Tag Archive for: COVID-19

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Nations Unite on a Historic WHO Pandemic Agreement

WHO Pandemic AgreementOn May 20, 2025, diplomats from around the world voted almost unanimously in favor of the world’s first legally binding WHO Pandemic Agreement, in response to one of the most glaring failures of COVID-19.

This failure was in stark contrast to high-income versus low-income countries during the pandemic. By November of 2023, vaccination coverage in some countries was below one-third, compared to the four-fifths of residents vaccinated in many high-income nations. Legal barriers such as patent waivers for vaccines were dismantled, yet doses still never reached the countries that needed them because of manufacturing capacity issues. One African manufacturer secured the ability to produce a vaccine, but its production lines sat idle because no African governments placed any orders.  In short, the system was broken. The Pandemic Agreement was the world’s attempt to fix it.

How the WHO Pandemic Agreement Came to Be

The World Health Assembly session launched the process in December 2021, as the Omicron variant was spreading globally and wealthy nations sat on stockpiles of doses the rest of the world could not access. The Intergovernmental Negotiating Body that followed held 13 formal rounds of talks along with countless informal sessions. Negotiators overcame walkouts, last-minute standoffs and a hostile political environment, including open rejection from some political leaders as well as pressure from the private sector.

What the Pandemic Agreement Does

Critical ideas that had no legal definition during COVID-19, such as One Health or equity, now have standing in international law, offering governments a stable framework for future pandemic response, according to a J Law Med Ethics article.

At the heart of the deal is a pathogen access and benefit-sharing system (PABS). Under this mechanism, countries agree to share genetic sequence data about circulating pathogens with WHO. In return, pharmaceutical manufacturers who participate commit to making 20% of their real-time production of pandemic vaccines, therapeutics and diagnostics available to WHO, with at least half of it being donations and the rest at affordable, realistic prices, according to PAHO. To put that in concrete terms, if a manufacturer makes 10 billion vaccines, around 2 billion will flow to WHO for distribution based on public health needs, particularly to developing countries.

Formal Emergency

The agreement directly links the PABS system to a formal pandemic emergency declaration under the International Health Regulations, making redistribution automatic rather than dependent on the goodwill of individual actors, according to a J Law Med Ethics article.

Beyond access to vaccines, the agreement takes a broader view of what pandemic preparedness means. It incorporates a One Health approach by recognising that around 75% of emerging infectious diseases originate in animals, so it requires countries to have surveillance systems linking human, animal, and environmental data, according to the WHO. A Global Supply Chain and Logistics Network will address gaps in medical supply chains before the next crisis. Plus, for the first time, the protection of health workers during pandemic emergencies is enshrined as an international legal obligation.

A Foundation for a Fairer Future

During COVID-19, the problem was not only a shortage of doses but also of capacity. Article 11 of the agreement pushes beyond the patent waiver model and calls on technology-holders to share know-how, skills, and proprietary information through WHO-led hubs to build genuine manufacturing capability across the Global South.

The agreement still requires work. A critical annex detailing the operational specifics of the PABS system still requires adoption at the 79th World Health Assembly in May 2026, and ratification by at least 60 countries is necessary before the WHO Pandemic Agreement enters into force. But for the first time, the architecture exists. Equity is now a legal obligation, agreed upon by the overwhelming majority of the world’s nations.

– Gia Sen

Gia is based in Mansfield, MA, USA and focuses on Business and Politics for The Borgen Project.

Photo: Flickr

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Human Rights in North Korea: 4 Pressing Problems

Human Rights in North KoreaNorth Korea is one of the most surveilled countries in the world and has carried out human rights abuses and imposed severe punishments with limited freedoms. According to Freedom House, North Korea scored 3 out of 100 on the Global Freedom Score, meaning the country is categorized as “not free.” Among the indicators, except for Personal Autonomy and Individual Rights, all other indicators scored 0 out of 4. In addition, Reporters Without Borders (RSF) indicates that North Korea ranks second to last out of 180 countries in 2025. In other words, the Democratic People’s Republic of Korea (DPRK) strictly prohibits independent journalism and controls information, including its production and distribution.

4 Pressing Problems

  1. Collapsed Economic System: The Informal Market. A researcher who completed a doctoral degree at the University of North Korean Studies told The Borgen Project in an interview that after the Arduous March, marketization emerged illegally, although the government consistently denied its existence. However, marketization has become an undeniable reality. According to the researcher, Kim Jong Un appears to be attempting to bring markets under state control by reinforcing trade through the public market system rather than the informal markets known as Jangmadang. In the early stages, the government introduced the concept of “8.3-earners” and initially turned a blind eye to private income generation. Recently, it has sought to increase wages in state-owned enterprises to narrow the gap between official wages and market prices, the researcher added. However, he also noted that the government used the market as a tool to control the population and stabilize the regime, which has contributed to wage inequality and distorted market conditions.
  2. Problems Caused by the Lack of Medical Systems and Services. North Koreans commonly sought treatment from private doctors rather than public doctors. Many patients waited outside the homes of doctors who were known for their ability to treat diseases. Public hospitals and clinics often failed to provide proper treatment unless patients offered bribes. Although private doctors lacked modern medical facilities, they often had sufficient skills to provide treatment and direct access to medications. As a result, many people chose to see private doctors in order to receive proper treatment and medications. In addition, the use of drugs such as opium and methamphetamine became widespread. Many residents reportedly died as a result of opium abuse. Despite serious side effects, some continued using it. It was sometimes regarded as a panacea. According to Daily NK, some North Koreans believed that regular opium injections could prevent heart attacks and strokes and used them as a substitute for medicine. Methamphetamine and opium were illegal, but officials often overlooked their use because the DPRK could not provide adequate medical care and medicine to people living in poverty. Beyond this, North Koreans who lacked sufficient medicine relied on folk remedies during COVID-19 due to shortages of vaccines and antiviral pills. North Korean state media reported that patients drank boiled honeysuckle water and used herbal medicines to address COVID-19 symptoms. Some folk remedies, such as willow bark, known for aspirin-like properties to treat inflammation and fever, were used. However, these methods were not a substitute for modern treatment for COVID-19. Furthermore, liver cancer treatment was limited due to the lack of modern surgical facilities. Reports indicate that some relied on brown rice tea and herbal tea made from burdock roots. These alternative treatments became widespread due to chronic deficiencies in the medical system and prolonged border closures following the pandemic.
  3. Human Rights Concerns. The North Korean government enacted three laws: the Youth Education Guarantee Act, the Pyongyang Cultural Language Protection Act and the Reactionary Ideology and Culture Rejection Act. These laws aim to restrict cultural influence from South Korea. Authorities have reportedly imposed severe penalties, including death sentences, for distributing South Korean media content. For example, according to El País, authorities publicly executed a 22-year-old man after charging him with watching and distributing 70 songs and three South Korean television series. Freedom of expression and access to information have regressed due to punishments imposed for sharing foreign media. In response, the United Nations (UN) adopted resolutions in 2024 condemning the human rights situation in North Korea. The resolutions addressed severe and pervasive restrictions on fundamental freedoms. During the 80th session of the United Nations General Assembly (UNGA) Third Committee, UNGA adopted a resolution on the situation of human rights in the DPRK, co-sponsored by 61 countries.
  4. Controlled Information and Misinformation. The government has used misinformation campaigns for decades as part of its propaganda strategy. Reports suggest these efforts aim to create hostility toward adversaries and influence public opinion. North Korean misinformation has also affected international relations, contributing to tension and confusion. During COVID-19, the government claimed that South Korea spread the virus by sending infected objects across the border, according to Voice of America (VOA). Although COVID-19 caused deaths and suffering beginning in 2020, the government reported zero cases to the World Health Organization (WHO). It officially acknowledged an outbreak in May 2022. Many humanitarian groups attempted to deliver assistance in North Korea but faced significant challenges due to restrictions on international humanitarian aid. According to VOA, the DPRK did not allow humanitarian aid workers into the country, and Kim Jong Un referred to humanitarian aid as a “poison pill.” Although many organizations attempted to provide assistance, government control and lack of transparency limited the distribution of aid. Continued monitoring of humanitarian and human rights conditions remains important.

Looking Ahead

While significant challenges remain, continued international monitoring, humanitarian engagement and diplomatic dialogue offer potential pathways toward improved human rights in North Korea. Sustained attention to human rights, health care access and transparency can help lay the groundwork for gradual progress and greater protection of fundamental freedoms.

– Yunjaelee

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

Photo: Flickr

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Diseases Impacting Chile

Diseases Impacting ChileKnown for its long coastline and diverse landscapes, Chile has made significant strides in public health, with an average life expectancy of 81 and continued progress in reducing infant mortality. However, the nation continues to face public health challenges. These include a difficult COVID-19 response, high numbers of cancer deaths and ongoing problems with cardiovascular disease. Here is more information about the diseases impacting Chile and efforts to address them.

Cancer Progress

In recent years, cancer has rivaled cardiovascular disease for the title of leading cause of death in Chile, with 31,440 reported cancer-related deaths in 2022. In response to cancer being one of the most persistent diseases impacting Chile, the government has implemented multiple policies to fight the disease. The government passed laws to lower tobacco use, increase the number of HPV vaccines and facilitate more cancer research and clinical trials within the country.

In 2018, Chile implemented a national cancer plan. The plan focuses on shortcomings in prevention, diagnosis and treatment for patients across the country. Officials saw success with the formation of a national cancer registry and the existing tumor banks, with one example being roughly 700,000 cholecystectomies being performed since the start of the plan.

Cardiovascular Disease Concerns

Heart disease remains one of the leading causes of death in Chile, at around 25% of all deaths. According to the World Health Organization (WHO), this number was 33,504 in 2023 – an increase in deaths from 2019. Significant risk factors like hypertension, which affects nearly one in four adults in the country, are often unknown to patients and lead to an increased risk for Cardiovascular Disease (CVD). 

The Chilean government has embarked on a mission to increase awareness of hypertension and CVD as a whole. In 2013, the country partnered with the Pan-American Health Organization (PAHO) and the United States’ Centers for Disease Control and Prevention. Across the greater South American region, over three million people have received treatment for hypertension as a result of these partnerships. Concrete successes include the creation of public hypertension clinics, expansion of health coverage in the country and increased data collection to ensure patients are identified before cardiovascular disease can develop.

COVID-19 Difficulties

Chile never established a national lockdown, leading quarantine guidelines to be inconsistent in different localities. With more than 5 million total cases and more than 64,000 deaths, Chile was one of the most affected nations in South America. As recently as 2022, the country saw 13,433 COVID-19 deaths, despite having a vaccination rate of 94.62%. 

Although COVID still poses a risk, Chile has demonstrated its ability to mobilize quickly when it comes to vaccinations. The success of vaccine distribution, combined with low vaccine skepticism in the country, means that Chile is equipped to respond more effectively to the next potential pandemic.

Looking Ahead

Chile’s proactive public health policies and investment in health care infrastructure offer a model for other developing nations. The few diseases impacting Chile still have a grip on the population, with preventable deaths in cancer and cardiovascular disease making up more than 50% of deaths in the country. However, Chile has reasons to be optimistic, with progress being made each year when it comes to infrastructure and research in combating these issues. 

– Benjamin Pugh 

Benjamin is based in Kansas City, MO, USA and focuses on Good News and Politics for The Borgen Project.

Photo: Flickr

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How COVID-19 Technology in Pakistan Accelerated Progress

COVID-19 Technology in PakistanFor Pakistan, COVID-19 became an incubator for innovation. The country adopted global practices through digital transformations to sustain governance and daily operations during the lockdown. These practices, such as hybrid and remote work, soon became a permanent part of the professional culture, bridging the gap created by reduced resources across multiple sectors.

Initially, the COVID-19 outbreak led to severe economic deterioration for Pakistan. For example, an overall decline in economic parameters such as GDP growth, unemployment rate, inflation, per capita income, debt, tax collection, poverty and trade (imports/exports). These disruptions were major challenges to its economic activities. The result was that during the fiscal year 2020, for only the second time in Pakistan’s history after 1951–1952, the country recorded a negative GDP growth rate of −0.4%.

Initial Challenges Caused by the COVID-19 Pandemic

The primary challenges caused by COVID-19 in Pakistan were rising unemployment and poverty. The pandemic caused nearly three million people to lose their jobs, leading to a sharp increase in the unemployment rate, which reached 9.56% in the 2020 fiscal year. Global trade disruptions also hit the country hard.

In 2020, exports fell by 6.36% to $22 billion, while imports declined by 8.56% to $45 billion. Meanwhile, pressure on debt servicing intensified as total debt rose from $95.2 billion in 2018 to $112.8 billion in 2020. This pushed Pakistan further into a debt trap, forcing it to borrow new loans to repay old ones.

Innovation in COVID-19 Technology in Pakistan

Despite the initial setbacks, Pakistan showed resilience by adopting global best practices that fueled digital transformation. The COVID-19 pandemic became a turning point for digital progress in Pakistan, especially in the work and education sectors. The introduction of hybrid work models and remote employment systems reshaped professional environments, including public and private institutions.

Organizations increasingly use digital tools, online platforms and cloud-based communication systems to maintain productivity and ensure operational continuity. According to a report, the pandemic significantly boosted digital payments in Pakistan as citizens reduced their use of physical cash to minimize health risks.

The introduction of COVID-19 technology in Pakistan improved efficiency. It helped conserve vital resources such as time, paper and energy by reducing physical commuting and manual workflows. It also accelerated the adoption of online education, pushing schools and universities to embrace digital learning platforms to maintain academic progress.

According to the World Bank, Pakistan responded swiftly by launching the federal TeleSchool program for students nationwide and the Taleem Ghar initiative for learners in Punjab. These e-learning programs in Pakistan ensured continued access to education during lockdowns, demonstrating how technology bridged learning gaps and supported the country’s broader digital transformation.

Economic Adaptation Through COVID-19 Technology in Pakistan

During the COVID-19 pandemic, Pakistan saw a shift toward digital transformation, as technology became the only possible adaptation for individuals and institutions. The pandemic caused a shift toward remote work, freelancing and digital entrepreneurship, helping sustain livelihoods in widespread economic uncertainty.

According to The Dayspring, “Pakistan’s freelancing economy surged by 22% amid COVID-19.” Payoneer also reported the country’s overall freelancing revenue growth from 47% to 69% during the pandemic. Government initiatives such as Punjab’s e-Rozgaar program also played a significant role.

This program empowered youth to earn through online platforms, providing training and access to freelance marketplaces. As INP-WealthPK highlighted, Pakistan witnessed a record 47% growth in freelancing earnings in 2021, with women making up 52% of total graduates and contributing around half of the total earnings. This marked a significant step toward digital inclusion and women’s economic empowerment in Pakistan’s gig economy.

Similarly, the Ministry of IT’s DigiSkills program, a national-level training initiative, has trained more than 1.28 million individuals in freelancing, enabling them to generate sustainable incomes from home. Federal Minister Syed Amin Ul Haque emphasized the goal of expanding female participation in the program from 23% to 33%, reflecting the government’s vision for inclusive digital growth.

Furthermore, the private sector quickly adapted to the new normal of remote work and virtual collaboration. Many companies eliminated mandatory office attendance, providing employees with the necessary resources such as computers, internet connectivity and secure data access to work efficiently from home.

Technology in Public Services and Broader Social Impact

Sehat Kahani emerged as one of Pakistan’s leading examples of digital health care innovation during the COVID-19 pandemic in Pakistan. The platform provided telemedicine services through its mobile app, including free online consultations and e-prescriptions. It helped thousands of patients in remote and low-income areas.

According to Gavi, the Vaccine Alliance, Sehat Kahani’s expansion during the pandemic demonstrated how digital health services in Pakistan can bridge access gaps and empower women doctors to serve communities from home. In the education sector, digital transformations in Pakistan helped sustain learning during lockdowns. The government launched several e-learning programs, ensuring continued education through televised and online lessons.

The World Bank reported that these programs successfully reached millions of students. A report by the United Nations Development Programme (UNDP) further highlighted the broader social impact of digitalization. It revealed that districts showing stronger digital transformation also ranked higher in human development outcomes.

All these studies highlight how Pakistan’s growing investment in digital public services, from telehealth to education, has strengthened national resilience and paved the way for inclusive growth.

Conclusion

All these digital transformations from remote work and freelancing to telemedicine and online education helped Pakistan rebuild its economy and move toward sustainable growth. By 2023, Pakistan’s GDP growth rate recovered to around 3.04%, reflecting how the nation’s digital adaptation turned adversity into opportunity. This evolution shows that when a crisis is met with innovation, collaboration and the right technological tools, it can become a catalyst for development rather than decline.

– Sidra Tahir

Sidra is based in Rawalpindi, Pakistan and focuses on Technology and Politics for The Borgen Project.

Photo: Unsplash

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Facing Poverty in El Salvador: The Continuous Problem

Poverty in El SalvadorPoverty in El Salvador continues to plague citizens across the country despite a drop in poverty rates from 2000 to 2023. About 40% of Salvadorans face a state of vulnerability and 1.8 million face poverty without access to clean water and proper food. While Nayib Bukele, El Salvador’s president since 2019, has nearly removed gang violence from the list of nationwide threats, poverty remains at the top.

Beauty and Change

El Salvador is the smallest country in Central America, about 32 times smaller than the state of Texas. It is bordered by Guatemala, Honduras and the Pacific Ocean and is known for its volcanoes, surfing spots and national dish, the pupusa. Beyond the multi-colored scenery, crashing waves and popular cuisine, El Salvador is also known for its positive development since Bukele entered office in 2019.

The country faced gang violence for decades, with a total of 2,398 homicides in 2019 before Bukele stepped into office. After five years of presidency, the number of homicides has dropped to 114 in 2024. This was due to his Territorial Control Plan and implementation of the Exception Regime. Bukele has tried to offer safety and peace to Salvadoran citizens; however, poverty remains a barrier to peace and safety for many.

The Daily Struggle

Facing poverty in El Salvador means a lack of potable water and education. El Salvador faced a major drought in 2016 and declared a water crisis shortly after. Since then, citizens living in or vulnerable to poverty have suffered from a lack of proper potable water. Families also face the risk of malnutrition as a result of living in poverty.

Poverty affects families beyond inadequate food and water. A lack of access to education is considered one of the leading causes of poverty in El Salvador. According to the National TPS Alliance, in 2023, the illiteracy rate among Salvadorans aged 10 and older was 9.7%, with an average educational level of 7.2 years and just 5.6 years for families in rural areas. Without sufficient funding, families cannot provide their children with proper education.

COVID-19 and Job Opportunities

El Salvador was not spared when the global pandemic hit in late 2019 and early 2020. The poverty rate rose by 6.5 percentage points and more than 20% of Salvadoran workers lost their jobs. Although the pandemic is no longer as widespread as in 2019 and 2020, El Salvador still grapples with its lasting impacts.

In 2022, soaring inflation kept the poverty rate at nearly 27%. Combined with limited access to education, hundreds of Salvadorans face a severe shortage of job opportunities. Even those who pursue higher education are often met with unemployment, as the Salvadoran economy has not created enough jobs to meet demand.

Solutions 

Despite the effects of poverty continuing to affect Salvadoran communities, organizations and charities are working to help address the persistent issue. Charities such as the Salvadoran American Humanitarian Foundation (SAHF) and the Center for Exchange and Solidarity (CIS) work toward assisting families battling poverty.

SAHF has a program called the Early Childhood Development Program that helps families and children younger than 5 years old suffering from malnutrition. The Foundation also has a program that teaches English to primary school children in the educational complex at Residencial Libertad. The Foundation also offers a “life plan” to high school students within the program, allowing them to find job opportunities following their high school journey.

The CIS offers aid to families and communities without access to potable water and to youth who do not have a proper education. The CIS has partnered with other organizations and businesses to provide households, schools and businesses with water filters, wells, tanks and hand pumps. It has helped 3,000 families since 2011.

The organization also enables underprivileged youth at the primary, secondary and university levels to a leadership development program that leads them to a defined career. Children and young adults are selected for the program based on their economic need, educational standing and commitment to social change.

El Salvador may be experiencing a decline in job opportunities and continuing to face the harsh effects of poverty. However, organizations like SAHF and CIS are working to ease these challenges.

– Keyly Rios

Keyly is based in Dallas, TX, USA and focuses on Global Health and Celebs for The Borgen Project.

Photo: Flickr

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UK Aid for Girls’ Education: Reasons, Aims and Progress

Girls’ EducationU.K. aid for girls’ education was hit when the U.K. government cut Official Development Assistance (ODA) spending from 0.7% of GNI to 0.5% in 2020. This decreased by $6.13 billion, lowering the overall spending to $13.6 billion. For context, the U.K. spends $25.84 billion just on food waste. This decrease, alongside the COVID-19 pandemic, exacerbated existing inequalities in education. However, the U.K. is making efforts to push back.

Girls are more vulnerable than boys in terms of education, particularly in low-income countries. As of 2021, women made up 66% of the world’s illiterate population. Furthermore, COVID-19 had a significant impact on education across the world. At its peak, more than 1.5 billion students were out of school.

According to the U.K. government, girls were disproportionately affected, particularly in low-income countries. An estimated 11 million girls never returned to class after the pandemic, as many were forced into early marriage or work to support their families. The U.K. aims to lead international efforts to address this issue through:

  • Restoring its ODA budget to 0.7% of GNI when feasible.
  • Its Five-Year Plan to improve girls’ education.

UK’s Five-Year Plan

The Foreign, Commonwealth & Development Office (FCDO) released this plan in 2021, a detailed scheme to improve girls’ education globally. It clearly states that boys’ education is just as important. However, it recognizes that girls are generally more vulnerable than boys, requiring more direct aid.

Minister Wendy Morton stated, “Girls’ education is a particularly powerful investment, the benefits are wide-ranging enough to stop poverty in its tracks.”

The pillars of the plan:

  • A global coalition on girls’ learning. U.K. aid for girls’ education will prioritize international alignment. The government aims to build political and economic cooperation between the countries receiving aid and those giving it.
  • Country-led action to get more girls in school, kept safe and learning. The U.K. will focus on building bridges with low-income governments, smaller communities and families within these countries.
  • Global goods to support bold education reforms. The U.K. promises to share its advantages in educational institutions and expertise to bring countries in need up to a similar standard.

In summary, U.K. aid for girls’ education was set to increase significantly in 2021. The U.K. government promised to build international relations, provide direct economic assistance and share technologies and expertise.

What Progress Has Actually Been Made?

In February 2025, the U.K. government further decreased ODA spending from 0.5% of GNI to 0.3%. This decision was made to facilitate increased arms spending. Fundamentally, this will reduce the effectiveness of U.K. aid for girls’ education.

Furthermore, the most recent numbers from the UNESCO Institute of Statistics point to an ongoing decrease in children’s education rates worldwide. By late 2023, 250 million children were reportedly out of education, an increase of six million since 2021, coincidentally the beginning of the Five-Year Plan. UNESCO points out the centrality of girls and young women in this increase. Since 2021, Afghanistan, in particular, has excluded girls from education on a massive scale.

However, there is reason for hope. UNESCO also showed that by 2023, there had been an increase of 50 million girls in school globally since 2015. According to UNESCO, there has been a drastic improvement in girls’ education overall. However, multiple negative pockets, such as Afghanistan, remain. While the increase in girls being enrolled in schools alongside the decrease in children in school may seem contradictory, it is likely to come back to the idea of overall progress being limited by pockets of problems.

Regardless, UNESCO made the clear point that global efforts, including U.K. aid for girls’ education, must increase to reach national and international targets.

Conclusion

Overall, U.K. aid for girls’ education is on the rise and there is cause for hope due to the commitments of the U.K. government to improve education for girls worldwide. By improving education, the U.K. is helping to facilitate the eventual end of poverty.

However, the U.K. government’s reduction of the ODA budget severely limits the impact of its international aid. 

– Oliver Evans

Oliver is based in Devon, UK and focuses on Politics for The Borgen Project.

Photo: Flickr

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Expanding Digital Access and Education in Rural Kenya

Education in Rural KenyaKenya, located in East Africa, has a rather complex educational history that has evolved from colonial and missionary influences to the current structure. Initially, digital access and education in rural Kenya were considered segregated. There was a strong focus on serving the interests of the colonial powers and religious institutions rather than being seen as a source for the people of Kenya.

Kenya operates an education system that is structured around a 2-6-6-3 framework. This framework includes no more than two years of “pre-primary,” six years of primary, six years of secondary, which is split into three years of junior and three years of senior secondary and a minimum of three years of tertiary education.

COVID-19 and the Kenyan Education System

Children have had to endure more than what most people would consider a “fair amount” when it comes to the education switches in Kenya during the worldwide COVID-19 pandemic. In 2020, school closures disrupted learning for more than 17 million children. In 2021, it was encouraging to see things seemingly return to normal. With children scoring higher test results and a safe return to school, everything seemed to be back on track.

However, for many of Kenya’s children, the return to school did not coincide with a return to normality. This was mainly due to the learning loss that both younger and rural children experienced in 2020 and because some children have still not returned to school. This resulted in what seemed like a lost hope for learning and education in rural Kenya.

According to an article published by Whizz Education titled “Measuring the Impact of COVID-19 on Learning in Rural Kenya,” it was found that 53% of students show declines in their levels of maths knowledge or “maths age.” The average loss among those students was 13 months, meaning that their maths age had regressed by more than a year from where it was before the start of school closures.

The learning loss was greater in the lower grades than the higher ones, which is most likely why these results were not reflected in exams. Girls were far more impacted than boys. Additionally, much more than their counterparts in richer urban areas, those in poorer rural regions experienced an increase in already existing inequalities. If children lost math skills during school closures, it is safe to assume they also lost reading, writing and other crucial skills.

The Digital Literacy Program

Launched in 2013, Kenya’s Digital Literacy Program (DLP) is a government initiative to integrate digital technologies such as laptops, tablets and projectors. It also includes tools like DLP content servers, digital wireless routers and power solutions, including solar power for off-grid schools. The program’s overall goal is to expand and improve education in rural Kenya.

Kenya’s DLP has connected rural communities in Kenya to a broader variety of information that goes beyond the scope of just Africa. Furthermore, using digital learning tools has increased student engagement in recent years, promoting a more engaging and relevant school environment for students.

This program has also fostered community development by enabling students and residents to participate in various online activities, connect with others and explore economic and educational opportunities.

Looking Forward

To this day, initiatives are being put in place to help Kenya expand its digital access for education. One of these key initiatives is called the National Digital Masterplan. This plan aims to improve digital literacy in schools by focusing on the digital infrastructure, government services, skills development and innovation.

Another key initiative to help Kenya expand its digital access for education is known as the DigiSchool Connectivity Project. This collaborative initiative in Kenya focuses on integrating Information and Communication Technology (ICT) into everyday teaching. Led by Kenya’s Ministry of Education and ICT Authority, also in partnership with UNESCO and Huawei, this project’s goal is to provide safe and reliable internet access to schools all across Africa. It has already been implemented in two phases, connecting approximately 34 schools and six special education schools.

– Simone Sanchez

Simone is based in Huntington, NY, US and focuses on Technology and Solutions for The Borgen Project.

Photo: Flickr

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Disability and Poverty in Trinidad and Tobago

Disability and Poverty in Trinidad and Tobago Despite Trinidad and Tobago’s status as one of the Caribbean’s wealthiest nations, subpopulations of the islands continue to face impoverishment. While Trinidad and Tobago have financial assistance programs in place, these programs are not always enough to counteract disability as a determiner of socioeconomic status. The government of Trinidad and Tobago does however recognize this intersection of disability and poverty. Here is information about disability and poverty in Trinidad and Tobago.

Disability on the Rise

Consistent with international trends, an aging population in Trinidad and Tobago has led to an increase in individuals living with disabilities or chronic diseases. Recent figures show that roughly 5% of the nation’s population has a disability. For a small country of 1,300,000 citizens, that means that 52,000 individuals are living with a disability. About 6% of this figure is believed to be children, accounting for around 3,000 members of the population, although a lack of early detection likely skews these numbers.

Disenfranchisement of the Disabled

The medical or charity model is the persistent model for disability treatment in Trinidad and Tobago. The medical and charity model of disability largely ostracizes the disabled community. This is due to the conceptualization of disabled individuals as other and dependent. As a strategic analysis of disability in Trinidad and Tobago has suggested, disabled individuals experience consistent disenfranchisement and exist on the peripheries of society due to prevailing social, legal and economic barriers to social integration. This social positioning acts as a financial determiner, as there is a lack of systemic support for disabled individuals to be independent income earners. As the United Nations specifies in their strategic analysis, “poor access to essential services like health care, education, employment, and transportation[…]have led to poor economic outcomes and the inability of [people with disabilities] to live self-determined lives.”

Impact of COVID-19 on Disability and Poverty in Trinidad & Tobago

The COVID-19 pandemic that began in 2020 exacerbated these institutional and social barriers. While the entirety of the population was facing disruption to their employment and ability to receive an education, individuals with disabilities were particularly impacted. Many people with disabilities faced increased health risks from COVID-19 and during this time many support systems that are usually in place for the disabled community were unable to effectively function.

Government Assistance Programming

Trinidad and Tobago has several governmental ministries that provide assistance to individuals with disabilities, the most prominent of which is the Ministry of Social Development and Family Services. This ministry includes the dedicated Disability Affairs Unit and provides the Disability Assistance Grant to disabled adults who are unable to earn a living due to their disability. In 2019, the Ministry of Social Development and Family Services also introduced a grant for minors with disabilities to assist families in receiving costly services related to their child’s disability.

Institutional and Governmental Improvements

In addition to these existing social services for disabled individuals, the government of Trinidad and Tobago made a commitment in 2018 to update their policies surrounding the disabled population. The National Policy on Persons with Disabilities stands as a prominent component of the Government of Trinidad and Tobago’s Vision 2030 National Development Strategy. This policy recognizes how disability and poverty are related and has a newfound focus on improving the quality of life and social experience of disabled individuals. The policy recommends education, awareness raising, improved health care and health care access, transportation, housing and employment opportunity among other systematic improvements. The goal of these reforms is to improve not only the quality of life for disabled individuals, but also provide social integration and a form of justice to a community that has historically faced disenfranchisement and ostracization.

Looking Ahead

Historically, disability and poverty have been deeply interconnected in the Caribbean. However, recent legal and social developments aim to change the experience of disabled individuals in Trinidad and Tobago. In the wake of COVID-19 and with a changing understanding of the disabled community, the nation seeks to reform their treatment of the disabled population. As the policy states, the primary goal of these changes is to “protect and promote the human rights of all persons with disabilities.”

– Gwyneth Connor

Gwynethis based in Kensington, MD, USA and focuses on Global Health for The Borgen Project.

Photo: Pixabay

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Fighting Poverty by Preparing for the Next Pandemic

Preparing for the Next Pandemic After the COVID-19 pandemic, the World Health Organization (WHO) and the international community are trying to prepare for the next outbreak. Epidemiologists label this future pandemic as “Disease X,” likely from one of the 25 known virus families; they estimate that it could be significantly deadlier than previous pandemics. Fighting global poverty has been central to how the international community fights against disease.

Preparing for the next pandemic supports people in low- and middle-income countries in two key ways. First, addressing systemic challenges such as pollution, deforestation and limited access to sustainable health care can reduce the likelihood and impact of future outbreaks. Second, the effects of disease tend to be more severe for populations living in poverty. The international community can help by funding existing health initiatives—particularly in tropical regions of the Americas, Africa and Asia—and by supporting efforts like the Coalition for Epidemic Preparedness Innovations’ (CEPI) 100 Day Mission, which aims to accelerate vaccine development and save lives. 

Challenges in Pandemic Planning

Experts suggest that one of the most difficult parts of improving global public health is preparing for the next pandemic before it happens. The major challenge is getting governments to invest ahead of time, despite not knowing exactly when, where or how the next major disease will strike. Caroline Buckee, professor of epidemiology and associate director of the Center for Communicable Disease Dynamics (CCDD), noted,  

“One of the confirmatory lessons for me—it’s not a new lesson—was that governments and people are reactive. And it’s very hard to get significant investment in preparedness. When it comes to pandemics, or epidemics in general, one of the hardest things about preparedness is that if you’re doing it really well, no outbreak—or only a small outbreak—occurs. Proving that you have averted an epidemic is difficult, so politically, how do you justify the investment required? It’s a really hard problem.”

One of the ways epidemiologists prepare for something that is both unpredictable and inevitable is by ranking the likeliest outbreaks to become a major issue, including “another possible Disease X, a term used to describe a currently unknown pathogen with pandemic potential.” 

Tracking Zoonotic Threats

One of the ways health experts accurately prepare is through pathogen rankings like the Priority Zoonotic Disease Lists and the Research and Development Blueprint. The Coalition for Epidemic Preparedness Innovations, in partnership with the University of California, Davis, has developed a new analytical tool called SpillOver to help predict the most likely risks.

SpillOver evaluates the likelihood of animal-to-human spillover among viruses, like the zoonotic transfer that occurred with the 2020 coronavirus pandemic. So far, the project has isolated 12 separate zoonotic diseases that are most likely to infect, ranging from Simian foamy virus to Lassa virus. SpillOver 2.0 will incorporate more data in order to more holistically analyze which diseases we need to prepare for. 

The Impact on Global Poverty

This massive effort of analyzing and preparing for the next pandemic is critical to fighting global poverty for two major reasons. First, pandemics disproportionately harm the global poor. Analysis from The Lancet found that if a pandemic of similar proportions to the 1918 influenza epidemic were to occur in 2025, there would be 62 million fatalities, 96% of which would be in lower-income countries. By contrast, investing in poverty relief helps combat disease spread through improved health systems, increased health education and more effective sanitation. 

Secondly, the fight against poverty and the effort to control pandemics are linked. The wider systemic issues that cause global poverty also increase the risk of a disease outbreak and that same outbreak developing into a full-blown pandemic. The WHO has warned that this next pandemic, labeled Disease X, “could be 20 times more lethal than COVID-19, with very high costs, possibly no vaccines and enormous social and economic impacts.” 

The most likely risk is a zoonotic disease from a tropical region, all places suffering from high poverty rates, climate change and deforestation. These three main factors increase the likelihood of a tropical animal-to-human outbreak turning into the next COVID-19. While deforestation increases the possibility of spillover, combating deforestation not only helps prevent outbreak but also can reduce poverty as well. 

Rapid Response and Vaccine Development

As daunting as this may be for the global poor, the international community and health experts are learning from the last pandemic. CEPI is leading efforts to ensure that life-saving vaccines can be made available across the developing world in as little as 100 days, compared to the traditional five-year timeline. 

Started in 2014 to help combat Ebola, CEPI also played a critical role in reducing the COVID-19 vaccine development timeline to 12 to 18 months. By focusing on increased research, development and mass production, “…CEPI has simultaneously advanced the development of 11 rapid response platforms to deploy against unknown threats, or Disease X.” Being able to predict which diseases may emerge from and affect the developing world is critical to fast-tracking vaccines, which have historically saved an estimated 154 million lives worldwide. 

Looking Ahead: A Shared Global Strategy

While preparing for the next pandemic is difficult and full of uncertainties, expert opinions suggest that focusing efforts will be critical to combating global poverty. By identifying the most likely pathogens as potential future “Disease X” threats, the international scientific community has helped concentrate resources that can be used effectively in the developing world. Hence, fighting global poverty and protecting global health appear to be essential parts of the same strategy.

– Joseph Laughon

Joseph is based in Sacramento, CA, USA and focuses on Technology and Global Health for The Borgen Project.

Photo: Flickr

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The Positive Situation for Mental Health in San Marino

Mental Health in San MarinoRecent statistics show that the country of San Marino has a suicide rate of 7.59. In comparison, the worldwide average suicide rate as of 2021 is 8.9. Additionally, suicide rates have also dropped in the country, with an 8.01 rate in 2020 and a 7.59 rate in 2021, showing that mental health in San Marino receiving attention on a considerable level.

After the COVID-19 pandemic, San Marino experienced a concerning decrease in the mental health of its citizens and faced hard decisions on how to reintegrate citizens into a post-pandemic lifestyle. Over the last five years, San Marino has found that deteriorating mental health has links to stress, economic pressure and social isolation.

Community-centered environments are a strong deterrent against declining mental health and offer relief from stress, pressure and isolation. Because mental health decreased at the same time social isolation increased during the pandemic, the country focused on creating suitable community-based programs for citizens young enough to be in middle school, and old enough to be in retirement homes.

Mental Health for Old and Young Citizens

To specifically address mental health concerns in younger citizens, San Marino employs many awareness programs that work directly with public education in the country. These awareness programs started in 2021, prompted by COVID-19. The awareness programs involve partnering with police and substance abuse facilities for events to educate students and create environments where they can easily talk about depression and mental strain. Negative mental health for young citizens has almost always had links to academic pressure; citizens who could not perform well in school often felt frustrated and stuck. Interestingly, to San Marino, this meant that if public education could be improved upon and more accommodating for different students, then overall mental health in young citizens would generally increase.

Similar to young citizens, the country found that most of its older citizens over the age of 60 suffer from low mental health, largely due to social isolation. After partnering with the regional office of the Parliamentary Assembly of the Mediterranean (PAM), San Marino addressed many concerns with the mental health of older citizens. The country was able to employ more social services for older citizens, and further partnered with the World Health Organization (WHO) to allow community-based help. The country originally partnered with the WHO in 2013, but after the COVID-19 pandemic in late 2020, the country and the WHO made additional projects and plans to facilitate positive mental health.

Since 2020, San Marino’s citizens over 60 years old have had stable and improving mental health. Instead of the majority of elderly people living in retirement homes, the WHO has made it so that systems of care are in place where the majority of elderly citizens can grow old without leaving their original homes. Lowering feelings of depression among the elderly and promoting community-based involvement in neighborhoods due to the system of care in place.

Efforts To Address Mental Health in San Marino

Organizations like the WHO and PAM go to great lengths to ensure that countries like San Marino are well equipped to give citizens an environment that promotes mental well-being. The country also adopted the philosophy of “Parlare Aiuta” or Talking Helps, a national campaign promoting the openness of receiving care for poor mental health and quality conversations around the subject with the correct tones and vocabulary.

San Marino found that in many ways, at least for a small country, the best way to encourage positive mental health is to have productive conversations around the topic. Raising awareness with statistics is not enough; poor mental health has a connection to social isolation, so one of the best ways to help is to encourage citizens to educate themselves on the issue so they can have meaningful conversations when necessary.

Poverty is a contributing factor to poor mental health, but it has remained stable in San Marino over the last several years. The overall poverty rate in San Marino has stayed below 8%. In contrast, the average poverty rate worldwide is about 8.5%.

– Russell Bivins

Russell is based in Phoenix, AZ, USA and focuses on Good News for The Borgen Project.

Photo: Wikipedia Commons