Archive for category: Health

Information and stories on health topics.

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How Maternal Health Programs Reduce Mortality Rates in Benin

Mortality Rates in BeninAccording to the World Health Organization (WHO), Benin has a maternal mortality ratio of 518 deaths per 100,000 live births, meaning hundreds of women die each year from preventable pregnancy-related complications. Common causes include blood loss, infection, high blood pressure, insufficient post-partum care and even financial limitations. 

These causes highlight the role of maternal health programs in reducing maternal mortality rates in Benin by offering assistance, care and education. These services improve survival rates, reduce long-term health complications and strengthen families and communities. Several international organizations are actively working to reduce maternal mortality rates in Benin.

Médecins Sans Frontières

Médecins Sans Frontières (MSF), also known as Doctors Without Borders, partners with the Benin Ministry of Health (MOH) to support activities in villages that promote pregnancy education and awareness, consultations and access to contraceptives. MSF has also assisted several health centers by supporting staff recruitment, improving working conditions and supplying essential medical equipment and medicines. 

In addition, MSF has supported more than 9,920 people with safe deliveries, assisted 3,253 people with family counseling and conducted more than 22,211 prenatal consultations. These efforts directly reduce preventable maternal deaths by ensuring that women have access to skilled medical professionals, safe delivery environments and essential reproductive health services. By expanding access to skilled care, MSF plays a key role in reducing maternal mortality rates in Benin.

UNFPA

Another organization working to improve maternal health in Benin is the United Nations Population Fund (UNFPA). UNFPA is an international reproductive health agency of the U.N. that operates in more than 150 countries. Its mission is “to deliver a world where every pregnancy is wanted, every childbirth is safe and every young person’s potential is fulfilled.” 

UNFPA also addresses the “three delays” in maternal health: deciding to seek care, reaching a health facility and receiving adequate treatment. During its previous program cycle in Benin, UNFPA reached more than 985,944 new modern contraceptive users, prevented more than 290,296 unintended pregnancies and educated more than 809,820 adolescents and youth about reproductive health. By addressing both medical barriers and social obstacles, such as education and access to contraception, UNFPA helps prevent high-risk pregnancies and long-term complications, lowering maternal mortality rates in Benin.

Benin Mamas

Benin Mamas is a local nonprofit organization supporting maternal health through programs such as the Safe Motherhood Initiative, Mental Health and Postpartum Support, Smart Starts: Saying No to Teen Pregnancies and Mamas Speak Up. Through empowerment programs, educational workshops and targeted interventions, Benin Mamas expands access to maternal health care across rural and underserved communities.

Final Remarks

Together, these three initiatives demonstrate how maternal health programs support underserved and rural communities by filling gaps in government services and expanding access to essential care. By strengthening reproductive health services and promoting education, MSF, UNFPA and Benin Mamas help reduce maternal mortality rates in Benin and build a more sustainable future for families.

– Bianca P. Gunawan

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

Photo: Flickr

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Improving Public Health Via Clean Water in Benin

Clean Water InitiativesBenin is a small country in West Africa with a 36.2% poverty rate. Despite its economic growth over the past years, clean water initiatives in Benin remain critical, as many communities still struggle to access safe drinking water and sanitation. According to the World Health Organization (WHO), lower respiratory infections are the second leading cause of death in Benin, while diarrheal diseases rank fourth. 

Many of these deaths are preventable with improved hygiene, sanitation and access to clean water. Access to clean water plays an important role in improving health in Benin, as it can foster economic opportunities and growth. Partnerships between the Beninese government and international organizations are working to help address this issue.

Join For Water

Join For Water is a nonprofit organization based in Belgium that has focused on reforestation and agroforestry since 1977 by planting trees and shrubs in rural areas. According to the organization, this approach improves water management and prevents sedimentation. It operates in eight countries, including Benin.

Join For Water also supports clean water access through environmental management, food production, drinking water and sanitation, as well as responsible consumption. In 2024, the organization expanded drinking water access to more than 16,485 households, improved access to latrines for more than 1,310 people and supported more than 6,949 farmer harvests. This demonstrates that environmental protection through reforestation and agroforestry can improve water management, leading to cleaner water, better hygiene and improved public health.

Institute of Cultural Affairs–Benin

With more than 35 member countries, the Institute of Cultural Affairs–Benin is part of a global network of nonprofits focused on advancing human development. It is affiliated with the Institute of Cultural Affairs International (ICA). Its mission is to support sustainable human development while fostering lasting change within communities and organizations. As a community, ICA partners with End Water Poverty to improve access to clean water and sanitation. 

End Water Poverty is an initiative in Benin that campaigns, advocates and mobilizes the government to protect, respect and fulfill people’s right to water and sanitation. Through its “Claim Your Water Rights” campaign, the coalition funds grassroots organizations and community-led advocacy efforts that push governments to uphold the human right to water and sanitation. This indicates that water access requires both environmental protection and policy advocacy. 

Together, these clean water initiatives in Benin ensure access to clean water and sanitation for rural and underserved communities across the country.

Final Thoughts

Many communities in Benin still face challenges accessing safe water and sanitation. However, nonprofit initiatives such as Join For Water, ICA and End Water Poverty address these issues through environmental restoration, advocacy and community campaigns. With continued support, these initiatives can improve public health, strengthen sanitation systems, expand economic opportunities and improve living conditions.

– Bianca P. Gunawan

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

Photo: Flickr

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Improvement in the Treatment of TB in Kenya

TB in KenyaTuberculosis (TB) is a condition that mostly affects a person’s lungs but can also spread to other parts of the body. TB is caused by the bacterium Mycobacterium tuberculosis, which circulates through the air and spreads when inhaled. TB has been a persistent public health challenge in Kenya. According to the National Library of Medicine, TB is the fifth leading cause of death in the country. However, there has been a noticeable improvement in treating TB in Kenya. The director of the African region of the World Health Organization (WHO), Dr. Diallo Abdourahmane, stated that Kenya reduced TB cases by 41% and TB-related deaths by 60%. This progress is attributed to treatments such as preventive therapy, the BPaL regimen and digital adherence technologies.

Tuberculosis Preventive Treatment

One treatment used today is tuberculosis preventive treatment (TPT). Its goal is to prevent certain individuals from developing active TB by administering anti-tuberculosis medicine. The treatment destroys bacteria that have infected the body before they can harm organs or spread the illness. TPT specifically targets people living with human immunodeficiency virus (HIV). HIV weakens the body’s ability to fight infections, making individuals more vulnerable to TB. It is recommended for HIV patients to undergo this treatment to reduce the chance of developing TB. The preferred course consists of three months (3HP), during which the antibiotics isoniazid and rifapentine are taken once a week. However, this prescription may interact with other medicines, so each patient’s case should be considered individually.

BPaL Regimen

The BPaL regimen is a treatment course lasting six months. The WHO has recommended it as an alternative to lengthier treatments. The regimen combines four antibiotic medications: bedaquiline, pretomanid, linezolid and moxifloxacin. It targets drug-resistant TB, a form of the disease that does not respond to some standard medications. This treatment is primarily for adult patients and teenagers older than 14. Studies have shown a success rate of 89%, making it more effective than previous regimens.

Digital Adherence Technology

TB treatment outcomes have also improved with digital adherence technology (DAT). DAT refers to digital tools that use technological devices to record a patient’s daily medication information. Examples include smart pill boxes and medication sleeves. Researchers believe DAT motivates individuals with TB to take their daily medication consistently.

A 2026 study evaluated whether certain digital interventions improved TB treatment outcomes. The study found that digital platforms such as Keheala reduced the percentage of failed TB treatments, supporting the use of digital tools in TB care. DAT offers several benefits. Patients can choose the most suitable time to take their medication, fitting it into their routine. Patients can receive SMS reminders. Health care providers can access their patients’ information, allowing them to monitor consistency and identify patients who need additional support.

Looking Ahead

Although TB remains a serious issue in Kenya, the treatments discussed have demonstrated their effectiveness. Kenya has earned recognition from the WHO for its progress. The country has set further goals to reduce TB death rates by 90% and TB cases by 80% by 2030. Efforts in Kenya to reduce the impact of TB continue to show measurable results.

– Lara Ibrahim

Lara is based in Créteil, France and focuses on Technology and Global Health for The Borgen Project.

Photo: Flickr

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Positive Work To Address HIV/AIDS in Georgia

HIV/AIDS in GeorgiaGeorgia has historically reported low rates of HIV, and new infections are concentrated among the most at-risk groups, such as men who have sex with men (MSM) and those who inject drugs. In 2024, Georgia passed legislation that limits queer individuals’ access to essential health services and therefore threatens the progress made to raise awareness, testing, treating and preventing HIV/AIDS. This important work now falls to community organizations such as Equality Movement and Tanadgoma, who are supported by the United Nations Population Fund (UNFPA), and continue their life-saving work to treat and prevent HIV/AIDS in Georgia among vulnerable and impoverished groups.

7 Key Facts About HIV/AIDS in Georgia

  1. UNAIDS classifies Georgia as having a low-level HIV epidemic.
  2. As of 2023, approximately 9,100-10,500 people are living with HIV/AIDS in Georgia, which is about 0.3% of the general adult population.
  3. Among the MSM population, the prevalence of HIV is 21.5%, which suggests current methods do not reach the most at-risk groups.
  4. The number of new HIV infections has been decreasing gradually since 2019.
  5. Concerningly, around 36% of those living with HIV are not aware of their HIV-positive status; individuals can remain symptom-free for years.
  6. About 2,492 people have died as a result of HIV/AIDS in Georgia since 1989.
  7. Around 71% of those with HIV are receiving Antiretroviral Therapy (ART), which suppresses the virus and enables them to live long, healthy lives as well as reducing the risk of transmission

HIV/AIDS and Poverty in Georgia

HIV/AIDS and poverty are deeply and complexly intertwined. Those who deal with food insecurity, housing instability and/or are in poverty are significantly more vulnerable to getting an HIV infection. This is especially true if they rely on sex work to raise money for basic necessities, and where this power imbalance may not allow them to purchase and/or negotiate the use of condoms.

Similarly, those who live with HIV in their household are more at risk of falling into and remaining in poverty. Symptoms of HIV/AIDS can mean people are unable to work for long periods of time, or experience isolatio due to stigma, which can result in the loss of jobs, food security and housing, and in some places make them unable to pay for HIV/AIDS treatment and prevention healthcare.

This is a difficult cycle to break out of. Some treatments, such as ART drugs, must be taken every day with food, and therefore, a lack of adequate food resources and consistent medication places people further vulnerable to severe symptoms of HIV/AIDS. This means they are likely to be out of work for longer, making it even more difficult to raise funds for food and/or medication.

Although steadily declining, in 2024, 9.4% of the population of Georgia was below their national absolute poverty line. The proportion of the population living below the international poverty line at $3.00 a day, and therefore at a higher risk of contracting HIV/AIDS in Georgia was 4.2%.

Community Work 

Organizations such as Tanadgoma and Equality Movement recognize this threat and have a commitment to their mission of reducing the number of new HIV/AIDS diagnoses as well as changing social attitudes to the infection.

Tanadgoma, a UNFPA partner, are working to increase the HIV testing service uptake by providing access to HIV information and services to young people to counter the issue of more than 50% of new HIV diagnoses occurring at a late stage. A key effort of this is to ensure that their environment is free of stigma and discrimination surrounding HIV/AIDS, and other contributing factors such as safe syringe procedures and sex work, despite the recent legislation. People such as Tamar Gakhokidze, a woman who is HIV positive after being infected during a dental procedure in jail, work with these organizations to break down misconceptions and stigma and hope to offer an example to others of someone living with HIV/AIDS in Georgia, but without fear or shame.

Equality Movement have developed a self-testing online platform to help popularize testing for HIV among at-risk groups such as MSM. These tests are free and individuals can complete them at home, allowing them to complete them anonymously with no need to visit community centers. They are also accessible to those in poverty. Also included in these self-test packages are condoms and lubricant that can help prevent the spread and new diagnoses of HIV/AIDS in Georgia; so far, Equality Movement have distributed more than 170,000 condoms and 45,000 lubricants through this project. As an organization, it has also provided Pre-Exposure Prophylaxis (PrEP), an effective daily pill to prevent contracting HIV, to more than 500 people for free.

Looking Ahead

In response to the continued work of organizations such as Tanadgoma and Equality Movement, the Georgian Anti-Corruption Bureau has been persecuting and pressuring civil society and non-governmental organizations to cease their activities. This has not swayed Equality Movement from its mission, and they state, “despite the unlawfully initiated monitoring, we continue our activities and legal efforts to stop the enforcement of repressive laws. We will use all available legal means to protect our rights and the rights of the citizens of Georgia.”

– Stephanie Gable

Stephanie is based in Wales, UK and focuses on Global Health for The Borgen Project.

Photo: Flickr

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The Proactive Fight Against HIV/AIDS in the Solomon Islands

HIV/AIDS in the Solomon IslandsThe Solomon Islands, a vibrant archipelago of nearly 1,000 islands in the South Pacific, continues to demonstrate remarkable resilience in public health management. While the nation faces geographic and economic hurdles — ranking 156 out of 193 on the Human Development Index — the rate of HIV/AIDS in the Solomon Islands remains one of the most stable in the region.

For decades, the archipelago has maintained a low HIV prevalence rate. Data shows that since 1994, only 0.1% of the population aged 15-49 lives with HIV/AIDS in the Solomon Islands. Between 1994 and 2016, health officials recorded only 30 cases, a testament to the nation’s early intervention and cultural protective factors. 

While the historical numbers remain low, recent years have seen a slight uptick in reported cases of HIV/AIDS in the Solomon Islands. Rather than viewing this as a setback, health experts interpret increased numbers as a sign of enhanced diagnostic capabilities. 

The Ministry of Health and Medical Services (MHMS) has significantly expanded testing sites and medical supply procurement. By making testing more accessible, the government identifies cases earlier, enabling immediate treatment. This shift from low numbers through limited testing to active surveillance marks a positive evolution in the country’s medical strategy.

Overcoming Barriers to Treatment

With nearly 1,000 islands in total, treatment for HIV/AIDS in the Solomon Islands has not come without its unique set of obstacles:

  • Geographic Isolation: Realizing a central clinic for antiretroviral therapy (ART) can be physically and financially taxing for rural residents.
  • Stigma and Discrimination: Social and religious norms, combined with a lack of confidentiality in small island communities, create a fear of social rejection that discourages individuals from seeking HIV testing and life-saving treatment.
  • Regulatory Scrutiny: For non-nationals, entry and residency restrictions based on HIV status can create significant legal hurdles for accessing long-term care.

Strategic Measures To Improve Access

To address these difficulties, the Ministry of Health and Medical Services (MHMS) and its partners have introduced the following improvements:

  • Decentralized Testing and Treatment: The program equips area health centers with rapid diagnostic test kits and ensures that even in remote provinces, health workers can identify new cases within minutes and immediately connect patients to antiretroviral therapy (ART).
  • Commodity Security: Health Minister Dr. Paul Bosawai recently emphasized that the ministry is streamlining the supply chain to ensure that HIV commodities and diagnostic kits remain in stock and are readily available in all provinces.
  • Mother-to-Child Prevention: By integrating HIV testing into routine antenatal care, the MHMS has successfully maintained a near-zero rate of mother-to-child transmission in recent years. These proactive efforts mean that 100% of those diagnosed now have access to free, government-sponsored treatment, transforming a potential surge into a manageable and treated health condition.

Beyond clinical settings, the nation prioritizes education as a primary tool for preventing HIV/AIDS in the Solomon Islands. Community-led initiatives utilize radio broadcasts and local leaders to share information about sexual health and disease prevention. 

By involving traditional leaders and local health workers, the government ensures that health messaging respects cultural nuances while providing vital medical facts. These programs empower citizens to take charge of their own health and encourage voluntary testing, further contributing to the slight rise in known cases, which allows for a more accurate public health response.

Looking Toward a Healthy Future

The Solomon Islands is not merely reacting to HIV; it is building a prevention strategy. The government’s commitment to the Fast-Track targets set by UNAIDS shows a clear path forward. By prioritizing education and investing in rural health care infrastructure, the nation ensures that the recent surge in data translates into a long-term surge in survival and well-being. 

With continued international support and a dedicated local workforce, the Solomon Islands stands as a model for how a developing nation can manage infectious diseases through unity and proactive care.

– Rebecca Cameron

Rebecca is based in Edinburgh, Scotland and focuses on Technology and Global Health for The Borgen Project.

Photo: Flickr

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Elderly Poverty in Lesotho

Elderly Poverty in LesothoLesotho, a small, landlocked country in southern Africa, continues to face high levels of poverty and unemployment. While much attention is often given to youth unemployment and child poverty, elderly poverty remains a serious but less visible challenge. Many older adults in Lesotho struggle to meet basic needs and rely heavily on limited social protection and family support to survive.

According to the World Bank, about 49% of Lesotho’s population lives below the national poverty line, with poverty rates significantly higher in rural areas where most older people reside. As people age, their ability to earn income through physical labor declines, yet access to formal pension systems remains limited. Many elderly individuals worked in informal employment or subsistence agriculture during their productive years, leaving them without stable retirement income.

The Impact of HIV/AIDS on Elderly Households

Lesotho’s high HIV/AIDS prevalence has further deepened elderly poverty. The country has one of the highest HIV prevalence rates globally, estimated at around 22% among adults, according to UNAIDS. As a result, many older adults have become primary caregivers for grandchildren after losing adult children to the disease. UNICEF reports that elderly caregivers often use their limited income to cover food, school fees and healthcare costs for dependents, increasing financial strain and vulnerability within already poor households.

Lesotho’s high HIV/AIDS prevalence has further deepened elderly poverty. The country has one of the highest HIV prevalence rates globally, estimated at around 22% among adults, according to UNAIDS. As a result, many older adults have become primary caregivers for grandchildren after losing adult children to the disease. UNICEF reports that elderly caregivers often use their limited income to cover food, school fees and healthcare costs for dependents, increasing financial strain and vulnerability within already poor households.

Government Support Through the Old Age Pension

To address elderly poverty, the government of Lesotho introduced a non-contributory Old Age Pension (OAP) in 2004, providing monthly cash transfers to citizens aged 70 years and above. The pension reaches more than 80% of eligible older persons, making it one of the most extensive social protection programs in the country. Research by HelpAge International shows that the pension supports more than 83,000 older people in Lesotho and has helped reduce extreme poverty, improve food security and increase access to basic healthcare among beneficiaries. However, the pension amount remains modest and is often insufficient to fully cover rising living costs, especially as food prices and medical expenses increase.

Healthcare Access and Ongoing Challenges

Healthcare access remains a major challenge for elderly people living in poverty in Lesotho. Many older adults suffer from chronic illnesses such as hypertension, diabetes and arthritis. While the country has expanded primary healthcare services, barriers such as transportation costs, long travel distances and limited access to specialized care persist, particularly in rural communities. The World Health Organization (WHO) notes that older adults in low-income countries face higher risks of untreated chronic conditions due to financial and structural barriers within healthcare systems. 

The Role of NGOs in Supporting the Elderly

Non-governmental organizations also play a key role in supporting elderly people living in poverty in Lesotho. HelpAge International works with local partners to provide social protection support, healthcare outreach and advocacy for older people’s rights. In some communities, elderly beneficiaries report using pension income and NGO support to afford food, access healthcare services and care for dependents, helping to improve overall household stability. These programs help bridge gaps where government support alone is insufficient, particularly for elderly caregivers responsible for grandchildren.

Looking Ahead

Reducing elderly poverty in Lesotho requires sustained investment in social protection, healthcare services and community-based support systems. Strengthening the Old Age Pension, expanding age-friendly healthcare access and supporting families caring for older relatives can help reduce vulnerability.

As Lesotho continues its efforts toward poverty reduction, greater attention to the needs of its ageing population is essential. Ensuring that older adults can live with dignity, access basic services and remain socially included is a critical part of inclusive and sustainable development.

– Segun Oyekale

Segun is based in Lagos, Nigeria and focuses on Good News for The Borgen Project.

Photo: Flickr

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Disability and Poverty in Suriname

Disability and Poverty in Suriname Suriname is a small coastal nation situated in the northeast of South America. Poverty remains a significant challenge in the country, with 17.5% of the population living below the national poverty line.

Disability as a Poverty Multiplier

Studies considering the intersectional nature of poverty have demonstrated that disability and poverty are strongly interdependent in Suriname.

When examining multidimensional poverty headcount rates, 25% of those with “at least a lot of functional difficulty” are multidimensionally poor. This compares with 21% of those with “some functional difficulty” and 16% of those with “no difficulty.”

There is also an 8% difference between disabled and non-disabled groups in reported access to safely managed sanitation. Among respondents, 96% of those experiencing “no difficulty” reported full access, compared to 87% of those with “at least a lot of functional difficulty.”

Access to the Job Market and Education

People with disabilities in Suriname also face several barriers to social mobility compared to the non-disabled population.

According to 2020 International Labour Organization (ILO) statistics, 39.9% of the disabled population was employed in Suriname, compared with 53.2% of non-disabled people. Similarly, there was a difference of almost 15% between rates of economic activity, with 42.3% of disabled adults ages 15-64 considered economically active compared to 57.9% of non-disabled respondents.

Access to education also varies between disabled and non-disabled groups. Out of a group of surveyed children ages 6-14, 69% of those experiencing “a lot of difficulty” attended school, compared with 82% of those with “some difficulty” and 94% of non-disabled children.

Disabled populations in Suriname are therefore particularly vulnerable to cycles of poverty, especially given their increased likelihood of unemployment, which is a major contributor to poverty.

Action Toward Addressing Disability Poverty

In 2024, a project spearheaded by the Inter-American Development Bank (IDB) was approved to strengthen the country’s social protection system. $40 million was allocated to the initiative, which aims to protect the most vulnerable Surinamese populations, including people with disabilities. The IDB pledged to support 20,000 disabled people and their families.

Several organizations also continue to provide services and support to people with disabilities in Suriname.

Opo Doro, an institution providing home-based services to people living with disabilities in Suriname, expanded its impact with recent funding support. As a result, it established a day care and workshop service that provides disabled communities with practical skills.

Surcare is another project founded to raise funds for a residential care home for people with disabilities in Suriname.

An American organization launched in 2024, Surcare supports the In de Ruimte care home by helping address funding gaps not covered by local donations or government support. The foundation also works to raise awareness about the work of the home.

Looking Ahead

Although there is still work to be done to address the interconnected challenges of disability and poverty in Suriname, the scale of investment from the IDB suggests increased attention to supporting disabled communities. Both international projects and community initiatives indicate progress toward improving conditions for this vulnerable population.

– Phoebe Lang-Clapp

Phoebe is based in Montréal, Québec, Canada and focuses on Global Health and Politics for The Borgen Project.

Photo: Flickr

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Inside the $1.2 Billion US–DRC Health Partnership

U.S.–DRC Health PartnershipOn Feb. 26, 2026, the United States (U.S.) and the Democratic Republic of the Congo (DRC) signed a $1.2 billion health cooperation Memorandum of Understanding (MoU). This is the latest bilateral agreement between the U.S. and more than a dozen African countries following significant aid cuts and the dismantling of the United States Agency for International Development (USAID). The deal aims to support the DRC in its efforts to fight HIV/AIDS, malaria, tuberculosis and other infectious diseases. However, while the DRC has embraced the agreement, a number of other African countries have declined similar deals after raising questions about what may be required of them in return.

What the Deal Could Mean for the DRC

The partnership spans from 2026 to 2031, with $900 million in targeted U.S. government assistance and $300 million in gradually increased domestic health expenditure from the DRC government.

The DRC’s volatile history means that despite progress in recent years, the national health system continues to face significant challenges. Disparate access to health care, a shortage of medical personnel and damage to health infrastructure caused by ongoing conflict are not issues that can be resolved through short-term emergency funding.

Substantial long-term investment aimed at expanding and stabilizing the DRC’s health system could therefore present an opportunity. Beyond supporting the fight against infectious diseases, the deal also aims to strengthen maternal and child health services, improve national epidemiological surveillance and enhance preparedness and response to health emergencies. If implemented effectively, it could represent progress in addressing recurring public health emergencies.

Concerns Surrounding the Agreements

Before Donald Trump came into office, USAID previously provided health grants to many of the African countries that have now entered bilateral agreements. These funding routes were closed under the Trump administration due to concerns that aid channeled through nongovernmental organizations (NGOs) resulted in high overhead costs. However, while the new deals involve substantial U.S. investment, they represent an average 40% decrease in the health funding these countries received from the U.S. over the previous five years.

Moreover, despite promoting the goal of encouraging countries to match donor funds and reduce dependence on aid, certain elements of the MoUs have been labeled “exploitative” by several African countries.

Zimbabwe’s government declined a similar deal with the U.S. over concerns about national data protection. In exchange for U.S. funding, the proposed agreement involved extensive U.S. access to Zimbabwean health data without any guarantee of access to medical innovation such as vaccines or treatments. As explained by government spokesperson Nick Mangwana, Zimbabwe would “provide the raw materials for scientific discovery without any assurance that the end products would be accessible” to its population in the event of a health crisis.

For similar reasons, Kenyan courts suspended implementation of a $2.5 billion health aid deal with the U.S. last December after complaints about the potential sharing of Kenyans’ personal medical records under the agreement.

For the U.S., these deals also offer a way to support American pharmaceutical companies in developing and producing vaccines. In addition, distributing aid through bilateral agreements allows the administration to bypass multilateral aid frameworks that traditionally distribute decision-making power across donors and recipient countries.

Reasons for the DRC’s Acceptance

Despite concerns raised by other governments, the Democratic Republic of the Congo may view the agreement through a different strategic lens. The country faces one of the highest infectious disease burdens in Africa, including persistent outbreaks of Ebola, measles and cholera alongside high rates of malaria and tuberculosis.

Combined with ongoing conflict in eastern provinces and decades of underinvestment in public health infrastructure, these pressures have left the national health system heavily dependent on external support.

For Kinshasa, the scale and stability of the U.S. commitment may outweigh potential concerns surrounding oversight provisions. The agreement promises sustained investment over a five-year period and requires increased domestic spending, potentially helping stabilize long-term health financing rather than relying on short-term emergency interventions. In addition, strengthening diplomatic ties with Washington may carry broader strategic benefits for a government navigating regional insecurity and economic constraints. In this context, the deal may represent not only a health partnership but also an effort to secure critical resources for a fragile health system.

Looking Ahead

The U.S.–DRC health partnership illustrates the evolving nature of global health diplomacy. For the DRC, the agreement offers an opportunity to strengthen disease surveillance, expand health care services and build resilience against future outbreaks. At the same time, the hesitation shown by other countries highlights the balance between securing vital funding and protecting national sovereignty over sensitive health data and research resources.

– Andrew Geddes

Andrew is based in Edinburgh, Scotland and focuses on Global Health for The Borgen Project.

Photo: Flickr

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Eliminating Trachoma in the Most Impoverished Communities

TrachomaTrachoma is an infectious eye disease caused by the bacterium Chlamydia trachomatis. It is a chronic form of conjunctivitis and causes 1.4% of global blindness, yet governments can completely prevent it. Thirty countries across Africa, Asia, Central and South America, the Middle East and Australia have faced trachoma as a public health problem. It affects the most impoverished parts of the world. 

Infection spreads easily due to poor hygiene, crowded housing and limited access to sanitation and water. Viral disease and poverty fuel this spread, making people vulnerable to preventable diseases such as trachoma.

Eliminating Trachoma in Libya

On February 18, 2026, the World Health Organization (WHO) celebrated Libya’s elimination of trachoma. Libya struggled with trachoma for more than a century, but hard work and commitment led to this recent success. The country’s victory over trachoma shows how supporting the fight against neglected tropical diseases can help millions over time.

Political unrest and displacement in Libya limited access to quality health care, yet the country still managed to eliminate trachoma. Displacement and such unrest drive poverty by increasing the demand for water, sanitation and hygiene services. This connection between disease and poverty makes eliminating trachoma even more significant.

The SAFE Initiative

Countries affected by trachoma adopted the Surgery, Antibiotics, Facial cleanliness and Environmental improvement (SAFE) strategy. Through this effort, Pfizer and the International Trachoma Initiative (ITI) have delivered more than one billion doses of Zithromax to countries in need. Experts now estimate that trachoma could be eliminated as a public health threat worldwide by 2030.

ITI, a U.S.-based nonprofit, currently operates in more than 14 countries across Southeast Asia and Africa. These interventions address the link between disease and poverty and have improved the lives of millions. Twenty-seven additional countries, including Papua New Guinea and Pakistan have also eliminated trachoma, underscoring the importance of tracking its prevalence and taking decisive action against infectious diseases. 

Fewer than 100 million people now require treatment, a historic global low since the WHO began recording cases. This milestone reinforces the need to confront disease alongside poverty. It demonstrates how strong local leadership, backed by international coordination, can improve the well-being of the world’s poorest populations.

Final Remarks

The massive success of the trachoma eradication campaign demonstrates the positive impact international help can have on many other tropical diseases. Research into trachoma has taught researchers much about how to slow its spread. Making hygiene a game for young children helps them avoid touching their eyes and mouths, which, in turn, helps women, who often act as primary caregivers. 

Additionally, communities can use the structures built for trachoma to fight other diseases. If people around the world work together to combat disease and poverty, everyone’s well-being will improve.

– Caitlin Cooper

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

Photo: Flickr

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How Mobile Clinics Are Expanding Dental Care in Rural Bolivia

Dental Care in Rural BoliviaLimited access to dental care is an often overlooked public health challenge in rural Bolivia, particularly for low-income and geographically isolated communities. Untreated tooth decay and gum disease can lead to chronic pain and infection, making it harder for children to concentrate in school and for adults to work consistently. In a country where household budgets are often tight, delaying care can also lead to higher costs later, especially when treatable problems become emergencies. Mobile dental clinics are one approach to helping close these gaps by bringing preventive and basic restorative services directly to underserved communities.

Why Dental Care Is Difficult To Access in Rural Bolivia 

Bolivia’s geography and settlement patterns create real barriers to routine care. Rural communities may be located far from clinics, with travel costs and time away from work making a dental visit impractical. Where dental services exist, they may be limited to urgent pain relief or extractions rather than preventive treatment or restorations. 

At the national level, the WHO’s Oral Health Profile for Bolivia highlights the economic impact of oral disease. It estimates per-capita spending on dental care at approximately $4.20 and productivity losses from five untreated oral diseases at $152 million. This is an indicator of how oral health problems can translate into missed work and reduced earning capacity. 

What Mobile Dental Clinics Do Differently

Mobile dental clinics reduce access barriers by bringing equipment and staff directly to remote areas, often in coordination with local schools and community authorities. Depending on the program, services may include examinations, cleanings, fluoride applications, sealants, basic restorations (fillings) and extractions, along with hygiene education. This approach is important because it shifts care upstream, preventing decay and addressing early-stage problems before they develop into infections that require more complex interventions.

Evidence From Mobile-Clinic Programs Operating in Rural Bolivia

One example of measurable outcomes comes from the Suyana Foundation. It operates mobile dental clinics in the Department of La Paz and tracks multi-year data on service delivery and oral health indicators in the communities it serves. In a program summary covering Bolivia, Suyana reports that between 2021 and 2023, its mobile dental clinics provided approximately 38,000 dental consultations. 

Over the same period, the foundation recorded improvements in standard oral health indices. These included a 21% drop in the CPOD/DMFT index (from 6.7 in 2021 to 5.3 in 2023) and a 44% reduction in the simplified oral hygiene index (IHOS) (from 2.5 in 2021 to 1.4 in 2023). Suyana also reports child-focused results: the incidence of new caries among 10-year-old children fell by 38% from 2022 to 2023 in its Bolivian program. 

Additionally, the number of students rehabilitated to “zero cavities” status increased from 296 in 2021 to 1,229 in 2023. These figures reflect the impact of a single organization rather than the entire country; however, they provide concrete evidence that mobile, prevention-oriented dental services can improve outcomes in areas with limited baseline access.

How Public Nonprofit Partnerships Expand Reach

Mobile-clinic models often depend on partnerships because logistics and sustainability are as important as clinical work. Public authorities can support coordination with schools, referral pathways into local health establishments and alignment with national standards. Nonprofits can add specialized staff, equipment, outreach capacity and external funding.

In Bolivia’s health ecosystem, organizations like Fundación ProSalud have a national presence, providing lower-cost health services through a network of clinics. These clinics help complement public provision and support broader access goals. Volunteer-based outreach models also operate in rural areas. 

In Cochabamba and surrounding regions, the nonprofit Mano a Mano runs “jornadas”—weekend medical and dental trips where teams travel to remote communities to provide care. This shows how mobile or pop-up services can reach areas that permanent facilities do not consistently cover.

Why Dental Access Matters for Poverty Reduction

Dental care can look “secondary” compared to infectious disease or maternal health, but it has direct poverty links. Pain and infection can reduce school attendance and workplace productivity, while delayed treatment can force families into higher-cost emergency care. The WHO’s estimates of productivity losses from untreated oral diseases underline that oral health is not only a clinical issue but also an economic one, especially for households living close to the margin.

Mobile dental clinics address this problem by reducing the time and travel costs of seeking care and emphasizing prevention. When clinics provide sealants, fluoride and early restorations, they can reduce the likelihood that a child needs repeated extractions or that an adult loses workdays due to avoidable infection.

The Future of Dental Care in Rural Bolivia

Mobile clinics are not a substitute for long-term investment in permanent facilities and the oral-health workforce. But in rural Bolivia, they can function as a practical bridge, expanding coverage now while building community habits around preventive care. Evidence from programs such as Suyana’s mobile clinics suggests that sustained outreach can improve measurable oral-health outcomes, particularly for children. 

As government standards, local coordination and nonprofit delivery capacity align, mobile dental services can continue reducing preventable pain, missed school days and productivity losses in underserved regions. 

– Tom Basu

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

Photo: Flickr