In 2021, GX Foundation and the Health Commission of Shanxi province signed a memorandum of cooperation to launch a cataract blindness elimination project in Djibouti. The goal was to provide 6,000 to 7,000 free cataract surgeries over the course of three to five years.

The project officially kicked off in February 2023. Since then, Shanxi has sent five medical teams — 39 doctors and nurses in total — to Djibouti City, the nation's capital, and Tadjourah, a coastal town roughly four hours away by car, to deliver much-needed medical aid.

Led by GX Foundation, the broader initiative spans five countries — Laos, Cambodia, Djibouti, Mauritania and Senegal — with Shanxi taking the lead in Djibouti.