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Situation:

India carries the world’s highest tuberculosis (TB) burden, and the disease remains deeply entrenched in the urban slums of Mumbai and Howrah. Overcrowding, poor nutrition, delayed diagnosis and limited access to quality care fuel the spread of TB—especially multidrug-resistant TB (MDR-TB), extrapulmonary TB (EPTB) and pediatric TB. Women and children are particularly affected, facing stigma, late treatment, and long-term health and social consequences.

Situation:

The Illeret and Dukana wards in the northern part of Marsabit County are extremely remote and underserved. Roads are largely impassable, electricity and communication infrastructure are largely lacking, and health facilities are often 8–75 km away, severely limiting access to medical care. Natural disasters such as droughts and floods, conflicts between local communities, as well as cultural barriers such as early marriage, FGM, and stigma around adolescent pregnancies further exacerbate the situation.

Situation:

In Mozambique, particularly in rural areas such as Sofala Province and Chibabava District, access to basic healthcare services is severely limited. High maternal, neonatal and under-five mortality rates, widespread malaria and diarrhoeal diseases, and chronic malnutrition represent major challenges. Long distances, weak infrastructure and shortages of qualified health personnel further restrict service delivery. Political instability and limited public resources negatively affect the continuity and quality of healthcare, especially for vulnerable populations.

Situation:

Amudat District in Uganda’s Karamoja region is a remote, arid, and highly marginalized area, home primarily to the Pokot pastoralist community. Extreme poverty, climate shocks (recurrent droughts, floods, and pest outbreaks), insecurity, and harmful cultural practices severely undermine livelihoods and health outcomes—especially for women and children. Access to healthcare is limited by long distances, poor roads, seasonal flooding, and insecurity, while malnutrition and preventable diseases remain widespread.

Situation:

Sierra Leone suffers from poverty, inadequate healthcare and food insecurity. Many people lack access to clean water, education and key resources and services. The effects of the civil war and the Ebola epidemic are still being felt. Climate change and economic instability further exacerbate the situation. 

Objectives:

Contribution to the long-term reduction of infant mortality in Sierra Leone through improved care for newborns and children.

Situation:

In Malawi, cervical cancer is the most prevalent cancer in women. The implementation of the national guidelines for cervical cancer is hindered by the weak health infrastructure. The coverage of HPV vaccination as prevention strategy is still low. HPV DNA testing is the recommended standard, being more specific and less invasive than VIA screening, but the latter is still commonly used.

Situation:

Insufficient quality of care contributes to a high number of premature births and 60% of premature mortality in low-income countries, affecting children's health, education and ability to participate in society. In the Busoga region of Uganda, under-five mortality remains high, driven primarily by complications around birth and infectious diseases in early childhood.

Situation:

With 24 deaths per 1,000 live births, neonatal mortality in Tanzania remains alarmingly high. Evidence based interventions exist but rural health facilities in particular face shortages in adequate infrastructure, medical equipment, and qualified staff. In addition, knowledge gaps hinder the adoption of life-saving newborn care at home, calling for a comprehensive approach to newborn health. 

Situation:

Maternal and child mortality rates in Senegal are among the highest in West Africa. The Podor district in the north of the country is particularly affected. Long distances to health centers, a lack of equipment and personnel, as well as limited health awareness, hinder early and regular pregnancy care – and put women and children at risk.

Situation:

Over the past years, Attapeu Province has faced significant challenges in health, education, and poverty, compounded by Laos’ broader economic fragility. The province also faces substantial shortfalls in health infrastructure and workforce capacity, leading to significant disparities in service availability and quality.

Objectives:

Supporting the Attapeu Public Health School to strengthen nurse education in line with national standards in order to improve health care  in the province.