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AI Technology Developed for Breast Cancer Screening in India

Breast Cancer Screening in IndiaFor decades since its inception, mammography has been the leading method for detecting breast cancer. However, a new AI technology called Thermalytix could become a less invasive and less expensive early intervention tool, as shown through its trials of breast cancer screening in India.

Breast Cancer in India

Breast cancer is the most prevalent cancer among women worldwide. It also has the fourth-highest mortality rate out of any cancer. In India specifically, it is a significant issue. Despite having lower incidence levels, the nation continues to have similar or higher mortality rates than Western countries. One of the main contributors to this high rate of mortality is delayed detection.

Health professionals recommended that all females aged 40 and above receive yearly mammograms to screen for breast cancer. However, according to the Longitudinal Aging Study in India, fewer than 2% of the 35,083 women aged above 40 surveyed reported receiving a mammogram in the past two years. Due to this lack of thorough and routine examination, many breast cancers are not diagnosed until they are in advanced stages.

The percentage of women who reported receiving mammograms varies slightly based on socioeconomic status, other preexisting health conditions and place of residence. However, as a whole, access to and use of mammogram technology for breast cancer screening is limited. This is due to high costs and lack of adequate medical equipment and workers in India and other low- and middle-income countries (LMICs).

Predictive Screening With AI

Niramai, a tech company located in Bengaluru, India, has developed an AI technology known as Thermalytix, which detects indicators of breast cancer. Thermalytix uses computer software to analyze thermal imaging of breasts and scan them for abnormal “hot spots, warm spots and vascular patterns” and determine the probability of any malignant lesions.

Since 2016, Niramai has conducted studies on the effectiveness of Thermalytix in different clinics and hospitals across India. Over the past nine years, Niramai has invited more than 16,000 women to participate in clinical trials, improving its Thermalytix technology. Thermalytix was evaluated in terms of sensitivity (ability to identify true positives) and specificity (ability to identify true negatives) in each study.

In every iteration, Thermalytix has consistently scored between 82-98% in sensitivity and 80-88% in specificity. It has already “received regulatory approval in India” and met the health and safety criteria to receive the CE mark in Europe. Thermalytix patients found to be positive or at high risk for breast cancer are always referred to receive further testing with either mammography, MRI or ultrasound technology. However, its effectiveness as an early intervention tool is not to be understated.

Conclusion

As a lower-cost and noninvasive technology, Thermalytix has the potential to make breast cancer screening in India more accessible to the general population. If implemented on a large scale, this technology could “improve overall treatment outcomes” by catching breast cancer before it reaches the later stages.

– Delaney Gouveia

Delaney is based in Newport, RI, USA and focuses on Global Health for The Borgen Project.

Photo: Pexels

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Bulgaria’s Air Quality and Disease Prevention

Bulgaria's Air QualityBulgaria’s public health initiatives prioritize air quality and disease prevention. They address critical issues that disproportionately affect low-income communities and exacerbate poverty, promoting a healthier and more equitable society.

Breathe Sofia

In September 2022, the city of Sofia, Bulgaria, launched Breathe Sofia, a project aimed at improving air quality in one of the country’s most polluted cities. It focuses on protecting vulnerable populations by building public support for stronger policies, offering technical guidance for regulations and sharing international best practices.

By reducing air pollution, these efforts can help alleviate poverty by lowering health care costs and improving quality of life, especially for communities most affected by environmental disparities. Beyond health benefits, air pollution reduction also promotes social equity. It supports children’s well-being in impacted areas, increases economic participation and reinforces Bulgaria’s commitment to inclusive development under the European Union’s (EU) sustainability goals.

Bulgaria’s Air Quality

Bulgaria has also launched the New Operational Program on the Environment, allocating $1.77 billion to address water and waste management, biodiversity and air pollution. Since 2021, the program has helped provide cleaner air for 1.3 million people.

Furthermore, as part of its broader sustainability agenda, Bulgaria has prioritized emissions reduction through the National Program for the Improvement of Ambient Air Quality. This strategy drove significant progress between 2018 and 2024, with emissions falling by 66.5%. This reduction directly benefits low-income families by providing cleaner air and supporting healthier, more sustainable living conditions.

Addressing Diseases

To address cancer and chronic diseases, Bulgaria has joined the Joint Action to Prevent Noncommunicable Diseases and Cancer (JA PreventNCD), a three-year EU-funded health initiative. The project aims to reduce the burden of cancer and other noncommunicable diseases (NCDs) across Europe by supporting 22 EU Member States, along with Iceland, Norway and Ukraine. It also focuses on tackling social inequalities linked to NCD risk factors.

With NCDs disproportionately affecting marginalized communities, JA PreventNCD targets the root causes by addressing the link between poverty and poor health. The initiative acknowledges the unequal impact of NCDs on lower socioeconomic groups and promotes equitable access to prevention and care. By focusing on prevention and healthier lifestyles, JA PreventNCD aims to reduce health problems, ease the economic burden of NCDs and contribute to poverty reduction.

Bulgaria’s commitment to rare disease recognition took a major leap in 2005 when it joined the J Project, a Central and Eastern European initiative focused on primary immune deficiencies. Ten years later, this progress led to the establishment of a dedicated expert center at the university hospital. The center provides families in low-resource communities with access to specialized care for rare diseases.

Final Remarks

As Bulgaria works to improve the quality of life for its citizens, it collaborates with national and international programs aimed at disease prevention and air pollution reduction. Supported by initiatives like the Clean Air Fund and the EU partnerships, these efforts create healthier environments and expand access to essential resources in underserved communities through public health and sustainability investments. Indeed, they help pave the way for a more equitable and resilient future.

– Karisma Polly

Karisma is based in Sunrise, FL, USA and focuses on Global Health and Celebs for The Borgen Project.

Photo: Pixabay

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Helena Ndume: How a Namibian Doctor Helped Blind People See

Helena NdumeFor thousands of impoverished Namibians, Helena Ndume is a miracle worker. In her 30 years as an ophthalmologist, she has performed more than 35,000 eye surgeries, giving people back their sight and livelihoods. But despite her worldwide acclaim, Helena Ndume was once living in a situation not unlike those of her patients: poverty-stricken, disadvantaged and rife with inequalities. However, instead of giving up, she persevered and changed the lives of thousands across the globe.

Early Life

Helena Ndume was born in Namibia in 1960. During this time, Namibia, like many other South African countries, was divided by apartheid, a system of racial segregation that resulted in mass discrimination toward citizens of color. Even from a young age, Ndume could not stay quiet about the injustices committed against her people. She participated in anti-colonial rallies in junior high. Eventually, she decided to leave the country when she was 15 years old.

The journey before her was not for the faint of heart. To make it to the refugee camp in Zambia, she had to first cross Angola on foot, which was in the midst of a violent civil war. Her determination and grit shone through as she successfully made the voyage. She then took advantage of her Zambian education to earn a prestigious scholarship to the University of Leipzig in Germany. With such a prestigious education, Helena Ndume could have gone anywhere in the world. However, she chose to return to her home country of Namibia to fight the economic and social turmoil there.

The Namibian Struggle

By the time Ndume returned home in 1989, the nation was undergoing rapid social and political change. Namibia had finally gained independence after its 50-year stint as a territory of South Africa and this move allowed it to break free of apartheid rule. Despite this big win, Namibians were in no position to celebrate.

The country had recently suffered a large drought, which weakened the already-lacking agricultural sector. Furthermore, even though apartheid was over, Black citizens still struggled to take their place in the workforce, which heavily advantaged the wealthy White upper class by excluding people of color from taking high-paying jobs.

As a result of a lack of opportunities and continued inequality, more than half of the Namibian population experienced extreme poverty, which manifested itself as starvation and disease outbreaks. HIV/AIDS and polio cases hit a record high during the mid-’90s, as per the Centers for Disease Control and Prevention. Both illnesses can weaken the immune system and pave the way for sight-stealing diseases, such as cytomegalovirus (CMV) Retinitis and trachoma. Without adequate health care or a cure, thousands of Namibians were left blind.

A Global Hero

This is why, Ndume says, she decided to work with Surgical Eye Expeditions (SEE) International. SEE International is a nonprofit organization that sends experienced doctors and life-changing vision technology to underserved communities. Since starting in 1995, Ndume has served at hundreds of free eye clinics to treat preventable blindness.

Blindness is often seen as a crippling affliction in many parts of the world. However, its impact is especially severe in developing countries like Namibia because of the widespread lack of health care, which affects as much as 70% of the population in some areas.

Ndume believes that blindness is closely associated with severe poverty due to its far-reaching consequences on one’s lifestyle. From causing a parent to lose their job to forcing a child to drop out of school, blindness has severe repercussions for entire families and communities.

Envisioning a Brighter Future

One of the most inspiring things about Ndume’s work is her undeniable passion for the people she serves. Ndume has stated that her patients’ joyful expressions “fuel and recharge” her to “continue serving not only the Namibian people but all of humanity.” Such sentiments demonstrate Ndume’s undeniable passion for helping others and becoming a positive change source in her community.

Her dedication to serving humanity has not gone unnoticed. In 2015, she was awarded the Nelson Rolihlahla Mandela Prize by the United Nations (U.N.), recognizing her unwavering commitment and transformative work in global health. Receiving the award was a full-circle moment for Ndume, who undoubtedly looked up to Mandela’s anti-apartheid activism as a young teen. In addition to this prize, Ndume was presented with the Lions Clubs International Humanitarian Award and the Forbes Women Africa Social Impact Award in 2022.

Looking Ahead

Although blindness is still prevalent in Namibia, Ndume’s work has given citizens a reason to hope for a brighter future. Since 1993, the poverty rate has been halved and the GDP has grown substantially, according to the World Bank. The Gini Index, which measures the income equality in a nation, is still disproportionately high at 59.1% as of 2015, but shows a promising downward trend from the previous decade.

These statistics prove that economic growth is on the horizon for Namibia, as well as greater equality and health care. Ndume’s selflessness and devotion to the betterment of her country define her as a role model and inspiration for future generations of doctors, innovators and leaders worldwide. Most importantly, her incredible story shows that anyone can make a difference in their community, no matter where they come from.

– Grace Gonzalez

Grace is based in Oakton, VA, USA and focuses on Global Health for The Borgen Project.

Photo: Flickr

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Health Care Crisis: 4 Diseases Impacting Kenya

Diseases Impacting KenyaKenya’s health care system has profoundly suffered as problems like corruption, lack of adequate resources, systemic malpractice, suboptimal policy-making, and Kenya’s ever-increasing poverty rates, amongst other severe issues, pervade Kenya’s fragile health care sector. The current climate crisis has also ignited further issues regarding Kenya’s health care system, as the rate of Neglected Tropical Diseases (NTDs) has drastically increased in recent years. Here are four diseases impacting Kenya.

Malaria

In 2022, Kenya reported around 5 million cases of malaria, with more than 12,000 Kenyans dying as a result of the outbreak. Lack of rainfall and high temperatures have exacerbated the already dire risk of Malaria contamination, as Kenya’s lack of rainfall has created environmental conditions that are highly conducive to Malaria exposure.

Extreme changes in Kenya’s weather patterns have attracted a breed of mosquito, Anopheles Stephensi, which serves as an avid transmitter of malaria. Studies have concluded that the resurgence of the Anopheles Stephensi population in Kenya could potentially expose around 126 million Kenyans to Malaria.

HIV/AIDS

Kenya currently has the seventh largest percentage of people infected with AIDS/HIV globally. Due to the erroneous distribution of health care facilities across Kenya, faulty educational policies and cultural/systemic gender norms, AIDS/HIV reigns as one of the leading causes of death in Kenya. The HIV/AIDS epidemic disproportionately affects women, especially young women (15-24), as women and young girls make up two-thirds of the current percentage of Kenyans living with AIDS/HIV. The current U.S. foreign aid freeze has only exacerbated this issue, as foreign aid has historically accounted for 40% of Kenya’s HIV/AID preventative resource supply.

Cholera

Kenya has historically been a hotspot for frequent Cholera outbreaks and has continued to affect the Kenyan population due to poor sanitation infrastructure and lack of access to clean water. Heavily populated areas like refugee camps, informal settlements, and other highly populated and poorly regulated areas have especially served as hotspots for Cholera contamination.

While efforts like nationwide vaccine distribution, an increase in research towards Cholera prevention/preparedness, and an increase in policy highlighting health care reform in Kenya have helped mitigate outbreaks in recent years, Kenya has had a Cholera outbreak almost every single year since its first outbreak in 1971.

Tuberculosis

In 2016, Tuberculosis was the fourth-leading cause of death in Kenya, and the reported cases of TB contamination have increased sixfold in the last 15 years.  The COVID-19 pandemic only exacerbated these rates, as the percentage of Kenyans who contracted Tuberculosis increased from 49% in 2019 to 61% in 2020. While the spike in Tuberculosis rates has since decreased as the turbulence of the pandemic has decreased, the 2020 Tuberculosis outbreak represents the severe fragility of Kenyan’s health care sector, as statistics have repeatedly shown that the slightest economic, political, health care, or societal issue can seriously exacerbate an already extremely vulnerable healthcare system.

The Future

Though many issues continue to fray the fabric of the health care sector in Kenya, there is hope for the welfare of Kenyan citizens. In 2024, President William Ruto implemented the Social Health Insurance Fund, mandating health care coverage for citizens nationwide.

NGOs like UNICEF and the World Health Organization (WHO) continue to implement immunization programs to reduce diseases impacting Kenya.  Though much work is still necessary when it comes to health care reform in Kenya, the shift in political attention towards healthcare reform, coupled with the persistence of NGO efforts to supply Kenya with the proper resources to combat disease outbreaks, establish that hope for the improvement of Kenya’s fractured healthcare system remains steadfast.

– Ava Lachini

Ava is based in Los Angeles, CA, USA and focuses on Global Health for The Borgen Project.

Photo: Flickr

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Advances in Monitoring Air Pollution in Laos

Air Pollution in LaosLaos is one of the most polluted countries in Southeast Asia. However, it has implemented a wide-reaching air monitoring system, improving the data on real-time air quality.

What Causes Air Pollution in Laos

Numerous sources, including waste burning, vehicle emissions, forest fires, heavy industry and the widespread use of slash-and-burn agriculture, cause air pollution in Laos. Slash-and-burn agriculture is where land is cleared for planting by burning the existing forests in the area.

The region has a long history of using slash-and-burn agriculture and people consider it traditional and effective; however, it contributes significantly to air pollution in Laos.

Negative Effects of Air Pollution

Worldwide air pollution leads to about one in nine deaths. Being exposed to high levels of air pollution can lead to lung cancer, heart disease, respiratory infections and stroke. As well as an increased risk of developing dementia and Alzheimer’s. Air pollution also has economic impacts; in 2019, it accounted for the loss of 6.1% of the global gross domestic product (GDP).

Also, because air pollution causes sickness, it places extra burdens on health systems and can increase the national healthcare spending. Further, when kids miss school due to an air pollution-related illness, they miss valuable time in the classroom and their parents often have to take time off work to look after them. This impacts economic growth.

Poverty and Air Pollution

Living on less than $1.90 per day, 716 million people are exposed to unsafe levels of air pollution. Pollution levels are especially high in lower-middle-income countries, where economies often depend on highly polluting industries.

Low-income communities tend to be disproportionately exposed to unsafe air pollution levels, partly because they tend to have jobs that require them outside performing physical labor. When they get an air pollution-related illness, they also tend to have more limited access to good and affordable health care.

New Air Quality Monitors

The government is combating air pollution in Laos by installing new air quality sensors. So far, 148 schools across the country have installed sensors, ensuring coverage in every district. This provides authorities with localized, real-time data on air quality nationwide. Policymakers can use this data to shape long-term clean air strategies and take immediate actions, such as temporarily closing schools in areas with dangerous pollution levels.

Hands-on training for students, teachers and local officials accompanied the installation of the sensors. In the future, an AI-powered program will use the data collected from the sensors to provide real-time local air quality estimations for more than 8,500 villages in Laos. This will include areas that do not have on-site sensors.

Final Remarks

While air pollution in Laos remains a serious concern, the government’s investment in real-time monitoring marks a major step forward. With sensors now installed across every district and plans to expand AI-powered forecasting, Laos is better equipped to track pollution. Furthermore, this will allow the protection of public health and guide long-term environmental policy. Continued innovation and action will be essential to ensure cleaner air and a healthier future for all Laotians.

– Axtin Bullock

Axtin is based in Georgetown, MA, USA and focuses on Technology and Global Health for The Borgen Project.

Photo: Wikimedia Commons

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USAID Programs in Côte d’Ivoire

USAID Programs in Côte d'IvoireFrom its establishment in 1961, the United States Agency for International Development (USAID) has been at the forefront of civilian aid and assistance for developing countries. USAID programs in Côte d’Ivoire have increased health, peace, education, political stability and gender inclusivity. But, the nation still has many major problems, from malaria incidence to domestic tranquility, to overcome with the help of USAID. Since the agency’s dissolution, data and documents about its work have become increasingly scarce.

Health Initiatives in Côte d’Ivoire

Côte d’Ivoire has many health issues. Malaria and maternal mortality are specific challenges to the country’s health security. USAID programs in Côte d’Ivoire are focusing on its health security by tackling these and other problems such as HIV/AIDS and child health. USAID training and education initiatives have rapidly increased the learning and adaptation of medical practices, even while the country spends just 3.13% of its GDP on health care. This has led to a more resilient and adept health care system which is seeing better performance every year.

Two Food for Progress USAID programs began that increase food security for the country by processing crops locally instead of exporting raw crops to be processed. This incentivizes more regional trade and partnerships that unify the economic activities of the regions.

Promoting Peace & Education Côte d’Ivoire

Côte d’Ivoire is still healing its wounds from the Second Ivorian Civil War that began with post-election conflict and ended in 2011, which resulted in a UN/French/Ouattara victory (Ouattara being the current illegitimate president’s opposition leader). The U.S. Secretary has recently provided more than $45 million “to help Côte d’Ivoire and its neighbors prevent conflict and promote stability in the face of regional threats.” The U.S. has recently been successful in laxing tensions in the Coastal West Africa region and has provided nearly $300 million in assistance to accomplish such.

The new Millennium Challenge Corporation Compact with the Côte d’Ivoire, valued at $536.7 million, has two major parts:

  1. Accelerate transportation projects aimed at stimulating the country’s short-term economic growth and employment.
  2. Fund educational initiatives to support projects and programs for the youth of the country.

In the education sector, Côte d’Ivoire has successfully brought its primary school enrollment to 102% of the gross population considered of age to be going to primary school. This figure is up from 55% in 1970. The U.S. embassy in Abidjan also offers educational programs for the nation to advance their studies in the U.S. or abroad, including Fulbright Fellowships, Mandela-Washington Fellowship and EducationUSA.

Political Transition & Inclusion in Côte d’Ivoire

The U.S. is strengthening democracy and governance in Côte d’Ivoire through institution building. Politically, there is a major emphasis on greater inclusion of women and youth as these historically marginalized groups will be playing a larger role as the country further develops. Protecting and promoting their rights concurrently increases the country’s political stability and security.

USAID programs in Côte d’Ivoire were actively enabling the $14.2 million Political Transition and Inclusion program, whose goal is to support “national and local government efforts to be more inclusive of citizens’ democratic ambitions, and responsive to their needs and concerns.” This program specifically identified the disconnect between the government and citizens being the most significant challenge the country faces. No current data or documents could be found about the program’s current performance. Beyond this and other USAID initiatives, many more projects exist that incentivize community resilience, modernizing the justice system, and free and fair elections.

Final Thoughts

Côte d’Ivoire has made significant developmental progress, specifically within health care and domestic stability. Whether USAID programs in Côte d’Ivoire make a lasting impact will be seen in the 2025 October elections and future equity and economic metrics.

– Aedan Bingham

Aedan is based in Worcester, MA, USA and focuses on Business and Global Health for The Borgen Project.

Photo: Flickr

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USAID in Ghana: Cuts Could Undermine Progress

USAID in GhanaGhana is entering a critical crossroads. What began as a sudden freeze on U.S. foreign assistance has halted some of the country’s most vulnerable development areas, including health, education, agriculture and governance. With a projected $156 million funding gap, Ghana’s hard-won progress is in jeopardy.

USAID in Ghana

Until recently, USAID contributed about $150 million per year to Ghana. The organization funded efforts in maternal and child health, HIV/AIDS and malaria treatment, education accountability and climate-smart agriculture programs through Feed the Future and other initiatives. Other key programs, such as the Strengthening Accountability in Ghana’s Education System (SAGES), have been suspended, putting the quality of education and support systems for thousands of students at risk.

The Resilience in Northern Ghana (RING II) Systems Strengthening Activity, a $21.9 million initiative being implemented (2022 to 2027), is one of the most severely impacted programs. This initiative aimed to improve nutrition, strengthen economic resilience and improve local governance systems in northern Ghana. It collaborated with 17 district assemblies to enhance health, education and social protection services delivery. Undoubtedly, the USAID has been a critical partner to Ghana for many years, enhancing the livelihoods of millions of Ghanaians with these funds.

Widespread Effects Across Sectors

In Ghana’s fisheries sector, USAID-backed plans for the first Marine Protected Area were abruptly canceled. The cancellation imperiled local economies dependent on small pelagic fish like sardines, anchovies and mackerel, which make up about 60% of local fish landings and serve as a primary protein source for millions.

In agriculture, programs that provided seed, training, climate-smart methods and agribusiness support to rural farmers have stopped, jeopardizing food security in regions already suffering from poverty and climate shocks.

Governance initiatives such as the Performance Accountability Activity (PAA) have also been paused, weakening transparency and citizen participation at the district level. While Ghana’s “Ghana Beyond Aid” agenda gains momentum, the sudden withdrawal of U.S. support highlights the difficulty of fulfilling development goals in fragile systems dependent on international partnership.

Local and Multilateral Allies Step In

John Mahama, President of the Republic of Ghana, has ordered urgent action. He has prompted the government to uncap the National Health Insurance Levy, raising GH¢4.2 billion ($300 million) to fill the USAID funding gap in health services. Some local and multilateral organizations have also stepped in to mitigate the impact. The African Development Bank (AfDB) and SEND Ghana have emerged as critical lifelines during this transition, leveraging financial power and policy advocacy.

In late 2023, the African Development Fund, the concessional arm of the AfDB, approved a $102.6 million budget support grant to Ghana’s Ministry of Finance. The funding stabilized public finances and supported critical health, agriculture and infrastructure sectors. Beyond emergency support, AfDB maintains an active project portfolio worth more than $800 million, financing 23 programs nationwide. By 2025, AfDB had committed to deepening investment in Ghana’s transport systems, private sector innovation and cybersecurity infrastructure, signaling a long-term vision beyond stopgap relief.

Meanwhile, SEND Ghana, a local nonprofit focusing on health equity and budget advocacy, has pressured Parliament to make pro-poor spending a national priority. SEND Ghana calls for the transparent use of revenue from the National Health Insurance Levy. It is pushing for those funds to plug gaps in maternal health, school feeding and public education left behind by USAID’s departure. By issuing regular policy briefs and engaging directly with lawmakers, SEND ensures the country’s most vulnerable citizens don’t fall through the cracks during this funding transition.

SEND Ghana applauded the government for uncapping the National Health Insurance Levy (NHIL) and allocating about $8.8 million to the National Health Insurance Fund (NHIF) in the 2025 budget. The organization described it as a significant step toward sustainable health care financing. It also viewed it as progress toward transparent, inclusive and accountable governance.

Final Remarks

An analysis by the Center for Strategic and International Studies (CSIS) noted that halting foreign aid weakens U.S. geopolitical influence and undercuts global security efforts. Foreign assistance isn’t charity, it’s strategic infrastructure.

– Dela Michel

Dela is based in Rockville, MD, USA and focuses on Good News for The Borgen Project.

Photo: Unsplash

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Organizations Advancing Disease Prevention in Serbia

Disease Prevention in SerbiaSerbia, a country in the Western Balkans between Southeastern and Central Europe, faces many diseases. It is suffering from the dual burden of communicable and noncommunicable illnesses to the growing threat of antibiotic-resistant bacteria spreading across Europe. Health organizations are working relentlessly to strengthen disease prevention efforts in Serbia.

European Center for Disease Prevention and Control

Over the past few months, the European Center for Disease Prevention and Control (ECDC) has visited Serbia. It aims to better understand the strengths and weaknesses of Serbia’s handling of communicable diseases, antimicrobial resistance (AMR) or antibiotic-resistant bacteria.

AMR is a major global concern as antibiotic use continues. Within the European Union (EU) alone, 35,000 people die each year from antimicrobial-resistant bacteria. The visits by ECDC experts ensure that roadmaps can be produced to follow AMR trends across the country, focusing on important sectors such as public safety, human and animal health.

The ECDC organized these visits using a “One Health” approach. The approach is a collaborative, multi-sectoral goal to achieve positive health for humans, animals and the environment, recognizing that the health of these three groups is interconnected. Using the approach, the EU hopes to increase disease prevention in Serbia and throughout Europe.

In addition to supporting the One Health initiative, the ECDC visited Serbia to help strengthen the surveillance of communicable diseases. On March 18, 2025, the agency released a report on its visit outlining several key recommendations:

  • Case definition revision. Revise case definitions within Europe’s most recent legal framework to understand “notifiable” diseases at the EU level in 2025.
  • Decrease surveillance burden for data providers. An automatic “integration of clinical and laboratory data” will decrease the chance of error within the system.
  • Improve notification timelines. Hold more meetings with stakeholders to collect overviews of notifications, which will aid in the surveillance of diseases.

The World Bank Group

The World Bank Group began a Noncommunicable Disease Prevention and Control Project for Serbia to aid in improving the Serbian health system. Efforts within the project include five main goals:

  • Improving the competence of providers.
  • Increasing accessibility to services.
  • Strengthening clinical and public health services.
  • Supporting project management, monitoring and assessment.
  • Improve government response in cases of emergency.

The World Bank Group initiated the project in December 2024. Efforts in the project are primarily focused on health facilities and construction, with a secondary focus on health and a tertiary focus on public administration. While the completion ratings and results have yet to be reported, the World Bank Group has reported “satisfactory” reviews for its management and progress in achieving the project goals.

Conclusion

The initiatives taken by groups like the ECDC and the World Bank Group are the first but the most important steps in securing a healthy future for the people in Serbia and worldwide. Suppose projects like the One Health approach improve Serbia’s prevention and control of disease. In that case, the broader application of this method can improve health systems in other developing countries.

– Matthew Perduk

Matthew is based in Chantilly, VA, USA and focuses on Good News and Global Health for The Borgen Project.

Photo: Flickr

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How Liberian Women Are Closing the Maternal Health Gap

Women are closing the maternal health gapLiberia’s health care system, devastated by civil war and the 2014–2015 Ebola outbreak, suffers from one of the highest maternal mortality rates globally, 628 deaths per 100,000 live births. Nonetheless, after the crisis, Liberian women are closing the maternal health gap and quietly spearheading a transformation.

Through decentralized networks of midwives, traditional birth attendants (TBAs) and grassroots advocates, they fill the gaps left by a fractured health system. Backed by nongovernmental organizations (NGOs) such as Last Mile Health, CARE Liberia and Mercy Ships, these women are lowering maternal mortality rates while challenging gender and political obstacles. Their approach, based on trust and cultural understanding, serves as a worldwide model for recovery in post-conflict settings.

Grassroots Networks: Midwives and TBAs on the Frontlines

In rural Liberia, where 44% of women deliver at home without skilled assistance, community health workers (CHWs) and TBAs are crucial. Initiatives like Last Mile Health have trained thousands of CHWs to provide prenatal care, make emergency referrals and treat malaria, reaching more than one million people in remote areas. Meanwhile, TBAs, often the only providers in villages, now collaborate with clinics through programs that combine traditional knowledge with medical training.

The Liberia Midwifery Program, supported by the World Health Organization (WHO) and the United Nations Development Fund (UNFPA), has expanded rural midwifery schools. The project achieved this, though shortages remain, with fewer than 200 midwives serving four million people. “We need midwives who can ensure safe pregnancies before conception,” Bentoe Tehoungue of the Liberian health ministry says. These efforts yield results: maternal mortality has decreased by 64% since 2000, demonstrating the impact of community-driven care.

Women’s Advocacy

Liberian women are closing the maternal health gap as they are not merely caregivers but also policymakers. Female-led local health committees actively lobby for improved clinics and higher midwife salaries. CARE Liberia supports these efforts through its Women’s Voice and Leadership program, which trains women to hold health budgets accountable.

Although patriarchal resistance is still strong, signs of progress are evident. For instance, in 2019, the Liberian Board for Nursing and Midwifery updated its curriculum to emphasise midwives’ roles as leaders, not just service providers. These changes illustrate a broader pattern: when women spearhead recovery efforts, the solutions tend to be more sustainable.

NGO Partnerships: Scaling Local Solutions

International allies offer vital support without replacing local expertise. Mercy Ships, active in Liberia since 2005, trains surgeons and donates equipment to tackle obstetric emergencies such as fistulas. Meanwhile, Last Mile Health helped establish Liberia’s National Community Health Program in 2016, which has become a global model for CHW systems. Challenges remain with USAID funding cuts straining services, but Liberian women maintain resilience.

Looking Forward

Liberia’s maternal health crisis persists, but women are closing the maternal health gap and have demonstrated that community trust can outperform top-down solutions. By blending traditional knowledge with modern health care, pushing for policy reforms and forming NGO collaborations, they save lives and reshape health care leadership. Their approach offers valuable lessons for societies recovering from crises: lasting change starts with those who understand the needs most.

– Emilia Bartle

Emilia is based in Watford, UK and focuses on Good News and Politics for The Borgen Project.

Photo: Wikimedia Commons

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Medical Aid in Jordan Receive Major Upgrades

Medical Aid in JordanJordan, a developing nation, continues to face challenges within its health care system. Like much of the world, the country was significantly impacted by the COVID-19 pandemic. The virus remains one of the leading causes of death in Jordan. Consequently, according to the World Health Organization (WHO), the nation experienced a decline in life expectancy, dropping from 79.8 years in 2019 to 75.6 years by 2021.

Beyond the direct health toll of COVID-19, which continues to affect the population, Jordan experienced a significant economic downturn during the pandemic. While tourism is not the country’s primary source of revenue, widespread closures of restaurants and local businesses highlighted the pandemic’s broader economic impact. Reduced consumer activity and a sharp decline in domestic and international visitors contributed to revenue losses across multiple sectors.

As a result, poverty levels in Jordan rose during and after the pandemic. According to the World Bank, 15.7% of the population now lives at or below the national poverty line. In comparison, the poverty rate stood at 14.4% in 2010, reflecting a marginal but notable increase over the past decade.

Medical Tourism in Jordan

Beyond its reputation for agriculture and natural beauty, Jordan is also widely recognized for its health care system. It ranks first in the Middle East for health services due to its well-regarded Western‑educated physicians and advanced medical facilities.

Medical tourism is a significant pillar of Jordan’s economy, generating more than $1 billion in revenue annually. It accounts for approximately 4% of the nation’s GDP. The sector has also created jobs for thousands of Jordanians, especially medical professionals.

Medical Aid Centers in Jordan

Medical aid centers in Jordan have increased recently, with the government upgrading six regional medical warehouses in Irbid, Jordan. According to Firas Hawari, the Health Minister of Jordan, “the new warehouses and vaccination center are part of broader efforts to modernize Jordan’s health care infrastructure, ensuring the efficient and equitable distribution of medicines and vaccines.”

The aim of upgrading Jordan’s medical warehouses is to improve access to efficient, high-quality health care services for medical professionals and the public. These upgrades focus on expanding storage capacity for essential supplies, such as vaccines, medications and medical equipment, thereby enabling streamlined distribution across health care facilities in the country.

Following the successful upgrade of the medical warehouse in Irbid, Jordan extended similar improvements to four additional facilities in Ma’an. Jordan implemented the upgrades through a partnership between the Jordanian Ministry of Health, the European Union (EU) and the WHO, further reinforcing the country’s robust health care system.

Jordan’s broader objective is to achieve universal health care coverage for its citizens and everyone else residing within its borders. To support this goal, the government allocated an estimated 850,000 Jordanian dinars (approximately $1.2 million) for the recent upgrade of its medical warehouses. These infrastructure improvements were completed by the end of March 2025, a key step in strengthening the country’s health care delivery system.

Looking Ahead

The expansion of warehouse upgrades across the country is expected to enhance health care delivery significantly. By increasing storage and distribution capacity, Jordan aims to ensure more affordable and accessible health care services. Furthermore, the upgrades are particularly for vulnerable populations, including refugees and citizens who depend on regular access to medication.

– Erin Lee

Erin is based in Queens, NY, USA and focuses on Global Health for The Borgen Project.

Photo: Flickr