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Lesotho moves towards mass treatment of worm infections

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Lesotho moves towards mass treatment of worm infections

By: Michael Mike

To address the severe impact of parasitic worm infections on children’s health, nutrition, and education, the Ministry of Health in Lesotho, in collaboration with the World Health Organization (WHO), has initiated steps to re-establish its Mass Drug Administration (MDA) programme for Soil-Transmitted Helminths (STH).

This is done through the annual administration of albendazole tablets to target both preschool-aged children (1–5 years) and school-aged children (6–15 years). To prepare for the implementation of this critical intervention, a three-and-a-half-day multi-sectoral workshop was held in Leribe District, focusing on the development and validation of a comprehensive operational manual to guide future MDA implementation.

WHO has reported that over 1.5 billion people globally are infected with soil-transmitted helminths (STH), making it one of the most widespread infections. This parasitic disease is particularly prevalent in low-income and tropical regions.

The AFRO region faces the highest burden, with more than 800 million people at risk. Around 290 million school-age children in this region require preventive chemotherapy.

All Saharan African countries are endemic for STH, underscoring the critical need for comprehensive health interventions.

Lesotho conducted its initial national STH mapping survey in 2015, which revealed an overall prevalence of 47.6%, with significant district level variations, some reaching as high as 99%. This led to the launch of an MDA program in 2017, which, however, ceased operations after 2019 due to various challenges,including the COVID-19 pandemic, leaving at-risk populations vulnerable once more. Population at risk in Lesotho is around 550,000.

STH infections are classified by the WHO as Neglected Tropical Diseases (NTDs), characterized by their prevalence in populations with limited access to adequate sanitation and healthcare facilities. These parasitic infections contribute to adverse health outcomes, particularly among children, impacting their nutrition, growth, and educational performance.

A multi-sectoral approach is key to effectively and sustainably controlling and eventually eliminating STH infections in Lesotho and other high-burden areas. It involves not just the health sector (like mass drug administration), but also other sectors that address the main causes of transmission, such as poor sanitation, unsafe water, and poor hygiene.

Dr. Dhruv Pandey, the Technical Expert on Tropical and Vector-Borne Diseases, WHO Multicounty Assignment Team for the Southern Africa Hub countries, emphasized that the discontinuation of MDA since 2019 could have a detrimental impact on both public health and socioeconomic development in Lesotho.

He stressed the need for renewed political and intersectoral commitment, stating:
“It is essential for the Ministry of Health to prioritize the resumption of MDA by initially integrating it within existing health programmes, such as immunization and HPV campaigns.STH is not merely a health issue; it is a social issue, influenced by multiple social determinants and should be addressed through coordinated action.”

Ntsoaki Mamoeketsi Mokete, National Integrated Disease Surveillance and Response (IDSR) Focal Person at the Ministry of Health, highlighted the significance of the newly developed operational manual.

“Developing the operational manual is an important step towards controlling and eliminating neglected tropical diseases in Lesotho,” Mokete said. She outlined future plans, including five years of continuous MDA followed by an impact assessment survey to determine the status of STHs in the country.

“Our next steps will be to continue with the MDA for five years,which will be followed by the impact assessment survey to determine the distribution of schistosomiasis and soil-transmitted helminths (STHs) among the general population. This will enable us to implement effective deworming strategies for the elimination of STH as a public health problem in the Kingdom of Lesotho.
In addition, we will focus on advocacy for the revitalization of school health programmes, developing NTD clinical guidelines, integrating NTDs into the IDSR strategy, and developing a coherent and well-coordinated approach in collaboration with the Ministry of Education and other related organizations.” 

The Ministry of Education and Training (MoET) also affirmed its commitment to the program. Mpheng Molapo, Coordinator of the Learner Care and Welfare Support Unit at MoET, underlined the direct benefits for students.

“The Ministry of Education strongly supports the implementation of the (MDA) for (STH) as a key public health intervention with direct impact on learner well-being, educational performance, and school attendance,” Molapo stated.

Dr. Pabolo Nonyane, District Veterinary Officer and National Focal Point for the Ministry of Agriculture, Food Security and Nutrition, underscored the importance of the MDA to the agricultural sector.

She stated that: “This initiative is vital for achieving sustainable food and nutrition security, particularly within our high-risk agricultural communities. Farmers and herd boys are uniquely vulnerable due to their exposure to contaminated soil. By using this operational manual to protect their health, we preserve the human capital essential for our agricultural future. This effort truly reflects the ‘One Health’ principle, ensuring that our work on STH contributes not only to public health but also directly to Sustainable Development Goal 2: Zero Hunger.”

“The development of Standard Operating Procedures (SOPs) for the MDA campaign against Soil-Transmitted Helminths is essential,” stated Matebele Setefane, UN-Water Global Analysis and Assessment of Sanitation and Drinking-Water (GLAAS) Focal Person, Ministry of Natural Resources.

“This manual provides a structured, standardized approach that ensures clarity of roles and alignment with broader health and Water, Sanitation and Hygiene (WASH) goals. Given that STH infections are strongly linked to inadequate sanitation and poor hygiene, integrating WASH elements into the MDA operational SOPs helps address not just treatment but also prevention.”

Setefane further emphasized the collaborative nature of the initiative: “The success of the MDA campaign depends not only on drug distribution but also on addressing the environmental drivers of STH transmission. Our ministry is committed to supporting the campaign through WASH integration, by collaborating with the Ministry of Health to ensure safe water access, functional sanitation facilities, and hygiene promotion are prioritized in targeted communities and schools.”

The workshop convened a multidisciplinary team, including representatives from the Ministries of Education, Nutrition, Water, Sanitation and Hygiene (WASH), and Environment. This collaborative approach aims to ensure the operational manual is pragmatic and implementable across all levels of engagement, marking a critical step towards establishing a sustainable, multisectoral intervention for STH control and eventual elimination as a public health problem in Lesotho.  

WHO, working with other partners, has been instrumental in operationalizing the implementation of MDA in many countries, providing support at every stage of the process. This includes ensuring the sustainability of high-quality MDA, facilitating annual reporting, and conducting a comprehensive impact assessment after five years of optimal coverage.

Lesotho moves towards mass treatment of worm infections

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Zulum Appoints Ali Mamman Shuwa as BRTV General Manager

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Zulum Appoints Ali Mamman Shuwa as BRTV General Manager

By: Our Reporter

Borno State Governor, Professor Babagana Umara Zulum, has approved the appointment of Ali Mamman Shuwa as the substantive General Manager of Borno Radio Television (BRTV).

Until his elevation, Shuwa served as Director of Current Affairs at the station. A seasoned broadcaster with over three decades of experience, he has held several key editorial and managerial positions at BRTV.

Born in 1970 in Maiduguri, Shuwa began his education at Abbaganaram Primary School before proceeding to the Arabic Teachers’ College, Maiduguri, where he obtained a Grade II Certificate in 1988. He later acquired a Diploma in Civil Law from BOCOLIS, an Advanced Diploma in Journalism from the International Institute of Journalism, and a Bachelor’s degree in Mass Communication from the University of Maiduguri.

Shuwa began his career with BRTV in 1992 as a News Editor and Translator. Over the years, he rose through the ranks, serving as Current Affairs Officer, Controller of News and Current Affairs, Assistant Director, Deputy Director, and most recently Director of Current Affairs.

The Secretary to the State Government, Bukar Tijjani, announced that the appointment takes immediate effect. The outgoing Acting General Manager, Umar Gazali, will return to his previous position at the station.

Governor Zulum congratulated Shuwa on his appointment and commended Gazali for his stewardship while wishing him success in his future endeavours.

Shuwa, an ethnic of Shuwa Arab from Dongo village in Mafa Local Government Area, is widely travelled and has represented BRTV at numerous workshops and seminars.

Zulum Appoints Ali Mamman Shuwa as BRTV General Manager

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VP SHETTIMA AT NES ANNUAL CONFERENCE: President Tinubu’s Bold Reforms, Proof Of Political Will In Economic Policy

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VP SHETTIMA AT NES ANNUAL CONFERENCE: President Tinubu’s Bold Reforms, Proof Of Political Will In Economic Policy

*Says, Africa can turn supply chain disruptions, trade protectionism, into opportunities for economic transformation

By: Our Reporter

The Vice President, Senator Kashim Shettima, has said the courageous and unavoidable reforms being undertaken by the administration of President Bola Ahmed Tinubu, which are currently fixing Nigeria’s structural weaknesses, are a proof of the power of political will in economic policy.

Accordingly, he called on African nations to embrace the knowledge economy, saying it is a bridge to transform the continent’s economic growth and development through productivity beyond outdated explanations.

The Vice President who stated this on Tuesday in Abuja during the opening session of the 66th Annual Conference of the Nigerian Economic Society (NES) noted that while Nigeria is not immune to the economic morass Africa had long been enmeshed in, the nation’s comforting prospect is that it currently has a President with a listening ear.

“Nigeria is, of course, not exempt from Africa’s economic tragedies. But our silver lining is the listening ear of His Excellency, President Bola Ahmed Tinubu. Under his leadership, this administration has embarked on bold and inevitable reforms to address structural weaknesses that others before us only paid lip service to.

“These reforms testify to the power of political will in economic policy. Their painful but necessary consequences remind us that a malignant disease can only be cured by painful surgery. The wounds are temporary, but the recovery is permanent,” he stated.

VP Shettima stressed the need for African nations to get rid of the old-fashioned approach to their economy and embrace structural transformation if they must revive human capital challenges and reverse unemployment on the continent.

He said, “We live in a world where a random citizen in Daura can outsource his services to a corporation in Dallas without seeing the inside of a plane or leaving his bedroom. But to catch up with this changing world, Africa must embrace structural transformation that reinvents its human capital and reverses unemployment.

“Poverty must be confronted head-on for the promise of this continent to be realised in the lives of our people. There is no justification for the low per capita income that afflicts our nations amidst the resources at our disposal.”

Senator Shettima observed that though “geopolitical conflicts, trade protectionism, supply chain disruptions, the energy transition, and the disruptive rise of artificial intelligence” may all seem like a threat to the continent’s economy, they are opportunities in disguise.

“They all paint a gloomy outlook. But each threat is also an opportunity in disguise. This is why a society such as yours exists: to light the path of a continent even in the darkest night,” he explained, just as he pointed out it is the mandate that the Annual Conference of the Nigerian Economic Society has been given “to find new pathways to solutions,” while the nation awaits the recommendations.

The Vice President noted while the Tinubu administration did not claim the ongoing reforms would be easy, it has always acknowledged the inflationary impact of the reforms as well as the “spillovers from global crises into our economy,” which explains why President Tinubu “has remained committed to investment-friendly measures and social protection programmes to cushion the vulnerable.

“Policies in transportation, healthcare, and education have been deliberately targeted at reducing inequality because these are the sectors that affect the weakest among us,” he added.

The VP commended the President of the Nigerian Economic Society, Prof. Adeola Adenikinju and his team for challenging the nation “to reflect on what decades of policy failures and vulnerabilities to global risks have created for Africa.

“I urge all participants to take their role in this conference not as a scholarly exercise but as a continental and national assignment—one expected to salvage Africa’s economies from their fragile status,” he further stated.

Earlier, the Minister of Budget and Economic Planning, Abubakar Bagudu, applauded VP Shettima’s significant contributions in the realization of the economic reforms of administration of President Bola Ahmed Tinubu.

Bagudu assured the NES that it will be fully integrated in all of the ministry’s programmes, especially the preparation and implementation of the development plan and the recently approved Renewed Hope Ward Development Programme.

Also, the Minister of Livestock Development, Alhaji Idi Mukhtar Maiha, presented potentials in Nigeria’s livestock sector, estimated at several billions of dollars, offering opportunities for economic diversification.

The Minister expressed readiness to partner with the NES to brainstorm on the “brilliant ideas” needed to implement President Bola Tinubu’s Renewed Hope Agenda for the livestock sector, which he described as “the next crude oil.”

For his part, the President of the NES, Prof. Adeola Adenikinju reiterated the society’s commitment to collaborating with the Tinubu administration to actualise the goal of genuine economic transformation and national development.

He said the NES under his leadership has undertaken reforms aimed at repositioning the body to act as “a bridge between research and policy, a centre for mentoring the next generation of economists, and a trusted partner in Nigeria’s pursuit of sustainable development and Africa’s transformation.”

Highlighting the milestones of his administration, Prof. Adenikinju said under his watch, the NES “established chapters in the across 36 states, FCT and the Diaspora, to ensure national reach and grassroots engagement; Created the NES Women’s Wing and Students’ Wing, to broaden inclusivity and representation,” among others.

He added that the reforms have transformed the society into a modern, inclusive, and globally connected professional body while preserving its core identity as Nigeria’s foremost economic think-tank.

On his part, the Director of the African Development Institute, Dr. Eric Kehinde Ogunleye said the African Development Bank remains committed to the development of Africa and Nigeria, even as he stated that “Nigeria occupies a strategic position in moving the African continent forward.”

Ogunleye commended the Tinubu administration for its bold reforms aimed at achieving structural and economic transformation as well as inclusive growth.

Charging the audience regarding investing in people, he advised: “Let us rethink how we invest in people because these are the people who represent the greatest assets of the continent.”

Other dignitaries who graced the event include the Special Adviser to the President on Economic Affairs, Tope Fasua; Chairman of the Ministry of the Board of Ministry of Finance Incorporated (MOFI), Dr Shamsudeen Usman, Nigeria’s first Professor of Capital Market Studies, Uche Uwaleke; representatives of the Speaker of the House of Representatives, Tajudeen Abass, and the Governor of the Central Bank of Nigeria, Yemi Cardoso.

VP SHETTIMA AT NES ANNUAL CONFERENCE: President Tinubu’s Bold Reforms, Proof Of Political Will In Economic Policy

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NSCDC Launches Manhunt for Killers of 8 Operatives

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NSCDC Launches Manhunt for Killers of 8 Operatives

By: Michael Mike

The Commandant General of the Nigeria Security and Civil Defense Corps (NSCDC), Professor Ahmed Audi has launched a Special Intelligence Squad operations to comb the entire Edo Forest and arrest killers of eight of his men, and rescue the kidnapped Chinese expatriate.

The NSCDC Operatives were ambushed last Friday night at Okpella in Etsako East Local Government Area of Edo State while on duty to ensure the safeguarding of Critical Infrastructure and protection of lives and property at the BUA Cement Company in Edo State.

It was reported that the gallant Operatives fought vehemently in a three hour gun duel where eight men were lost with four expatriates working at the quarry session of the Company rescued.

The Commandant General had earlier commended the resilience, diligence and dedication of the NSCDC men who paid the supreme price and lost their lives in the unexpected ambush attack.

However, a joint guard operation with other security agencies and deployment of the CG’s Special Intelligence Squad,Counter Terrorism Unit (CTU), Special Weapon and Tactics (SWAT), Special Protection Units, amongst others, to be headed by the Commandant, CG’s Special Intelligence Squad, CC Dandaura Appollos,have been deployed to the area with an express order to effect possible arrest, rescue the kidnapped expatriate, and consequently bring the perpetrators to book.

The CG also appealed to the public to kindly aid the Corps with any useful information that will assist in tracking down the perpetrators.

He also assured that the security of the BUA Company environment has been upscaled to ensure adequate protection of all Indigenous workers, the Expatriates and the critical assets and infrastructures.

He said: “The Corps will not succumb to any form of threats or be deterred by the activities of subversive elements and evil perpetrators who carried out the heinous attack but rather be focused and re-strategize in discharging its statutory mandates.”

He further noted that the Corps will continue to engage the community in civil relations as a non kinetic approach to tackling the overwhelming security challenges and any other form of crisis in the area.

NSCDC Launches Manhunt for Killers of 8 Operatives

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