International
Bridging the Cancer prevention, diagnosis and care gaps in Lesotho
Bridging the Cancer prevention, diagnosis and care gaps in Lesotho
By: Michael Mike
In a country where cancer prevention, diagnosis, and care have historically been limited, the personal journeys of survivors like Maatang Chaka and Joalane Tsupaneare beacons of hope and resilience.
Tebo, a 49-year-old mother from Maseru District, and Joalane, a 19-year-old leukemia survivor, represent the strength and determination of many cancer patients in Lesotho. Their stories of survival and advocacy highlight the urgent need to bridge the gaps in cancer services in the nation.

Chaka’s battle with stage 3 breast cancer began in 2011 while she was working in the mines of Mokhotlong District. Reflecting on her journey, she recalls, “It started as a pain in my right breast. After a medical examination, I was told there was a lump. At that time, I didn’t know about cancer, so I couldn’t understand how serious my situation was.” Today, she finds joy in sharing her story to give hope and support to other cancer patients. Thanks to financial support from the Government of Lesotho, she sought treatment in South Africa. By 2018, Chakawas declared cancer-free.
For the 19-year-old childhood cancer survivor Joalane Tsupane, her cancer journey began at the tender age of one year when she was diagnosed with leukemia. As a young girl, she experienced constant body pain, hair loss, bleeding, fever, and loss of appetite. Supported by the Government of Lesotho, Tsupaneembarked on a long road to recovery and was declared cancer-free in 2019.

Tsupane points out a significant challenge: the knowledge gap about childhood cancer in the community. “There is a need to increase awareness about childhood cancer. Information should be made available for all, especially our parents,” she emphasizes.
Motsamai Kekeletso, a dedicated caregiver with Friends with Starlight Oasis of Hope Foundation, echoes this sentiment. Her organization provides palliative care to cancer patients. “I started helping people suffering from chronic diseases because I realized there was no home for the elderly in our community,” she explains. “I love taking care of cancer patients and feel fulfilled providing support in their most vulnerable state.”
In 2023, the Senkatana Oncology Clinic in Maseru District reported approximately 1,888 new cancer cases in Lesotho, with around 500 of them being cervical cancer cases. Addressing this growing concern, the Government of Lesotho, under the Ministry of Health, has commenced construction of the nation’s first Cancer Care facility. This new center will offer radiotherapy services, reducing patients’ need to seek treatment abroad.
During the 2025 World Cancer Day commemoration, Minister of Health Hon Selibe Mochoboroane announced, “The government of Lesotho is making strides in establishing a dedicated cancer treatment center to address these challenges. We are training medical professionals and support staff from within and outside Lesotho. With guidance from the International Atomic Energy Agency (IAEA), the center aims to be a state-of-the-art facility.”
Hon Mochoboroane also acknowledged the vital contributions of development partners, highlighting the successful administration of the Human Papillomavirus (HPV) vaccine to about 93% of girls aged 9 to 14 in 2024. He added, “Development Partners are actively providing educational resources, equipment, and expert assistance to support the ministry’s efforts. Non-governmental organizations (NGOs) are crucial in reaching underserved communities, offering education and support services, including palliative care, to families in need.”
Dr. Innocent Nuwagira, World Health Organization (WHO) Country Representative to Lesotho, stressed the importance of integrating cancer prevention, screening, treatment, and palliative care into broader health services to close the existing healthcare gaps.
He noted, “Between 30% – 50% of cancer deaths could be prevented by modifying or avoiding key risk factors like tobacco use, alcohol, unhealthy diets, physical inactivity, chronic infections, and air pollution. While prevention is the most cost-effective long-term strategy, early detection and management are key to reducing cancer deaths.”
Manyathela Kheleli, Brand Marketing Manager, Communications and Sponsorships of Standard Lesotho Bank, announced that the bank had contributed 1.9 million maloti to support the construction of the cancer facility. He also called on other corporate entities to join in and make the project a reality.
With the new cancer facility, Lesotho’s cancer patients will no longer need to travel to South Africa or elsewhere for treatment and care, marking a significant step forward in the country’s healthcare journey.
Bridging the Cancer prevention, diagnosis and care gaps in Lesotho
Health
Israel Trains Nigerian Health Workers on Maternal Emergency Care
Israel Trains Nigerian Health Workers on Maternal Emergency Care
By: Michael Mike
Israeli doctors in collaboration with the embassy of Israel in Nigeria have trained Nigerian healthcare professionals in life-saving maternal emergency care as part of efforts to strengthen the country’s response to childbirth-related complications and reduce preventable maternal deaths.
The five-day clinical training programme, led by Israeli medical specialist, Professor Offer Erez, was held at the University of Nigeria Teaching Hospital (UNTH), Enugu, from October 5 to 9, 2026.
The programme brought together doctors, obstetricians, gynaecologists, midwives, professors, clinical lecturers and other healthcare professionals for specialised instruction in postpartum haemorrhage (PPH), obstetric emergencies, thrombosis, haemostasis and emergency response protocols.
Postpartum haemorrhage, a condition involving excessive bleeding after childbirth, remains a major cause of maternal deaths worldwide. The embassy cited World Health Organisation (WHO) estimates indicating that Nigeria records about 75,000 maternal deaths annually, underscoring the need to improve emergency obstetric care and access to skilled medical intervention.
Speaking during her official visit to Enugu State, the Chargé d’Affaires of the Embassy of Israel in Nigeria, Ms Racheli Stavissky, reaffirmed Israel’s commitment to supporting Nigeria’s healthcare development through medical expertise, innovation and professional capacity building.
She said every mother deserved access to safe childbirth and quality emergency medical care, adding that behind every maternal mortality statistic was a woman, a family and a community.
Stavissky said Israel was proud to share its medical expertise with Nigerian healthcare professionals, noting that equipping doctors, midwives and medical educators with advanced clinical skills could save lives beyond the duration of the training.
She also expressed the embassy’s readiness to expand cooperation with UNTH in maternal healthcare, medical education and emergency medicine.
The training combined evidence-based clinical instruction, high-fidelity medical simulations, practical sessions and multidisciplinary emergency response exercises.
Participants received specialised instruction in the early detection and management of obstetric haemorrhage, maternal stabilisation, haemostatic resuscitation, emergency blood transfusion protocols and coordinated clinical decision-making.
A major component of the programme was the Training-of-Trainers approach, designed to equip Nigerian healthcare professionals with the knowledge and practical skills to train their colleagues and extend improved emergency obstetric care to other healthcare institutions.
Erez commended the commitment and professionalism of Nigerian healthcare workers, describing the collaborative learning environment at UNTH as encouraging.
He said the training was designed to strengthen healthcare teams’ ability to recognise and manage life-threatening obstetric complications through practical simulations, evidence-based haemorrhage management and coordinated emergency response.
“Our goal is to bridge the gap between clinical knowledge and emergency response while empowering Nigerian doctors, midwives and medical educators to transfer these skills to others,” he said.
Erez added that building local capacity to train other healthcare professionals was essential to sustaining the benefits of the programme and improving maternal health outcomes.
The Governor of Enugu State, Dr. Peter Mbah, also welcomed the Israeli delegation, describing the initiative as an important contribution to healthcare development in the state.
Mbah said strengthening the healthcare system required more than investment in infrastructure, stressing the importance of continuous professional development, access to international expertise and modern approaches to patient care.
He expressed appreciation to the Embassy of Israel and the medical team, saying the specialised training would enhance the capacity of healthcare professionals to respond to critical maternal emergencies.
The governor also expressed the state government’s interest in expanding cooperation in medical education, healthcare innovation and institutional capacity development.
The embassy said it remained committed to partnerships aimed at strengthening institutions, improving healthcare delivery and promoting the wellbeing of communities across Nigeria.
Israel Trains Nigerian Health Workers on Maternal Emergency Care
International
Ecological Distress in the Horn of Africa: Ethio‑Egyptian Hydropower Relations and the Strategic Significance of Hydropower Investments
Ecological Distress in the Horn of Africa: Ethio‑Egyptian Hydropower Relations and the Strategic Significance of Hydropower Investments
By: Yechale Degu
Over the past two decades, Ethiopia has invested heavily on hydropower as a means to accelerate energy access, economic growth, and development and ensure control of its water resources. Though not without political costs affecting its diplomatic ties, hydropower was planned as a central pillar of the country’s energy security. Despite persistent domestic shortfalls in extending electricity to rural communities, the initiative has achieved notable success. Ethiopia has emerged as a regional hydroelectric hub, supplying power to nearly all neighboring states, with prospects for expansion beyond the region, generating significant hydro-dollar in return.
The hydropower strength more acquired following the completion of the Grand Ethiopian Renaissance Dam (GERD) represents a landmark achievement, overcoming colonial-era restrictions that limited upstream countries such as Ethiopia in managing their water resources. The dam’s completion, financed largely through domestic means, marked a breakthrough against financial constraints imposed by global financial architectures over financing of controversial projects like GERD.

Withstanding sustained diplomatic challenges from Egypt, a country with deeper international entrenchment than Ethiopia, and its allies and organizations Egypt associated with such as Arab League/AR and Organization of Islamic Cooperation/OIC, Ethiopia emerge as a regional or continental hydropower. The dam becomes a new magna carta governing water relations for the future to come between Ethiopia and Egypt in particular and all Nile riparian states in general signaling the possible dominance of states in the head of the water systems.
Although Ethiopia constructed and filled the dam without any formal framework of agreement with downstream states such as Egypt, the hydropower rivalry between the two countries was largely settled following Ethiopia’s near completion and filling of the GERD in August 2024 and its inauguration on 9 September 2025. In this process, Ethiopia’s argument that the dam would not diminish the volume of water flowing to downstream countries gained political acceptance among diplomatic communities. Ultimately, Egypt, albeit reluctantly and painfully, acknowledged Ethiopia’s effective control over the Nile. However, the recent weather and environmental developments in the Horn of Africa/HoA will shape the Ethio-Egyptian water relations and put a question over the sustainability of hydropower investments as weather would affect the water volume and energy generations significantly.
The weather and environment intelligence report recently released by a USA based organization called Famine Early Warning Systems Network/FEWS-Net indicated that El Niño, a periodic warming of the ocean surface, related dryness is already emerging in the HoA. According to the report the HoA countries including Ethiopia has experienced a delayed and below-average rainfall season in the months between March to September. Prolonged dry spell is also expected in the months to come. The same report indicated that the Above-Average Temperatures Most Likely into Early 2027 increasing likelihood of extreme warm temperatures, affecting streams and water volumes. The region is expected to register a likely 0.5-3°C temperature rise and it will be hotter than typical level of temperature in the region. This significant rainfall deficits, rising temperature and dry spell is an indicative of drought conditions in the HoA and significantly shaping the Ethio-Egyptian relations and putting a strategic question over the sustainability of hydropower.

The FEWS‑Net report, though primarily directed at humanitarian actors such as World Food Program/WFP to prompt immediate interventions in response to rising temperatures and declining rainfall, the issue extends far beyond humanitarian concerns. It constitutes a fundamental driver of instability and a critical factor shaping future investments and reliance on hydropower. In addition to exacerbating humanitarian crises and inflating food prices, the projections underscore that climate‑induced reductions in water availability could reignite hydropower rivalries between lower and upper Nile riparian states. These climatic conditions are likely to intensify Ethiopia‑Sudan‑Egypt tensions over the Nile, as reflected in recent complaints by Sudan and Egypt regarding water releases from GERD. While the GERD can generate near‑optimal hydropower without causing significant downstream deficits under wet, average, or short‑term drought scenarios, this balance can be disrupted during prolonged dry seasons in Ethiopia and the wider HoA. Egypt, in particular, may seize upon such environmental developments not as temporary misfortunes but as strategic opportunities to reintroduce drought‑contingent operating principles into diplomatic negotiations.
Compounding the ecological pressures in the HoA are the high‑intensity conflicts in Ethiopia’s three northern regions, where the government has alleged that Egypt is playing a critical role and declared persona non grata over one Egyptian diplomat who ordered to leave in 48 hours on October 1, 2026. Therefore, these environmental stresses are likely to reignite regional controversies at a time of heightened tension and looming conflict in Northern Ethiopia, particularly between the Cooperation of Ethiopian People’s Forces for Survival and the federal government. The convergence of ecological strain, political instability and tit-for-tat actions between Ethiopia and Egypt one expelling the diplomat of the other carries significant security implications for Ethiopia and the wider HoA. Egypt, in this context, may exploit the situation to exert diplomatic and coercive pressure on the Ethiopian government, seeking operating agreements over Nile and GERD that include concessions favorable to its interests.
The prevailing environmental trends and ecological pressures in the HoA underscore the urgency of a strategic shift away from over‑reliance on hydropower investments toward a diversified energy portfolio that is less vulnerable to climatic variability. It signal the need to reconsider development pathways that depend heavily on electricity generated from water sources. While hydropower will remain a cornerstone of the global renewable energy transition, its reliability is increasingly undermined by climate change‑induced shifts in hydrological cycles, imparting new dimensions to its strategic significance.
For Ethiopia, this ecological distress raises critical questions about the sustainability of its heavy reliance on hydropower and highlights the necessity of diversifying national energy sources. Pursuing a balanced energy mix strategy, supported by adaptive planning and management, will be essential to ensure hydropower continues to play a pivotal role in the country’s power infrastructure while meeting the rising national demand.
Climate change has triggered significant shifts in hydrological patterns, profoundly affecting the hydropower rivalry between Ethiopia and Egypt and raising broader questions about the reliability of hydropower investments across Africa, particularly in Ethiopia. Diplomatic tensions between the two states over water access and control are increasingly shaped by environmental and climatic dynamics. Concerns are mounting that the previously near‑settled hydropower rivalry will re-surface due to escalating ecological pressures. These developments have the potential to fundamentally alter relations between upper and lower riparian states and heighten the strategic importance of the Nile River. Egypt, framing the Nile as a matter of national security, has repeatedly issued televised warnings that any disruption of water flows would be regarded as an ‘act of war.’ This extension of the Nile discourse from civilian politics to military commitments underscores the gravity of the regional security threat as a result of environmental distress. In light of recent environmental and climatic shifts, Egypt is likely to intensify efforts to re‑internationalize the Nile issue, presenting itself as a vulnerable downstream state while pursuing a diplomatic campaign against Ethiopia. The objective would not necessarily be to compel Ethiopia to relinquish its upstream dominance or release additional water, but rather to impose greater political and reputational constraints on Ethiopia’s exercise of its headwater rights.
In conclusion, extreme weather events are expected to disrupt streamflow and create significant variability in water volumes, leading to substantial reductions in availability. In this context, any future water allocation treaties between Ethiopia and the major downstream states should avoid rigid prescriptions of fixed allocations. Given the region’s environmental vulnerabilities, such agreements must be guided by adaptive strategies that prioritize flexibility and responsiveness to hydrological variability in the headwaters. This approach stands in contrast to colonial‑era frameworks that imposed predictable spheres of utilization while disregarding the impacts of environmental fluctuations. A modern treaty framework should therefore embed adaptive principles, ensuring that water governance reflects ecological realities rather than static allocations.
He is an independent Horn of Africa security analyst and researcher and can be contacted at Ziyinyechale@gmail.com
Ecological Distress in the Horn of Africa: Ethio‑Egyptian Hydropower Relations and the Strategic Significance of Hydropower Investments
International
Akande Presents Credentials to Swedish King, Sets Stage for Stronger Nigeria-Sweden Ties
Akande Presents Credentials to Swedish King, Sets Stage for Stronger Nigeria-Sweden Ties
By: Michael Mike
Nigeria’s Ambassador to Sweden, Lola Akande, has formally assumed her diplomatic responsibilities in the Scandinavian country, presenting her Letters of Credence to King Carl XVI Gustaf at the Royal Palace in Stockholm.
The ceremony, held on Wednesday, marked the formal accreditation of Akande as Nigeria’s representative to the Kingdom of Sweden and opened a new phase in bilateral engagement between the two countries.
Akande was accorded ceremonial honours, including a corps marshal and formal procession, in keeping with Sweden’s diplomatic traditions, before presenting her credentials to the Swedish monarch.

The presentation of Letters of Credence is a key diplomatic procedure through which a receiving state formally recognises an ambassador as the accredited representative of the sending country.
Following the ceremony, a reception was held in Akande’s honour at the Nigerian House in Stockholm, bringing together members of the diplomatic community, government officials, business leaders and Nigerians resident in Sweden.
Those in attendance included ambassadors and members of the African diplomatic corps, officials of the Swedish Ministry for Foreign Affairs, members of the Corps of African Women Ambassadors, Swedish nationals, representatives of the Swedish business community and other invited guests.
The reception provided an opportunity to celebrate the ambassador’s accreditation and highlight the longstanding relationship between Nigeria and Sweden, as well as opportunities to deepen cooperation.
Areas identified for enhanced engagement include trade and investment, innovation, cultural exchange and people-to-people relations.
Akande’s formal accreditation comes as both countries continue to explore avenues for strengthening bilateral ties, with expectations that her tenure will promote closer engagement between Nigerian and Swedish institutions, businesses and communities.
The development also signals renewed diplomatic attention to the Nigerian community in Sweden and the broader prospects for expanding cooperation between Africa’s most populous country and the Nordic nation.
Akande Presents Credentials to Swedish King, Sets Stage for Stronger Nigeria-Sweden Ties
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