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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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NARD Suspends Indefinite Strike, Gives FG Fresh Two-Week Ultimatum

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resident doctors strike

By Adedapo Adesanya

The Nigerian Association of Resident Doctors (NARD) has suspended its planned nationwide indefinite strike, granting the federal government a two-week ultimatum to address lingering welfare issues affecting resident doctors across the country.

The decision was taken after an emergency meeting of the association’s National Executive Council on Tuesday, where members reviewed assurances from government representatives and resolved to give dialogue another chance.

NARD said the suspension was informed by “progress made” in negotiations, particularly commitments on the prompt payment of salary arrears, hazard allowances, and steps toward resolving issues surrounding the Medical Residency Training Fund.

The association did not declare a full resolution of the dispute. It noted that the government had shown “renewed willingness” to address the concerns that triggered the strike threat.

The association noted that while these engagements signalled a willingness by the government to resolve the dispute, several critical issues remain outstanding, particularly the delayed payment of promotion arrears, salary arrears, the 2026 Medical Residency Training Fund (MRTF), and the backlog of 19 months’ professional allowance arrears owed to resident doctors.

It also expressed concern over the Federal Government’s decision to halt the implementation of the reviewed PAT, which had earlier triggered widespread dissatisfaction among its members and raised fears of disruption to healthcare services nationwide.

Despite these unresolved issues, NARD said it opted to suspend the strike as a demonstration of goodwill and commitment to ongoing dialogue, while giving the government a two-week window to take concrete, measurable and verifiable steps to meet its demands.

The association insisted on the immediate reversal of the decision affecting the PAT, payment of all outstanding arrears, prompt disbursement of the MRTF, and full settlement of the accumulated professional allowance backlog.

It warned that it would reconvene at the expiration of the ultimatum to assess the level of compliance and determine its next course of action, adding that failure by the government to meet its demands within the stipulated timeframe would result in the resumption of the suspended strike without further notice.

NARD also called on its members nationwide to remain calm, united and resolute, while urging the Federal Government to act swiftly to prevent a potential crisis in the health sector.

The association further appreciated the interventions of the Vice President and other stakeholders, expressing hope that their involvement would lead to the timely resolution of the dispute and help sustain healthcare delivery across the country.

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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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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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