Archive for category: Health

Information and stories on health topics.

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Health Care in Cameroon: Challenges of Conflict and Disease

Health Care in CameroonCameroon is a lower-middle income country located in Central Africa bordering the Atlantic Ocean. It is home to over 28 million people with a projected 80% population increase by the year 2050. Similar to the skyrocketing population, life-threatening diseases in Cameroon have also been on the rise in recent years.

The top causes of death in Cameroon recorded in 2021 include lower respiratory infections as number one followed by stroke and Covid-19, respectively. Since 2021, there has been a surge of infectious diseases such as malaria, tuberculosis and HIV in Cameroon and other neighboring countries, highlighting the urgency for accessible health care.

The fragility of the health care system in Cameroon is largely due to ongoing conflicts in the North West and South West regions. Since 2016, Cameroon has experienced violent confrontations between government forces and separatist groups, widely referred to as the “Anglophone crisis”. The violence has resulted in the displacement of millions and the destruction of more than 200 medical facilities. As a result, in 2025, a projected 3.3 million people living in Cameroon will need humanitarian aid.

Malaria

The malaria outbreak began in 2013, initially affecting the northern regions of Cameroon. According to CNN, 800 people died from the outbreak and over 12,000 individuals were hospitalized for severe malaria. However, less than 10 treatment centers were available and qualified doctors were scarce.

In 2021, 50% of hospitalizations in Cameroon were caused by malaria, with the majority of patients being children under 5 years old. Cameroon accounted for 2.6% of global malaria cases and 2.1% of malaria deaths in the following year.

In order to improve health care coverage for citizens in Cameroon, the CDC has supported the prevention and control of malaria since 2017. This collaboration has allowed Cameroon to introduce the Cameroon Field Epidemiology Training Program (CAFETP) in 2010, which has helped provide training to other medical professionals in several surrounding countries. The joint effort helped train hundreds of CAFETP graduates and technicians to effectively recognize and treat malaria.

Cameroon introduced a vaccine for malaria in January 2024, becoming the first country to do so. By December 2024, Cameroon achieved a vaccination coverage rate of 47%. While there are still some regions within Cameroon that lack adequate health care, this accomplishment has made substantial strides toward an equitable health care system.

HIV

As of 2024, Cameroon is estimated to have over 500,000 individuals living with HIV. Despite the substantial numbers, there is a notable drop in the prevalence of HIV between 2011 and 2018 in people ages 15-49. In more recent years, the HIV transmission rate between infants has also decreased, from 3.22% in 2023 to 1.78% in 2024. These achievements are primarily attributable to aid from organizations such as UNICEF and the CDC.

Funds raised by UNICEF brought resources to support HIV transmission rates among infants and young children. In addition, UNICEF supported various HIV interventions for pregnant women, including antiretroviral therapy and testing.

The support of the CDC through the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) allows access to HIV health care in all 10 regions in Cameroon. The magnitude of this is substantial, as 95% of individuals receiving HIV treatment in Cameroon are using PEPFAR-supported sites.

In addition, Cameroon launched its Universal Health Coverage (UHC) system in April 2023 as part of its effort to increase health care access, particularly for vulnerable populations such as individuals living with HIV. By December 2024, this program allowed over 3 million people to register for the UHC program while also ensuring free access to HIV services for over 400,000 individuals.

Tuberculosis

In 2021, tuberculosis was listed as the fifth highest cause of death among individuals living in Cameroon, affecting 164 per 100,00 people. The mortality rate has seen a slight decrease since 2015, going from 31 to 30 per 100,00 individuals. More notably, is the tuberculosis mortality rate in individuals with HIV going from 31 to 14 in the same time period.

The CDC played a vital role in this operation, as nearly all tuberculosis patients at PEPFAR facilities have also been tested for HIV. In addition to HIV treatments provided by the UHC program, it provided free consultations to nearly 650 thousand children, along with free tuberculosis treatment to over 27 thousand individuals.

In response to these medical milestones, Cameroon initiated the National Tuberculosis Control Program (NTP), focusing on ending tuberculosis by 2030. This strategy emphasizes screening and early diagnosis, training health care workers, disease prevention, and consistent management of HIV and tuberculosis in affected patients.

A Look Into the Future

While Cameroon continues to face health challenges intensified by internal conflicts, a growing population, and the burden of communicable diseases, recent developments demonstrate meaningful progress. Continued investment in health care access, especially for vulnerable and underserved populations, will be critical to ensuring that the country is equipped to meet both current needs and future demands. With outside support and long-term planning, Cameroon has the potential to strengthen its health care system and improve health outcomes for millions of its citizens.

– Grace Johnson

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

Photo: Flickr

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Transformation of Elderly Poverty in Panama

Elderly Poverty in PanamaOnce a nation where poverty cast a long shadow over its people, Panama has undergone a striking transformation since the late 20th century. In 1995, the poverty headcount ratio for all Panamanians stood at a daunting 21.1%. Over the following decades, steady progress chipped away at this figure—dropping to 14.5% by 2005, 7.7% in 2010 and 4.8% in 2015. By 2019, poverty had fallen to just 2.9%, a symbol of how far the country had come. Yet, in the years that followed, the trend began to waver. The ratio edged up to 3.3% in 2021 and 3.7% in 2023—a subtle but important reminder that even hard-won gains can be vulnerable to shifting economic tides. Still, the broader story is one of resilience, growth and the continuing pursuit of a more equitable future. Here’s information about elderly poverty in Panama and what is being done to address it.

The Influence of Non-Contributory Pension 

In Panama, the elderly make up a significant part of the population, and many are facing tough challenges. Despite efforts underway to support this community, elderly poverty in Panama continues to create harsh realities for many. With pensions often falling short, countless seniors find themselves pushed back into the workforce, not out of choice but necessity, to avoid slipping below the poverty line. Back in 2012, around 26.2% of the demographic are still working, a rate nearly twice as high as that seen in countries belonging to the Organization for Economic Co-operation and Development [OECD]. But the picture grows even more troubling when it becomes evident that many seniors in Latin America work in informal jobs or self-employment without access to social protections or benefits, which forces them to labor far longer. 

Fortunately, programs like the Non-Contributory Pensions (NPCs) have begun to turn the tide for elderly poverty in Panama, especially those working in the formal sector. These “social pensions” provide a vital financial lifeline to low-income seniors, offering support even when they have not contributed to traditional pension systems. The impact has been significant; it has greatly  reduced extreme poverty by 66.1% and moderate poverty by 56% among Panama’s elderly. While this program does not magically erase poverty overnight, it lays a crucial foundation for organizations to grant  older citizens a chance to live with dignity, free from the constant threat of poverty. 

“Social protection is thus a universal human right.” In line with this principle, Non-Contributory Pensions (NPCs) have seen a substantial increase in coverage across Latin America since the early 2000s. These programs have become an essential mechanism for safeguarding vulnerable populations, particularly the elderly, from the various risks and challenges associated with aging. For example, as of July 2019, Panamanian elderly individuals who qualify for these pensions receive a guaranteed minimum monthly payment of 120 balboas, providing them with critical financial support. 

Healthy Aging in Panama  

Healthy aging, which the United Nations General Assembly officially declared in 2020, represents one of the most deliberate and strategic approaches to fostering a sustainable society that supports individuals of all ages, with particular emphasis on the elderly. Panama is among the countries encompassed by the Pan American Health Organization (PAHO), which prioritizes transforming societal attitudes toward aging, promoting community environments that are supportive and welcoming to older adults, and implementing “person-centered care and primary health services” tailored specifically to the needs of the elderly. Additionally, PAHO focuses on ensuring adequate resources and infrastructure for long-term care to enhance the quality of life for older populations. 

In Panama, elderly individuals hold a position of great respect within the social hierarchy of their households. Maintaining a healthy lifestyle is crucial not only for nurturing strong family dynamics but also for extending their ability to participate actively in the labor market. Furthermore, good health among the elderly helps reduce medical expenses [especially for the uninsured], promotes greater autonomy, and contributes positively to broader economic growth. 

The National Plan for the Elderly

The National Plan for the Elderly 2022–2025, which Panama’s Ministry of Social Protection (MIDES) oversees, coordinates a range of programs aimed at supporting the issue with elderly poverty in Panama. This comprehensive plan centers on three key priorities: economic security, health and the creation of sustainable environments. Its objectives include ensuring access to educational benefits, reducing healthcare costs, actively monitoring the health status of older adults to prevent future complications, improving caregiving services and fostering healthier living environments where older adults can thrive. The plan involves collaborative efforts among institutions such as the Ministry of Health (MINSA) and the Panamanian Social Security Fund. 

Looking Forward  

In recent years, Panama has made significant efforts to strengthen institutions that support elderly citizens, particularly in low-income communities. With the backing of several international organizations, the country has seen notable progress in addressing pension insecurity since the early twenty-first century. A nation’s economy is deeply influenced by the choices it makes, and Panama’s commitment to caring for its aging population is a powerful example. This initiative is not only economically sound, promoting stability and growth, but also reflects a fundamental human right: the right to dignity and protection at every stage of life. 

– LaRaymee Lee

LaRaymee is based in Sugar Land, TX, USA and focuses on Global Health and Politics for The Borgen Project.

Photo: Unsplash

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The Positive Situation for Mental Health in San Marino

Mental Health in San MarinoRecent statistics show that the country of San Marino has a suicide rate of 7.59. In comparison, the worldwide average suicide rate as of 2021 is 8.9. Additionally, suicide rates have also dropped in the country, with an 8.01 rate in 2020 and a 7.59 rate in 2021, showing that mental health in San Marino receiving attention on a considerable level.

After the COVID-19 pandemic, San Marino experienced a concerning decrease in the mental health of its citizens and faced hard decisions on how to reintegrate citizens into a post-pandemic lifestyle. Over the last five years, San Marino has found that deteriorating mental health has links to stress, economic pressure and social isolation.

Community-centered environments are a strong deterrent against declining mental health and offer relief from stress, pressure and isolation. Because mental health decreased at the same time social isolation increased during the pandemic, the country focused on creating suitable community-based programs for citizens young enough to be in middle school, and old enough to be in retirement homes.

Mental Health for Old and Young Citizens

To specifically address mental health concerns in younger citizens, San Marino employs many awareness programs that work directly with public education in the country. These awareness programs started in 2021, prompted by COVID-19. The awareness programs involve partnering with police and substance abuse facilities for events to educate students and create environments where they can easily talk about depression and mental strain. Negative mental health for young citizens has almost always had links to academic pressure; citizens who could not perform well in school often felt frustrated and stuck. Interestingly, to San Marino, this meant that if public education could be improved upon and more accommodating for different students, then overall mental health in young citizens would generally increase.

Similar to young citizens, the country found that most of its older citizens over the age of 60 suffer from low mental health, largely due to social isolation. After partnering with the regional office of the Parliamentary Assembly of the Mediterranean (PAM), San Marino addressed many concerns with the mental health of older citizens. The country was able to employ more social services for older citizens, and further partnered with the World Health Organization (WHO) to allow community-based help. The country originally partnered with the WHO in 2013, but after the COVID-19 pandemic in late 2020, the country and the WHO made additional projects and plans to facilitate positive mental health.

Since 2020, San Marino’s citizens over 60 years old have had stable and improving mental health. Instead of the majority of elderly people living in retirement homes, the WHO has made it so that systems of care are in place where the majority of elderly citizens can grow old without leaving their original homes. Lowering feelings of depression among the elderly and promoting community-based involvement in neighborhoods due to the system of care in place.

Efforts To Address Mental Health in San Marino

Organizations like the WHO and PAM go to great lengths to ensure that countries like San Marino are well equipped to give citizens an environment that promotes mental well-being. The country also adopted the philosophy of “Parlare Aiuta” or Talking Helps, a national campaign promoting the openness of receiving care for poor mental health and quality conversations around the subject with the correct tones and vocabulary.

San Marino found that in many ways, at least for a small country, the best way to encourage positive mental health is to have productive conversations around the topic. Raising awareness with statistics is not enough; poor mental health has a connection to social isolation, so one of the best ways to help is to encourage citizens to educate themselves on the issue so they can have meaningful conversations when necessary.

Poverty is a contributing factor to poor mental health, but it has remained stable in San Marino over the last several years. The overall poverty rate in San Marino has stayed below 8%. In contrast, the average poverty rate worldwide is about 8.5%.

– Russell Bivins

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

Photo: Wikipedia Commons

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How Frugal Health Care Innovation Is Reimagining Accessibility

Frugal Health CareReports assessing the relationship between extreme poverty and health care accessibility have and continue to prove a cyclical relationship in which each exacerbates the other. Though the availability of health care across the world increases, out-of-pocket costs often force families and individuals below the poverty line. Meanwhile, populations suffering from untreated illness are unable to participate effectively in the workforce.

In short, being sick keeps people from financial earnings, while treatment costs account for most of their spending. Either path hampers the ability to participate in the local economy. In response, frugal health care initiatives have risen in popularity, combating the personal financial aspect of health care accessibility.

How Does Frugal Health Care Work?

Frugal health care works by using low-cost, low-tech solutions that are adapted to local needs. Many solutions arise by repurposing everyday tools or simplifying existing techniques. One early example is the stethoscope, originally made from a rolled piece of paper to preserve a patient’s modesty. Today, frugal innovations include using hardware drills instead of expensive medical ones and placing premature babies in plastic bags to prevent hypothermia.

These practical, outcome-based solutions stand apart from the prevailing model of Western, research-driven progress due to their deep contextualization. While vaccines serve as a universal preventive measure for those with access, innovations like the “Jaipur Foot” address specific local needs. Designed for barefoot amputees, the Jaipur Foot is affordable and effective thanks to partnerships with local artisans and readily available materials. Its success, however, is closely tied to local production capacity, making it a powerful but regionally limited solution.

The Frugal Biomedical Innovations Program

Western University has incorporated research into frugal health care innovation in Canada via its Frugal Biomedical Innovations Program (FBIP). A branch of the Engineering Health Equity (EHE) training program, the institute has partnership sites in Northern Canada, Ethiopia, Kenya, Nigeria, Rwanda, Senegal and Uganda. The FBIP is hands-on and follows a conceptualize-create-deploy model. This ensures that abstract ideas become a physical reality and are implemented in the low-resource communities where they are needed.

Partnering Universities also lead projects at home with the aid of the Frugal Biomedical Innovations Catalyst Grant program. One example is 3D-printed hands and feet developed by Bahir Dar Institute of Technology, Ethiopia. Another is a low-cost teledentistry system from the University of Nairobi, designed to improve oral health care in rural Kenya. Prototypes are tested in the field with financial support from organizations such as Western University’s Africa Institute and program grants from the Natural Sciences and Engineering Research Council of Canada.

A Good Enough Future

Hi-tech innovation in health care will and should continue to progress. However, the emerging focus on extending medical accessibility to areas lacking the financial and technological resources to implement it is ushering in a revolution of rural health care access.

The 2025 World Economic Forum identified the need for decentralized, equitable health care systems. Similarly, the 2024 report on Global Health Care Sector Outlook published by Deloitte University suggests multiagency collaboration and taking opportunities to digitalize care delivery.

Decentralization, equity and collaboration are pillars of frugal health care innovation. By prioritizing practical repurposing over novelty, an increasing number of communities will have access to the medical care necessary to facilitate economic growth.

– Emily Galán

Emily is based in Edmonton, Alberta, Canada and focuses on Global Health and Politics for The Borgen Project.

Photo: Pexels

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Addressing Disability and Poverty in Tunisia

Disability and Poverty in TunisiaAccording to the Multidimensional Poverty Index (MPI), a positive correlation exists between disability and poverty in Tunisia. Disabled people are more than twice as likely to live in poverty. Seventeen indicators determine the MPI, including health care, employment, education, living conditions and physical security. As of 2017, Tunisia’s disability prevalence is approximately 14% within a population of 12 million. Since the 2011 revolution, Tunisia has taken action to reduce disability poverty in its communities. The following article will explain the connection between disability and poverty in Tunisia, amplify Tunisia’s recent achievements in reducing disability-poverty and discuss further improvements.

The Connection Between Disability and Poverty in Tunisia

  1. Educational Setbacks: Mental and physical impairments hinder disabled children from attending school. Oftentimes, educational facilities in developing countries do not have accessible transport for students who require wheelchairs or special equipment. Mental disabilities prevent students from learning at the same rate as their peers. This educational gap has direct links to future unemployment and financial instability for disabled persons. 
  2. Lack of Employment: In Tunisia, 40% of disabled people are unemployed, a critical factor in the prevalence of disability-poverty. Inadequate education, limited legal protection and disability stigma drive unemployment. While the statistic is unknown, women with disabilities are more likely to face discrimination according to the Tunisian General Trade Union.
  3. Poor Access to Health Care: Disabled citizens struggle to obtain quality healthcare. Many healthcare facilities are not wheelchair accessible. Hospitals in developing countries often lack basic equipment such as X-ray machines, exam tables and scales, which prevents service to disabled patients. Healthcare services for disabled patients also tend to be more expensive.
  4. Infectious Disease Prevalence: Infectious diseases, particularly zoonotic diseases, are common in Tunisia and worsen disability-poverty. Specifically, infectious disease may cause disabilities, particularly in childhood, by impairing motor, cognitive and sensory function.
  5. Unsafe Living Conditions: Dangerous environmental factors can instigate disabilities. Poor sanitation and dangerous infrastructure increase the likelihood of developing a physical impairment. Additionally, unsafe living conditions worsen the health of disabled persons, hindering employment and access to special services. This enacts a cycle of poverty. Impoverished conditions worsen disability, and disability encourages poverty’s increase.

Tunisia’s Advancements in Disability-Poverty Reduction

  1. Disability Cards: As of 2012, the Ministry of Social Affairs (MoSA) administers disability cards to Tunisians with physical and mental impairments. These cards allow disabled persons to acquire special services and government protection from discrimination. Disabled persons holding these cards are also ensured transportation, health care, access to recreational areas and employment opportunities.
  2. Government Funding: The Orientation Act 83 is a federal step to prevent disability and poverty in Tunisia. Organizations are funded in their provision of special education, workshops, vocational training and rehabilitation services. A direct effect of this act is the establishment of four special education institutions in Tunisia.
  3. Official Representation: Tunisia’s Convention on the Rights of Persons with Disabilities (CRPD) originated in 2008 and provides government protection to disabled persons. Three stakeholders make up the CRPD: the Ministry of Social Affairs (MoSA), the Ministry of Education (MoE) and the Ministry of Health (MoH). These departments are largely responsible for improving the living conditions of people with disabilities.
  4. Social Organizations: Prior to the 2011 Jasmine revolution, social movements fighting disability-poverty were unheard of. Today, numerous associations exist to protect the welfare of disabled persons. The Tunisian Organization of the Rights of Persons with Disabilities, the Tunisian Association for the Rights of Persons with Disabilities and the Parents and Friends of Persons with Disabilities Association of Tunis are all organizations dedicated to the reduction of disability and poverty in Tunisia.
  5. Election Aid: In 2014, Tunisia implemented the use of sign language in all election-related communication. This applies to voting registration, electoral polls, political speeches and national television programming. In 2019, the country implemented new voting technology — braille and sign language lexicons — further aiding citizens with vision or hearing impairments. As a result, Tunisia’s educational gap is reduced and disabled participation in society has increased.

Barriers in the Fight Against Disability Poverty

  1. Limit Social Stigma: Much of the Tunisian population treats disabled persons as second-class citizens or “charity cases.” Disability stigma results in negative outcomes on employment and educational opportunities for the impaired. Employment’s decrease results in poverty’s increase.
  2. Reliable Enforcement: Although Tunisia has laws to protect the welfare of disabled persons, there is a lack of enforcement of these laws. Disabled citizens’ legal rights are not effectively monitored.
  3. Repair COVID-19 Damage: Disability-poverty increased during the pandemic due to higher unemployment. Not only were jobs harder to find, but disabled persons often require contact assistance, putting them at greater risk for disease transmission. Disabled students struggled with remote education, heightening the education gap. Tunisia’s COVID-19 recovery ended towards the end of 2021, but the impact of the pandemic remains prevalent for the disabled community.
  4. Tunisian Parliament Suspension: The Tunisian Parliament was suspended after the July 25, 2021, constitutional referendum. This suspension has prevented the Parliamentary Commissioner for Persons with Disabilities and other Vulnerable Groups from implementing field programs to aid disability-poverty.
  5. Broaden Disability Diagnosis: Although the disability card has reduced disability poverty in Tunisia, it is difficult to acquire these cards. They are given only after an approved medical assessment. This assessment may not account for all psychological impairments. 

Looking Ahead

Although disability and poverty are still a problem in Tunisia today, significant progress has occurred and points to future improvements. 

– Helen Cusick

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

Photo: Pexels

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Social Programs Improving Health and Poverty in Gabon

Social Programs Driving Health and Poverty Reduction in GabonGabon, though rich in natural resources and boasting a high per capita GDP, still faces widespread poverty. About 33% of the population lives on less than $5.50 per day. However, several social programs are helping to address poverty and improve access to health care. As medical expenses often deepen financial hardship, these programs play a critical role in promoting both health and economic stability.

National Health Insurance and Social Coverage Fund

The National Health Insurance and Social Coverage Fund (NHISCF) plays a central role in Gabon’s push toward universal health care. The fund draws support from the government, public sector officials, employers and employees. Initially designed to serve the poor and public employees, the fund now covers more than half of the population. It also supports students and workers in the private sector, expanding access to medical care for low-income groups across Gabon. Through this fund, Gabon has taken significant steps toward closing the gap between income and access to health care. By reducing out-of-pocket medical costs, NHISCF allows many residents to seek treatment without facing financial strain.

The Gabon Indigents Scheme

In 2007, Gabon established the Gabon Indigents Scheme (GIS) under the NHISCF. This initiative targets economically vulnerable residents, representing about 30% of the population, who are at least 16 years old. The government fully funds their medical care and these individuals do not pay contributions. High costs often prevent people in low-income households from accessing essential services. By removing the financial barrier, the GIS ensures that poor residents can receive treatment when needed. This approach not only protects their health but also shields them from falling deeper into poverty due to medical debt.

Cash Maternity Benefits and Birth Grants

Gabon’s social insurance system also offers maternity leave benefits and family allowances. According to the SSA, the system provides 100% of a mother’s final monthly income for up to six weeks before childbirth and eight weeks after. In cases involving complications, the leave period extends by another three weeks. Employers initially pay the benefit, and the government reimburses them for half the cost. Families also receive financial assistance after childbirth. The government provides 8,000 CFA francs as a birth grant and 45,000 CFA francs to help cover expenses for clothing, toiletries and other newborn needs. These programs reduce both physical and financial stress, helping mothers recover and return to work without added pressure.

Toward a Healthier and Stable Future

Gabon continues to make measurable progress in reducing poverty and strengthening public health systems. Government-backed programs provide medical care, maternity support and financial assistance to those who need it most. By prioritizing equitable access and addressing systemic barriers, these initiatives help protect the most vulnerable while building a more resilient population. As Gabon works to expand and improve these services, the country moves closer to achieving its goal of universal health care and long-term poverty reduction.

– Sevyn Whatley

Sevyn is based in Toronto, Ontario, Canada and focuses on Global Health and Politics for The Borgen Project.

Photo: Flickr

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Everything to Know About Poverty in Ukraine

Poverty in UkraineAs Ukraine remains in a state of conflict and continues to face challenges related to war, a momentum for change is developing, one marked by resilience, global support and notable advancement to reduce poverty.

Ukraine is actively building and laying the foundation for a better future. International organizations, local NGOs, as well as government efforts are proving that even in the darkest of times, change is feasible. When exploring everything you need to know about poverty in Ukraine, it becomes clear that despite ongoing adversity, progress is taking root in multiple areas of Ukrainian society.

Understanding Poverty in Ukraine

As of 2023, more than 29%% of Ukraine’s population, about 9 million people, lived in poverty. This number rose drastically amid the war with Russia. Since 2020, an additional 1.8 million Ukrainians have fallen into poverty due to widespread job losses and a collapsing economy. One in five adults who had employment before the invasion are now without work, and nearly a quarter of households reported struggling to afford food in June 2023. Conditions would be far worse without international aid. Especially for the United States, which has helped fund critical public services like pensions and salaries for teachers and doctors. The war has deepened economic instability, pushing many working-class families closer to the margins of survival. 

Poverty in Ukraine hits families with children the hardest, especially those with four or more children. These families face poverty rates of more than 80% and children are more likely than adults to live in poor conditions. This puts their education and development at risk. Still, the Ukrainian government has kept most health clinics open and helped nearly 89% of students keep learning, often online. Social support, like steady pension payments, has helped many families survive and avoid even worse hardship. 

Global Aid Drives Impact

In late 2024, the World Bank approved more than $2 billion in financial support for Ukraine. This initiative aims to stabilize the economy and fund essential public services. It introduces key reforms that improve transparency, expand the use of renewable energy and strengthen agricultural production, which is a considerable resolve for Ukraine.

Under the THRIVE project, to boost Ukraine’s health system, a separate $454 million package is being used. The initiative aims to improve efficiency and quality of public health care spending by strengthening national health services and expanding access for underserved communities.

Humanitarian Efforts to Address Poverty in Ukraine

In addition to major international funding, the civil society of Ukraine is playing a critical role in local recovery efforts. Razom, a U.S.-based nonprofit founded by Ukrainian immigrants, continues to make a significant impact. In 2023, the organization awarded more than $3 million in grants, reaching more than 330,000 people with support for food, shelter, education and attention to mental and trauma care.

Meanwhile, a leading example of trauma recovery emerges as the Superhumans Center located in Lviv is observed. Since its launch in April 2023, the facility has treated more than 1,000 amputees, a majority being treated for war injuries, being provided with prosthetics, reconstructive surgery and physiological care. It stands as a symbol of resilience and hope, making it more than a medical center. 

Understanding poverty in Ukraine means recognizing how both global and local actions are addressing not just economic hardship, but also the human and emotional costs of conflict. These combined efforts are helping restore lives and rebuild communities.

While poverty remains a reality for many Ukrainians, structural progress is underway. In 2024, grain and oilseed exports increased by 20%, and more than 75% of export operations resumed though Black Sea ports, an essential lifeline for the nation’s economy.

The government continues to improve digital infrastructure, expanding access to online services. For the fourth consecutive year, more government websites have met accessibility standards, allowing a greater number of Ukrainians, including those with disabilities, to access essential information and services.

Looking Ahead

Addressing poverty in Ukraine involves more than statistics. It is about the strength of people and institutions forging a path forward. While poverty remains a pressing issue, Ukraine’s path forward is progressively defined by recovery and renewal rather than survival. Efforts to rebuild a strong and inclusive society are in progress, supported by steady advantage in health care, education and economic infrastructure. Although these developments may unfold indistinctly, they are consistent and measurable. From a noticeable increase in clinics to rising export numbers, the country is making true advancements. For many Ukrainians, that gradual progress signals a shift towards stability and hope.

– Vasara Mikulevicius

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

Photo: Unsplash

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The Impact of Global Health Equity on Poverty in Kenya

The Impact of Global Health Equity on Poverty in KenyaDespite advances in economic development, millions of Kenyans still live in poverty. In 2022, about 40% of the population lived below the poverty line and at least 32% could not afford an adequate diet. This lack of basic resources prevents many people from living stable, productive lives, despite Kenya’s economic growth. The country has historically faced major health challenges. The prevalence of endemic diseases combined with a lack of access to adequate health care has exacerbated the impact of systemic poverty in Kenya.

Progress Through Global Health Initiatives

Kenya, with a rapidly growing population, is currently home to more than 57 million people. There are still significant social disparities between the rural and urban areas, as 85% of all poor people live in rural areas, while the majority of the urban poor live in slums. Achieving global health equity requires expanding access to clinics, life-saving medicines and trained health professionals.

Over the past two decades, various global health equity initiatives have improved the health landscape in Kenya. The government, supported by international organizations, has focused on preventing and treating infectious diseases like HIV/AIDS. Programs such as PEPFAR (President’s Emergency Plan for AIDS Relief), USAID and the World Health Organization (WHO) expanded access to clinics, medicines and trained professionals. These ongoing efforts have significantly improved health outcomes for citizens, leading to a reduction in poverty in Kenya.

Health Access and Economic Growth

Increased access to health care directly correlates with economic growth. Currently, the Kenyan economy is dominated by agriculture and informal micro-enterprises, which do not provide workers with any health coverage. Workers who cannot afford or access medical care often lose valuable workdays due to illness. Inadequate health care services exacerbate the effects of the epidemic diseases plaguing the nation. The inability to treat these diseases early on leads to increased medical costs. People suffer needlessly, children are too sick to go to school and the nation’s overall well-being and economy are affected, creating a vicious cycle of poverty in Kenya that cannot be stopped without health interventions.

HIV/AIDS: Evolution of Global Health Equity

Kenya’s efforts against HIV/AIDS offer an example of how targeted global health interventions can transform a nation’s future. In the late 1990s, HIV prevalence in Kenya was at an all-time high. By 1997, about 37% of men and 45% of women with a sexually transmitted infection also tested positive for HIV. Societal stigma and the high cost of ART limited access to treatment, while the country’s health care system struggled to manage the growing number of cases. This resulted in high mortality rates and large numbers of orphaned children.

To combat the crisis, international organizations began funding HIV relief efforts in Kenya. Groups such as PEPFAR, the Global Fund and USAID increased access to HIV testing, distributed ART and launched education campaigns. As of 2023, around 1.3 million Kenyans were receiving life-saving antiretroviral therapy.

Productivity Gains and Innovations in HIV Treatment

Modern ART has led to improvements in health and productivity for people living with HIV. A significant benefit has been an increase in the country’s productivity. In two studies focusing on agricultural workers in Kenya, researchers found that workers on ART doubled the number of days they could work each month. Participants also showed a 20% increase in labor force participation and a 35% increase in hours worked. These findings demonstrate the economic value of accessible health interventions.

Dr. Ann Kurth, an epidemiologist and leader in global health systems, spoke with The Borgen Project about Kenya’s progress. “Antiretrovirals came to sub-Saharan Africa and made transformative difference,” she said. “Health system strengthening by PEPFAR funding got you 26 million lives saved. Workforce training helped community health workers screen and test people for HIV in people’s homes with oral tests. We did a lot of self-testing in Kenya. These are innovations that were not the norm, but it helped people identify if they had HIV and get treated earlier.”

Equity and Inclusion in Health Care

Despite many advancements in global health equity in Kenya, significant challenges persist. Rural areas continue to struggle with shortages of medical professionals, transportation barriers and inadequate health care infrastructure. Shifting donor priorities can also affect long-term funding. Dr. Kurth emphasized the need for gender equity in care and research. Historically, clinical trials have underrepresented women and ignored key differences in how diseases and treatments affect them. “Women have not always been represented in clinical trials. A lot of assumptions about clinical practice are based on an assumption of it being a male body. There needs to be more gender representation in research and clinical services and not think of women as just about childbearing.”

Looking Ahead

Kenya’s commitment to improving health care access offers a model for other countries facing poverty. Strategic partnerships with international organizations have saved lives, built community resilience and contributed to reducing poverty in Kenya. Continued investment in health infrastructure, gender-inclusive research and rural outreach could be essential. As Dr. Kurth concluded, “We’ve been able to see major investments in the last couple of decades… That led to incredible child survival, maternal mortality improvements, increases in income and some advances in gender equality.”

– Rafe Photopoulos

Rafe is based in Gainesville, FL, USA and focuses on Global Health for The Borgen Project.

Photo: Flickr

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Solar-Powered Clinics: Energizing Rural Health

Solar-Powered ClinicsIn many rural areas of sub-Saharan Africa, health clinics often operate without reliable electricity. This lack of power limits their ability to provide essential medical services, especially during emergencies throughout the night or for storing temperature-sensitive vaccines. Now, a growing number of communities across the region are turning to an innovative and sustainable solution: solar-powered clinics.

The Challenges of Powerless Clinics

According to USAID’s Power Africa initiative, nearly 60% of health facilities in sub-Saharan Africa lack access to electricity and many others operate with unreliable power. This energy gap poses serious challenges to health care delivery, especially in rural regions such as northern Uganda and remote areas of Sierra Leone. Without dependable electricity, clinics struggle to store vaccines, power essential medical equipment or provide emergency services after dark- putting countless lives at risk during childbirth, disease outbreaks and other critical situations.

Powering Hope Through the Sun

Solar energy is increasingly being used to bridge the energy gap in health care facilities across sub-Saharan Africa. Through partnerships with national governments and organizations such as the UNDP, solar-powered clinics are getting the equipment that includes photovoltaic panels, battery storage and lighting solutions. In Uganda, for example, UNDP has worked alongside the Ministry of Health to provide solar energy systems to health centers, enabling continuous operation of critical services such as maternal care, vaccine refrigeration and the use of diagnostic equipment.

Real Impact in Remote Communities

Results show promise when looking at the establishment of solar-powered clinics and overall solar power to health facilities in Sierra Leone. In partnership with the Ministry of Health has commissioned solar energy systems in 25 primary health units (PHUs), as part of a broader initiative to electrify facilities nationwide. This investment is enhancing service delivery by ensuring constant power for lighting, vaccine refrigeration and essential medical equipment. With improved infrastructure, clinics can now operate around the clock, which not only strengthens health care outcomes but also increases public confidence in local health services.

Organizations Leading the Charge

One notable organization making a difference is We Care Solar, founded in 2010. It provides compact, solar-powered suitcases designed specifically for maternal care. These suitcases include high-efficiency lights, medical device outlets and phone chargers- all powered by solar panels. To date, more than 10,000 health centers are equipped with Solar Suitcases in more than 20 countries ultimately serving more than 18 million mothers and newborns.

In 2022, the African Development Bank (AfDB) launched the Desert to Power initiative, aiming to provide solar electricity to 250 million people across 11 countries. A significant portion of this effort focuses on health infrastructure in rural zones.

Solar-Powered Clinics: The Future

Solar-powered clinics represent a practical, scalable solution to improve healthcare access across sub-Saharan Africa. By ensuring round-the-clock care, safe vaccine storage and reliable diagnostics, these clinics are helping to reduce mortality rates and build resilient health systems.

As efforts expand, solar energy may prove to be not only a sustainable energy source but a life-saving one.

– Vasara Mikulevicius

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

Photo: Flickr

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Advancements in Health in Kenya

Health in KenyaIn May 2025, Kenya established a National Public Health Institute to consolidate disease prevention, health research and emergency response services. The World Bank, Africa CDC, Amref Health Africa and more support the institute. The institute is the latest in a series of health advancements in Kenya. Here are some of the country’s recent health successes.

Increased Sexual Health Access

Unintended pregnancy and maternal mortality are common in remote regions of Kenya. In March 2025, the World Health Organization (WHO) donated $100,000 worth of sexual and reproductive health kits to priority areas. The kits contained supplies for childbirth emergencies and miscarriage care. The kits delivered to Samburu County included oxytocin, a medicine to prevent postpartum hemorrhage, ending the county’s shortage.

The initiative also provided family-planning services to 260 people in Laikipia County. Esther Wamuhu, a 20-year-old Laikipia resident, had dropped out of school after an unplanned pregnancy, but the services allowed her to return. “I received a five-year family planning method for free,” she said. “Now, I can go back to school without the fear of another pregnancy.”

Efficient Cholera Response

In February 2025, Kenya declared a cholera outbreak in the Nairobi, Kisumu, Migori and Kwale counties, with an estimated 256 cases to date. In response, health officials and WHO partnered to deliver 1,100 cholera kits to Nairobi and 500 to Migori. The kits contain diagnostic tests, medicine and protective equipment for health workers. Health officials are working to ensure food vendors meet health standards and deliver water-purifying tablets to reduce the risk of further cases.

Digital System To Fight Disease

In December 2024, the Kenyan Ministry of Health and the WHO delivered medicines for tropical diseases, targeting 13 million children. As part of the campaign, 110 health workers used a data collection app developed by the Ministry, the WHO and the Clinton Health Access Initiative. Workers uploaded patient information to a live-updated database that health officials could access anytime. Data collection had previously been done by hand, a slower method with a greater risk of errors.

Kenya has had great success in disease prevention. It eliminated Guinea-worm disease in 2018 and plans to eradicate Lymphatic filariasis by 2027 and all neglected tropical diseases by 2030.

Improved Newborn and Maternal Care

Kenyan mothers practicing exclusive breastfeeding have increased by 47% since 2003. Exclusive breastfeeding requires mothers to feed their children with only breast milk for the first six months after birth. Breast milk has positive benefits for physical growth, brain development and protection against diseases. However, some mothers and health workers in Kenya use other liquids instead.

The Kenyan Ministry of Health, supported by Irish Aid and the WHO, led a six-day training program on breastfeeding and maternal care in May 2024 to continue progress. Forty health workers from nine counties attended. At Nakuru County Referral and Teaching Hospital, the number of mothers breastfeeding shortly after birth increased by 33% between August 2024 and February 2025.

Conclusion

Kenya is making notable progress in public health through stronger systems, rapid disease response and better maternal care. The new National Public Health Institute marks a key step in unifying these efforts. With global support and local innovation, the country is on track to build a healthier future.

– Tyler Payn

Tyler is based in Allentown, PA, USA and focuses on Global Health and Politics for The Borgen Project.

Photo: Flickr