CategoriesGFAN Africa

To Defeat COVID-19 and Save Lives, We Must Invest Additional Resources for Health

2020 has taken each one of us aback. COVID-19 struck and disrupted health, school, businesses, travel, play, prayer, and livelihoods. We have had to make decisions that affect our health in a way only seen and done in health facilities. While going out to the shop, we have to wear a mask and sanitize and the body temperature had better be right. COVID-19 has reminded us basic facts – that we must first secure our health and then we can deal with other facets of our lives. Public health is a pre-requisite to social, economic and political stability.

Gradually, and gladly so, the lockdown measures are easing. One major move to ease the lockdown is the announcement by the Cabinet Secretary of Education Prof. George Magoha on the re-opening of schools. Great news indeed. There are health risks related to schools being closed. For some children, schools are nutrition centers that also offer psychosocial support. For some girls, being out of school can mean greater risk of sexual exploitation, early pregnancy, forced marriage and HIV infection. The longer a girl is out of school, the less likely that she will return. Education, like health, narrows inequalities, is a driver for sustainable development, breaks down cycles of poverty and opens up a world of possibilities.

As COVID-19 fades away, the aftermath will remain with us for years to come as intensive efforts to find therapeutics, treatment and a vaccine continue. When Kenya was put in lock down, access to healthcare services dwindled. People were afraid of going to health facilities when they fell ill for fear of having COVID-19 and for fear of related stigma. This has resulted in the possibility of increased incidence of other killer diseases such as HIV, TB and malaria presenting fresh and unprecedented health challenges.

A modelling report by the Stop TB Partnership indicates that as a result of the COVID-19 pandemic, global TB incidence and deaths in 2021 would increase to levels last seen in between 2013 and 2016 respectively – implying a setback of at least 5 to 8 years in the fight against TB.

We must see the fight against COVID-19 and other diseases such as HIV, TB and malaria as one fight. Measures to mitigate the impact of COVID-19 on HIV, TB and malaria should involve a combination of intensive community engagement and maintaining awareness of the importance of services to defeat the three diseases while emerging from the COVID-19 response. Programs must identify and address gender inequalities in their design and response. One approach is to meaningfully engage women, supporting primary healthcare services needed to reduce child and maternal mortality; and supporting caregivers, who are mostly women, caring for those who fall ill from COVID-19 or other causes. Gender barriers to health must be removed.

Further, as we tackle COVID-19, health advocates, partners and our Government must ensure that the response to COVID-19 includes lessons learned from the fight against HIV, TB and malaria. Human rights be protected; stigma and discrimination must be addressed. The available COVID-19 resources be shared equitably. When treatment and a vaccine is found, it should be available to everyone, one everywhere for free. So that no one is left behind.

Lastly, COVID-19 will not be the last pandemic. The next pandemic must find Kenya better prepared, ready with strong and resilient health systems with a strong focus on primary healthcare founded on strong community health systems. A rights-based, equitable, people-centered system that is conscious of other factors that affect health and wellbeing such as climate change, food and housing.

To achieve these successes, I urge the Government to invest additional domestic resources for health to build back better for a healthier future for all Kenyans. That health is one of the pillars of the Big 4 agenda is a sign of President Kenyatta’s commitment to health. Health is an investment in human capital and a key factor to the development of our country.

I urge for efficient, effective and affordable healthcare for every Kenyan, wherever they are.

 

Maurine Murenga is the Executive Director of Lean On Me Foundation

CategoriesGFAN Africa Run4TB

Cecilia Senoo: To defeat Covid-19, protect progress against HIV, TB and Malaria and save lives, we must unite to fight

Covid-19 struck and disrupted health, school, businesses, travel, play, prayer, and livelihoods. We have had to make decisions that affect our health in a way only seen and done in health facilities. While going out to the shop, we have to wear a mask and sanitize and the body temperature had better be right.

Covid-19 has reminded us of basic facts – that we must first secure our health to be able to deal with other facets of our lives. Public health is a pre-requisite to social, economic and political stability. That leads me to emphasize that investing in population-based services for preventing, detecting and responding to disease is needed for development.

Government must increase investments in health

When countries including Ghana were put in lockdown, access to healthcare services dwindled. People were afraid of going to health facilities when they fell ill for fear of having Covid-19 Stigma.

There was fear of catching Covid-19 at the health facility. This has resulted in the possibility of increased incidence of other diseases such as HIV, TB and malaria presenting fresh and unprecedented health challenges.

HIV, TB and malaria services were largely disrupted during the lockdown. A modelling report by the Stop TB Partnership indicates that as a result, global TB incidence and deaths in 2021 would increase to levels last seen in between 2013 and 2016 respectively – implying a setback of at least 5 to 8 years in the fight against TB, due to the Covid-19 pandemic.

A report by UNAIDS posits that the HIV response could be set back further, by 10 years or more, where Covid-19 has caused severe disruptions. Malaria prevention programmes were interrupted such as in the delayed distribution of mosquito nets.

Schools have been closed for months and gladly, they are gradually re-opening. For out-of-school girls, this can mean a greater risk of sexual exploitation, early pregnancy, forced marriage and HIV infection. The longer a girl is out of school, the less likely that she will return. The level of risk is enormous.

Countries must then focus on how best to accelerate the restoration of services, to bring the disease burden under control.

Measures to mitigate the impact of Covid-19 on HIV, TB and malaria should involve a combination of intensive community engagement and maintaining awareness of the importance of services to defeat the three diseases while emerging from the Covid-19 response. Programs must identify and address gender inequalities in their design and response.

One approach is to meaningfully engage women, supporting primary healthcare services needed to reduce child and maternal mortality; and supporting caregivers, who are mostly women, caring for those who fall ill from Covid-19 or other causes. Gender barriers to health must be removed.

Further, as we tackle Covid-19, health advocates, partners and governments must ensure that the response to Covid-19 includes strategies and lessons learned from the fight against HIV, TB and malaria and resources are allocated towards this.

Human rights must be protected; stigma and discrimination must be addressed. The available Covid-19 resources must ensure equitable access to screening, testing and treatment. When treatment and a vaccine is found, it should be available to everyone, one everywhere for free. So that no one is left behind.

This calls for a solid global collaboration to acceleratethe development, production and equitable access to new Covid-19 technologies.

Lastly, Covid-19 will not be the last pandemic. The next pandemic must find us better prepared, ready with strong and resilient health systems with a strong focus on primary healthcare founded on strong community health systems. A rights-based, equitable, people-centred system that is conscious of other factors that affect health and wellbeing such as climate change, food and housing.

To achieve these successes, the government of Ghana must invest additional domestic resources for health to build back better for a healthier and safer future. The government must consider health as an investment in human capital in the realization that health is a key factor in the development of our country.

We unite to fight and the beat continues for efficient, effective and affordable healthcare for everyone, everywhere.

Source: https://www.myjoyonline.com/opinion/cecilia-senoo-to-defeat-covid-19-protect-progress-against-hiv-tb-and-malaria-and-save-lives-we-must-unite-to-fight/

Cecilia Senoo is the Executive Director, Hope for Future Generations
and Focal Person-GFAN-Africa

CategoriesArticle WACI Health News

Breastfeeding pegged on reduced maternal mortality

The World Breastfeeding Week, which runs from August 1 to 7, annually aims at focusing attention on the need to mothers to breastfeed their infants exclusively for the first six months of life.

This year’s theme was’ Support breastfeeding for a healthier planet’.

Unfortunately, unacceptably high number of women do not enjoy this privilege of breastfeeding their children because they never make it out of the delivery room alive.

Excessive bleeding or post-partum haemorrhage during or after child birth is the single highest killer of mothers in Africa.

According to the World Health Organisation (WHO) at least 295,000 women died during birth in 2017.

MATERNAL DEATHS

Sub-Saharan Africa alone accounts for roughly two-third (196,000) of these global maternal deaths.  This in itself is unacceptably high.

Mothers need to stay alive to provide their children with the best possible start in life – breastfeeding.

Breastfeeding delivers health, nutritional and emotional benefits for children and it forms part of a sustainable food system. Unfortunately, this is not a possibility for mothers who lose their lives while delivering their babies.

WHO, based on extensive new evidence, issued two recommendations for prevention and treatment of bleeding in women and included two new medicines in the WHO model list of essential medicines in 2019.

If these recommendations are implemented, they will contribute to the reduction in maternal mortality especially in low and middle income countries.

BLOOD LOSS

Administration of an effective uterotonic (these are drugs that help the uterus to contract and helps reduce blood loss during child birth) immediately after the birth of the baby has been shown to prevent PPH caused by the uterus failing to contract and is recommended by the WHO for all births.

Currently, most low and middle-income countries use oxytocin injection as the first line medicine for the prevention and treatment of PPH.

Oxytocin is a heat sensitive product that degrades when it is not kept refrigerated with temperatures of 2-8 °C (35-46 °F) throughout the supply chain, which can result in reduced effectiveness at the time of use, particularly in countries where reliable electricity and cold-chain may not be available.

Most countries in Africa use Oxytocin, a drug to stop bleeding during or after pregnancy, which requires cold chain. Many hospitals lack refrigeration facilities and also experience erratic power supply hence the efficacy of the drug becomes compromised. There are also many fake products in circulation.

COVID-19

Covid-19 has shown us that most of our health-care facilities are compromised in dealing with the pandemic be it human resource or equipment.

While most African countries  have stepped up and working on strengthening their healthcare systems, we should not forget the fact that maternal mortality still remains high in this region and that there is a cost effective solution available especially in our resource stretched economies.

The 2018 recommendations issued by WHO for drugs that support the uterus to go back to ‘its setting” after delivery now includes heat stable carbetocin as an option for prevention of bleeding for all births by a skilled birth attendant.

This particular drug is heat stable and a new formulation which retains its effectiveness for at least 36 months when stored at temperatures up to 30 degrees Celsius.

TRAUMA PATIENTS

Another drug that has been in use for years in reducing blood loss during surgery for trauma patients – Tranexamic Acid – is also part of the recommendation. While it had previously not been a go-to drug for reducing bleeding during birth, WHO has now included in the 2019 list of essential medicines with an obstetric indication- treatment of Post-Partum Haemorrhage (PPH).

These medicines, some new but some not so new are much needed on a continent that should not be losing mothers when there are ways to prevent it. While these medicines have been included in the essential drugs list by WHO, most African countries are yet to include them on their country’s lists.

For mothers to continue breastfeeding, they need to stay alive after delivery. To achieve this, we need to include drugs that work and that can maintain their efficacy even in resource strapped areas to save the lives of mothers and to contribute to the reduction of maternal mortality.

Joyce Ng’ang’a is the Policy Advisor at WACI Health

CategoriesGFAN Africa

The Global Fund in Ghana : Visit of the French Ambassador

On the occasion of the 6th Global Fund Replenishment Conference, held in Lyon (France) on October 10, 2019, the Ambassador of France to Ghana visited a facility that benefited from the Global Fund (Maamobi General Hospital), met with members of the Country Coordinating Mechanism (CCM) and beneficiaries.

The French Ambassador, Anne Sophie AVE, went to the Maamobi General Hospital in Accra where she was welcomed by the Director, Dr. Dorcas ANFU OKINE and various care staff of the establishment as well as the CCM Chair, Ms. Cecilia SENOO. She was able to meet with the National Disease Control Programs (NACP), the National AIDS Control Program (NACP), the National Tuberculosis Program (NTP), and the National Disease Control Program (NTP). She also visited the maternity ward where she met pregnant women and young mothers receiving Global Fund-funded treatment.

She then met with members of the CCM as well as representatives of the Ministry of Health and the Ghana Health Service to discuss the modalities for strategic management and monitoring of grants.

The end of the morning was dedicated to a meeting with direct beneficiaries of the Global Fund. H.E. the Ambassador AVE was able to speak with Mrs. Comfort ASAMOAH-ADU, Executive Director of the WAPCAS (West African Program to Combat AIDS and STIs), the main recipient of the Global Fund. This sequence was an opportunity to discuss with different beneficiaries and affected communities about their backgrounds and the challenges they face.

The Global Fund has several objectives: maximizing the impact of actions against HIV / AIDS, tuberculosis and malaria; building resilient and sustainable health systems; promotion and protection of human rights and gender equality and the mobilization of resources.

Since 2002, when it was created, more than $ 40 billion has been allocated to 140 countries to fight these three pandemics. By 2018, programs supported by the Global Fund to Fight HIV, Tuberculosis and Malaria have saved 32 million lives worldwide.
Ghana, the first recipient of a Global Fund grant, has received cumulative disbursements of US $ 817 million since 2002, including about US $ 110 million from France.

Malaria remains a leading cause of death in Ghana, but since 2006 significant progress has been made in reducing prevalence, incidence and mortality. Tuberculosis is treated successfully in 85% of cases, but screening coverage is still low, as is the case for HIV. HIV / AIDS remains a significant cause of death and prevalence is high among key populations (sex workers, men who have sex with men). New HIV infections do not decrease (19,100 cases / year in 2017), the number of people living with HIV is estimated at 320,000 in 2018.

On October 10, 2019, France hosted the 6th Global Fund Replenishment Conference in Lyon, meeting the financial needs for the 2020-2022 periods with a financial target of $ 14 billion to help save $ 16 million lives and avoid 234 million new infections in 2030.

The States present at this Conference have met their commitments: the Fund has collected $ 14.02 billion in pledges, including $ 1.4 billion from France, which remains the second largest contributor to the Global Fund since its creation in 2002, after the United States.

Global Fund resources alone will not be sufficient and the Government of Ghana will undoubtedly need strengthen its efforts through increased health budgets to eradicate the 3 pandemics.

CategoriesGFAN Africa Run4TB

To Defeat COVID-19, Protect Progress against HIV, TB and Malaria, and Save Lives, We Must Unite to Fight

On 3 September, GFAN Africa, CS4ME and the Africa Coalition on Tuberculosis organized a webinar titled Dialogue on the HIV, TB and Malaria Response Amid COVID-19. The webinar is one of the series of activities organized by GFAN Africa as part of the #TheBeatContinues campaign in efforts to defeat COVID-19 and mitigate its effects of the disease on HIV, TB and Malaria. In her remarks, Linda Mafu the head of Civil Society and Political Advocacy at the Global Fund noted that COVID-19 is a global emergency that requires a global response. She emphasized that in the spirit of UHC, no one should be left behind. She called for deep community engagement as communities are most affected by COVID-19; which has resulted in increased out of pocket spending leading to more poverty and increased vulnerability to HIV, TB and malaria

Maurine Murenga a community leader and a global health advocate noted that during crises, girls and women suffer the most. “When girls are out of school for long, as has been occasioned by COVID-19, they are less likely to go back. While in school, they are less likely to engage in sex and are less vulnerable to HIV”. She underscored the need for a gender sensitive approach to the COVID-19 response. In addition, she noted that economies have been weakened by COVID-19. She called for civil society creativity in advocacy for the allocation of increased domestic resources for health. “This year is tough in the fight against malaria. There have been difficulties and delays in distributing mosquito nets because of the COVID-19 disruption” noted Olivia Ngou the Executive Director of Impact Sante Afrique. She added that the situation is further complicated because communities are avoiding visiting health facilities when they have a fever. She emphasized the need for increased advocacy at community level to encourage communities to seek healthcare services when they have a fever or fall ill. She added that the protection of frontline healthcare workers is of utmost importance.

Here are the key messages from the webinar

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To defeat COVID-19 and safeguard the critical fight against HIV, TB & malaria, additional domestic and international funding is needed. We must measure success not just in reducing the death toll from COVID-19; but also in reducing the impact of the pandemic, including the knock-on effects on existing diseases. Without additional funding to fight COVID-19, countries will; be unable to deliver on their targets for lifesaving services for ongoing HIV, TB and malaria programs; be unable to purchase personal protective equipment (PPE) to protect their health workers, putting their lives at risk and contributing to ongoing transmission of the virus; and be unable to purchase additional COVID-19 tests or treatments that are critical to fighting the virus and saving lives.

To defeat COVID-19, the response must address gender barriers, stigma & discrimination, and protect human rights. The global response to COVID-19 must take lessons from the fight against HIV, TB and malaria. These include ensuring that the response protects human rights and address stigma and discrimination and removes gender and human rights barriers to health.

To defeat COVID-19, protect progress against HIV, TB and malaria, and save lives, we must unite to fight. Diseases do not respect borders. The COVID-19 pandemic makes it clear that our global health security is only as strong as the world’s weakest health system.  Around the world, people are uniting to fight. Health workers, governments, businesses, technical agencies, advocates and individuals are working together to continue the fight against infectious diseases and save lives. The Global Fund, the largest multilateral investor in grants for health systems worldwide, has provided immediate funding of up to US$1 billion to help countries fight COVID-19, mitigate the impact on lifesaving HIV, TB and malaria programs, and prevent fragile health systems from being overwhelmed. As advocates across the Africa region we are uniting to fight.

We #UniteToFight HIV, TB, Malaria and COVID-19 to save lives and so #TheBeatContinues

CategoriesGFAN Africa

GFAN Africa Urges Focus on All Life Threatening Diseases Amid COVID-19

Commonwealth Health Ministers meet every year. This year, the meeting took place virtually on 14 May 2020. The theme of the meeting was delivering a coordinated Commonwealth COVID-19 response. The meeting was timely as Governments the world over were caught out when COVID-19 struck. As the meeting took place, Global Fund Advocates Network – Africa members sent solidarity letters to their Ministers for health and to Her Excellency Amira El Fadil the Commissioner for Social Affairs at the Africa Union Commission

In the letters, Civil Society noted with concern the economic, social and health disruptions caused by COVID-19. They acknowledged and appreciated the efforts that the Governments, private sector, donors and individuals are putting in place to protect citizens from COVID-19 to save lives, mitigate its impact and sustain livelihoods.

They asked that the Ministers for Health ensure that: Governments continue to provide comprehensive healthcare services and remains focused on defeating other life threatening diseases as it battles COVID-19; Escalate engagement of community health systems so that communities are at the heart of the COVID-19 response especially in prevention, contact tracing and surveillance; Enhance multi-disciplinary partnerships for robust coordination at national, regional and global level.

Civil Society advocates from Kenya, Burkina Faso, Cameroon, Zimbabwe, Rwanda and Eswatini joined in this activity.

CategoriesGFAN Africa

#TheBeatContinues for Increased Domestic Resources for Health to END Malaria

In 1897 Ronald Ross working in India discovered that culicine mosquitoes transmitted the avian malaria parasite Plasmodium relictum and suggested that human malaria parasites might also be transmitted by mosquitoes.
The world marks World Mosquito Day on 20 August.
This year, GFAN Africa and the Civil Society for Malaria Elimination (CS4ME) mobilized partners on World Mosquito Day to join in social media action; And to emphasize the need for countries and regional partners to work towards the elimination of malaria amid COVID -19. This is in consideration of the knock on effect that COVID-19 will cause to malaria elimination as a result of disruption of prevention, treatment and care services. Partners from the following countries joined in the twitterthon: Tanzania, Kenya, Nigeria, Zimbabwe, Burkina Faso, Sierra Leone, Cameroon and Ghana.

While urging for sustained unrelenting efforts to end malaria, the key messages emphasized

  1. That Governments must ensure provision of needed malaria control services amid COVID-19 to save lives
  2. The need for mass vector control to help end malaria while ensuring the protection of health workers and communities from COVID-19
  3. That our leaders must increase their allocation of domestic resources for health to help end malaria and other life threatening diseases and ensure quality healthcare for all

According to the World Health Organization’s malaria report, most malaria cases in 2018 were African Region (213 million or 93%). Then there is urgent need to minimize disruptions to malaria prevention and treatment services during the COVID-19 pandemic to avoid slipping back and having increased numbers of malaria relate deaths.

Indeed, we UniteToFight COVID-19, malaria, and all life threatening diseases.

CategoriesYL4H

How I used advocacy skills learnt in Addis Ababa to educate people on COVID-19 in Ghana

I am Esmond Wedam Nonterah a Youth Leader for Health (YLH). YLH is a joint program by WACI health, RESULTS UK, Health Promotion Tanzania-HDT, Hope for Future Generation and CISMAT-Sierra Leone with support from Comic Relief, UK at Addis Ababa, Ethiopia.

The program I attended in Addis Ababa in January 2020 represented one of the most interesting phase in my life. It came at an appropriate time as two months after that the raging fire of COVID19 swept the world killing people and shutting down economies. The program was meant to better our advocacy skills towards malaria.

However, with COVID19 still a topical issue, I used the advocacy I learned at the program to educate people on the need to prevent ourselves from contracting the virus.

COVID-19 has come as a surprise to everyone. As the virus rages on like wildfire, this is how I experienced:

The power of being human is our ability to adjust to situations and needs. Once upon a time, COVID19 was the craze in town and people avoided it like the plague it was but now after a while, COVID19 has become normalized, and as such people think less of it. This is the case now in Navrongo. Earlier, it was a lust for life but now people just want to go on with their personal lives and ignore the fear of COVID19 as if it was a bubble gum event.

COVID19 brought out innovation in people generally. When nose masks were sold at exorbitant prices, tailors took upon themselves to produce locally made nose masks from African wax print fabric. In some instances, it turned into a fashion statement and this embraced the support for the wearing of nose masks. Through the ingenious works of these tailors, nose masks turned from quasi hospital wear to something more of a fashion attachment.

Despite being a fashion accessory, the wearing of a nose mask is being seen as a burden. For instance, a met a lady in town not wearing a nose. When I asked her why she was not wearing one, she remarked that she was tired of wearing a nose mask and she felt they were uncomfortable to wear. I advised her on the need for her to wear nose masks always. I drew parallels to how the figures were increasing in exponential progression in Ghana due to the actions of people like her. She appreciated the point I made and immediately bought one just by to wear.

Veronica buckets gained popularity due to COVID19, these buckets were placed in vantage points like banks, mosques, markets and public places. In banks, security was insistent on people washing their hands before entering. I still see the buckets but the use of the buckets has been on diminishing returns. This is because the fear people have about the virus is on the descendency. The strict enforcement of the use of the bucket has been on the downward trend. In public places too, the use of infrared the money is becoming less pronounced as people are trying to adjust their lives to the virus.

Lastly, there are troops to the betting centers with the resumption of the football league. These centers draw huge crowds who can be careless in the spur of the moment of a victory or loss. These centers can be the epicenter of the spread of COVID19. These crowded places ignore social distancing protocol as these crowds are difficult to handle. I have seen videos of people here in recent times and I feel it is a cause for concern.

As an advocate and youth leader, I continue to observe, witness, and record the reactions of the public in these difficult times. Many questions remain unanswered

Are these masks made from fabric and with no filters truly effective?

Are people no longer afraid of death and accept it more as a part of life?

Why are our numbers going up rapidly?

Should we be on a partial lockdown or carry on as usual- markets open, restaurants open, football season starting, schools open, hairdressing salons?

COVID19 has gone from the Boogieman to the ghost no one cares about.

COVID-19 affects individuals regardless of their status in society and their nationality. The response to COVID-19 cannot leave anyone behind and the only effective protection must include everyone, as this is the only way to adopt efficient measures that help control the pandemic in the long-term.

CategoriesYL4H

A TYPICAL WEEK AS AN ADVOCATE WORKING ON ISSUES FOR IMPROVED CHILD PROTECTION AND REPRODUCTIVE HEALTH

BY: MOSES KODAH, EXECUTIVE DIRECTOR-NETWORK OF ADVOCACY FOR YOUTH EMPOWERMENT

My name is Moses Sorie Kodah. I am a youth leader for health working primarily in the Kambia District, Sierra Leone. Kambia District is located in the North West at the border between Sierra Leone and Guinea.

I am trained youth advocate under the Youth Leaders for Health Program under the leadership of CISMAT-SL funded by Results UK and Comic Relief, London. In January 2020, I was part of a leadership training program and had the opportunity of meeting His Excellency, Ambassador Kwesi Quartey, Deputy Chairperson of the Africa Union Commission (picture on the left).  What an inspiring meeting.

BACKGROUND

With a team of youth leaders and advocates, we have set up an NGO called Network of Advocacy for Youth Empowerment. Our aim is to empower the youth to make sound decisions affecting their health, education and human rights. For the first half of the year 2020, we have been carrying out advocacy activities and public engagement to highlight education and health issues particularly during these COVID-19 times.

In March 2020, we supplied sanitary items and books to adolescent girls. This was carried out through the Adolescent Girls Equipped and Resourceful (AGER) project. The objective was to encourage adolescent girls practise  safe hygiene in safe places through washing hands etc.

 

 

 

 

 

 

 

 

 

KEY ISSUES IN MY DISTRICT, KAMBIA

Poor reproductive health and low levels of child protection has lingered for so long in communities and institutions in the Kambia District. Challenges in sexual reproductive health and child protection take different forms such as in sexual harassment, teenage pregnancy, early marriage, child labor and trafficking. This contributes to poor educational performance and retention rates in school. Most of the cases are hardly reported because of low confidence in the justice system, cases not treated seriously, poor networking system between the community and victims, lack of logistics and poor public engagement to raise awareness. The affected girls are left to either suffer silently or drop out of school.

Unequal attitudes and treatments between the boy child and the girl child start from traditional African homes and find routes into learning institutions. Specific roles are assigned to boys and others reserved for girls and this is where a myriad of challenges begin for the girl child, a time when their immense potential can begin to crumble. My NGO has been called upon to intervene on various cases to accelerate justice for victims. I can share a few examples below.

On the 5th March 2020, a 16 year old girl child was reported sexually assaulted by Mr X (names withheld) in Romaka Town, Magbema Chiefdom resulting in teenage pregnancy and subsequently the death of the victim. The matter was taken to the Kambia Family Support Unit for investigation before the death of the victim. The Medical officer supposed to examine the young girl was absent from post for two (2) days as alleged by the parent of the victim. On the third (3rd) day the child was admitted however, the nurses realized that the victim had taken an overdose of drugs to terminate the pregnancy. Within a few hours, the patient was pronounced dead. The members of my NGO were informed to provide support for the family. The alleged sexual molester is still at large.

On the same day, a 17-year-old girl child was reported sexually assaulted and kidnapped by Mr Y, a social worker of an NGO organisation in Kambia Town, Magbema Chiefdom. The alleged perpetrator was arrested and placed in cells for 72 hours and was given bail as the file was sent to the Director of Public Prosecution in Makeni for advice. We are closely monitoring that case and advocating for justice to prevail.

On the 10th March 2020, a 4-year-old child was reported sexually assaulted by a son of a military officer at Pebu Barracks, Magbema Chiefdom. The little girl sustained serious injuries as confirmed at the Kambia Government Hospital. The child was accompanied by staff of Network of Advocacy for Youth Empowerment staff to the Rainbow Centre, Freetown for counselling, treatment and support. Investigations are on-going at the Kambia Family Support Unit. The alleged perpetrator is in cells.

On the 12th March 2020, a police officer of the Kambia Police Division was reported to have sexually abused a 14-year-old girl child in Kambia Town, Magbema Chiefdom. When arrested, he used abusive words even to the parent of the survivor. The mother of the 14 year old cried sorrowfully. The accused shouted and proclaimed that ‘’Government influence would end in his release”.I called on all activists to fight for justice for this poor woman’s daughter and the entire family and we continue to advocate for justice through media interactions and providing support to the family. The accused still roams the streets of Kambia boastfully and confidently.

PLANNED INTERVENTIONS

Through Network of Advocacy for Youth Empowerment, we are planning ten training sessions across the ten chiefdoms from August 2020 to May 2021. The workshops will give opportunity to stakeholders to share their experiences/strategies on reporting sexual reproductive health and child protection issues, the unresolved challenges, stigma and discrimination from family, community and health officials, law enforcement officers and so on.

The workshops will also educate stakeholders on the use of mobile phones and an emergency reporting system (Free line system emergency U-report system) to report issues relating to child trafficking, child labor, early marriage, rape, etc.  We intend to use targeted advocacy with this group to train them on the negative results that arise when such issues are not reported, tracked and perpetrators are not prosecuted.

We plan to target stakeholders such as Teachers, Paramount/Town/ Section Chiefs, Councilors, Pastors, Imams, Youth Leaders, Women Leaders, Adolescents, District Education Officers etc. We are planning interventions at 3 levels.

Community level: Committees will be established in the communities to ensure prompt actions are taken when there is a potential or real threat regarding safety of the girl child. This committee will comprise of community stakeholders and opinion leaders with the mandate to report any suspicious incidents regarding wellbeing, sexual reproductive health and protection.  This committee will liaise with government agencies within the district and help in advocacy work whilst linking up with other communities to learn/share good practices etc

Chiefdom Level:  A team comprising Family Support Unit, NAYE- Salone Staff and partners will be established to carry out preliminary investigations on incident and provide feed back to the District committee to ensure transparency and accountability. This committee will also engage print and TV/radio media to talk on sexual reproductive health and child protection challenges in the chiefdom.

System level: To ensure the success of the system and committees set, we will establish a system to capture, refer, and monitor the emergency and U-report system line. This will encourage regular reporting and sharing from committees and will promote an enabling environment for dealing with sensitive issues.

 

CONCLUSION

The training I received in youth leadership has sharpened my advocacy skills and helped me immensely in my work. I can only reiterate my thanks to facilitators Rosemary, Push, Dr Sylvia and Dr Elvis for opening my mind to the many possibilities of good advocacy. I am certain as community awareness of child protection and abuse is increased, the negative effects associated with poor reporting and follow up of perpetrators and prosecutions will be improved.

CategoriesArticle GFAN Africa WACI Health News

Domestic Resource Mobilization as a Pathway to Achieving Sustainable Health and HIV Financing in Africa

On 4 December 2019, on the sidelines of ICASA, WACI Health in partnership with GFAN Africa and civil society partners organized a meeting at the Marriott Hotel, in Kigali, Rwanda to discuss sustainable health financing in Africa. The meeting was opened by Honorable Dr Nyemazi Jean Pierre the Permanent Secretary, Ministry of Health in Rwanda who welcomed participants to the meeting on behalf of Dr Diane Gashumba, the Minister for Health. Dr Nyemazi emphasized Rwanda’s commitment to health, noting that Rwanda’s UHC coverage is at 95% as he urged other countries in Africa to invest more domestic resources so that the continent achieves the desired health outcomes.

In his remarks, Hon Yoweri Ssebekali, a Member of Parliament in Uganda & Member of Uganda TB Caucus emphasized the need for Governments to take ownership of the health of their citizens. By investing more domestic resources, and allocating these resources where there will be the biggest impact. He stressed the need for a strong focus in primary healthcare.

Shu-Shu Tekle Haimanot of the Global Fund Secretariat, Maurine Murenga of the Lean on Me Foundation and Dr. Marrie Goretti in their remarks underscored that domestic resources for health are key to ensuring everyone has access to effective, efficient and affordable healthcare whenever they need it.

Civil society then presented a statement to Dr Nyemazi, articulating the need to make further progress to defeat HIV and to sustain the gains made to date. “African Governments particularly, must urgently address HIV within the context of health and even more broadly in the framework of the Sustainable Development Goals (SDGs), to ensure the health and wellbeing for all. Broadly in the sense that Governments must address health in the context of non – health dynamics which affect health such as education and climate change. For example, globally, almost 60% of new HIV infections among 15-24 year olds were contracted by adolescent girls and young women. Investing in the education of girls, and keeping them in school will significantly keep them healthy”. Read the statement.

Further, civil society noted that “we are at a point in time when donor funding for health in Africa is shrinking. In the absence of adequate funding for health, citizens in African countries have to pay for healthcare services from their pockets. In some countries, citizens are spending up to 40% of their household budgets to pay for healthcare.” The statement emphasized the need for Governments to put every possible effort in allocating adequate domestic resources for health, which will contribute to achieving UHC.
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