Healing a Dark Past: The Long Road to Reopening Hospitals in the Rural South

In a rapidly gentrifying Mexico City neighborhood, two artists refurbished an icon and set up an altar for Santa Mari La Juaricua, a saint to protect residents from eviction. The saint raises awareness and acts as a reminder about housing issues and the icon has been taken up by the residents and has been used in processions and protests.

The Women’s Collective is a nonprofit that works with more than 10,000 subsistence farmers in the Indian state of Tamil Nadu to promote food security using millets, a crop resilient to drought and climate change. For Pavitra, one of those farmers, she began cultivating the ancient grains in 2015 and now has more than enough food to feed her family year-round. However, there’s a lack of public investment in millet production and machinery. And there’s no unified effort to create demand for millets: Some state governments lead the charge and in other states, it’s led by grassroots organizations.

A New York-based nonprofit called Students for a Free Tibet is training Tibetans in "how to stage nonviolent protests." This effort, in conjunction with other Tibetan NGOs, has helped activists in Dharamsala, India to become "more organized, media savvy and technologically sophisticated," which in turn has increased the number of people who have come together to participate in the nonviolent protests.

Teams of Community Direct Distributors (CDD) are leading drug distribution campaigns to prevent and eliminate neglected tropical diseases in hard-to-reach, rural areas. These CDDs are members of the community they serve and are trained to educate the locals on disease prevention and administer the drugs themselves. With the CDDs’ help, several states have already eliminated some diseases and greatly reduced the spread of others.

Mexico's Pilot Program for Licensed Physicians brings Mexican doctors to the states to address the lack of culturally relevant healthcare and Spanish-speaking healthcare providers, particularly in rural areas with large immigrant populations. Currently, the program has 30 Mexican doctors working in various counties throughout the state.

A pair of doctors are working to make healthcare more accessible and affordable by training area hospitals to use new technology, like ultrasound devices, to detect non-communicable diseases. Through their newly established non-communicable disease clinic staffed with personnel trained to provide more precise medical care, about 1,100 patients have been cared for.

To enhance rural access to healthcare in Nigeria, the Parkers Mobile Clinic partners with local volunteers, healthcare professionals, educators, and community development advocates to identify and remedy unique healthcare gaps. Outreach programs are then designed to provide localized mental health support, nutritional counseling, and other reproductive health services.

The Diné Naazbaa Partnership (DNP) serves Navajo Nation veterans, connecting them with food, medication, transportation and other necessities, as they’re more likely to be unemployed and far less likely to use or apply for VA services. The DNP has connected with about 1,228 of the 14,700 veterans on the Navajo Nation and has partnered with 370 groups to fund projects that provide housing improvements and emergency financial aid to veterans.

Birth in Color's doulas are filling the maternity care gap as rural labor and delivery rooms close, disproportionately impacting people of color. Doulas provide physical, emotional and informational support before, during and after childbirth, and advocate on the mother’s behalf. Doula care leads to improved birth outcomes and lower rates of C-sections, and in April 2022 doula services were added under the state’s Medicaid program.

Anambra State’s telemedicine program is closing the healthcare access gap in rural communities, making universal health coverage more possible. The program began in 2022 and has since hired and trained 42 doctors in providing remote healthcare. As more people use the telemedicine program, public trust in primary healthcare across the region is increasing.