focus on public administration. While the completion ratings and results have yet to be reported, the World Bank Group has reported “satisfactory” reviews for its management and progress in achieving the project goals.

Conclusion

The initiatives taken by groups like the ECDC and the World Bank Group are the first but the most important steps in securing a healthy future for the people in Serbia and worldwide. Suppose projects like the One Health approach improve Serbia’s prevention and control of disease. In that case, the broader application of this method can improve health systems in other developing countries.

– Matthew Perduk

Matthew is based in Chantilly, VA, USA and focuses on Good News and Global Health for The Borgen Project.

Photo: Flickr