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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
RHI Flow With Confidence program Launched across Nigeria

RHI Flow With Confidence program Launched across Nigeria
“Don’t Allow Shame or Stigma Affect Your Confidence” – Senator Oluremi Tinubu to School Girls at the Launch of Flow With Confidence Program in Maiduguri, Borno State
By: Our Reporter
The Flow With Confidence program, a vital menstrual health intervention, is designed to empower schoolgirls with knowledge, build confidence, and promote improved menstrual hygiene. The initiative targets 370,000 beneficiaries, mostly from rural communities who struggle to access hygienic care while in school.
Launched simultaneously in seven states – Borno, Ekiti, Enugu, Gombe, Imo, Kebbi, and Lagos – by the First Lady of Nigeria, Senator Oluremi Tinubu, the program provides each beneficiary with a one-year supply of disposable sanitary pads.
At the official launch in Maiduguri, the First Lady was represented by the Wife of the Vice President, Hajiya Nana Shettima. She stressed that it is unacceptable for young girls to face significant challenges during their menstrual cycle, often forcing them to miss school days because they cannot afford sanitary pads.
Senator Oluremi Tinubu noted that many girls resort to unhygienic alternatives, hence the introduction of Flow With Confidence as a safe, hygienic option to enhance reproductive wellbeing. Each state under the initiative will have 10,000 beneficiaries.
Encouraging the girls, the First Lady urged them not to allow shame or stigma to affect their confidence but to boldly pursue their dreams as future leaders of the nation. She further called on corporate organizations and well-meaning individuals to support the program, while charging traditional, religious, and community leaders to ensure transparent distribution in their localities.
Borno State Governor, Professor Babagana Umara Zulum, represented by the Deputy Governor, Alhaji Umar Usman Kadafur, expressed the government’s profound appreciation to President Bola Ahmed Tinubu, whose leadership continues to rekindle hope and restore dignity to countless families by prioritizing economic empowerment as a driver of national development.
The Governor also commended the First Lady for addressing an often-neglected aspect of girls’ and women’s dignity and reproductive health.
Similarly, the Borno State RHI Coordinator and Wife of the Governor, Dr. Falmata Umara Zulum, lauded the First Lady’s commitment to caring for the most vulnerable in society through her numerous interventions under the Renewed Hope Initiative (RHI), complementing the efforts of President Bola Ahmed Tinubu.
Meanwhile, the First Lady also handed over assorted food items to the Borno State RHI Coordinator, Dr. Falmata Babagana Zulum, for onward distribution to vulnerable groups and persons with disabilities. This places Borno among the beneficiaries of the monthly RHI Food Outreach Scheme, flagged off in March 2024 with support from two leading industrialists.
RHI Flow With Confidence program Launched across Nigeria
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Fagbemi Calls for Appellate Mechanism in ECOWAS Court

Fagbemi Calls for Appellate Mechanism in ECOWAS Court
…Insists Absence of Appellate Court at Regional Level Undermines Access to Justice
By: Michael Mike
The Attorney General of the Federation and Minister of Justice, Prince Lateef Fagbemi has called for the establishment of an appellate mechanism within the ECOWAS Court of Justice, stating that the absence of such mechanism continued to undermine access to justice in the region.
Speaking at the opening ceremony of the 2025/2026 legal year of ECOWAS Court, Fagbemi said while the finality of judgments is crucial, fairness also demands that decisions be open to review in order to correct possible errors of law or procedure.
Fagbemi while noting that the absence of appellate court at the regional level is a letdown, said: “It is concerning that there is currently inadequate room for appeal against the judgments of the ECOWAS Court. While finality is important, justice must also be seen to be fair and revisable,” insisting that: “The absence of a separate appellate mechanism limits access to justice. As we expand the Court’s reach, we must also ensure that its decisions are subject to the same standards of review and accountability that underpin robust judicial systems.”
He urged the Court to draw lessons from other regional judicial institutions such as the European Court of Human Rights, the East African Court of Justice and the Inter-American Court of Human Rights, which, according to him, offer valuable models of transparency, judicial independence and procedural innovation.
He however restated Nigeria’s support for the ECOWAS Court as host country, describing it as central to regional integration, human rights enforcement and stability. “Nigeria remains steadfast in its support for the ECOWAS Court of Justice… I pledge to continue advocating for legal reforms that align domestic laws with regional obligations while respecting our constitutional order and national interests,” Fagbemi added.
Also speaking, the President of Cabo Verde, José Neves, said community justice remains vital for Africa’s credibility in global affairs. He stressed that strengthening institutions such as the ECOWAS Court was essential for peace, democracy and integration on the continent.
He said: “In a continent still marked by border disputes and recurring tensions, the existence of an independent and respected community tribunal is a civilisational triumph that we must preserve and enhance,” Neves said. He noted that access to the Court by individual citizens was one of the most significant gains of regional integration, as it brings justice closer to the people.
Neves also called for reforms within African sub-regional bodies to make them more effective in addressing contemporary challenges such as insecurity, institutional fragility, migration and climate change.
In his address, the President of the ECOWAS Court, Justice Ricardo Goncalves, disclosed that the Court handled 34 new cases in the past year, including matters relating to civil and political rights, economic freedoms, and disputes between member states.
He also revealed that the Court held 79 judicial sessions and issued 54 rulings, many of which reaffirmed key principles such as the justiciability of socio-economic rights and the supremacy of community law over conflicting national legislation. According to him, 112 cases are currently pending before the Court.
Fagbemi Calls for Appellate Mechanism in ECOWAS Court
News
Trans-Border Security: Zulum travels to Niger Republic Community

Trans-Border Security: Zulum travels to Niger Republic Community
By: Michael Mike
Borno State Governor, Prof. Babagana Zulum on Wednesday, undertook a working visit to Diffa Region of Niger Republic on Wednesday.
The visit, which included a high-level security and economic delegation, focused on strengthening the existing collaboration between Nigerian and Nigerien forces in the ongoing fight against insurgency, particularly around the shores of Lake Chad.
Diffa is a community 17 km from Damasak town in northern Borno where thousands of Nigerians displaced by Boko Haram insurgency are currently taking refuge.
Zulum was received by the Governor of Diffa, Brigadier General Mahamaduo Ibrahim Bagadoma, and other senior officials. The leaders held closed-door meetings centered on joint patrols, intelligence sharing, and sustaining the recent gains that have pushed insurgents out of many of their former strongholds.
Zulum outlined plan to leverage the improved security situation to facilitate the return of thousands of displaced farmers to the vast and fertile agricultural lands around Dutchi town within the Lake Chad basin.
Part of the Governor’s entourage are Engr Bukar Talba, a member of the House of Representatives, Speaker, Borno State House of Assembly, Abdulkarim Lawan, and otheir senior government officials.
[10/2, 6:35 PM] Mike Olugbode: Maiduguri: For Over a Month, MSF Responds to High Numbers of Children Suffering from Malnutrition.
Since late August and early September, Doctors Without Borders/Médecins Sans Frontières (MSF) teams have scaled up their medical response in Maiduguri, northeast Nigeria, following a sharp rise in malnutrition cases that overwhelmed MSF-supported facilities. Although admissions have slightly decreased now, the number of children receiving treatment remains very high.
“A month ago, we witnessed a worrying increase in admissions, compounded by a surge in measles cases,” said MSF Project Coordinator Daniela Batista. “Our isolation units for measles patients were quickly filled, and even the additional space we opened reached capacity. Now, those units remain around 70 percent full.”
Since 8 September, MSF’s Inpatient Therapeutic Feeding Centre (ITFC) at Nilefa Kiji Hospital (NKH) has nearly doubled its bed capacity to accommodate the influx of malnourished children. By the third week of September, the emergency facility was recording an average of more than 85 new admissions daily.
In a context of reduced global humanitarian funding, some organizations in Maiduguri reduced their support for – or even left – nutritional outpatient nutrition programmes, causing a significant drop in access for first line care fir malnourished children.
At MSF’s extension facility in Shuwari, teams treated 3,265 children for malnutrition and referred 1,521 others for continued care between August and early September, when the upsurge began. More than 625 malnourished children have also been treated for measles — a disease which can contribute to malnutrition and whose complications can result from malnutrition.
The situation is further exacerbated by shortages of essential supplies. Therapeutic milk — critical for treating severe acute malnutrition — is in short supply, while access to ready-to-use therapeutic food (RUTF) remains a chronic concern. Some partner ITFCs have indicated they can only accept referrals if MSF provides additional medical supplies such as antibiotics, admission kits, and therapeutic milk.
MSF teams also reported regular admissions of patients from Zabarmari — a community they are currently unable to access due to security and logistical challenges. MSF is engaging with the Borno State Ministry of Health to assess and potentially support the local Primary Health Centre (PHC) to ensure residents can access care.
Borno State continues to face the effects of a decade-long insurgency, with recent reports of violence in areas surrounding Maiduguri.
This surge in Maiduguri mirrors an alarming trend seen in all MSF nutrition facilities across Kebbi, Sokoto, Kano, Katsina, and Bauchi in recent months. According to UN estimates, 2.5 million children across northeast Nigeria are at risk of acute malnutrition.
MSF called on health authorities and humanitarian organizations to urgently address the shortages in medical supplies and staffing, and to strengthen community-level health systems to prevent further deterioration.
Trans-Border Security: Zulum travels to Niger Republic Community
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