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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
UK Announces £19 million Funding for Climate Resilient, Health, Education Facilities in Nigeria

UK Announces £19 million Funding for Climate Resilient, Health, Education Facilities in Nigeria
By: Michael Mike
The United Kingdom (UK) Government has announced a £19 million funding commitment to develop Climate Resilient health and education facilities in Nigeria.
The announcement was made at a joint inauguration by the UK Government, Federal Ministry of Health, the Governments of Kano and Jigawa States and UNICEF, of 84 climate-resilient schools and health care facilities under the Climate Resilient Infrastructure for Basic Services (CRIBS) initiative.
CRIBS is a pioneering and innovative new approach to protect essential health and education services from the growing threats of climate change. This was developed through a partnership which included: UK government, Government of Nigeria, State Governments and international and local organisations including: UNICEF, World Bank, WHO, JigSaw, Fab Inc, Crown Agents UK Lafiya Programme and Sextant Foundation.
Nigeria ranks second globally in climate-related risks to children, with millions affected annually by floods, droughts, and extreme heat. In response, the CRIBS approach has been developed to assess and strengthen Health and Education facilities. So far, 84 facilities, 39 primary healthcare centres and 45 schools in Kano and Jigawa, have been renovated through targeted climate adaptation measures.
According to a statement on Tuesday, the inauguration of these facilities marks a significant milestone in demonstrating low cost, scalable, community-owned solutions to climate vulnerability that can be adopted by the Federal and state governments. The events included ribbon-cutting ceremonies, site visits, and media engagements, showcasing how climate-resilient infrastructure can protect essential health and education services which save lives and support children’s education.
Head of Development Cooperation, British High Commission Abuja, Cynthia Rowe, said: “The UK Government is proud to support the Government of Nigeria through this £19m commitment to the CRIBS programme. This work has been developed through a partnership of organisations and experts including the Federal Government of Nigeria, the UK Government, UNICEF, World Bank, World Health Organization, Sextant Foundation, JigSaw, Fab Inc, Crown Agent and UK Lafiya Programme. CRIBS demonstrates how climate-resilient infrastructure can improve access to basic services for vulnerable populations. We hope this model inspires broader replication across Nigeria.”
UNICEF Representative in Nigeria, Wafaa Saeed, said: “This initiative is a testament to what strong partnerships can achieve,” added “By investing in climate-smart infrastructure, we are not only protecting services but also empowering communities to safeguard their children’s future. CRIBS is a model for how we can build resilience where it matters most, at the frontline of service delivery.”
According to the statement, the inauguration aligns with national and state priorities in climate action, health, and education, and reflects the UK’s commitment to supporting Nigeria’s efforts to mitigate climate risks and improve service delivery.
CRIBS: was launched in April 2024, lfunded by FCDO, the UK Government, and developed through a partnership approach from a range of Nigeria Government and international organisations and experts. The main implementing partner has been UNICEF. CRIBS is a comprehensive and systematic approach to developing affordable, high impact and scalable models of climate-resilient infrastructure for basic services, with a focus on vulnerable communities. Based on the successful implementation of the approach in Kano and Jigawa States, the initiative is being expanded to include Bauchi, Enugu, Gombe, Kaduna and Katsina states.
UK Announces £19 million Funding for Climate Resilient, Health, Education Facilities in Nigeria
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Ijaw, Urhobo Groups Boycott CVR, Demand Implementation of Supreme Court Judgment on Warri Constituency Delineation

Ijaw, Urhobo Groups Boycott CVR, Demand Implementation of Supreme Court Judgment on Warri Constituency Delineation
By: Michael Mike
The Ijaw and Urhobo ethnic groups of Warri Federal Constituency have declared their boycott of the ongoing Continuous Voter Registration (CVR) exercise, demanding that the Independent National Electoral Commission (INEC) must first implement the final report of the Supreme Court-ordered fresh delineation of electoral wards and units in the constituency.
The protesters who stormed the INEC headquarters in large numbers came from Warri North, Warri South and Warri South West Local Government Areas making up the Federal constituency.
The groups made their position known on Tuesday during a peaceful protest to the INEC headquarters in Abuja where they expressed deep worry over the INEC’s CVR in the area.

They Carried placards with inscriptions such as “Warri Federal Constituency: No Ward, No Units for CVR”, “CVR Today is Political Fraud in Warri Federal Constituency” and “INEC, Give Us the Final Report.”
Spokesman of the groups, Chief David Reje from the Egbema Clan of Warri North Local Government Areas accused INEC of undermining the constitutional rights of the people by conducting the CVR with the “defunct arrangement” that the Supreme Court had earlier nullified.
Chief Reje, expressed their displeasure noting that despite INEC’s field exercise and stakeholder engagements, which produced a new delineation report in compliance with the apex court judgment, the commission has failed to release and implement the final report.
“Our patience and cooperation are being taken for granted as machinery has been set in place to disenfranchise us from participating in future elections.
“We can no longer wait while our democratic rights guaranteed by the Constitution and reaffirmed by the Supreme Court judgment are being eroded” Chief Reje warned.
The groups said they had travelled from Warri to Abuja to draw INEC’s attention to their plight, warning that they might be compelled to occupy the commission’s premises until their demands were met.
“They described the move as the second phase of their “non-violent struggle to restore political dignity.”
They further noted that they had come under “consistent pressure” from their people and could not guarantee that the agitation would remain contained if INEC continued to ignore the court order.
They demanded that ; INEC must immediately release and implement the delineation report and the CVR should only proceed on the basis of the newly approved electoral arrangements.
“We shall not stand idly by and watch our democratic rights and franchise frittered away. A stitch in time saves nine.” he maintained.
INEC National Commissioner, Abdullahi Abdulzuru, in his response assured the Ijaw and Urhobo groups of Warri Federal Constituency that their concerns over the implementation of the Supreme Court-ordered delineation of electoral wards and units will be addressed.
He commended the groups for adopting a peaceful approach in presenting their grievances and acknowledged receipt of their formal petition.
“I have listened carefully to your demands and read through your submission. I will tender the documents to the commission,” Abdulzuru said.
He further stressed that INEC is a law-abiding institution with no intention of disenfranchising any group of Nigerians.
“As a commission, we are committed to upholding the law. There is no intention, as far as INEC is concerned, to disenfranchise anybody from any exercise. We will get back to you be rest assured,” he added.
Prominent figures who signed the document tendered by the protesters include Dr Joel Bisina, Olorogun Victor Okumagba, Chief Godspower Gbenekama, Chief John Eramvor, Dr Paul Bebenimibo, Chief Sylvester Femi Okumagba, Chief Arthur Akpodubakaye, Chief Wilson Ogbodu, Chief Emmanuel Serondi and Chief Mrs Ann Gagiyovwi (JP)
Others are Rev. Samuel Ako, Amb.Jude Ebitimi Ukori (JP), Hon. Frank Pukon, Chief Mrs Vero Emmanuel Tangbewei and Comrade Mrs Margaret Ikinbor.
Ijaw, Urhobo Groups Boycott CVR, Demand Implementation of Supreme Court Judgment on Warri Constituency Delineation
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Nigeria, Angola to Sign 15 MOUs as 5th Joint Commission Begins in Luanda

Nigeria, Angola to Sign 15 MOUs as 5th Joint Commission Begins in Luanda
…Cooperation in technical manpower, migration partnership, transfer of sentenced persons, security, defence top list
By: Michael Mike
Nigeria and Angola are expected to sign no fewer than 15 Memorandum of Understanding (MOUs) at the ongoing 5th session of the Nigeria-Angola Bilateral Economic Joint Commission (BEJC) in Luanda.
Nigeria’s Minister of State for Foreign Affairs, Ambassador Bianca Odumegwu-Ojukwu said the MoUs when signed will propel the existing bilateral relations between the two countries to a higher pedestal, and play very crucial roles in enhancing their mutual interest, strengthening domestic institutions, promoting economic and social growth, and building capacity for friendly countries.
She listed the areas covered by the MOUs to include: Establishing Nigeria-Angola Business Council; Economic and Technical Cooperation; Cooperation in Combating Illicit Production, Manufacturing, and Trafficking in Narcotic Drugs, Psychotropic Substances, and their Precursors; Migration Partnership;
Cooperation Waiver of Visa Requirements for Diplomatic and Official Passport Holders; Cooperation on Transfer of Sentenced Person(s) and Cooperation in Correctional Administration and Reforms.

Others are-Cooperation in Technical Manpower Assistance; Cooperation in the Field of Tertiary/Higher Education; Cooperation in the Fight Against Corruption; Cooperation in Youth Development; Cooperation in Policing and Security; Cultural Cooperation and Exchanges; Cooperation on Mutual Legal Assistance in Criminal Matters; Cooperation on Defence and Intelligence;
Cooperation on Public Communication, Media, and Information Exchanges;
Cooperation in the Field of Mining and Mineral Processing; Cooperation on Land Transportation and Related Matters; and Cooperation in the Field of Health and Medical Sciences.
The minister however regretted that previous efforts to hold another session since the 4th session in Abuja in October 2001 were not successful but expressed delight that the event became possible after over two decades.
The Minister who spoke on Tuesday in Luanda, Angola at the opening of the Session, said: “Our gathering here today is the outcome of the recent efforts by both countries from February this year after decades of unfruitful efforts including the failed 2013 attempts by technical officials.
“The continued efforts toward resuscitating this Joint Commission by both countries over the years is aimed at strengthening the fraternal relations between Nigeria and Angola, whose foundation was laid when Nigeria’s Diplomatic Mission was established in Luanda in 1975. Prior to that, Nigeria contributed immensely to the liberation of Angola from Portugal and the recognition of the Popular Movement for the Liberation of Angola (MPLA) as the legitimate representative of the Angolan people.”
Odumegwu-Ojukwu noted that the eventual reactivation of the Joint Commission attested to the continued efforts by both countries towards actualising the aspirations of their diplomatic relations for the mutual benefit of their people.
She said: “This reactivation, which has birthed the 5th Session of the Joint Commission, has provided an opportunity to resuscitate the moribund bilateral agreements between the two countries. I am specifically delighted to note that the collective efforts by both sides have yielded results in the drafting, strenuous vetting of 19 Memorandum of Understanding (MoUs) together with two Twinning Agreements between the Government of Bayelsa State (Nigeria) and the Province of Namibe (Angola) as well as the Twinning Agreement between the Government of Nasarawa State (Nigeria) and the Province of Bengo (Angola), on very important areas of cooperation for final consideration during this Joint Commission meeting.”
The minister disclosed that she and her delegation looked forward to presenting several other vital issues for consideration, including cooperation and partnerships in the human and natural resources development, such as Technical Manpower Assistance to achieve human capital development, deliberation on the commencement of the Nigerian airline carriers’ flight to Angola and other Bilateral Air Services Matters; exploring abundant opportunities existing in the richly endowed oil and gas sectors of both countries, as well as the mineral resources.
She further said that the draft cooperation and collaboration for the Elimination of Double Taxation with respect to taxes on income and Prevention of Tax Avoidance and Evasion from the Ministry of Finance and Economy and deliberation on the progress made between the Central Bank of Nigeria and the National Bank of Angola in the finalization on the Memorandum of Understanding (MoU) on the proposed take-off of the operation by some selected Nigerian banks in Angola, among others, will also be considered.
The Nigerian side presented a draft of four broad Working Groupings of the participating MDAs for consideration by the Joint Commission. They include
Diplomatic, Consular and Migration Group, Defence and Security Group, Economic Trade and Investment Group, as well as Natural and Human Resources Development Group.
In his opening remarks, Angolan Secretary of State for International Cooperation, Domingos Vieira Lopes welcomed the Nigerian delegation, saying that his country looked forward to very fruitful outcomes.
He said: “This meeting is an opportunity to strengthen the ties and diplomatic relationship between African people. I am convinced that this meeting will open new dynamics in our diplomatic relationship. The relationship between the two countries began in 1975 when Nigeria was the first country to recognize Angola as an independent State. And the relationship has continued to grow.
“So, the signing of new cooperation instruments will boost our bilateral relations.
“I know that the mutual benefit would be enormous. These agreements and cooperation will help development and growth in both countries to the benefit of our people.”
Nigeria, Angola to Sign 15 MOUs as 5th Joint Commission Begins in Luanda
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