The road to Universal Health Coverage (UHC) in Africa was greatly strengthened by a number of high profile developments in Kenya and Nigeria during 2018. A strong increase in enrollments of people across both countries got underway at both state and county levels, alongside strong support at political level. 2018 was truly the year when Universal Health Coverage was put center stage.
NIGERIA: Lagos State Health Insurance Scheme
The year ended on a hugely positive note as the Lagos State Government launched the Lagos State Health insurance scheme in December. It was a significant step towards Universal Health Coverage for the over 20 million residents of the state. The PharmAccess team is proud to have played a significant role in the design process, including implementing the proof of concept, mirroring the Lagos State health scheme for over 12 months, proving that the use of mobile and digital technology can create access to healthcare for even the most vulnerable citizens, as well as efficiency and transparency in scheme administration.
Speaking at the launch, Country Director for PharmAccess Nigeria, Njide Ndili said, “PharmAccess Foundation is excited at the launch of the Lagos State Health Insurance Scheme and what it means for universal healthcare for Lagosians. Throughout our 10 year relationship with Lagos State, we have been working hard with the Government and stakeholders to provide technical assistance to make sure that the scheme is a great, sustainable and longstanding success.”
NIGERIA: Kwara State launches health insurance for all
The journey towards Universal Health Coverage (UHC) in Nigeria had already taken another step closer earlier in the year. In July Kwara State launched its mandatory health insurance scheme for every resident. It allocates Government funds to pay the premiums of the poor and vulnerable in society as full subsidies. The process began back in 2007 with the Kwara Community Based Health Insurance Scheme and led to a state-wide insurance scheme in just over ten years. The successful transition was enabled through our work supporting Kwara State, healthcare providers, and communities in creating the demand and quality standards critical for health insurance adoption among the local population. This effective collaboration cultivated the ownership and financing necessary to ensure long-term delivery of primary health care, including maternal and child health. Commenting on the launch, CEO of PharmAccess Monique Dolfing said, “We are happy that the community based health insurance scheme has grown into a statewide scheme we are launching today.” Read the full story here.
KENYA: President signs the UHC national charter
December also saw a momentous moment for the future of health access in Kenya as President Uhuru Kenyatta officially launched the UHC pilot program in the country. It was a huge step forward for UHC in Kenya. Our team were on the ground in Kisumu County for the announcement. For its part, PharmAccess together with its partner CarePay Kenya, has been cooperating with three of the pilot counties – Kisumu, Nyeri, Machakos as well as Kakamega and Kirinyaga – to help foster, develop, and implement a county embedded model for Universal Health Care comprising the dual pillars of cover and care. Our technical partnership with Kisumu has helped facilitate all the registrations in the county – totaling 240,000 people, using the M-TIBA registration application.
KENYA: Massive UHC Registration Drive to get underway in Kisumu County, Kenya
In August, Kisumu County Government announced that it is preparing a massive registration drive to roll out UHC for all its residents. To help reach this important and ambitious aim PharmAccess was asked to assist the country’s National Hospital Insurance Fund (NHIF) to achieve universal health coverage by 2022. As part of the Kenyan’s government’s push towards achieving universal health coverage (UHC) over the next 5 years, all Kisumu county residents will gain access to the National Hospital Insurance Fund (NHIF) for comprehensive health services.
Kisumu is one of the four pilot counties for the UHC pilot and has developed an innovative healthcare model that combines access to health insurance with better quality of care. Utilizing a public-private approach, the county has partnered with PharmAccess for technical assistance. The partnership will facilitate digital registrations into NHIF, health financing, and service delivery in a cost effective and transparent way. Isaiah Okoth, Country Director, PharmAccess Kenya, says, “We share Kisumu’s commitment to unveil universal health coverage for its people while ensuring quality, accessible and affordable healthcare for the long term. From our experience, successful public-private partnerships have the potential to accelerate investment into healthcare. By harnessing the power of mobile technology through the M-TIBA platform, Kisumu is in the frontline of healthcare innovation.” Read the full story here.
KENYA: Registration drives underway in Kirinyaga, Nyeri and Machakos counties
Kirinyaga county in Kenya also kicked off its registration drive to extend universal health coverage to all eligible residents – some 124,000 households. The picture above illustrates the procedure on the ground as teams from the National Health Insurance Fund (NHIF) use M-TIBA to register people for Universal Health Coverage.
– PharmAccess Foundation
Erica Tavares: Passionate About A Greener, Better Future
Erica Tavares is an Environmentalist, Co-Founder and Executive Director at EcoAngola. A 100% bootstrapped startup increasing awareness of the civil society, local government and policy makers regarding local and world environmental problems, conservation and sustainability whilst trying to creatively find realistic solutions to tackle these problems. In this interview with Alaba Ayinuola of Business Africa Online, she shares her sojourn in to climate change advocacy, social entrepreneurship and EcoAngola journey. Excerpt.
Alaba: Could you briefly tell us about what sparked the launch of EcoAngola?
Erica: EcoAngola was founded by me and two other Angolans, Paulo Pizarro and Leonardo Pizarro. We did not know each other until the day I received a call from Paulo, days before graduating from my Bachelor’s degree in Environmental Biology. He shared their idea about launching a philanthropic project that would promote environmental conservation and sustainability in Angola, which immediately raised my interest.
He explained that they had been looking for partners for quite some time but were unsuccessful. Although some people expressed interest to join the initiative, none of them actually had the energy, time and passion to develop the idea of EcoAngola from scratch, because it was time consuming and without any immediate return. They were looking preferentially for a young and enthusiast person, with a background in biology or an environment related field, because none of them had much experience or further understanding about the subject, besides being conscious about the world ecological crisis we are currently living and the critical environmental problems in Angola.
Being born and raised in Angola, I have always been connected to nature. After concluding high school, I then decided to study biology, and that was the start of my journey through environmentalism. Studying biology and environmental science, made me extremely aware of how important initiatives such as EcoAngola are to make a positive change in developing countries.
So, EcoAngola was really the kind of organization that I have always imagined myself working with but never thought that I would be part of it so early, as Executive Director, and that it would grow so fast and become so relevant, as it is right now.
Alaba: What is the main focus of your startup and the gap it’s filling?
Erica: Angola is a resource rich country, with vast land and diverse ecosystems. However, the country faces various environmental challenges, such as deforestation, desertification, draught, soil erosion, loss of biodiversity and pollution. The climate change, population growth, poverty and lack of environmental education programmes, aggravate the problem and accelerate the degradation of the ecosystems, with serious economic, social and environmental consequences.
The main focus of EcoAngola is to increase awareness of the civil society, local government and policy makers regarding local and world environmental problems, informing and educating about environmental conservation and sustainability whilst trying to creatively find realistic solutions to tackle these problems. We write articles on relevant environmental topics and publish them on our website (ecoangola.com) and social media.
We also organize events and campaigns such as beach cleanings and reforestation. We promote discussions involving experts from the public and private sector, within the Angolan community, so that we could start finding solutions that are best adapted to our reality and that could serve as a basis to develop new national environmental policies. We also noticed that there was no collaboration between existent environmental organisations, so we started supporting and collaborating with other environmental organisations and related initiatives, building bridges between all of them, and working for the common good.
Unity is very important if we want societal change to happen, particularly because the country is so big and the initiatives are so few that it is easy to assume that nothing is being done and a lot of these initiatives actually die due to insufficiency of collaboration in our society.
Alaba: How are you funding your startup?
Erica: So far, we have been mostly funded by ourselves. Human capital is actually the biggest treasure we have, and the volunteers who continue to join our organisation are the ones catalysing the fast growth of EcoAngola. There is an incredible amount of ideas that we could implement and that would have a great impact, but we have now prioritised environmental education and awareness initiatives, because they build the foundation of consciousness and drive the change of mindset and attitude.
We started recruiting volunteers, most of them young university students, who do not have much working experience, giving them some exposure and the opportunity to contribute and be part of the EcoAngola team. I usually say: “we are growing together”. Our campaigns and events are normally supported and funded byvarious organizations that collaborate with us. For example, for our first beach cleaning campaign, each partner organisation made a different contribution, from water, to gloves, bags, the trash collection and disposal.
We will soon be able to receive donations and funding for our events, campaigns and projects, but we also stand to our values, so will not accept funding from companies that consistently damage the environment and promote green washing. Financial support will help us to expand our project and have a much broader and bigger impact.
Alaba: What are the challenges and how are you overcoming them?
Erica: One of our biggest challenges is definitely funding, as this limits us on the implementation of our projects. In the short term, we are prioritizing the ideas and projects that need the least financing and that can have the greatest impact.This has worked well so far and has made EcoAngola progress and grow faster than we anticipated.
Another challenge is the difficulty to recruit and maintain volunteers motivated because there is no financial motivation and no immediate results.
To motivate our volunteers, we give credit to their work, offer certificates of appreciation and give recognition for their dedication to EcoAngola. I feel that the progress of EcoAngola itself has been a self-motivation for the entire team of volunteers working with us. We also try to constantly show some of the positive changes that are already happening as a result of the collective effort of our volunteers.
Lastly, we noticed that most people assume that EcoAngola is an enormous, well-funded organisation because of our mobilization and online presence – but we are not. We have a small executive team, a team of volunteers that help to coordinate our campaigns, events and activities, and a group of volunteers that write articles on relevant topics.
Alaba: How does your startup measure it’s impact?
Erica: We measure our impact from the feedback we receive about our articles, events and activities, through the number of people visiting our website and engaged through social media, the growing number of people that want to join our Green Movement (environmental awareness initiative), the growing number of people and organizations that want to work or partner with EcoAngola, and through the societal and governmental behaviour change we notice.
We have also noticed an increase in the amount of similar initiatives and the changes that happen with the people who join us. There is more hope and therefore, more energy that transcends society and makes us believe that we are causing a positive and material impact.
Alaba: What is the future of EcoAngola?
Erica: I am a dreamer and I consider myself to be farsighted. I imagine EcoAngola expanding to all of Angola with several environmental and social projects being developed. I believe that we can have a great impact in the future of Angola and Africa, especially when it comes to tackling pollution, poverty, biodiversity conservation and climate change.
We are starting with the foundation of development, which is education, but we aim to really influence public policy and build a more sustainable and ecological way of thinking for the entire nation. For our Green Movement, we aim to reach at least 100,000 people in the next 2 years. It will be a long process, but the hardest part is behind us already, which is to start.
Alaba: How is your business contributing to the development of Africa?
Erica: By raising environmental awareness in Angola, I strongly believe that we can give an example to other nations that sustainable development can be a reality. It is hard to do it, especially because the Angolan economy is based on oil and gas production and exports, but I believe it is feasible and realistic. We are considering expanding the EcoAngola project to other African nations, starting with the Portuguese speaking first.
We need to leave the theory and start practicing, adapt the challenges that we face with our reality, and implement creative and sustainable solutions. We have enough information and understanding about what the ecological crisis can do the life on earth and a base of sustainable actions that we can use to change that. So, we need to act, and we need to act now.
Alaba: How do you feel as an African social entrepreneur?
Erica: I feel very proud of myself for taking the first step and being bold and fearless. I really appreciate the support and trust that our volunteers have on me. I admire everyone who joins us in this wonderful project, because that means that just like me, they have hope and they do believe that we can make the world a better place. It has to start with us, otherwise, who will do it?
This is one of the questions I ask myself, when things get harder. I imagine how the future will be, if we continue to make Angola a more sustainable and fair country to live. I am actually the youngest one in the Team, I am only 22 years old and they believed in me since day one, and have given me the chance to show what I am capable of doing. This boosted my confidence and I believe in myself and I believe in us more than anything.
One of the best feelings ever is to watch change happen and this makes me believe even more in EcoAngola. It is always a good feeling when I am able to mobilize and recruit new people into volunteering, and when I can show them that we can all do better, even if there is no direct reward given to us. Little by little, step by step we can do greater things, together.
It has been a challenge to do all of this, while I am still studying far away from Angola, and also working to sustain myself.
Alaba: What is your advice for government, social entrepreneur and investors in Africa?
Erica: My advice is that we need to build solid bridges of communication and participation between government, social entrepreneurs, investors, research institutions and civil society. There is so much that needs to be done and so many things with a huge potential that could help us bring positive changes, such as ecotourism, for example. We need to leave the word ‘potential’ behind and we need to use that potential for the good, for growth, for sustainable prosperity.
Alaba: How do you relax and what books do you read?
Erica: At this moment I am studying a Master’s in Ecology and Evolution, I work part-time at a restaurant, and I am a mobilizer for ReGenesis, a platform and community for global support in local actions through art activism- so it has been really challenging to manage my time with my professional and student life with my relaxing time. But I am the type of person that believes in balance. I maintain my physical and mental health stable. I used to read more sci-fi books, but now I am more focused into motivating myself because of the challenges I face daily.
I am currently reading the book ‘Originals’ by Adam Grant which was a Christmas gift – it has been an easy read because I have actually been connecting a lot with the theory shared in this book, especially the part about believing in ourselves. Because I am doing a Master’s in research, I spent most of my reading time reading research papers which I find interesting and mostly fascinating for new discoveries in the world of science, particularly ecology.
B I O G R A P H Y
Erica TavaresEnvironmental Biology graduate, currently studying a Master’s of Research in Ecology and Evolution. Passionate about people, nature and science, particularly because they provide us tools to understand the world. Using the knowledge I am gaining for fair biodiversity and human rights.
My mission is to raise awareness about environmental exploitation and degradation, promoting sustainability and environmental conservation. To accomplish that, I have co-founded and now direct EcoAngola. I am also a mobilizer for ReGenesis, a platform and community for global support in local actions through art activism.
Sahara Group Supports Gender Equality At OECD Summit In Paris
Pearl Uzokwe, Director, Governance & Sustainability, Sahara Group, speaking at the panel discussion on ‘Private finance for gender equality and women’s empowerment’ at the 2020 OECD Summit in Paris(Source: Sahara Group).
Paris, France– Ensuring equal access to resources and opportunities regardless of gender is essential for promoting sustainable development across the globe, Pearl Uzokwe, Director, Governance and Sustainability, Sahara Group has said.
Uzokwe who spoke in Paris at the Organisation for Economic Co-operation and Development (OECD) Private Finance for Sustainable Development Conference said galvanizing private finance alongside other sources of finance for gender equality was not only urgent but critical for sustained wealth creation, especially in developing countries.
Uzokwe said Sahara Group had consistently led the cause of equal access and opportunities in the private sector through support for gender related projects and policies that supports employment and growth within the organization which is free of any gender-based considerations. “Sahara Group is passionate about the issue of gender equality and we continue to promote and invest in projects that empower men and women to pursue economic prosperity. We are also entrenching gender diversity at the board level of the organization in line with global trends in corporate governance,” she said.
Noting the need for women empowerment as a precursor to achieving gender equality, Uzokwe said governments and businesses need to be “more deliberate and committed” in their support for activities that will connect girls and women to transformative economic opportunities. She said strengthening the private sector and ensuring well-defined and unbiased entry pathways are available at all levels.
“Sahara Group aligns with the position that empowering women and eliminating the hurdles to success for women in both the formal and informal sectors has the potential to set the tone for attaining several sustainable development goals, with special emphasis on goal 5 that speaks to gender equality,” she affirmed.
The OECD conference noted that a collaborative approach involving the government, business, civil society and development agencies will be required to achieve the task as raising private finance towards promoting gender equality.
Participants called for an enabling environment for the private sector to thrive and support female entrants, adding that diversity remained the most potent driver of innovation that is required to make businesses thrive and prosper. They also noted that since women provide 50 percent of that innovation ratio, ignoring their unique needs and offerings would be a cost too high for any organisation and country.
Interview: Oprah Winfrey Leadership Academy For Girls Executive Director, Gugulethu Ndebele On Girls And Leadership
Gugulethu Ndebele, Executive Director of the Oprah Winfrey Leadership Academy for Girls (OWLAG)
The Oprah Winfrey Leadership Academy for Girls (OWLAG) is a non-profit organisation based in South Africa that provides a nurturing educational environment for academically gifted girls who come from disadvantaged backgrounds. Gugulethu Ndebele in this interview with Alaba Ayinuola of Business Africa Online, talks about her background, the Academy, its impact, empowering and positioning girls for leadership, challenges and more. Excerpt
Alaba: Could you give a brief background of yourself?
Gugulethu: I was born in Soweto, Johannesburg one of the largest townships in the world and is also the home of two of South Africa’s global icons and Nobel Laureate, Nelson Mandela and Arch-Bishop Desmond Tutu. My family is originally from KwaZulu Natal Province and moved to Johannesburg as a result of the Migrant Labour System. Even though both my parents and sibling have passed on, I feel blessed to have three amazing children.
In 1983 when my college, the University of Zululand was invaded by Zulu Warriors (Impis) many of my fellow students lost their lives and am fortunate to be alive even though I lost sight in one of my eyes. Despite all these challenges, I never gave up on learning. I have an MSc in Organisational Development and Change from the University of Manchester, UK and a Post Graduate Diploma in Management from Wits Business School.
I am passionate about Children’s Rights and Girls Education.
Alaba: What sparked your interest in the non-profit career path?
Gugulethu: I have always been an activist and growing up under the apartheid in South Africa created a passion and a desire in me to stand up and advocate for the rights of disadvantaged people. As a student, I fought for the banishing of Bantu Education and my first work experience was with an Education NGO, SACHED, which drafted the first post-apartheid education policy document. This document was used in the production of the Education White Paper. And so I have always known that change will not come from government alone. Change will come from the vast skills and knowledge that also resides outside of government.
Alaba: Kindly tell us about the Oprah Winfrey Leadership Academy for Girls SA (OWLAG) and the gap its filling?
Gugulethu: The Oprah Winfrey Leadership Academy for Girls was established by Ms Winfrey as a gift to Madiba. She opted to build a school for girls because she wanted to contribute to the growth of SA. She is on record that she believes change in SA will come from women. And so she built a school that will develop and nurture young women to be leaders, not only of South Africa but the World.
The schools fills an important gap. Firstly, it is a fact that even though girls are in the majority in schools in formative years, few of them finish Matric and succeed. Secondly, the economy of the country is still skewed towards males, especially in critical skills areas. So as a schools, we support the development of a new generation of women leaders who, by virtue of their education and service, will lead the charge to transform themselves, their communities, and the larger world around them
Finally, the narrative of a South African girl at the moment is dominated by abuse, violence and trauma. And so as a school, we intent to change the narrative of the South African girl to be that of empowerment, success and victory. As the only Trauma Informed School in Africa, we are trained to help girls deal with trauma so they can benefit from the education that is provided.
Alaba: How does OWLAG drive inclusion and position girls for Leadership?
Gugulethu: At the Oprah Winfrey Leadership Academy for Girls leadership is integrated in everything we do. All our programmes are learner driven (with the support of adults). As a school we believe in the importance of empowering young women to lead. Our education programs are also designed to support the development of our girl’s skills and to enable them to provide leadership on every aspect of their lives.
We offer engaging and dynamic activities to motivate and enable our girls to believe in their abilities to catalyse change and to mobilise others to do the same. We continuously challenge them to engage and lead, ethically.
Alaba: As an organization, how do you measure impacts?
Gugulethu: Each area of our work at OWLAG is underpinned by Monitoring and Evaluation. In each area we have indicators for success which we monitor o an ongoing basis. Educationally, we measure impact from Grade 8 because we believe success in Grade 12 depends on the foundational work we do in Grade 8. And so the progress of our girls is measured from Grade 8 and throughout the system.
Alaba: What have been your achievements since your appointment?
Gugulethu: Our results this year were the best since 2013. We were able to not only exceed the IEB aggregate in all subjects, but also overall. We increased the number of our distinctions substantially (we had 197 distinctions, 49 more than last year) and all our girls are registered in University, as we speak. Off course this is not because of me alone, it is because of the amazing work of OWLAG staff, especially teachers and our Support Services. My role is to create an enabling environment for them to do their work and I believe I did that.
In addition, we just had our % year Strategy Approved by the Board. This Strategy will move OWLAG into another level and will position us not just to be the best in SA but in Africa. My dream is to have versions of OWLAG in Africa
Alaba: What challenges have you encountered working with non-profit? How are you overcoming them?
Gugulethu: The challenges are relentless. The biggest challenge is resources. Too many good NGOs have closed because of lack of funding. But some of the challenges are self-inflicted.As NGOs, we are always in competition with one another. This is in part due to the limited resources so segmenting your non-profit and identifying your unique selling proposition becomes the focus as it is key to your success.
Secondly, NGOs are sometimes not seen in a positive light by governments. They are seen as competition and at worst as political entities. This makes it difficult to work with government to ensure lasting change. Working together in partnership with other like-minded non-profits and is key in this sector.
Finally, I think as a sector we need to ensure that our work is credible and evidenced based. We need to be accountable to the people that support and fund our work. And therefore collecting and using credible data for reporting is key. People have to trust that what we say works indeed works.
Alaba: How would you describe your leadership style?
Gugulethu: I am an engaged leader. I believe everyone in the organisation has a role to play and that I need to create an environment for them to thrive. I lead by example and challenge my team to strive for excellence.
Alaba: What is your advice for women in leadership position or aspiring women?
Gugulethu: My advice to women is that we need to use our own strengths to lead. We do not need to behave like men to be great leaders. As women, we are nurturers, we are builders, and we are motivators. Let us use those strengths rather than try to be what we are not.
Secondly, it is important that we fix each other’s crowns. When one woman succeeds, we all succeed. So let us not pull each other down. Let us be the big shoulders for other women to stand on.
Alaba: What inspires you and how do you relax out of work?
Gugulethu: I am greatly inspired by the potential of young people, especially girls. At the Oprah Winfrey Leadership Academy for Girls we recruit girls from desperate situations and have experienced multiple traumas in their young lives. Watching them blossom and thrive gets me leaping out of bed every day.
I am also a passionate reader. I love books and my wish is to have books in every household. I believe books open the world to people. So reading is one way of relaxing. I also love travelling and I think my first travelling experience was through books.
B I O G R A P H Y
Gugulethu “Gugu” Ndebele is currently the Executive Director of the Oprah Winfrey Leadership Institute for Girls (OWLAG). She joined the organisation after a long and distinguished career as the CEO of Save the Children South Africa, one of the leading child rights organizations in the world, operating in 120 countries.
Previously, she worked at the Department of Basic Education as the Deputy Director-General primarily responsible for Social Mobilisation and Support Services. Gugu was also one of the pioneers of the biggest Adult Literacy Campaign in SA (Kha ri Gude), the Recapitalisation of Vocational Colleges and the National School Nutrition Programme (NSNP).
Gugu holds an MSc in Organisational Change and Development (Manchester University, UK), a Post Graduate Diploma in Adult Education (Wits) and a Management Advancement Progamme Certificate (With Business School).
In 2016 she was appointed Vice- Chair of the UNESCO Bureau of the Global Alliance for Literacy. And in 2017, she was appointed by the Minister of Basic Education as the Literacy Ambassador for the Read to Lead Campaign. She is a Member of the South African Human Rights Commission’s Children’s Rights Advisory Committee (Section 11). Appointed into the Council of Rhodes University by the Minister of Higher Education. A member of the Institute of Directors Southern Africa.
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