Archive for category: World Bank

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BII Fights Global Poverty

BIIBritish International Investment (BII), founded in 1948 as the Commonwealth Development Corporation (CDC), is the world’s oldest development finance institution. Relaunched in 2022 under its current name, BII is owned by the United Kingdom (U.K.) government and plays a central role in the country’s strategy to reduce global poverty.

Unlike traditional aid, BII invests public capital into private companies in low and middle-income countries. The aim is to create jobs, strengthen local economies and support long-term development in areas with limited access to finance. By providing long-term investments, BII helps businesses grow, build resilient economies, deliver essential goods and services and reduce global poverty.

Productive, Sustainable and Inclusive Development

BII’s investments focus on supporting productive, sustainable and inclusive development. Productive development means creating jobs and expanding local economies. Sustainable development addresses climate change by supporting projects that reduce greenhouse gas emissions and help communities adapt. Inclusive development targets poverty reduction and gender equality, prioritizing investments that empower women and support those in need.

The institution mainly invests in countries in Africa and Asia, with India being the largest single recipient. Key sectors include financial services, infrastructure, technology, businesses, health, food, agriculture and education, areas that either create jobs or improve access to essential services. Each investment is linked to one or more United Nations Sustainable Development Goals (SDGs) to ensure measurable impact.

The Impact of Investments: Jobs, Climate and Gender

In 2024, British International Investment committed nearly £1.8 billion to creating jobs, reducing aid dependency and combating climate change, including £903 million in climate finance. Over the last three years, it has invested more than $2 billion in climate action, supporting businesses leading the fight against climate change in emerging markets. Its 2024 investments helped provide jobs for over one million people across Africa and Asia.

The World Bank identifies employment as a key pathway out of poverty, with wider benefits such as promoting gender equality and economic stability. Alongside this, BII directed £880 million to the poorest and most fragile countries and invested around £500 million in gender finance commitments in 2024.

How BII Is Funded

BII funds come from several sources. A portion comes from the U.K. government’s Official Development Assistance (ODA) budget, also known as the overseas aid budget. It also reinvests financial returns from its investments and attracts private capital from companies and individuals seeking to support development in countries in need. Between 2020 and 2024, BII invested £9.5 million and mobilized around £6.5 billion in private sector capital (investments from non-government sources such as corporations or individuals).

The U.K. originally committed to 0.7% of its gross national income (GNI) to ODA, but this has since fallen to 0.5% and is set to drop to 0.3% by 2027.

These cuts could limit BII’s future investments. In response, International Development Committee Chair Sarah Champion has suggested allowing BII to borrow money. The government has said it is considering ways for BII to raise more private finance. This approach is also reflected in BII’s 2022–2026 strategy, which aims to mobilize greater levels of private capital for investments.

Criticism and Accountability

Despite its achievements, BII has faced criticism. The U.K. Parliament’s International Development Committee raised concerns about some investments lacking a clear poverty focus, potentially harming society or the environment or not aligning with U.K. government policies. Critics also highlighted a concentration of investments in middle-income countries where benefits to the poorest may be limited. They argued that BII should improve transparency by providing clearer investment and impact data, better explaining its activities and demonstrating the changes resulting from its investments.

In response, BII has increased transparency, publishing detailed data on jobs created, gender impact and overall results. It also committed to directing half of its annual investments to the poorest and most fragile countries by 2030.

Investment as a Pathway Out of Poverty

Ultimately, British International Investment and global poverty are closely linked. By prioritizing job creation, climate action and private-sector growth, BII provides a sustainable pathway out of poverty for millions. With strengthened transparency and a growing focus on the most vulnerable regions, BII continues to demonstrate that investments can reduce poverty and transform lives.

– Jeanne Pellet

Jeanne is based in London, UK and focuses on Business and New Markets for The Borgen Project.

Photo: Flickr

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Health Care Access in Tajikistan

Healthcare Access in TajikistanTajikistan, a country in Central Asia surrounded by Afghanistan, Uzbekistan, China and Kyrgyzstan, faces a health care crisis. With 25% of its population living below the poverty line and a health infrastructure that has barely been updated since the Soviet collapse, access to medical care remains out of reach for millions, particularly in rural areas. Health care access in Tajikistan has become a critical development challenge, encouraging a wave of private sector initiatives attempting to fill the gap left by decades of government underinvestment. Private clinics are expanding slowly, the government is working with civil society organizations to achieve universal health care, and there is a strong foundation that could be built upon in this country.

The Situation in Tajikistan

Tajikistan is the poorest country in the WHO European Region. The World Bank’s 2024 report shows that over 25% of the population lives on less than $3.65 per day, with 80% of the poor living in rural areas. This poverty directly impacts health care access in Tajikistan, where vital treatment remains unaffordable.

In 2025, Tajikistan launched a groundbreaking Universal Health Coverage (UHC) pilot program in the Sughd region, with presidential approval. The pilot tests new health financing and governance reforms designed to improve access and affordability of health care. The early results of this include districts that are investing in services that meet specific community needs, and health facilities are better able to attract primary health care nurses and doctors.

Health Care Access Challenges

Improving health care access in Tajikistan requires addressing severe gaps in basic services. Currently, 44% of Tajik men have never had their blood pressure measured. In 2022, 18% of households experienced catastrophic health spending. In Tajikistan, hospital services require 80% cost-sharing and when compared to a country like India, where controlling blood pressure for hypertension costs just $2-4 per patient annually, this treatment remains unaffordable for many Tajiks. However, a potential foundation is present in this country. Since 2008, there have been free family doctor consultations for all citizens, and an extensive primary care clinic network already exists.

Government and Private Partnerships

In 2023, when Tajikistan declared the ‘Year of Human Capital,’ the $57.25 million World Bank “Millati Solim” (Healthy Nation) project was approved, which aimed to achieve universal health coverage. The World Bank currently finances 26 projects in Tajikistan totalling $1.6 billion and this collaboration is a major government-private partnership. The focus on primary care is targeting the most vulnerable and direct beneficiaries include young children, pregnant women, the elderly and victims of gender-based violence.

Aga Khan Development Network (AKDN) is a private organization that partners with the Tajik government, and in the last 6 years, it has allowed 650,000 people to gain access to primary health care, using teleconsultations to increase access. It has provided over 53,550 people with access to safe drinking water and sanitation, as well as microfinance clients who live in remote, rural areas. AKDN is an example of how private organisations can serve, not exploit, the poor.

The Role and Limits of Private Clinics

Following the 1991 Soviet collapse and the 1990s civil war, many experienced doctors left Tajikistan, so the government had to terminate the free health care program due to a shortage of doctors and supplies. Over the last decade, the private sector in health care has developed. Prospekt Medical Clinic, founded in 2004, is the first western-style clinic in Dushanbe, using western equipment, pharmaceuticals and vaccines, however, hospitals typically require upfront payment in cash. Additionally, rural populations have virtually no access to private care and evidence shows that these clinics cater almost exclusively to wealthy Tajiks and those with international health insurance.

Tajikistan citizens often seek medical management abroad due to the undeveloped medical infrastructure, with India emerging as a leading hub. This means even private clinics in Tajikistan cannot meet the needs of those who may be able to pay, but regardless, private clinics rarely serve the 75% of Tajiks who are in poverty in rural areas.

Looking Ahead

While private clinics offer advanced equipment and western standards, they serve only wealthy urbanites and expatriates in Dushanbe, leaving the 75% of Tajiks in rural poverty completely behind. However, a different model offers hope. The success of partnerships like AKDN and ambitious government initiatives like the $57.25 million Millati Solim project and the Sughd UHC pilot demonstrate that carefully structured public-private collaborations can serve the poor without abandoning them.

Unregulated private clinics serving only those who can pay upfront create inequality, but government-led partnerships with civil society organizations, guided by principles of universal coverage and explicit protection for the vulnerable, can transform health care from a luxury commodity into a fundamental right. For Tajikistan’s millions living on less than $3.65 a day, health care access in Tajikistan depends on this distinction: the difference between care and commerce.

– Anisa Begum

Anisa is based in Birmingham, UK and focuses on Business and Global Health for The Borgen Project.

Photo: Wikimedia Commons

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World Bank Support: Strengthening Agriculture in Sri Lanka

Agriculture in Sri LankaRecently, the World Bank has pledged to support Sri Lanka’s economic recovery, committing to a $1 billion initiative over three years. Of this, $185 million is allocated for solar and wind projects, $200 million toward supporting tourism through protecting cultural and natural assets and generating employment and another $200 million for regional infrastructure. However, one of the most important investments that the World Bank is making in Sri Lanka is the $100 million for agriculture to help farmers adopt new technologies and attract private capital.

Agriculture in Sri Lanka

To become a stronger player in the global food trade, Sri Lanka must improve efficiency in handling its top exports: mangoes, cinnamon, coconut and seafood. More robust systems are needed to ensure these products meet international standards and to reduce food loss. The World Bank is investing in Sri Lanka’s National Quality Infrastructure (NQI), a behind-the-scenes system that guarantees exported food is safe, traceable and up to code for global markets. To catch up with some of the higher-grossing nations worldwide, the NQI provides digital systems for tracking products, labs for testing and agencies for certification.

Sri Lanka is one of the most impoverished countries in the world, with less than $5,000 GDP per Capita. However, the World Bank’s investment will strengthen the country’s local industry, expanding economic opportunity and attracting private capital to support long-term growth. “This support from the World Bank Group is an investment in the people of Sri Lanka,” President of Sri Lanka, Anura Kumara Dissanayake, said. “It will help create jobs, support small businesses and open new opportunities across the country. We are committed to ensuring this partnership delivers real change for our communities.”

World Bank Backs Sri Lanka as a Trusted Global Exporter

The $100 million agricultural investment will help farmers and agribusinesses access markets, attract private capital and adopt new technologies. It will benefit more than 38,000 people, including 8,000 agri-food producers and is expected to gain $17 million in private financing. In 2017, agriculture provided a living for 2.1 million Sri Lankan households. It represented more than 26% of the GDP, which is only forecasted to increase with the World Bank’s assistance.

The World Bank’s support for Sri Lanka’s agribusiness aims to strengthen its position as a trustworthy exporter. Plans include reviewing laboratory systems and developing digital tools to improve efficiency. Indeed, these tools will streamline compliance processes for traders, speed up regulatory approvals and make product tracking easier. A strong NQI, a key World Bank focus, establishes clear standards and communicates them to producers and processing facilities, ensuring high-quality food delivery.

Conclusion

Ultimately, strengthening Sri Lanka’s NQI will raise the standard of agricultural exports and improve the quality of food imports, which is crucial for households struggling to afford nutritious meals. Though largely behind the scenes, lab testing, digital tracking and equipment upgrades reshape the country’s agricultural system. Backed by a sizable World Bank investment, these reforms promise to boost profitability in the sector while creating countless jobs, positioning Sri Lanka for a stronger, more resilient economy.

– Gregory Walker

Gregory is based in York, PA, USA and focuses on Global Health for The Borgen Project.

Photo: Flickr

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Tackling Poverty and Disease in Chad: Driving Change

Tackling Poverty and Disease in Chad: Local Innovation and Global Partnerships Driving ChangePoverty and disease in Chad remain deeply intertwined, especially in rural and underserved regions. More than 40% of the population is currently living in extreme poverty with preventable diseases such as malaria, diarrheal infections and neglected tropical diseases (NTDs), including visceral leishmaniasis, continuing to spread, exacerbating an already fragile health conditions. These diseases not only harm public health but also reinforce poverty and entrench economic instability by reducing productivity, limiting education and overwhelming fragile health systems. 

According to 2022 data, 44.8% of the total population of Chad is living below the national poverty line, whilst 36.5% of the population is surviving on less than $2.15 per day. This dual burden of disease and deprivation underscores the importance of integrated, evidence-based solutions; an area where international health organizations are increasingly stepping up with promising, collaborative interventions.

Cross-Border Collaboration and DNDi

Chad is not fighting alone. Local health ministries, supported by international organizations, are taking significant steps to break this cycle. In partnership with the Drugs for Neglected Diseases initiative (DNDi) and the African Union, Chad has joined a cross-border collaboration with countries like Ethiopia and Sudan to eliminate visceral leishmaniasis, a deadly NTD affecting some of its poorest regions.

DNDi is a nonprofit research and development organization that works to discover, develop and deliver new treatments for these neglected diseases that primarily impact people in lower-income countries. DNDi operates on a needs-driven model focusing on affordability, accessibility and partnerships with local health systems. In Chad, DNDi has played a central role in strengthening surveillance systems, supporting local capacity to diagnose and treat leishmaniasis, as well as ensuring that life-saving medicines reach remote communities. 

Organizations Aiding Chad’s Development

Meanwhile, organizations like the END Fund are supporting large-scale treatment campaigns targeting soil-transmitted helminths and other parasitic diseases that affect school-age children. These programs also contribute to improved school attendance, nutrition and long-term development outcomes. Together, these collaborative efforts underpin a growing recognition that tackling NTDs in Chad requires both medical innovation and regional cooperation.

In addition to medical treatment, organizations such as the United Nations Children’s Fund (UNICEF) and WaterAid are investing in clean water and sanitation infrastructure, which are critical tools in the fight against waterborne diseases and hygiene-related poverty. Since the early 2000s, UNICEF has been actively working in Chad to combat poverty and disease by focusing on providing sanitary water, providing education for vulnerable children and allowing easier access to essential services, including nutrition, health and protection of vulnerable populations. Community health initiatives are also expanding, with trained health workers delivering care and education directly to families in rural areas, bridging the access gap.

Another organization who are helping to prevent the spread of the levels of poverty in Chad is the Sahel Adaptive Social Protection Programme (SASPP), World Bank. The SASPP aims to increase access to social safety nets for the poor and vulnerable population, including refugees. It focuses on building adaptive social protection systems, including cash transfers, productive inclusion and emergency support, all underpinned by digital targeting, payment and monitoring systems. The program in Chad is designed to benefit more than 780,000 people, including refugees and those in refugee-hosting communities, through various interventions like cash aid and productivity programs.

Looking Ahead

Coordinated efforts in Chad in combining disease treatment, health education, and basic services are not only saving lives but also creating a foundation for long-term economic resilience. With stronger investment and continued support, Chad has the potential to transform its health crisis into a model of community-driven recovery.

– Carise Wallbank

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

Photo: Flickr

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Organizations Supporting Rice Farming in Vietnam

Charities Aid Rice Farmers in VietnamVietnam, which has seen a rapid reduction in poverty, decreased its poverty rate from 16.8% to below 5% over the last decade, lifting more than 10 million people out of extreme poverty. The country attributes much of this success to rapid employment growth and development in labor-intensive export sectors, including rice production.

The country ranks as the third largest producer and exporter of rice, with the crop occupying 82% of the country’s arable land. Despite significant strides in poverty reduction, rural areas, particularly in the Red River and Mekong deltas, continue to struggle with high rates of child poverty. Smallholder farmers in these regions rely heavily on rice for their livelihoods, yet they represent about 80% of Vietnam’s remaining poor population.

Numerous organizations and charities are crucial in providing education and resources to these farmers, enhancing their living standards and helping eradicate rural poverty. The drastic transformation in agriculture has fueled economic changes and significantly contributed to the reduction of poverty in Vietnam.

World Bank

The Vietnam Sustainable Agriculture Transformation Project (VnSAT) is boosting farmers by advancing sustainable rice farming techniques through improved knowledge and resources. The project includes restructuring initiatives such as training courses, building infrastructure like electricity and accessible roads and deploying new equipment. Particularly active in the impoverished Mekong Delta region, VnSAT has enabled farmers to cut their input use by 50% and increase their earnings by an average of 30%. With 62.9% of the population benefitting from its efforts, VnSAT has proven to be a major success. Reducing input and resource use is critical for lowering costs for smallholder farmers, especially as prices for fuel, pesticides and fertilizers continue to rise, which puts farmers under increasing pressure to boost production.

RIKOLTO

Rikolto, an independent international NGO, supports smallholder farmers in Vietnam by focusing on rural poverty alleviation and promoting a sustainable, inclusive rice sector. The organization aims to ensure food security for future generations in a climate-friendly way. Its operations rest on three pillars: increasing rice productivity sustainably, promoting market inclusivity for independent farmers and strengthening governance through multi-stakeholder platforms to influence policies. Rikolto has successfully introduced Sustainable Rice Platform (SRP) production practices to 3,000 farmers by 2023, reducing production costs by 12%. Additionally, the organization enhances women’s involvement in decision-making and pilots new rice farming techniques to boost yield and income for smallholder farmers in Vietnam.

IFAD

The International Fund for Agricultural Development (IFAD) collaborates with partners and the Vietnamese government to help the country’s poorest people, especially ethnic minorities, women and independent farmers, overcome extreme poverty. The rural poor often face limited access to services, transportation and resources and are particularly vulnerable to natural disasters and changing weather patterns. IFAD’s strategy promotes participation, strengthens institutional capacity and builds partnerships to enhance living standards and reduce poverty among the most vulnerable groups in Vietnam.

The Pro-Poor Partnership for Agroforestry Development Project focuses on upland farmers in northern Vietnam’s poorest areas. These farmers face challenges due to limited agricultural land, mountainous terrain and underdeveloped forestry resources, which are crucial for their food security and income. The project enhances equity in forest land allocation, develops hillside farming systems and diversifies income-generating opportunities to support these communities.

Looking Ahead

Vietnam’s rural farmers face daily challenges in combating poverty, but with support from various organizations and charities, they are integrating into a broader, more inclusive society. This integration supports sustainable farming practices that provide food and income for rice farmers. By 2050, the global population is expected to exceed 9.6 billion, necessitating a 50% increase in global food production to ensure worldwide food security. Family farms, which produce 70% of the world’s food, play a crucial role in maintaining these essential agricultural practices for the global population.

– Sofia Bowes

Sofia is based on the Isle Of Skye and focuses on Good News for The Borgen Project.

Photo: Sofia Bowes

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$150 Million for Primary Health Care in Sri Lanka

World Bank Grants $150 Million for Primary Health Care in Sri LankaThe World Bank recently approved $150 million in financing to improve the quality and accessibility of primary health care services in Sri Lanka. These services encompass essential functions such as birth control, immunizations and general health counseling. This investment marks one of the most significant health care projects in Sri Lanka’s history. Although Sri Lanka’s health care system has shown resilience, it still requires additional support to address ongoing challenges, necessitating foreign aid.

The World Bank recognizes the hard work and dedication of Sri Lanka’s primary health care workers and aims to create a more responsive and accessible health care infrastructure. With one of the world’s fastest aging populations, this project is crucial for enabling the health care system to adapt and respond effectively to new and emerging challenges.

Sri Lanka in Context

Sri Lanka urgently needs more health care resources due to capacity challenges and the lack of formal referral mechanisms. These ongoing issues have resulted in the underutilization of primary health care facilities and overcrowding at tertiary care centers, leading to poor service and long wait times. Longstanding structural weaknesses, worsened by an economic crisis, have compromised the quality of the country’s health care. Additionally, fiscal indiscipline in Sri Lanka has led to high fiscal deficits and substantial gross financing needs, creating significant financial debt and causing severe shortages of goods in 2022.

Noncommunicable diseases such as hypertension, diabetes and cervical cancer are the leading causes of death and illness in Sri Lanka, responsible for 80% of all deaths. Effectively controlling and managing these diseases requires robust screening, early diagnosis, treatment and follow-up—services that primary health care can adequately provide. The Sri Lanka Primary Health Care System Enhancing Project focuses on these ongoing evolving health priorities, investing in preventive care and promoting primary care facilities as the first point of contact for health care services.

Sri Lanka Primary Health Care System Enhancing Project

The newly approved funds will establish the Sri Lanka Primary Health Care System Enhancing Project, which aims to improve the quality of care and increase the utilization of primary medical care institutions. This project is designed to provide essential health care services to local communities that currently lack access to quality health care. It includes several key components:

  • Primary health care services. Increasing the availability of primary health care services and enhancing the capacity of existing institutions.
  • Medical supplies. Enhancing the availability of essential medical equipment, medicines, supplies, laboratory testing equipment and transportation.
  • Health care workforce. Sustaining and strengthening the primary health care workforce by supporting recruitment, retention, distribution and delegation of health care workers in primary health care institutions.
  • Additional services. Expanding primary health care services to include additional services for the aging population, persons with disabilities, individuals with poor oral health and young children, utilizing newly acquired equipment.

Looking Ahead

The $150 million financing from the World Bank aims to bolster Sri Lanka’s primary health care system by addressing critical capacity issues and enhancing service delivery. This funding can potentially increase access to essential medical supplies, strengthen the health care workforce and expand services for the aging population and those with disabilities. By focusing on primary health care, Sri Lanka seeks to improve disease management and meet the growing health needs of its population.

– Mathieu Paré

Mathieu is based in Toronto, Canada and focuses on Global Health for The Borgen Project.

Photo: Flickr