Information and stories on health topics.

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Global Health as a Political Priority

Global HealthGlobal health refers to the health of populations worldwide, emphasizing that health issues transcend national boundaries. Global health is bound to economic stability and international security while focusing on health equity for all. Addressing health disparities within nations, mainly focusing on low-income countries where access to health care can be challenging, is also an integral part of global health initiatives. Recent events like COVID-19 and Ebola outbreaks demonstrate that health care and robust health systems are vital for global resilience and growth. Developing proper health systems ensures that countries can prevent and respond to health crises and other humanitarian issues.

Why Is Global Health Care a Political Priority?

Global health is more than a humanitarian concern. It is a critical component of political stability, economic resilience and international security. The enforcement of the World Health Organisation (WHO), as well as frameworks and initiatives like the International Health Regulations (IHR) and the Global Health Security Agenda (GHSA), ensures that nations are capable of responding, mediating and detecting health threats efficiently.

Cooperative efforts between health nongovernmental organizations (NGOs), intergovernmental organizations (IGOs), governments and law enforcement have proven successful in dealing with global breakouts like COVID-19. Simply put, global health care is a priority because:

  1. World health promotes international security.
  2. Strengthening health systems reduces disease burdens and increases work and economic disruptions.
  3. Health care is a powerful driver of innovation, therefore promoting new scientific advancements.
  4. Global health initiatives address moral responsibility and equality.

The Global Polio Eradication Initiative

The Global Polio Eradication Initiative (GPIE), launched in 1988, aimed to prevent any child worldwide from being paralyzed by poliovirus. As a result, polio has decreased by 99.9% globally. The GPIE is a public-private partnership led by six partners and national governments. According to GPIE, an estimated 20 million people today would have been paralyzed; now, the risk of contracting polio is extremely low. The GPIE continues addressing challenges like reaching children in conflict zones and vaccine hesitancy.

AIDS Relief (PEPFAR)

Since the PEPFAR initiative started in 2003, more than 25 million lives have been saved. Prior to 2003, an HIV diagnosis was considered a death sentence for many across the globe. PEPFAR works with partner countries to control and prevent the spread of AIDS and HIV. PEPFAR focuses on providing life-saving antiretroviral treatment (ART), prevention programs and support for individuals and communities affected by HIV/AIDS, particularly in low-resource settings.

GAVI, The Vaccine Alliance

Established in 2000, Gavi aimed to save lives, reduce poverty and protect the population from pandemics. This vaccine alliance has immunized more than 1.1 billion children in 78 countries. GAVI works with governments and organizations to reduce vaccine costs and ensure equitable distribution.

COVAX

COVAX was a multilateral effort co-led by GAVI, WHO, UNICEF and the Coalition for Epidemic Preparedness Innovations (CEPI) to develop the COVID-19 vaccine. Launched in 2020 in response to the pandemic, COVAX worked to manufacture and secure vaccines guaranteed for global use. Its mission was to ensure that all countries, regardless of economic status, can protect their population, especially the most vulnerable. By 2023, COVAX had delivered millions of vaccine doses to countries worldwide, reducing global health inequities and aiding in the fight against the global pandemic.

The Partnership for a Lead-Free Future

Launched by UNICEF and USAID, this initiative is dedicated to tackling lead exposure in low-income countries. According to USAID, more than half a billion children in the world have a percentage of lead in their blood. Key efforts include phasing out lead in products like paint, batteries and fuel while also raising awareness about lead hazards. Therefore, by 2040, the partnership has committed to creating a lead-free future for all the world’s children. This initiative aims to create a healthier and more sustainable future for all.

Global Alliance for Hunger and Poverty

Proposed by Brasil’s G20 presidency, this initiative is focused on reducing poverty and eliminating hunger worldwide. The alliance emphasizes sustainable agricultural practices, access to nutritious food and innovative financing mechanisms to support vulnerable populations. Through collaboration with IGOs and governments, the initiative aims to address global inequalities, create flourishing livelihoods and strengthen food security. The official launch of the Global Alliance was during the G20 Leaders Summit in November 2024 and has gained the support of more than 80 countries.

Conclusion

Making global health a political priority is necessary for creating a resilient, equitable and secure world. From the integration of health and security to international funding collaborations, governments can adopt strategies that integrate health with security, promoting prosperity and stability.

– Gufran Elhrari

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

Photo: Flickr

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5 Charities Operating in Libya 

Charities Operating in Libya
Libya has been embroiled in conflict for more than a decade, leaving millions of its citizens in poverty. The ongoing violence has crippled the economy, with limited access to essential services like food, clean water and health care. The World Bank estimates that more than 1.3 million Libyans live in poverty, struggling to meet basic needs, as of 2017. Economic instability, food shortages and inflation have worsened living conditions for those already vulnerable. Many families rely on humanitarian aid for survival, while education and job opportunities remain scarce, particularly in rural areas. Poverty in Libya is not just a lack of resources but a consequence of enduring instability and the breakdown of social and economic systems. In response, several charities are operating in Libya to alleviate poverty and create long-term solutions.

Organizations like the Libyan Red Crescent and WeWorld-GVC focus on providing immediate relief through food, medical assistance and shelter, while also investing in sustainable development projects. These efforts aim to rebuild infrastructure, improve access to clean water and health care and offer educational opportunities. By addressing both immediate and underlying issues, these organizations are working to uplift communities and restore hope for a stable future. Here are five charities operating in Libya.

Libyan Red Crescent

The Libyan Red Crescent (LRC) provides essential health care, emergency relief and psychosocial support throughout Libya. The LRC has been instrumental in responding to natural disasters such as floods and droughts, providing clean water and sanitation services to prevent disease outbreaks like cholera, benefiting many Libyans.

LRC’s collaboration with the International Federation of Red Cross and Red Crescent Societies (IFRC) amplified their efforts. This partnership has allowed for broader outreach through health and hygiene awareness campaigns, particularly aimed at reducing waterborne diseases. These efforts ensure that Libyans receive the support they need to survive during times of conflict and crisis.

WeWorld-GVC

WeWorld-GVC (WW-GVC) is focusing on addressing Libya’s crumbling water infrastructure. The civil war has damaged much of the water supply, leaving many without access to clean drinking water. WW-GVC has repaired and restored water treatment plants and wells, providing safe water to more than 60,000 Libyans. This effort has drastically reduced the spread of diseases that contaminated water causes, such as cholera and dysentery.

In addition to physical infrastructure, WW-GVC is educating communities on hygiene practices. Its hygiene awareness programs have reached more than 20,000 Libyans, providing essential knowledge that has contributed to better public health. Its work ensures that vulnerable populations in conflict zones receive life-saving resources.

Doctors Without Borders

Doctors Without Borders (MSF) has been at the forefront of medical aid in Libya, particularly for refugees and migrants in detention centers and conflict zones. MSF provides mobile medical clinics, which offer essential health care, including maternal services and treatment for chronic diseases.

MSF has been crucial in providing medical aid to those who are most vulnerable, especially refugees living in detention centers, where medical services are nearly non-existent. Its mental health services also help individuals cope with the long-term psychological effects of conflict and displacement.

Tawergha Foundation

The Tawergha Foundation focuses on helping displaced families from the Tawergha minority, many of whom were forced to flee during the civil war. Tawergha Foundation promotes employment and educational services to these families, providing financial support and training. The organization has also helped shine a light on the plight of the Tawergha people through activism and awareness campaigns.

Tawergha Foundation’s main goal is the resettlement of the Tawergha people, as well as this however, they are focusing on long-term development. The organization works with local authorities and international companies such as Microsoft and Samsung to secure resources, infrastructure and skills helping displaced Libyans begin rebuilding their lives.

The National Democratic Institution

The National Democratic Institution (NDI) is working to equip the nation’s youth with the skills necessary to contribute to Libya’s recovery. Through programs focused on promoting peace through art, advocating for the rights of people with disabilities, supporting environmental protection and combating bullying in schools, NDI has reached many young Libyans. These initiatives aim to develop leadership and community-building skills that will be essential in rebuilding Libya’s infrastructure and promoting peace.

NDI’’s focus on youth empowerment serves as a crucial investment in Libya’s future. By offering projects aimed to empower young people to make a positive impact on their communities, the organization is ensuring that young Libyans prepare to lead the country toward stability and prosperity.

Conclusion

The ongoing conflict in Libya causes immense suffering, but the charities operating in Libya like the Libyan Red Crescent, WeWorld-GVC, Doctors Without Borders, the Tawergha Community Association and the Libya Youth Forum are bringing hope to millions. Through efforts in health care, clean water access, education and support for displaced families, these organizations are making a meaningful impact. Their work helps address Libya’s immediate needs while laying the foundations for long-term recovery and stability.

– Harriet Conway

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

Photo: Flickr

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How Mothers2mothers is Improving Health Care

mothers2mothersPoor health rates paint a dull picture in sub-Saharan Africa, with 9% of its population living with HIV. The World Health Organization (WHO) also reports that in 2022, more than 2.5 million Africans had tuberculosis, an infectious disease that primarily targets the lungs. Furthermore, during the same year, 94% of malaria cases worldwide occurred in the area. These illnesses are holding sub-Saharan African regions from reaching their full economic potential. To counter their growing shadow of death and sickness, a non-profit known as mothers2mothers is actively playing a part.

Mothers2mothers: Improving Health Care in Africa

Dr Mitch Besser established Mothers2mothers in 2001 as a small local NGO in Cape Town. Little did its founder know that within 20 years the organization would bloom into one of Africa’s most prominent multi-national non-profits, functioning in 10 countries in the region including Angola, Ghana, Kenya, Malawi and South Africa; receiving numerous certifications and partnerships from other firms equal to its calibre and importance such as USAID, The Johnson & Johnson Foundation and MULAGO.

Mothers2mothers works with women living with HIV and hires them as Mentor Mothers who go to households to provide health education and emotional support for those burdened with the illnesses they also are affected by. They also work with medical professionals to provide health care according to an individual’s needs.

So far, the NGO has created more than 12,000 jobs for women living with HIV. This strategy proves effective as HIV-positive clients are more comfortable opening up and seeking help from those in the same place as them.

Educational Programs

The target demographics for mothers2mothers are women, children, adolescents, male spouses of patients and sexual minorities. The firm runs educational programs in which they explain the causes and symptoms of diseases such as HIV, Tuberculosis and Malaria, and link potential patients to testing and treatment centers. In 2023, the organization tested 100% of the people referred for TB and all positive individuals received treatment, according to its website.

Moreover, in the same way, Mentor Mothers track infants and children who may be susceptible to HIV transmission and help provide testing facilities to them. They also work with the children’s parents and give guidance on how to raise them to be healthy and mentally active. According to mothers2mothers, 99% of children enrolled in these early childhood development programs achieved their full developmental milestones by their first birthday.

In an interview with Wowwire, Robin Smalley, a co-founder of the organization, shared the inspiration behind mothers2mothers, “When the (HIV) test would come back there would be no one to tell the mother-to-be that she had options. This young woman would be terrified, convinced she and her baby were going to die. These young women were continually falling through the cracks in the medical system. Realizing that the greatest resource we have in Africa is the women themselves, Mitch (Besser) came up with the idea for mothers2mothers.”

Mothers’ Ball

In addition to working through Mentor Mothers, mothers2mothers also runs fundraisers and awareness activities. On November 20, 2024, the organization hosted its second “Mothers’ Ball” in London to spread the word on what they do and raise funds to finance their activities further. Over 300 people attended this event.

Mother2mothers has reached 16 million people who did not know their health issues beforehand or have any idea of how to get help. In 2023 alone it treated 774,307 clients. The Mentor Mother system has been so successful that it became an official South African government policy in 2012.

This system benefits not only the client but the Mentor Mother herself. A mother working for the firm Irene Nkosi stated in Make Mothers Matter, “My job at mothers2mothers has given me peace of mind. Being part of their family brought back my self-esteem and confidence. Sharing what I have learned there about HIV with my family has played a massive role in removing the stigma they had placed on me.”

– Mustafa Tareen

Mustafa is based in Lahore, Punjab, Pakistan and focuses on Global Health and Celebs for The Borgen Project.

Photo: Flickr

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Disability and Poverty in Jamaica

Disability and Poverty in Jamaica Disability and poverty in Jamaica are intertwined, perpetuating a cycle of hardship. Despite the enactment of the 2014 Disabilities Act, which aims to eliminate discrimination and ensure equal rights for persons with disabilities, many still struggle with maintaining a decent quality of life due to systemic barriers and economic instability. Approximately 200,000 Jamaicans live with a disability and they disproportionately suffer from poverty and unemployment. Census data from 2001 revealed that just over 6% of Jamaica’s population or about 160,000 people, identified as living with a disability. Yet, fewer than 1% of these individuals are in paid employment, highlighting the extreme vulnerability of the disabled community in Jamaica.

Challenges for People with Disabilities in Jamaica

Surviving in Jamaica is particularly challenging for people with disabilities who live in poverty. About 15% of the Jamaican population lives with a disability, yet many lack access to high-quality education and employment opportunities. In 2019, the unemployment rate among disabled individuals in Jamaica reached 90%, severely limiting their ability to maintain a satisfactory standard of living. This high unemployment rate restricts their financial ability to afford food and essential items, trapping them in a cycle of poverty. Consequently, many people with disabilities struggle to achieve independence due to insufficient income and barriers to securing housing. Additionally, accessing many public places remains physically challenging for disabled people.

Globally, half of the people living with disabilities cannot afford health care and among those who can access practitioners, more than double report finding their medic’s skills inadequate for their needs. In Jamaica, access to health care, like many other public services, varies widely based on the individual’s location, the nature of their disability, their mobility and ability to communicate with health care professionals. Consequently, certain groups do not receive the necessary level of treatment and fall through the cracks.

Disability Support Initiatives in Jamaica

  • Jamaica Council for Persons with Disabilities (JCPD). JCPD advocates for disabled rights and promotes participatory policies, providing vocational training for persons with disabilities (PWDs). Its programs create pathways out of poverty by improving employability for PWDs.
  • Mustard Seed Communities. The organization provides accommodation, care and vocational training to persons with disabilities, helping them gain independence and learn marketable skills. Its projects focus on engaging participants through practical training in agriculture and construction. Currently, the organization supports more than 440 Jamaicans, including children affected by HIV and teen mothers with their infants.
  • The World Bank. The World Bank has collaborated with Jamaica to enhance the economic inclusion of persons with disabilities through social protection programs. This effort involves collecting data on disabilities to better tailor responses.

Looking Forward

Breaking systemic barriers remains crucial to improving the lives of people with disabilities in Jamaica. Efforts to enhance vocational training, expand employment opportunities and strengthen social protection systems are essential to reducing the socioeconomic disparities they face. By fostering inclusion and accessibility, these ongoing initiatives aim to address the root causes of inequality, offering individuals the chance to lead independent and dignified lives.

– Georgia de Gidlow

Georgia is based in Watford. UK and focuses on Global Health for The Borgen Project.

Photo: Flickr

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The Global Fight for Healthy Diets

Healthy DietsCurrently, 3 billion people cannot afford a healthy diet and the effects of COVID-19 on trade means more nutritious diets are becoming a luxury and a marker of global economic inequality. The global fight for healthy diets ties in with the battle to eradicate poverty and is now at the forefront of campaigns by international institutions and charities.

Recent Causes: COVID-19 and Inflation

International institutions such as the World Health Organization (WHO) and U.N. agencies such as the Food and Agriculture Organization (FAO) continuously recommend how countries can promote healthier diets. However, the impact of the COVID-19 pandemic on trade and inflation meant the most impoverished could not afford a healthy diet. In 2021, the average cost of a healthy diet was 4.3% higher than in 2020 and 6.7% higher than in 2019. This meant that 42% of the world’s population could not afford a healthy diet in 2021, an increase of 134 million people compared to 2019.

Although most countries experienced a rebound in gross domestic product (GDP) after the pandemic, the unequal pattern of economic recovery means lower-middle-income countries continue to face a rise in the cost of a healthy diet. The Food Standards Agency in the U.K. found that COVID-19 triggered many British citizens to prepare healthy main meals. However, the pandemic did not change attitudes toward healthy eating in 12 other countries, where 90% of the population cannot afford a nutritious diet consistently.

In Africa, 78% of people cannot afford a healthy diet, compared to just 1% in North America and Europe. The impact of COVID-19 on developing countries has reinforced the need for international institutions to intensify efforts in promoting healthy diets through campaigns and collaborative initiatives.

U.N. and WHO 

The U.N. and WHO have collaborated extensively in the global fight for healthy diets. In 2021, they established the Coalition of Action for Healthy Diets from Sustainable Food Systems for All (HDSFS) to promote sustainable food systems that support healthy diets.

Additionally, the School Meals Coalition was launched to ensure that every child in need has access to at least one nutritious school meal by 2030. Both coalitions focus on improving the food supply chain, enhancing the affordability and appeal of nutritious foods and educating families about the benefits of a healthy diet.

GAIN

The Global Alliance for Improved Nutrition (GAIN) is a Swiss-based foundation focusing on reducing global malnutrition through sustainable and affordable solutions. In 2018, the foundation partnered with local authorities in Indonesia to enhance the domestic fish supply. The following year, it collaborated with Kaduna State in Nigeria on the “Eggs Make Kids” campaign. The organization has made remarkable strides in combating global hunger, impacting more than one billion people worldwide by promoting and providing access to healthy diets.

Bloomberg Philanthropies

Bloomberg Philanthropies launched a Food Policy Program with a $435 million commitment to help public health advocates promote healthy diets in low- and middle-income countries. Recently, this commitment facilitated the creation of the Vital Strategies Healthy Food Policy Fellowship, which financially supports Ph.D. candidates from countries like Brazil pursuing a field of study related to building healthier diets through their national public policy.

Looking Forward

The rising cost of healthy diets disproportionately impacts the poorest populations, increasing their risk of noncommunicable diseases (NCDs). This challenge is particularly burdensome for low- and middle-income countries, as unhealthy diets contribute to 70% of global hidden costs associated with NCDs. Promoting healthy diets is a major focus for international institutions and charities, given its critical connection to global development and poverty eradication efforts.

“Healthy diets and sustainably produced, safe food for all is not an out of reach aspiration, but an unavoidable component of global development, a human right and an achievable goal which can be realized through clear, well established and aligned actions,” said Dr. Francesco Branca, WHO Director of Nutrition and Food Safety.

– Sofia Brooke

Sofia is based in Oxfordshire, UK and focuses on Global Health for The Borgen Project.

Photo: Flickr

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Marburg Virus Outbreak in Rwanda: The Progress

Marburg Virus Outbreak in RwandaRwanda is fighting its first outbreak of the Marburg virus and experiencing its third-largest outbreak. As of October 2024, there were 63 cases, with 15 cases resulting in death. The Marburg virus is very contagious but only contracted through bodily fluids and scientists believe the Rwanda outbreak began with contact with contaminated animals.

Animal Contagion

The Marburg outbreak in Rwanda was announced on September 27, 2024, according to Nature. Surrounding countries reported their outbreaks years before, with Tanzania and Equatorial Guinea having their outbreak just last year. At first, the virus’s origins were uncertain; researchers thought it came from an animal but had no proof. Rwanda started contract tracing and an epidemiological investigation to identify the first patients and to determine how they contracted the virus.

According to the World Health Organization (WHO), the animal of contact was possibly a Rousettus bat, a fruit bat found in mines or caves, because they carry the Marburg virus. “Initially, human Marburg virus infection results from prolonged exposure to mines or caves inhabited by Rousettus bat colonies,” said eMedicine Health.

Progress of the Marburg vaccine

The Marburg virus is a relative of the Ebola virus, both being part of the Filoviridae family. Both viruses have similar symptoms and transmission. According to eMedicineHealth, the Ebola virus has a higher fatality rate of 25%-90% compared to the Marburg virus fatality rate of 24%-88%. Ebola is more virulent but has two licensed vaccines, while the Marburg virus has none.

As of October 2024, the only vaccine for the Marburg virus is experimental. The scientists had the first trial of the experimental vaccine to fight the Marburg virus outbreak in early October. The Sabin Vaccine Institute sent out 700 vaccine doses to health care workers because they are the most at risk. The vaccine is currently in Phase 2, which means it is still undergoing testing. The Sabin Vaccine Institute still monitors people with previous outbreaks in surrounding countries.

“Interim results are expected next year, and Sabin also plans to launch a similar Phase 2 trial in the U.S. next year,” said the Sabin Vaccine Institute.

Outside Help

The people of Rwanda are not combating the Marburg virus outbreak alone. They have the support of many, some of which are WHO, Africa CDC and the United States, using a “governmental approach.” The CDC and WHO worked with Rwanda to begin a response to the outbreak and identify the public health needs. Rwanda’s supporters also sent scientists and researchers to help with the epidemiologic investigation and distribution of the vaccine.

The Marburg virus outbreak in Rwanda has reached level two for travelling which states “Practice Enhanced Precautions.” The WHO and the CDC have released statements about the outbreak and the risks people take if they travel to Rwanda. The supporters of Rwanda during the outbreak have helped create a response plan/program to assist in the public health of the people in Rwanda.

Conclusion

Since the announcement of the Marburg virus outbreak in Rwanda, the country has worked effortlessly to stop the virus. Many have come to Rwanda’s aid in their time of need. Their supporters have provided vaccines and plans to help support the public and the health officials/workers. Coming to Rwanda’s aid has allowed the progress of attaining an official and approved vaccine for the Marburg Virus that could prevent any more severe outbreaks in the future.

– Ashley Diaz

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

Photo: Flickr

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Universal Health Care: Improving Diseases Impacting Togo

Diseases Impacting TogoThe top three diseases impacting Togo are lower respiratory infections, stroke and ischemic heart disease. However, Togo’s Universal Health Insurance program could be the solution to reducing the death rate of these diseases.

Health Care in Togo

In Togo, 45% of the population live below the poverty line, which means they face an economic barrier to accessing health care. Moreover, the health care system in Togo is heavily reliant on external funding and resources, so the current system cannot properly aid those suffering from various lethal diseases impacting Togo. This only furthers the need for a proper health care system. However, this need also increases the burden on the present system.

There is less than one doctor for every 10,000 Togolese compared to 36 doctors for every 10,000 Americans. Therefore, there needs to be improvements to access to health care in Togo. This lack of adequate health care coverage is why diseases impacting Togo are the leading causes of death.

Lower Respiratory Tract Infections

Lower respiratory tract infections make up 75 of every 100,000 deaths in Togo. As a result, they are the leading cause of death in Togo, according to the World Health Organization (WHO). Lower respiratory tract infections occur when bacteria, viruses or fungi enter the lungs. Common lower respiratory tract infections include the flu, viral bronchiolitis and pneumonia. Anyone can develop a lower respiratory tract infection. However, young children, adults over 65 and people with weakened immune systems are most at risk of contracting these infections and dying from them.

Stroke

The second leading cause of death in Togo is stroke; making up 66 of every 100,000 deaths, according to WHO. Strokes occur when the blood supply to the brain begins decreasing. The reduction of blood supply prevents the brain from receiving nutrients and oxygen, resulting in brain cell death within minutes. Blood leaking also results in strokes and occurs when leaking blood in the brain increases pressure on brain cells and damages them.

Ischemic Heart Disease

Ischemic heart disease causes 45 of every 100,000 deaths in Togo, according to WHO. This heart disease occurs when there is a lack of blood flowing to heart muscles, often caused by fat and cholesterol collecting in coronary arteries. This disease therefore commonly causes chest pain, trouble breathing and heart attacks, which is why it is the third leading cause of death in Togo.

Improvements to Health Care

All of these diseases are preventable and or treatable. Yet, until there is adequate access to health care in Togo, these diseases could continue to be the top causes of death.

The Togolese government passed legislation in 2021 to begin developing universal health care and expects all resistance to have coverage by 2025. The program plans to provide health care for public and private sector employees, along with those on public assistance unable to pay. Employees will receive coverage through their and their employer’s contributions. While people unable to pay will revive funding through the government.

The health care program already has 800,000 people enrolled, which is 50% more than the previous 470,000 covered by the former program.

Investment in universal health care means investment in medical equipment, facilities and workers. Investing in these areas could increase the demand for workers. However, it could also increase the number of those seeking health care positions, which could lead to more health professionals able to help Togolese people.

Therefore, with universal health care, comes help for those suffering from the diseases impacting Togo.

– Nivea Walker

Nivea is based in Elon, NC, USA and focuses on Good News and Global Health for The Borgen Project.

Photo: Flickr

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How Zanmi Lasante is making an impact in Haiti

zanmi lasanteHaiti is a small country located on the island of Hispaniola with the Dominican Republic, surrounded by the Caribbean Sea, carrying a population of 11.72 million. Many problems are actively eroding the country’s prosperity, including poverty, poor health care and malnutrition. UNICEF reports that only 41% of Haitians live above the poverty line and malnutrition affects approximately 25% of children living in the capital. Amid all this anguish, many non-profits have started up in Haiti to help its citizens prosper and flourish. One in particular is Zanmi Lasante, a sister organization of the multi-national NGO Partners In Health, which operates in 11 countries and employs 18,000 workers worldwide.

Zanmi Lasante: HIV Initaitives

Established in the 1980s, Zanmi Lasante has impacted many Haitians. It supports many causes including HIV/AIDS reduction, mental health, nutrition and water sanitation.

In 1990, Zanmi Lasante created an HIV Equity Narrative to supply antiretroviral drugs to poor, rural areas. Patients who have been diagnosed with HIV early on can receive these drugs to prevent its replication. The organization also employs many community workers who distribute medicine to patients and care for them at home. The program also holds screening programs to detect the virus. So far, the program has tested more than 100,000 for HIV this year and an estimated 15,000 people have received antiretroviral drugs during the same period.

Mental Health

Zanmi Lasante expanded its range in 2005 and started focusing on alleviating mental health issues in Haiti; it improved its services in 2012 and now employs community health workers, nurses and psychologists who support patients with depression, epilepsy, psychotic disorders and children with psychological issues. The organization has also created the Zanmi Lasante Depression Symptom Inventory, which is a depression assessment tool manual written in Haitian Creole.

Zanmi Lasante held more than 9,000 therapy visits annually. From July 2023 to June 2024, it held 385 community outreach programs and 408 learning seminars regarding psychological issues.

Malnutrition and Hygiene

Furthermore, since 2013, Zanmi Lasante has been producing the food item Nourimaba, which is an extremely nutritious paste that it distributes for free among Haitians suffering from malnutrition. The organization makes Nourimaba from peanuts, milk powder, canola oil, sugar and vitamins. Consuming this for less than two months consistently can restore a severely malnourished child to health. Today, Zanmi Lasante successfully produces more than 120 metric tons of Nourimaba each year.

In order to improve Haiti’s water sanitation, the NGO provides soap to numerous hand-washing areas and improves old plumbing infrastructure by putting in newer pipes that connect to pure water reserves. The organization targets more than 50,000 people with these activities per year.

Partners In Health and Zanmi Lasante are making big changes in Haiti and increasing the country’s living standards daily. This non-profit’s work is likely to make even more improvements for Haitians and drastically reduce poverty, hunger, and sickness rates in the future.

– Mustafa Tareen

Mustafa is based in Lahore, Punjab, Pakistan and focuses on Global Health and Celebs for The Borgen Project.

Photo: Unsplash

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Efforts to Stop Mother-to-Child HIV Transmission in Indonesia

Mother-to-Child HIV Transmission in indonesiaIn 2023, about 570,000 people in Indonesia were living with HIV. Recognizing the urgency, the Indonesian government intensified its efforts to support individuals and prevent mother-to-child HIV transmission. Community organizations play a crucial role in this endeavor, providing care and treatment access to those in need.

The Situation in Indonesia

Since 2008, UNICEF has supported the governments of Papua and West Papua in Indonesia in establishing a Prevention of Mother-to-Child Transmission of HIV (PMTCT) program. This program emphasizes HIV prevention, diagnosis and treatment within communities. Providing antiretroviral treatment during pregnancy can significantly reduce the risk of mother-to-child transmission. Ideally, since 2009, HIV testing should be part of antenatal care for pregnant women in Indonesia. However, more than a decade later, 37% of pregnant women still do not receive HIV screening. In 2022, only 18% of mothers with HIV accessed antiretroviral therapy.

Current Action to Prevent HIV Transmission

The National Alliance to End AIDS in Children, established in 2023, unites government, international organizations and civil society to improve access to health services and mental support for women and children living with HIV. The alliance focuses on three primary priorities:

  1. Advocating for the specific needs of adolescent girls and children living with HIV.
  2. Raising awareness by disseminating information about PMTCT (Prevention of Mother-to-Child Transmission), Early Infant Diagnosis and sexual education.
  3. Empowering communities to support children living with HIV effectively.

Importance of the Community

With renewed political commitment, supporting community-based services becomes crucial to providing necessary care and support for women and children living with HIV. Mobilizing community health workers is essential not only to prevent transmission but also to assist those affected by the disease. Organizations like Lentera Anak Pelangi (LAP), operating since 2009, play a vital role in this effort. As Indonesia’s first multidisciplinary service provider focusing on children with HIV, LAP collaborates with volunteers, sponsors and partners to enhance the quality of life for those living with the disease.

Key Focuses of LAP

  • Improving the Quality of Health and Nutrition. LAP offers health and nutrition assessments, family counseling and support during child hospitalizations. The organization also educates on sanitation and hygiene. Additionally, LAP provides monthly free medical checkups, non-BPJS laboratory testing and financial support for medications.
  • Advocating for ARV treatment. Its program raises public awareness about treatment options and conditions through training, social media campaigns and mass media efforts. It also extends its outreach to schools by educating both staff and students.
  • Ensuring the psychosocial well-being of children and their families. The program teaches children life skills and includes a school that monitors their development. It offers vocational training tailored to each child’s talents and interests. Additionally, the organization facilitates peer support groups for parents.

Providing a Community

A mother describes how her daughter’s confidence has grown since joining LAP, highlighting the friendships they have both formed with others in similar situations. Another parent comments on the bonds her son has created and the benefits he has received from LAP’s educational and nutritional support. Despite the stigma in Indonesia, where 33.5% of adults believe children with HIV should not attend school with uninfected children, programs like LAP play a crucial role. They counter isolation and stigma while ensuring families receive necessary support and help prevent the disease’s spread.

– Amelia Short

Amelia is based in Bradford, UK and focuses on Global Health for The Borgen Project.

Photo: Flickr

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Barriers to Cancer Treatment in Brazil

Cancer Treatment in BrazilAccess to health care in Brazil is fraught with challenges, particularly for cancer treatment, which remains difficult to obtain for many, especially the country’s most impoverished and marginalized populations. Millions of Brazilians live in favelas, where overcrowding and inadequate infrastructure complicate the delivery of health care and the maintenance of sanitary conditions. Similarly, those in remote areas often face lengthy and costly journeys to reach health care facilities for essential treatments. Although Brazilian law mandates that cancer treatment must begin within 60 days of diagnosis, research reveals a stark gap between policy and reality—60.11% of women living with breast cancer patients are still unable to start treatment within this time frame.

While various organizations are working to improve access to life-saving cancer care for all Brazilians, treatment centers remain concentrated primarily in the southern and northeastern regions of the country. This geographic disparity poses significant challenges for those living in more remote areas, particularly in the Northeast and Central-West regions, where health care infrastructure is less developed. As a result, many patients from these regions face the added burden of traveling outside their municipalities to attend appointments and receive necessary treatments.

Interregional Disparities

Significant disparities in cancer treatment access exist across Brazil’s regions and states, with treatment generally more accessible in the wealthier southern states than in the North or Northeast. This disparity aligns with regional economic conditions: the five richest states are located in the Southeast and West, while the five most impoverished are in the Northeast.

More than half of cancer patients in the Northeast and West regions have to travel outside of their home municipality to receive treatment. For patients in more vulnerable areas, this presents a formidable barrier; many lack personal transportation or funds for public transit, making access to care prohibitively difficult. These logistical and financial challenges can have dire consequences—when patients cannot reach treatment centers promptly, they risk worsening health outcomes or even death due to delayed care.

Poverty

Poverty, along with factors such as race and household position, significantly influences whether a woman with breast cancer in Brazil can access the necessary treatment. There is a clear need for broader access to breast cancer care across the country. Research has shown that factors like age, wealth, location and race all play a role in determining how quickly women receive treatment.

In particular, vulnerable, nonwhite women from the Northeast are disproportionately affected, facing greater barriers to care compared to their wealthier counterparts. These socioeconomic and racial disparities mean that poverty remains one of the primary obstacles preventing underprivileged Brazilian women from seeking or receiving timely treatment for breast cancer.

Geographic and Infrastructural Barriers

Indigenous Brazilians face numerous challenges that exacerbate their health outcomes, including living in remote areas with limited access to nearby health care facilities or educational institutions. These geographic and infrastructural barriers, coupled with their overrepresentation in poverty statistics, make it difficult for many Indigenous groups to access cancer treatment. This disparity is starkly reflected in health statistics. Indigenous men from Goiás in the Midwest, for example, are twice as likely to die from liver, stomach and colorectal cancers compared to the general population. Similarly, Indigenous women from the same region are 30% more likely to die from cervical, stomach or liver cancer.

Fundação Laço Rosa

In Brazil, numerous campaigns aim to raise awareness about cancer risks and advocate for patients’ rights, with organizations like Fundação Laço Rosa playing a crucial role. This nonprofit supports breast cancer patients through educational and empowering initiatives. It runs campaigns that educate underprivileged women about their rights as breast cancer patients, providing valuable information on navigating treatment and health care systems. 

Additionally, Fundação Laço Rosa offers support through acts of kindness, such as donating wigs to women undergoing chemotherapy, helping restore their dignity and confidence during a challenging time. Fundação do Câncer is also responsible for many educational campaigns that aim to educate people on preventing cancer. Some of these campaigns include showcasing the dangers of vaping and awareness of multiple types of cancer, such as skin and breast cancer.

Conclusion

Access to cancer treatment in Brazil remains a critical challenge, exacerbated by regional disparities, socioeconomic inequality and racial barriers. While efforts by organizations like Fundação Laço Rosa provide much-needed support, significant gaps persist, particularly for marginalized groups such as women in poverty and Indigenous communities. Greater investment in health care infrastructure, transportation and equitable policies is essential to ensure that all Brazilians, regardless of location or socioeconomic status, can access timely and life-saving cancer care.

– Callum Bennett

Callum is based in Colchester, Essex, UK and focuses on Global Health for The Borgen Project.

Photo: Flickr