Connect with us

Health

Why Russia’s Vaccine Diplomacy Failed Africa

Published

on

Russia vaccine diplomacy

By Kester Kenn Klomegah

In these difficult and crucial times, the strategic partnership with Africa has become a priority of Russia’s foreign policy, declared Sergey Lavrov, Russia’s Foreign Affairs Minister.

The difficult times understandably refer to both the COVID-19 pandemic and the current period when Russia’s own “special military operation” in Ukraine has shattered the global economy.

But why is Russia very quiet over its vaccine diplomacy in Africa? What have Russia-African Union relations brought to the health sector in Africa? Why Russia’s vaccine diplomacy could arguably be described as a failure for vulnerable groups and vaccinable people among the 1.3 billion population.

The Africa Centre for Disease Control and Prevention (Africa CDC) estimated approximately 28 per cent of the entire African population was vaccinated over the past two years. South African President Cyril Ramaphosa and a few African leaders have vehemently accused European and Western countries with advanced pharmaceutical technologies of hoarding COVID-19 vaccines.

Russia was the first advanced country that came out with Sputnik V in August 2020, in fact, less than a year when coronavirus was declared an epidemic by the World Health Organization (WHO). But Sputnik V has never been approved by the WHO primarily because of a lack of transparency of Russian laboratories in addition to the fact that it was approved before going into compulsory phase III clinical trials, breached relevant international protocols and ruined its reputation from the outset, and further in Russia as demonstrated by a high degree of vaccine hesitancy.

The Sputnik V was developed by the Gamaleya Scientific Research Institute of Epidemiology and Microbiology. It was later registered under the emergency use authorization procedure, according to the Russian Direct Investment Fund (RDIF) website.

The RDIF is Russia’s sovereign wealth fund established in 2011 to make equity co-investments, primarily in Russia, alongside reputable international financial and strategic investors. The Kremlin offered this agency the full-fledged task of managing and directing all aspects of COVID-19 vaccine production and distribution.

The RDIF has made a substantial contribution to developing and marketing Sputnik V, the first registered COVID-19 vaccine, in the world. Sputnik V was heavily promoted via a professional international marketing campaign and Russia obtained commercial contracts for close to 800 million doses of Sputnik V. Russia has only delivered 108 million doses, i.e. less than 15%.

In the first place, Sputnik V has little impact in Africa. Second, there is no African country manufacturing Sputnik V so far. In fact, Russia signed manufacturing agreements with no less than 23 countries to produce Sputnik V. However, only a few countries actually started production due to delays in the supply of raw materials. As one of very few countries, Russia stayed completely outside the COVAX Facility and it played no significant role in vaccine donations.

Holding the heck of the bumpy road during the pandemic period, Russia made progressive steps, resembling a substantial breakthrough to save human extinction. It swiftly registered the vaccine in many countries and often promised to establish manufacturing points in a number of countries, including Africa. But in critical assessment, we cannot skip the messy description, from various points of view, that Russia’s vaccine diplomacy has failed Africa. Certainly, that was the case with Russia’s diplomacy in Africa.

President Vladimir Putin has oftentimes praised the entire healthcare system, and particularly the hard-working team of scientists and specialists from different institutions for their efforts at research and creating a series of vaccines for use against the coronavirus both at home and abroad.

Russia’s Foreign Ministry reports indicated that the Sputnik V vaccine was registered in the following African countries: Algeria, Angola, Cameroon, Djibouti, Ethiopia, Egypt, Gabon, Ghana, Guinea, Kenya, Mauritius, Morocco, Nigeria, Namibia, Seychelles, South Africa, Tunisia, the Republic of Congo (DRC) and Zimbabwe.

However, the majority of African countries where Sputnik V was registered could not get supplies to purchase as promised. Admittedly, Russia faces vaccine production challenges to meet the increasing market demand and to make prompt delivery on its pledges to external countries.

Russia’s drive to share the Sputnik V vaccine offers a chance to raise its image and strengthen alliances in Africa. It has made some vaccine deliveries by sprinkling a few thousands, but only to its preferred countries including North Africa (Algeria Morocco and Egypt), East Africa (Ethiopia), Southern Africa (Angola, Mozambique and Zimbabwe) and West Africa (Guinea). Media reports say, South Africa, a member of the BRICS group, categorically rejected the Sputnik V donation from Russia.

Furthermore, an official media release in mid-February 2021 said that the Africa Vaccine Acquisition Task Team – set up by the African Union (AU) to acquire additional vaccine doses so that Africa could attain a target immunization of 60% – received an offer of 300 million Sputnik V vaccines from the Russian Federation. It was described as a “special offer” from Russia. In the end, Russia never delivered the 300 million vaccines as contracted.

In the Situation Analytical Report on Russia-Africa, compiled by 25 Russian policy experts, headed by Sergei A. Karaganov, Honorary Chairman of the Presidium of the Council on Foreign and Defense Policy, and was released in November 2021, pointed to Russia’s consistent failure in honoring its several pledges over the years. That report vividly highlighted contracts to supply Russian-made vaccines to Africa that were not fulfilled through the African Union. “Having concluded contracts for the supply of Sputnik V to a number of African states, Russian suppliers failed to meet its contractual obligations,” says the report.

Another report also compared Russia’s vaccine diplomacy with Europe, China and other external countries: (https://www.eeas.europa.eu/eeas/vaccinating-world-between-promises-and-realities_en). The report says one and a half years after the start of the COVID-19 vaccine rollout, the European Union (EU) can be proud of what it has achieved to help vaccinate the world, and in particular low- and middle-income countries. The EU’s record stands in contrast to what China and Russia did beyond the bluster of their noisy “vaccine diplomacy” during these years.

In 2021, the subject was not only dominating the headlines but also at the centre of international relations, with major powers, in particular China and Russia, conducting active vaccine diplomacy to extend their global influence by promising to provide vaccines to the world. From the outset, the EU had chosen to act in a multilateral framework, by supporting the COVAX facility launched by the WHO to jointly purchase and supply vaccines to low and middle-income countries.

The report says, based on data collected by the multilateral institutions, the EU has actually been by far the largest exporter of vaccines in the world. With 2.2 billion doses supplied to 167 countries, we exported almost twice as many vaccines as China, three times as much as the United States and 20 times as much as Russia.

Of these 2.2 billion exported doses, 475 million were donated to 104 countries, of which 405 million via COVAX and 70 million bilaterally, particularly in the Western Balkans and the Eastern Partnership. In terms of donations, the United States did slightly more than the EU, with 542 million doses donated to 117 countries. But the EU has actually donated far more vaccines than China – with just 130 million to 95 countries – and Russia – with only 1.5 million doses to 19 countries.

The EU has not only exported and donated vaccines but also helped to develop vaccine production in Africa: last year, the EU with its member states and financial institutions committed over one billion euros to finance this development.

By 2040, the African Union wants that 60% of the vaccines used on the continent are manufactured in Africa and the EU fully supports that goal. This year already, two factories will be installed in Rwanda and Senegal and commercial production is set to begin in 2023. Close cooperation is also ongoing with South Africa’s Biovac Institute and partners in Ghana.

In these difficult and crucial times, Russian vaccine diplomacy has been a total failure and this was already the case before its “special military operation” in the former Soviet republic of Ukraine. In short, the vaccine diplomacy of these two countries, Russia and China, can be summarized as “great expectations – broken promises.”

The EU has a lot to be proud of, not only did it manage to vaccinate its own population against Covid-19 in a short period of time, but it has also been the world’s largest exporter of vaccines and the second largest donor to low- and middle-income countries. The EU has accomplished much more in this area than China and Russia together. Building on this solid track record, the EU will continue to support access to vaccines worldwide, particularly by helping with vaccine manufacturing in Africa.

Click to comment

Leave a Reply

Your email address will not be published. Required fields are marked *

Health

NHIA Says 22 million Nigerians Now Have Health Insurance Coverage

Published

on

National Health Insurance Authority NHIA Health Insurance Coverage

By Adedapo Adesanya

The National Health Insurance Authority (NHIA) says the number of Nigerians enrolled in health insurance has risen to more than 22 million.

The Director-General of NHIA, Mr Kelechi Ohiri, said this resulted from the implementation of the mandatory health insurance, which has gained momentum nationwide.

He said this on Wednesday at the Annual General Meeting of the Nigerian Association of Insurance and Pension Editors (NAIPE) in Lagos.

Mr Ohiri said enrolment had increased to 22.03 million, representing a 35 per cent year-on-year growth, attributing this to stronger collaboration with state social health insurance agencies, ministries, departments and agencies, organised labour, employers, the private sector, and the gradual implementation of the mandatory health insurance provisions of the NHIA Act.

He said that the country had moved beyond policy formulation to delivering measurable improvements in healthcare access, service quality and consumer protection in line with the federal government’s health sector reform agenda.

According to him, Nigeria already has the necessary policies and legislation to achieve Universal Health Coverage, positing that the key challenge was effective implementation.

“The decisive variable is now implementation- consistent, rigorous and accountable execution that converts political commitment into healthcare access for real Nigerians,” he said.

Mr Ohiri said that the transition from the former National Health Insurance Scheme to the NHIA had strengthened regulation, consumer protection, accountability and strategic purchasing, while providing the legal and operational framework for achieving Universal Health Coverage.

He added that improving the experience of enrollees remained central to the Authority’s reform agenda.

According to him, NHIA has strengthened its complaints management system, introduced faster resolution timelines, and intensified compliance monitoring of Health Maintenance Organisations (HMOs) and healthcare providers.

He further added that NHIA had sanctioned facilities that failed to meet the required standards, adding that his organisation had resolved 3,878 complaints, representing an 87 per cent resolution rate, while 95 per cent of the cases were concluded within prescribed timelines.

Mr Ohiri noted that more than N14.2 million had been refunded to enrollees, while non-compliant healthcare facilities had been sanctioned.

He said NHIA had also introduced service standards, including a one-hour treatment commencement target for enrollees requiring urgent care, to improve access to timely and quality healthcare services.

The NHIA boss further disclosed that capitation payments to healthcare providers had been increased by 93 per cent.

He said fee-for-service reimbursements rose by 378 per cent to enable providers to invest more in personnel, equipment and infrastructure.

According to him, 7,592 healthcare facilities have been assessed under the SafeCare quality framework as part of efforts to institutionalise continuous quality improvement across the country.

Mr Ohiri also highlighted interventions targeted at vulnerable groups, including support for more than 48,500 pregnant women, expanded maternal and newborn healthcare services, the Vulnerable Group Fund, and improved access to healthcare for pensioners and retirees.

He said Universal Health Coverage could only be achieved if every Nigerian, regardless of income or location, had access to quality healthcare services.

Continue Reading

Health

SUNU Health Backs NHIA’s One-Hour Authorisation Policy

Published

on

One-Hour Authorisation Policy

By Modupe Gbadeyanka

The new one-hour authorisation response time ultimatum policy introduced by the National Health Insurance Authority (NHIA) has received the full backing of SUNU Health Nigeria Limited.

This policy was introduced by the agency to ensure enrollees get prompt approval codes to access care.

Healthcare service providers have been urged to report any Health Maintenance Organisation (HMO) that violates this initiative through an email, with the HMO in copy and a timestamp attached as evidence of the request. They may proceed to offer services to enrollees thereafter.

Speaking at the company’s second-quarter Providers’ Forum for the Lagos-Ogun region in Lagos recently, the chief executive of SUNU Health, Dr Moyosore Olomola, expressed optimism that this policy would improve healthcare delivery in the country, especially for enrollees, who crave quality service.

At the event themed Improving Quality and Access to Care Through Stronger Provider Network, and held at the Nigerian Institute of Medical Research (NIMR) in Yaba, Lagos, Mr Olomola reaffirmed the HMO’s commitment to operating within legal and operational frameworks to guarantee adequate care for enrollees.

“Access to care and quality of care remain key priorities in our healthcare systems. We know quite well that deliberate collaboration, strategic partnerships, and a shared commitment to excellence are required to achieve these priorities.

“A strong provider network is doubtless the backbone of any effective healthcare system. It ensures that our mutual enrollees receive the right care, at the right time, in the right place, and at the right price,” Mr Olomola, represented at the programme by the organisation’s Chief Operating Officer (COO), Dr Faith Nwachi, stated.

He further assured that SUNU Health would strictly adhere to the one-hour authorisation limit, stressing that this aligns seamlessly with one of the organisation’s core values—promptness and its corporate slogan, Humanity is the centre of our initiatives.

In a bid to further improve access and quality of care, SUNU Health also demonstrated its new operational software and Mobile app, aptly named SUNU Legacy.

Also speaking at the event, the NHIA Lagos State Coordinator (Ikeja), Dr Bethuel-Kasimu Abraham, noted that the forum’s expected outcome is to significantly reduce delays in accessing medical care.

Other key expectations include ensuring continuity of care, improving patient outcomes, and strengthening accountability among HMOs.

Addressing specific pain points faced by enrollees, the NHIA Ogun State Coordinator, Mr Dare Adefeso, acknowledged that the agency had received complaints regarding out-of-stock drugs and the discrimination of enrollees by certain providers.

He affirmed that the NHIA is actively addressing these issues, stressing that moving forward, every facility must ensure enrollees are properly catered to regardless of their status, provided they have an active health insurance plan.

Corroborating the long-standing legacy of SUNU Health, the Ogun State Director of the National Orientation Agency (NOA), Mrs Aishat Tiamiyu, shared that her agency is responsible for public information dissemination and has been enrolled with SUNU Health for over 25 years.

Commending the HMO’s stellar service over two decades, she called for the immediate enrollment of new NOA staff into the scheme.

The Providers’ Forum remains one of the strategic channels employed by SUNU Health to consistently engage healthcare providers, understand their operational challenges, introduce new software updates, and solidify partnerships aimed at fostering premium healthcare delivery across Nigeria.

Continue Reading

Health

NAFDAC Announces Recall of WAP Sensual Enhancement Capsules

Published

on

WAP Sensual Enhancement Capsules

By Aduragbemi Omiyale

The National Agency for Food and Drug Administration and Control (NAFDAC) has announced the recall of a sexual enhancement product known as WAP Sensual Enhancement Capsules.

In a statement on Monday, the Nigerian agency disclosed that the recall is due to “undeclared pharmaceutical ingredients” in the product, whose country of origin is unknown, but is marketed and distributed online in the US through eBay.

It was emphasised that the recall is being “voluntarily” made by the manufacturer, Best Supplements Best Prices Company.

The detection of the undeclared pharmaceutical ingredients was made by the US Food and Drug Administration (FDA).

Laboratory analysis by the US FDA revealed that the product contained undeclared sildenafil, tadalafil, and flibanserin, which were not mentioned on the product label. Such substances may include phosphodiesterase type-5 (PDE-5) inhibitors or related compounds commonly used for the treatment of erectile dysfunction, the statement by NAFDAC stated.

Sildenafil and tadalafil are ingredients in FDA-approved prescription drugs used to treat erectile dysfunction.

It was noted that these undeclared ingredients may interact with nitrates found in some prescription drugs, such as nitroglycerin, and may lower blood pressure to dangerous levels. Consumers with diabetes, high blood pressure, high cholesterol, or heart disease often take nitrates.

Flibanserin is the active ingredient in an FDA-approved prescription drug used to treat low sexual desire in women. Flibanserin can cause drowsiness, sedation, dangerously low blood pressure, and fainting, especially when combined with alcohol.

Consumers have been encouraged to report compromised products (medicines or medical devices) to the nearest NAFDAC office, call 0800-162-3322, or send an email to sf******@********ov.ng.

Continue Reading