Archive for category: Health

Information and stories on health topics.

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Diseases Impacting Vietnam

Diseases Impacting VietnamVietnam is known for its beautiful landscapes, rich culture and an unfortunate, challenging history. After years of war, Vietnam has become one of the fastest-growing economies and has seen the poverty rate decrease to below 4% in 2023. With one of the most successful implementations of universal healthcare in Asia, Vietnam hopes to see more than 95% of its population covered by health care by the end of this year.

The government has also committed itself to increasing the coverage of low-income and marginalized groups in the country’s more rural and mountainous regions. These areas, which are higher in poverty than the larger cities, see the biggest impact when it comes to diseases, as many in these rural areas see lower income rates, which cause people to have health care bills they cannot afford. However, Vietnam continues to make improvements to the health care system and now boasts a life expectancy rate of 2.4 years higher than the world average. However, due to lifestyle changes and limited health care access in some regions, there are still many diseases impacting Vietnam, including communicable diseases like dengue fever, measles and influenza, as well as rising rates of noncommunicable diseases such as cancer, cardiovascular disease and diabetes.

Infectious Diseases 

With a tropical climate, diseases impacting Vietnam include many communicable diseases, such as dengue fever, which the country has had continued struggles with over the years. There were more than 114,000 reported cases of dengue fever in 2024, which is less than half of previous years, such as 2019 and 2022, when the country saw epidemics of dengue fever. In September of 2024, the country rolled out a dengue fever vaccine, Qdenga, which was dispersed in a vaccine drive in more than 200 health centers, in the hopes of slowing future breakouts of the disease.

Vietnam has also experienced several measles outbreaks over the years, which has affected mostly younger children, including an outbreak in 2024, where there were more than 7,500 confirmed cases. These cases have been mostly concentrated in the southern part of the country and attributed to a lack of children being vaccinated in these regions. The government continues to push for greater measles vaccination campaigns to curb outbreaks in these susceptible areas. The VNVC or Vietnam Vaccine Joint Stock Company donated 500,000 doses of the vaccine to be distributed throughout the country. These vaccination campaigns originally targeted for young unvaccinated children ages 1-10 but was expanded to include 6-9 month old children in early 2025. In total, 45 provinces have deployed vaccination campaigns with 28 of them having already completed the first phase.

Noncommunicable Diseases 

As the country sees an increase in urbanization and lifestyle changes, it is also seeing an increase in noncommunicable diseases such as cancer, cardiovascular disease and diabetes. NCDs are still the leading cause of death in Vietnam, with these diseases causing 77% of deaths. The rise in these NCDs is primarily due to an aging population and an increase in unhealthy diets and a lack of exercise. The country has seen a steep rise in inactivity in adolescence, and records show that more than 50% of the female population are overweight. These factors have contributed to a steep rise in diabetes in Vietnam, especially undiagnosed diabetes. With larger cities and more sedentary lifestyles, if not appropriately addressed with methods such as prescreening, and a push for healthier communities, the increase of diabetes could pose a significant risk to the population. 

Looking Forward 

The government has made a lot of progress over the years concerning its population’s health. With more access to health care than ever before, the country’s health should continue improving. However, diseases impacting Vietnam remain a challenge, especially as the rate of urbanization increases dramatically in Vietnam. This brings along accompanying problems, like air pollution, environmental changes and lifestyle changes. If not properly addressed, these issues can lead to the continued rise of cancer, cardiovascular disease and diabetes rates. However, the government plans to expand universal health care and reform health care centers across the country.

A new law concerning health care in the country is set to start July 1, 2025, which will expand the number of health care facilities that citizens can use, along with other changes, such as moving patients with rare or advanced diseases to higher-level facilities without prior approval. The country still has a ways to go, but currently, it is on a steady path to improving public health by reducing the rate of infectious diseases and providing more people nationwide with health care. 

– Collier Simpson

Collier is based in Savannah, GA, USA and focuses on Global Health for The Borgen Project.

Photo: Flickr

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4 Facts about Hunger in Qatar

Hunger in QatarThe State of Qatar is a small country located on the Qatar Peninsula in the Middle East, neighboring Saudi Arabia on its southern land border and surrounded by the Persian Gulf on all other sides. Since gaining its independence from Britain in 1971, Qatar has been a constitutional monarchy. It is a desert nation with a small population of 2.6 million, 99.4% urban, with only 1.1% of its land arable. Its economy is driven largely by its natural gas and oil reserves. 

Despite its strong economy and high per capita income, Qatar still faces issues related to hunger. Here are four facts about hunger in Qatar.

Qatar’s Global Rankings

In 2024, Qatar ranked 30th out of 113 countries in the Global Food Security Index (down from 13th in 2019)—an international database that considers quality, affordability and availability of food. However, while Qatar is ranked 9th in availability and 21st in affordability, it is only 47th in quality and safety and 51st on sustainability and adaptation. Some of its weakest indicators are lack of a national policy or strategy to empower women farmers, extent of agricultural research and development and extent of disaster risk management. Qatar could not be comparatively ranked on the 2024 Global Hunger Index because of a lack of available data on undernourishment. But on the other GHI indicators related to hunger, the country’s statistics are very low: 6.2% of children under 5 stunted and 1.5% wasted, and 0.5% of children who die before their fifth birthday. 

Dependency on Imported Food

Agriculture is a challenge in Qatar because of the arid climate, sandy soil and scarcity of water. Qatar therefore has imported 90% of consumed food, with imports providing as high as approximately 80% of the demand for perishable crops. 

Qatar’s Large Migrant Worker Population

Qatar is home to a million person, mostly Asian, migrant work force, which is 95% of its total labor force, with half of these workers in construction. The high COVID toll in Qatar five years ago left many migrants jobless, and hungry. Subsequently, the FIFAWorld Cup 2022, hosted by Qatar, exposed “the vulnerabilities of and abuses faced by low-paid migrant workers and migrants in general.” During this same period, the Canadian-based Migration and Food Insecurity in Cities of the Global South project (MiFood Project) expanded its Hungry Cities Partnership research network to additional countries, including Qatar. This was a three-year project focused on migrant workers and food security. 

Success and a New Strategy to Increase Food Security

Qatar’s successful National Security Strategy 2018-2023 strengthened Qatar’s food security infrastructure, with enhancements in cultivated areas, production capacity, and food marketing systems, as well as addressing climate change. Building on this success, in January 2025, Qatar announced its National Food Security Strategy 2030 to secure food supplies by significantly increasing local food production and making Qatar 55% self-sufficient in vegetable production, 100% self-sufficient in fresh chicken and dairy by the end of the decade, and 80% for fish and 30% for red meat. 

Overall, hunger in Qatar is relatively low due to the country’s general prosperity and the government’s diligent efforts to improve food security. While the nation’s geographic location means the threat of food still exists, the country’s forward-thinking and proactive efforts are addressing this threat.

– Staff Reports

Photo: Wikimedia

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Community Efforts To Break Child Poverty in South Sudan

Child Poverty in South Sudan
Child poverty in South Sudan is prevalent with many facing malnutrition, lacking education and having limited health care access. Sida’s multidimensional poverty analysis (MDPA) reports that one in 10 South Sudanese children starve to death by the time they are five years old and 73% of adults are illiterate.

Despite these harrowing challenges, community-led initiatives are emerging as efforts to break child poverty in South Sudan. From providing essential supplies to advocating for systemic change, these efforts are creating tangible paths toward hope and resilience.

Donate School Supplies

Decades of conflict have had disastrous effects on South Sudan’s educational system. Parents struggle to give their children the critical textbooks, uniforms and writing tools they need, which discourages many students from attending school.

These tools may seem small, but they are essential items to donate to disaster relief efforts aimed at bridging educational gaps. Families relieved of these material burdens can focus on ensuring their children attend classes and thrive academically.

Provide Personal Hygiene Kits

Hygiene-related health issues plague rural South Sudan, further straining children’s ability to stay in school. Many children miss crucial days due to preventable infections as a result of inadequate hygiene or a lack of menstrual supplies.

Simple hygiene kits—including soap, a toothbrush, toothpaste or sanitary items—enhance well-being and could improve school attendance significantly. Hygiene kit drives, organized through schools, workplaces or community groups, can distribute these essential resources to children in need. For example, Pads For Peace is a project organized through Global Giving, which helps to gather funding for sending menstrual hygiene supplies for women in Sudan. 

Support First Aid Donations and Community Training

Surrounded by scarce health care infrastructure, children in South Sudan often rely on bandages and antiseptics for minor injuries due to the lack of clinics and medications. These seemingly small items can prevent infections and save lives when medical care is unavailable.

Beyond supplies, consider petitioning to secure funding for community health volunteer programs in South Sudan. Medical professionals can administer care and share basic medical knowledge. This empowerment strengthens the foundations of health at a local level. For example, Medicial Team International has already completed more than 641,426 medical screenings for people in South Sudan between 2020 and 2024. 

Explore Other Ways To Help

The opportunities to contribute are endless. Hosting fundraising events can support food collection programs or provide critical funding for NGOs on the ground. Meanwhile, sponsoring a child’s education directly guarantees long-lasting change in an individual’s life.

Advocate for Systemic Change

Widespread governmental corruption worsens resource allocation and denies children access to basic needs. Reaching out to policymakers and signing petitions amplifies the urgency for transparency and global funding.

Advocacy efforts pushing for international human rights interventions keep South Sudan’s plight in focus, you can urge world leaders to prioritize child poverty in the region. If a person uses their voice to hold governments accountable, they can help uproot harmful systems that perpetuate inequality. 

Making a Difference

The road to eliminating child poverty in South Sudan may seem insurmountable, but it begins with small, purposeful actions. From donating supplies to advocating for policy change, everyone can play a role in efforts to break child poverty in South Sudan.

– Kelly Schoessling
Photo: Flickr

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AI in Nigeria: Innovations Transforming Health and Education

AI Innovations Transforming Health and Education in NigeriaIn Nigeria, doctors remain spread thin, with one physician serving approximately 2,500 people, this shortage leaves millions without timely access to health care. Education faces similar challenges, with UNICEF reporting that more than 10 million children are out of school despite the government’s policy of free primary education. In conflict-affected northeastern states, more than 800 schools remain closed, with nearly 2,000 classrooms damaged or destroyed. Amid these challenges, artificial intelligence (AI) offers a glimmer of hope, with platforms like Ada Health and EDVES leading transformative change across Nigeria’s health care and education sectors.

Ada Health: AI-Driven Medical Guidance

AI is making significant strides in Nigeria’s health care system, with Ada Health at the forefront. This app provides free, user-friendly symptom assessments, bridging the gap between patients and health care providers. In a country where communicable diseases cause nearly 64% of deaths, early detection and accurate guidance are vital.

Ada Health’s platform begins by asking users a series of simple, jargon-free questions about their symptoms. It then analyzes the responses using advanced algorithms, providing preliminary assessments and recommendations for care. The app also stores medical history, tracks allergies and generates reports for doctors, streamlining the diagnostic process once patients seek treatment.

This innovation reduces the workload on Nigeria’s already overstretched health care professionals. With nearly 40% of Nigerian doctors emigrating to practice abroad, AI-driven solutions like Ada Health help fill the gap by providing preliminary health care guidance. As Nigeria’s population is projected to reach 400 million by 2050, such technological advancements will become increasingly essential.

EDVES: Revolutionizing Education Access

While health care sees progress through Ada Health, Nigeria’s education sector is transforming through EDVES, one of Africa’s largest AI-powered education platforms. With more than 10 million Nigerian children out of school, EDVES offers a lifeline by making learning accessible, even in rural communities with limited internet connectivity.

EDVES operates as a comprehensive school management system, equipping teachers, students and administrators with AI-powered tools in Nigeria. Students access video lessons, homework folders, downloadable notes and attendance tracking through mobile and desktop apps. Teachers can monitor academic progress, compare subject performance across terms and streamline communication with parents.

AI’s Role in Poverty Reduction

Beyond improving health care and education, AI-driven platforms like Ada Health and EDVES are tackling the root causes of poverty. Early health intervention prevents families from falling deeper into economic hardship due to prolonged illness, while accessible education creates pathways for future employment. However, challenges remain. Limited smartphone access, inconsistent internet connectivity and concerns about data privacy could hinder AI adoption in rural areas. Collaboration between the Nigerian government, private sector and civil society could be crucial in scaling these initiatives and ensuring equitable access.

Looking Ahead

AI is reshaping health and education landscapes in Nigeria, offering scalable solutions to longstanding challenges. Ada Health provides critical medical guidance, while EDVES brings quality education to remote communities. Together, they illustrate AI’s potential to break cycles of poverty, empowering Nigerians with the knowledge and care they need to build brighter futures. Furthermore, as AI continues to evolve, partnerships between innovators, governments and communities will determine how far its benefits can reach. With thoughtful implementation and sustained investment, AI could transform not only Nigeria but also other developing nations striving to overcome health care and education disparities.

– Jacob Christopher

Jacob is based in Granite Falls, NC, USA and focuses on Technology and Global Health for The Borgen Project.

Photo: Flickr

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How Starlink Is Revolutionizing Access to Health Care in Kenya

Health Care in KenyaIn Kenya, internet connectivity is a privilege enjoyed by people who live in urban areas. In contrast, millions in rural areas remain in the digital dark. Starlink, a satellite internet provider known for delivering fast and reliable internet in remote and rural areas, launched in Kenya in July 2023. Marketed as a solution for regions with poor or no internet connectivity, Starlink in Kenya experienced a huge demand, leading to a network capacity overload.

Approximately 70% of Kenya’s population resides in rural areas, which are underserved and often face challenges accessing essential services due to poor infrastructure. Starlink is bridging the digital divide in Kenya by revolutionizing access to health care in rural areas. From telemedicine to real-time data management, here’s how this innovative technology is revolutionizing access to health care.

The Link Between Health Care and Poverty

According to the World Health Organization (WHO), health is a fundamental human right. Yet, our financial capacity often limits access to health care, including the choice to get medical care or where to get it. In low-income countries, these options compel individuals to pay for medical care out of pocket, forcing families to forego their well-being. Consequently, the burden of medical expenses and loss of income pushes families deeper into poverty.

Investing in effective health systems and universal health care can ensure that all persons, particularly the most vulnerable, can access health care without experiencing financial constraints.

Health Care in Kenya

Kenya has made notable progress in upholding this right by implementing a system designed to address systemic issues. The country has improved access to health care, increased the number of medical personnel and supplies, digitized health services and promoted national insurance uptake. However, challenges like delays, inefficiency and unreliability persist in the new health care model.

Starlink’s Revolutionary Role in Murang’a

Amid these challenges, in the central region of Murang’a county, Starlink is revolutionizing health care delivery. Nestled in scenic hills, it is a significant tourism attraction but a logistical nightmare due to the challenge of building infrastructure to deliver essential services like communication and health. Murang’a County has no level 5 health facility and 297 level 2 facilities, including clinics and dispensaries that serve villages and smaller towns. In contrast, internet access is limited to 12.7% of the population and 57.4% own mobile phones.

Challenges Solved

The health care sector struggled with delays in disease detection, financial mismanagement, long queues and drug shortages due to reliance on manual systems. However, Starlink’s presence in Kenya has significantly enhanced the digitization of medical records. Murang’a County Governor has hailed the integration of Starlink internet in rural health facilities as lifesaving. Starlink has allowed Murang’a County to roll out a telemedicine program decongesting level 4 and 5 hospitals. This has reduced patient travel expenses, ensuring everyone can get medical assistance from the nearest dispensary.

Starlink provided a viable solution with high-speed, low-latency internet in underserved areas, where most health centers and dispensaries are located—unlike other internet service providers in Kenya that depend on fiber optic cables. The digitizing of medical records and automation of appointments has improved service efficiency. Doctors can make accurate time decisions on patient care through telemedicine. At the same time, the county can monitor and generate real-time patient data. This has enhanced accountability and reduced theft of medical supplies.

Final Note

By providing affordable, high-speed and reliable internet, Starlink is making remarkable strides in digitizing and modernizing health care in Kenya. This aligns with the four core components of the right to health: availability, acceptability, accessibility and quality. As health care outcomes in Murang’a County continue to improve, the success of Starlink offers a model that could be replicated beyond Murang’a County. Indeed, it could potentially transform health care access across the country.

– Grace Ruria

Grace is based in Nairobi, Kenya and focuses on Technology and Solutions for The Borgen Project.

Photo: Flickr

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Disability and Poverty in Antigua and Barbuda

Disability and Poverty in Antigua and Barbuda
In Antigua and Barbuda, 18.4% of the population lives below the poverty line, with an even higher rate of 24.3% among children. The World Bank estimates a further 29% of Antiguans are socioeconomically disadvantaged and at risk of poverty. While there is no official data on poverty rates specifically for persons with disabilities, trends across Latin America and the Caribbean show that people with disabilities are more likely to live in poverty, and economic insecurity is amplified for individuals with disabilities as they face twice the unemployment rate of the general population. Approximately 16,000 people – about one in six residents – live with a disability, confronting unique challenges in daily life, including limited access to education and employment opportunities. While the overall unemployment rate in the country stands at 8.7%, persons with disabilities experience higher rates of joblessness, often due to limited access to education and vocational training. 

Many encounter physical barriers in public spaces, a lack of accessible transportation and limited job opportunities, contributing to higher poverty rates. With only 46% completing secondary education, many struggle to secure stable employment, leading to economic insecurity. Social stigma further isolates people with disabilities, impacting their mental health and inclusion. Access to essential services remains limited, deepening the cycle of poverty. Here is more information about disability and poverty in Antigua and Barbuda.

Empowering Through Aquaponics

The National Vocational and Rehabilitation Centre for Persons with Disabilities (NVRCD) provides vocational training programs in areas such as tailoring, handicrafts and digital services, aiming to enhance employability and promote economic independence. One of its most promising initiatives is the Aquaponics Centre, which trains individuals with disabilities in sustainable agriculture. By integrating fish farming with hydroponic vegetable cultivation, participants gain expertise in food production, allowing them to pursue careers in agriculture or start small farming businesses. The Centre, which has already exceeded its initial production goals, is now expanding due to its success, reinforcing its role as a key driver of economic empowerment for persons with disabilities.

Complementing these efforts, the Antigua and Barbuda Association of Persons with Disabilities (ABAPD) plays a crucial role in advocating for disability rights and economic inclusion. Since its establishment in 1995, ABAPD has provided personal care support, home repair assistance and social outreach programs for individuals with disabilities. Notably, from 2020 to 2022, the association delivered food packages to more than 500 members, thanks to support from the Jumby Bay Fund.

The Calvin Ayre Foundation & Barriers to Education

Disability and poverty in Antigua and Barbuda create significant barriers to education, with low-income students and those with disabilities in Antigua and Barbuda often less likely to complete secondary school than their peers. Addressing this challenge, the Calvin Ayre Foundation (CAF), in partnership with educational institutions, has awarded substantial scholarships to support local students. For instance, in March 2023, the Foundation donated US$200,000 to the University of the West Indies (UWI) Five Islands Campus, facilitating over 200 scholarships and bursaries for underprivileged nationals pursuing studies at the campus.

While specific data on the number of scholarships awarded exclusively to students with disabilities is not readily available, CAF’s initiatives have significantly impacted the disabled community. For instance, in 2017, CAF donated $130,000 to fund the pilot year of The Outreach Program by the Friends of the Care Project (FOTCP), aiming to provide therapy and care for disabled children and young adults who otherwise lacked access to necessary services.

Additionally, in January 2024, the Foundation contributed US$200,000 in scholarships to Island Academy International, empowering Antiguan and Barbudan students to access quality education. These investments are not just numbers on a check; they are opening doors for students who might otherwise be forced to abandon their education due to financial hardship. By covering tuition costs and easing the financial strain on families, the Calvin Ayre Foundation is giving students the chance to focus on their studies, graduate and build a future where opportunity is not dictated by economic status.

Healthcare That Reaches the Hardest to Reach

Individuals with disabilities facing poverty in Antigua and Barbuda often must overcome significant barriers in accessing healthcare services. Challenges such as limited availability of specialized medical equipment, insufficient testing reagents and a shortage of trained healthcare professionals can impede the delivery of essential medical care. These systemic issues are further compounded by financial constraints, making it difficult for many to afford necessary treatments, especially when private healthcare services are prohibitively expensive.

Mobile health clinics are solving that problem by bringing services directly to underserved communities. From routine check-ups to physical therapy and assistive device fittings, these clinics are ensuring that healthcare reaches those who need it most.

The Medical Benefits Scheme (MBS) provides free healthcare services to legal residents, covering treatment and medication for chronic illnesses such as diabetes and hypertension, reducing financial barriers to essential care. Additionally, Medz on Wheelz, a private mobile healthcare service, delivers medical care directly to underserved communities through home visits, medication delivery and diagnostic testing, ensuring that individuals who struggle with transportation or mobility can still receive necessary treatment. These initiatives are working to close healthcare gaps and improve access for vulnerable populations.

Looking Ahead

Addressing the intertwined challenges of disability and poverty in Antigua and Barbuda requires comprehensive and targeted efforts. Initiatives focusing on education, employment and healthcare are making significant strides in promoting accessibility and opportunity. By investing in people and implementing inclusive policies, the nation is paving the way for a more equitable future for its most vulnerable populations.

– Leah Ishak

Leah is based in Exeter, UK and focuses on Business and Politics for The Borgen Project.

Photo: Pixabay

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Mobile Clinics in Kenya Bring Health Care to the Masai Village

Mobile medical care in kenyaLocated on the east coast of Africa, Kenya is a country of mountains, lakes, savannahs and the Great Rift Valley. With more than 50 million people, Kenya is expected to see a 51% population increase in the next 25 years. Despite this steady growth, the country’s life expectancy remains 66 years—about five years below the global average. HIV/AIDS and tuberculosis are the leading causes of death in Kenya. To curb the spread of these diseases, local governments and organizations have introduced mobile medical care to improve access to health screenings, treatments and health care services.

Targeting HIV/AIDS

A global health issue, the human immunodeficiency virus (HIV) is a virus that attacks the body’s immune system, with acquired immunodeficiency syndrome (AIDS) occurring when the virus advances. More than 40 million people have died of HIV/AIDS globally.

In August 2024, the Military Health and Research Program (MHRP) reported collaborating with local government entities to bring HIV preventative measures and treatment to Masai village in Kenya’s South Rift Valley Region. To bring care to this rural area, the MHRP developed a mobile clinic that could get health care to those who could not access it otherwise.

Utilizing funding from the United States of America’s President’s Emergency Plan for AIDS Relief (PEPFAR), the mobile clinic in Kenya provides patients with HIV testing, preventative education and antiretroviral therapies for those who test positive.

Fighting Tuberculosis

In addition to providing HIV/AIDS treatment, mobile clinics in Kenya also focus on tuberculosis, the leading cause of death among men in the country. This infectious, airborne disease claimed more than one million lives in 2023 alone. Babies, children, malnourished individuals and people with diabetes face a higher risk of contracting tuberculosis. While the disease is both preventable and treatable, many lack access to education about prevention and treatment. Mobile clinics in Kenya are working to bridge this gap and improve health care access.

Before the arrival of the mobile clinic in Masai village, individuals infected with tuberculosis were treated in Tanzania, where there were no closer resources. The MHRP reports that treatment took six months and if an individual died in Tanzania, they were left there. Since the mobile clinic arrived, Masai village had seen no tuberculosis-related deaths for more than a year at the time of the report.

Maurice’s Account

In 2023, the Henry M. Jackson Foundation Medical Research International (HJFMRI) spoke to an individual from Masai village. Maurice, the individual living in the town, acknowledges the benefits of mobile clinics. He explains to HJFMRI that those sent to Tanzania for treatment before the mobile clinics had to walk there on an eight-day trek. Maurice says he and the others from his village are “so happy” and “grateful” for the PEPFAR initiative that allowed the mobile clinics.

Beyond Masai Village

Mobile clinics in Kenya extend well beyond Masai village. CURE, Kenya’s children’s hospital, operates multiple mobile clinics nationwide, bringing health care directly to people where they “work, live and play.” Mobile clinics give health care access to individuals who otherwise have little to none. With funding from PEPFAR and the efforts of MHRP, local governments and other private agencies, mobile clinics bring care to many people in Kenya and work to combat the global health issues of HIV/AIDS and tuberculosis.

– Hannah Pacheco

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

Photo: Flickr

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Guinea Worm Disease: Nearing the End of a Neglected Disease

Guinea Worm DiseaseDracunculiasis, also called guinea worm disease (GWD), is a crippling parasitic infection that has afflicted humankind for thousands of years. The parasite Dracunculus medinensis causes this infection, which spreads when infected copepods (water fleas) contaminate drinking water. Historically endemic across large swathes of Africa, Asia and the Middle East, GWD has long been linked to excruciating pain, disabling disease and economic deprivation in affected populations. However, a global eradication campaign led by the Carter Center, supported by the World Health Organization (WHO) and UNICEF, has nearly eradicated this parasitic disease. The near-elimination of GWD highlights the power of coordinated global health efforts to combat neglected tropical diseases (NTDs). Here is more information about guinea worm disease eradication across the world.

The Lifecycle of the Guinea Worm Parasite

People contract GWD when they drink water containing copepods infected with Guinea worm larvae. Once ingested, the copepods die, releasing larvae into the host’s body. The larvae penetrate the stomach and intestinal walls, eventually maturing into adult worms. Female worms, which can grow up to one meter long, migrate to the skin’s surface about one year after infection. The worm forms a painful blister, typically on the lower limbs, which eventually ruptures, allowing the worm to emerge over several weeks. This agonizing process causes intense pain, inflammation and secondary infections. Many victims submerge the affected area in water to seek relief, inadvertently releasing new larvae into the water source and completing the transmission cycle.

Health and Socioeconomic Impact

Although rarely fatal, guinea worm disease wreaks havoc on affected communities. The intense physical pain and immobility render individuals unable to work, farm or attend school. In rural agricultural settings, this loss of productivity can jeopardize food security and local economies. Beyond health consequences, GWD perpetuates cycles of poverty, increasing economic strain on already overburdened healthcare systems.

Global Guinea Worm Disease Eradication Campaign

In 1986, GWD affected 3.5 million people annually across 20 countries. The Carter Center spearheaded a global guinea worm disease eradication campaign to combat this debilitating disease. The strategy included four main interventions: improving access to safe drinking water using water filters, conducting health education to promote behavior changes, containing cases to prevent water contamination and applying larvicides to kill copepods in stagnant water. By 2023, these efforts reduced cases to a handful in South Sudan, Chad, Mali and Ethiopia, with most countries, such as Ghana and Nigeria, declared free of GWD.

Challenges Eradicating GWD

Despite significant progress, several challenges impede the final push toward eradication. Guinea worm infections in animals, primarily dogs in Chad, complicate efforts to interrupt transmission. Political instability and conflict in countries like South Sudan and Mali hinder surveillance and containment efforts. Environmental factors, such as changing weather and shifting water patterns, may also alter transmission dynamics, creating new challenges for eradication teams.

The Role of Community Engagement

Community involvement has been the cornerstone of the eradication campaign. Empowering local populations to take ownership of the process has accelerated progress. Several community-driven initiatives have played crucial roles in combating guinea worm disease (GWD) with measurable successes.

In 2010, Chad implemented a cash reward program, offering financial incentives to individuals who reported suspected cases of GWD in humans. In 2015, this program was expanded to include reports of infections in animals, significantly improving case detection and containment efforts. Public awareness campaigns through radio, television and community outreach have been key to the program’s success.

Another critical initiative launched in South Sudan, where extensive surveillance networks originated, engaging thousands of volunteers to track and report cases. By 2018, these efforts led to the country announcing the interruption of GWD transmission after 15 consecutive months of zero reported cases.

Health workers and volunteers have also played an essential role in educating communities on water filtration and promoting early case reporting. In addition, local leaders have enforced containment measures and promoted safe water practices, fostering a sense of shared responsibility and resilience in affected areas. Through these sustained efforts, community engagement continues to be a driving force in the final push toward eradicating guinea worm disease.

Looking Ahead

The near-eradication of guinea worm disease represents a historic milestone in global health. It demonstrates how long-term collaboration among diverse partners, community engagement and innovative solutions can overcome even the most persistent health challenges. While obstacles remain, the lessons learned from this campaign will inform future efforts against other NTDs. Achieving eradication will improve millions of lives and affirm that with the right tools and strategies, even the most neglected diseases can be defeated.

– Maheer Zaman

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

Photo: Flickr

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Egypt’s Drug Shortage

Egypt's Drug ShortageEgypt has faced increasing drug shortages in the past few years, but the issue has progressively gotten worse within the past year. According to recent reports, between 20% and 40% of drug brands are currently missing. Additionally, there is also a shortage of active ingredients ranging from 15%-20%. Overall approximately 800 registered drugs are absent in the country.

Background

The primary reason Egypt is struggling with a drug shortage is because of the limited amount of US dollars. Since 2016, Egypt has been struggling with currency devaluation. The exchange rate currently sits at 50 Egyptian pounds to $1. In January 2023, Egyptian currency was devalued by 40% reaching a value of $0.03, and only marginally improving in March 2023 to $0.02. The lack of value in Egypt’s currency makes it challenging for pharmaceutical companies to import raw materials necessary for manufacturing drugs or importing them from abroad.

Consequences of Egypt’s Drug Shortage

According to the Ministry of Health, about 25% of Egyptians suffer from mental or psychological health challenges. Anxiety and depression are the most common conditions affecting 43.7% of this group, Zawia3 reports. Egypt’s drug shortage means that people who need neurological or psychiatric medication can’t access life-saving medication.

People with chronic illnesses such as schizophrenia are also struggling to obtain their prescribed medications. Many are experiencing worsening symptoms such as depression or suicidal tendencies.

Zawia3 reported that 10% of medications consumed are imported. These include treatments for cancer, hormonal therapy, and rare specialized diseases. Yet, because the country cannot afford imports, many patients with these diseases lack access to these critical drugs.

People have resorted to obtaining drugs through the black market or buying from countries abroad. However, both options are incredibly expensive for most Egyptians. Life-saving medicines such as insulin and chemotherapy drugs are a hefty price for a population in which it was found in 2022, that 21% are currently living in multidimensional poverty.

Solutions

In August 2024, Egyptian Cabinet spokesperson Mohamed al-Hosmany announced that the country would allocate 7 billion EGP to hospitals and pharmacies to address the drug shortage.

To reduce dependency on imports the government is looking to localize its drug production. In 2023, the government established GYPTO Pharma, a pharmaceutical facility that can manufacture medicine and vaccines. This would mean that the government would no longer worry about having to spend money on imports, especially with a currency that has a history of being devalued.

Overall, the government has made plans to address Egypt’s drug shortage and its high prices, but the results are yet to be seen. Hopefully, soon people will be able to go into pharmacies and find the medicine they so desperately need.

– Aya Diab

Aya is based in New York City, NY, USA and focuses on Global Health and Politics for The Borgen Project.

Photo: Flickr

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AI Innovations Improve Health care in Kenya

Health care in Kenya Kenya is currently experiencing a boom in medical AI innovations. From the minds of hardworking scientists and medical groups, sprouts one solution to a modern health care crisis. Efficient and effective health care in Kenya is limited. The industry is in need of additional medical professionals and general resources.

Additionally, the amount of health care providers in Kenya is extremely disproportionate to its population. According to the World Health Organization (WHO), Kenya employs approximately 2.9 medical doctors per 10,000 residents (compared to 30 or more in most developed countries).

This leads to an especially prominent gap in health care in rural areas of Kenya, where resources are most scarce. In recent years, health providers have utilized AI to analyze output from imaging machines and prescribe possible treatments.

Innovation in Medical Imaging: NeuralSight

Neural Labs Africa, based in Kenya, has developed NeuralSight to aid in medical diagnosis. The team aims to provide earlier diagnoses with their AI program. This technology could decrease the high rate of deaths from preventable diseases in Africa, such as pneumonia and tuberculosis.

These diseases particularly impact populations in rural and low-income areas that experience a lack of access to medical testing and treatment. AI technologies like NeuralSight additionally supplement health workers who are overwhelmed by their number of patients.

More efficient X-rays and MRI analysis will also improve the detection of developmental disorders and medical conditions in children, leading to overall better quality of life in African populations.

NeuralSight has already found success in its clinical trials with shorter wait times for medical results. The organization shared their experience conducting clinical testing in a remote Kenyan village. “This moment solidified the importance and impact of our work. The key lesson was the realization of the vast potential of our tool in regions with limited medical resources,” Neural Labs told UNICEF.

Dr. Fredrick Mutisya’s Solution to Antimicrobial Resistance

In conjunction with medical testing, there is a need for accurate and effective prescriptions. Dr. Fredrick Mutisya is innovating antibiotic prescriptions through AI, which has the potential to reduce increasing antimicrobial resistance.

Dr. Mutisya studied antibiotic resistance by looking at Pfizer’s antibacterial surveillance data (2004-2021). He then developed Antimicro.ai with Dr Rachael Kanguha to assist healthcare providers in Kenya. The program detects possible antibiotic resistance and produces a preliminary prescription to be confirmed by a medical professional.

Antimicro.ai has determined that antibiotic resistance stretches as high as 50% based on data from over 850,000 samples from 83 countries, according to Gavi. Considering its projection that resistance could reach 80% by 2030, careful prescriptions are of paramount importance.

The AI program is open-access and doesn’t store user data. This sets the example for emerging AI technologies to remain ethical and equitable.

The Future of AI Programs for Health Care in Kenya

Still, additional data collection is on the horizon. Pfizer’s medical data is limited. According to Gavi, it is currently biased toward European and Central Asian populations, with sub-Saharan Africa and South Asia making up only 2% of observed populations.

More data is necessary to produce AI programs modeled on health care in Kenya and other African countries. Relying on European data models could lead to diagnostic errors.

The Bureau of Standards recently published a code of practice for AI Applications. The report likewise notes a concern with bias in data procurement.

AI programs for health care in Kenya are in the early stages of development. Yet, innovation is moving quickly. The Gates Foundation committed more than $1 million to Science for Africa (based in Nairobi, Kenya) to launch an RFP in 2023. The RFP encouraged African innovators to develop AI tools for health care. Among its many initiatives, Science for Africa (SFA) focuses on supporting AI developers in the medical field sector.

Kenya is an epicenter for developments in AI. Medical AI has already increased access to health services in remote and poverty-stricken areas of Kenya. With the right support and persistence, this will lead to greater well-being in the country and further innovation globally.

– Sarah Lang

Sarah is based in Pittsburgh, PA, USA and focuses on Technology and Politics for The Borgen Project.

Photo: Flickr