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Video: Partnering with the East African Community to deliver integrated health services Tags: News Development East Africa East African Community Videos Documentary

Development problems rarely respect national borders. Disease, conflict, environmental and infrastructural degradation — these problems traverse political boundaries, and regionally coordinated efforts can be the best way to solve them. 

​Successful efforts by the East African Community (EAC) to stimulate regional trade have led to new health challenges affecting populations that live, work and travel in transport corridors, including cross-border sites and waterways. The unmet need for HIV, tuberculosis, and sexual and reproductive health services is particularly acute among female sex workers, men who have sex with men, people who inject drugs, truck drivers and other mobile workers, women and girls, people living with HIV and fishing communities. 

To address the need for expanded services, the U.S. Agency for International Development (USAID) and the U.S. President’s Emergency Plan for AIDS Relief funded the Cross-Border Health Integrated Partnership Project (CB-HIPP). FHI 360, USAID’s prime partner for CB-HIPP, is working with the EAC and its partner states — Burundi, Kenya, Rwanda, Tanzania and Uganda — to implement integrated health services in strategic border areas, waterways and other transport corridor sites across the region. Strengthening leadership by Africa-led intergovernmental institutions like the EAC and developing alternative financing models for health services are goals of CB-HIPP. 

In this video, Dr. Michael Katende, Principal HIV and AIDS Officer for the EAC Secretariat, and Dorothy Muroki, FHI 360's Chief of Party for CB-HIPP, discuss why and how CB-HIPP is working with EAC and its partner states.

VIDEO

Source: fhi360

Electrify Africa Act Reintroduced In The US Senate Tags: News African News Development ACT World

WASHINGTON, D.C. -- Last week, in a rare show of bipartisan cooperation, Senators Ben Cardin and Bob Corker reintroduced the Electrify Africa Act. The bill, which is aimed at expanding electricity access to more than 600 million people in sub-Saharan Africa currently living beyond the grid, has already garnered the support of 15 additional Senators working across the aisle. 
 
The bill introduced this week is similar to an identically-named bill introduced in the House earlier this year by Representatives Royce, Engel, Smith, and Bass. Both versions of the bill include a number of unnecessary amendments focused on furthering the dirty energy agenda of the fossil fuel industry.
 
In response, Andrew Linhardt, Sierra Club Associate Washington Representative, released the following statement:
 
“The reintroduction of the Electrify Africa Act is positive sign that the U.S. is prepared to help bring electricity to communities that need it most -- communities that account for nearly half of the 1.3 billion people currently living without reliable access to power. And its common sense -- we already know that increasing energy access around the world increases quality of life and access to new resources that would have been previously unavailable. 
 
“This bill, like its predecessor, has the potential to bring much-needed electricity where the current ineffective grid and fossil fuels have failed. We should be deliberate in offering developing communities only the most modern, efficient, and cost-effective technology available, so as to help move these communities toward a more productive and sustainable future. It’s time we move beyond the failed grid into the 21st century and offer the world the clean energy technology that’s available now to power homes and businesses in every corner of the globe.”

Source: .sierraclub

Africa's millionaire explosion: The 16 countries where the ultra-wealthy are booming Tags: News African News Nigeria Morocco Ivory Coast Mozambiq Mozambique Ethiopia Namibia Algeria Botswana Mauritius South Africa Uganda

Africa's wealthy elite is expanding at a dramatic pace. In fact, according to a report by New World Wealth, the number of African millionaires has risen at twice the pace of the rest of the world in the last 15 years.

Though huge parts of Africa remain locked in extreme poverty, it's impossible to miss the emergence of ultra-wealthy individuals.

Here we've included the nations where the number of HNWI (high net worth individuals) has risen by more than 100% in the 15 years between 2000 and 2014. New World Wealth defines HNWIs as people with net assets of $1 million (£645,000) or more.

Overall in Africa, the number of HNWIs has risen by 145% over the period, while the world in general has seen an increase of 73%.

16. Uganda — a 116% increase in HNW individuals between 2000 and 2014 just sneaks Uganda onto the list, with 1,300 millionaires in the country now.
REUTERS/Euan Denholm
Fans painted in the colours of Uganda's national flag cheer before the start of the African Nations Cup Group Three qualifier soccer match between Uganda and Nigeria in Kampala June 2, 2007.


15. Morocco — The fifth largest African economy (and the second in north Africa) now has 4,800 millionaires, a rise of 118% since 2000.

flickr/marcp_dmoz


14. Tanzania — the second-largest economy in the East African Community, Tanzania now has 2,200 millionaires, up 120% from the turn of the millennium.
REUTERS/Andrew Emmanuel
A general picture shows the skyline of Tanzania's port cty of Dar es Salaam, July 12, 2013.


13. Kenya — a 124% increase in the number of millionaires since 2000 has left this east African economy with more than 8,000 HNW individuals.


Reuters
An aerial view of Kenya's capital city Nairobi on July 13, 2001.


12. South Africa — this country has by far the largest number of HNW individuals, and a 135% increase in the last 15 years has pushed the figure to 46,800.

REUTERS/Mike Hutchings
A long exposure picture shows a seasonal fog illuminated by the lights of Cape Town harbour as the city prepares for the start of the southern hemisphere winter, May 8, 2012.


11. Mozambique — this Indian Ocean-facing nation has seen a 150% increase in HNWIs, just above the African average, and now has 1,000 millionaires.

REUTERS/Mike Hutchings
Fishermen cast their nets beneath the skyline of Mozambique's capital Maputo in this file picture taken November 2009.


10. Ivory Coast — a 156% climb in the number of millionaires brought this west African state's numbers into four-figure territory, up to 2,300.

Luc Gnago/Reuters
Gold prospectors are seen at a gold mine near the village of Gamina, in western Ivory Coast, March 16, 2015.


9. Botswana — this major diamond exporter has seen the number of millionaire residents rise by 160% since 2000, climbing to 2,600.

REUTERS/Mike Blake
Botswana's Olympic team follow their national flag-bearer Samantha Paxinos during the opening ceremony of the Beijing 2008 Olympic Games at the National Stadium, August 8, 2008.


8. Algeria — this north African state now has 4,700 HNW individuals, up from 1,800 in 2000, an increase of 161%.

REUTERS/Amr Abdallah Dalsh
Algiers is seen in this aerial view February 22, 2015.


7. Mauritius — this island nation has a particularly strong tourism sector, and the country has seen a 167% boom in the number of millionaires since 2000.

REUTERS/Jacky Naegelen
View of the Commercial Bank of Mauritius office (L) in Port Louis on the Indian Ocean island Mauritius, August 5, 2015. The Mauritius Commercial Bank, founded in 1838, is a leading banking institution of Mauritius.


6. Namibia — Despite having a population of fewer than 3 million people, Namibia hosts 3,100 HNW individuals, a 244% rise on 15 years ago.


REUTERS/Afolabi Sotunde
Namibia's President Hage Geingob receives guard of honour upon arrival at the airport in Abuja, Nigeria May 28, 2015.


5. Ethiopia — no east African economy has seen a bigger climb in the ultra-wealthy than Ethiopia, where the numbers have risen 250% to 2,800 since 2000.


Barry Malone/Reuters
Ethiopian farmers collect wheat in their field in Abay, north of Ethiopia's capital Addis Ababa, on Oct. 21, 2009. For centuries, farmers have eked out a living in Ethiopia's central lowlands, tending tiny plots of maize, wheat or barley.


4. Nigeria — In Africa's largest state both by population and the size of the economy, the number of HNW individuals has more than quadrupled to 15,400, a 305% increase since 2000.


REUTERS/Akintunde Akinleye


3. Zambia — This copper-rich state, home to Victoria Falls, has seen its number of HNW individuals rise by 400% to 1,000.


Vadim Petrakov/Shutterstock


2. Ghana — this west African state's economy thrived during the commodity boom, and the number of HNW individuals has grown by 440% since 2000 to 2,700.


Military personnel take part in a parade during a ceremony marking the 57th anniversary of Ghana's independence at the Independence Square in central Accra March 6, 2014.


1. Angola — one of the most mineral and oil-rich countries in the world, Angola now has a booming class of ultra-rich people, with a 482% rise in HNW numbers since 2000.


REUTERS/Saul Loeb/Pool
The Estadio da Cidadela stadium is seen with the skyline of central Luanda May 4, 2014.

Source: Business Insider

‘Why Can’t My African Parent Give Me Time To Talk’? (VIDEO) Tags: Akinyele Bendu Hunter CAPCR News African News News2015 Lartink

BeeAfrican image

Center: Akinyele, An American kid, born to an African parent, asked the question (photo).


There's a serious, and perhaps conundrum, question that some people may laugh at, but others, particularly African kids, wants the truth and nothing more than the truth. And the question is "why can't [my] African parent give me time to talk?" an American kid, born to an African parent, disclosed his hidden question in front of an audience filled with professors, elders, students,  especially youth, and community leaders and members.

Such a question, however, should be reversed to when does the contention (argument) between a typical African parent—an old school African parent and African parents that still carry on their ways of being brought up— and their child (ren) ends"? This is the question that a lot of African children in the diaspora, including American and European children, who are born to a typical African parent, wants to know. And This question calls the attention of African parents (in Africa or abroad) and African scholars.

The question was brought up by Akinyele, an American kid born to African parent, during the Center For African Peace and Conflict Resolution (CAPCR) youth forum—which was held on Saturday, March 21, 2015. The CAPCR's Youth Forum was hosted by two brilliant, young and talented African ladies: Joan Gachuhi, as the host and Othelia Marwieh, as the co-host; and the theme of the forum was entitled "Embracing my African Heritage and Identify with Pride."

As the CAPCR’s youth forum carry on with it planned agenda—allowing anyone in the audience to either express themselves or ask a question, of which was the forum’s main objective/purpose—a 14-year-old African boy (American born), with the support from some of his friends that sat closed to him laugh as he, asked the question that soon became a heated debate at the forum: “"Why can’t [my] African parent give me time to talk"? In fact, the question ran the forum’s estimated time.

In response to the kid’s question, some typical African parents who happen to be at the forum soon answered the question with what they themselves learned and experienced, the hard way, from their parent when they were living with their parents. In fact, one parent suggested that he and his siblings never had the chance to either asked, seen or heard the words that were coming from their parents: “our eyes were always closed so as our ears because we expect beating from our parents if we dare try to ask them or explain to them.”

Another African parent (male) replied and narrated a similar situation with his kid: “Papa in [American] school, they don’t whip people,” he said his kid told him; and the father said he responded to his kid in a charming way: “ When you come in this house, this is an African house. I whip.”

VIDEO

On the contrast to other parents attacking the little boy, another parent, raise to a Nigerian parents in Nigeria, argued that parents themselves (both husband and wife) should never argue in front of their child (ren) which will signal a bad message; and it will encourage the kids that it is “alright” to engage in an argument with their parents. But as him flips the script to attach the kids, they felt not espoused by his lecture, that soon redirect kids’ misconception to never and never argue with their parents, and no matter what the situation.

However, during and after that parent’s speech, kids at the forum nod their heads in an agreement to him, as if he has scrutinized the cause and effect of kids wanting to argue with their parents.

But to answer the question, any typical African parents will NEVER and will NOT want their child (ren) to talk or explains while they, the parent, talk, PERIOD, which is considered as disrespect in many African heritage, either in an African’s traditional values or Western’s (civilize) values. 

“SHUT UP,” which is the beginning of the argument, will be the only explanation that will calm kids. Kids responses are “I am SORRY,” and “I won’t do it again,” which is the end of the argument and no further explanation from kids.

Source: Lartink@beeafrican.org

Looking For The Last Ebola Patients in Liberia: The Race to Zero Tags: Liberia News Ebola Disease African News News2015

On the morning of March 5, a 58-year-old English teacher stood outside an Ebola treatment center in the Liberian capital city of Monrovia, flanked by a row of health-care workers. The smiling woman, Beatrice Yardolo, had contracted the deadly hemorrhagic fever on February 19. Now, just two weeks later, she was at the center of a public discharge ceremony from the Chinese-run facility.


With public health officials, media, and politicians in attendance, Yardolo gave interviews expressing her happiness at being declared Ebola-free. At the time, the teacher was one of 9,249 Liberians who had contracted the virus during the deadliest Ebola outbreak on record, which had by then killed more than 9,800 people throughout Liberia, Guinea, and Sierra Leone — a death toll that has since surpassed 11,250.

"I am one of the happiest human beings today on Earth because it was not easy going through this situation and coming out alive," Yardolo told the Associated Press after her release.

But a sense of unease loomed, even as officials expressed optimism over the fact that Yardolo, for the time being, was the last confirmed Ebola patient in Liberia. For the first time in nearly 10 months, there was not a single person infected with the virus in any of the country's emergency treatment units.

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The sentiment was clear that hot Wednesday morning: The fight against Ebola was not over for the country of 4.2 million people. Officials were still monitoring more than 100 individuals living in Liberia who had come in contact with an Ebola patient in the last 21 days — the incubation period for the virus. It would take a total of 42 days without a new confirmed case of hemorrhagic fever for the World Health Organization (WHO) to officially declare Liberia free of the virus.

The push for zero cases, while difficult, is an essential mark for the afflicted countries to achieve. At its most basic level, Rick Brennan, the director of WHO's Ebola response, explained to me that until we "get to zero cases there's always the possibility that it could flare up again and spread again." Just as important, the fight against Ebola has had devastating effects on health systems, economies, and human resources that will take time to rebuild. "Ebola cases took a lot of energy and resources from the health system," Brennan told me, "and until we end the outbreak, it will be very challenging to fully reestablish essential and comprehensive health services."

Health officials were still concerned that new infections were being regularly reported in Sierra Leone and Guinea, just across Liberia's porous borders. Obstacles in the way of keeping tabs on contacts, public trust, and disease awareness continued to hinder local and international efforts to reach the only milestone that could mark the end of the Ebola outbreak in West Africa — zero cases in all three countries for 42 days straight.

Later that afternoon, I called Liberia's assistant health minister, Tolbert Nyenswah, from a parked car in the New Georgia Estate area of Montserrado County, Liberia's most populous county.

"We don't have any confirmed cases in the ETU, but this does not mean that the fight against Ebola is over," he said, being sure to emphasize in various ways that the country needed to remain vigilant. 

"Of course, everything should remain tight. There is no room for complacency — every citizen should take measures so that Liberia remains at zero, and also support our neighbors," Nyenswah explained.

This was a phone call I'd made many times over the last 10 months to a man who had quickly emerged as the public face of the government's Ebola response efforts. When Nyenswah and I first spoke, in June 2014, the Ebola virus had descended on Monrovia. Traditionally, hemorrhagic fever has plagued isolated rural villages in Central and East African countries like the Democratic Republic of the Congo (DRC), Gabon, and Uganda. The recent epidemic marked the first time the virus hit major cities. The three hardest-hit countries have all reported cases in their capitals — Conakry, Guinea; Freetown, Sierra Leone; and Monrovia.

During a phone conversation in June of 2014, Nyenswah was in a car making his way to various parts of the city to coordinate response efforts. It was a time when public health officials were as hands-on in the fight against Ebola as anyone. Nyenswah told me he had visited a traditional healing center that day where multiple dead bodies and suspected cases were picked up. The assistant health minister was clear about the situation: Liberia needed help.

"The situation is not stable; it's volatile," he said then, going on to stress the country's need for international doctors and help in training local medical staff. At that point, West Africa's first-ever experience with Ebola had become the worst outbreak since the virus was discovered, in 1976 in the DRC, then known as Zaire. A total of 400 confirmed deaths had occurred since December 2013, when the first infection showed up in Guinea's Guéckédou Prefecture. It is thought that a two-year-old boy from the village of Meliandou became patient zero after contracting the virus from a bat — a natural reservoir for Ebola.

That June marked the death of Liberia's first healthcare worker from the virus. Top surgeons, doctors, and nurses would soon follow. International medical charity Doctors Without Borders and WHO announced that the outbreak was getting serious, as infection numbers inflated in Sierra Leone and Guinea as well.

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But it wasn't until August, 1,711 cases and 932 deaths later, that WHO declared a public health emergency of global concern and visuals from the ground started to catch international attention. While the world was just waking up to the crisis, Liberians were already in the midst of an unprecedented and chaotic situation, even from the perspective of a country still recovering from 14 years of civil war.

"Sometimes there were bodies all over. September, the month of September, it was very bad," a case investigator named Victoria Kolakeh told me three days after Yardolo's hospital discharge in March.

"By that time it was difficult," she said, recounting the outbreak, which peaked in Liberia during the months of August and September 2014.

In July of that year, when the government put out an urgent request for health-care workers to help with Ebola response efforts, Kolakeh, a nurse by profession, volunteered. The 40-year-old went through training with a group of five other people to learn basic prevention measures for the virus. Afterward, she joined a group of 14 volunteers, including case investigators, drivers, nurses, and hygienists, who were divided into two teams. They worked in 24-hour shifts, from 8an to 8am the following day, covering the city in its entirety to track down suspected cases and transport people to the hospital.

I met Kolakeh and her team members on a Saturday morning in March, in a war room set up in Monrovia's John F. Kennedy Medical Center. Case-investigation teams had tacked up maps, schedules, and lists of contacts being monitored. Kolakeh was coming fresh off of a 21-day quarantine after entering a treatment center without proper protective gear. She arrived that morning wearing a graphic T-shirt, chlorine-stained pants, and a gray hat. From this meeting she would spend her eight-hour shift waiting for calls to come in with reports of suspected Ebola cases in Monrovia's Sector 1, which included some of the city's most densely populated neighborhoods.

When Kolakeh started, however, case investigations were less organized. She and her teammates responded to calls from all over the city and county, at a time when reports of suspected cases were constantly coming in and the sound of ambulance sirens on the busy streets of Monrovia was constant.

When I asked Kolakeh how exhausted she was during the height of the outbreak, working 24 hours straight and often well past the 8am shift change, she responded bluntly, as Liberians often do.

"Very much, but what to do?" she said. "For me, it was for the sake of my people. I gave myself to work for my country."

Case investigations and contact tracing require intense efforts to locate and monitor all the people an Ebola patient has recently encountered. These response activities are integral to containing the disease. As an outbreak slows down, the process becomes easier, but effective tracing becomes even more essential in the race to zero.

Liberia began seeing a drop in the number of new Ebola infections starting in October, steadily lowering through the beginning of 2015 — even as Guinea and Sierra Leone struggled to control the disease. Brennan explained that at this point, the Ebola response shifted to a phase when detailed epidemiological work became the focus.

"By January, we had reduced the incidents to around a hundred to a hundred and 50 cases per week, but those kinds of big-picture interventions aren't enough to end the outbreak," Brennan told me. "The last mile is all about the detailed epidemiological fieldwork, which we could do once we got to those lower numbers: finding every case, going out to villages, finding each person who's sick, and finding each one of their contacts."

Even as I sat in their dispatch room, the exhaustion of the last several months was still visible on the staff's faces while they waited for calls. As Kolakeh walked me through the layout of Sector 1, she received a phone call from SOS Children's Village, a clinic run by an international charity, saying that a woman with Ebola-like symptoms — vomiting, diarrhea, and exhaustion—had just been dropped off at their entrance.

The team quickly jumped into action, grabbing their bags and loading up a vehicle and ambulance to drive to the site. When

they got there, the sick woman, sprawled out on the cement, refused to board the ambulance and go to an Ebola treatment unit: The stigma and fear around the virus that comes even with just going to the clinic for testing is still alive in the minds of many Liberians. Kolakeh and a social worker spent time coaxing the woman for more personal information, but she refused to provide the contact details of family members.

By chance, the vehicle driver recognized  the woman from his neighborhood and called community members until he obtained her sister's phone number. Kolakeh got on the phone immediately and began the long process of compiling a definitive list of anyone who might have come into contact with the woman. Once this was finished, contact tracers working with Kolakeh would attempt to follow up with the individuals for 21 days until they had passed Ebola's incubation period without exhibiting any symptoms.

Eventually, after more than 30 minutes of discussion, Kolakeh managed to get the woman into the ambulance and take her to ELWA 3 hospital, the largest Ebola treatment center in the world. With a 250-bed capacity, the facility now sits mostly empty.

As with many of the suspected cases Kolakeh and her colleagues had taken for Ebola testing in recent days, the women from SOS Children's Village tested negative for the virus. Diseases like malaria and cholera are commonplace in the region and present Ebola-like symptoms in the early stages. With the virus maintaining its grip in neighboring countries, case investigators must remain vigilant in responding to phone calls and burial teams must continue to perform safe interments until all three nations reach the point of zero Ebola infections.

After I left Kolakeh, Liberia enjoyed a streak of 15 days without a new Ebola case. But on March 20, just six days short of the 21-day incubation period, a 44-year-old woman tested positive for the virus in a Monrovia hospital. Though this was a major setback for the country, health-care workers managed to contain the disease and safely transport the patient to ELWA 3. Not a single person who came into contact with the patient showed signs of the illness.

The woman died on March 27, but six weeks later, Liberia finally hit the milestone it had been chasing for a year. On May 9, the country had managed 42 days without incidence of the disease. Officially, the country was Ebola-free and the outbreak was over.

While WHO said it was confident the country had interrupted transmission, it underscored the fact that Guinea and Sierra Leone were still reporting Ebola outbreaks near their borders. "The government is fully aware of the need to remain on high alert and has the experience, capacity, and support from international partners to do so," WHO concluded.

In the more than two months since, both Guinea and Sierra Leone have continued to report new cases of the illness. In June, the countries recorded an average of 20 infections per week.

Brennan said that while there have been major behavioral changes in communities experiencing continued transmission, much work still needs to be done to overcome obstacles of resistance and awareness.

"If all those communities changed their behavior overnight, we'd end this outbreak in twenty-one days," Brennan explained, adding that he expected to see fluctuation but overall a larger trend downward in the number of cases. While he expressed that WHO is confident West Africa will get to zero cases, he reemphasized the need for detailed and almost flawless epidemiological work in this "last mile" of the outbreak.

"To end an Ebola outbreak requires a level of programmatic excellence that's unusual for most humanitarian programs," he said. "We have to find every case; we have to find every contact."

Just days later, on June 30, one month and three weeks after the outbreak in Liberia was declared over, Nyenswah announced that the dead body of a 17-year-old boy had tested positive for Ebola. A safe burial was performed, and nearby houses in the Margibi County village were placed under quarantine. Suddenly, community health teams had more than 100 new contacts to follow.

Source: Kayla Ruble via Vice News

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"ok now that is normal,this can be found only in africa ..."
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