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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

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Addressing Disability and Poverty in Tunisia

Disability and Poverty in TunisiaAccording to the Multidimensional Poverty Index (MPI), a positive correlation exists between disability and poverty in Tunisia. Disabled people are more than twice as likely to live in poverty. Seventeen indicators determine the MPI, including health care, employment, education, living conditions and physical security. As of 2017, Tunisia’s disability prevalence is approximately 14% within a population of 12 million. Since the 2011 revolution, Tunisia has taken action to reduce disability poverty in its communities. The following article will explain the connection between disability and poverty in Tunisia, amplify Tunisia’s recent achievements in reducing disability-poverty and discuss further improvements.

The Connection Between Disability and Poverty in Tunisia

  1. Educational Setbacks: Mental and physical impairments hinder disabled children from attending school. Oftentimes, educational facilities in developing countries do not have accessible transport for students who require wheelchairs or special equipment. Mental disabilities prevent students from learning at the same rate as their peers. This educational gap has direct links to future unemployment and financial instability for disabled persons. 
  2. Lack of Employment: In Tunisia, 40% of disabled people are unemployed, a critical factor in the prevalence of disability-poverty. Inadequate education, limited legal protection and disability stigma drive unemployment. While the statistic is unknown, women with disabilities are more likely to face discrimination according to the Tunisian General Trade Union.
  3. Poor Access to Health Care: Disabled citizens struggle to obtain quality healthcare. Many healthcare facilities are not wheelchair accessible. Hospitals in developing countries often lack basic equipment such as X-ray machines, exam tables and scales, which prevents service to disabled patients. Healthcare services for disabled patients also tend to be more expensive.
  4. Infectious Disease Prevalence: Infectious diseases, particularly zoonotic diseases, are common in Tunisia and worsen disability-poverty. Specifically, infectious disease may cause disabilities, particularly in childhood, by impairing motor, cognitive and sensory function.
  5. Unsafe Living Conditions: Dangerous environmental factors can instigate disabilities. Poor sanitation and dangerous infrastructure increase the likelihood of developing a physical impairment. Additionally, unsafe living conditions worsen the health of disabled persons, hindering employment and access to special services. This enacts a cycle of poverty. Impoverished conditions worsen disability, and disability encourages poverty’s increase.

Tunisia’s Advancements in Disability-Poverty Reduction

  1. Disability Cards: As of 2012, the Ministry of Social Affairs (MoSA) administers disability cards to Tunisians with physical and mental impairments. These cards allow disabled persons to acquire special services and government protection from discrimination. Disabled persons holding these cards are also ensured transportation, health care, access to recreational areas and employment opportunities.
  2. Government Funding: The Orientation Act 83 is a federal step to prevent disability and poverty in Tunisia. Organizations are funded in their provision of special education, workshops, vocational training and rehabilitation services. A direct effect of this act is the establishment of four special education institutions in Tunisia.
  3. Official Representation: Tunisia’s Convention on the Rights of Persons with Disabilities (CRPD) originated in 2008 and provides government protection to disabled persons. Three stakeholders make up the CRPD: the Ministry of Social Affairs (MoSA), the Ministry of Education (MoE) and the Ministry of Health (MoH). These departments are largely responsible for improving the living conditions of people with disabilities.
  4. Social Organizations: Prior to the 2011 Jasmine revolution, social movements fighting disability-poverty were unheard of. Today, numerous associations exist to protect the welfare of disabled persons. The Tunisian Organization of the Rights of Persons with Disabilities, the Tunisian Association for the Rights of Persons with Disabilities and the Parents and Friends of Persons with Disabilities Association of Tunis are all organizations dedicated to the reduction of disability and poverty in Tunisia.
  5. Election Aid: In 2014, Tunisia implemented the use of sign language in all election-related communication. This applies to voting registration, electoral polls, political speeches and national television programming. In 2019, the country implemented new voting technology — braille and sign language lexicons — further aiding citizens with vision or hearing impairments. As a result, Tunisia’s educational gap is reduced and disabled participation in society has increased.

Barriers in the Fight Against Disability Poverty

  1. Limit Social Stigma: Much of the Tunisian population treats disabled persons as second-class citizens or “charity cases.” Disability stigma results in negative outcomes on employment and educational opportunities for the impaired. Employment’s decrease results in poverty’s increase.
  2. Reliable Enforcement: Although Tunisia has laws to protect the welfare of disabled persons, there is a lack of enforcement of these laws. Disabled citizens’ legal rights are not effectively monitored.
  3. Repair COVID-19 Damage: Disability-poverty increased during the pandemic due to higher unemployment. Not only were jobs harder to find, but disabled persons often require contact assistance, putting them at greater risk for disease transmission. Disabled students struggled with remote education, heightening the education gap. Tunisia’s COVID-19 recovery ended towards the end of 2021, but the impact of the pandemic remains prevalent for the disabled community.
  4. Tunisian Parliament Suspension: The Tunisian Parliament was suspended after the July 25, 2021, constitutional referendum. This suspension has prevented the Parliamentary Commissioner for Persons with Disabilities and other Vulnerable Groups from implementing field programs to aid disability-poverty.
  5. Broaden Disability Diagnosis: Although the disability card has reduced disability poverty in Tunisia, it is difficult to acquire these cards. They are given only after an approved medical assessment. This assessment may not account for all psychological impairments. 

Looking Ahead

Although disability and poverty are still a problem in Tunisia today, significant progress has occurred and points to future improvements. 

– Helen Cusick

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

Photo: Pexels

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How Internet Access Is Driving Poverty Eradication in Georgia

Poverty Eradication in GeorgiaIn developed countries, it can be easy to forget how invaluable a tool the internet can be in improving the everyday lives of people. In Georgia, revolutionary online programs are changing the ways that many people learn, earn and live. Almost 40% of Georgians live in rural areas, of which 27.5% are estimated to be living below the poverty line. For many of these people, unreliable access to transport, unpredictable weather and distance from urban areas make access to many services near-impossible. Internet-based innovations in poverty eradication in Georgia are proving to be beneficial in many different ways.

Education

Digital tools provide access to education for many Georgians, including both school children and adults. In rural areas, the rate of children completing high school is around 50%, significantly lower than that of children in urban areas (74%). This education gap is even more significant between the wealthy and poor, with the completion rate for the richest being more than double that of the poorest.

Educare Georgia is an initiative which aims to provide free access to global educational resources for Georgians. By translating more than 4,000 lessons from Khan Academy – a free source for lessons in subjects such as mathematics and science – Educare Georgia has helped connect many Georgian children to a more expansive way of learning.

Giveinternet.org is another initiative that Educare Georgia started. This service aims to provide internet access and devices to children in underserved communities and settlements for Internally Displaced Persons. What began as a project to help Georgian children has expanded to help children in other poverty-ridden countries, such as Malawi and Uganda. At present, 2,899 children in remote and marginalized areas have been provided with reliable access to the internet, ensuring equal educational opportunities.

Real-Time Jobs for Youth is another online educational project in Georgia, supported by the United Nations Development Program (UNDP) and UNICEF. It aims to provide young people from state care or marginalized backgrounds with free education on coding, digital marketing and design, as well as online freelance work. This has helped to greatly improve job opportunities for many young people. These programs are crucial innovations in poverty eradication in Georgia, allowing children of all backgrounds to receive a proper education.

Health and Social Care

Internet connectivity has had a major impact on health care accessibility in Georgia. During the COVID-19 pandemic, much of Georgia’s rural population found themselves unable to access proper health care. Many people live in mountainous regions where reliable transport is scarce and the weather can be extremely unpredictable. The vast majority of doctors in Georgia are based in Tbilisi and other urban areas, while most urban regions are critically underserved. This is especially true when it comes to the distribution of specialists, such as obstetricians and pediatricians.

A huge telemedicine initiative sought to provide improved health care to these remote areas, and the project has continued expanding since the end of the pandemic. In Georgia, approximately 93% of deaths are the result of non-communicable diseases. By providing video consultations, remote diagnostics and improving the communication methods between local doctors and specialists, many people now have access to health care and expertise which was formerly out-of-reach. One example of this improved healthcare is the more than 3,000 women now registered for cervical, breast and thyroid cancer screenings, hopefully resulting in the prevention of many deaths.

GeorgiaUnify

This expansion in online services and tools has also expanded into social care. GeorgiaUnify, a social care integration platform, developed by the Georgia Health Information Network (GaHIN), enables better communication between health care providers and social services. As stated above, much of Georgia’s rural population are unable to access or do not have transport in order to use many services. As a result, medical referrals for social care services do not always receive attention, and peoples’ situations do not improve. GeorgiaUnify notifies all parties involved of the referral, ensuring a better service. Data is also shared with local Community-Based Organizations, providing more information on housing stability, food security and transportation in order for people to access any services as easily as possible.

Agriculture

Agriculture employs around 38% of Georgia’s workforce, yet only makes up around 6-8% of Georgia’s GDP, demonstrating that many farms are underperforming or otherwise making little money. Platforms such as AgroMap, which Georgia’s Ministry of Environmental Protection and Agriculture developed, offer satellite imaging, crop analysis and weather forecasting. This data helps farmers make more informed decisions, improving yields and reducing costs. AgroMap also helps farmers access other business contacts and other support services.

The agriculture extension is another digital platform for farmers, enabling them to access online training and an electronic library of information. Farmers are now able to educate themselves on up-to-date techniques and have a better understanding of the market.

Digital tools also help with land management, irrigation planning and pest control. As a result, agricultural productivity has increased in regions where internet access is reliable, helping with the food security and economic stability of many rural communities. These support systems and data platforms are examples of practical innovations in poverty eradication in Georgia, granting a significant source of employment the chance to thrive.

Expanding Georgia’s Internet Access

The cornerstone of these advancements is the expansion of internet infrastructure. The Broadband Equity, Access, and Deployment (BEAD) is a $1.3 billion grant to expand internet access to reach all regions of Georgia. The program prioritizes communities that are currently unserved or underserved, promoting economic growth, improved education and training and access to services such as the ones listed above.

The initiative to expand access to the internet in Georgia is about much more than simply getting a 4G signal – it expands the opportunities and helps to improve the health, wealth and education of many communities. Many of Georgia’s most poverty-stricken are now able to get the tools needed to build a brighter future for themselves.

– Reuben Avis-Anciano

Reuben is based in Oxfordshire, UK and focuses on Technology and Solutions for The Borgen Project.

Photo: Unsplash

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Addressing Mental Health in Mauritania

Mental Health in MauritaniaMauritania is a country located in northwestern Africa and it severely lacks mental health care. The absence of basic necessities, ongoing economic instability and weak social support systems contribute to the development of mental health issues. Additionally, existing vulnerabilities such as discrimination and social stigma often intensify these struggles.

As of 2025, there is no publicly available data more recent than the 2004 joint study by Mauritania’s Ministry of Health and the World Health Organization (WHO). According to The New Humanitarian, the study found that approximately 34% of the country’s population had experienced a mental health issue. This encompasses a range of conditions including stress, depression and schizophrenia.

Poverty’s Effect on Mental Health

According to the United Nations Children’s Fund (UNICEF), as of 2022, one in four children lives in extreme poverty and 80% are exposed to some form of violence. This contributes to chronic stress and a heightened risk of mental health disorders.

Poverty remains one of the most significant barriers to both physical and mental health in Mauritania. According to the World Bank, rural areas bear the brunt of deprivation due to underdeveloped infrastructure and limited access to essential services. Many Mauritanians rely on informal or subsistence work, which offers little to no financial security, health insurance or protection against job loss.

This instability contributes to chronic stress, especially in households already dealing with illness, trauma or displacement. According to the World Bank, in these communities, even basic health services can be financially and geographically inaccessible, making mental health in Mauritana support a distant priority. The lack of income, combined with social stigma and institutional neglect, keeps many individuals trapped in a cycle where untreated mental health in Mauritania conditions both stem from and contribute to extreme poverty.

Having only one psychiatric hospital, the Nouakchott Centre for Specialised Medicine, with a limited number of beds, the population of Mauritania has very limited access to mental health care. According to Radio France Internationale (RFI), most patients only stay for a few days due to there being a limited number of beds and staff. The hospital only has 20 rooms, according to RFI.

Economic Toll of Untreated Mental Illnesses

The consequences of untreated mental illness in Mauritania extend far beyond individual suffering. They create a significant, long-term burden on the nation’s already fragile economy. Mental health disorders often limit a person’s ability to attend school, maintain employment or care for family members. In a country where 90.9% of Mauritania’s total employment is informal as of 2017, according to the Global Economy, any loss in productivity can have immediate and devastating effects on household income. This is especially damaging for families living at or below the poverty line, who lack savings, insurance or access to consistent medical care.

According to the National Institutes of Health (NIH), it is estimated that depression and anxiety cost the global economy more than $1 trillion each year in lost productivity. Individuals experiencing mental illness often drop out of school or are unable to secure jobs, reducing their lifelong earning potential. According to the United Nations Foundations, in many cases, caregiving responsibilities fall to women and girls, who may leave school or the workforce to support relatives, further entrenching gender and economic inequalities.

Long-Term Impact

According to a study conducted by the Tacoma-Pierce County Health Department in 2016, untreated mental illness can lead to higher health care costs in the long term, as conditions worsen and require more intensive interventions.

Untreated mental illnesses can also lead to social issues such as homelessness. The NIH reported that in 2021, more than 20% of people who experience homelessness also have a mental illness.

Expanding access to mental health care in Mauritania, training professionals locally and integrating psychological support into primary care could reduce long-term public spending while improving workforce participation and overall quality of life. According to the WHO, “every $1 invested in scaling up treatment for depression and anxiety leads to a return of $4 in improved health and productivity.”

Voices From Nouakchott

Despite limited staff, visitors and patients of the Nouakchott Centre for Specialised Medicine are satisfied with their visits. For example, in 2007, according to TNH, Dianaba Dia took her child to see a psychiatrist at the hospital for violent seizures.

“He was a doctor just like any other,” Dia told TNH. “What counts for me though is that since we saw him my daughter has got better.”

Additionally, the scarcity of mental health resources also profoundly affects individuals like Sidi Lemen after a failed attempt to emigrate to the United States in 2025. According to RFI, this setback led to depression and subsequent substance abuse. He sought help from the Nouakchott Centre for Specialised Medicine. However, due to limited resources, he was only admitted for a few days, highlighting the pressing need for expanded mental health services in Mauritania.

“We need to increase the number of beds,” Dr. Mohamed Lemine Abeidi told RFI. “Lots of patients travel long distances to come here, and there’s no other psychiatric care infrastructure.”

Mauritania faces significant challenges in providing mental health care not only because of the limited number of beds, but also due to a scarcity of trained professionals. According to France 24, all of the country’s psychiatrists have received their training abroad, highlighting the absence of local educational programs in this field.

Hope for Health Care

Mauritania’s mental health crisis is deeply intertwined with poverty. However, recent initiatives offer a glimmer of hope. The World Bank has launched a national program aimed at improving health services for approximately 2.5 million people, focusing on women, children and adolescents in underserved communities. This program aims to improve primary health care and increase access to mental health services.

Additionally, the United Nations High Commissioner for Refugees (UNHCR) is working closely with the Mauritanian government to integrate refugees into national healthcare systems, including mental health support. These collaborative efforts aim to build a more inclusive and resilient health infrastructure.

Despite these promising developments, significant challenges remain. According to Alima, the Mbera refugee camp is operating beyond its capacity, housing more than 116,000 refugees in a space designed for 80,000. This overcrowding exacerbates the strain on already limited mental health resources.

– Clarissa Dean

Clarissa is based in Bowling Green, KY, USA and focuses on Good News and Celebs for The Borgen Project.

Photo: Pexels