Archive for category: Health

Information and stories on health topics.

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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

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Elderly Poverty in Uruguay: Lowest Rate in Latin America

Elderly Poverty in Uruguay
Elderly poverty in Uruguay presents extreme challenges for individuals and society. Although Uruguay leads the region in social welfare and maintains one of Latin America’s lowest elderly poverty rates of 2.2%, gaps in the nation’s safety nets reveal ongoing struggles. This article explores the overlooked realities of elderly poverty in Uruguay and examines its impact on social isolation, mental well-being and the growing strain on the country’s renowned social security system.

Why Elderly Poverty in Uruguay Exists

Social isolation often compounds these difficulties, as financial constraints can limit mobility and access to community resources, leaving many elderly individuals feeling disconnected and unsupported. While programs like the Non-Contributory Pension provide vital assistance, some seniors still rely on family support or informal work. These challenges highlight the need for continued investment in social protection and targeted initiatives to address the unique vulnerabilities of Uruguay’s aging population.

Considering that one in four elderly individuals in the country lives alone, the issue of social isolation becomes an increased risk. Living alone often exacerbates feelings of loneliness and disconnect, particularly for those already struggling with limited mobility or financial constraints. Addressing this issue requires not only expanding economic assistance but also fostering a more inclusive social environment that ensures all elderly individuals can age with dignity, connection and support.

The Overlooked Realities

Uruguay’s relatively low elderly poverty rate in Latin America does not eliminate the significant consequences of this issue. The country’s robust social security system and progressive policies aim to support its aging population. However, even in a nation lauded for its social safety nets, elderly poverty still affects many individuals and creates far-reaching problems.

Limited financial resources often force elderly individuals to live in inadequate housing. Additionally, social isolation, often a byproduct of financial hardship, undermines their mental and emotional well-being which leads many to navigate their golden years in loneliness and insecurity. These realities impact not only individuals but also strain Uruguay’s social infrastructure. This demonstrates the need for focused strategies to address the unique challenges that elderly poverty in Uruguay poses.

The PNC’s Impactful Programs

Uruguay significantly reduced its elderly poverty rate through pioneering social protection programs such as the Non-Contributory Pension for the Elderly and Disabled (PNC). Established in 1919, this initiative provides critical financial support to individuals over 70 and those with disabilities who lack the means to cover basic living expenses. The Banco de Previsión Social (BPS) administers the program, which ensures a monthly cash benefit of $135 for eligible recipients. This offers a lifeline to the most vulnerable.

Two decades later, Uruguay continues demonstrating its commitment to social protection. By 2022, the elderly poverty in Uruguay dropped to just 2.2%. Remarkably, this low rate exists alongside a significant elderly population, as 17.3% of Uruguay’s residents fall within the age of 65 or older. This proportion ranks remarkably high among other countries. In perspective, the United States stands at 16.5% while Canada is at 16.3%.

Additionally, Uruguay’s dual pension system combines mandatory savings for higher earners with non-contributory support for those in need, creating economic stability for its aging population. With social security spending accounting for 8.7% of the GDP as of 2012, the PNC not only reflects Uruguay’s strong political commitment to income security but also serves as a model for addressing elderly poverty across Latin America.

In contrast, 29% of Latin America’s population lived in poverty in 2022, including 11.2% experiencing extreme poverty. These challenges disproportionately affect women, indigenous communities and rural populations, highlighting the need for strategies like Uruguay’s to alleviate poverty among seniors.

Empowering Elders to Avoid Isolation

Social isolation deeply harms mental health, often leading to loneliness, anxiety and depression. Prolonged isolation increases risks of cognitive decline, weakens immune systems, and raises the likelihood of substance abuse.

On a societal level, social isolation undermines social infrastructure by weakening community bonds, reducing civic engagement and diminishing the collective sense of trust and support. This erosion of social cohesion can lead to less effective collaboration in addressing shared challenges, from economic inequality to public health crises.

There are some countries reporting that up to one in three older people feel lonely. With the likeliness of this, investing in initiatives that foster connection and inclusivity is essential not only for individual well-being but also for maintaining a resilient and thriving society.

Latin America’s Most Robust Social Welfare System

Uruguay’s social security system, considered one of Latin America’s most comprehensive, supports nearly 90% of the elderly population through a mixed system of public and private schemes. In 2018, social security spending accounted for 11% of Uruguay’s GDP, surpassing funding for sectors like health and education.

Despite the challenges, this robust welfare system highlights the commitment to reduce elderly poverty in Uruguay by showcasing the potential of comprehensive social welfare frameworks. However, experts and policymakers, stress the urgent need for reform—such as raising the retirement age and recalibrating pension formulas—to ensure long-term stability.

While these reforms face political resistance and public opposition with 69% of Uruguayans opposing the raise of retirement age, they are crucial for maintaining Uruguay’s pioneering social welfare model, which has become a cornerstone of the nation’s commitment to addressing elderly poverty.

How Other Countries Can Reduce Elderly Poverty

Uruguay’s approach to addressing elderly poverty offers valuable lessons for nations aiming to build robust social welfare systems. Its combination of non-contributory pensions for the most vulnerable and mandatory savings for higher earners ensures broad coverage while mitigating economic disparity among seniors.

Other nations could adopt similar policies by implementing means-tested financial support programs and promoting inclusive pension systems. Additionally, initiatives aimed at reducing social isolation—such as community centers, digital literacy programs and intergenerational projects—can help protect the mental and emotional well-being of older adults. By allocating meaningful resources to social security, governments can reduce elderly poverty, strengthen social cohesion, and create a more equitable society where aging populations receive the dignity and care they deserve.

– Bailie Cross

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

Photo: Flickr

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Jordan Becomes the First Leprosy-Free Country

jordan leprosy-freeJordan, officially named the Hashemite Kingdom of Jordan, hosts the fifth largest number of refugees per capita. Jordan regularly welcomes refugees from its neighboring countries and has taken in more than 640,000 Syrian refugees since the start of the Syrian Civil War in 2011. Despite Jordan’s cultural significance and international recognition, 24.1% of its population lives below the poverty line. Jordan continues to face challenges such as water scarcity and lack of arable land, while also hosting a large number of refugees, which are an economic challenge for the country. Despite these challenges, Jordan has just celebrated a major success by becoming the first leprosy-free country in the world.

Jordan: First Leprosy-Free Country

In September 2024, the World Health Organisation (WHO) awarded Jordan with a verification of becoming Leprosy-free. Jordan has not reported any Leprosy infections from within its borders in more than two decades and became the first country in the world to receive this verification by the WHO.

This success is in line with the WHO’s mission to eradicate leprosy. The WHO has launched the Towards zero leprosy Strategy 2021–2030, which works together with countries to achieve zero leprosy in the World. The WHO is working towards “zero infection and disease, zero disability, zero stigma and discrimination and the elimination of leprosy,”

There are still more than 200,000 new infections recorded worldwide, with more than half recorded in India. Leprosy is an infectious chronic disease caused by the Mycobacterium leprae. It is spread through droplets in the mouth and nose. Leprosy is transmitted by prolonged close contact with the infected. Once treatment is started people living with leprosy are no longer infectious. Left untreated, leprosy affects the skin, upper respiratory tract, and eyes and can lead to physical deformity. Leprosy is curable and treatable, and if treated early physical deformities can be avoided entirely. The treatment is a combination of three different antibiotics, namely dapsone, rifampicin and clofazimine.

Stigma

Unfortunately, those affected by the disease not only suffer from the physical effects of leprosy but regularly suffer from stigmatization. These range from social isolation to financial hardship, as people who have visible deformations are often rejected by the job market. In some parts of the world, leprosy is regarded as divine punishment. It can also be used as grounds for a divorce.

WHO Regional Director for South-East Asia Saima Wazed congratulated Jordan for this major public health achievement: “Jordan’s elimination of this age-old disease is a historic milestone in public health and a huge success for efforts to eliminate leprosy globally. The fight against leprosy around the world is more than a fight against a disease. It is also a fight against stigma and a fight against psychological and socio-economic harm. I congratulate Jordan on its achievement.”

Jordan’s historic achievement highlights how closely collaborating with the WHO and following the guidelines as outlined by the WHO’s Towards Zero Leprosy strategy is the key to success in the fight against Leprosy. Such news inspires hope that other countries still affected by leprosy can have similar success.

– Salome von Stolzmann

Salome is based in London, UK and focuses on Good News and Global Health for The Borgen Project.

Photo: Flickr

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Methods of Treatment and Testing for HIV/AIDS in Italy 

HIV/AIDS in ItalyHIV/AIDS infection and treatment are consistent concerns that health organizations in Italy are levying. Since high infection numbers in the early 21st century, rates of diagnoses have decreased from 3,858 in 2013 to 1,888 in 2022 according to WHO. Still, the health risk of the disease remains prevalent. Poverty can be an obstacle for seeking diagnosis and treatment for HIV/AIDS in Italy. Universal health services provide a great resource for those experiencing poverty. Currently, hospitals and health organizations in Italy are developing programs to make this impact more wide-spread.

The Ministry of Health and other national organizations are working towards spreading awareness, providing testing and developing medication. They hope to eliminate the possibility of HIV infection altogether. Many institutions have created goals which aim to reduce the number of new diagnoses and provide equitable treatment and counseling to all residents of Italy, regardless of their financial situation.

Injective PrEP Could Prevent HIV/AIDS in Italy

In December 2024, The National Institute for Infectious Diseases (IRCCS) and the Regional Hospital of Lombardy (ASST) collaborated on a solution-oriented program. Authorities in health spoke about emerging technologies at the national health conference, “Long-Acting Retrovirals–looking to the future.” The goal is to investigate and approve PrEP (pre-exposure prophylaxis) as a preventative measure against HIV/AIDS in Italy. Currently, the only available form of PrEP is the once-daily pill.

PrEP is a medication that reduces the risk of contracting HIV when individuals who are at-risk for infection take it. In the United States, the FDA has approved both the oral and long-acting injective forms of PrEP. 

The Italian initiative will provide controlled access to the injective method for 800 individuals and monitor their response. These health servicers wish to provide an alternative to at-risk people who have difficulty accessing or using the oral method. Injective PrEP allows for longer periods between intake compared to the daily oral method. 

“Three Times Zero” 

To commemorate International Day Against AIDS in Italy (December 1, 2024), IRCCS held a health conference. Many Italian changemakers attended including the Minister of Health, Orazio Schillaci, and the Director General of Health of the Lazio Region, Andrea Urbani. 

IRCCS aims to promote the goal of “three times zero against HIV: zero risk of transmission, zero diagnoses and deaths, zero stigma and discrimination.” Powerful entities such as the Italian Red Cross signed the protocol. It sets the precedent for advances in prevention and treatment. It also addresses the marginalization that those with HIV in Italy experience. 

Likewise, this protocol acknowledges the groups of Italian residents facing a disproportionate risk of contracting HIV. This includes men who have sex with men, foreign-born migrants and injective drug users. 

The DiMePReJ (Clinic of Infectious Diseases, Department of Precision and Regenerative Medicine and Ionian Area) found that individuals living in marginalized conditions have higher rates of infection. Risk factors include “financial difficulties and lack of secure housing.”

UNAIDS argues that the fight against HIV/AIDS cannot succeed without upholding the human rights of those suffering from the disease.  

Free Testing for HIV/AIDS in Italy

Accessible testing and education are vital to the reduction of HIV infections, especially among marginalized communities. Many free and readily accessible testing methods are available in major cities of Italy. “Let’s do it quick” (facciamolo rapido) launched in 2017 to provide an alternative to the typical blood test for HIV and HCV. This innovative test offers results by testing the saliva, removing the risk of blood contamination among health workers. 

This program supplements “room 13” (stanza 13) at IRCCS in Rome. The institute offers blood tests for HIV and Syphilis at no cost with same-day results. It also provides free counseling for those seeking preventive measures or treatment information. Search engines are readily available online for residents to locate their closest testing and counseling facility.

Vaccine Development

New developments are on the horizon. The Higher Institute of Health (ISS) in Italy partnered with the European HIV Alliance in 2016 to support its development of an HIV vaccine. The EU’s Horizon 2020 Research and Innovation program provided funding for their work. The alliance hoped to develop two new prophylactic vaccine candidates for clinical development using a multidisciplinary vaccine platform (MVP) and further identify scientific basis for continued research. 

Although the alliance has concluded, clinical trials for their vaccine, “EHVA P01” continued. Trials concluded at the end of 2024 with pending results. Scientists aimed to test the efficacy of a vaccine for HIV-uninfected adults. A preventative vaccine for HIV in Italy could reduce infection rates by large margins.

Global Collaboration Against HIV/AIDS

Still, many trials for preventative and therapeutic HIV vaccines are ongoing. Italy is one actor in an international mission to reduce–and eventually eliminate–the risk of infection for HIV. Health authorities are employing both preventative and therapeutic measures to address at-risk and infected individuals. Programs like “Three Times Zero” are reducing the stigma surrounding the disease and those who carry it. National hospitals, like IRCCS, have the potential to close the infection gap between income and population groups by continuing to provide free and accessible health services. Scientific collaboration in Italy has led to emerging treatments that indicate an HIV-free future.

– Sarah Lang

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

Photo: Pexels

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Aging in Deprivation: Elderly Poverty in Trinidad and Tobago

Elderly Poverty in Trinidad and TobagoThe Caribbean islands of Trinidad and Tobago are grappling with their ability to support the elderly members of their country as life expectancy increases. The older community is the fastest growing part of the population, with a current estimate of 14%, which is putting a natural strain on the government’s ability to provide for their housing and health care needs. It is unclear exactly how many of the elderly are in poverty, but due to their estimated growth to 30% of the population by 2050, protective measures are being taken.

When they can no longer support themselves, the elderly are “the prime target to be victims of poverty, exclusion and marginalization, and may suffer from the effects of negative stereotyping.” It grows increasingly more difficult for them to meet their daily needs as they struggle with unexpected health costs and no source of income. Members of a lower socioeconomic status, and without family to financially support them, are left lonely and in a position of hopelessness when they reach the age of retirement.

Exacerbating Elderly Poverty in Trinidad and Tobago

There are a multitude of factors that can contribute to or exacerbate poverty. Two of the larger contributors to elderly poverty in Trinidad and Tobago are the development of chronic illnesses and health care costs. These unpredicted costs force the elderly into making sacrifices in order to financially support their health needs.

Multimorbidity is the development of multiple chronic medical conditions, and its prevalence is found to increase with age. Multimorbidity is not seemingly more common in low socioeconomic communities, however, its occurrence in those members is far more detrimental. The correlated increased hospital visits, medicinal costs and medical bills would only push the elderly further into poverty and unhealthy living conditions. 

The majority of the population of Trinidad and Tobago does not receive coverage from health insurance, while “inequalities in coverage persisted across socio-economic status: only 4% of the population among the poorest income quintile” had coverage. Additionally, long term care facilities are highly dependent on pensions to meet costs. This is marginalizing the proportion of the population that does not receive a pension and makes escaping the cycle of poverty more difficult.

Solutions

Government programs from the Ministry of the People and Social Development have already been implemented to support the health of the elderly. A few of these programs being: Necessitous Patients Programme/Medical Aid Programme, Adult Cardiac Surgery Programme and the Memory Clinic. All of these programs and the continual betterment of national health services sets a positive precedent for the elimination of elderly poverty in Trinidad and Tobago.

A major success is the adoption of the Chronic Disease Assistance Programme (CDAP). This program provides government funded medication to people with “non-communicable diseases such as hypertension, diabetes, heart disease and certain cancer therapies.” Alleviating the factors contributing to elderly poverty in Trinidad and Tobago displays progress towards a better future and provides the aging community with some sense of relief and care.

Habitat for Humanity

There are a multitude of organizations that are dedicated to finding solutions to the issue of elderly poverty in Trinidad and Tobago. One of those organizations is Habitat for Humanity, which approaches tackling poverty by facing the demand for housing throughout the country. The organization helps people who do not qualify for loans, due to either their age or income, by providing housing solutions.

It has worked in Trinidad and Tobago since 1997 and has since then served 845 individuals through building and repairing homes. It began its program in the country after the release of an estimate that 200,000 people were living in informal settlements and the wait for government housing was 25 years. In order to provide aid, it utilizes both donations and volunteers.

Looking Ahead

A lot of commendable work has occurred to combat the issue of elderly poverty in Trinidad and Tobago. The government has made strides in noticing and addressing the needs of the older community, specifically in regards to their health care needs. There are still areas to address in order to lift the community out of poverty, but there are numerous volunteer and support opportunities to help achieve that goal.

– Sydney Morrow

Sydney is based in London, UK and focuses on Global Health, and Politics for The Borgen Project.

Photo: Freepix