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Grassroots Health Initiatives Transforming Communities

Grassroots Health InitiativesSub-Saharan Africa is home to more than a billion people across countries with diverse cultures and economies. Yet across rural communities, a shared reality persists: poverty and limited health care access. Geographic isolation, underfunded health systems and economic hardship often make even basic care inaccessible, and the consequences are fatal. Under-5 child mortality in this region is 68 per 1,000 live births, while 70% of the global maternal deaths occur there. However, there are several grassroots health initiatives in place that aim to improve overall health care in these communities.

Background

Despite commitments like the 2001 Abuja Declaration, most countries in sub-Saharan Africa have not met health funding goals, hence, health systems remain vulnerable, dependent on fluctuating foreign aid. Consequently, even basic services involve out-of-pocket costs that deter those in poverty from accessing essential care.

Most rural areas lack nearby clinics and existing facilities often suffer from shortages in medicine, equipment and staff. As a result, many turn to traditional healers or informal providers. Chronic poverty, gender inequality and food insecurity further restrict access, especially for women who may lack the autonomy or resources to seek care.

Yet amid these challenges, hope is emerging from within. Across Ethiopia, Malawi and Nigeria, women and mothers are leading the charge through grassroots health initiatives ― bridging the gap between poverty and care by bringing services closer to those who need them most. Here are some grassroots health initiatives transforming rural sub-Saharan communities impacted by poverty and poor healthcare access:

Ethiopia’s Health Extension Program

Despite its low-income status, Ethiopia has made notable progress in rural health care through its Health Extension Program (HEP), launched in 2003. The program provides universal access to basic health services. It operates through local health posts staffed by trained Health Extension Workers (HEWs), many of whom are women from the communities they serve. HEWs identify pregnant women, provide antenatal care and refer them to formal health systems if complications arise.

More than 30,000 women received training and are now reaching more than 12 million households with health education, vaccination campaigns and family planning services. These, among other efforts contributed to Ethiopia meeting the under-5 mortality reduction target (MDG4) four years early in 2012, with major improvements in child and maternal health outcomes — including a reduction in infant mortality to only 68 per 1,000 live births.

Meseret’s Story: From Mother to Health Hero

Meseret, from rural Meki, grew up drinking polluted water from the nearby Lake Ziay. A visit from a community health worker introduced her village to water purification, inspiring her to train as a health worker. Today, she works with PSI’s Smart Start program, educating young couples on contraception and financial planning, empowering them to make informed decisions. Meseret’s efforts have contributed towards the 75,000 adolescent girls reached by Smart Start, more than 35,000 of which now use modern contraceptives  — proof of the life-changing impact grassroots health workers can have on underserved communities.

The MaiMwana Project

In rural Malawi, where 73.9% of the population lives on less than $1.25 per day and maternal, neonatal and infant mortality rates are especially high, women-led initiatives like the MaiMwana project and Secret Mothers have become crucial.

Running from 2005 to 2010, the MaiMwana Project mobilized women in Mchinji District to identify health problems, create solutions, and implement interventions like home vegetable gardens and bicycle ambulances. Inspired by similar projects in Asia and South America, it formed 207 groups across 310 villages, involving more than 12,000 attendees, the majority of whom were women. The project contributed towards a 22% reduction in neonatal mortality, highlighting the life-saving potential of women-led, community-rooted health work

Secret Mothers

In Chiyang’anira Village, Chikwawa District, another grassroots solution has emerged: a group of women known as the Secret Mothers, or “Amayi Achinsinsi.” Previously, many pregnant women in the region avoided antenatal appointments due to the expensive 200 km journey to the nearest hospital, but Secret Mothers have improved this situation, supporting them by encouraging antenatal visits and modelling safe health practices. Since its inception in 2012, more than 100 women have joined, including 50-year-old mother Stella Sabstone, a founding member. Thanks to their efforts, eight in 10 expectant mothers now receive appropriate care. By building trust within familiar networks, Secret Mothers are transforming maternal health outcomes in the geographically isolated and economically disadvantaged community.

Grassroots Health Governance in Nigeria

In Nigeria’s Kaduna State, Ward Development Committees (WDCs) have emerged as a powerful community response to maternal health issues. Sparked by a maternal death in Yakasai village, the initiative, developed in collaboration with the Population and Reproductive Health Initiative, engages local leaders, health workers, and community representatives to improve health service delivery and accountability. WDCs promote health education, monitor local facilities and lead programs like the community Maternal and Perinatal Death Surveillance and Response (cMPDSR). These efforts have radically increased facility-based births and antenatal care use.

They also address cultural norms that hinder care. In some areas, WDCs have created policies encouraging the presence of male partners at antenatal visits, a critical shift in communities where health decisions are often male-dominated. While funding and sustainability challenges remain (such as the need for ongoing training), WDCs are helping to build a more responsive, locally-rooted health system to benefit the rural poor.

Grassroots Health Initiatives: Lasting Transformation

What unites these grassroots health initiatives ― from Ethiopia’s HEWs to Malawi’s women’s groups and Nigeria’s Ward Committees ― is their focus on empowering those most affected by poverty. By leveraging local knowledge, building trust, and expanding access, these programs are breaking barriers to health care in some of the world’s most underserved areas.

Women and mothers in particular are leading this transformation. Their leadership is not only radically improving health outcomes but also strengthening community resilience. These locally driven efforts demonstrate that scalable, cost-effective health solutions can emerge from within even the most resource-constrained settings, offering valuable lessons for broader poverty reduction strategies.

– Holly McArthur

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

Photo: Flickr

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Charities Fighting Child Mortality in Afghanistan

Child Mortality in AfghanistanAfghanistan has one of the highest infant mortality rates in the world, with 43 deaths per 1,000 live births. The child mortality rate in Afghanistan is even higher, with 97 out of every 1,000 children dying before they reach the age of 5. Child mortality has numerous causes, including malnutrition, sepsis, sudden infant death syndrome (SIDS), malaria, HIV/AIDS, preterm birth complications and diarrhea. External factors, such as the political climate, can also play a significant role.

Afghanistan’s limited medical facilities exacerbate the issue. The country’s fragile health care system leaves mothers and young children particularly vulnerable to the spread of infectious diseases. With underdeveloped immune systems, children are especially susceptible to illnesses that claim the lives of thousands in Afghanistan each year. However, there are several charities fighting infant mortality in Afghanistan.

HealthProm

HealthProm, established in 1984, is a U.K.-based nonprofit organization focused on reducing child and maternal mortality. It started working in Afghanistan in 2008 and has significantly lowered the country’s high child mortality rate. The organization has achieved this by providing emergency transport for women in labor to health centers. It also encouraged the local communities to establish Women’s Safe Motherhoods Groups and Men’s Support Groups to create awareness of the risks associated with pregnancy and child birth.

Afghan Mother and Child Rescue

Afghan Mother and Child Rescue (AMCR) is another nongovernmental organization (NGO) dedicated to supporting women and children in Afghanistan. The organization focuses on constructing and maintaining health clinics and medical facilities to improve maternal and child health outcomes. The charity spends approximately $37,000 toward building and maintaining these essential facilities, ensuring greater access to health care for vulnerable populations.

UNICEF

Working alongside Afghanistan’s Ministry of Public Health, the United Nations Children’s Fund (UNICEF) facilitates the care of children, especially those in vulnerable regions. UNICEF supports Afghanistan’s children through initiatives focusing on health, nutrition, water sanitation and hygiene, all aimed at reducing child mortality. Nearly 1.2 million children younger than 12 months receive life-saving vaccines each year. These immunizations protect against nine diseases, significantly improving their chances of leading healthy lives.

Looking To the Future

Charities like HealthProm, AMCR and UNICEF are working to combat child mortality in regions with the highest rates. As child deaths in Afghanistan continue to decline, achieving the Sustainable Development Goal (SDG) of ending preventable deaths among children younger than 5 by 2030 becomes increasingly attainable, thanks to the growing number of children surviving and thriving.

The efforts of these charities, alongside other projects, are making a difference in the child mortality rate in Afghanistan by improving access to medical care and providing appropriate life-saving treatments and vaccinations. Since 2020, the infant mortality rate per 1,000 live births has decreased by 5.4 deaths.

– Megan Hall

Megan is based in Suffolk and focuses on Global Health and Celebs for The Borgen Project.

Photo: Flickr

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Child Mortality Rate in Sub-Saharan Africa

Child Mortality in Sub-Saharan AfricaIt is estimated that about 11 children aged less than 15 die every minute. This is around 16,000 deaths daily and an annual figure of six million child deaths. The child mortality rate in Sub-Saharan Africa is no different. Children have a life expectancy of 51 years, with almost 10% dying in their first year of life. About 155 of every 1000 children born in Sub-Saharan Africa do not reach age 5. Child mortality is particularly high in the first month of life of children in Sub-Saharan Africa, with neonatal mortality of 40 out of every 1000 births.

Causes of Child Mortality in Sub-Saharan Africa

Children in Sub-Saharan Africa are 14 times more likely to die before the age of 5 than children in North America and Europe. The causes of these deaths vary and range from medical to socioeconomic factors. Medical causes range from birth asphyxia, preterm birth, neonatal causes, child pneumonia, malaria, diarrhea, HIV/AIDS and measles. Socioeconomic causes range from poverty, low levels of maternal education and inaccessible quality health care.

Other secondary causes that can be identified include inefficient neonatal health care and the lack of reliable data on the child mortality rate in Sub-Saharan Africa. Most countries in Sub-Saharan Africa do not register births and deaths of children. It is estimated that as many as half of newborns who die go unregistered. The implication is that newborns and their mothers are unreachable by national and regional policies and programs aimed at reducing the child mortality rate in Sub-Saharan Africa.

The Impact of GAVI Alliance Vaccine Programs

GAVI is an international nonprofit that partners with public and private sectors to save lives and protect people’s health by increasing the equitable and sustainable use of vaccines. It has made significant contributions to eradicating child mortality in Sub-Saharan Africa. Since its establishment in 2000, GAVI has disbursed nearly $5.9 billion to Sub-Saharan African countries, which has helped to reach more than 364 million children and averted more than 8.9 million potential child deaths in the region.

GAVI has been partnering with other international nonprofits, like the World Health Organization (WHO) and the United Nations Children’s Fund (UNICEF), since 2019 to implement the Malaria Vaccine Implementation Programme (MVIP) in Ghana, Kenya and Malawi. The malaria vaccine is administered in four doses to children at around five months of age. More than two million children have received the vaccine. This has led to a significant 13% reduction in all-cause mortality among eligible children.

As of February 2024, through its Zero-Dose Immunization Programme (ZIP), GAVI had successfully delivered one million life-saving vaccines to children across Ethiopia, Somalia, Sudan and South Sudan. These particular countries are located in the Horn of Africa. They are known to suffer from multiple crises. These include civil conflicts, food and water shortages, extreme droughts and flooding, making children vulnerable to vaccine-preventable diseases, resulting in a high child mortality rate.

Gavi’s Impact in Nigeria

As of 2014, in Nigeria, nearly 480 children per 100,000 died of pneumonia or other lower respiratory infections. That same year, with the support of GAVI, Nigeria launched the PCV vaccine as part of its routine immunization program. By 2019, the figure had decreased from 480 to 386 per 100,000. In 2022, Nigeria achieved 60% coverage with the final dose of the PCV vaccine.

Gavi’s Director of High Impact Countries, Tokunbo Oshin, highlighted that, in partnership with other international organizations, GAVI, as of 2023, has delivered 11.7 million doses of the highly effective pentavalent vaccine to children in Nigeria. The vaccine protects children from five life-threatening diseases, including diphtheria, pertussis, tetanus and hepatitis B.

It has also delivered a dose of the tetanus-diphtheria vaccine to more than 670,000 eligible children aged 4 to 14 years old across 18 high-burden local government districts in Kano State. Also, 75,000 zero-dose children aged less than 2 received their very first dose of the pentavalent vaccine.

Gavi’s Effort Against Rotavirus in Sub-Saharan Africa

GAVI’s support has been instrumental in the fight against rotavirus, a major cause of deadly diarrhea in children in Sub-Saharan Africa. The impact of GAVI’s vaccination programs is significant, with a reported prevention of 64% of severe rotavirus diseases during the first year of life in children in Sub-Saharan countries, including Ghana, Kenya and Mali.

In the first quarter of 2023, Kenya was hit with an outbreak of rotavirus, which was managed through the supply of vaccines from the National Vaccines and Immunization Program. In Mombasa County, 8,000 children have received vaccinations in Q1 2024. A target of 9,000 vaccinations has been set to help protect the future of children in Kenya.

Certainly, GAVI’s contribution to reducing the child mortality rate in Sub-Saharan Africa has not gone unnoticed. Its continued partnership with other international organizations will help it achieve its objectives.

– Olusegun Odejobi
Photo: Pixabay

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5 Facts About Child Poverty in Kosovo

Child Poverty in KosovoKosovo, a small country in southeastern Europe, declared itself independent on February 17, 2008, after experiencing ethnic violence and forced displacement in the late 1990s. The United States (U.S.) officially recognized Kosovo as a sovereign state on February 18. This marked a significant development in Kosovo’s history after a challenging period. However, only around 100 United Nations (U.N.) member states recognize Kosovo as a sovereign state.

Kosovo remains one of the poorest countries in Europe, with an estimated 23% of the population living in poverty. The country struggles with widespread corruption and a low employment rate, with the unemployment rate in Kosovo predicted to reach 22% by the end of 2023.

Poverty in Kosovo has a big impact on children, mainly because many Kosovans had to leave their homes during the Kosovo War and couldn’t go back. The education system is also not doing well. Just 41% of kids in Kosovo have good reading skills, and only 42% are strong in math. For children from minority groups like Roma, Ashkali, and Egyptian communities, the numbers are even lower—18% in reading and 13% in math. This makes it harder for them to succeed in the future.

The nation’s struggle to join the European Union (EU), mainly because of the Serbian deadlock, significantly contributes to its ongoing issue of high child poverty rates. This situation has lasting effects on the well-being of children in the country.

5 Important Facts About the Issue of Child Poverty in Kosovo

  1. Poverty disproportionately affects children in Kosovo: Not only does poverty disproportionately affect Kosovan children, but particularly children from Roma, Ashkali and Egyptian communities, or those who have disabilities or live in rural areas. Moreover, children in Kosovo account for half of those benefitting from social assistance.
  2. Only a fraction of Kosovo’s GDP goes toward social protection:  The country spends 8.5% of its GDP on social protection, compared to an average of 28% in the wider EU. Therefore, access to health care, education and other social services remains limited for its children, exacerbating the issue of child poverty in Kosovo.
  3. Child begging: Child begging is a significant concern in Kosovo, notably affecting Romany children and serving as a major sign of child poverty. In the initial half of 2023, authorities intervened and recorded 41 cases of child begging, potentially setting a new yearly record. The prevalence of this issue highlights ongoing challenges related to child poverty in Kosovo.
  4. High child mortality rate: Child mortality rates are a concern, especially in certain communities where the numbers are higher. For example, in Roma, Ashkali and Egyptian communities, the child mortality rate is eight times higher than the EU average. There are also differences in health services, with only 38% of children under 2 fully immunized in these communities, compared to 73% in the general population (UNICEF 2021).
  5. Active Charities: Several charities work tirelessly to alleviate child poverty in Kosovo. Actions for Mother and Children (AMC) stands out as a crucial player, dedicated to supporting Kosovo’s mothers and children facing poverty since 2009. AMC takes a dual approach: advocating for improved health care for mothers and children and raising funds to provide essential life-saving equipment and medications. Notably, its Women’s Health Resource Center program, launched in 2014, has been instrumental. This initiative educates and supports women throughout pregnancy, delivery and the early postpartum period, impacting at least 10,000 pregnant women and their partners since January 2014.

Looking to the Future

As Kosovo looks to the EU for guidance on its future, charities like AMC are tackling child poverty. This work is vital as the country navigates its path, waiting to see what its European future holds.

– Eleanor Lomas
Photo: Flickr

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Facts About Child Poverty in Uzbekistan 

Child Poverty in UzbekistanUzbekistan has made remarkable strides in reducing poverty and improving child welfare. Despite these gains, child poverty in Uzbekistan remains a pressing issue, with many children living in disadvantaged conditions. 

Declining Child Mortality Rate 

Uzbekistan has significantly reduced the infant and under-5 mortality rates over the past four decades. According to World Bank data, the infant mortality rate fell drastically from 98 per 1,000 live births in 1980 to just 13 per 1,000 live births in 2021. Likewise, the under-5 mortality rate reached an all-time low of 14 per 1,000 live births in 2021. 

Child Poverty in Uzbekistan

Nonetheless, child poverty remains a pressing issue in Uzbekistan. UNICEF’s 2019 report, “Building a Better Future: A Child-sensitive Social Protection System for Uzbekistan,” stated that 30% of young children and 24% of children between five to 14 years old belong to the poorest quintile of Uzbekistan. While the general poverty in Uzbekistan is 21%, the child poverty rate stood higher at 24%. 

As of 2019, 57% of children in the country lived on less than 10,000 UZS per day, approximately 1.5 times the minimum wage. The minimum wage in Uzbekistan also serves as the income eligibility threshold for families to receive child benefits. The prevailing circumstances signified that many children lived in households struggling to provide adequate child care. 

UNICEF currently estimates that children in Uzbekistan are one and a half times more likely to be poor than adults.

Malnutrition

Many young children in Uzbekistan experience undernutrition. Another 2019 UNICEF report, “Building a National Social Protection System Fit For Uzbekistan’s Children and Youth,” reported that 9% of children are stunted, causing irreversible damage to the children’s cognitive development. The report also highlighted that stunted children were likely to earn 26% less as adults than their non-stunted peers, further exacerbating a cycle of poverty and inequality. 

However, from 2002 to 2017, the stunting rate in Uzbekistan dropped from 21% to 8.7%, thanks to Uzbekistan’s immense strides in reducing malnutrition and expanding social welfare.  

Children With Disabilities 

In 2019, 13% of children with disabilities between the ages of 7 and 15 were not enrolled in school. Nearly one-third of young people with disabilities could not attain any diploma, limiting their educational and employment opportunities.

Moreover, UNICEF also determined that 52% of children with severe disabilities lacked access to services from the Child Disability Benefits program, indicating the limited reach of social support for vulnerable children and their families in Uzbekistan.

Social Insecurity 

52% of Uzbekistan’s impoverished households are excluded from any support by the national social protection system, leaving many families with children without benefits and social services. Subsequently, only 17% of children living in households have access to child benefits, only 23% of children under two gain Child Allowance, and only 10% of children between 2 to 14 years old collect the Family Allowance.

Ongoing Efforts by UNICEF

Currently, UNICEF’s global interventions emphasize child-sensitive social protection programs and investing in early childhood and adolescent development. For example, UNICEF is helping Uzbekistan develop a cash benefits program to address household income poverty. The organization plans to further invest in childhood education, health care access, clean water and sanitation to provide impoverished children with the needed care, security and nutrition. The organization hopes to establish sustainable social investments and integrate child-poverty-reduction policies into government budgets. 

Addressing child poverty, improving social security systems and ensuring better access to education and health care for children with disabilities are crucial areas that require concerted efforts from the government, civil society and international organizations to improve the well-being of children in Uzbekistan. 

– Freya Ngo
Photo: Flickr

Maternal Mortality in South Sudan

Maternal Mortality in South SudanOne of the happiest moments in a mother’s life is taken away from her in South Sudan. With 789 deaths amongst 100,000 births, South Sudan’s maternal mortality rate ranks as one of the highest in the world. The probability of death when giving birth is higher when a woman is in poverty. Also, with little access to professional assistance and resources, death becomes far more likely. 

In turn, when maternal mortality occurs, the risk for child mortality increases. Orphaned children are more likely to become subject to child labor. They also tend to have limited access to high-quality education and encounter more obstacles that prevent them from reaching their highest potential. Maternal mortality in South Sudan is an urgent issue not only because mothers die, but also because maternal mortality leads to the ongoing suffering of the children left without moms.

Causes of Maternal Mortality in South Sudan

First, studies have shown that many women do not receive professional assistance when giving birth. In Juba, the capital of South Sudan, only a quarter of the women go to a hospital during the time of labor. That low figure partially stems from a lack of South Sudanese trained in maternal, newborn and child health (MNCH). With only one physician per 65,574 people and one midwife per 39,088 people, the country has a severe lack of professionals at hand. For this reason, mothers are forced to request assistance from non-certified individuals.

Poverty is a significant cause of maternal mortality risk factors. According to the World Health Organization (WHO), 4.8 million people in South Sudan, mothers included, suffer from food insecurity. Additionally, only 7% of the population has access to sanitation resources, which further prevents safe births. Poverty also influences South Sudan’s high illiteracy rate of 88% among women. In turn, that high illiteracy rate limits awareness of healthy birth practices.

Finally, communicable and chronic non-communicable diseases contribute to maternal and child mortality. Tuberculosis, a risk factor of maternal mortality, is high at 146 cases per 100,000 people in South Sudan.  Second, HIV/AIDS is at epidemic levels in South Sudan. Finally, diabetes and cardiovascular diseases are on the rise and elevate maternal mortality risk factors.

 A Focus on Increasing Trained Labor and Delivery Staff

Several initiatives have been launched to reduce maternal mortality rates in South Sudan. One significant example is the Global Health Innovation Laboratory’s Maternal, Newborn, and Child Survival (MNCS) program. Launched in 2010, MNCS has worked to increase training for MNCH professionals throughout South Sudan. Importantly, MNCS trainees learn how to identify and prevent major threats that women face during labor. In its first two years, MCNS trained 732 healthcare workers who are now providing assistance in labor and delivery patients in South Sudan.

Also, in 2012, the Ministry of Health in South Sudan, the United Nations Population Fund (UNPFA) and local nonprofits collaboratively launched the Strengthening Midwifery Service to train midwives and nurses. Additionally, three years later, the Ministry of Health also began partnering with the Canadian Association of Midwives and UNPFA to foster professional mentorships between midwives in Canada and South Sudan so they can exchange expertise with each other.

On the Path to Save South Sudanese Women and Children

Maternal mortality in South Sudan has been an urgent issue since the beginning of the South Sudanese Civil War. It puts both the mother and child at risk of death and may permanently jeopardize the future of a baby. Fortunately, the South Sudanese government and international organizations are working to improve that dire situation. With more professional help available to mothers, slowly, South Sudan is saving its women and children.

– Mariam Kazmi
Photo: Flickr

Causes and Prevention of Child Mortality in Uganda

Child Mortality in UgandaFatal diseases are taking the lives of children in Uganda, claiming the futures of the young generation. Approximately 8.2 million children younger than 5 die annually due to various illnesses and complications during childbirth. Roughly 40% of these deaths occur within the first 30 days of life, falling into the category of neonatal deaths. Rates of child mortality in Uganda have been on a decline since 1970 when there were 191 infant deaths among 1,000 births. Today, there are 45.8 deaths in 1,000 births. Although there is a marked decrease in numbers, under-five deaths still pose a problem for Uganda. Fortunately, many organizations recognize the issue and are implementing programs to effectively combat it.

Causes of Child Mortality in Uganda

Roughly 16% of child mortality cases in Uganda are caused by pneumonia. Symptoms of the illness include chest pain, persistent coughing, fever and low body temperature. About 99% of pneumonia cases occur in less-developed countries such as Uganda, making clear the correlation between poverty and pneumonia. In poverty-stricken areas, malnutrition, poor air quality and limited access to healthcare cause the development and dispersion of pneumonia among a population. Children in Uganda are vulnerable and quickly become victims of the illness.

Malaria also leads to child mortality in Uganda. Malaria is a fatal disease caused by parasites that spread from person to person. Symptoms include fever, headache and chills. Young children are especially susceptible to the disease, and in 2019, 67% of malaria cases affected children younger than 5. The illness can kill children within 30 seconds. Malaria is most common in Africa and costs the continent $12 billion each year. Access to treatment is difficult to obtain in the poverty-stricken areas of Uganda where malaria dissipates. The most impoverished areas of Africa are the ones most affected by malaria, with children younger than 5 at most risk.

Finally, diarrhea causes 10% of infant deaths in Uganda. Symptoms of the infection include cramps, nausea, vomiting and fever. Studies have shown that in Pajule Subcounty and other rural areas of Uganda, the rates of diarrhea are higher. A lack of clean water and inadequate health education contribute to these health consequences.

Working Toward a Solution

Recognizing the issues that surround child mortality in Uganda, many organizations have taken the initiative to reduce the severity of the situation. One such organization is the United Nations Children’s Fund (UNICEF), which is dedicated to the well-being and longevity of children worldwide. Among its many programs to address under-five deaths in Uganda, UNICEF has established a water, sanitation and hygiene (WASH) program seeking to increase access to clean drinking water and teach healthy sanitation habits. Only 8% of mothers with children younger than 5 have access to soap and resources necessary for handwashing. Such habits lead to illnesses such as diarrhea. In tandem with the Government of Uganda, UNICEF is working to provide sanitation resources and increase awareness of healthy habits.

With similar intentions and efforts, Living Goods is a nonprofit organization collaborating with Bangladesh-based BRAC to help rural Ugandan mothers prevent infant mortality. Through its Community Health Promoters (CHP) program, the organization implements grassroots efforts to improve community health. CHPs are workers who go door-to-door to communicate healthy practices, relay important information, diagnose child illnesses and provide care to mothers and their newborns. This work has led to a 27% decrease in under-five child mortality in targeted regions. Ugandan villagers now take more precautions in order to maintain their own health and that of their young children.

Looking Ahead

Child mortality in Uganda is a problem that has not yet been eliminated. Many Ugandan families face unhealthy living conditions that are unfavorable to a child’s health. However, organizations such as UNICEF, Living Goods and BRAC are working to educate rural villages on the importance of sanitation and are giving families the resources to establish healthier lifestyles. Thanks to such efforts, under-five death rates are declining. If the work of these organizations continues, in the near future, more positive progress lies ahead.

– Mariam Kazmi
Photo: Unsplash

4 Facts About Healthcare in Ghana

Healthcare in Ghana
Healthcare in Ghana has many levels to it. There are three primary levels: national, regional and district. Within these, there are different types of providers: health posts, health centers/clinics, district hospitals, regional hospitals and tertiary hospitals. On average, Ghana spends 6% of its gross domestic product on healthcare, and the quality of healthcare varies by region. Here are four facts about healthcare in Ghana.

4 Facts About Healthcare in Ghana

  1. Ghana has a public insurance system. In 2003, Ghana made the switch from the “cash and carry” system to public insurance. The “cash and carry” health system required patients to pay for their treatments before receiving care. Because of this process, few people were able to afford treatment. In response, the government established the National Health Insurance Scheme (NHIS). This system provides wide coverage, covering 95% of the diseases that affect Ghana. The coverage includes treatment for malaria, respiratory diseases, diarrhea and more. Between 2006 and 2009, the proportion of the population registered to NHIS increased by 44%
  2. Child mortality rates have decreased. Data from 2019 showed that 50 out of 1000 babies die before the age of five. While this may appear unsettling at first, the twice as high a few decades earlier. In low-income communities, there is a higher risk of death because of limited access to healthcare. To help prevent this, the NHIS provides maternity care, including cesarean deliveries. In the 1990s, Dr. Ayaga Bawah began a study to provide healthcare in rural areas to see if it would decrease mortality rates. Between 1995 and 2005, the study showed that when qualified nurses were working in communities, there was an equal distribution of child mortality throughout the country, rather than mostly in rural communities.
  3. Access to health services has increased. In rural communities, health posts are the primary healthcare providers. A 2019 study found that 81.4% of the population had access to primary healthcare in Ghana, while 61.4% have access to secondary-level, and 14.3% to tertiary care. Despite these relatively high rates of accessibility, approximately 30% of the population has to travel far to access primary facilities or see a specialist. To increase access to services, Ghana’s president, Nana Akufo-Addo, stated in June 2020 that he intended to build 88 more district hospitals.
  4. More and more scientists are being trained. Throughout Africa, scientists are being trained to improve research and the dissemination of information. The World Economic Forum has pushed for research in programs such as Human Health and Heredity in Africa. This program is dedicated to helping local institutes manage the diseases and conditions that affect its area. Another group, H3-D, trains scientists in many African countries, including Ghana, to focus on conditions that are prevalent in Africa, such as malaria, tuberculosis and cardiovascular disease.

These four facts about healthcare in Ghana illuminate the progress that has been made, as well as the work that still needs to be done. While healthcare has improved, the government must take more steps to increase accessibility for all throughout the country. With a continued focus on healthcare, Ghana will hopefully continue to provide more communities with health services.

– Sarah Kirchner
Photo: Flickr

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The Demand for Child Rights in Latin America

demand for child rightsWith 25% of Latin America’s population being under the age of 15, an increased demand for child rights is inevitable. As a result, Latin America and the Caribbean have seen gradual implementations of protection for children under the law. Countries in these regions have seen improvements spanning from a growing economy to quality health care.

Health Improvements for Children

One immediate causes for the demand in children’s rights is because of the abuse that many children in impoverished countries endure. Some issues that exemplify the need for child rights are sexual abuse, drug and alcohol consumption and child labor. The health care systems in Latin American countries are responding.

For example, increased demand for child rights in places such as Argentina and Peru has resulted in more representation for children in health care services. Argentina has had children’s rights written in law since 1994. Now, with children included in health plans, child mortality rates have decreased to 9.9 deaths per 1,000 live births in 2018, compared to 12.6 just five years earlier.

Strengthening Written Law

Previously, many children in these countries were not seen as separate individuals until they reached adult age. However, increased children’s rights in certain Latin American and Caribbean countries have improved the livelihoods of the underaged. Children’s rights in Latin America and all across the world have moved to the forefront of many political agendas thanks to the UN Convention on the Rights of the Child and active citizens.

Countries such as El Salvador have shown that the demand for child rights have proved their international leadership on the issue. There are more than 15 comprehensive laws within the country protecting children and almost 20 international laws protecting El Salvadoran children.

Though the numerous laws, in theory, protect the children, it is not as easy to enforce the laws. A large discrepancy still remains between the sentiment and enforcement of law for the protection of children. Legislature rendered ineffective through lack of enforcement “allows perpetrators of violence against children and adolescents to continue committing the same crimes with no fear of prosecution or punishment.”

The BiCE

One organization that has made child rights in Latin America a priority is BiCE, the International Catholic Child Bureau. The organization’s main goal is the preservation of child rights in different countries in Latin American and around the world. Current field projects take place in countries such as Ecuador, Guatemala and Peru. Most of the projects focus on fighting sexual abuse of children.

BiCE’s projects have many goals that ensure the safety of a child. For the programs fighting sexual abuse, they offer therapy services for recovery. They also train people to learn advocacy techniques for children’s rights. Over 1,000 children in Peru have received help from BiCE and the organization continues to do more in other countries in Latin America.

Most countries in Latin America and the Caribbean have written laws and statutes that protect children. However, this has not proved to be enough for the safety of children in these countries. There have been health improvements and decreased poverty rates, but more still needs to be done to enforce the written laws.

– Josie Collier
Photo: Flickr

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Last Mile Health Rebuilds Healthcare in Liberia

Last Mile HealthLiberia borders Sierra Leone, Guinea, Cote d’Ivoire and the Atlantic Ocean. The West-African nation was established as a settlement by freed American slaves in 1820. Despite gaining independence in 1847, the country suffered from years of instability brought on by the military coup of 1980. Civil war broke out in Liberia in 1986 and endured until late 2003. With 14 years of civil war devastating both the population and the economy, Liberia, now home to nearly five million immigrant and indigenous peoples, has shifted its focus towards recovery. Many efforts acknowledge the inadequacies of healthcare in Liberia, one of them being Last Mile Health.

Founded by Liberian civil war survivors and American healthcare workers in 2007, Last Mile Health is a nonprofit organization dedicated to rebuilding healthcare in Liberia by creating a stronger, more resilient public health infrastructure within both urban and remote regions of the country. To date, Last Mile Health is responsible for a plethora of noteworthy improvements in healthcare and health outcomes in Liberia.

Healthcare in the Past

Between 1986 and 2003, 80% of healthcare clinics across Liberia closed their doors as a result of looting, destruction and the exodus of healthcare workers. Only 168 physicians remained in Liberia, predominantly in the capital city of Monrovia. Medical training systems stood on the verge of collapse. Today, nearly 1.2 million people throughout Liberia live more than an hour’s walk from the nearest healthcare facility.

Lack of access to quality healthcare in Liberia has resulted in poor health outcomes for Liberians. Alongside suffering from one of the world’s worst maternal and under-5 mortality rates, malaria, diarrhea, HIV/AIDS and other preventable and treatable illnesses are amongst the leading causes of death and disease in Liberia. A mere 39% of children under two in Liberia have received their recommended vaccinations.

Bringing Care to Patients

Last Mile Health builds community-based primary health systems within Liberia to bring healthcare to the poorest and hardest-to-reach regions. In 2012, Last Mile Health piloted a community health worker program in the Konobo District of Liberia that resulted in an unprecedented 100% coverage of the district by healthcare personnel. This pilot program has since been replicated, extending primary healthcare in Liberia to 1.2 million people.

Training Healthcare Workers

In 2017, Last Mile Health launched the Community Health Academy to strengthen the clinical skills of community health workers in Liberia. The Community Health Academy provides training to health care leaders to help them build resilient and effective public health infrastructure. As of 2019, more than 16,000 healthcare personnel from around the world have enrolled in the academy’s courses.

Improving Health Outcomes

In 2010, Last Mile Health launched Liberia’s first rural, public HIV/AIDS treatment program. The program exists in over 19 of Liberia’s public clinics.

By increasing access to and quality of healthcare in Liberia, Last Mile Health has increased the number of children receiving malaria, pneumonia and diarrhea treatment by over 40%, resulting in a significant reduction in under-5 mortality rates and improvement in child health outcomes. Maternal health outcomes have improved as more women can access skilled birth attendants and facilities for delivery and maternal care.

Increasing Average Life Expectancy

The average life expectancy for Liberians continues to increase each year as healthcare in Liberia rebuilds and recovers. By linking community healthcare workers with nurses, doctors and midwives at community clinics and equipping workers with the knowledge and skills that they need, Last Mile Health continues to fulfill its mission of bringing life-saving care to people in even the most remote areas of the country.

Last Mile Health promises a future in which no patient is out of reach from quality healthcare in Liberia. In the years to come, the nonprofit organization intends to expand its reach within Liberia and across Africa.

– Alana Castle
Photo: Flickr