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HEALTH & EDUCATION

The 36th African Union Session Renews Commitment Towards Strengthening Africa’s Health Systems

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By  Kester Kenn Klomegah

During the 36th Ordinary Session of the African Union Assembly, the Department of Health, Humanitarian Affairs and Social Development in partnership with the World Health Organisation (WHO) seeks to work towards the reduction of communicable diseases including HIV/AIDS in Africa. It was noted that the pandemic was raging worldwide but had an acute impact across Africa. The spread of the disease affected every dimension of African society, and AIDS had lowered the life expectancy of adults on average by 20 years.

In 2001, the Heads of State of Africa met in a special summit in Abuja explicitly devoted to addressing the unprecedented challenges of HIV-related disease, TB, and other related infectious diseases. This session, which came soon after the first UN Security Council Resolution in 2000, acknowledged the tremendous impact the spread of HIV was having on the continent not only as a health risk but also acknowledged the economic and security implications across the continent.

In 2013, African Heads of State and Government (HoSG) reaffirmed their commitment to the AIDS, TB and Malaria response at the Abuja+12 Special Summit. The declaration of the summit of the African Union on AIDS, Tuberculosis and Malaria committed to accelerating the mobilization of domestic resources to strengthen health systems; ensure strategies were in place for diversified, balanced and sustainable financing for health, in particular for AIDS, TB and Malaria and targeted poverty elimination strategies and social protection programs that integrate HIV-related diseases, TB and Malaria for all; particularly for vulnerable populations.

The massive impacts of twin pandemics of COVID-19 and HIV-related diseases have highlighted what remains the largest threat to the Africa Union Agenda 2063 – Africa We Want. Africa’s experience attempting to control COVID-19 and HIV-related diseases (and the previous experience with the West African Ebola outbreak) exemplifies how huge gaps remain in the underlying strength of its health systems. The AIDS epidemic is still not over, nor is the continent on track to achieve an AIDS-free Africa by 2030.

The key objectives now are:

1. Sustaining political commitments – requiring every African Head of State to commit to setting quantitative targets for HIV control (and tracking progress), developing a roadmap to strengthening health systems for pandemic prevention in their country, and reforming policies that prevent vulnerable populations from receiving treatment;

2. Secure new financial commitments – engaging international donors (bilateral, multilateral, philanthropies) to identify new pools of capital and fund existing pledges while setting a GDP target for national health spending on HIV-related diseases and pandemic preparedness;

3. Acknowledge the role of the African private sector and strengthen the public-private partnership – outlining major regional initiatives on (a) health financing (for example low-interest loans), (b) health infrastructure (for example supply chains, facilities, data/digital tools), and (c) health manufacturing (for example diagnostics, treatments, vaccines) and by aligning national and international companies, investors, and governments to those areas to accelerate progress;

4. Elevate community, young people and civil society voices – raising the profile of advocates, PLHIV, community organizations, faith leaders and the youth who have been champions for the HIV/AIDS response and social and behavioral change (SBC) in their country.

Earlier the Africa CDC encouraged African Union (AU) Member States to actively participate in the Pandemic Fund activities and submit their  Expressions of Interest (EOIs) by the set date of 24 February 2023. The Africa CDC has made itself available to support AU Member States and other regional entities as they develop and submit their EOIs and proposals.

The Africa CDC is an observer at the Board of the Pandemic Fund. The Africa CDC is also an autonomous institution of the AU charged with the mandate for coordinating Africa’s disease prevention and control. Africa CDC is the convening platform for AU Member States on health security matters. Africa CDC is convinced that the New Public Health Order brings the changes necessary for improved global preparedness and response to disease threats and health emergencies. One key aspect is regional strategies and action, based on mandates of regional institutions like Africa CDC.

As an integral part of the African approach to pandemic prevention, preparedness and response, the African Union and Africa CDC initiated Africa’s New Public Health Order, which aims to set the course for how Africa deals with its public health realities. The New Public Health Order is built on five pillars, four of which all relate to the high-impact priorities set out in the first round call of the Pandemic Fund, namely surveillance and early warning, laboratory systems and health workforce.

Expected outcome: The consideration and adoption of the Declaration on Health Financing and Sustaining Action to End AIDS and related Communicable and Non-communicable Diseases.

In addition to leaders from the AU members states, there are regional and international organizations in attendance. The summit will adopt a series of protocols aimed at accelerating full implementation of health-related questions in Africa. The adopted protocols relate to the Agenda 2063 which is Africa’s development blueprint to achieve inclusive and sustainable socio-economic development over a 50-year period (2013 t0 2063).


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HEALTH & EDUCATION

Investments in Digital Can Accelerate Improvements in Health Care

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Digital technology can strengthen health systems, improve health financing and public health, and increase reach to underserved populations, according to a new World Bank report launched today. The report also finds that digital technology and data are especially helpful to prevent and manage chronic diseases, care for both young and aging populations, and prepare for future health emergencies and health risks triggered by climate change.

The report, Digital-in-Health: Unlocking the Value for Everyone, was launched today during the G20 Health Ministers Meeting in Gandhinagar, India. It presents a new way of thinking from simple digitization of health data to fully integrating digital technology in health systems: Digital-in-health. This means, for example, infusing digital technologies in health financing, service delivery, diagnostics, medical education, pandemic preparedness, climate and health efforts, nutrition, and aging.

The report also underscores that the successful use of digital technologies must be inclusive of all population groups, and ensure access to digital infrastructure, modern technologies, and skills, especially for vulnerable people.

Designed with people at the center, digital technology can make health services more personal, prevent healthcare costs from increasing, reduce differences in care, and make the job easier for those who provide health services,” said Mamta Murthi, Vice President for Human Development, World Bank. “We hope that this report will give governments confidence and practical guidance, regardless of the country’s stage of digital maturity or fiscal challenges.

Improving health is getting harder, not easier. Health systems face serious and growing challenges and policy decisions are too often not based on reliable data.  It is estimated that some countries use less than 5% of health data to improve health which means that decisions are not based on data or data is not used effectively to make improvements. Within challenging fiscal environments, people-centered and evidence-based digital investments can help governments save up to 15% of health costs. The report presents pragmatic, low-cost actions to improve digital-in-health, no matter the maturity of a country’s systems or digital infrastructure. For example, better health data governance and standards to ensure systems can readily connect and exchange information are not costly but will be game changing in reducing siloed digital solutions and fragmentation.

In India, we have shown that digital innovations such as tele-consultations have reached more than 140 million people and provided accessible, affordable and efficient healthcare for everyone,” said Mansukh L Mandaviya, Minister for Health and Family Welfare, India. “We believe a digital-in-health approach can unlock the value of digital technologies and data and has the potential to prevent disease and lower healthcare costs while helping patients monitor and manage chronic conditions.” 

To help countries embrace a digital-in-health approach, the report proposes three essential areas to guide investments:

  1. Prioritize evidence-based digital investments that tackle the biggest problems and focus on the needs of patients and providers.
  2. Connect the regulatory, governance, information, and infrastructure dots so that patients know that data is safe and health workers can use digital solutions transparently.
  3. Scale digital health for the long run based on trust with sustainable financing, and improved capacity and skills for digital solutions.

It will take global, regional, and country leadership to make digital-in-health a reality. The report recommends strong country leadership involving all relevant sectors and stakeholders, including civil society. Digital technology and data improvements will involve investments beyond the health sector and new partnerships with the private sector. A digital-in-health mindset needs to be a routine aspect of annual health system planning, budgeting, and implementation.

The World Bank is committed to helping low-and middle-income countries to make digital-in-health a reality to improve health for everyone. Over the past decade, the World Bank has invested almost $4 billion in digital health including in health information systems, digital governance, identification systems, and infrastructure.


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HALAL ECONOMY

Revolutionizing Halal Education Through Technology

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The Halal industry has experienced tremendous growth in recent years, with an increasing number of consumers seeking halal products and services.  Halal education plays a crucial role in ensuring that the Halal industry continues to thrive.  Halal education is essential for Muslims to understand and practice their religious beliefs correctly.  Technology has revolutionized the way we learn and has transformed Halal education, making it more accessible and convenient for Muslims globally.  Technology is changing the way we learn, and the Halal education sector is not an exception.  In this article, we explore how technology is revolutionizing Halal education.

The Importance of Halal Education

Halal education refers to the knowledge and skills necessary to ensure that products and services comply with Islamic dietary laws. This education is critical in ensuring that the Halal industry remains compliant with Halal regulations and standards.

The Muslim population worldwide is estimated to be over 1.8 billion, and this number is expected to continue to grow.  This growth means that the demand for Halal products and services will also increase.

The Halal industry includes food and beverage, pharmaceuticals, cosmetics, and finance.  The industry’s size and complexity make Halal education a necessity for those working in the industry.  This education ensures that industry professionals understand the Halal requirements and can make informed decisions.

Technology and Halal Education

Technology has changed the way we learn and access information.  It has made learning more accessible, convenient, and efficient.  The Halal education sector has not been left behind, and technology has revolutionized the way Halal education is delivered.  Halal education is essential for compliance with Halal regulations.  Technology has revolutionized it, making it more accessible, interactive, and personalized through online learning, mobile apps, virtual reality, and artificial intelligence.

Halal-certified companies promote Halal food by producing and selling certified products, educating consumers, and supporting Halal education initiatives.  Halal food certification and Halal education are crucial in the food industry.  Certification bodies, like Islamic Services of America (ISA) in the USA and many other globally based certifiers, provide Halal certifications and some forms of Halal education via blogs, individual and panel speaking engagements, and some deliver online classes and seminars to ensure compliance with Islamic dietary laws.  They create a better understanding of Islamic dietary laws, building trust and contributing to the growth of the Halal industry.

Online Learning

Online learning has become increasingly popular in recent years.  The COVID-19 pandemic has accelerated the adoption of virtual learning as educational institutions were forced to move their classes online.  Online learning has made education more accessible to a broader range of people.  Students can now learn from anywhere in the world as long as they have an internet connection.

Online learning has also made Halal education more affordable. Traditional Halal education involved attending physical classes, which could be expensive.  Online classes are cheaper as they do not require physical infrastructure, and the cost of delivering the classes is lower.  Some online events are free!

Mobile Applications

Mobile applications have changed the way we access information. Numerous Halal applications provide information on Halal products, restaurants, and prayer times.  These applications have made it easier for Muslims and Halal consumers to access information on Halal products and services.

Mobile applications have also made learning more interactive.  There are Halal educational applications that provide quizzes and games to reinforce learning.  These applications make learning fun and engaging.

Virtual Reality

Virtual reality (VR) technology is changing the way we learn.  VR technology provides a simulated environment that can be used for educational purposes.  Halal education can benefit from VR technology as it can provide a simulated environment to teach about Halal requirements.

VR technology can be used to simulate the manufacturing process of Halal products.  This simulation can help industry professionals understand the Halal requirements and how to comply with them.  VR technology can also be used to simulate the cooking process of Halal food.  This simulation can help chefs understand the Halal requirements for cooking food.

Artificial Intelligence

Artificial intelligence (AI) technology is changing the way we learn and access information.  AI technology can be used to provide personalized learning experiences.  AI algorithms can analyze learning patterns and adjust the learning content to meet the learner’s needs.

Halal education can benefit from AI technology by providing personalized learning experiences.  AI algorithms can analyze the learner’s strengths and weaknesses and provide learning content that addresses their weaknesses.  This personalized learning experience can improve the learner’s understanding of Halal requirements.

As the demand for Halal products and services continues to grow, the importance of Halal education will only increase.  Technology will continue to play a vital role in revolutionizing Halal education and making it more accessible and efficient.  Halal education providers should embrace technology and leverage its benefits to provide high-quality Halal education to a broader range of learners.

Islamic Services of America (ISA) is a leading USA-based Halal certification and auditing organization serving companies, the community, and the Halal industry for over 45 years


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HEALTH & EDUCATION

Nigeria Needs to Take Science more Seriously – an Agenda for Nigeria’s President-elect

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By Oyewole Tomori

Nigerians voted to elect a new president on 25 February and he will be sworn in on 29 May 2023. One of his responsibilities must be to lead the country in taking science more seriously. Science should be the fulcrum of Nigeria’s development. As a fellow and past president of the Nigerian Academy of Science, the umbrella body of Nigeria’s leading scientists, he offers the following tips for Nigeria’s new president:

Increase funding for scientific research

Nigeria has shown a deep neglect of science. Science and technology are seriously underfunded and minimally used in national development. For example oil refineries are shut down and Nigeria cannot produce vaccines locally, having stopped in 1991. The first time Nigeria had a Ministry of Science and Technology was in 1980, 20 years after independence. The first national science and technology policy was produced in 1986, six years later.

During the first 20 years of the ministry, it had 10 ministers, each with a different agenda and policy.

Nigeria’s first real attempt at funding public research was in 2006, when the government planned to create a US$5 billion endowment fund for science and technology. But the political will to do this wilted in the face of a lack of commitment of funds to execute the proposal. Since then, funding science and research in Nigeria has been as erratic and unpredictable as the political changes.

An attempt was made in 2012 to revive the fund with an independent board, headed by President Goodluck Jonathan himself. But when he left office in 2015 there was still no fund.

In 2016, the federal government announced a N3 billion (US$6.5 million) National Research Fund. A committee to manage it was only set up 17 months later.

Despite the promise of the Buhari government in 2021 to dedicate 0.5% of GDP to research and innovation, the budgetary allocation to the relevant ministry remained abysmally low at 0.14% of GDP in 2022. This was about the same level for the previous years – 0.13% and 0.14% for 2020 and 2021.

If Nigeria is to benefit from science and research, and harness technology and innovation to transform the economy and improve the social well-being of citizens, then the country must stop playing lip service to funding science and research activities.

The new government must rapidly harness science, technology and innovation as tools for national development. For example, the country could benefit from the development of solar energy to improve and stabilise the erratic electric supply, and from genomic studies to develop new therapeutics and vaccines for improved health and increased animal production.

Nigeria must increase the budgetary allocation to fund science and research annually from the current 0.14% of GDP to at least 1% in the next four years.

It must also expand the scope and funding capacity of the Tertiary Education Trust Fund to sustainably fund long term interdisciplinary research directed at solving Nigeria’s health, environment and other developmental challenges.

The new president must also see to it that the proposal to establish the Nigeria National Research and Development Foundation is realised before the end of his first year in office. Not much has been heard about this proposal lately.

Retain the capacity that’s built

The new president must recognise the need to prioritise capacity retention over capacity building. This should be through creating and sustaining a scientific and research environment that enables our highly trained workforce to conduct research activities productively and with relevance.

Too many of Nigeria’s scientists leave the country because of lack of employment opportunities, socio-cultural issues, poor remuneration and non-attainment of professional fulfilment. For instance, nine out of 10 medical and dental consultants with less than five years of experience planned to leave Nigeria as at December 2022. Similarly, 57,000 nurses left Nigeria between 2017 and 2022 leaving a ratio of one nurse to 1,660 patients, based on the population. Software engineers are leaving too.

The research environment can be improved through easier access to foreign exchange and reduced importation charges for imported research equipment, supplies and reagents. Research also requires a stable electricity supply. Electricity production in Nigeria reached 7,637 GWh in June 2022, for a population of 219 million. For comparison, South Africa’s electricity production  reached 17,536 GWh in December 2022, for a population of 61 million.

Appoint a chief scientific adviser

As a matter of urgency, the president must appoint a chief scientific adviser charged with coordinating all science and research activities for the economic development of the country and social well-being of citizens.

Currently, science and research activities are scattered among different ministries and parastatals working in silos, carrying out uncoordinated work of little relevance to national development. The adviser to the president would assist in bringing all these together to ensure relevant focus and to reduce duplication and wastage of resources.

Start producing vaccines locally

The new president must consider local vaccine production as a national health security issue. He must ensure local vaccine production begins within the first two years in office. This will reduce costly dependence on foreigners for the country’s vaccine needs and safeguard national health security. Currently Nigeria produces no vaccines but a production plant is scheduled to commence production in 2024.

Prof. Oyewole Tomori is a Fellow, Nigerian Academy of Science

Courtesy: The Conversation


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