Archive for category: Health

Information and stories on health topics.

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Advancing Women’s Health Care in Lebanon

Women’s Health Care in LebanonWomen’s health care in Lebanon and its associated biases are linked to the country’s collapsing economy. The crisis began in August 2019 and was made worse by COVID-19. In 2024, it was estimated that 44% of Lebanon’s population lived below the poverty line, a number that more than tripled over the last decade. 

Positively, the World Bank reported that the country witnessed a “fragile rebound” in its economy at the end of 2025. The Group foresees steady GDP growth in 2026. However, it warns that multiple threats could put this trajectory at risk of another collapse.

With government systems failing, families have had to rely on nonprofits for essential aid. Anera, a nonprofit organization that previously focused on aiding refugees, estimates that about 50% of the people it is helping now are Lebanese. Moreover, due to hostilities from Israel–Hezbollah conflicts, the European Commission estimated a total of 2.2 million Lebanese people in need of humanitarian aid in 2025.

Health Care, Women and Gender Biases

While the economy is faltering, the number of women entering the health care sector in Lebanon is spiking. Now, in 2026, they represent nearly half of the medical students. This progress stands in contrast to the country’s broader gender disparities, as Lebanon ranks 136th out of 146 countries in the World Economic Forum’s 2025 Global Gender Gap Index.

Despite the trend of increased feminization of the workforce, women remain underrepresented in management and academic positions. They nevertheless have limited access to esteemed fellowships and specialty positions and are not paid the same wage as their male counterparts. Looking past the statistical disparities of women in the workforce, women in Lebanon face numerous barriers in health care accessibility and quality. 

The economic crisis mentioned earlier exacerbated the cost of seeking health care, affecting women and girls, especially those in underprivileged areas. Prices for menstrual products, for example, rose by up to 234% for local brands and 409% for imported ones. As a result, 66% of girls could no longer afford them and instead turned to unsanitary and often dangerous alternatives.

UNFPA

The United Nations Population Fund (UNFPA) is a human rights agency working in more than 150 countries globally to ensure that the sexual and reproductive rights of women and girls are met fairly. In partnership with organizations such as UNICEF, it has raised funds, written training manuals for health care professionals and provided health care services to advance social equality and tackle gender-based violence. Its ultimate goal is to break the cycle of poverty by investing in the education of girls on the subjects of sexual and reproductive health. 

Women Now for Development 

Based in Syria and founded in Paris in 2012, Women Now for Development is a grassroots organization operating in Syria, Lebanon and Turkey. Its goal is to support, protect and empower women in their day-to-day lives. At its centers, it offers psychological and family counseling, educational support, recreational activities, vocational training and child care services. 

It targets the most vulnerable female populations: refugees and disabled women and children. Over the years, it has helped many families regain dignity and autonomy.

Looking Forward

Nonprofit organizations such as UNFPA and Women Now for Development are significant steps forward in creating a sustainable, accessible future for women’s health care in Lebanon. Evident in the country’s ever-growing poverty statistics, however, is that there is still much to be done. Part of this effort includes securing Lebanon’s economic momentum; positive reforms and efforts to uphold political stability are essential to ensuring a Lebanese health care system that is accessible, fair and inclusive.

– Brittany Buscio

Brittany is based in Montreal, Quebec, Canada and focuses on Good News, Global Health for The Borgen Project.

Photo: Flickr

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Midwife Training and Maternal Mortality in Somalia

Maternal Mortality in SomaliaThe Federal Republic of Somalia, is the easternmost country in continental Africa. In 2025, there were 1.5 midwives per 10,000 people in Somalia, with a stillbirth rate of 35. The country has one of the worst health indicators in the world following decades of conflict, natural disasters and disease outbreaks. Midwife training in Somalia is necessary since midwives face stigmatisation as well as a lack of support in their work, but their mission to protect and nurture more lives remains in focus.

Why is There a Crisis in Somalia?

Somalia has endured prolonged conflict between the state and non-state armed groups, with significant funding cuts in 2025. More than 1.7 million vulnerable people lost access to protection services and an estimated 6 million people are in extreme need of life-saving assistance.

Ms Fatima Mohamed Abdalla, an official of the Somali Midwifery Association, spoke about how mothers suffer from the effects of poverty, walking long distances to reach a health facility, and no ambulances for effective referral of cases to the hospital. This shows the need for a stronger maternal health workforce where midwife training in Somalia consists of an approved institution and license to practice.

Solution to Maternal Mortality Rates in Somalia?

Midwives provide holistic care that meet every woman’s individual needs, education on sexual and reproductive health and they optimize the normal processes of pregnancy, childbirth, the postnatal and newborn period.

Farhiya Ali Abdi – in a press release in 2019 – stated that she was driven by the fact that she was helping the most vulnerable people, including children as well as their mothers. In Somalia, there is a preference for Traditional Birth Attendants, rather than young midwives, due to experience and training, but this leads to a stigma arising for new healthcare professionals.

The World Health Organization (WHO) has been helping the crisis in Somalia, with their Reproductive Health and Nursing and Midwifery Programme Officer based in Somaliland, Asia Osman Ahmed, advocates for the need to train and oversee the work of midwives. She described a moment of a woman waiting desperately at a health facility for help, as a traditional midwife who tried to open up her FGM stitches so that her husband could enjoy being intimate with her had cut up part of her rectum and given her second degree tears.

This is the reality of so many women in Somalia and midwife training in Somalia is more than taking care of birth processes; it is about protecting every woman and child from injustice and needless suffering. WHO has also demonstrated a need to discuss with the Government to link community midwives to qualified midwives, who have been trained by partners such as the United Nations Populations Fund.

Investment

Somalia ranks among the countries with the highest maternal mortality rate, with an estimated shortage of 20,000 midwives compared to the WHO recommended standard. Graduate midwives have identified gaps in dealing with abortion and neonatal resuscitation, indicating the need for longer clinical training periods.

In 2016, according to the Somali Health and Demographic Survey (SHDS), only 32% of Somali women delivered with the assistance of skilled birth attendants.

With more investment and training, midwives can meet about 90% of the need for essential sexual, reproductive, maternal, newborn and adolescent health interventions. By 2035, they could save 4.3 million people per year, which highlights the need for more training.

A midwife is more than a trained professional, a midwife is a life saver, a source of reassurance, and a listener. Midwife training in Somalia is essential with a need for more midwives willing to fight against stigma, so that women and children have a greater chance of survival in the country.

– Anisa Begum

Anisa is based in Author’s City and State: Birmingham, UK and focuses on Global Health for The Borgen Project.

Photo: Flickr

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Trail Bridges in Nepal: Improving Access to Schools and Clinics

Trail Bridges in NepalIn Nepal’s hill and mountain districts, seasonal rivers often separate communities from essential services. During monsoon season, rising water levels can wash away temporary crossings, forcing children, patients and families to take long detours or attempt unsafe river crossings. Trail bridges in rural Nepal are helping restore safe, year-round access to schools, health posts and emergency care. By replacing damaged or temporary crossings with durable pedestrian suspension bridges, Nepal’s trail bridge program helps reduce travel time and improve safety for rural communities.

Infrastructure and Recovery Needs

The need for resilient rural infrastructure intensified after the 2015 earthquake, which affected 31 districts and damaged transport links and public facilities. In many hill and mountain areas, the absence of a bridge can significantly extend travel time to schools, markets and health facilities, particularly during monsoon periods.

Nepal’s Department of Local Infrastructure (DoLI) coordinates the Trail Bridge Sector Wide Approach (TB SWAp), which provides national standards, financing mechanisms and institutional coordination across federal, provincial and local governments. According to DoLI, Nepal had 8,444 trail bridges in place under the sector framework, with an estimated 4,000 to 5,000 additional bridges still needed to ensure safer crossings and reduce long detours.

The framework sets an access objective aimed at limiting detours to safer crossings to within one hour, with particular focus on rural and disadvantaged communities.

Implementation relies on standardized technical designs, trained bridge builders, user committees and quality monitoring systems operating under national guidelines.

Construction Momentum and National Scale

A 2023 regional presentation on Nepal’s trail bridge sector reported that Nepal reached 10,000 trail bridges by 2023 and constructed 740 trail bridges in fiscal year 2022/2023. The same presentation reported that approximately 1 million people use a trail bridge each day.

Switzerland’s development agency, the Swiss Agency for Development and Cooperation, has supported Nepal’s trail bridge program since the 1960s.

Swiss government reports that Swiss technical support and funding support helped build more than 8,000 trail bridges, improving access to services for millions of people.

Measurable Gains in Education and Health Access

Switzerland’s government reported that the trail bridge program improved access for more than 18 million people, with about 1.4 million people using trail bridges daily.

In areas near newly built trail bridges, average school attendance increased by 16%, and visits to health centers increased by 26%.

Helvetas, which provides technical verification and engineering support to the Nepali government, reports similar outcomes: school attendance increases by an average of 16% and consultations at health centers rise by 26% following construction of a new trail bridge.

Helvetas also reports that each bridge shortens and secures travel routes for an average of approximately 1,800 people.

Why the Model Works

Nepal’s trail bridge sector combines national technical standards with decentralized delivery. The TB SWAp framework outlines institutionalized norms, standardized manuals and training systems that support construction and monitoring at multiple levels of government.

The UNCRD presentation notes that average annual construction increased under the sector-wide approach, reflecting strengthened coordination and sector planning.

Helvetas reports that more than 10,000 trail bridges have now been built in Nepal, many verified through long-term partnerships with the government.

Swiss development reporting highlights that Nepal has developed the institutional capacity to plan, construct and maintain trail bridges through national and subnational systems.

Continuing Need

Despite progress, thousands of additional crossings remain necessary to reduce unsafe river crossings and long detours in rural areas.

Documented increases in school attendance and health facility visits indicate that trail bridges in rural Nepal remain a practical and evidence-based approach to improving access to essential services for remote and marginalized communities.

– Kira Rai

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

Photo: Flickr

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Beyond Zero: Empowering Maternal Care In Kenya

Beyond Zero: Empowering Maternal Care In Kenya The Beyond Zero mission is simple: “No woman should die while giving birth.” The campaign is a flagship maternal and child health care initiative in Kenya, reaching more than 1.2 million people through mobile clinics and medical safaris. Beyond Zero aims to expand access to quality, lifesaving health care across all 47 counties in Kenya, especially for women and infants in remote communities where services are often limited or difficult to reach.

How a Bold Promise Became a National Campaign

Beyond Zero was founded in 2014 by Kenya’s first lady, Margaret Kenyatta. Two months after assuming office, Kenyatta delivered a pledge during her maiden speech for the Organisation of African First Ladies Against HIV/AIDS (OAFLA). She vowed to use her platform to fight HIV/AIDS stigma and eliminate discrimination against people living with the disease.

Recognizing the need for stronger maternity services advocacy, Kenyatta launched Beyond Zero with a mission to reduce preventable maternal and infant deaths and eliminate mother-to-child transmission of HIV. After Kenyatta’s 10-year tenure as first lady, the Beyond Zero mission continues to guide the campaign as it supports women and children across Kenya.

Examples of Care Provided on the Ground

For many mothers in rural communities, long distances to facilities and a shortage of specialist staff restrict access to antenatal, postnatal and neonatal care. Beyond Zero responds by bringing services directly to communities through mobile clinics and medical safaris.

Mobile clinics are fully equipped health facilities on wheels, including trucks or large vans fitted with examination spaces, diagnostic equipment, vaccines and essential medicines. Medical safaris are short-term outreach campaigns in which teams of health professionals visit a specific region for several days to provide specialized services, deliver community education and write hospital referrals. Together, these approaches focus on interventions during pregnancy, childbirth and infancy.

  • Infant and Childhood Immunization Services. Routine vaccinations, such as tuberculosis and polio, are provided to newborns and infants to protect them from preventable diseases, particularly in remote communities.
  • Prevention of Mother-to-Child Transmission (PMTCT) of HIV. HIV testing and counseling are available for pregnant women. Those who test positive are linked to antiretroviral therapy to prevent transmission to their infants.
  • Cancer Screening Services. Beyond Zero provides early detection screening for breast and cervical cancer among women of reproductive age. The campaign also raises awareness through education and offers referrals for treatment when required.
  • Obstetric Fistula Awareness and Referral Services. Women experiencing poverty, malnutrition and limited health care access face higher risks of obstetric fistula, a childbirth injury that creates a hole in the birth canal. Beyond Zero works to identify, prevent and refer cases for treatment.

The Scope of Beyond Zero’s Impact Across Kenya

Since its launch, Beyond Zero has expanded from an advocacy drive into a national health initiative. Its impact is reflected in increased service delivery and expanded access in rural regions.

  • More than 45,000 households have received free health services through medical safaris.
  • Beyond Zero has implemented a Nursing Scholarship Fund for marginalized students from arid and semi-arid counties, supported by the World Bank.
  • Advocacy and health education messages have reached approximately 35 million people.
  • After coordinating the sensitization of health care workers on obstetric fistula, two counties have employed resident fistula surgeons.
  • The percentage of HIV-positive women receiving antiretrovirals increased from 66% in 2013 to 96% in 2020.

Looking Ahead 

Beyond Zero demonstrates how targeted support for maternal and child health can expand access to care across Kenya. Its mobile clinics and outreach services continue to play a role in reducing preventable deaths and improving health services for women and children in remote communities.

– Charlotte Bunn

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

Photo: Flickr

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Health Improvements and Reducing Poverty in Uganda

Poverty in UgandaUganda has experienced notable economic growth over the past two decades. Yet, poverty, food insecurity and limited access to health care remain persistent challenges, particularly in rural and refugee-hosting regions of Uganda. According to World Bank estimates, Uganda’s national poverty rate stood at approximately 21.4% in 2016, with significantly higher rates in rural areas.

Food insecurity and undernutrition reinforced these vulnerabilities, contributing to poor health outcomes and limiting educational attainment among children. In response, the World Food Program (WFP) and the United Nations Development Program (UNDP) implemented a range of initiatives to address both the immediate and structural drivers of poverty and poor health in Uganda.

WFP Initiatives: School Feeding, Nutrition and Food Security

Between 2016 and 2020, WFP implemented its Uganda Country Program, which prioritized food security as a foundation for long-term development. A central pillar of this strategy was the Home-Grown School Feeding (HGSF) program, which provides daily meals to schoolchildren while sourcing food directly from local smallholder farmers. This approach was designed to address child hunger and education outcomes while simultaneously strengthening rural livelihoods.

According to a WFP interview with a WFP Uganda program officer, the HGSF initiative has reduced hunger-related absenteeism among schoolchildren while improving household income stability for farmers through predictable local procurement. The interview emphasizes that by linking schools to nearby agricultural producers, the program treats food assistance as both a nutritional and economic intervention rather than short-term relief. WFP reports indicate that school feeding programs reached hundreds of thousands of children annually, particularly in food-insecure regions such as Karamoja, where chronic hunger has historically undermined educational outcomes.

In addition to school meals, WFP expanded maternal and child nutrition programs, targeting pregnant women and young children during critical stages of development. Evaluations of WFP’s Uganda Country Strategic Plan found improvements in household food consumption scores and dietary diversity among participating communities.

UNDP Initiatives: Inclusive Growth and Health Infrastructure

While WFP’s interventions focused on food systems and nutrition, UNDP addressed the broader economic and infrastructural determinants of poverty and health. Through its Inclusive Growth and Resilience programs, UNDP supported job creation, micro-entrepreneurship and access to renewable energy, factors closely linked to long-term poverty reduction.

One of UNDP’s most impactful interventions has been the solarization of rural health facilities. The organization supported the installation of solar power systems in 26 rural health facilities, improving health care access for more than 700,000 people. Before electrification, many facilities relied on unreliable grid power or diesel generators, limiting their ability to provide consistent care.

UNDP reports that solar-powered facilities improved vaccine storage, expanded nighttime emergency services and strengthened maternal health care. By strengthening health infrastructure, these initiatives reduced the economic burden of illness on households. They enhanced the overall resilience of rural health systems.

Measurable Impact: Poverty Reduction and Health Improvements

The combined effects of WFP and UNDP initiatives are reflected in national development indicators. Between 2016 and 2020, poverty in Uganda declined to 20.3%. While multiple factors contributed to this trend, UNDP and WFP reports identify improved food security, social protection and service delivery as key contributors.

Nutrition and health indicators also improved over the same period. National stunting rates among children under 5 declined from roughly 29% in 2016 to 26% in 2022, reflecting gains in maternal nutrition, child feeding practices and health care access. In refugee-hosting districts, WFP-supported cash transfers linked to nutrition and health services improved dietary diversity.

They reduced reliance on negative coping strategies. The WFP interview-based video evidence further reinforces these findings by illustrating how school feeding programs improved attendance and learning outcomes, thereby demonstrating the long-term poverty-reduction potential of investing in child nutrition and education.

Challenges and Ongoing Constraints

Despite measurable progress, significant challenges persist. Funding volatility poses a major threat to program sustainability, particularly in refugee-hosting areas. WFP evaluations warn that reductions in donor funding have led to ration cuts in some regions, reversing gains in food security and nutrition.

Climate shocks, including droughts and floods, further undermine agricultural productivity and rural livelihoods, placing additional strain on food systems. UNDP reporting also notes capacity constraints at the local government level, which can limit the scaling and institutionalization of successful initiatives. These challenges highlight the need for sustained investment and stronger national ownership of development programs.

Conclusion

UNDP and WFP initiatives in Uganda demonstrate that poverty reduction and health improvement are most effective when addressed through integrated, multi-sectoral strategies. These programs linked school feeding to local agriculture. They expanded nutrition-linked social protection and also strengthened the health care infrastructure through renewable energy.

Together, these efforts addressed both immediate vulnerabilities and long-term development needs. The measurable declines in poverty and child malnutrition between 2016 and 2022 suggest that coordinated development interventions can deliver tangible results even in complex and resource-constrained contexts. As Uganda continues to confront climate risks, demographic pressures and funding uncertainty.

However, the UNDP–WFP model offers a compelling example of how development and humanitarian action can work together to deliver sustainable, inclusive outcomes.

– Akash Ramaswamy

Akash is based in Mississauga, Canada and focuses on Global Health and Politics for The Borgen Project.

Photo: Flickr

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Health Care Homecoming: Nurses from Rural Kenya

nurses from rural KenyaIn a busy isolation facility in Murang’a County, central Kenya, nurse Rose Nyawira scrambles between COVID-19 patients to give them the right amount of oxygen. There is only one oxygen cylinder available between them. Rose recognized the need for a more efficient means of distributing oxygen. She conducted research and discovered a device that allows multiple patients to access oxygen from the same cylinder. Her efforts earned her recognition as Murang’a County’s Nurse Practitioner of the Year at the Beyond Zero Awards in 2022.

Like Rose, a group of nurses from rural Kenya is being trained through a partnership between the Beyond Zero Program, Kenya Medical Training College and Roche, a Swiss-based research-focused health care company. Nurses return to their home counties to work in mobile maternal and child health clinics. These clinics provide families, particularly women and children in remote areas, with access to health care.

“I realized very early on in life that I have a gift of caring for other people. After interacting with nurses from rural Kenya, I knew that this was the profession that would help me exercise my gift,” Rose said.

Beyond Zero: The Initiative

Kenya’s first lady, Margaret Kenyatta, launched the Beyond Zero Program in 2014 with the goal of providing maternal and child health care to underserved rural counties. This medical care includes antenatal care, immunizations, family planning, screening and health education. Since 2014, it has provided primary health care to roughly 1.2 million people and reached approximately 45,000 households through mobile medical clinics known as Medical Safaris staffed by nurses from rural Kenya. In 2019, the program donated 52 fully equipped mobile clinics to all 47 counties in Kenya.

Partnership and Training

With support from ROCHE, Beyond Zero has strengthened primary health care by training more health care workers in rural areas. The program offers community health training scholarships through Kenya Medical Training College to train young people from arid and semi-arid regions. Scholarships for student nurses from rural Kenya cover tuition, uniforms, meals and essential supplies, reducing financial barriers for students from underprivileged regions.

The CEO of Kenya Medical Training College, Dr. Kelly Oluoch, emphasized the impact of training Enrolled Community Health Nurses for marginalized communities. “When ECHNs are trained and deployed to their home regions, we see higher retention rates due to their local ties and understanding of cultural and linguistic barriers to health care access,” he said.

Farah’s Story

Beyond Zero’s mobile clinics are staffed with nurses and equipped with vaccines, medical supplies, food and antimalarial drugs, providing rural communities with access to essential medical care.

Farah Kalmoy is one of the beneficiaries. He brought his 9-month-old son to a mobile medical clinic for his measles vaccine. “My home is six kilometers away from Wajir County Referral Hospital, which is the nearest health centre where I can access the medical services,” he said. Without access to the mobile clinic, Kalmoy said he would not have been able to bring his son for vaccination.

Beyond Zero’s nurses serve as a connection between rural communities and Kenya’s health care system. Because many are from the local communities, cultural familiarity can help build trust. The mobility of the clinics allows services to reach remote areas where fixed facilities may be limited.

Looking Ahead

Support continues for nurses in training and for the Beyond Zero Program. The Kenyan government, in partnership with organizations such as the United Nations Population Fund (UNFPA) and Roche, plans to expand training and strengthen retention to improve access to maternal and child health services in remote areas. These efforts highlight the role of nurse training in strengthening health care access in Kenya.

– Caleb Dueck

Caleb is based in Winnipeg, Manitoba Canada and focuses on Good News and Technology for The Borgen Project.

Photo: Flickr

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Organizations Aiding Ear and Hearing Care in Zambia

Organizations Aiding Ear and Hearing Care in Zambia Hearing health is often overlooked in global development conversations, yet in Zambia, it plays a critical role in education and economic participation. With a population of almost 17 million, 5% of Zambians experience hearing problems or diseases. It is hard to help everyone in the community, given that there are only five Otorhinolaryngologists (ENTs) and one audiologist available.

The commute for most individuals can exceed 10 miles on foot to reach a specialist, making access to hearing care in Zambia unrealistic for many Zambian citizens. In 2022, 60% of the population was in severe poverty, so not everyone can afford to walk long distances to get care for themselves or their families, as they are struggling to feed their families on $2 a day.

Organizations like Seeds of Hope Children Ministry and GBCZambia place strong emphasis on donations to support medical research and education to improve hearing care in Zambia. However, providing tools within an educational setting can help individuals succeed. Further studies conducted within these communities could help organizations better understand the needs of individuals who require hearing care in Zambia. Two organizations, DeafKidz International (DKI) and Zambart, address these needs and provide tools to help Zambian citizens succeed regardless of their disabilities.

DeafKidz International: Adapting Zambia’s Education

DeafKidz International (DKI) has been working in Zambia since 2013 to help children build resilience and improve education and safety for those who are hard of hearing. It aims to complete its mission in two parts: educating the children through workshops and training teachers to identify signs of abuse or confusion among individuals who are hard of hearing.

The six-hour workshop for children focuses on safety, boundaries and basic communication. The education of an average student in Zambia is not identical to that of a hard-of-hearing individual. Thus, this workshop uses role-plays, demonstrations, worksheets and interactive games to help children understand these topics. DKI also financially supported the purchase of laptops in 2024 for classrooms to help bridge educational gaps.

To ensure that educators are up to date, the DKI team communicates regularly with trained teachers. It does this by running brief sessions to verify that information translation is accurate and to gather feedback on the results of DKI’s programming. In early 2025, DKI staff observed that students ages five to eight were comprehending sign language at varying levels, indicating the program’s gradual progress.

DKI’s team values the feedback it receives from children, parents and educators alike. For instance, noting and adjusting the program to differentiate between “early warning signs” of abuse and symptoms of illness is important. DKI has taken a unique approach to hearing care in Zambia through adaptability and confidence-building.

Zambart: Building a Foundation for Research Advancements

Zambart, a research group that advances health care for all, has also begun piloting programs to study Chronic Suppurative Otitis Media (CSOM) and general hearing problems. The goal of the research study is to evaluate the effects and quality of life of individuals who are hard of hearing due to CSOM and other related hearing diseases. This would provide other organizations and the government with a clearer idea of the types of resources that would be helpful to these individuals.

As part of its initiative, Zambart begins by interviewing families in different communities in Zambia to understand their experiences with CSOM. Next, it will perform randomized trials of topical iodine treatment for ear discharge and analyze short- and long-term care. It will also pilot the introduction of a low-cost bone-conducting headset for 150 adults and children who experience hearing loss.

As a way to go hand in hand with DKI’s efforts, it will also conduct further studies and qualitative analyses to understand the lived experiences of people with hearing loss. The goal is to understand what enables or prevents them from feeling self-determined, empowered and resilient in their education and daily lives. The results of this study would be the implementation of tech-based learning for sign language.

Zambart accepts monetary donations to advance its research; however, the funds received go directly into its mission and action efforts. Though it does require significant money, training and time to achieve the necessary advancements in hearing care in Zambia, the Zambart team is actively working to address the root problems.

Focusing on Empowerment and Resilience

Overall, children and adults with hearing and ear illnesses have not received as much focus in Zambia as other diseases. However, when working with groups that focus on adaptability, resilience, community building and empowerment, these communities are given the chance to grow and learn. Though monetary donations go a long way toward advancing accessible clinics and medical professionals, providing the right tools and methods can further strengthen hearing care in Zambia.

– Simran Dev

Simran is based in Caledon, Ontario, Canada and focuses on Global Health and Celebs for The Borgen Project.

Photo: Flickr

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Medical Innovations in Ghana: Transforming Health Care

Medical Innovations in Ghana That Are Transforming The Health Care SystemIn Ghana, where 24.2% of people live below the poverty line, health issues and the adverse effects of poverty remain heavy burdens on the population. Disproportionate access to health care negatively impacts rural and low-income populations and exacerbates the health burden for these groups. Thus, investments in the development of various medical innovations in Ghana aim to alleviate the health burden and increase access to cost-effective services for rural communities.

The BioInnovation Center

Academic City University College in Ghana partnered with Northeastern University to establish the new BioInnovation Center. The center aims to improve the availability of medical equipment for more than 5,000 rural health clinics nationwide by developing low-cost biomedical devices. This on-campus center supports student-led research, prototype development and medical innovations in Ghana. Engineering medical devices within the country contributes to a more sustainable health care delivery system, given that the country imports more than 95% of its medical devices and supplies.

The BioInnovation Center manages several current projects being tested in Ghanaian clinics, including:

  • Neonatal care devices for rural birthing centers
  • Diagnostic tools requiring no electricity or consumables
  • Medical refrigeration using solar power for vaccine cold chains
  • Point-of-care testing platforms for infectious disease diagnosis
  • Surgical instruments optimized for resource-limited operating facilities

The Drug Innovation Group

Ghana is leading the formation of a research network in medicinal chemistry to develop treatments for malaria, tuberculosis (TB) and cancer. It is the second country in Africa, after South Africa, to carry out early-stage design of drug candidates. Ghana has a high burden of TB and ranks among the 15 countries with the highest malaria burden. These diseases disproportionately affect low-income countries, where drugs are often unaffordable to a significant portion of the population. As a result, commercial incentives to develop treatments can remain limited.

The Drug Innovation Group (DIG) works in a laboratory officially opened in May 2024 at the University of Ghana. The lab includes more than U.S. $100,000 worth of advanced technology funded by the Bill & Melinda Gates Foundation. DIG aims to train the next generation of scientists in Ghana, starting with undergraduate students, to combat malaria and TB in Africa.

Mental Health

Ghana faces challenges in its mental health care system due to inadequate clinical resources, infrastructure, stigma and personnel shortages. The country has only one psychiatrist for every 1.5 million people, far below the World Health Organization’s recommended ratio of one psychiatrist per 100,000 people. Shortages of clinical psychologists and psychiatric nurses and disparities in access to care, particularly between urban and rural areas, contribute to limited treatment access. While an estimated 3.8 to 6.6 million Ghanaians live with moderate to severe mental health disorders, approximately only 2% receive formal treatment.

The West African Digital Mental Health Alliance (WADMA) builds collaboration between technologists and clinical researchers to advance mental health services through digital innovations. Digital mental health services help bridge access gaps for rural populations and offer a more discreet option for individuals reluctant to seek treatment due to stigma.

Another digital innovation in mental health care is the M-Healer smartphone toolkit. This mobile app targets traditional healers and provides educational materials and tutorials on mental health management techniques, such as de-escalation, deep breathing and reframing anxious thoughts. The integration of evidence-based treatment techniques promotes practices that prioritize human dignity and safety. M-Healer includes a dark mode interface to reduce battery consumption and offline functionality to serve those with limited internet connectivity and high data costs. Studies report reductions in harmful practices such as chaining and improvements in psychiatric symptoms, psychological distress and stigma among patients.

Mosquito Net Mesh for Hernia Repair

Inguinal hernia repair is one of the most commonly performed procedures in Africa. The standard procedure uses synthetic mesh, but many patients in low-income countries cannot afford this material. A cost-effective alternative has emerged in sub-Saharan Africa in the form of sterilized mosquito net mesh. Trials conducted in multiple hospitals in Ghana found sterilized mosquito net mesh to be an effective alternative to synthetic mesh for hernia repair in resource-limited settings.

Tricycle Ambulances

Due to long distances from clinics and limited affordable transport, people living in rural communities often face barriers to accessing emergency health care services. In response, the Moving Health Foundation deploys tricycle ambulances equipped with GPS tracking technology and designed to remain stable on rough roads. These ambulances are manufactured locally and cost 1% to 2% of the price of a traditional ambulance.

Another initiative repurposes existing motor tricycles into ambulances. These vehicles include a mobile application with tracking features and a communication system between the driver and the health facility. The initiative is projected to assist 1,800 people within the first year, including 300 mothers and caregivers.

Rapid Diagnostic Tool

Point-of-care ultrasonography (POCUS) is a rapid diagnostic tool used to detect blood clots, internal bleeding, gallstones and heart or lung problems in emergency settings. Health care workers trained to use POCUS can make immediate obstetric treatment decisions, improving maternal and neonatal health outcomes for more than 450 people in the Western and Savannah regions of Ghana.

Digital App for Tracking Pregnancy Care

The University of Health and Allied Sciences developed a digital platform and smartphone app to improve early pregnancy detection, optimize the timing and use of prenatal care and reduce referral costs. The system uses artificial intelligence and health system intermediaries to track women’s referral experiences, log postpartum care and assess treatment outcomes. This project is expected to enhance maternal health care for 3,000 people in the Upper West and North East regions of Ghana.

Live Monitoring for Medicine Stocks

A newly designed national digital system facilitates livestock reporting of medicines through SMS and automated ordering based on historical demand data. The system monitors medicine availability, tracks stock-outs and measures replenishment efficiency. Additionally, a national monitoring system can improve emergency response efficiency, prevent essential medicines from running out of stock and support equitable distribution across Ghana.

Looking Ahead

Interventions utilizing medical innovations in Ghana aim to expand health services to rural areas and provide more affordable alternatives for the significant number of Ghanaians living in poverty. The establishment of technology centers and laboratories focused on medical device and drug innovation in local universities is training the next generation of scientists and innovators to develop solutions suited to resource-limited settings. While Ghana has seen general improvement in health outcomes since 2018, locally based solutions remain essential to creating more equitable access to health services, transportation, medical devices and medicines.

– Sarah Merrill

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

Photo: Flickr

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Politics and Healthcare Colliding: HIV/AIDS in Serbia

HIV/AIDs in SerbiaPrejudiced attitudes toward homosexuality in Serbia are preventing early diagnosis and treatment of HIV/AIDS, which has resulted in suffering and even death, as reported in 2013. Progressive groups and residents have spoken out over the years, claiming that hostile attitudes toward homosexuality in socially conservative Serbia have fostered this culture of fear. In extreme cases, individuals endanger themselves. The World Bank states that HIV/AIDS in Serbia affects 0.1% of the population, but despite this, the number of untreated cases or late-stage diagnoses remains a concern.

HIV Demographics

The main demographic of HIV sufferers is men who have sex with men (MSM), making up 80% of cases. As already vulnerable members of Serbian society, according to the foreign press and citizens alike, additional barriers to health care have a significant impact. These barriers include social stigma and a lack of self-testing, outreach or information about discreet HIV diagnosis. Additionally, since the early 2000s, the number of HIV/AIDS diagnoses in Serbia per year has increased (diagnoses, not necessarily incidence). HIV/AIDS in Serbia is becoming more of a pressing issue despite modern interventions available to address it. The preventability of mortality and late-stage diagnosis remains a major concern.

In 2013, the painful and preventable death of an HIV sufferer, “Marko,” was reported. This story presents the extremes individuals may face when confronting negative social pressures. With 49.2% of new diagnoses detected late in 2021, it suggests that people may delay seeking care due to social stigma and potential repercussions.

Serbian Politics

Serbia’s prime minister (PM), Ana Brnabic, is the only openly gay leader in the Balkans and the leader of the Serbian Progressive Party. Progressive critics have reprimanded the prime minister’s leadership style, arguing that she has not adequately addressed hostility within society toward LGBTQ+ individuals.

This is not new to Brnabic, who has previously faced criticism during her leadership regarding homophobia in Serbia. Numerous LGBTQ+ spokespeople have suggested that denying the prevalence of homophobia minimizes the experiences of an already marginalized sector of Serbian society. In 2018, she was reportedly “uninvited” from Belgrade’s Pride parade.

Shift Toward Equality

As time progresses, Serbia has seen improvements toward equality. Despite decriminalizing homosexuality in 1994, the country has welcomed an openly gay leader and has numerous groups campaigning for the LGBTQ+ community. De Se Zna! (a queer activist group in Serbia) has been providing psychological and legal support as an association since 2016, advocating for queer individuals to feel safer in Serbia and increasing the sense of support and community among marginalized groups.

Out groups have long applied pressure on the government to take a more active stance. The Friedrich Naumann Foundation (FNF) has been a notable group pushing for progressive legislative proposals and the establishment of a centralized database compiling homophobic hate crime offenses. These efforts highlight the lack of comprehensive information on crimes committed against queer people in Serbia. The Serbian government continues to face pressure to promote a more equitable society and improve accountability.

Looking Ahead

While stigma and late diagnoses remain challenges, continued advocacy, expanded outreach and improved access to discreet testing services can help reduce preventable HIV-related deaths in Serbia. Furthermore, ongoing efforts by community organizations and policy reform initiatives offer pathways toward improved health outcomes and greater social inclusion.

– Maya Hollick

Maya is based in the United Kingdom and focuses on Global Health and Politics for The Borgen Project.

Photo: Flickr

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Fighting HIV/AIDS in Nigeria: Healthy Economic Future for Women

HIV in NigeriaNigeria has the second-largest HIV epidemic globally, with approximately 2 million people living with HIV (PLHIV) as of 2023. Studies show women and adolescent girls in sub-Saharan Africa are more than twice as likely to contract HIV as men and are more likely to face social stigma for taking HIV medication. Factors contributing to the disparity include poverty, limited access to education and gender-based violence, which increase vulnerability among women and girls.

Organizations, including the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR), the Achieving Health Nigeria Initiative and the Institute of Human Virology, Nigeria, work with trusted local leaders to combat stigma and expand access to HIV testing and treatment. By promoting updated perspectives within communities, these efforts educate adolescents and broader populations about gender equality and sexual health. Advocates say the programs provide women with critical mental and physical support, thereby improving employment opportunities and long-term stability.

NGO’s Improving HIV/AIDS Cases and Female Economy

The disease has had a devastating effect on the nation as a whole, particularly on women. The United Nations (U.N.) in Nigeria reports that gender inequalities and the low socioeconomic status of women and girls continue to increase their vulnerability to HIV infection and other forms of abuse. President George W. Bush launched PEPFAR in 2003 to address this crisis.

The program has provided billions of dollars in funding for HIV treatment and prevention in more than 50 countries. PEPFAR is a bipartisan initiative involving multiple U.S. agencies that works to strengthen global health security and control the epidemic through direct support and partnerships. Since its inception, the U.S. government has invested more than $100 billion in the global HIV/AIDS response, saving more than 25 million lives.

NGO’s Involved

Achieving Health Nigeria Initiative (AHNi) is one of several NGOs involved in PEPFAR’s work. Founded in 2009, the organization implements public health interventions focused on education and youth development. It also works on disease prevention and epidemic control.

In addition, it runs humanitarian programs addressing health, protection and the prevention of sexual and gender-based violence. AHNi also led the National Aligned HIV/AIDS Initiative (NAHI) in collaboration with the Nigerian government and PEPFAR. The initiative aims to help Nigeria achieve epidemic control and meet the UNAIDS 95-95-95 targets by 2030, the organization reports.

Another NGO supported by PEPFAR is the Institute of Human Virology, Nigeria. Its ASPIRE project focuses on HIV testing services, laboratory diagnosis and patient tracking. It also includes prevention of mother-to-child transmission, antiretroviral treatment, including for pregnant women and support services for orphans and survivors of gender-based violence. The project also operates a well-being hub for PLHIV and AIDS and members of the surrounding community.

The Positive Economic Effect on Nigerian Women

Training from projects such as these has expanded employment opportunities for women. Stella Obianuju, a member of the Association of Women Living with HIV/AIDS in Nigeria, participated in a leadership training program and described a significant change in her life. She said she moved from a state of stigma and abuse to being “well informed and empowered,” with the knowledge to report violence and discrimination and seek justice.

By raising awareness and expanding access to prevention measures, such programs aim to reduce new HIV infections as well as HIV-related illness and death. Reduced morbidity, stigma and mortality can also create conditions for economic growth and poverty reduction, including expanded access to family planning services. The expansion of HIV treatment centers has also created jobs in logistics, health care and data management as systems shift from paper records to digital platforms.

This transformation has improved quality and accountability by allowing real-time assessment of clinical outcomes. In Nigeria alone, PEPFAR has invested more than $6 billion in the national HIV/AIDS response, according to the U.S. Embassy in Nigeria. Overall, PEPFAR funding supports the hiring of thousands of health workers, including doctors, nurses, pharmacists, laboratory technicians and counsellors, particularly in rural and underserved areas.

The program also provides grants to Nigerian NGOs, community-based organizations and faith-based groups, creating administrative, management and field-level jobs.

Final Remarks on HIV/AIDS in Nigeria

Recent U.S. funding freezes in 2025 have threatened the continuity of HIV services and increased the risk of treatment interruptions. This prompted the Nigerian government to seek domestic alternatives. In response, it approved about $3.6 billion in 2025 to fund 150,000 HIV treatment packs.

According to the Gates Foundation, “These advances have been driven by sharp science and collaboration between the private sector, governments, research institutes, advocates and PLHIV everywhere. But what makes long-acting PrEP so exciting isn’t just the science. It’s what these prevention methods could offer: Options.”

These options offer greater choice for women, families and adolescents, increasing autonomy and long-term health security.

– Gemma Nailer

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

Photo: Flickr