Archive for category: Health

Information and stories on health topics.

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HIV/AIDS in Estonia

HIV/AIDS in EstoniaAuthorities reported the first HIV/AIDS case in Estonia in 1988. Since then, the number of people with HIV/AIDS in Estonia has decreased, but the country is still making progress.      

What Is HIV/AIDS?

HIV/AIDs is a virus that attacks a person’s immune system and weakens it, leading to an increased number and severity of infections. People can get HIV/AIDS by having sex with someone who has it and is not receiving proper medical treatment, or by sharing needles and other drug injection equipment with someone who has HIV/AIDS and is not receiving proper medical treatment.      

Without proper treatment, HIV leads to AIDS. Without treatment, someone with AIDS lives about three years. While there is no cure for HIV, people can get antiretroviral therapy, sometimes called ART. With ART, people with HIV can live long, happy lives.      

HIV/AIDS in Estonia

Most new HIV diagnoses in Estonia are in people over the age of 40. Authorities reported that more than half of the new cases of HIV/AIDS in Estonia in people who originally came from outside the country. As of 2023, most of the people who got HIV in Estonia contracted it from heterosexual sex (sex between a woman and a man).     

The capital city of Tallinn and North-Eastern Estonia report the majority of new cases. These areas also have the highest rate of people injecting drugs in the country.      

Treatment and Prevention of HIV/AIDS in Estonia

In 1987, Estonia started biological surveillance of HIV/AIDS. The government developed and adopted the first National Program for AIDS Prevention in 1992. Since then, the government has made improvements in the prevention and treatment of HIV/AIDS in Estonia.    

Since 2016, health care institutions provide free HIV testing, and pharmacies sell home HIV tests. Then, since 2017, family doctors in Estonia have had an unlimited budget for HIV testing. This has paid off as the number of people tested has increased since the 2000s.       

Cases of HIV/AIDS have decreased across the country. Particularly among young people. In 2001, there were 560 cases of HIV diagnosed in 15 to 19-year-olds. By 2016, doctors diagnosed only three cases among that age group.

A program of sex education that includes information about HIV/AIDS has been implemented in Estonian schools. The county has also launched multiple media campaigns focused on prompting the use of condoms and HIV testing.       

Poverty and HIV/AIDS can form a vicious cycle. Someone living in poverty is more likely to get HIV than someone who is not. The high cost of treatment can then further increase poverty. By having HIV testing be free, Estonia has addressed this problem.

Looking Ahead

The Estonian government and health organizations need to scale up HIV/AIDS testing and target it more effectively to vulnerable populations, such as sex workers and drug users. There is also a lack of proper preventative equipment, such as condoms and clean needles, within certain prisons in Estonia. However, with continued efforts to treat and prevent HIV/AIDS in Estonia, hopefully, it can become a thing of the past.

– Axtin Bullock 

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

Photo: Unsplash

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5 Ways M-TIBA Kenya Transforms Health Care

5 Ways M-TIBA Kenya Transforms Health Care for Low-Income Communities In Kenya, high out-of-pocket costs and limited insurance coverage continue to make health care unaffordable for millions. But a mobile platform called M-TIBA is changing that by helping users save, manage and spend health funds directly from their phones. Through partnerships with government programs, nongovernmental organizations (NGOs) and local providers, M-TIBA Kenya has become a model for digital health financing in lower-income settings. 

5 Ways M-TIBA Kenya Transforms Health Care

  1. Mobile Health Wallet for Everyday Use. The development of M-TIBA happened through a partnership between Safaricom, CarePay and the PharmAccess Foundation. It functions as a mobile health wallet, allowing users to save funds specifically for medical expenses. Accessible through even basic mobile phones, the platform helps individuals make payments at nearly 5,000 health care providers, hospitals and pharmacies across Kenya. Users can receive funds from relatives, employers or NGOs and use them to pay for consultations, tests, prescriptions or treatment. The wallet ensures transparency and prevents misuse by restricting the funds for health care only.
  2. Widening Reach Through Public Programs. The Kenyan government and the National Health Insurance Fund have integrated M-TIBA into local health initiatives. In Kisumu County, a pilot program helped more than 270,000 households enroll in community-based health coverage, providing access to maternal care, immunizations and chronic disease management. By digitizing enrollment and payment systems, the platform improves efficiency and reduces paperwork for both patients and clinics. These programs often include subsidies deposited directly into M-TIBA wallets, removing financial barriers to care.
  3. Community Support from NGOs. Organizations like Amref Health Africa have played a critical role in making M-TIBA accessible to underserved populations. Amref supports the initiative by training community health workers to teach families how to use the platform. They also run awareness campaigns to promote health savings and encourage regular medical visits. In areas where digital literacy is low, NGOs have helped distribute phones to trained volunteers, who assist residents with registration, deposits and navigation of health services.
  4. Faster Claims and Transparent Spending. In 2024 and early 2025, M‑TIBA introduced AI-driven processes for claims review and approvals. As of April 2024, the system began auto-processing 40% of claims, cutting approval times to less than 12 hours. By September 2024, approval times dropped by 95% due to automation and real-time analytics. As of February 2025, industry leaders gathered at the Digital Pulse CEO Roundtable in Nairobi acknowledged that AI integration shortened payment cycles by up to 95% and reduced health care costs by as much as 15%.
  5. Building Toward Universal Health Coverage. With more than 4.8 million users, M-TIBA has become a key part of Kenya’s progress toward universal health care. While challenges remain—especially in remote areas lacking mobile coverage or financial access—the platform continues to expand. 

Looking Ahead

M-TIBA Kenya demonstrates how mobile technology, when supported by government and nonprofit partners, can bridge gaps in health access. Furthermore, it can empower individuals to manage their own care. The continued rollout of AI, combined with strong public‑private‑community partnerships, positions M‑TIBA as a key player in Kenya’s push for universal health coverage. The scaling of digital health wallets offers a replicable model for other lower‑income countries seeking to close care gaps and empower individuals to manage their health funds effectively.

– Hayden Chedid

Hayden is based in Parker, CO, USA and focuses on Technology and Global Health for The Borgen Project.

Photo: Flickr

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Health Care System in Turkey

Health Care System in TurkeyTurkey has made big changes to its health care system over the past two decades. Once floundering with access to medicine and infrastructure, the country boasts near-universal content, high-performing megacity hospitals and medical tourism. However, recent dishonors and public health challenges suggest its success story is still evolving. The backbone of Turkey’s health care reform is the General Health Insurance Scheme (Genel Sağlık Sigortası), introduced as part of the administration’s Health Transformation Program in 2003.

Backed by the Social Security Institution (SGK), the scheme now covers nearly 97% of the population, offering access to public and private providers. The country has a mixed public-private model, with more than 870 public hospitals, 571 private hospitals and 68 university hospitals as of 2022. According to the Organisation for Economic Co-operation and Development (OECD) reports, Turkey spends around 6.3% of its gross domestic product on health, well below the OECD normal of 9.3%, but still achieves good results. Life expectancy has reached nearly 79 times and under 5 years old mortality has fallen by 88% between 1990 and 2021.

Growing Pains

Despite these achievements, systemic problems remain. Turkey faces indigenous differences in child mortality and access to health care, according to the World Health Organization (WHO). There are also growing concerns about high levels of antibiotic use, air pollution and rising rates of rotundity and diabetes, which now affect around 13% to 17% of people in the country.

Turkey is also a world leader in medical tourism, attracting cases from Europe and the Middle East with affordable dentistry, ornamental surgery and hair transplants. Turkey is also a world leader in medical tourism, attracting cases from Europe and the Middle East with affordable dentistry, ornamental surgery and hair transplants. The government-backed USHAŞ (International Health Services Inc.) agency has helped promote these services worldwide. At the same time, numerous hospitals retain Joint Commission International delegations.

However, confidence in the health care system was shaken after serious allegations of fraud and price fleecing in neonatal ferocious care units surfaced. Several croakers and nurses are under investigation and several private conventions have been closed after babies were allegedly transferred from one sanitarium to another to inflate insurance claims.

Following this incident, all private hospitals in Turkey were required to obtain accreditation from the Turkish Health Care Quality and Accreditation Institute (TÜSKA) starting January 2025. A total of 58 standards and 244 criteria will be enforced and hospitals seeking accreditation must report their compliance in detail. While health care system in Turkey has made significant progress in coverage, infrastructure and innovation, it now faces the challenge of maintaining quality and integrity amid rising demand and increased ethical scrutiny.

Looking Forward

Turkey has taken decisive steps to rebuild trust and strengthen oversight in response to recent setbacks. The introduction of mandatory TÜSKA accreditation marks a serious push toward greater transparency and accountability in private care. The Health Ministry has also increased digital monitoring of insurance claims and expanded training for hospital staff. Meanwhile, investments continue in public health infrastructure, with new city hospitals opening and e-health services expanding. These moves show Turkey’s commitment to safeguarding the gains of its health care reform while adapting to new challenges.

– Ksenia Potaturina

Ksenia is based in Antalya, Turkey and focuses on Global Health for The Borgen Project.

Photo: Freepik

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FIAFED: Uplifting Women and Communities in the DRC

FIAFED: Uplifting Women and Communities in the DRCFilles d’aujourd’hui, Femmes de demain (Girls of today, women of tomorrow), or FIAFED  – a simple message and name, but one that carries a great deal of importance in the modern-day Congo. FIAFED was founded in 2000 by Iréne Masanagu Kayembe and is based out of the former Katanga Province – now the provinces of Tanganiyka, Haut-Lomami, Lualaba and Haut-Katanga. The organization has worked tirelessly to provide direct medical aid, schooling and vocational training to communities that require these services most.

Health Care Initiatives

In 2008, FIAFED opened Centre De Santé Moïse K. to serve the rural village of Bungu Bungu and neighboring communities. The Centre has treated thousands of individuals for malaria, malnutrition, cholera and a number of other conditions and diseases which would have otherwise ravaged local populations. Around two years later, the organization decided to open a maternity clinic in the area as well, the Maternité Robert Levi, which has recorded hundreds of deliveries and provided further relief to Bungu Bungu and many adjacent communities. 

FIAFED additionally acted as an “initiator and mobilizer of funds” for the construction and operation of Centre De Santé Prince Pascal K., a medical facility which provides clinical care similar to the organization’s first-built health center. It also expanded its services to include maternal care. Speaking on FIAFED’s mission after the construction of the clinic, Mrs. Kayembe let Radio Okapi know that, “In Djino, there was no clinic. We thought of Djino, Ndea and Katutu. Because there are many cases of malaria and typhoid fever, poorly treated or never treated at all.”

Though not involved directly, the organization is also a major benefactor of Centre De Santé Uchungu Wa Muzazi, which provides clinical and maternal care for the commune city of Katuba, located within Lubumbashi – The DRC’s ‘second city.’ Such efforts suggest that FIAFED works not only to support rural communities but also urban ones, which face their own unique struggles when attempting to access medical care. 

Expanding Access to Education

Beyond providing direct medical aid to underserved communities, FIAFED also works to provide stable education to children who lack proper access to schooling, opening two primary schools and acting as a pillar of support for a distinguished local girls’ boarding school. C.S. Les Huit Colombes – also located in Bungu Bungu – was the organization’s first ever construction project and brought schooling to a region which was in dire need of it. Of the region’s 5,000 inhabitants at the time of construction, 80% of children were unable to access proper schooling and most had to walk more than 10 kilometers a day to get to class.  

In 2010, FIAFED opened E.P. Princesse Onda Onda Numbi in the Kabalo Territory, located within the Taganiyka Province. Here the work has centered around the education of girls in the region, with the organization’s website stating that, “The objective of the establishment of the [school] is to encourage girls to study more and thus fight against early marriage … and other kinds of evils which discourage girls from pursuing their studies.” FIAFED has also long been a dedicated patron of Lycée Lubusha, one of the most renowned girls’ boarding schools in the DRC, located within a mining town roughly 80 km from Lubumbashi. Despite the school’s status, it has been in danger of demolition and disruption for quite some time due to surrounding mining efforts.

Vocational Training and Social Support

Beyond schooling, FIAFED also understands the importance of training and caring for acutely disadvantaged individuals who may not have the ability or time to pursue proper schooling. In 2006, it opened the Coupe Et Couture Centre De Formation, to care for and provide vocational training to “Single mothers, orphans, widows and other disadvantaged women.” The training center has provided cutting and sewing training to hundreds of women and orphans in Kinshasa, the capital of the DRC. 

This was followed up four years later with the opening of the Foyer Social Elizabeth Kayembe, a social home and training center in the Kabalo Territory for disadvantaged women, especially those who have experienced sexual violence. The home gives these women a place to rehabilitate their confidence, often torn apart by the world around them. It also provides a litany of vocational and general life training, in an effort to prepare women as they work to re-enter their communities. 

Lasting Impact in the DRC

Working tirelessly for more than 20 years, FIAFED has managed to teach thousands of pupils in their schools, deliver thousands of children at their maternity clinics, treat tens of thousands of patients at their health clinics and assist hundreds of orphans and disadvantaged women at their social care centers. An impact that has yet to gain international attention.

– Alex Degterev

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

Photo: Flickr

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Midwife Training Reduces Maternal Mortality in South Sudan

Maternal Mortality in South SudanSouth Sudan has the highest maternal mortality rate in the world. Today, approximately 1,200 mothers die per 100,000 births, according to the World Health Organization (WHO). Lack of obstetric training, low rates of hospital deliveries and premature pregnancies are driving factors in this outcome.

A 2017 estimate claimed that health care professionals are only present in one of five childbirths in South Sudan. The majority of South Sudanese mothers give birth in unsanitary and isolated conditions. Forced marriage and adolescent pregnancies are common. A girl in South Sudan is more likely to die of childbirth than finish secondary school. However, maternal health improvement has occurred in the recent decade.

While mortality rates are still high, recent years have shown a decrease: from 2,054 maternal deaths per 100,000 births in 2010 to 1,223 deaths per 100,000 births in 2020. A massive reason for the past decade’s reduction of maternal mortality in South Sudan is an increase in trained midwives.

Hope for South Sudanese Mothers: A Midwife Training Institute

In 2010, the Sudan Relief Fund partnered with Solidarity for South Sudan to support establishing the Catholic Health Training Institute (CHTI). This institute trains young South Sudanese to become certified midwives and nurses in Wau, South Sudan. Its goal is to provide necessary health care to women in need, ultimately reducing the startling rate of maternal mortality in South Sudan.

The institute began with 18 inaugural students but has five times the enrollment today. Notably, one-third of the institute’s students are women. This is a remarkable statistic considering the educational gender gap in South Sudan. The institute serves as a temporary home for its students, providing them with dormitory housing and land to cultivate for the institute’s collective food service. Attending students come from various regions and tribal groups with a shared goal of reducing maternal mortality in South Sudan.

Education

Midwife certification requires a rigorous, 3-year education at Wau’s CHTI. National and foreign medical personnel work together to operate CHTI education. After passing an entrance exam, students are taken through thorough academic study. Students attend lectures and classroom lessons for the entire first year of their program.

Second-year students are taken to hospital facilities to practice hands-on skills such as maternal examinations, IV and immunization insertion and emergency skills like infant rehabilitation. In their third year of study, students are provided internships at Wau Teaching Hospital. Midwifery students will spend time focusing on antenatal care (ANC), learning to care for mothers throughout pregnancy and delivery.

First aid training and disease prevention education are also services provided to CHTI students. Meticulous training prepares CHTI students to impact maternal mortality in South Sudan positively.

Certification

As a result of its excellent education, CHTI renders certified and passionate health care professionals. Since its founding in 2010, the program has educated students to earn their Diploma in Nursing (RN). In 2012, a second certification was added, allowing students to receive a Diploma in Midwifery (RM). CHTI was labeled as the top-performing school of nursing and midwifery in the 2024 National Examination by the South Sudan Ministry of Health. CHTI graduates are among the nation’s first certified midwives, a massive step toward the reduction of maternal mortality in South Sudan. 

Hope for Maternal Health Improvement in South Sudan

Prior to the CHTI’s establishment, the nation only had 10 obstetricians and four pediatricians in total, according to the 2010 issue of the South Sudan Medical Journal. A decade of midwife training has produced more than 350 CHTI graduates. About 85% of the institute’s graduates are currently employed in local hospitals and NGOs.

With a certification in nursing and midwifery, CHTI graduates utilize their skills to aid mothers in safe pregnancy and delivery. Additionally, women are increasing in the institute’s enrollment, a factor further improving health outcomes for female patients. At the program’s graduation, students are ceremonially labeled as “beacons of hope” for their communities.

With organizations like the Sudan Relief Fund and Solidarity with Sudan’s support, CHTI is able to run amid conflict and crisis, encouraging mass reduction of maternal mortality in South Sudan.

– Helen Cusick

Helen is based in Minneapolis, MN, USA and focuses on Good News and Global Health for The Borgen Project.

Photo: Flickr

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Everything You Need to Know About Poverty in Mozambique

Poverty in MozambiqueMozambique, situated in southeastern Africa, is endowed with a wealth of natural resources including extensive mineral deposits, fertile land and a coastline rich in fisheries. Despite this, the nation faces a multifaceted crisis of poverty that affects nearly three-quarters of its population. This troubling statistic underscores the dissonance between the country’s economic potential and the persistent structural and social barriers impeding progress. Mozambique’s development paradox presents a crucial case study in post-colonial economic transformation and resilience.

Historical Foundations of Poverty

Understanding poverty in Mozambique requires a historical lens. Portuguese colonialism, which lasted until 1975, focused primarily on extractive industries and left behind an economy devoid of inclusive infrastructure and educational foundations. After achieving independence, Mozambique plunged into a 15-year civil war, from 1977 to 1992, that devastated the nation’s institutional and economic frameworks. The conflict displaced millions, destroyed public services, and halted the creation of a cohesive national economy. The state emerged from the war with limited governance capacity, inadequate administrative reach and minimal investment in human development. These foundational deficits continue to shape the country’s developmental trajectory today.

Healthcare Access and Challenges

In the post-conflict era, Mozambique has struggled to establish a robust social support system capable of addressing widespread deprivation. The healthcare system remains deeply under-resourced, with vast rural regions experiencing severe shortages of personnel, medications and infrastructure. Fewer than half of all Mozambicans have access to consistent medical care, a situation that contributes to high rates of preventable diseases such as malaria, HIV/AIDS and tuberculosis. These conditions are especially severe in remote areas, where logistical challenges and resource constraints hamper public health initiatives. Urban centers, while marginally better equipped, still face frequent shortages and systemic inefficiencies that degrade care quality.

Barriers to Education

Parallel to the healthcare crisis is a deeply flawed education sector. Only a fraction of children complete primary school, and even fewer proceed to secondary or higher education. Schools often lack basic amenities, textbooks and qualified educators. The cost of uniforms, supplies and transportation further alienates impoverished families from educational opportunities. Moreover, the absence of targeted programs for girls and vulnerable populations exacerbates existing inequalities, creating cyclical disadvantages that span generations. Education is not merely a tool for individual advancement; in Mozambique, it remains a cornerstone yet to be fully constructed.

Environmental Instability and Agricultural Disruption

Environmental instability compounds Mozambique’s challenges. The country is acutely vulnerable to changing weather patters and experiences frequent natural disasters. In 2019, Cyclones Idai and Kenneth devastated the central and northern regions, resulting in widespread infrastructural collapse, agricultural ruin and humanitarian emergencies. These disasters displaced more than 2 million people and caused billions in economic losses. Annual floods and prolonged droughts further disrupt subsistence farming, upon which the majority of the population relies. The volatility of weather patterns presents a constant threat to food security and economic stability, particularly in rural communities with limited coping mechanisms.

Development Efforts and International Support

Nonetheless, there are glimmers of progress driven by collaborative development efforts. The World Bank’s Integrated Agriculture and Landscape Management Project, launched in 2017, has trained more than 100,000 smallholder farmers in climate-resilient practices, improving yields and ecological sustainability. By incorporating market linkages and conservation strategies, the program addresses both economic and environmental vulnerabilities. UNICEF has also made strides in improving educational and sanitation infrastructure. Its programs have facilitated access to clean water, distributed school supplies and implemented teacher training modules that aim to elevate education standards nationwide.

Strategies for Sustainable Growth

To achieve sustained poverty reduction, Mozambique must deepen institutional reform and expand access to essential services. In agriculture, this means scaling up irrigation networks, investing in value-added processing industries and improving transportation infrastructure to connect rural producers to urban markets. In health, comprehensive strategies including mobile clinics, expanded vaccination programs and rural hospital construction are critical. For education, policy must prioritize tuition-free schooling, inclusive curriculum design, and incentives for teachers to serve in under-resourced areas. Multidisciplinary approaches that integrate gender equity and digital inclusion are especially vital in fostering long-term resilience.

The Role of International Cooperation

Furthermore, Mozambique’s development hinges on regional cooperation and foreign investment rooted in equity and sustainability. Engagement with international partners must prioritize capacity building and local ownership of development initiatives. The country also stands to benefit from South-South Cooperation models that allow for knowledge transfer among similarly situated nations. Donor alignment, transparency in governance and civic engagement are essential pillars for ensuring that aid translates into transformative impact.

Looking Ahead

Ultimately, poverty in Mozambique is not a static condition but a dynamic challenge that history, policy, environment and global economics influence. With continued commitment to inclusive development, the nation has the opportunity to reimagine its socioeconomic trajectory. If Mozambique’s public and private sectors work in concert with international allies, the country could significantly reduce poverty, advance equity and build a more resilient future within a generation.

– Joseph Hasty

Joseph is based in Winter Park, FL, USA and focuses on Global Health for The Borgen Project.

Photo: Flickr

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Solar-Powered Refrigeration in Haiti is Changing Vaccines

Solar-Powered Refrigeration in HaitiVaccine access has been crucial in Haiti’s fight against infectious diseases. Despite this, recurring conflict and political instability have limited the effectiveness of the national health care system. Health services remain difficult to reach, particularly in rural areas, creating significant barriers to timely vaccination.

Additionally, many rural villages are hours away from the nearest hospital, making vaccination difficult for many. However, Haiti has seen many innovative solutions, such as mobile clinics, which are designed to help treat individuals displaced by the conflict plaguing Haiti. Another creative solution is solar-powered refrigeration in Haiti.

Electricity in Rural Haiti

Reliable vaccine storage requires continuous electricity to maintain appropriate temperatures. However, as of 2021, nearly 75% of Haitians lacked consistent access to electricity. While national figures showed improvement in 2022, with almost half the population having access, rural areas continued to lag significantly behind, with access rates as low as 2%.

Frequent power outages in rural communities cripple vaccine storage capabilities. Furthermore, it increases the risk of spoilage and jeopardizes immunization programs against diseases like measles, polio and diphtheria. The World Health Organization (WHO) estimates that cold chain failures contribute to vaccine wastage rates of up to 50% in low-resource settings like Haiti, further complicating efforts to control preventable diseases.

An Innovative Approach

To address this challenge, organizations have implemented solar-powered refrigerators across Haiti. According to UNICEF, solar refrigeration units, powered by solar panels and batteries, have helped maintain stable storage temperatures in areas without reliable electricity. By 2022, more than 900 solar-powered vaccine refrigerators had been installed in Haiti. This was accomplished through support from partners like Gavi, the Vaccine Alliance and the Global Environment Facility. These units enable consistent vaccine storage, reduce spoilage and ensure that essential immunizations can reach even the most remote communities. They’ve become the backbone of routine immunization efforts in many areas, especially during outbreaks and vaccination campaigns.

These solar fridges replaced older gas and kerosene-powered units, improving storage reliability and expanding immunization coverage. Data from the Inter-American Development Bank (IDB) show that immunization coverage increased from 73.6% in 2017 to 86% within one year of implementation in targeted areas. Additional funding from the Global Environment Facility and IDB helped scale this solution by equipping several villages with solar-powered systems alongside solar-powered refrigerators in Haiti.

The Sunny Impact

The impact of solar-powered refrigerators in Haiti has extended beyond just increasing vaccine coverage for Haiti. By reducing the need to travel long distances for vaccines, rural residents can stay within their communities, conserving time and improving local economic participation. Overall, solar-powered refrigerators in Haiti have equipped mobile clinics with the power to reduce barriers to vaccine resilience and have generally improved multiple communities.

The Future

Solar-powered refrigeration in Haiti represents the first step toward innovating health care across the region. Even so, these innovations have saved thousands of lives by enabling faster access to life-saving vaccinations. While it’s only the beginning, this solution highlights the dedication of organizations worldwide working to serve communities that truly need support.

– Kallen Zhou

Kallen is based in Hattiesburg, MS, USA and focuses on Technology and Global Health for The Borgen Project.

Photo: Wikimedia Commons

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Updates on SDG 3 in the Russian Federation

SDG 3 in the Russian FederationThe Russian Federation has long borne the burden of chronic diseases. More than 40% of citizens are living with two or more long term health conditions, which cause 86% of deaths in Russia. There are a number of systems addressing this systemic issue, including The Federal Research and Practical Center for Palliative Medical Care in Sechenov University. On June 5th, 2025, the World Health Organization (WHO) designated this center as a Collaborating Centre for Training in Palliative Care. This designation reflects Russia’s dedication to improving Sustainability Development Goal (SDG) 3, Good Health, by improving the quality and accessibility of palliative medical care in the Russian Federation.

What Is Palliative Care?

Palliative care aims to alleviate suffering and improve quality of life among people with serious illnesses. According to the Osteosarcoma Institute, palliative care involves understanding the symptoms and pain that come with an illness and then, working in collaboration with a medical team to focus on comfort. Examples of palliative care include treatment for terminal cancer patients, Alzheimer’s patients, hospice care and pain management.

How Does Palliative Care Affect Poverty?

Access to health care is so crucial in the fight against global poverty, but why palliative care? As the Osteosarcoma Institute states, palliative care is providing care to those with serious and long-term illnesses. The long-term care necessary for these illnesses can get expensive very quickly, and without accessible palliative care, many can find themselves staring down the barrel of poverty. Palliative care also provides stability to people with these illnesses, which allows them to retain work. Essentially, poverty and palliative care share many connections. If somebody lacks access to long term services, they can quickly find themselves in poverty. Below the poverty line, health care access is even less accessible. Therefore, increasing access to palliative care is an effective method to reduce the number of those living in poverty. 

The Center’s Mission and Objectives

Sechenov University organized The Federal Research and Practical Center for Palliative Medical Care in 2019 to develop the palliative medical care system in Russia. Specifically this institution aimed to bring better health care to Russian citizens. Article 36 of the Russian Constitution defines said health care as a social fundamental right. The Center itself focuses on the organizational side of the mission, by developing and implementing programs that will deliver this care to Russian citizens. By training medical personnel focused on palliative care, they are raising the quality of the health care industry across Russia. By bringing this program to Russia, they are ensuring more people have access to this long-term and expensive care. In doing so, they’re also reducing the presence of poverty. 

Global Implications

The Federal Research and Practical Center for Palliative Medical Care, located in Sechenov University, is a center that is establishing a new standard for medical care in Russia. However, its implications reach much farther than that. The center has long partnered with prestigious medical institutions such as Harvard University, Johns Hopkins University and Oxford University. In doing so, they are fostering a new culture in the health care industry and creating a global exchange of research, expertise and medical knowledge. These partnerships develop systems that provide quality palliative care to those in need across the globe. As a result, this institution is strengthening the quality of medical care that Russian citizens have access to. Furthermore, it is cultivating globally competent palliative care and reducing the presence of poverty world-wide.

Challenges on the Path Forward

While major steps have been made toward SDG 3 in the Russian Federation, good health does not come easy. The path to improvement holds a number of challenges: lack of financing, shortfall of medical personnel and distribution of medical care. Specifically, in recent years, as the aggression between Ukraine and Russia deepens, the Russian Federation has prioritized military spending. This leaves the medical industry without the funds they need to progress. As a result of this, there is a blatant shortfall of medical personnel in numerous regions. For example, the Center for Eastern Studies notes that Altai Krai requires more than 1,500 physicians and 1,200 mid-level practitioners.

Moscow, the nation’s capital and largest city, is more fortunate with financial and medical resources. This makes it a hotspot for medical treatment in Russia. Moscow citizens reap the benefits of specialized hospitals, medical professionals and major investments into health care infrastructure. However, those outside the major city receive severely inferior treatment. To work toward the United Nations SDG 3 in the Russian Federation, policymakers must address the uneven distribution of these necessary resources.

A Step Toward Better Care

The World Health Organization’s recent designation of the center as a WHO Collaborating Centre for Training in Palliative Care marks an important step in pursuit of SDG 3 in the Russian Federation. It is a symbol of medical progress in Russia and across the world. Its mere existence fosters global exchange of information that improves the palliative care industry exponentially. By addressing their shortfalls in funding, staffing and infrastructure and redistributing materials more equitably across the nation, the Russian Federation will only continue to propel the medical industry to progress and reduce poverty globally. It is the hope of this center that one day it will not be an isolated example of progress. Instead, it will serve as the national standard for palliative care.

– Caroline May

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

Photo: Pixabay

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5 Diseases in Hawaii

Diseases in HawaiiThough Hawaiians live next to lush nature and clear blue waters, they are vulnerable to several diseases. The state’s 21% shortage of physicians exacerbates their risk, according to the Hawaii Journal of Health & Social Welfare, and Hawaii has the third highest cost of living in the United States. Additionally, the population of 1.5 million people, 376,000 of whom are Native Hawaiians, is at the highest levels of poverty in Hawaii. These are five common diseases in Hawaii.

1. Leptospirosis

The first of the diseases in Hawaii is leptospirosis. This is a bacterial disease that commonly exists in warm climates; of the 100-200 cases identified in the United States, around 50% occur in Hawaii, as KHON2 reported. Leptospirosis can infect both humans and animals, and symptoms include fever, headaches, muscle aches, red eyes, vomiting and diarrhea. Most cases are mild, but extreme cases can cause both acute liver and kidney failure or even death if not treated. 

According to the Hawaii Department of Health (DOH), one of the most common ways people contract Leptospirosis is by swimming in bodies of fresh water such as ponds, rivers or streams; if the urine from an infected animal seeps into a body of freshwater, it an be contaminated, and the bacterium can enter through broken skin, the mouth, the nose or eyes. 

In 2023, Hawaii Pacific University received $50,000 to research how leptospirosis grows in Hawaii’s wetlands and fishponds. To stop the spread, recommendations are that people not swim in freshwater bodies of water, drink from freshwater bodies, keep animals from accessing catchment water-collection areas from tree branches, and vaccinate farm animals and pets. Antibiotics like doxycycline or penicillin can treat the disease.

2. Oral Cancers

According to the University of Hawaii Cancer Center, the rate of oral cancer in Hawaii is higher when compared to the rest of the United States. Early symptoms can include a bump or sore in the mouth that has not healed in two weeks, difficulty swallowing, numbness in your mouth or face or constant earaches, and the survival rate is only 50%, according to Hawaii News Now.

One of the theorized causes of these higher rates is betel nuts. As part of cultural practices in Asia and the Pacific Islands, it is meant to be chewed sometimes with either tobacco or lime, which research suggests can cause oral cancer, according to the National Institute of Health. 

Two organizations fighting oral cancer in Hawaii are the Oral Cancer Foundation (OCF) and the University of Hawai’i Cancer Center. OCF funds oral cancer research, like through their Oral Cancer Walk in Honolulu that raised more than $5,000 for oral cancer research, and connects people to free oral cancer screening events. At the University of Hawai’i Cancer Center, researchers have found new treatments for oral cancer survivors that include exercise. 

Experts encourage individuals experiencing early symptoms to get screened for oral cancer. Additionally, Oral and Maxillofacial Surgery Associates, Inc. recommends performing monthly self-examinations using a light and mirror to detect any unusual changes.

3. Legionellosis

Legionnaires’ disease and Pontiac fever are both referred to as Legionellosis. It is a disease caused by Legionella bacteria. While Pontiac fever is a milder infection similar to the flu, Legionnaires’ disease is a potentially deadly lung infection, according to the U.S. Department of Labor. Hawaii News Now reported that the bacteria can be found in plumbing systems, hot water tanks, water fountains and air conditioning systems. 

In recent years, there have been high-profile incidents of Legionella bacteria being found in water systems that serve a large number of people. In May 2022, the DOH confirmed five people were infected at a hotel in Waikiki. Then, in June 2024, Hawaii News Now reported legionella bacteria were discovered in the Prince Jonah Kuhio Kalanianaole federal building and courthouse in downtown Honolulu; around that same time, detectable levels of bacteria were found in six other federal buildings.

Though not specifically in Hawaii, there are organizations that provide education, conduct research and advocate among federal and state governments to prevent the spread of Legionellosis. These include Legionella.org and the Alliance to Prevent Legionnaires’ Diseases.

Those who are over the age of 50 or have a history of chronic lung disease, weakened immune system or cancer are at an increased risk of developing Legionnaires’ disease when exposed to Legionella bacteria. Symptoms of Legionnaires’ disease include cough, shortness of breath or fever.

4. Melanoma

The skin’s overexposure to ultraviolet radiation (UV rays) from the sun can cause melanoma, and since Hawaii receives so many UV rays, Hawaiians are often more vulnerable. In a study of melanoma cases due to UV radiation across the United States, nearly 97% came from Hawaii; this is according to a study that the International Journal of Cancer conducted. The study also found that 94% of all cases in the United States occurred in non-Hispanic whites.

Organizations in Hawaii work to educate the public on how to reduce the risk of melanoma. In 2021, the University of Hawaii Cancer Center partnered with the Hawaii Skin Cancer Coalition to educate the public on how to stay safe while in the sun. When the sun is brightest between 10 a.m. and 4 p.m., they recommend that you seek shade whenever possible. Additionally, they encouraged the use of UV-protecting clothes, sunglasses, and sunscreen above SPF 30 and reapplied every two hours.

Additionally, the American Cancer Society in Hawaii provides resources for those battling cancer in Hawaii. They provide both transportation to medical appointments, through the Road to Recovery Program, and housing for Hawaiians battling cancer at the T.C. Ching Hope Lodge.

5. Measles

Another of the diseases in Hawaii is measles. Measles is a highly infectious disease that causes pneumonia, brain inflammation and death; it is also highly contagious, especially in areas with low rates of vaccination. Symptoms can include high fever, cough, runny nose and red eyes that are watery.

According to the DOH, a laboratory confirmed in April that measles infected two people, one school-age child and one adult; this came as measles cases all around the United States rose to more than 1,200. Though almost 90 people were exposed, most were either vaccinated or immune; the DOH said it is important that people in Hawaii are vaccinated to prevent outbreaks.

Looking Ahead

Though some of the diseases in Hawaii listed above are present all over the United States, it is important to consider how vulnerable Hawaiians are to these diseases. Considering the rates of poverty and income inequality in the state, especially among Native Hawaiians, those who contract these diseases will have a far harder time affording treatment and care. This underscores the importance of nonprofit work in Hawaii that fights both common diseases and financial insecurity in Hawaii.

– Seth Pintar

Seth is based in San Diego, CA, USA and focuses on Business and Politics for The Borgen Project.

Photo: Unsplash

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Mpox in Burundi and Global Aid Efforts

Mpox in BurundiBurundi, a small land-locked country located in East Africa, is considered one of the most impoverished countries in the world. Burundi is home to 14 million people, with more than half of the population living on less than $2.15 daily. The reason for poverty lies in many circumstances, including a slew of civil wars and political instability, limited resources and a skyrocketing population. Over the past year, Burundi and its neighbors have faced a consequential Mpox (Clade I) outbreak.

While recent numbers suggest mpox infections are decreasing, Burundi still faces other deadly diseases and infections. The leading cause of death for people living in Burundi is lower respiratory infections, with malaria close behind at number two. Access to basic health care and infrastructure is a struggle many Burundi residents face. Nine out of 10 Burundians lack access to sufficient electricity and sanitation. Despite this, Mpox in Burundi is now on a slow declining rate with the help of global organizations.

Mpox (Clade I)

Burundi first declared the Mpox (Clade I) outbreak in July 2024. A few months prior, in April, Burundi suffered from severe flooding, which impacted nearly 250,000 people and left many more susceptible to pox. As of March 2025, there are more than 3,000 confirmed Mpox (Clade I) cases in Burundi. A multitude of factors, such as an overflowing population and restricted access to clean water and essential health care, initially caused Mpox in Burundi. This left many Burundi health care facilities overwhelmed and residents struggling to access necessary treatment.

During the peak of the Mpox outbreak in Burundi, infection rates in children rose substantially. In September 2024, UNICEF reported that in almost 600 cases, two-thirds of the affected population were children and the number of cases grew by more than 40% over the previous three weeks. This caused concern for many, as UNICEF reported that 80% of Mpox-related deaths are in children.

However, since 2025, there has been a noticeable decline in Mpox cases in Burundi. There are less than 50 new cases per week, which is around a 25% average decrease compared to case numbers during the peak of the Mpox outbreak. This accomplishment became possible due to the numerous organizations providing global aid to countries such as Burundi.

Global Aid Efforts

Health care in Burundi continues to face major challenges, particularly due to limited funding for the country’s health systems. In response, several organizations have developed targeted strategies to strengthen health care infrastructure and improve access. Here’s how some are helping residents in Burundi:

  • Village Health Works (VHW) launched the Halting Outbreaks by Mobilizing Essential (HOME) resources initiative in response to the Mpox outbreak. This initiative focuses on supporting women and children, the most affected groups. It provides essential medical supplies and offers training and support to local health care workers to bolster frontline response efforts.
  • Our Children International will volunteer at a medical camp in Karuzi Province in July 2025. During last year’s mission, the organization treated more than 4,500 patients in just four days. Its services include medical and dental care, life-saving medications and nutritional support.
  • UNICEF focuses its efforts primarily on children affected by Mpox. Due to the stigma surrounding the disease, many residents were hesitant to seek treatment. To address this, UNICEF broadcast prevention messages via radio, reaching more than 800,000 residents across Burundi. The organization also supplied medical kits and essential resources to dozens of hospitals. Additionally, UNICEF is working on prevention by training school personnel to recognize early signs of Mpox and promoting community-based education.

Conclusion

Addressing the health care crisis in Burundi requires global attention, community-based support and investment. While this issue is still widespread in Burundi and other countries, organizations like Village Health Works, Our Children International and UNICEF are making meaningful strides.

– Grace Johnson

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

Photo: Unsplash