Archive for category: Health

Information and stories on health topics.

, ,

Mental Health Resources in Uganda

Mental Health Resources in UgandaUganda has an international poverty rate of almost 60% as of 2019. With so many people living in poverty, the mental health crisis in Uganda is serious. Poverty raises rates of depression and anxiety, while Uganda’s history of civil conflict has also increased cases of post-traumatic stress disorder (PTSD). As one of the top six countries in Africa with the highest rates of people suffering from depressive disorders, Uganda’s mental health care system is overcrowded and struggling to keep up with the country’s needs.

However, programs have been developed to increase mental health resources in Uganda, such as YouBelong Uganda and Pamoja Afya Initiative.

YouBelong Uganda

Founded in 2016, YouBelong Uganda works to deinstitutionalize people from mental institutions and focus on support through the community. A major concern surrounding mental health resources in Uganda is that many people become trapped in institutional systems and are unable to reacclimate to their communities. YouBelong uses “The YouBelong linked model of engagement and care [to build] a bridge between the institution and the community.”

A key part of this is that YouBelong provides transport for people from institutions back to their communities. YouBelong also uses government resources to prepare the individual for community life and to prepare the community to best support the individual.

The YouBelong HOME is a section of YouBelong that focuses on addressing the inflow and outflow problems at the national mental institution. It works to reintegrate between 40 and 60 people a month from Butabika National Referral Mental Hospital back into their communities. To reduce inflow to the mental hospital, YouBelong is working to expand resources at local health centers to help people before they reach institutionalization.

YouBelong has several programs under its wing. These programs address issues such as inequalities in mental health care for women, early intervention for children experiencing mental health issues, psychosis and learning from the experiences of those in recovery. YouBelong Uganda is a large organization that works at many levels to increase access to mental health resources in Uganda.

Pamoja Afya Initiative

Pamoja Afya focuses on communities surrounding Uganda’s national parks and was founded in 2024. This organization operates on a much broader scale, covering topics such as water and sanitation, snakebite prevention and coexistence with wildlife. Among its many programs, Pamoja Afya Initiative also has a mental health program that provides targeted interventions to help communities.

The initiative brings awareness to youth in schools about disorders such as depression, substance abuse and PTSD. These awareness programs teach students emotional regulation, healthy coping mechanisms and relationship building. Pamoja Afya also works with teachers to foster a more emotionally safe learning environment. 

It equips teachers with the tools to support their students and themselves. The program also conducts mental health screenings and gives those diagnosed with mental health issues access to resources.

Conclusion

Programs like YouBelong Uganda and Pamoja Afya Initiative are helping bridge the gap in access to proper mental health resources that many Ugandan citizens lack. By giving small communities resources to address mental health problems early on, people are better able to cope with the growing mental health crisis. YouBelong then steps in to help reintegrate people into their communities and get the support they need.

Mental health resources in Uganda are few and far between, but certain organizations are working to increase access for more people.

– Kaitlyn Crane

Kaitlyn is based in Rohnert Park, CA, USA and focuses on Good News for The Borgen Project.

Photo: Flickr

, ,

How Babychecker Transforms Maternal Health Care in Honduras

Maternal Health Care in HondurasIn the heart of Central America’s Northern Triangle, Honduras faces a complex web of challenges. Widespread poverty, recurring hurricanes and deep social inequalities shape the daily lives of its more than 10 million inhabitants. These structural pressures are straining the country’s health care system, especially in maternal health care, where mortality rates remain high. In response, BabyChecker is transforming maternal health care in Honduras by expanding access to essential prenatal diagnostics in underserved areas.

The State of Maternal Health Care in Honduras

Although Honduras has reduced maternal mortality over the past two decades, significant disparities persist, especially in rural and underserved regions. The country lowered its maternal mortality ratio from 199 deaths per 100,000 live births in 2000 to 47 in 2023. However, unequal access to care still puts many women at risk.

The COVID-19 pandemic exposed and intensified these vulnerabilities. Health system disruptions limited access to prenatal and reproductive services. This caused maternal mortality rates to surge from 61 to 125 deaths per 100,000 live births in the aftermath. This situation reflects a broader global pattern. 

The World Health Organization (WHO) reports that nearly 800 women die every day from preventable pregnancy-related causes, with 90% of these deaths occurring in low-resource settings. In Honduras, limited access to essential diagnostic tools continues to hinder progress. 

Health care providers struggle to use traditional ultrasound machines in remote areas because these devices are expensive, require stable electricity and specialized training. As a result, many women complete their pregnancies without adequate monitoring, which increases the risk of complications.

Why Are Ultrasounds Crucial To Preventing Prenatal Death?

Ultrasound plays a critical role in reducing prenatal and neonatal mortality by enabling the early detection of life-threatening complications. Globally, neonatal deaths account for nearly half of all deaths among children under 5, with preterm birth complications, infections and intrapartum-related conditions among the leading causes. Many of these risks originate during pregnancy and can be identified early through proper monitoring.

Health care providers use ultrasound to detect a wide range of complications that can endanger both mother and child. For example, ultrasound can identify ectopic pregnancies (when a pregnancy develops outside the uterus), allowing doctors to intervene before rupture and internal bleeding occur. It also helps assess fetal heart activity and development, enabling the early detection of miscarriage risks. 

In addition, clinicians rely on ultrasound to screen for chromosomal abnormalities such as Down syndrome and detect structural defects like congenital heart conditions or spina bifida. They also use it to monitor fetal growth and prevent complications linked to growth restriction. Ultrasounds also allow providers to diagnose placental issues, such as placenta previa or placental abruption, which can pose severe risks during delivery. 

By identifying these conditions early, health care workers can plan safer deliveries and refer patients to appropriate care on time. Evidence highlights the impact of this technology: one study found that the introduction of ultrasound reduced fetal mortality by nearly 20% overall and by more than 50% in post-term pregnancies. These findings underscore the importance of ultrasound access in improving pregnancy outcomes, particularly in settings where other forms of monitoring remain limited.

Babychecker: A Digital Solution to the Rescue

To address these gaps, the Honduran Ministry of Health partnered with the United Nations Population Fund (UNFPA) and Delft Imaging to launch the BabyChecker pilot project. BabyChecker uses a smartphone-based, AI-powered ultrasound system to expand access to prenatal care. The device allows health care workers with minimal training to perform scans and assess pregnancy risks.

By guiding users through six simple sweeps across the abdomen, the tool provides key clinical information, including gestational age, fetal position, heart rate and early signs of complications. This approach transforms how providers deliver care. Instead of requiring patients to travel to distant hospitals, BabyChecker enables frontline health care workers to conduct diagnostics directly within their communities.

By decentralizing access to diagnostics, BabyChecker is transforming maternal health care in Honduras. 

Transforming Care in Underserved Communities

In October 2024, health care teams deployed BabyChecker devices across hospitals and rural clinics in regions including Intibucá, Choluteca and La Paz. These areas include Indigenous communities such as the Lenca, Garífuna and Miskito. During the pilot phase, around 400 pregnant women received care through the program.

Local health assistants and community volunteers quickly learned how to use the device, even in settings without reliable internet or electricity. They used BabyChecker to estimate gestational age, detect multiple pregnancies and identify warning signs, allowing them to refer high-risk cases to advanced care in time.

The initiative also improved trust in health care services. In many Indigenous communities, women prefer to consult trusted local figures rather than unfamiliar medical professionals. By equipping community members with this technology, the program increased acceptance of prenatal care. It strengthened engagement, further demonstrating BabyChecker’s transformation of maternal health care in Honduras.

A Step Toward Reducing Maternal Mortality

BabyChecker is transforming maternal health care in Honduras by enabling earlier detection of complications and accelerating referrals to appropriate care. The technology allows health care workers to act quickly and reduce preventable risks for both mothers and infants. More broadly, the initiative shows how targeted, low-cost innovation can help close persistent gaps in health care access, particularly in underserved and rural communities.

As Honduras continues to face structural challenges such as poverty, inequality and environmental vulnerability, solutions like BabyChecker are increasingly vital. By combining accessible technology with community-based care and international partnerships, health care systems can better protect vulnerable populations and improve pregnancy outcomes.

This model is already expanding beyond Honduras. BabyChecker is currently in use in countries such as Sierra Leone and Ghana, where it similarly supports frontline health care workers and improves access to prenatal diagnostics. Its growing adoption highlights its potential as a scalable global solution to reduce maternal mortality and strengthen health care systems in low-resource settings.

– Inès Maudire

Inès is based in Paris, France and focuses on Technology and Solutions for The Borgen Project.

Photo: Unsplash

,

Development of Health Care in Solomon Islands

Health Care in Solomon IslandsThe Solomon Islands is a remote archipelago with a large population of more than 800,000 people. The vast majority of people in the Solomon Islands live in rural areas, which could make access to health care more difficult. As a result, according to the World Health Organization (WHO), the country faces a rise in Non-Communicable Diseases (NCDs), which is the leading cause of death, accounting for 68.2% of deaths. Communicable, maternal, perinatal and nutritional conditions account for 23.6%.

Geographic isolation, natural disasters and systemic gaps such as shortages of medical equipment and staff create major barriers in accessing health care in rural areas. Improving health care in the Solomon Islands is critical for public health and for addressing the broader systemic issues, supporting economic stability and growth.

Konide Area Health Centre

In 2018, the old Konide clinic collapsed due to decades of deterioration and was forced to close. Consequently, rural communities had to rely on small health clinics such as the Susubona Rural Health Clinic, which was far too small to handle the sudden surge in patients. Residents had to travel long distances to Buala Hospital, causing delays in treatment and referrals. These delays often lead to worse health outcomes, causing patients to miss work or school and lose income, increasing the risk of poverty.

In November 2025, the new Konide Area Health Centre opened following an investment of SBD 20.8 million. The opening marked a major expansion of health care in Solomon Islands, as communities now have better access to services such as general clinical services and trauma care, maternal and reproductive health, communicable and non-communicable diseases, community-based health services, and additional support services.

Residents in Konide and nearby communities can now access care closer to home and receive more timely treatment.

The World Bank’s ECHO project

Efforts to improve health care in Solomon Islands also include support from the World Bank through the Engaging Communities to Improve Health Outcomes (ECHO) project. Managed by the Ministry of Health and Medical Services (MHMS), the initiative aims to strengthen essential health systems and improve access to primary health care services across the country.

The ECHO project consists of three components aimed at improving primary health care, which are Strengthening Primary Health Care Services, National Supply Chain Management (SCM) and Project management, monitoring, and stakeholder engagement.

The first component focuses on access to primary health care services with a Community Health Worker (CHW) program, along with climate-resistant infrastructure improvements to Rural Health Centres (RHCs), and the expansion of digital tools for efficient monitoring and reporting. To ensure a steady supply of essential medicines, the second component aims to upgrade the national supply chain through staff training, system improvements, and the construction of a pharmaceutical warehouse in Noro. Lastly, the third component establishes an MHMS-based Project Management Unit (PMU) modelled after COVID-19 response structures. The PMU is responsible for operational oversight, data-driven monitoring, and community engagement. By providing technical support and coordination, it ensures the ECHO project aligns with national health strategies.

Solomon Islands Development Partnership Plan

Australia and the Solomon Islands share a partnership, with Australia serving as the Solomon Islands’ largest development partner. The Australia – Solomon Islands Development Partnership Plan 2024-2029 (DPP) coordinates Australian contributions to support Solomon Islands’ domestic development initiatives and strengthen health care in Solomon Islands. It establishes clear objectives, implementation methods, and monitoring protocols to track progress and ensures Australia’s efforts align with other international development actors to avoid duplication of efforts and maximize impact.

In addition, the DPP also has a primary goal of fostering “A stable and prosperous Solomon Islands” with three objectives. One of their objectives is to invest in people and communities to improve health and education. While another focuses more on improved stability and economic growth as well as infrastructure. This commitment is reflected in Australia’s investment in health care by providing SBD 32.9 million for health services, SBD 9.1 million for crucial medical supplies, completing a scabies mass drug administration program for up to SBD 14.8 million, and fostering four new biomolecular laboratories in Choiseul, Temotu, and Western and Guadalcanal Provinces.

Part of the DPP, in March 2025, the MHMS and the Australian high commissioner launched a health partnership called the “Solomon Islands Australia Health Partnership” investing approximately SBD 150 million until 2028 to promote high-quality health care and access.

The partnership focuses on promoting Provincial Grants including SBD 75 million to provincial health services, National Health Priorities Fund, the Health facility Fund and the Women in Health Leadership Awards, a new initiative to promote gender equity, and to empower women within the health care sector. With provincial funding, communities in rural areas are driven towards increased health care access and leadership that empowers a stronger health system, which all play a role in reducing poverty and other systemic issues. Together, these four key areas are designed to strengthen high-quality health care, enhance services and economic growth.

The Future

In a country with more than 900 islands, the progress of the health system is crucial in addressing health care accessibility and larger systemic issues, such as global poverty. New infrastructure developments such as the Konide Area Health Centre, initiatives from the World Bank, namely the ECHO project, and partnerships from Australia, are creating lasting progress for health care in Solomon Islands. Continued investment and partnerships will strengthen public health, increase economic growth, and advance productivity, which will help the Solomon Islands move closer towards a more sustainable future.

– Bianca P. Gunawan

Bianca is based in Jakarta, Indonesia and focuses on Good News and Global Health for The Borgen Project.

Photo: Flickr

, ,

Solar-Powered Vaccine Cold Chain in Chad and Sudan

vaccine cold chain in ChadAfrica lacks the capacity to manufacture its own vaccines. As a result, combined with other factors such as limited health care infrastructure, vaccination rates across the continent remain lower than in many other parts of the world. Since building high-functioning manufacturing facilities would be both difficult and costly, organizations such as the World Health Organization (WHO) and UNICEF are seeking practical, feasible ways to expand vaccine access in Africa.

Why Vaccine Delivery Remains a Challenge

Although many vaccines are available today, low vaccination rates in Chad and Sudan mean that only a few can be prioritized immediately. In 2024, Gavi, the Vaccine Alliance, launched pneumococcal, rotavirus and malaria vaccines in Chad. This approach centers on reducing vaccine-preventable deaths, making these vaccines the most immediately impactful.

Vaccines are not widely manufactured in Africa and are often transported from overseas. Most also need to be stored at specific temperatures to remain effective. Adding to the challenge, each vaccine requires its own storage conditions. For this reason, the Centers for Disease Control and Prevention provides a detailed toolkit on vaccine storage and handling.

The cold chain is the critical system that allows vaccines to reach their destination safely and remain usable. If required temperatures are not maintained throughout the process, vaccines can lose potency and health workers must discard them. This means that everyone involved in the cold chain process, from transport personnel to staff managing refrigeration at medical facilities, requires specialized training. 

It also demands strong infrastructure and tightly coordinated logistics to ensure there are no gaps in storage or delivery. Because cold chain delivery and storage require such close oversight, the UNICEF Supply Division treats them as a major operational priority.

The Status Quo

While the vaccine cold chain requires particular attention, refrigeration is also essential for many other perishable supplies that must be transported to especially hot climates, such as Chad and Sudan. According to the WHO’s Communications Officer for News and Media, the organization published an evidence brief for this reason. Titled “Solar direct-drive vaccine refrigerators and freezers,” the brief explains how solar power can play a particularly important role in vaccine storage. 

Because electricity is unreliable in many parts of Chad and Sudan, clinics and transporters often rely on kerosene and gasoline to power cold chain storage and refrigeration. Unfortunately, these fuel-powered systems are both costly and difficult to maintain. Rising prices and supply chain disruptions can also make kerosene and gasoline hard to keep in stock. 

In addition, because these fuels are used with absorption refrigeration systems rather than the more reliable electric refrigerators, reliability remains a major concern.

Where Do Solar Panels Come In?

As demand for reliable energy grows, researchers are exploring alternatives to fossil fuels. Beyond climate concerns, fossil fuels are finite and increasingly expensive. While no energy source currently known to scientists is without cost, many groups have spent years searching for sustainable options with the lowest possible operating costs.

While energy needs vary across regions, Northern Africa’s arid climate and abundant sunshine make solar power a strong candidate for a major energy source. Globally, CleanEnergy predicts that solar power will become a leading source of energy generation by 2050. WHO and UNICEF, alongside partners such as the World Bank, are actively scaling up solar energy to stabilize critical health, water and education services in Chad and Sudan.

Barriers To Creating a Solar-Powered Vaccine Cold Chain

Transitioning to new energy sources does not come without cost. Although sunshine is abundant in Northern Africa, installing solar panels would require a major investment. While exact figures are unclear, providing solar-powered refrigeration and cold chain storage for vaccines in Chad and Sudan would likely require large organizations such as the WHO and UNICEF to purchase and install a significant number of solar panels.

There would also be initial challenges in integrating solar energy into existing power systems. Although this would likely be a short-term issue, failures during the transition could lead to the loss of vaccines and other perishable supplies. In addition, while Chad and Sudan are still developing their solar regulatory frameworks, government policy remains an important consideration when implementing large-scale energy or grid infrastructure projects.

Looking to the Future

While 2050 is more than two decades away, solar energy use is rapidly expanding worldwide and creating a solar-powered vaccine cold chain in Chad and Sudan will soon be a reality. Given the evidence highlighting refrigeration’s critical role in vaccine distribution, solar power is likely to be prioritized and expanded in the region sooner rather than later.

– Nicole Miller

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

Photo: Flickr

, ,

SDG 3 in Afghanistan: Health Gains and Persistent Barriers

SDG 3 in AfghanistanAfghanistan is still struggling to achieve Sustainable Development Goal (SDG) 3, which aims to ensure good health and well-being for everyone. The country scores low on key health indicators and recent reports indicate that millions of people need humanitarian health support due to the system’s heavy strain. Years of conflict, economic problems and less international support have made Afghanistan’s health crisis worse. 

In 2024, Human Rights Watch said that big cuts in funding and technical help after the Taliban takeover have badly hurt the health care system, putting millions at higher risk of illness and poor care. These cuts have led to clinic closures and reduced services, leaving families with fewer treatment options. Even so, aid groups have kept some basic care going through emergency programs. 

Maternal and Child Health Remain Fragile

Maternal and child health is still one of the most urgent problems for SDG 3 in Afghanistan. Limits on women’s education and work in health care have made it harder to find female health workers. As a result, women and girls face more obstacles to accessing care, especially since many families already have trouble reaching clinics. 

In traditional areas, cultural rules mean women often need female providers, but there are even fewer now. This shortage puts women at greater risk during pregnancy and childbirth, when fast care can save lives. In 2025, UNICEF said that 14.3 million people in Afghanistan needed humanitarian health support and 857,000 children under 5 were expected to need treatment for severe malnutrition. 

The same report said that in May, more than seven million people got basic health services from UNICEF-supported clinics and mobile teams. These teams go to remote villages to give checkups, vaccines and nutrition support where regular clinics cannot reach. Their work helps improve child health and reduce deaths from preventable illnesses such as diarrhea and respiratory infections.

Aid Groups Address Service Gaps

Humanitarian groups still provide many of Afghanistan’s most important health services. UNICEF-supported clinics and mobile teams have helped families who might not otherwise receive care. Reports show these services are still vital for meeting urgent health needs. 

Groups like the World Health Organization (WHO) also supply medicines and train local staff to handle outbreaks and regular care. By focusing on primary health care, these groups help prevent small problems from becoming emergencies. Still, the overall health system is unstable. 

A 2025 report warned that closing health centers due to funding cuts has worsened the risks of disease and malnutrition. These shutdowns hit rural areas the hardest, where people already must travel far for care. Aid cannot fully replace public clinics, but it helps fill gaps when there is not enough funding or staff.

Other organizations, such as Médecins Sans Frontières, run hospitals in conflict zones and treat thousands of people for war injuries, infections and childbirth complications. Their teams often work in tents or damaged buildings, showing how aid can adapt to tough conditions. These efforts support SDG 3 by keeping emergency and basic care available when government services cannot.

Disease Prevention Remains Critical

Disease prevention is also an important part of SDG 3 in Afghanistan. UNICEF’s 2025 report found more cases of acute watery diarrhea and warned that Afghanistan is still at high risk for outbreaks. Poor sanitation, hard-to-reach clinics and malnutrition can quickly turn common illnesses into serious emergencies. Weak water systems and crowded living conditions make it easier for diseases like cholera to spread, especially in summer.

Due to these risks, public health work in Afghanistan focuses on both treatment and prevention. Vaccination campaigns, nutrition checks and mobile health services help reduce preventable deaths, especially among children under 5, who are still most at risk. Programs target diseases like measles, polio and pneumonia, which take many young lives each year. Community health workers also teach families about hygiene and warning signs, helping build local skills for lasting improvements.

Mental health support is now another important focus. Conflict and displacement have left many people with trauma and NGOs now offer counseling at community centers. This work supports SDG 3’s broader goal of well-being, as untreated stress can worsen physical health problems.

Concluding Remarks

Progress toward SDG 3 in Afghanistan has been uneven. The Sustainable Development Report 2025 tracks the country’s SDG results and health is still a major concern, even though there have been some small improvements in services. Vaccination rates have stayed steady in some provinces and more children are getting treatment for malnutrition than before. These steps show that targeted aid can make a difference during a crisis.

Even so, the ongoing work of aid groups and health workers offers hope for improvement. Millions of people are getting care through supported clinics, which is crucial in a country with a weak health system. For Afghanistan to achieve SDG 3, these short-term gains need to become a lasting system of care.

Stable funding, more trained female staff and better roads could turn fragile progress into lasting health security. Until then, humanitarian efforts remain the main support for SDG 3.

– Niaz Youssefian

Niaz is based in Cardiff, UK and focuses on Global Health for The Borgen Project. 

Photo: Flickr

, ,

Community Health Workers in Malawi Expand Maternal Care

Community Health Workers in MalawiCommunity health workers in Malawi play a central role in maternal care, especially in rural communities where distance, transport gaps and workforce shortages can delay treatment. In Malawi, these frontline workers are commonly known as Health Surveillance Assistants (HSAs). In an interview, Kingsley Chikaphupha, executive director of REACH Trust, told The Borgen Project that HSAs identify and register pregnant women, promote early antenatal care, explain danger signs, support referrals for high-risk pregnancies and conduct home visits after delivery. 

He said they also work with families and community leaders to reduce stigma and strengthen support for pregnant women at the community level. This community-to-clinic connection is one reason community health workers in Malawi remain important in maternal and newborn care. REACH Trust describes itself as a Malawian nongovernmental organization (NGO) focused on research, innovation and implementation in health and development.

According to the World Bank, Malawi’s maternal mortality ratio declined from 1,115 in 2000 to 225 in 2023. This underscores the importance of HSAs in Malawi. 

How the Community System Works

Chikaphupha said maternal services delivered by HSAs are mainly preventive and referral-based. Malawi’s Community Health Framework similarly describes community health workers as the first point of contact between communities and the health system and calls for stronger integration between community teams and health facilities. This structure matters because skilled midwives and nurses deliver babies and manage obstetric emergencies at facilities, while HSAs help women access those services earlier.

Chikaphupha said HSAs use standardized checklists and danger-sign rules during home visits. He said they look for symptoms such as heavy bleeding, severe headaches and high fever, while also checking basic signs and asking about earlier pregnancy complications. He added that they can escort women for urgent referral when needed. 

This role fits Malawi’s broader policy direction. The country’s earlier National Community Health Strategy and the current framework both emphasize referral systems, supervision and a target of one HSA per 1,000 people.

Training and Workforce Expansion

According to Chikaphupha, HSA training has included classroom and field-based instruction in reproductive health, antenatal care, labor, postnatal care, counseling, referral skills and emergency response. He said Malawi has recently shifted from an earlier 12-week training model to a one-year curriculum. He also said the first cohort of 497 trainees completed the 12-month program and graduated in November 2024 and that these workers are being recruited as Disease Control Surveillance Assistants (DCSAs). 

Last Mile Health works with the Malawi Ministry of Health to provide standardized training for community and frontline health workers. These workers support routine services, including maternal and child health visits. Even with that progress, Chikaphupha said remote communities still face shortages, poor transport links, weak supervision, stockouts and burnout. 

Malawi’s Health Sector Strategic Plan III for 2023-2030 calls for training, recruiting and equipping HSAs to meet community health strategy targets. The plan lists antenatal care coverage of at least four visits at 51% as a baseline, showing why stronger local outreach still matters. Chikaphupha said some HSAs serve more than 2,000 people, well above the desired ratio.

Organizations Are Backing a Practical Solution

Recent programs show how community health workers in Malawi are being supported through targeted investments. UNICEF continues to invest in maternal and child health care and capacity building for health workers in Malawi. In March 2025, UNICEF, with funding from the U.K.’s Foreign, Commonwealth and Development Office, supported the Rumphi District Health Office in training 16 community midwifery assistants and 24 HSAs. 

The training was designed to help these individuals integrate services related to maternal, newborn, child and adolescent health, as well as nutrition. Furthermore, in March 2026, UNICEF announced that funding from China would upgrade maternity and newborn wards in 20 health facilities across three districts. The funding would also supply medicines and equipment and train community health workers to better support mothers and babies. 

Chikaphupha said Malawi’s 2023–2030 national framework is formalizing the role of community health workers in maternal and newborn care, while newer projects are expanding postnatal home visits, community engagement and digital tracking. This makes community health workers in Malawi more than a stopgap measure. They are part of a longer-term strategy to extend maternal care into communities that would otherwise have the weakest access to services. 

As Malawi continues to invest in training, facility links and workforce support, community health workers in Malawi remain one of the country’s clearest maternal health solutions.

– Aiden Moriarty

Aiden is based in Rowley, MA, USA and focuses on Business and Politics for The Borgen Project.

Photo: Unsplash

, ,

Updates on SDG 3 in Nigeria

SDG 3 in NigeriaThe progress of Nigeria toward Sustainable Development Goal 3 (SDG 3), which focuses on good health and well-being, reflects both policy commitment and persistent development challenges. Health outcomes in Nigeria remain closely tied to poverty, limited healthcare access and uneven infrastructure across rural and urban areas. While government reforms and international partnerships have expanded immunization campaigns and maternal health programs, the country continues to face structural barriers that slow progress toward the 2030 targets.

However, several initiatives at the community and sub-national levels are improving health outcomes. Data-driven health interventions, expanded immunization campaigns and partnerships among government agencies, multilateral partners and civil society organizations continue to strengthen Nigeria’s health system. These targeted efforts demonstrate how improved data systems and coordinated implementation can accelerate progress toward SDG 3 in Nigeria as the 2030 deadline approaches.

Updates on SDG 3 in Nigeria

SDG 3 is one of the 17 Sustainable Development Goals that the United Nations adopted to create a better world by 2030. The goal focuses on ensuring healthy lives and promoting well-being for people of all ages.

In Nigeria, SDG 3 focuses on improving health outcomes by reducing disease, expanding healthcare access and promoting healthier lifestyles. Key priorities include maternal health, reducing child mortality, combating infectious diseases and strengthening mental health services.

Overview of SDG 3 in Nigeria

Nigeria reaffirmed its commitment to the Sustainable Development Goals in July 2025 when it presented its Third Voluntary National Review (VNR) at the United Nations High-Level Political Forum in New York. The review involved an inclusive national consultation process that engaged stakeholders across Nigeria’s six geopolitical zones, including youth, children and persons with disabilities.

The review highlights both progress and persistent structural challenges. Nigeria has improved child survival and expanded immunization campaigns through partnerships with global health organizations. However, rapid population growth, resource limitations and uneven healthcare access continue to slow progress toward SDG 3 targets.

Health outcomes in Nigeria also closely intersect with poverty. According to the World Bank, about 40% of Nigerians live below the national poverty line, which limits access to healthcare, nutrition and sanitation services. Poverty increases the likelihood that families delay medical treatment, skip vaccinations or rely on under-resourced health facilities, particularly in rural communities.

Nigeria’s development strategy also links health improvements to broader economic reforms. The upcoming Medium-Term National Development Plan (2026–2030) prioritizes strengthening primary healthcare infrastructure, improving maternal and child health services and expanding digital health data systems. Policymakers designed the plan to increase investment in rural healthcare and expand partnerships with international development agencies to accelerate SDG progress.

Maternal Health and Systemic Challenges

Maternal health remains a critical component of SDG 3 in Nigeria. The country continues to record one of the highest maternal mortality ratios globally, with estimates exceeding 500 deaths per 100,000 live births in recent years. This figure remains far above the SDG target of 70 deaths per 100,000 live births.

Several structural factors contribute to this challenge. Many women still lack access to skilled birth attendants and emergency obstetric care. Rural communities often face shortages of trained healthcare workers, essential medicines and transportation to health facilities. Economic hardship also limits access to maternal care services.

Nigeria’s health authorities have begun addressing these gaps through stronger data systems. Health agencies introduced a real-time national platform that tracks maternal and newborn health outcomes across 54 hospitals. Policymakers use this system to identify treatment gaps and improve healthcare delivery decisions.

Child Mortality and Survival

Child mortality remains a critical public health challenge in Nigeria. According to UNICEF (2024), the country’s under-five mortality rate exceeds 100 deaths per 1,000 live births, far above the Sustainable Development Goal target of 25 per 1,000 by 2030.

Research published in Scientific Reports shows that under-five mortality in Nigeria is strongly linked to socioeconomic and geographic inequalities. More recent evidence indicates that Nigeria accounts for a significant share of global child deaths, with disparities driven by poverty, regional inequalities and access to healthcare. Additional peer-reviewed studies confirm that preventable causes, weak health systems and low immunization coverage remain key barriers to improving child survival outcomes.

Low immunization coverage remains one of the main drivers of child mortality. In 2022, Nigeria recorded more than 2.2 million “zero-dose” children who had not received the first dose of the diphtheria-tetanus-pertussis vaccine, the highest number globally.

Immunization

Immunization programs remain central to Nigeria’s SDG 3 strategy. The country achieved major success in eliminating wild poliovirus transmission, demonstrating the effectiveness of coordinated national campaigns.

However, routine immunization coverage still faces logistical and social barriers in many communities. To address these challenges, Nigeria’s government expanded targeted outreach campaigns through the Community Health Influencers, Promoters and Services (CHIPS) program. The initiative trains community health workers to improve vaccine awareness, track immunization coverage and connect families to local health facilities.

Community-Level Health Actions

Local innovation continues to strengthen Nigeria’s healthcare response. One example is the ADVISER program (AI-Driven Vaccination Intervention Optimiser), which health authorities implemented in Oyo State. The initiative uses artificial intelligence to analyze vaccination data and identify households that need targeted outreach.

The program has already improved vaccination delivery strategies for more than 13,000 families by helping health workers identify barriers to immunization and adjust outreach strategies.

Community health initiatives also play a key role in expanding healthcare access beyond formal health facilities. Several organizations operate outreach programs that provide malaria screening, deworming treatments, nutrition assessments and health education for children in underserved areas.

Challenges in Data and Implementation

Nigeria’s 2025 Voluntary National Review also emphasizes the importance of reliable development data for monitoring SDG progress. Policymakers launched Nigeria’s Inclusive Data Charter Action Plan to strengthen the collection and analysis of disaggregated development data.

Improved data systems will help policymakers identify healthcare gaps, measure program outcomes and design targeted interventions that address regional health disparities and gender inequality.

Looking Ahead

Nigeria still faces major obstacles in achieving SDG 3 by 2030, but expanding partnerships, stronger health data systems and increased investment in primary healthcare offer signs of progress. If these reforms continue and policymakers address the link between poverty and health access, Nigeria could significantly reduce preventable deaths and improve well-being for millions of people in the coming years.

– Umeobi Andrew Felix Nonso

Umeobi is based in Abuja, Nigeria and focuses on Global Health for The Borgen Project.

Photo: Unsplash

, ,

AI Diagnostics in Rwanda Could Strengthen Frontline Health Care

AI Diagnostics in RwandaAI diagnostics in Rwanda are drawing attention because they suggest a practical way to strengthen health care in places where medical staff are stretched thin. In low-resource settings, frontline health workers often face difficult clinical questions with limited equipment, few specialists and heavy patient demand. Rwanda’s recent research suggests that artificial intelligence could help close part of that gap by supporting health workers rather than replacing them.

Why Health Care Access Matters in Rwanda

This matters because poverty and health care are closely connected in Rwanda. World Bank data shows that 27.4% of the population lives below the national poverty line and 38.55% lives below the $3-a-day international poverty line. When families live with limited income, delays in diagnosis, transport costs and shortages in local care can make treatment harder to reach and more expensive in practice.

Rwanda has made major health gains, but access challenges remain. Government information says the country has about 58,000 community health workers and 66% of them are women. These workers are often the first link between communities and the formal health system. They monitor health at the village level, provide basic services and refer patients when cases become more serious. That makes better decision support at the community level especially important.

What the Study Found

A February 2026 study published in Nature Health tested five large language models using real clinical questions from Rwanda’s community health system. Researchers built a dataset of 5,609 questions submitted by 101 community health workers across four districts. They compared responses from Gemini-2, GPT-4o, o3-mini, DeepSeek R1 and Meditron-70B with answers from local clinicians. In a subset of 524 question-and-answer pairs scored across 11 expert-rated metrics, Gemini-2 and GPT-4o performed best and all five models outperformed local clinicians across every metric measured.

The cost difference made the findings even more striking. The study reported that clinician-generated answers cost an average of $5.43 per question for general practitioners and $3.80 for nurses. Model-generated responses cost about $0.0035 in English and $0.0044 in Kinyarwanda. Even when performance dropped slightly in Kinyarwanda, the models still outperformed clinicians and remained more than 500 times cheaper per response. For a health system trying to stretch limited resources, that level of efficiency matters.

Why AI Diagnostics in Rwanda Could Help

The promise of AI diagnostics in Rwanda is not only about answering questions faster. It is also about helping frontline workers decide when a case may be urgent, when symptoms point to a likely condition and when a patient should receive a referral for higher-level care. In settings where staff shortages and access gaps create pressure on the system, stronger support for frontline workers could improve speed, consistency and patient outcomes. Rwanda’s own health labor market analysis has documented workforce constraints and uneven distribution of health professionals, especially in lower-resource settings.

Rwanda is also building systems that could help these tools work at scale. In April 2025, the Ministry of Health launched the National Health Intelligence Center, a platform designed to collect and process real-time health data for evidence-based decisions. That matters because useful AI tools need more than strong models. They also need data systems, implementation planning and oversight.

International support is also growing in that direction. In January 2026, OpenAI and the Gates Foundation announced Horizon 1000, a $50 million initiative beginning in Rwanda. The goal is to support leaders in African countries, starting with Rwanda, and reach 1,000 primary health care clinics and surrounding communities by 2028. Reuters reported that the effort aims to improve health care delivery in places facing severe health worker shortages.

What Still Needs To Be Proven

Still, this story is not just about excitement over new technology. In February 2026, Wellcome, the Gates Foundation and the Novo Nordisk Foundation launched the Evidence for AI in Health initiative, backed by $60 million to support locally led evaluations of AI tools in low- and middle-income countries. That matters because governments need evidence on what works, where it adds value and how it can be used responsibly. In Rwanda, language quality, privacy safeguards, clinical safety and real-world implementation will shape whether these tools truly help patients.

AI will not replace doctors, nurses or community health workers. But it may help them do more with limited time and limited resources. That is what makes AI diagnostics in Rwanda worth watching. If Rwanda continues to pair innovation with evidence, oversight and local implementation, this approach could become a strong example of how technology can expand access to quality care in places that need it most.

– Adriana Carolina Herrera

Adriana is based in Mentor, OH, USA and focuses on Good News and Technology for The Borgen Project.

Photo: Wikimedia Commons

, ,

Extreme Heat and The Lady Health Workers of Pakistan

Lady Health Workers of PakistanAs the changing climate drives temperatures to new extremes, heat is emerging as an underrecognized threat to maternal health. In Pakistan, one of the world’s most heat-exposed countries, pregnancy is increasingly unfolding under conditions that strain the body, health systems and communities alike. Yet despite mounting scientific evidence of the danger extreme heat poses during the perinatal period, maternal health remains largely absent from many national heat-health policies. Thankfully, community health workers, like the Lady Health Workers of Pakistan, are stepping up when the heat becomes too much to bear.

Intensifying Heatwaves in Pakistan

Pakistan is highly vulnerable to extreme heat, with heatwaves becoming more frequent, prolonged and intense in recent decades. Pre-monsoon months often see dangerously high temperatures in combination with high population densities, as seen in cities such as Karachi and Lahore. Several severe events in recent years have emphasized the scale of this risk, including the 2015 heatwave that devastated the southeastern Sindh province and ultimately claimed more than 1,000 lives. In more recent years, Pakistan experienced a heatwave in June 2025, during which temperatures in many parts of the country exceeded 113°F.

Prolonged periods of extreme heat place significant strain on urban and rural communities alike, affecting infrastructure and health systems. Climate change is expected to intensify these trends, increasing the likelihood of longer and more severe heatwaves and expanding the geographic areas affected. For populations with limited access to cooling, reliable electricity or adequate health care, these conditions create public health risks and highlight the need for stronger heat-health preparedness measures.

Extreme Heat and Maternal Health Risks

Extreme heat poses significant risks during pregnancy due to the body’s changes in temperature regulation and fluid balance. During pregnancy, fetal development increases fluid requirements, making it more difficult for the body to dissipate heat. This increases susceptibility to dehydration and heat stress. High temperatures may disrupt hormonal regulation and impair the function of the placenta, potentially reducing oxygen and nutrient delivery to the fetus.

Evidence also links exposure to extreme heat with several adverse pregnancy outcomes, including gestational diabetes, preterm birth and stillbirth in some cases. Heat exposure can also increase the likelihood of infections and complicate care during labor. Because public health care systems in Pakistan are often described as overwhelmed, these risks may increase further. As temperatures continue to rise with climate change, these issues underscore the importance of recognizing pregnancy as a period of heightened vulnerability to extreme heat and ensuring appropriate support for pregnant populations.

Omission of Pregnancy in Heat-Health Action Plans

The National Heatwaves Guidelines released by the Pakistani government do not make direct reference to pregnancy during extreme heat events. The guidelines recommend that “individuals should check on neighbors, especially the elderly, children and those with chronic illnesses,” but they do not mention people in the perinatal period. The report encourages community care for “vulnerable residents,” but it does not define which groups fall into this category.

This highlights an ongoing issue within Heat-Health Action Plans (HHAPs) across the globe. As extreme heat events occur more frequently, many countries have implemented national HHAPs, as urged by the World Health Organization (WHO). However, while WHO guidelines outline strategies to protect pregnant individuals from extreme heat, a recent review found that of 83 eligible HHAPs from 24 countries, only 52% recognized the need to protect this population during heatwaves. Furthermore, none of the HHAPs comprehensively addressed the risks heatwaves pose to maternal, newborn and child health.

The Lady Health Workers of Pakistan

Pakistan’s Lady Health Worker (LHW) Program, established in 1994, plays a critical role in delivering maternal health services to communities across the country, particularly in rural areas and urban informal settlements. The program deploys more than 100,000 trained female community health workers who live within the communities they serve, each covering roughly 1,000 people. Although they are not physicians, they provide services that health professionals may not be able to deliver consistently at the household level. This includes conducting regular household visits to provide health education, basic preventive care and referrals to formal health facilities.

LHWs focus heavily on maternal and newborn health. They counsel pregnant individuals on the importance of antenatal care while monitoring pregnancies and linking families with clinics or midwives when complications arise. They are trusted members of their communities and provide care directly at the household level. As a result, LHWs often serve as the first point of contact for pregnant populations during environmental or health crises.

LHWs guide hydration, rest and heat-related illness. They also monitor vulnerable pregnancies and facilitate timely referrals to health facilities, helping ensure continuity of maternal care even when extreme heat and strained hospitals make access to services more difficult.

– Charlotte Bunn

Charlotte is based in Bristol, UK and focuses on Global Health for The Borgen Project.

Photo: Flickr

,

DRAP cracks down on the fake drug crisis in Pakistan

fake drug crisis in PakistanRecently, the Drug Regulatory Authority of Pakistan (DRAP) intensified its nationwide efforts toward combating the illegal sale, manufacturing and distribution of contaminated and falsified medicines in the country. DRAP implemented increased surveillance, intelligence-led enforcement and stricter regulations to combat, in other words, the fake drug crisis in Pakistan.

Background

The Ministry of National Health Services reports that 85% of medicines in Pakistan are either counterfeit or substandard. According to DRAP, 50% of the medication samples tested were fake — including life-saving treatments for cancer, cardiovascular diseases, mental illnesses and infections.

The issue of counterfeit medicines has been harming the health of Pakistanis for decades. Contaminated drugs often include arbitrary dosages of certain ingredients and deadly additives that can cause fatal effects, such as respiratory paralysis or death. A victim of fake medicine would need additional treatment to cure the damage from these drugs, which takes a toll on both the individual already suffering from an illness and the Pakistani health care system. Even if a fake drug has no effect at all, it is still dangerous, as a patient could unknowingly be left untreated for a serious disease.

Fake Drugs Affect the Poor the Most

The fake drug crisis in Pakistan disproportionately affects the poor, who cannot afford branded medicines or, in some cases, receive certain drugs from pharmacies for free. In 2012, a public cardiology pharmacy in Lahore distributed a contaminated drug to the poor. As a result, 125 people died due to fatal bone-marrow suppression.

Counterfeit drugs are also most often found in rural areas, where drug regulation is less strict. For these reasons, people living in poverty often have to resort to cheaper, falsified drugs, according to Wolters Kluwer Health.

To combat this, Muhammad Omar Larik recommended that the Pakistani government establish pharmaceutical support programs for the poor, as mentioned in his study published in the Journal of the Pakistan Medical Association.

Raids, Seizures and Closures

In recent crackdown efforts on the fake drug crisis in Pakistan, DRAP raided several pharmacies and local medicine shops. If lab testing revealed that the store sold falsified drugs, DRAP would shut it down.

DRAP sealed multiple establishments across the country, including the Al-Waali Care Concepts medical supplies store in Lahore. There were more drug regulation violations behind each closure, such as operating without a valid drug license and unlawfully storing medical devices. When officials raided Al-Waali Care Concepts, they brought legal action against the owner and started a formal investigation into the store.

In a surprise raid, a federal drug inspector shut down a pharmaceutical factory in Nooriabad for its illegal production of unregistered high-dose tramadol tablets. The production of this opioid is illegal nationwide due to smuggling concerns, public safety risks and especially its abuse abroad. DRAP suspects the factory produced the tablets with the intention of shipping them to foreign drug markets.

DRAP lab-tested several pharmaceutical products and consequently banned three newly-found counterfeit medicines: batch 251986 of Duphalac syrup, batch 091 of Taskeen Dard tablets and batch 01 of Pain-Nil tablets. The authority seized the identified batches of the medicines, removed them from the markets and tracked down the suppliers.

In Karachi, officials seized a large quantity of medicine that was sold across the city. In Lahore, DRAP caught individuals selling Urografin, an iodine-containing injection, and a dealer selling unregistered infertility medication, Lipiodol Ultra Liquid, beside a hospital, Dawn reported.

Provincial drug control officials also confiscated several batches of medicines meant to treat allergies, anxiety disorders, kidneys, fevers, body pain, bacterial infections and ulcers. Lab testing revealed that these medications were fake and completely ineffective. According to DRAP, these drugs were illegally produced and falsely labelled under well-known pharmaceutical brands.

Identifying Fake Drugs

A significant lack of public awareness also feeds into the fake drug crisis in Pakistan, as the public is not aware of the severity of the issue and unsure how to differentiate counterfeit medicines from real, safe medication.

As one solution, Dvago, a reputable pharmacy and medical store in Pakistan, outlined several warning signs to look for when identifying counterfeit drugs. These include packaging irregularities, missing or fake security seals, inconsistencies in the medicine’s appearance, an incorrect batch number or expiry date, extremely low prices and a lack of a proper leaflet or labels.

When purchasing medication, the store urges the public to only buy from licensed pharmacies, consult a pharmacist beforehand, verify the drug manufacturer, use track and trace systems with unique codes and most importantly, report suspicious medicines.

Increasing the Quality of Health and Life in Pakistan

Overall, the DRAP crackdown on illegal pharmaceutical drugs is a significant step toward increasing the quality of health and life for Pakistanis, especially for those living in poverty. Unfortunately, the fake drug crisis in Pakistan persists due to inadequate legislation, ineffective law enforcement and drug regulators’ failure to effectively interpret and implement the law.

Nevertheless, with consistent drug surveillance, more pharmacists, stronger law enforcement, trained drug regulators and a solid infrastructure for drug control, Pakistan can achieve its goals.

– Umaymah Suhail

Umaymah is based in Karachi, Pakistan and focuses on Good News and Global Health for The Borgen Project.

Photo: Flickr