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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

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Addressing Health Care and Elderly Poverty in Bahrain

Elderly Poverty in BahrainBahrain has a growing elderly population with an expanding health care system. Since the 1990s, health care has been free for all Bahraini citizens. Health care ranges from the private to public sectors in the country. Universal health care helps address elderly poverty in Bahrain by providing the elderly with free health care access.

The BTI 2024 country report said that, “Although there is no reliable data on Bahrain’s poverty rate and the extent of relative inequality, the unequal distribution of wealth remains a major concern.”

Although there has been improvements, the elderly are concerned about their finances and do not believe pensions are helping as much as they could. Due to rising prices, people are becoming dependent on families because of a lack of funds. Meanwhile, the government claims that Bahrain does not have any poverty.

Shortcomings in Health Care for the Elderly in Bahrain

One of the shortcomings in Bahraini health care is a lack of geriatricians, also known as doctors for the elderly. The country has seen an increase in the elderly population from 1981-2024.

Maria Morcos, a certified physician assistant and researcher, said, “In the Bahraini health care system, patients don’t need primary care referrals to specialists—they are able to walk in at their convenience to receive testing or imaging without prior approval.” She further said how anyone can walk in to a specialist without a referral like in the United States.

Citizens can change their provider as they wish which can cause confusion as to if one is getting better. This type of approach is what Morcos calls a “patient-centered approach.”

“A common critique of this patient-centered model of care is the fact that many patients don’t feel well-equipped with medical knowledge to know what to choose or what to do, and some prefer the provider who definitively recommends what they personally think is best,” said Morcos. 

American Mission Hospital

The nonprofit hospital in Bahrain, the American Mission Hospital, is helping citizens, including the elderly, for free. In 2024, the Ministry of Social Development partnered with the American Mission Hospital and a psychiatric hospital to give health checks to citizens 60 years and older. In 2024, the American Mission Hospital also provided educational talks and demonstrations to Bahraini citizens.

“Our community outreach programs are developed around the needs of the people in Bahrain,” said Dr. George Cherian in an interview by Amal Abdullah. “Care of the elderly, the special needs children, reach out to labor camps are some of the activities we are involved in.”

An article by ADHRB said, “Older people in Bahrain often have to deal with several issues, from access to healthcare systems and maintenance of their economic security and independence to fighting social isolation.”

Some of the American Mission Hospital sponsors are BMI Bank, Standard Chartered Bank and Rashid Group. One of the ways American Mission Hospital generates income is through an annual golf tournament, where most of the funds go towards medical supplies.

The health care information guide said, “The Ministry of Health extends its support to elderly patients through mobile units and home visits, especially for those unable to access health centers, complemented by the Ministry of Social Development‘s provision of daycare, residential care services, and social assistance for the elderly.”

Looking Ahead

The country formed a national committee for the elderly in 1984. The American Mission Hospital has recently joined the “Mayo Clinic Care Network,” giving them access to different resources. The Mayo Clinic Care Network includes different resources the hospital will be able to take advantage of experience to improve as a whole.

Bahrain continues to make improvements to health care to prevent elderly poverty in Bahrain. The Gulf Press said, “By offering incentives to civil society organizations to establish additional facilities, the Ministry aims to provide seniors with a range of services including social, health, psychological, rehabilitation, and recreational care.”

– Matthew Restrepo

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

Photo: Unsplash

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Everything To Know About HIV/AIDS in Mongolia

HIVAIDS in MongoliaMongolia is a vast country in East Asia, bordered by China and Russia, with a population of about 3.5 million people, nearly half of whom live in the capital city, Ulaanbaatar. Once part of the Mongol Empire and later a Soviet satellite, Mongolia has undergone a rapid political and economic transformation since the 1990s. Today, it is a democratic state with a growing, resource-based economy. However, the country still faces infrastructure gaps, urban-rural inequality and a fragile health system stretched across immense distances.

In the context of public health, Mongolia has been largely spared from large-scale epidemics. HIV prevalence remains low, but that does not mean the risk is absent. For a nation often overlooked in global health discussions, Mongolia’s quiet battle against HIV is a story of early success—and urgent, unfinished business. Here is information about HIV/AIDS in Mongolia and efforts to combat it.

The Prevalence of HIV/AIDS in Mongolia

Mongolia has maintained a low overall HIV prevalence, estimated at around 600 people living with HIV in 2023. Men account for a significantly larger proportion of cases than women. While the numbers remain low compared to other countries, the number of cases has been slowly increasing over time. This highlights the need for sustained prevention efforts and real awareness campaigns.

The country reports fewer than 100 AIDS-related deaths annually, a reflection of progress in raising awareness, early detection and improved access to antiretroviral therapy (ART). However, treatment coverage remains below international targets; approximately 39% of people living with HIV receive ART, falling short of the UNAIDS 95-95-95 goals aimed for 2030. Without adequate treatment, the virus risks spreading further, especially among vulnerable populations.

Key Populations Most Affected by HIV/AIDS

Sexual contact is the primary mode of transmission. Certain groups carry a disproportionate burden of HIV infection:

  • Men who have sex with men face stigma and discrimination, which discourages them from seeking timely treatment.
  • Sex workers are at higher risk due to multiple partners and inconsistent condom use, compounded by social barriers to health care.
  • Transgender people experience similar stigma, limiting their access to prevention and treatment services.
  • People who inject drugs face heightened risk due to needle sharing, with limited awareness of safe injection practices in Mongolia.

Poverty and HIV/AIDS in Mongolia

Poverty exacerbates vulnerability to HIV infection and limits access to health care services in Mongolia. Many people living in poverty, particularly in rural and ger (traditional tent) districts around Ulaanbaatar, face barriers such as transportation costs, limited health care infrastructure and social stigma. These challenges reduce access to testing and treatment, increasing the risk of undiagnosed and untreated infections.

Mongolia’s Efforts To Address HIV/AIDS

To address these challenges, Mongolia has implemented several programs focused on vulnerable populations and poverty reduction:

  • Since August 2023, the Payment-for-Results model has incentivized NGOs to increase HIV testing and outreach among key populations, linking funding to performance outcomes.
  • The Undarga microfinance program, piloted since 2010, targets women engaged in sex work, offering financial education and savings services to reduce reliance on risky income sources.
  • Mobile health clinics that have support from the World Health Organization (WHO) and international partners bring HIV testing and health care services to rural and nomadic communities, overcoming geographic and economic barriers.

Looking Ahead

Mongolia has kept HIV prevalence and AIDS-related deaths relatively low, but a slow rise in new cases, especially among impoverished and stigmatized groups, presents ongoing challenges. Addressing poverty’s role in HIV vulnerability and improving health care access through innovative programs and sustained investment will be essential for Mongolia to sustain its progress and meet international targets. With continued commitment, Mongolia can look forward to a healthier future.

–  Julia Skowrońska

Julia is based in Wrocław, Poland and focuses on Global Health for The Borgen Project.

Photo: Flickr

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Midwife Training Reduces Maternal Mortality in South Sudan

Maternal Mortality in South SudanSouth Sudan has the highest maternal mortality rate in the world. Today, approximately 1,200 mothers die per 100,000 births, according to the World Health Organization (WHO). Lack of obstetric training, low rates of hospital deliveries and premature pregnancies are driving factors in this outcome.

A 2017 estimate claimed that health care professionals are only present in one of five childbirths in South Sudan. The majority of South Sudanese mothers give birth in unsanitary and isolated conditions. Forced marriage and adolescent pregnancies are common. A girl in South Sudan is more likely to die of childbirth than finish secondary school. However, maternal health improvement has occurred in the recent decade.

While mortality rates are still high, recent years have shown a decrease: from 2,054 maternal deaths per 100,000 births in 2010 to 1,223 deaths per 100,000 births in 2020. A massive reason for the past decade’s reduction of maternal mortality in South Sudan is an increase in trained midwives.

Hope for South Sudanese Mothers: A Midwife Training Institute

In 2010, the Sudan Relief Fund partnered with Solidarity for South Sudan to support establishing the Catholic Health Training Institute (CHTI). This institute trains young South Sudanese to become certified midwives and nurses in Wau, South Sudan. Its goal is to provide necessary health care to women in need, ultimately reducing the startling rate of maternal mortality in South Sudan.

The institute began with 18 inaugural students but has five times the enrollment today. Notably, one-third of the institute’s students are women. This is a remarkable statistic considering the educational gender gap in South Sudan. The institute serves as a temporary home for its students, providing them with dormitory housing and land to cultivate for the institute’s collective food service. Attending students come from various regions and tribal groups with a shared goal of reducing maternal mortality in South Sudan.

Education

Midwife certification requires a rigorous, 3-year education at Wau’s CHTI. National and foreign medical personnel work together to operate CHTI education. After passing an entrance exam, students are taken through thorough academic study. Students attend lectures and classroom lessons for the entire first year of their program.

Second-year students are taken to hospital facilities to practice hands-on skills such as maternal examinations, IV and immunization insertion and emergency skills like infant rehabilitation. In their third year of study, students are provided internships at Wau Teaching Hospital. Midwifery students will spend time focusing on antenatal care (ANC), learning to care for mothers throughout pregnancy and delivery.

First aid training and disease prevention education are also services provided to CHTI students. Meticulous training prepares CHTI students to impact maternal mortality in South Sudan positively.

Certification

As a result of its excellent education, CHTI renders certified and passionate health care professionals. Since its founding in 2010, the program has educated students to earn their Diploma in Nursing (RN). In 2012, a second certification was added, allowing students to receive a Diploma in Midwifery (RM). CHTI was labeled as the top-performing school of nursing and midwifery in the 2024 National Examination by the South Sudan Ministry of Health. CHTI graduates are among the nation’s first certified midwives, a massive step toward the reduction of maternal mortality in South Sudan. 

Hope for Maternal Health Improvement in South Sudan

Prior to the CHTI’s establishment, the nation only had 10 obstetricians and four pediatricians in total, according to the 2010 issue of the South Sudan Medical Journal. A decade of midwife training has produced more than 350 CHTI graduates. About 85% of the institute’s graduates are currently employed in local hospitals and NGOs.

With a certification in nursing and midwifery, CHTI graduates utilize their skills to aid mothers in safe pregnancy and delivery. Additionally, women are increasing in the institute’s enrollment, a factor further improving health outcomes for female patients. At the program’s graduation, students are ceremonially labeled as “beacons of hope” for their communities.

With organizations like the Sudan Relief Fund and Solidarity with Sudan’s support, CHTI is able to run amid conflict and crisis, encouraging mass reduction of maternal mortality in South Sudan.

– Helen Cusick

Helen is based in Minneapolis, MN, USA and focuses on Good News and Global Health for The Borgen Project.

Photo: Flickr

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Mpox in Burundi and Global Aid Efforts

Mpox in BurundiBurundi, a small land-locked country located in East Africa, is considered one of the most impoverished countries in the world. Burundi is home to 14 million people, with more than half of the population living on less than $2.15 daily. The reason for poverty lies in many circumstances, including a slew of civil wars and political instability, limited resources and a skyrocketing population. Over the past year, Burundi and its neighbors have faced a consequential Mpox (Clade I) outbreak.

While recent numbers suggest mpox infections are decreasing, Burundi still faces other deadly diseases and infections. The leading cause of death for people living in Burundi is lower respiratory infections, with malaria close behind at number two. Access to basic health care and infrastructure is a struggle many Burundi residents face. Nine out of 10 Burundians lack access to sufficient electricity and sanitation. Despite this, Mpox in Burundi is now on a slow declining rate with the help of global organizations.

Mpox (Clade I)

Burundi first declared the Mpox (Clade I) outbreak in July 2024. A few months prior, in April, Burundi suffered from severe flooding, which impacted nearly 250,000 people and left many more susceptible to pox. As of March 2025, there are more than 3,000 confirmed Mpox (Clade I) cases in Burundi. A multitude of factors, such as an overflowing population and restricted access to clean water and essential health care, initially caused Mpox in Burundi. This left many Burundi health care facilities overwhelmed and residents struggling to access necessary treatment.

During the peak of the Mpox outbreak in Burundi, infection rates in children rose substantially. In September 2024, UNICEF reported that in almost 600 cases, two-thirds of the affected population were children and the number of cases grew by more than 40% over the previous three weeks. This caused concern for many, as UNICEF reported that 80% of Mpox-related deaths are in children.

However, since 2025, there has been a noticeable decline in Mpox cases in Burundi. There are less than 50 new cases per week, which is around a 25% average decrease compared to case numbers during the peak of the Mpox outbreak. This accomplishment became possible due to the numerous organizations providing global aid to countries such as Burundi.

Global Aid Efforts

Health care in Burundi continues to face major challenges, particularly due to limited funding for the country’s health systems. In response, several organizations have developed targeted strategies to strengthen health care infrastructure and improve access. Here’s how some are helping residents in Burundi:

  • Village Health Works (VHW) launched the Halting Outbreaks by Mobilizing Essential (HOME) resources initiative in response to the Mpox outbreak. This initiative focuses on supporting women and children, the most affected groups. It provides essential medical supplies and offers training and support to local health care workers to bolster frontline response efforts.
  • Our Children International will volunteer at a medical camp in Karuzi Province in July 2025. During last year’s mission, the organization treated more than 4,500 patients in just four days. Its services include medical and dental care, life-saving medications and nutritional support.
  • UNICEF focuses its efforts primarily on children affected by Mpox. Due to the stigma surrounding the disease, many residents were hesitant to seek treatment. To address this, UNICEF broadcast prevention messages via radio, reaching more than 800,000 residents across Burundi. The organization also supplied medical kits and essential resources to dozens of hospitals. Additionally, UNICEF is working on prevention by training school personnel to recognize early signs of Mpox and promoting community-based education.

Conclusion

Addressing the health care crisis in Burundi requires global attention, community-based support and investment. While this issue is still widespread in Burundi and other countries, organizations like Village Health Works, Our Children International and UNICEF are making meaningful strides.

– Grace Johnson

Grace is based in Chicago, IL, USA and focuses on Technology and Global Health for The Borgen Project.

Photo: Unsplash

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Fighting Malnutrition in Refugee Camps With Microgreens

Malnutrition in Refugee CampsIn many parts of the world, malnutrition in refugee camps remains a persistent and deadly challenge. Refugee families often lack access to nutrient-rich foods due to limited agricultural space, inconsistent supply chains and poor infrastructure. Yet, a promising solution is emerging, one that requires minimal space, water or sunlight: microgreens.

The Power of Microgreens

Microgreens are tender, immature greens harvested just after sprouting, typically within seven to 21 days. Though small in size, they hold quite a bit of nutritional value. According to the Cleveland Clinic, microgreens are rich in vitamins C, E and K and beta-carotene and antioxidants that support heart health, reduce inflammation and may help fight chronic disease. Their concentrated nutrient content makes them an effective dietary supplement, especially in low-resource settings.

Since microgreens grow quickly and require minimal space, water and equipment, they are well-suited for refugee camps where access to fresh produce is limited. They can thrive in shallow trays with basic soil or growing mats, using only sunlight or low-energy lights. This makes them an efficient, low-cost solution for improving food security and nutrition in overcrowded and under-resourced environments.

Growing Health at Home

Families in refugee settlements across Lebanon and Jordan are improving their nutrition through small-scale gardening initiatives. Supported by the United Nations High Commissioner for Refugees (UNHCR) and local partners, refugees are adopting keyhole gardens. This includes circular raised beds that use compost and greywater to grow various vegetables in spaces of limit and restriction. These gardens are built using readily available, recycled materials, making them affordable and sustainable for displaced households.

UNHCR reports that such gardens help increase access to fresh produce and empower families to participate actively in food production. By cultivating vegetables at home, refugees can supplement their diets with fresh, nutritious ingredients while reducing reliance on food aid.

Growing Solutions Across Africa

Refugees are improving their food security and nutrition in parts of sub-Saharan Africa through sustainable gardening practices. In Kenya’s Kakuma refugee camp, programs like the permagarden initiative have trained residents to grow vegetables using climate-resilient techniques that conserve water and enhance soil health. These small plots can be built with locally available materials and thrive in limited space, making them ideal for approaching malnutrition in refugee camps.

According to Devex, participants in the permagarden program reported increased access to diverse vegetables and greater household nutrition. Beyond physical health, gardening has also helped reduce stress and build a sense of purpose among participants. However, as the Humanitarian Practice Network notes, efforts like these face challenges from environmental extremes, such as drought and flooding, which threaten the fragile resilience systems in Kakuma.

Organizations Making an Impact

The Lemon Tree Trust is transforming how displaced communities interact with their environments by promoting gardening as a tool for resilience, dignity and self-reliance. Working primarily across the Kurdistan Region of Iraq in fighting malnutrition in refugee camps, the organization helps residents reclaim unused spaces for growing food and flowers. Through initiatives like garden competitions, community garden spaces and the distribution of seeds and plants, the Lemon Tree Trust supports displaced families in creating green spaces that nourish both body and spirit. These gardens improve access to fresh produce and foster community cohesion, mental well-being and a sense of home in uncertain settings.

Mercy Corps is also taking bold steps to support refugee self-reliance by integrating food security initiatives like microgreen farming into broader economic and social development programs. Its approach goes beyond immediate relief, aiming to unlock the long-term potential of displaced individuals. For example, Mercy Corps has significantly invested in job training, agricultural innovation and women-led entrepreneurship. These efforts are helping refugees transition from reliance on aid to lead productive, independent lives. Through partnerships and strategic funding, the organization is scaling initiatives offering nutritional and economic benefits, enabling communities to thrive even in the most challenging environments.

A Path Toward Self-Reliance

Microgreens are not a complete solution to malnutrition in refugee camps, but they offer an affordable, fast-growing and scalable way to improve health outcomes. More importantly, they place the power of food production back into the hands of the people who need it most. As international aid agencies look for sustainable ways to enhance food security, microgreens represent a small but mighty innovation with the potential to transform lives.

– Vasara Mikulevicius

Vasara is based in West Bloomfield, MI, USA and focuses on Good News and Global Health for The Borgen Project.

Photo: Pexels

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Human Capital Investment Project Targets Poverty at the Roots

Human Capital Investment Project

In January 2025, Guinea-Bissau launched a $20 million Human Capital Investment Project with support from the World Bank. It aims to reduce poverty through education, health care and social protection investments. As one of West Africa’s most impoverished nations, Guinea-Bissau struggles with food insecurity, low school completion rates and limited access to basic services. Guinea-Bissau’s Human Capital Investment Project tackles these problems by strengthening public systems and targeting support to the country’s most vulnerable communities.

The Human Capital Investment Project

The Human Capital Investment Project initiative will deliver cash transfers to vulnerable households, helping families cover food, school costs and medical needs. It will also distribute school kits to more than 111,000 children to encourage classroom attendance and ease financial pressure on parents. These efforts aim to improve student retention in a country where fewer than 30% of students complete primary school.

The project also expands maternal and child healthcare, especially in rural regions with limited access to clinics. It funds new health workers and social service professionals who support expectant mothers and deliver care in hard-to-reach areas. These trained professionals provide care, help families navigate public services and improve trust in local systems.

The project further supports social programs and community outreach initiatives, fostering long-term development, reducing poverty cycles, and strengthening resilience among Guinea-Bissau’s most vulnerable populations.

Lessons From Similar Poverty-Focused Initiatives

Several global examples show how similar investments can improve the quality of life on a mass scale. In Mozambique, a government-led program in 2022 combined cash transfers with nutrition support, which increased school attendance and child health among impoverished households. Similarly, in Bangladesh, the Maternal Health Voucher Scheme provides prenatal care and financial assistance, helping reduce maternal deaths and increase access to health services.

Kenya also offers a strong example of the likely results of Guinea-Bissau’s project. In 2023, the government trained more than 1,000 community health volunteers who now bring basic medical care and health education to rural families. The program improves access to healthcare services and offers career paths for young professionals in underserved areas.

Guinea-Bissau’s Human Capital Investment Project takes a similar approach to these programs, using targeted investments in people to break the cycle of poverty. Indeed, Guinea-Bissau’s initiative will likely see similar successful results. The project will help build a foundation for long-term economic resilience and better quality of life by focusing on education, health care and social support.

Final Remarks

As the project continues, its success will depend on clear coordination and responsiveness to community needs. However, Guinea-Bissau’s Human Capital Investment Project signals an ongoing shift toward people-centered development. It could offer a model for other countries seeking to improve fragile public support systems and combat systemic poverty.

– Kelsey Eisen

Kelsey is based in San Francisco, CA, USA and focuses on Business and New Markets 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