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Four African Countries Almost Controlling HIV Epidemics

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By Dipo Olowookere

Data from the US President’s Emergency Plan for AIDS Relief (PEPFAR) has shown that the HIV epidemic is coming under control across all age groups in Swaziland, the country with the highest HIV prevalence in the world.

Additional PEPFAR-supported studies released in December 2016 for Malawi, Zambia, and Zimbabwe demonstrate significant progress toward controlling the HIV epidemics in these countries as well.

According to the latest Swaziland HIV Incidence Measurement Survey (SHIMS 2) released today, new HIV infections have been nearly halved among adults, and HIV viral load suppression – a key marker of the body successfully controlling the virus – has doubled in Swaziland since 2011.

These data suggest that Swaziland has met the global target for community viral load suppression among HIV-positive adults four years ahead of schedule. The Swaziland data is particularly important because PEPFAR funded a comprehensive survey in 2011-2012, which provides the critical baseline comparator of current results and progress.

Over the same time period, life-saving antiretroviral treatment (ART) nearly doubled in Swaziland, reaching over 80 percent ART coverage among adults. Voluntary Medical Male Circumcision (VMMC) coverage also rose from 13 to 29 percent in the country.

In addition, the critical PEPFAR-supported public-private DREAMS Partnership (Determined, Resilient, Empowered, AIDS-free, Mentored and Safe), which focuses on reducing HIV infections among girls and women ages 10-24, was launched in 2015.

Ambassador Deborah L. Birx, M.D., U.S. Global AIDS Coordinator and Special Representative for Global Health Diplomacy, said, “We now have clear evidence that four African countries are approaching control of their HIV epidemics. These unprecedented findings demonstrate the remarkable impact of the U.S. government’s efforts, through PEPFAR and the Global Fund to Fight AIDS, Tuberculosis and Malaria, in partnership with African countries. We now have a historic opportunity to change the very course of the HIV pandemic.”

Data from these four countries were gathered through critical household surveys, known as Population-Based HIV Impact Assessments (PHIAs), which are funded by PEPFAR and conducted by the US Centers for Disease Control and Prevention (CDC) and ICAP at Columbia University’s Mailman School of Public Health, as well as by local governmental and non-governmental partners.

The data from Swaziland draw from two household surveys (SHIMS 1 and SHIMS 2) that directly measured new HIV infections and viral load suppression in 2011 and 2016 respectively.

“The findings from SHIMS 2 are a testimony to the remarkable commitment by the Government of Swaziland to confronting the HIV epidemic,” said Dr. Wafaa El-Sadr, Director of ICAP. “It is a demonstration that all the efforts put into the scale-up of HIV prevention, care, and treatment services have borne fruit.”

While the PHIA results demonstrate tremendous progress, they also reveal key gaps in HIV prevention and treatment programming for younger men and women that require urgent attention and action. In all four surveys, women ages 15-24 and men under age 35 were less likely to know their HIV status, be on HIV treatment, or be virally suppressed than older adults.

These gaps are all areas in which PEPFAR continues to invest and innovate, including efforts to reduce HIV incidence among adolescent girls and young women through the DREAMS Partnership and to reach and link more young men to HIV services.

“These results from Swaziland signal a dramatic transformation in a country where HIV was destabilizing families, communities, and the economy,” said Shannon Hader, M.D., M.P.H., Director of CDC’s Division of Global HIV & TB. “They also show what we must do next to achieve HIV epidemic control. Global efforts are working – we can’t stop now.”

Malawi, Swaziland, Zambia, and Zimbabwe are among the 13 highest-burden countries where PEPFAR is accelerating its efforts toward reaching epidemic control by 2020 through the UNAIDS 90-90-90 framework and expansion of HIV prevention.

PEPFAR also continues to invest in over 50 countries, ensuring access to services by all populations, including the most vulnerable and at-risk groups while partnering with host governments, the Global Fund, UNAIDS, and others.

This includes maintaining life-saving ART for all of the people that PEPFAR currently supports and expanding both HIV prevention and treatment services, where possible, through increased performance, efficiency gains, and shared responsibility of all partners.

Dipo Olowookere is a journalist based in Nigeria that has passion for reporting business news stories. At his leisure time, he watches football and supports 3SC of Ibadan. Mr Olowookere can be reached via [email protected]

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Jacaranda Gets Funds to Expand Affordable Maternal Healthcare in Kenya

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Jacaranda Maternity

By Modupe Gbadeyanka

To expand affordable healthcare in Kenya, Swedfund has invested about $600,000 into Jacaranda Health Limited (Jacaranda Maternity) to support innovations in neonatal intensive care and strengthen Jacaranda’s ability to provide life-saving services to underserved populations.

Jacaranda Maternity provides high-quality maternal health care at more affordable pricing than typical private providers, focusing on women in Nairobi’s low- and middle-income communities.

The new funding will support the opening of new hospitals, upgrading of neonatal care, and improvements to existing facilities.

Maternal and newborn health outcomes in Kenya remain a challenge, with maternal mortality still high despite improvements in skilled birth attendance.

Public health facilities play a central role but face capacity constraints, while access to reliable, quality care varies across regions and income groups.

Private healthcare providers offering essential maternity services at accessible price points can complement public provision.

Jacaranda Maternity aims to expand its network to six hospitals to achieve financial sustainability while scaling its impact. The healthcare provider is a recognised leader in promoting women’s health, with 71 percent of its staff being women, and a track record of effective environmental and social management.

“This investment will help Jacaranda Maternity provide life-saving care to more women and families while furthering Swedfund’s mission to promote inclusive and sustainable healthcare,” a Senior Investment Manager at Swedfund, Audrey Obara, said.

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Nigeria Secures $350,000 FAO Support to Tackle Rising Bird Flu

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bird flu

By Adedapo Adesanya

Nigeria will get a $350,000 intervention from the Food and Agriculture Organisation of the United Nations (FAO) to support its response to the ongoing outbreak of Highly Pathogenic Avian Influenza (bird flu) and strengthen the country’s animal health systems.

An agreement was reached on Wednesday during a strategic meeting between the Minister of Livestock Development, Mr Idi Mukhtar Maiha, and the FAO Representative to Nigeria and the Economic Community of West African States, Mr Hussein Gadain, in Abuja.

The intervention, approved under FAO’s Technical Cooperation Programme, will support disease containment efforts in 11 affected states and enhance surveillance, coordination and response mechanisms to prevent further spread of the disease.

Speaking during the meeting, Maiha said effective disease control remains critical to improving livestock productivity and protecting the livelihoods of farmers across the country.

He explained that factors such as drought, scarcity of feed, interaction between livestock and wildlife, as well as cross-border movement of animals have contributed to the spread of diseases in some areas.

“We must continue to strengthen our animal health systems and build the capacity required to respond effectively to disease outbreaks. Our collaboration with FAO will help protect livestock assets, improve productivity and support the broader transformation of the sector,” the minister said.

Mr Gadain commended the federal government’s commitment to the development of the livestock sector and assured that FAO would continue to provide technical support to Nigeria.

He stressed the need to strengthen veterinary services at the state and community levels, improve early detection of diseases and promote biosecurity practices among livestock farmers.

The meeting also reviewed progress on the global campaign to eradicate Peste des Petits Ruminants, a highly contagious disease that affects sheep and goats.

To advance the initiative, the ministry plans to convene a national technical meeting involving veterinary institutions, researchers and practitioners to review Nigeria’s eradication strategy and address gaps in vaccine supply.

As part of preparations, the ministry will engage the National Veterinary Research Institute to assess its vaccine production capacity while exploring other options for vaccine procurement to meet national demand.

Both parties also agreed to accelerate Nigeria’s access to financing under the Pandemic Fund through the One Health approach in collaboration with the Nigeria Centre for Disease Control and the Federal Ministry of Health to strengthen preparedness and response to zoonotic diseases.

Plans are also underway for the Director-General of FAO to participate in the Antimicrobial Resistance Conference scheduled for June 2026 in Abuja, where President Bola Tinubu is expected to be recognised as the African Champion for the eradication of Peste des Petits Ruminants.

The meeting further agreed to inaugurate a Livestock Donor Working Group to coordinate development partner support and advance key initiatives, including the development of a national feed and fodder strategy aimed at improving productivity and sustainability in the livestock sector.

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Chimamanda: Euracare Raises Concerns Over MDCN Investigation Panel Process

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Euracare

By Aduragbemi Omiyale

A Lagos-based healthcare facility currently in the limelight, Euracare Multi-Specialist Hospital, has faulted the outcome of the investigation panel of the Medical and Dental Council of Nigeria (MDCN) on the death of a 21-month-old Nkanu Nnamdi Esege, son of a renowned author, Chimamanda Ngozi Adichie.

The toddler died some weeks ago after an alleged overdose of sedative propofol, with the family alleging medical negligence.

This week, the panel suspended the two doctors of Euracare, Dr Tosin Majekodunmi and Dr Titus Ogundare.

Reacting to the development in a statement, the hospital claimed it observed “a number of serious concerns that have arisen in the course of these proceedings.”

In the statement made available to Business Post, Euracare emphasised that it vouches for the “professionalism and integrity of our clinical team,” pointing out that “certain established processes and protocols have not been followed in the manner required” during the probe.

While it empathised “with the family of Master Nkanu Nnamdi Esege” over the unfortunate incident, the healthcare firm said there was a “serious breach” by the investigators that “cannot go unaddressed.”

It identified this breach as the disclosure of “matters covered by patient and institutional confidentiality” outside the appropriate channels.

Below is the full statement from Euracare;

Our attention has been drawn to widespread media reports concerning the interim suspension orders and other findings issued by the Medical and Dental Practitioners Investigation Panel against thirteen doctors, two of whom are our clinical staff members in connection with the ongoing proceedings relating to the death of Master Nkanu Nnamdi Esege. We remain fully committed to cooperating with all relevant regulatory and judicial authorities in the course of their inquiries.

We however wish to place on record our confidence in the professionalism and integrity of our clinical team. Dr. Tosin Majekodunmi and Dr. Titus Ogundare who are experienced professionals whose records of service to patients in Nigeria span many years. Both doctors have, in their respective careers, contributed meaningfully to the delivery of quality healthcare to Nigerian patients at a standard comparable to what is obtainable in the world’s leading medical facilities.

In the interest of transparency, since the commencement of this matter, we have conducted a thorough internal review of the clinical events in question, in line with our clinical governance standards and best practices. We have actively demonstrated our commitment to transparency and will continue to engage openly with all inquiries directed at us.

We are also compelled to draw attention to a number of serious concerns that have arisen in the course of these proceedings. It is our position that certain established processes and protocols have not been followed in the manner required. We have further noted, with deep concern, that matters covered by patient and institutional confidentiality appear to have been disclosed outside the appropriate channels, and we consider this a serious breach that cannot go unaddressed.

We wish to state that we stand by the principles of equality, fairness, and good governance. Every party in this matter, including our institution and our staff, is entitled to a process that is conducted with rigour, impartiality, and respect for the rules that govern it. We will be raising these concerns through the appropriate legal and regulatory channels.

We continue to empathize with the family of Master Nkanu Nnamdi Esege. The loss of a child is a grief without measure, and we carry that awareness in everything we say and do in relation to this matter.

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