This policy brief on public debt utilisation in Kenya and Zambia, examining how borrowed resources translate into development outcomes

Every year between July and December, the pediatric ward at Tahoua Regional Hospital became overwhelmed during the peak malaria season. Overcrowded rooms, children sharing beds, and limited space made it difficult for health workers to provide quality care. According to Dr. Sabo Sahabi, the hospital could not turn patients away despite the lack of capacity, resulting in poor hygiene, challenging working conditions, and discomfort for both patients and caregivers. After witnessing these conditions during a hospital visit in 2021, the women staff of World Vision International Niger decided to take action. They supported the construction of a new pediatric ward, completed in 2023 and officially handed over in 2024. Equipped with 12 beds, mattresses, fans, medical furniture, and air conditioning, the ward now provides a safer and more comfortable environment for sick children. Used mainly during the malaria season, the new ward has eased overcrowding, improved patient care, and created better working conditions for medical staff, bringing lasting hope to the hospital and the families it serves.

Nine years into protracted displacement, escalating climate disasters and a 24% aid cut threaten 1.2 million Rohingya refugees, prompting World Vision to call for global responsibility-sharing and durable, nexus-driven solutions for children and host communities.

This article highlights how communities in Karawa, North Ubangi, used World Vision DRC’s Citizen Voice and Action (CVA) approach to identify insecurity as a key concern and peacefully advocate for stronger protection measures. Through community mobilisation, dialogue with authorities and a formal advocacy memorandum, residents demonstrated how informed citizens can influence local governance and contribute to building safer, more resilient communities.

ENOUGH 2025, presents key developments in policy, programmes and partnerships three years into the campaign

A new paediatric ward donated by World Vision Niger is helping improve healthcare conditions for children and strengthen hospital capacity in Tahoua.

A World Vision-supported borehole is improving access to safe drinking water and strengthening health and wellbeing in Guidan Kane Katshinawa, Niger.

On Nigerien National Women's Day, the women staff of World Vision Niger donated essential medical equipment to the Dosso Mother and Child Health Center, enabling the facility to fully operate a second operating theatre. Before the donation, the center had only one functional theatre, making it difficult to meet the growing demand for emergency obstetric and gynecological surgeries. According to Dr. Bacharou Adamou Mamane Sani, the lack of equipment and partners often delayed life-saving interventions. The donated equipment including an operating table, surgical lights, cesarean and gynecological surgical kits, warming lamps, and an oxygen concentrator has transformed surgical services. With two operational theatres, the center can now treat more than 15 patients daily, significantly reducing waiting times and improving emergency care. The new equipment has also enhanced working conditions for healthcare staff and contributed to reducing maternal and newborn mortality. Dr. Bacharou expressed his gratitude to World Vision Niger, emphasizing that this timely support has strengthened healthcare services and brought lasting benefits to women, newborns, and the wider Dosso community.

From earthquakes to landslides, Nanda Budha reflects on leading humanitarian responses and standing with communities in crisis.