A Tale of Two PHCs in Niger State: Accessing Equitable Healthcare From Beji to Maito

*Medical research has done wonders to rid populations of diseases; however, the U.S. health care system has failed to appropriate the right resources to Medicare patients with one or more chronic conditions. Health Quality Partners in Doylstown, PA enrolls Medicare patients with at least one chronic illness and hospitalization and sends a trained nurse to see them on a routine basis, whether they are healthy or sick. As a result, the HQP program has reduced hospitalizations and cut Medicare costs.

At the Fujitsu factory in Japan, a significant decline in demand for semiconductor computer chips meant the company had large empty factory space sitting unused. A new business approach allowed them to dually address both the need to evolve their business model with a global decline of viable agricultural space needed to grow the world's food. Now, the factory houses indoor vegetable gardens, soil free and less resource-heavy than traditional farmland.

With the prices of solar technology dropping and the opportunity to save drastically on energy usage and costs, businesses and organizations across the country are investing more in solar infrastructure for their buildings and facilities. The Better Buildings Initiative of the US Department of Energy is helping by providing guidance and documenting effective approaches and financing for renewables installations - from hotels, to schools, to big box retail.

The consumption of meat and dairy has long been deemed a leading cause of climate change, yet production continues to rise. To contribute to environmental sustainability, Dale Vince – owner of the U.K.’s Forest Green Rovers soccer team – has achieved the status of having the world's first carbon neutral team. From vegan-only menus to a solar-powered grass-cutter, the organization is bringing light to this topic in front of a new audience.

Pennsylvania law is preventing a Philadelphia neighborhood from converting an empty lot into a solar farm, but community members are working to fight against this by citing neighboring states that are seeing positive impact from similar projects. One such project is in Massachusetts where shared solar energy systems is helping to offset "80 percent of the power needs of a nearby assisted living facility, an affordable housing development, a family-owned hardware store and a non-profit serving those with disabilities."

As building developers in Kenya design new structures that are more environmentally friendly and sustainable, they can look to the Garden City Mall in Nairobi as a successful example. This mixed-use development with shopping, residential, and office spaces uses solar energy, which helps cut energy costs by over 30 million shillings each year. The mall also was the first in the region to receive an international green building certification.

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.

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.