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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

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Operation Smile in Panama: Changing Lives

Operation Smile in panamaPanama is a beautiful country that connects North and South America. Known for its tropical rainforests, beaches and home to the world-famous Panama Canal, linking the Atlantic and Pacific Oceans. Although these features bring in tourism and allow for global trade, this country’s economy is full of contradictions. However, Operation Smile is endeavoring to combat.

While Panama City is a bustling metropolis full of international trade, the wealth gap is desperately wide, with many Panamanians who live in rural areas living in extreme poverty. The rural and indigenous communities of Panama lack access to clean water, education and, most prevalently, health care. The Panama health crisis affects many, but one of the less addressed issues is the lack of available medical resources for those born with cleft palates.

Cleft Palates

A cleft palate is a condition where a gap in the roof of a baby’s mouth doesn’t fully close during fetal development. Affecting one in 700 children worldwide, children born with a cleft palate often experience severe difficulties eating. Without access to reconstructive surgery early on in life, this condition can swiftly leave a child more susceptible to infection, malnutrition and in some severe cases, starvation.

However, with 94% of children born with cleft palates coming from low-income backgrounds, this life-changing surgery is simply unobtainable due to the health care poverty that is widespread around Panama. Many families in rural Panama have little to no access to a doctor. They often cannot afford the surgery even if it were available.

How Operation Smile Is Helping

Since 1991, dedicated Operation Smile volunteers, including surgeons, nurses and speech therapists, have travelled across Panama to deliver free and life-changing surgeries to more than 3,000 children. Behind every operation is a network of professionals that aid in bridging the gap in health care within Panama’s most impoverished communities.

In addition to performing surgeries, the Operation Smile team provides a complete package of support, from dentistry and orthodontics to nutrition and speech therapy. These volunteers are vital in ensuring that these children have access to medical and emotional support, ensuring that patients go on to heal from their surgery and thrive into healthy adults.

The Story of Laura Alvarez

One of the most inspiring stories of an Operation Smile volunteer comes from Laura Alvarez. As a Panamanian woman, born with a cleft palate, she has made it her life’s ambition to help others born with the same condition. Although Alvarez could access surgery for her condition, she understood the importance of making medical care available across Panama, where her journey with Operation Smile began.

Alvarez recalls the struggles of growing up with a cleft palate, stating, “After I turned 10 years old, some classmates pointed out how I spoke strangely and looked different from them. ‘You look like a pig,’ they said. These cruel comments made me feel ashamed of myself.” With a first-hand understanding of the issue, Alvarez began working for the organization and soon traveled internationally to speak at the Latin America in Action (LEA) conference.

Conclusion

Operation Smile is bridging the health care gap in Panama by providing free, life-changing surgeries to needy children. The organization delivers critical care through dedicated volunteers and inspires long-term change in communities affected by health poverty.

– Abbey G Malin

Abbey is based in Oxford, UK and focuses on Good News for The Borgen Project.

Photo: Flickr

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Shifting Focus on Mental Health in Saint Kitts and Nevis

Mental Health in Saint Kitts and NevisMental Health in Saint Kitts and Nevis, formally known as the Federation of Saint Christopher and Nevis, has become a growing concern in recent years. A lack of prior funding and persistent cultural stigma around mental illness have left behind limited infrastructure for the country’s mental health care. Recently, however, the federation announced a shift in strategy, dedicating greater focus and more resources to mental health in Saint Kitts and Nevis. This new approach can potentially redefine how the developing world addresses mental health concerns.

Global Trends in Mental Illness

Mental illness is a growing concern globally, particularly in the developing world, including Saint Kitts and Nevis. According to the World Health Organization (WHO), in 2019, approximately 970 million people had some form of mental disorder. While still a global minority, this accounts for more than 10% of the population who had to deal with additional barriers in their day-to-day lives.

It is also important to note that mental illness does not affect all equally. Other negative situations in life, such as poverty or violence, can cause or worsen mental illness. This makes developing nations particularly vulnerable as they have larger impoverished populations. On top of that, many nations have limited support systems and cultural stigmas on the topic, which prevent many of their citizens from getting the care they need.

Challenges to Mental Health in Saint Kitts and Nevis

The Islands of Saint Kitts and Nevis have historically struggled with limited funding for mental health services. In 2007, the Federation raised its spending on mental health services to just 1%. While this was still an increase from even lower rates, which had not been adjusted since 1956, the country still lacked major infrastructure to offer help. Limited resources, including needed medicine and trained staff, mean that only the most severe cases in patients receive treatments. Approximately 1% of the population of Saint Kitts and Nevis has been diagnosed with some form of mental illness.

Poverty has also been a significant barrier to accessing mental health care in Saint Kitts and Nevis. In 2008, about 21.8% of the population was below the poverty line. However, due to increased government response, this percentage began to decline slowly but surely. The government sped this up by simultaneously funding public health, so potential patients did not have to pay out of pocket.

Not only can poverty lead to or worsen mental illness, it can also impact a patient’s ability to get care. Research shows that those living in impoverished conditions are less likely to seek help and less likely to receive it if they do.

Mental Health Initiatives in Saint Kitts and Nevis

On November 27, 2024, the Ministry of Health in St. Kitts and Nevis launched its Mental Health Service Systems Enhancement Project. The project, supported by the government and funded in part by Taiwan, aims to expand access to mental health services by increasing funding and strengthening mental health infrastructure. The nation’s Prime Minister and head of the health Ministry, Terrance Drew, also emphasized the importance of this initiative and the nation’s renewed focus on improving the mental health of Saint Kitts and Nevis.

The most prominent counseling center, known as the Dr. Arthur W. L. Lake Mental Health Day Treatment Centre, offers high-quality mental health services and follows a patient-centered approach. For instance, it aims to fight the stigma around mental illness in Saint Kitts and Nevis by providing home-like and comfortable conditions, and some patients even shared their stories and how the center helped them.

The Future of Mental Health Care in the Developing World

While Saint Kitts and Nevis still have a long way to go, its new focus on mental health care is a refreshing step in the right direction. Despite limited infrastructure and combating a cultural stigma, the islands have been making positive steps towards better care. In particular, increases in government funding and foreign aid have given the country more resources in its fight. If the country sees positive results with this project could serve as a blueprint for effective strategies to address and improve mental health in other developing nations.

– Jesse Correll

Jesse is based in Boston, MA, USA and focuses on Global Health for The Borgen Project.

Photo: Unsplash

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Friendship: Support To Remote Communities in Bangladesh

Remote Communities in BangladeshBangladesh is situated in South Asia on the Bay of Bengal. It is the eighth most densely populated country in the world, with a population of more than 175 million in an area of 148,460 sq km. It is a country of striking contrasts: rich in culture and resilience, yet acutely vulnerable to the impacts of changing climatic conditions. Most of the country is situated only nine meters above sea level.

An estimated 3.5 million people in the low-lying delta region face increasing threats from rising sea levels and more intense monsoon seasons. Indeed, in 2022 alone, historic floods devastated northern regions like Sylhet and Sunamganj, displacing millions and severely disrupting transportation, electricity, health care and access to education.

Despite the risks, many of Bangladesh’s neediest communities live in low-lying coastal and riverine areas, lacking sufficient income to live in lower-risk regions. These zones are fertile and agriculturally productive. However, when floods occur, it is children and low-income families who suffer most, facing destroyed homes, lost livelihoods and health crises with little support.

From One Floating Hospital to a National Lifeline

In 2002, Runa Khan founded Friendship, a nongovernmental organization (NGO) with a radical yet simple mission: delivering support to remote communities in Bangladesh with reduced access. The initiative launched a floating hospital on the Jamuna River in northern Bangladesh. This aims to provide essential health services to isolated communities living on “chars”― sandbar islands that vanish and reappear with the tides.

Since then, Friendship has evolved into a wide-reaching, holistic organization. Today, its 5,000 employees ― more than 70% of whom come from local communities ― work to break cycles of poverty and increase resilience to the regional climate crisis. Its integrated approach includes health care, education, disaster preparedness, economic development and clean energy and water access.

Health Care and Remote Communities in Bangladesh

Friendship operates a unique three-tier health care system:

  • Tier 1: Two floating hospitals and two land hospitals bring lifesaving services to remote areas. The Shyamnagar hospital alone provided emergency services to 317 patients in recent years.
  • Tier 2: Two cervical cancer screening centers tackle Bangladesh’s second-most prevalent form of cancer, offering prevention and treatment in areas where such services are rarely available.
  • Tier 3: About 680 Friendship Community Medic-Aides, local women trained in basic medical care, offer antenatal, postnatal and child health services.

Powering Livelihoods and Clean Futures

Friendship’s Sustainable Economic Development program supports long-term resilience. In its innovative solar villages, 291 households, 62 shops, four schools and two mosques are now powered by 24-hour solar energy. This has enabled families to extend working hours, refrigerate food and medicines and improve safety and security at night. Clean water access is another priority. Friendship has also supplied more than 700,000 liters of clean drinking water to hundreds of families, drastically reducing disease.

Meanwhile, the organization’s farmers’ club provides sustainable farming training. It empowers more than 1,400 farmers to grow climate-resilient crops like sweet potatoes and mustard. Romesa Khatun, a club member, began using earthworms to make fertilizer in 2022, selling the product and using it in her vegetable garden. She says that the support of the club and Sherazul Islam, project officer at Friendship’s Sustainable Economic Development Sector, empowered her to embrace innovative farming techniques to support her family, especially when her husband is away for work.

These programs boost food security and provide more adaptive livelihoods to environmental challenges.

Hope from Within

In Bangladesh’s flood-prone coastal and riverine communities, poverty and climate vulnerability often go hand in hand. But through Friendship’s work with remote communities in Bangladesh, hope is taking root. What began as a floating hospital has become a nationwide lifeline. It delivers support to remote communities and uplifts them with health care, education, economic opportunity and climate resilience.

Rather than relying on top-down aid, Friendship invests in people ― training local women as community health workers, equipping youth with education and leadership skills and helping farmers adapt to a changing climate. Indeed, Friendship’s impact shows that locally led, community-focused development can help vulnerable populations chart a path toward safety, dignity and lasting change even in the face of rising waters.

– Holly McArthur

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

Photo: Pexels

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Bolsa Família: Poverty Alleviation in Brazil

Poverty Alleviation in BrazilSince 2003, the Bolsa Família program has been working on poverty alleviation in Brazil. The program has helped 46 million Brazilian families by partnering with the World Bank. It has reduced Brazil’s poverty to 59 million from 67.7 million.

Hunger Reduction

With the provided cash offerings, many families who had previously suffered from hunger have food security. Last year, the Brazilian Ministry of Social Development and Assistance, Family and the Fight Against Hunger (MDS) gave $30 billion to needy families through the Bolsa Família.

Improved Health and Education

For years, youth mortality rates in Brazil remained high, mainly due to limited access to routine checkups and vaccinations. In response, the Bolsa Família program introduced conditional cash transfers, requiring families to take their children for regular medical visits to receive financial support. So far, more than eight million people have benefited from the initiative, which strongly emphasizes improving family health care.

Furthermore, the initiative has increased educational development with evidence of higher enrollment and academic successes from disadvantaged citizens. A prominent aim of Bolsa Família is to stop children from inheriting the poverty their parents endured by focusing funds toward advancing schooling. As a result, the school enrollment rate has increased by 5.5-6.5%. Similarly, the dropout rates declined by 0.4 and 0.5 points and the grade promotion rate increased by 0.4-0.5 points.

Women Empowerment

Career training and greater access to social assistance programs have opened new job opportunities for women and provided affordable child care services. Women make up 54% of Brazil’s conditional cash transfer program beneficiaries, an investment widely seen as one of the most effective ways to empower women. With increased autonomy, many can now make informed decisions about family planning, creating ripple effects that improve their long-term well-being.

Eliminating Child Labor

Since their consolidation into the Bolsa Família program, initiatives like Bolsa Escola, Bolsa Alimentação, Cartão Alimentação, Auxílio-Gás and the Child Labor Eradication Program have significantly contributed to reducing child labor in Brazil. In 2023, the government reinstated Bolsa Família, enhancing financial support to low-income families. Eligible households now receive approximately R$150 (about $30) per month for each child under age 6, bolstering assistance to vulnerable communities.

What’s Next?

The Bolsa Família program has had a global impact, serving as a model for other countries seeking to address the challenges of poverty and prevent its persistence. Looking ahead to 2030, the program aims to remove Brazil from the Hunger Map while significantly reducing nutritional insecurity across the country.

The goal is to increase disposable income to result in more grocery shopping, recognizing those needing protection and engaging the government to collaborate to eradicate hunger. The program’s lifespan has made a world of a difference to many lives for nearly 23 years and will continue its efforts of poverty alleviation in Brazil.

– Melody Aminian

Melody Aminian is based in Irvine, CA, USA and focuses on Good News for The Borgen Project.

Photo: Flickr

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Mental Health in Saint Vincent and the Grenadines

Mental Health in Saint Vincent and the GrenadinesSaint Vincent and the Grenadines (SVG) is a 389-square-kilometer, multi-island country in the Caribbean. SVG achieved full independence from the United Kingdom on October 27, 1979. The population is 104,300, with 30% living in poverty. Poverty, lack of mental health professionals and social stigma impact mental health in Saint Vincent and the Grenadines. La Soufriere volcano erupted in 2020 and 2021 while the country was still reeling from the impact of the COVID-19 pandemic. About 22,400 people were evacuated. The devastation of the pandemic and volcanic eruptions has further impacted the mental health struggles of Vincentians.

The government of SVG continues to make efforts to advance treatment for mental health conditions. Although increasing care and resources for the mental health community in SVG has been difficult, it has made improvements.

Mental Health and Post-Colonialism

Colonialism has had a long-lasting impact on trauma-based mental health struggles. The legacy of colonial-era psychiatry shaped social stigmas around mental health diagnosis and care. For example, enslaved Africans brought to the Caribbean were diagnosed as mentally ill if they tried to escape their masters. Post-abolition psychiatric treatments included locking patients in asylums, away from society. However, a broader, more comprehensive approach to reframing mental health diagnosis and care can help overcome stigma.

The Mental Health Centre 

Saint Vincent and the Grenadines has one psychiatric hospital called the Mental Health Centre. The colonial British Government was built it in 1938 to keep psychiatric patients away from society. It was designed to house 90 patients.

The center serves a different purpose today. It provides inpatient, outpatient and drug rehabilitation services. It can now house more than 160 inpatients. As of 2020, the total number of hospital admissions was 401, with 387 being involuntary. About 29.4% of inpatients stayed in the center for less than a year. 

Schizophrenia, substance abuse and related disorders, such as psychosis, are the main mental health conditions that receive treatment in SVG. As of 2020, out of 1,125 treated cases of psychosis, 954 were men and 171 were women.

Suicidal behavior among Vincentian adolescents is disproportionately high at 26%. Economic class disparities, substance use, being bullied, access to mental health services and loneliness are all risk factors.

Legislation

SVG passed the Mental Health Act in 1981 and amended in 1991. It includes sections for admission to the psychiatric hospital, mental review board, approved homes, and protection of property of persons suffering from mental disorders.

Psychiatrist Shortage in SVG

The shortage of psychiatrists in Saint Vincent and the Grenadines is alarming. The Saint Vincent Times explained in an April 7, 2025 article, “The recruitment of mental health professionals is hindered by various factors, including limited resources, inadequate incentives and the growing global competition for qualified psychiatrists.” The government of SVG is aware of this issue and is working to recruit qualified mental health professionals.

Government Efforts To Improve Mental Health in SVG

The government, led by Prime Minister Ralph Gonsalves, recognizes that mental health services in Saint Vincent and the Grenadines are still weak. Gonsalves has expressed the importance of providing mental health support to marginalized groups such as prisoners and disaster survivors. 

About 6% of the government’s health expenditure goes to mental health care. Mental health services and medication in SVG are free of cost to patients and national health insurance covers them. However, it is a cost to the state. The state’s limited resources continue to be a challenge to improving mental health services for Vincentians. Additionally, the stress of poverty and lack of employment leads to increased depression, anxiety, and other mental health struggles.

Examples of mental health programs implemented by the government include Mental Health Awareness, Mental Health and Suicide Awareness and Psychological First Aid and counseling.

Conclusion

Although SVG has made progress, mental health in Saint Vincent and the Grenadines still has a long way to go. Ongoing efforts to address poverty, increase mental health awareness, fund mental health programs and recruit mental health professionals will help close the gaps in SVG mental health care needs. 

– Vijji Michael

Vijji is based in New York, NY, USA and focuses on Good News and Global Health for The Borgen Project.

Photo: Wikipedia Commons

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Mental Health and Homeless Youth in East Asia

Mental Health and Homeless YouthHomelessness and mental health are problems that exist around the world, developed and undeveloped countries alike. Among homeless youth in East Asia and Southeast Asia, mental health is a massive issue. These youth typically become homeless due to past abuse, and usually experience more while on the streets; past research has shown that homeless youth are highly susceptible to sexual exploitation and prostitution. 

This demographic of homeless youth reports high rates of mental health issues, such as depression, PTSD, bipolar disorder and suicidal ideation, with suicide being their leading cause of death, and 80% of the population having reported attempting suicide at some point. To cope with these issues, many turn to substance abuse and other maladaptive coping mechanisms. 66.7% report drinking problems, and 77.8% report smoking problems. 

Causes of Homelessness

There are various reasons why youth become homeless in the first place. It is worth mentioning that one primary cause of poverty in the East Asian Pacific region is natural disasters. Natural disasters like earthquakes and tsunamis affect East and Southeast Asia more than most other regions in the world, making them a significant and notable contributor to homelessness that might not necessarily apply or apply as much to other regions around the globe, according to a 2024 article.

Poverty can cause stress and subsequent dysfunction in the home, driving children and young people away. A 2024 article found that parental abuse was the most common reason (40.7%) for leaving home, especially from fathers. General family conflict follows at 29.6%. 

Cultural Differences

Treating these problems requires understanding and accommodating the differences in cultural attitudes between Eastern and Western societies. Due to the way Eastern cultures raise kids to view themselves, their obligation to and role within family and the way they view mental health itself, means that Western mental health techniques do not always transfer or have the same result.

For example, Western programs tend to emphasize working with direct service providers and place a lot of value on individual autonomy. Conversely, services and government interventions in the East Asian Pacific regions might put more emphasis on family and community support.

Few components of culture influence mental health and responses to mental health treatment. The first is emotional expression: depending on what level of emotional outburst or emotional behavior is considered acceptable in a given culture, it will be easier or harder to identify when a person needs help. The second and likely most influential element is shame: many cultures, especially Asian cultures, see mental illness as something shameful or born out of weakness.

Individuals may be hesitant to seek treatment because it means admitting to themselves and to a mental health professional that they are struggling. Individuals may also be reluctant to interact with a mental health professional because of the third element, “power distance,” according to the Frontiers in Public Health. Regulations on mental health treatment and the power given to mental health professionals vary from country to country, having varied implications about autonomy and the power dynamic within a therapeutic relationship. 

Results 

A 2024 article revealed the results of eight studies conducted throughout Malaysia, South Korea and the Philippines. These studies researched the impacts of various mental health interventions on homeless youth, including art therapies, cognitive behavioral therapy (CBT), life skills education (LSE) and government services.

A Philippines-based study found visual art and poetry psychotherapies to be effective for abused adolescents in reducing symptoms of PTSD and depression, measured via Child Report on Posttraumatic Symptoms (CROPS) and Self-Rating Depression Scale (SDS). It was noted that art therapies seemed to also help empower homeless youth to engage actively in their own treatment.

A study on CBT implemented in South Korea measured impacts on depression, self-efficacy, and self-esteem. While the treatment resulted in increased self-efficacy and a significant decrease in depression, there appeared to be no significant difference in self-esteem pre- and post-test. LSE treatment, however, was successful in increasing self-esteem, as well as decreasing anxiety, depression and stress, according to a study out of Malaysia.

Closing Thoughts

While these mental health interventions have appeared to be successful, one of the key takeaways is that it is difficult to treat this demographic when there is no universally accepted definition of homelessness. Every study and every country uses different definitions, which leaves large gaps in understanding both the nuance and variation within the “homeless” experience and the actual overall figures of the demographic. Whether or not an individual fits within a jurisdiction’s given definition of homelessness may determine whether or not mental health and homeless services are provided to them; this makes the varying definitions of homelessness a possible barrier to mental health services. 

– Sandhya Mathew

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

Photo: Pixabay

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Cultural Expectations Shape Men’s Mental Health in Uganda

Men's Mental Health in UgandaIn Uganda, a country in East Africa, men’s mental health is an issue that tends to be ignored and often overlooked. Cultural expectations have left men with little to no room to bring their psychological problems forward. This results in “serious consequences, including untreated depression and increased risk of suicide.”

The Burden of Masculinity

Men in Uganda face the expectations of appearing physically and mentally strong. These expectations can put a strain on their mentality and ability to come forward with emotional struggles. Traditional gender norms view men’s mental health as insignificant. It is seen as a weakness if a man cannot restrain his emotions.

Masculinity in Uganda is traditionally achieved through authoritative attitudes, control and being the provider and protector of their families. The pressure to provide and always appear strong can cause built-up anger or depression, leading to domestic abuse and an absent role in the family. Societal expectations for men to suppress their emotions prevent healthy coping mechanisms, which is worsened by the lack of services available to confront men’s mental health issues.

Mental Health Challenges

Mental health is not prioritized in Uganda, leaving the country as one of the top six in Africa with depressive disorders. Indeed, out of the total 4.6% who live with depressive disorders and 2.9% with anxiety disorders, 3.6% consist of men. The most common mental health challenges among men in Uganda include depression, anxiety and high stress levels.

With a lack of mental health services, some men turn to alcohol and substance abuse, with the possibility of suicide attempts. Alcoholism stems from men’s mental health issues in Uganda. They “are estimated to have one of the highest alcohol per capita consumption levels in sub-Saharan Africa.” The number of men who depend on pure alcohol sits at an estimated 4.2%, with a total consumption of 16 liters each year.

Resources to combat men’s mental health are scarce and mainly based in urban centers. Uganda as a whole has 53 psychiatrists, approximately one psychiatrist per 1 million people. Kampala, the country’s largest city, has a single psychiatric hospital. This lack of access to services highlights the challenges individuals with mental health issues in Uganda face.

Support Networks for Ugandan Men

Multiple steps have been taken in recent years to address Ugandan men’s mental health challenges. Indeed, support groups for fathers in Uganda are one example.  It’s been shown that early involvement in their child’s life challenges stereotypes, creating a better individual and life at home.

Plan International has provided Ugandan men with an environment where they can speak openly about the issues they may be having at home. Furthermore, they advise on better communication and coping techniques. Similarly, local organizations such as StrongMinds are working to supply mental health care and bring further awareness to the cause.

StrongMinds has provided group therapy sessions where comfort is offered to men who go against cultural expectations and choose to express their emotions. Special programs have also been applied in Ugandan prisons and the Ugandan police force. In these programs, relationship issues, struggles with individual or gender roles and grief are discussed, offering empowerment through communal support.

Conclusion

Mental health remains a complex and often stigmatized issue for men in Uganda, however, meaningful progress is being made. Indeed, through support groups, therapy sessions, and targeted programs, more men are finding safe spaces to express themselves, challenge harmful stereotypes, and build healthier relationships.

– Sarina Francis

Sarina is based in Tallahassee, FL and focuses on Global Health for The Borgen Project.

Photo: Flickr