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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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2027: TAF-Africa urges INEC, security agencies to ensure inclusive voting

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2027: TAF-Africa urges INEC, security agencies to ensure inclusive voting

By Elizabeth Ogunjobi

TAF-Africa has urged the Independent National Electoral Commission (INEC) and security agencies to ensure accessible and safe voting for Persons with Disabilities (PwDs) in 2027.

Dr Andrew Adaji, Programme Manager of The All-Rights Foundation, made the call in Gombe on Wednesday during a community outreach for PwDs.

Adaji said the agencies must ensure that all eligible voters exercised their constitutional rights without discrimination or unnecessary difficulties.

He said PwDs deserved adequate support to participate in electoral processes, given their population and potential contributions to national development.

He estimated that PwDs constituted about 35 million Nigerians, representing 18 per cent of the country’s population.

Adaji urged INEC to promote priority voting and ensure its officials understood provisions designed to facilitate voting for PwDs.

He also criticised the commission’s alleged neglect of Form EC40H, which documents the participation of voters with disabilities.

“Based on our experience during the off-cycle governorship elections in Ekiti, Anambra and Osun states, most ad-hoc staff were not even aware that the form existed,” he said.

He said observers had to draw polling officials’ attention to the form during the elections.

Adaji urged INEC to incorporate training on Form EC40H into its preparation of ad-hoc staff.

He said this would enable officials to understand its purpose and properly document PwDs participating in elections.

He also called for assistive devices, including magnifying glasses and Braille ballot guides, for voters with visual impairments.

Adaji urged INEC to make polling units physically accessible, stressing that PwDs should exercise their rights independently and with dignity.

“We should not have to carry them into polling units. Instead, the facilities should be designed to accommodate them,” he said.

He expressed optimism that improved accessibility would encourage more PwDs to participate in elections.

Adaji also urged security agencies to prioritise the protection of PwDs during security threats and emergencies.

He encouraged PwDs in Gombe to exercise their voting rights under the priority voting provisions of the law.

He said the provisions included special queues for PwDs, pregnant women and older persons.

Adaji urged Nigerians to support the participation of PwDs in the electoral process.

Alheri Nuhu, Women Leader of the Deaf Association in Gombe State, commended The All-Rights Foundation for organising the outreach.

Nuhu said PwDs had been denied adequate attention during previous elections, despite their constitutional rights.

She lamented discrimination by INEC officials and other voters, saying communication barriers often left deaf voters disenfranchised.

She urged INEC to engage sign language interpreters among its ad-hoc staff to facilitate communication during elections.

Similarly, Malam Sani Abubakar, Chairman of the Lepers Association in Gombe State, called for inclusive voting arrangements.

He said leprosy had affected some members’ thumbs, making thumbprinting difficult despite their faces being captured during previous elections.

Abubakar urged INEC to introduce alternative voting arrangements for affected voters to prevent their disenfranchisement.

NAN reports that The All-Rights Foundation is conducting the outreach in six Gombe communities, targeting 305 PwDs.

2027: TAF-Africa urges INEC, security agencies to ensure inclusive voting

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Borno 2027: The General’s Charge and How Zulum Unleashes Borno’s Heavyweight Political Squad

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Borno 2027: The General’s Charge and How Zulum Unleashes Borno’s Heavyweight Political Squad

By Abubakar M. Kareto

In Nigerian politics, elections are rarely won on auditorium stages; they are decided in the quiet corridors of rural wards and the long queues of remote polling units.

The formal inauguration of the Borno State All Progressives Congress (APC) Campaign Council at the Government House followed by a massive, open-air campaign flag-off at the Sports Centre in Maiduguri represents a calculated departure from routine rally-making toward micro-targeted grassroots mobilization.

By commanding party stalwarts to abandon executive comfort and embed themselves directly within their local communities, Governor Babagana Umara Zulum is deploying a bottom-up doctrine aimed at locking down political legitimacy where it matters most.

At the heart of this strategy is the critical task of maintaining party cohesion after intense internal primaries. Zulum’s explicit instruction for victorious candidates to reach out and heal rifts with aggrieved aspirants reflects a realistic understanding of political arithmetic: internal resentment erodes turnout faster than any opposition campaign. By coupling reconciliation with firm warnings against subversion, the leadership is attempting to forge an unbreakable front out of potentially volatile factions.

The sheer scale of political unity displayed in Maiduguri underscores the formidable nature of this campaign structure. Bringing together political titans including former Governors Senator Maina Ma’aji Lawan and Senator Ali Modu Sheriff, alongside APC Deputy National Chairman Ali Bukar Dalori and the state’s complete senatorial delegation demonstrates an unprecedented level of internal alignment.

This public display of solidarity among historical heavyweights signals organizational stability, minimizing space for opposition inroads while keeping rank-and-file members firmly aligned.

Beyond local dynamics, Borno State occupies a unique position on the national political chessboard as the home state of Vice President Senator Kashim Shettima. In this high-stakes arena, sheer victory is insufficient; the turnout margin itself serves as a barometer of political influence.

Delivering a massive vote tally is therefore both a local objective and a strategic demonstration of national strength, cementing the state’s leverage within the governing alliance.

To turn political influence into actual votes, the campaign relies heavily on record-based persuasion and visible governance dividends. By grounding the campaign pitch in key developmental gains achieved despite severe security challenges and highlighting major federal institutions acquired in Gwoza, Bama, and Azare canvassers are equipped with a tangible policy narrative. Framing voter turnout for President Bola Ahmed Tinubu, gubernatorial candidate Engr. Mustapha Gubio, and all legislative candidates as a direct return on investment gives party workers a clear, evidence-backed story for every doorstep across the state’s 27 local government areas.

A vital strength of this expanded outreach is the deliberate inclusion of women and youth as core engines of voter mobilization. The strong presence of the women’s delegation led by Borno First Lady Dr. Falmata Babagana Umara Zulum alongside the wife of the Deputy Governor and the wives of party candidates highlights an organized effort to engage families and community networks directly. Demanding structured participation across all demographics ensures that campaign directives actively translate into voter registration and turnout.

Deputy Governor Umar Usman Kadafur’s commitment to an issue-based, unit-by-unit campaign outlines the operational mechanics needed to execute this vision. Requiring regular field reports creates a system of measurable accountability across every precinct. In a vast state with complex logistics, such systematic tracking ensures that high-level strategy is actively carried out at every single polling station.

Lastly, the Maiduguri launch demonstrates how strategic discipline, elite reconciliation, and precinct-level focus converge to shape electoral outcomes. In an increasingly competitive political landscape, the Borno APC has laid out a clear blueprint: harness the full weight of a unified leadership squad, but win the election one polling unit at a time.

About the Author
Abubakar M. Kareto is a Public Affairs Analyst and Communications Strategist focusing on governance, policies, economy, and institutional reforms across Nigeria and Africa. He can be reached on X @amkareto and via email at amkareto@gmail.com.

Borno 2027: The General’s Charge and How Zulum Unleashes Borno’s Heavyweight Political Squad

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Two Notorious Terrorist Leaders Haruna Balatoni and Black Neutralised in Plateau Military Offensive Another Fatally Wounded as Six AK-47 Rifles Returned

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Two Notorious Terrorist Leaders Haruna Balatoni and Black Neutralised in Plateau Military Offensive Another Fatally Wounded as Six AK-47 Rifles Returned

By: Zagazola Makama

Troops of the Nigerian Army have recorded major breakthroughs in ongoing offensive operations against armed criminal networks in Plateau State, neutralising two notorious terrorist leaders, critically wounding another and recovering six AK-47 rifles previously seized from security forces.

The latest developments followed sustained military offensives at Dajin Madam in Wase Local Government Area of Plateau State on November 8, 2026.

Security sources disclosed that HUMINT reports received at about 8:53 a.m. on November 9 indicated that the intensity of the military operation had resulted in the neutralisation of two suspected terrorist leaders identified as Haruna Balatoni and Black.

Another notorious figure, identified as Dogo Mai Kunkuru, was reportedly shot in the chest and left in a critical condition, with sources indicating that his chances of survival were slim.

In a significant development on November 10, the sustained military pressure reportedly compelled the terrorist network, through an intermediary identified as Ali-Kwara, to return six AK-47 rifles previously seized from security forces.

The recovered weapons are currently in military custody.
In a related operation, troops of 173 Battalion deployed at Mansur rescued a kidnapped mother and her daughter and recovered 39 cattle.

The developments represent a significant disruption of the criminal network’s leadership, weapons stockpile and capacity to sustain operations in the Wase axis.
The recovery of the six rifles is particularly important as it restores weapons previously lost to the criminal network and provides an opportunity for further intelligence exploitation.

The latest successes underscore the impact of sustained offensive pressure, intelligence-driven operations and military presence in dismantling armed groups operating across Plateau State.

The reported deaths of the terrorist leaders and the condition of Dogo Mai Kunkuru are based on preliminary HUMINT assessments and remain subject to independent military confirmation

Two Notorious Terrorist Leaders Haruna Balatoni and Black Neutralised in Plateau Military Offensive Another Fatally Wounded as Six AK-47 Rifles Returned

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