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Lesotho moves towards mass treatment of worm infections
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
News
BOTMA: The agency will not tolerate underage driving in Maiduguri
BOTMA: The agency will not tolerate underage driving in Maiduguri
By: Bodunrin Kayode
The general manager of the Borno State Traffic Management Agency (BOTMA), Eng. Baba Tijani, has said that his agency will not tolerate “underaged” kids driving keke napep in Maiduguri and environs.
The GM warned that the brazen display of wrongdoing by Keke Napep was becoming alarming, especially with lots of underage kids being caught committing such crimes.
The Borno traffic management agency boss vowed to bring owners of such erring Keke napeps to book to check their reckless behavior on the streets of the Maiduguri metropolis and beyond.
Tijani, who spoke exclusively during the 2025 Federal Road Safety Corp RS12.2 Borno special marshals sectoral workshop, said that his management is aware of the dangerous excesses of the Keke Napep riders in the town and has never taken it lightly with them.
“I can assure you that we have details of all the excesses of the Keke Napep drivers in the city, and we are not joking with them. As long as we have their details, we can trace and deal with them, and the rest is history.
“I can assure you that there is no keke that is not registered by us regardless of their high numbers. For as long as they are registered in our data bank, we know how to trace them. Even if the keke is used for robbery, I assure you, we know how to sanction them for as long as they are within the state.
“By the way, it is not true that we are not capable of handling them in spite of their numbers and the enormous nature of their offenses. We do not overlook the misdemeanor of Keke Napep drivers in Maiduguri no matter how small they are.”
He told this reporter that under his watch kids who are under 18 were totally forbidden from driving keke napeps in Maiduguri metropolis, adding that residents should also avoid such keke napeps because they are obviously a death trap for commuters.
Eng. Tijani stressed that unless drivers are 18 years or above, they are not permitted to drive a keke napep in the entire Borno state, adding that only stable adults are registered as drivers of napep in their data bank used to sanction erring ones.
Tijani noted that for the remaining part of the year, his men will monitor the main roads in the metropolis thoroughly during the yuletide period to force the napep boys to conform to expected norms and behavioral patterns.
On staff strength, he added that the agency has been making use of what it has, hinting that “we have over 300 personnel in MMC and Jere alone, and we are trying to do our best with what we have even with the confusion at the Custom and Gamboru axis of the town.”
“We are aware of the challenges in many areas, and we believe that very soon the customs area will be handled. We are aware that the area is heavily congested in terms of traffic because the tunnel from one side to the other is not used, but I wish to assure commuters that all this will become history soon.
On the misbehavior of some of his staff, he noted that checks and balances have been placed within the system by management, adding that their provost marshals in white caps are out to oversee the erring staff and will send feedback to us on the next step.
Eng. Tijani called on the general public to cooperate with him and his management team by reporting erring marshals as and when wrongs were committed, adding that as soon as they are reported, action will be taken against such officials.
To press his point home, the GM revealed that about 30 erring marshals have been sacked so far from the agency, stressing that management does not drop their guards when it concerns portraying them in a bad light.
Speaking on the welfare of his staff, the GM agreed that there was an urgent need to boost the salaries of his marshals, as they are quite lower than the current minimum package.
He, however, announced that he was not leaning on his oars concerning their welfare because the matter has been tabled before the executive, and the governor is about to work on it, thereby taking care of his people.
Tijani regretted that they do not have a board that would assist them in putting their challenges on the front burner but is grateful to the media for doing justice to the plight of his people.
BOTMA: The agency will not tolerate underage driving in Maiduguri
News
Nigeria: No casualties after US bomb rocks Jabu Village in Sokoto
Nigeria: No casualties after US bomb rocks Jabu Village in Sokoto
By: Our Reporter
Residents of Jabu village in Sokoto state, Northwest Nigeria reported that there are no casualties following US bomb that rock the village on Christmas Day targeting bandits terrorists.
A video surface Monday morning showing some residents carrying heavy metal, which is said to be the bomb shell fired by US into the area.
Although there are no official comments yet to what happened in the Northwest, some residents believed that some targeted areas may have yielded most results.
NEWSng observed that following the reported US military targets on terrorists enclaves in the Northwest, top islamic clerics and certain individuals known to be marking comments in defense of the bandits and Fulani militias activities have been usually quiet.
When ABC NEWS contacted few clerics to speak on the attacks, they decline comments stating that they are also waiting to hear what the government would say with regard to the claimed by US President Trump.
“This involve US and Nigeria. I also heard but I was not there not can establish facts to what happened on Christmas Day in Sokoto. ” One of the cleric, who pleaded not to be mentioned in print said.
Another clerics, Malam Usman Tukur simply said “No comments.”
Also another who refuses to speak at all holds his lips in declining comments.
Nigeria: No casualties after US bomb rocks Jabu Village in Sokoto
News
Why US–Nigeria counter-terrorism cooperation remains critical to defeating insurgency
Why US–Nigeria counter-terrorism cooperation remains critical to defeating insurgency
By: Zagazola Makama
The ongoing United States–Nigeria counter-terrorism operations are critical not only to degrading terrorist networks, but also to helping the international community, particularly the U.S., better understand the scale, complexity and human cost of Nigeria’s long-running war against terrorism.
Nigeria has battled multiple terror and extremist groups for over a decade, with attacks spanning the North-East, North-West and North-Central zones, claiming thousands of lives, displacing millions and overstretching security and humanitarian resources.
Therefore, deeper operational cooperation allows the U.S. to see firsthand the terrain, tactics and evolving threat environment Nigerian forces contend with daily from suicide bombings and IED warfare to cross-border terrorism, banditry and extremist collaboration.
Joint operations provide a clearer picture of what Nigeria is passing through. It is different from reading intelligence reports. When partners operate together, there is a better appreciation of the sacrifices, the operational difficulties and the resilience required to fight terrorism in this environment.
Though, nothing new in what the Nigeria Air Force was already doing but the cooperation, will enhanced intelligence sharing, surveillance, training and technical support, while also improving Nigeria’s capacity to disrupt terrorist logistics, communication and financing networks.
Nigeria brings critical advantages to the partnership, including local knowledge, community structures and long-term operational presence, while the U.S. contributes advanced intelligence, surveillance and reconnaissance capabilities, precision strike support and global counter-terrorism experience.
This synergy will help narrow intelligence gaps, improve early warning systems and strengthen the ability of Nigerian forces to respond to threats more proactively. Beyond military gains, the partnership helps place Nigeria’s security challenges in proper global context, correcting misconceptions that often underestimate the intensity of terrorist violence in the country.
The collaboration helps the U.S. and other international partners understand that Nigeria is not facing isolated incidents but a sustained, multi-front war. That understanding is essential for sustained diplomatic, technical and humanitarian support, rather than the rhetoric being purported about the conflict.
The partnership also sends a strong message to terrorist groups that Nigeria is not isolated in its fight, and that attacks on civilians and security personnel attract international attention and consequences.
However, counter-terrorism cooperation must go beyond kinetic operations. Those executing these operations must put emphasized on the importance of civilian protection, community engagement and post-conflict stabilisation, as lasting peace cannot be achieved through force alone.
Why US–Nigeria counter-terrorism cooperation remains critical to defeating insurgency
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