Health
36th AU Session Renews Commitment Towards Strengthening Africa’s Health Systems
By Kestér Kenn Klomegâh
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 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 programmes 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:
- 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;
- 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;
- 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;
- 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 behavioural 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 on the Board of the Pandemic Fund. The Africa CDC is also an autonomous institution of the AU charged with the mandate of 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 the 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 member states, there are regional and international organizations in attendance. The summit will adopt a series of protocols aimed at accelerating the full implementation of health-related questions in Africa. The adopted protocols relate to Agenda 2063, which is Africa’s development blueprint for achieving inclusive and sustainable socio-economic development over a 50-year period (2013 to 2063).
By Modupe Gbadeyanka
As part of its efforts to safeguard public health in Nigeria, the National Agency for Food and Drug Administration and Control (NAFDAC) has strengthened its regulatory framework for blood and blood products.
A statement signed on Thursday by the Director General of NAFDAC, Prof Mojisola Adeyeye, disclosed that to achieve its goal, the agency will collaborate with relevant authorities and stakeholders to establish a robust regulatory framework that promotes the availability of safe, quality-assured and efficacious blood and blood products, while strengthening public confidence in Nigeria’s healthcare system.
NAFDAC said it intends to partner with government institutions, healthcare providers, blood establishments, development partners and other stakeholders for the robust oversight.
Mrs Adeyeye disclosed that already, her organisation has received the support of the Minister of Health and Social Welfare, Prof Ali Pate.
According to her, NAFDAC has been given the mandate to regulate blood and blood products in line with global best practices and the World Health Organisation (WHO) recommendation that these products be subject to oversight by National Regulatory Authorities (NRAs) for medicines.
She said blood and blood products are classified as essential medicines and must be consistently available with assured quality, safety and affordability, stressing that the aim is to protect patients throughout the blood transfusion chain.
Effective regulatory oversight will support the quality and safety of blood products from donor assessment and collection through testing, processing, storage, transportation and use, the NAFDAC chief noted.
Several African countries, including Egypt, Ghana, South Africa, Tanzania, Zimbabwe, Senegal and Rwanda, have already established regulatory oversight of blood and blood products by their NRAS, she added.
Mrs Adeyeye pointed out that NAFDAC’s renewed regulatory preparedness builds on its broader transformation into a modern, science-based regulatory authority.
Already, it has attained WHO Maturity Level 3, completed WHO Global Benchmarking ML3 re-assessment, obtained WHO prequalification for its drug laboratory, and established internationally accredited laboratory and quality management systems. These capabilities provide a strong foundation for the effective regulation of blood and blood products.
As part of its preparedness, NAFDAC has established a dedicated Vaccines, Biologicals and Medical Devices Registration and Regulation Directorate to oversee the registration and regulation of these products.
The agency established a Vaccines, Biologicals and Medical Devices Laboratory Services many years ago, but became a Directorate in 2024, responsible for quality control, including laboratory testing and lot release, while the Directorate of Evaluation and Research provides oversight of Good Manufacturing Practices. An ultra-modern laboratory facility is also being developed to further strengthen its capacity for the assessment and quality control of vaccines and biologics.
By Modupe Gbadeyanka
An organisation known as GoMed Nigeria is offering free reproductive health services to Nigerian students through a digital self-care platform.
This is being delivered through a partnership with the United Nations Population Fund (UNFPA) and the Lagos State Government.
The pilot scheme will be available to students of the University of Lagos. They will enjoy easier and more private access to essential health products, accurate information, and professional support.
Young Nigerians face some of the highest rates of unintended pregnancy and unmet need for contraception in the world.
Cost, distance, stigma, misinformation, and fears about confidentiality routinely stop students from seeking the products and guidance they need, with consequences that include unintended pregnancy, unsafe abortion, sexually transmitted infections and interrupted education.
The self-care platform is designed to remove each of these barriers. Through the platform, students receive free contraceptives and other sexual and reproductive health commodities provided through the Lagos State Ministry of Health and UNFPA, exclusive discounts on health essentials, and fast, discreet delivery directly to campus and student hostels.
Students can also access trusted sexual and reproductive health information and services through UNFPA’s SoftLife 247 and U-Plan platforms. Through U-PLAN, they can chat directly with qualified Family Planning Service Providers to receive accurate information and address their concerns. They can also confidently engage with GoMed’s registered pharmacists for confidential, judgement-free guidance on medicines and other health products.
“Students should be able to get reliable health information and essential products without cost, distance or fear of judgement becoming barriers.
“This platform brings free sexual and reproductive health commodities, other affordable health products and professional guidance together, with discreet delivery directly to students on campus,” the chief executive of GoMed Nigeria, Mr Anthony Edeki, said.
Also speaking, UNFPA in Nigeria Resident Representative, Muriel Mafico, said, “As the UN agency mandated for “Sexual and Reproductive Health and Rights”, we are committed to reducing preventable maternal deaths and addressing the unmet need for family planning, including by providing and overseeing access to life-saving commodities worldwide.
“Working alongside our partners, we’re helping roll out the digital Self-Care Platform—so that vital, life-changing information can reach more people, more easily. Together, we want to empower Nigeria’s next generation to make informed health choices and achieve stronger health outcomes and a brighter future.”
By Modupe Gbadeyanka
A financing framework to accelerate the electrification of health facilities nationwide has been approved by the federal government.
The approval was announced at the third meeting of the Inter-Ministerial Steering Committee (IMSC) of the Nigeria Power for Health Initiative (NPHI), a presidential programme jointly coordinated by the Federal Ministries of Power and Health and Social Welfare.
The committee was constituted to ensure reliable electricity in at least 30 per cent of Nigeria’s health facilities by the end of 2027.
At the meeting, chaired by the Minister of State for Health and Social Welfare, Mr Isiaq Salako, and co-chaired by the Minister of Power, Mr Joseph Tegbe, members of the Inter-Agency Technical Committee (IATC) presented the recommendations under consideration.
Speaking at the meeting, Mr Salako said the Steering Committee approved a financing framework to mobilise investment for healthcare electrification, alongside a facility energy management framework requiring participating hospitals to build sustainable systems for managing their energy infrastructure.
He said the committee also cleared eight (8) private sector proposals for further engagement, drawn from about 70 submissions received during the National Healthcare Electrification Investor Matchmaking Week in Lagos.
The Health Minister added that Energy Management Teams are already in place at federal tertiary hospitals, with state governments being encouraged to set up similar structures. The initiative will now be institutionalised through dedicated budgetary provisions and a full-time Project Coordination Unit to oversee implementation.
On his part, Mr Tegbe declared that the initiative must now move from announcements to actual project delivery.
Describing the NPHI as one of the President Bola Tinubu administration’s flagship programmes, he said the emphasis should shift towards commissioning completed projects that Nigerians can see for themselves, rather than further groundbreaking ceremonies and public messaging.
He emphasised the need for teaching hospitals, state hospitals, and primary healthcare centres to be fully energised, noting that the Rural Electrification Agency has already energised 5 Federal Teaching Hospitals and several other health facilities nationwide.
He also tied the initiative directly to patient outcomes, arguing that dependable power would end hospitals’ reliance on emergency generators, and pledged that the Ministry would continue to prioritise the initiative’s funding needs while ensuring value for money.
