Steps Toward an Environmental Scan of Rotary’s Opportunities in Africa
Over the next 30 years, almost 98 per cent of global population growth is projected to take place in developing countries. Africa’s high rate of population growth also masks variations within the continent. Rates of growth fluctuate from 2.0 and 1.6 per cent in Northern and Southern Africa to 2.5 and 2.7 per cent in Western and Middle Africa, while the average for the continent is about 2.4 per cent. And while higher rates of population growth are to be found in the Comoros, the Gambia, Guinea, Libyan Arab Jamahiriya, Mozambique and Western Sahara, fertility is highest in Niger, Malawi, Uganda and Angola, where women have, on average, about 7 children. Africa’s 1999 population of 767 million people is projected to nearly double by 2035. World Bank data on population—by country—is now available at : http://www.google.com/publicdata?ds=wb-wdi
- Health Issues
Today, women in most African countries want families smaller than those of their mothers and the use of family planning is increasing, together with access to services. However, burdened by more than a decade of declining per capita food production and stagnating per capita incomes, providing and expanding the reach of health care services is a daunting proposition for the governments of sub-Saharan African countries, one made even more difficult by high infection rates for HIV/AIDS and other sexually transmitted diseases. More than 160,000 African women die from pregnancy-related causes each year.
Waiving Health Fees for Women and Children. By waiving the requirement for payments — which sometimes amount to hundreds of dollars and clearly represent the main barrier to using health facilities — the Sierra Leone government appears to have sharply cut into mortality rates for pregnant women and deaths from malaria for small children. The results in Sierra Leone have been “nothing short of spectacular,” said Robert Yates, a senior health economist in Britain’s Department for International Development, which is paying for almost 40 percent of the $35 million program, with most of the rest coming from donors like the World Bank. Since waiving the fees, Sierra Leone has seen a 214 percent increase in the number of children under 5 getting care at health facilities, a 61 percent decrease in mortality rates in difficult pregnancy cases at health clinics, and an 85 percent drop in the malaria fatality rate for children treated in hospitals.
In recent years, Zambia, Burundi, Niger, Liberia, Kenya, Senegal, Lesotho, Sudan and Ghana have gone to some form of free care, particularly for pregnant women and young children, Mr. Yates noted two years ago in the health journal The Lancet. Rwanda has been offering nominal rates for health insurance for over a decade, and after fees were dropped in Burundi in 2006, average monthly births in health facilities rose by 61 percent and Caesarean sections went up by 80 percent, he found. Adam Nossiter, The New York Times, 7/17/2011
But adequate staffing and supplies to meet this increased demand are a continuing challenge in many areas. Further, for every dollar of foreign aid received, the typical developing country cuts back health funding by 43 cents to address other priorities. Eighty percent of the world’s maternal deaths occur in 21 countries—15 of which are in sub-Saharan Africa. U of Washington Institute for Health Metrics and Evaluation, 2010. The risk of dying in pregnancy/delivery in sub-Saharan Africa is one in 13 compared to one in 4,100 in industrialized nations. Unicef 2001.
Health-Care Workers. Sub-Saharan Africa has more than 10 percent of the world’s population, but just three percent of the health-care workers. (Josh Ruxin, New York Times, 7/27/11.) Part of the issue is training practitioners, and another is the ‘brain drain’. For example, 60% of the doctors trained in Ghana in the 80s have left the country. There are more Ethiopian doctors practicing in Washington, D.C. than in Ethiopia. It would take $2.6B annually in Africa to meet the cost of health care workers by 2015 (Richard Scheffler et al 2011).
Giving midwives simple training through a NIH/Gates Foundation $20,244 grant saved 97 infants in Zambia at a cost of $208 per infant, and it cut deaths from 11.5 per 1000 to 6.8. Christine Welter, NYT, 5/9/11. In other instances, village midwives were delivering babies in unsanitary conditions without even basic technology. Rather than bypassing them, a project pays them to take pregnant mothers to community health clinics with sanitary conditions and appropriate equipment. It’s a win-win.
The Impact of AIDS. The overall growth of the global aids epidemic appears to have stabilized. The annual number of new HIV infections has been steadily declining since the late 1990s and there are fewer aids-related deaths due to the significant scale up of antiretroviral therapy over the past few years. Although the number of new infections has been falling, levels of new infections overall are still high, and with significant reductions in mortality the number of people living with HIV worldwide has increased.
New HIV infections are declining. In 2009, there were an estimated 2.6 million people who became newly infected with HIV. This is nearly one fifth (19%) fewer than the 3.1 million people newly infected in 1999, and more than one fifth (21%) fewer than the estimated 3.2 million in 1997, the year in which annual new infections peaked. In 33 countries, the HIV incidence has fallen by more than 25% between 2001
and 2009; 22 of these countries are in sub-Saharan Africa. In sub-Saharan Africa, where the majority of new HIV infections continue to occur, an estimated 1.8 million people became infected in 2009; considerably lower than the estimated 2.2 million people in sub-Saharan Africa newly infected with HIV in 2001. This trend reflects a combination of factors, including the impact of HIV prevention efforts and the natural course of HIV epidemics.
Five countries—Botswana, South Africa, United Republic of Tanzania, Zambia, and Zimbabwe—showed a significant decline in HIV prevalence among young women or men in national surveys. In eight countries with significant declines in HIV prevalence, the sexual behaviour of either men or women also changed significantly.
New infections among children decreasing. As access to services for preventing the mother-to-child transmission of HIV has increased, the total number of children being born with HIV has decreased. An estimated 370,000 children were newly infected with HIV in 2009 (a drop of 24% from five years earlier).
AIDS-related deaths are decreasing. The number of annual AIDS-related deaths worldwide is steadily decreasing from the peak of 2.1 million in 2004 to an estimated 1.8 million in 2009. The decline reflects the increased availability of antiretroviral therapy, as well as care and support, to people living with HIV, particularly in middle- and low-income countries; it is also a result of decreasing incidence starting in the late 1990s. The effects of antiretroviral therapy are especially evident in sub-Saharan Africa, where an estimated 320 000 (or 20%) fewer people died of AIDS-related causes in 2009 than in 2004, when antiretroviral therapy began to be dramatically expanded. AIDS-related mortality began to decline in sub-Saharan Africa in 2005. Globally, deaths among children younger than 15 years of age are also declining. The estimated 260,000 children who died from AIDS-related
illnesses in 2009 were 19% fewer than the estimated 320,000 who died in 2004. This trend reflects the steady expansion of services to prevent transmission of HIV to infants and an increase (albeit slow) in access. –UNAIDS Report on the Global AIDS Epidemic 2010.
Rotarian For Fighting AIDS. Rotarians from 102 Rotary Clubs in the countries of Kenya and Uganda got together on April 30th, the Rotary-declared Rotarians At Work Day and did something that has never been done before in the history of Rotary – they held a nationwide HIV Testing & Counseling Day at 125 sites throughout the two countries that included many other free health services for the 25,000 citizens that came to this event! They called it the Rotary Family Health Day! Twenty-five thousand people in the two countries were provided with free HTC services in addition to multiple other free health care services. Out of the 25,000 people tested, 741 of them tested positive and were referred on to linked networks of care. This one to three day pilot event was the vision of District Governor Stephen Mwanje, District 9200 in East Africa. He engaged the support and partnership of RFFA (Rotarians For Fighting AIDS). There were 1,000 Rotarians that volunteered at the 125 sites. In addition, there were approximately 200 Rotaractors (University students) and Rotary Community Corp leaders that volunteered.
FHI (Family Health International) provided seven months of technical consulting services prior to the event, including proposals and budget evaluations. In Kenya, they provided pro bono testing and counseling throughout the South Rift Valley (84 counselors were used to do door to door testing.)
Child Mortality. About 29,000 children under the age of five – 21 each minute – die every day, mainly from preventable causes. More than 70 per cent of almost 11 million child deaths every year are attributable to six causes: diarrhea, malaria, neonatal infection, pneumonia, preterm delivery, or lack of oxygen at birth. These deaths occur mainly in the developing world. An Ethiopian child is 30 times more likely to die by his or her fifth birthday than a child in Western Europe. Among deaths in children, sub-Saharan Africa has the highest rates. Two-thirds of deaths occur in just 10 countries. And the majority are preventable. Some of the deaths occur from illnesses like measles, malaria or tetanus. Others result indirectly from marginalization, conflict and HIV/AIDS. Malnutrition and the lack of safe water and sanitation contribute to half of all these children’s deaths. But disease isn’t inevitable, nor do children with these diseases need to die. Research and experience show that six million of the almost 11 million children who die each year could be saved by low-tech, evidence-based, cost-effective measures such as vaccines, antibiotics, micronutrient supplementation, insecticide-treated bed nets and improved family care and breastfeeding practices. These measures are the basis for UNICEF’s actions to help children survive, carried through with hundreds of allies and via offices in the field – and well-travelled staff – all over the world. –unicef 2011
- The Environment and Water
At any level of development, human impact on the environment is a function of population size, per capita consumption and the environmental damage caused by the technology used to produce what is consumed. People in developed countries have the greatest impact on the global environment. The 20 per cent of the world’s people living in the highest income countries are responsible for 86 per cent of total private consumption compared with the poorest 20 per cent, who account for a mere 1.3 per cent. The richest fifth account for 53 per cent of carbon dioxide emissions, the poorest fifth, 3 per cent. A child born in the industrial world adds more to consumption and pollution levels in one lifetime than do 30-50 children born in developing countries. As living standards rise in developing countries, the environmental consequences of population growth will be amplified with ever-increasing numbers of people aspiring, justifiably, to “live better.” Rather than assign blame in the debate over environmental challenges, both current and new consumers need to realize and address the consequences of their levels of consumption.
Some trends are already obvious, however, particularly with regard to the three “renewable” resources on which human life depends: land, water and air. Each year, an estimated 5 to 7 million hectares of agricultural lands are lost to accelerating land degradation and rapid urbanization. A sixth of the world’s land area — nearly 2 billion hectares — is now degraded as a result of overgrazing and poor farming practices. Another 16 to 20 million hectares of tropical forests and woodlands are lost each year.
Water is a finite resource. There is no more water on earth now than there was 2,000 years ago when the population was less than 3 per cent of its current size. During this century, while world population has tripled, water withdrawals have increased by over six times. Today, with water scarcity defined as less than 1,000 cubic metres per person per year, 458 million people in 31 countries face water shortages. By 2025, close to 3 billion people in 48 countries will be affected by critical water shortages for all or part of the year.
The pollution and increasing scarcity of renewable fresh water supplies also threaten human health and welfare. An estimated 1.1 billion people were without access to clean drinking water in 1994; 2.8 billion people lacked access to sanitation services. Waterborne diseases infect some 250 million people each year, about 10 million of whom die. The poor are most exposed to fumes and polluted rivers and least able to protect themselves. Of the estimated 2.7 million deaths each year from air pollution, 2.2 million are from indoor pollution and 80 per cent of the victims are rural poor in developing countries.
The gradual slowing of population growth already under way is part of the answer to this environmental dilemma. With slower growth rates, countries will have more time to prepare for the still inevitable, if smaller, population increases to come – time to build schools, dig sewers and lay water pipes.
For those eking out a living, environmentally sound practices are a luxury, not a choice. Developed countries need to develop technologies which minimize damage to natural systems and make these new technologies more widely available to developing countries. The ultimate goal should be sustainability in all areas of economic activity, including agriculture, industry, forestry, fisheries, transportation and tourism.
Education, basic health care – including family planning and reproductive health care — and access to land, credit and employment are all important to poverty alleviation and, therefore, crucial to long-term economic and environmental sustainability. World Bank,2011
“Sustainable development” connotes the processes by which people satisfy their needs and improve their quality of life in the present while safeguarding the ability of future generations to meet their own needs. For most people, a better quality of life means a higher standard of living, usually measured in terms of income level and uses of resources and technology. Inherent in the concept of sustainable development is the principle of equity: in order to achieve economic and environmental goals, social goals – such as universal access to education, health care and economic opportunity – must also be achieved.
Climate Change. In six years’ time, the number of people affected by climate-related crises is projected to rise by 54 per cent to 375 million people, threatening to overwhelm the humanitarian aid system. In 2010 we released our report ‘The Right to Survive’ explaining how the world needs to re-engineer the way it responds to, prepares for and prevents disasters. A significant part of our work is responding to natural disasters that can be linked to climate change. The report argues that the world must be better prepared to cope with helping more vulnerable people facing worsening disasters. (OxFam Annual Report 2010)
- Hunger, Food Production, and Food Security
For the first time since the 1980s, the UN has declared a famine in Africa. An exceptionally severe drought is the main cause. More than 10m people are directly affected. The epi-centre is in Somalia and Ethiopia—as aid agencies have made abundantly clear in their funding appeals—but the situation in neighbouring Eritrea is almost as desperate and politically much more complicated. THE UN has declared that two regions of Somalia are now in a state of famine. 11.5m people currently need humanitarian assistance across east Africa, and many more could join them. The failure of rains, in what is thought to be the driest year for 60 years in certain areas, has caused the immediate crisis. But Somalia in particular has other ailments, including rapid population growth, with many girls not staying in school and having children early, insufficient farming investment thanks to the insecurity of two decades of war, increased desertification, because the burning of charcoal in the south has led to a lack of tree cover, and an absence of governance. This is an area that has been living on the edge for some time. The Economist, 7/21/11.
In Somalia, the Shabab insurgent group, which controls much of southern Somalia, is blocking starving people from fleeing the country and setting up a cantonment camp where it is imprisoning displaced people who were trying to escape Shabab territory. The group is widely blamed for causing a famine in Somalia by forcing out many Western aid organizations, depriving drought victims of desperately needed food. The situation is growing bleaker by the day, with tens of thousands of Somalis already dead and more than 500,000 children on the brink of starvation. New York Times, 8/2/2011.
Food Production. For the past 50 years, food production has kept ahead of rising demand. Today, in a world where two-thirds of the people depend on rice, wheat and/or maize as their staple food, 80 countries cannot produce enough food to feed their own populations from existing land and water resources. According to FAO, world food production will have to double in order to provide food security for 7.8 billion people expected by 2025.
The price of agricultural commodities has surged by more than a third over the past year — cereal prices by 70 percent — surpassing even the levels that sparked widespread food riots in 2008. According to the World Bank, the rise in prices pushed 44 million more people into hunger in the second half of 2010.
In June 2011, G-20 Officials agreed on Steps to Stabilize Food Prices and Improve Supplies, but they did not address two policies that are a big part of the problem: bans on agricultural exports by certain producers and government supports for food-based biofuel production.
The United States, Brazil and several other biofuel makers opposed an agreement to cut support for biofuels. The U.S. is the world’s biggest ethanol producer. The 13.5 billion gallons made here last year used about 40 percent of the nation’s corn crop. Government supports include a nearly $6 billion annual subsidy for ethanol makers.
The participants agreed to set up a system to monitor world food stocks and production to prevent misinformation that can contribute to price fluctuations. They also agreed on a pilot program for an emergency food reserve system to respond to shortages in vulnerable countries.
Research in recent years has established that hunger in the prenatal period and in infancy deprives a child of the nourishment the brain needs to grow properly. For example, babies who were in the uterus during the 1944 “Dutch famine” of World War II did worse on mental tests than those of similar ages — even 60 years later.
There are inexpensive steps that can help avert this kind of hunger—greater encouragement of breast-feeding, which one study says could save 1.4 million lives a year. Governments in the developing world can reduce suffocating corruption that raises transit costs. On both the Mauritania/Senegal and Niger/Burkina Faso borders, we saw huge numbers of trucks lined up, waiting to be “inspected” by customs officials — which in Africa often means paying a bribe. That’s disgraceful and adds to food prices. In Niger, we also visited a village savings-and-loan project established by CARE that helps women start small businesses. Essentially, it’s a microsavings project, so that women have a nest egg when it’s needed to buy food.
One woman we talked to had started in such penury that four of her children had died of starvation or disease. But with CARE’s help, she started preparing black-eyed peas for sale, branched into growing peanuts and fattening sheep, and with her profits bought a motorcycle that is rented out as a taxi. And in eastern Burkina Faso, we visited a project of Helen Keller International, financed by the United States aid agency, that shows village women how to grow gardens of high-nutrition vegetables. These gardens create a safety net and ensure that babies get vitamin A and other nutrients.
Another crucial need is family planning, which some of the women I talked to hadn’t even heard of. That would reduce the pressure on the land and the number of mouths to feed. — Nicholas Kristof, The New York Times,
Alleviating the worst of poverty and supporting the trend toward slower population growth cannot happen without interventions directed at those most affected by – and most able to affect – environmental degradation and poverty at the local level: women. Women make up two-thirds of the world’s poorest people and are nearly twice as likely as men to be illiterate. They receive less education and less food, and have fewer legal rights. In every part of the developing world, rural and urban, women are primarily responsible for finding water and fuelwood and for the preparation of food. Smoke from fuelwood and dung is more dangerous to health than tobacco smoke, but every day women have to spend hours cooking over smoky fires. In rural areas, women are often responsible for the care of livestock and for tending the crops. Yet, only rarely do they have an ownership stake in the resources with which they labour. Equal access to education, credit and land, and the enforcement of legal rights would not only benefit women as individuals, but also contribute to the environmental and economic well-being of their families and communities. When women have control over economic resources – whether land, income or credit – they are more likely than men to spend their earnings on food, clothes and other basic needs, as is evidenced by examples from countries such as Bangladesh, Cote d’Ivoire, Guatemala and Sri Lanka. – UNFPA, 2011.
- Post-Colonial Syndrome
Postcolonial theorist Edward Said’s 1978 book, Orientalism, is considered a seminal work in this very complex, unsettled, and still emerging field of scholarship. Essentially, all African countries and their peoples have been influenced—negatively and (possibly) positively—by their respective colonial eras. Inevitably, the effects of colonial eras are part of the discourse in any current development efforts in Africa.
‘Postcolonialism’ deals with cultural identity in colonized societies: the dilemmas of developing a nationalism after colonial rule; the ways in which writers articulate and celebrate that identity (often reclaiming it from and maintaining strong connections with the colonizer); the ways in which the knowledge of the colonized (subordinated) people has been generated and used to serve the colonizer’s interests; and the ways in which the colonizer’s literature has justified colonialism via images of the colonized as a perpetually inferior people, society and culture. These inward struggles of identity, history, and future possibilities often occur in the metropolis and, ironically, with the aid of postcolonial structures of power, such as universities. One might ask: is a series of autocratic rulers the logical path to democracy for peoples who were formerly colonized? However one regards the effects of colonialism, with all its complexities, Rotary projects will be planned, implemented, and assessed in the wake of its history and effects –pjs, 2011
- Neo-Colonial Land Acquisition
Affluent countries like Saudi Arabia, South Korea, China and India have descended on fertile plains across the African continent, acquiring huge tracts of land to produce wheat, rice and corn for consumption back home. Some of these land acquisitions are enormous. South Korea, which imports 70 percent of its grain, has acquired 1.7 million acres in Sudan to grow wheat — an area twice the size of Rhode Island. In Ethiopia, a Saudi firm has leased 25,000 acres to grow rice, with the option of expanding. India has leased several hundred thousand acres there to grow corn, rice and other crops. And in countries like Congo and Zambia, China is acquiring land for biofuel production.
These land grabs shrink the food supply in famine-prone African nations and anger local farmers, who see their governments selling their ancestral lands to foreigners. They also pose a grave threat to Africa’s newest democracy: Egypt. (NYTimes, June 1, 2011)
Solar. A NYTimes report from rural Kenya: Every week, Ms. Ruto walked two miles to hire a motorcycle taxi for the three-hour ride to Mogotio, the nearest town with electricity. There, she dropped off her cellphone at a store that recharges phones for 30 cents. Yet the service was in such demand that she had to leave it behind for three full days before returning.
That wearying routine ended in February when the family sold some animals to buy a small Chinese-made system for about $80. Now balanced precariously atop their tin roof, a lone solar panel provides enough electricity to charge the phone and run four bright overhead lights with switches.
“My main motivation was the phone, but this has changed so many other things,” Ms. Ruto said on a recent evening as she relaxed on a bench in the mud-walled shack she shares with her husband and six children.
As small-scale renewable energy becomes cheaper, more reliable and more efficient, it is providing the first drops of modern power to people who live far from slow-growing electricity grids and fuel pipelines in developing countries. Although dwarfed by the big renewable energy projects that many industrialized countries are embracing to rein in greenhouse gas emissions, these tiny systems are playing an epic, transformative role.
Since Ms. Ruto hooked up the system, her teenagers’ grades have improved because they have light for studying. The toddlers no longer risk burns from the smoky kerosene lamp. And each month, she saves $15 in kerosene and battery costs — and the $20 she used to spend on travel.
In fact, neighbors now pay her 20 cents to charge their phones, although that business may soon evaporate: 63 families in Kiptusuri have recently installed their own solar power systems.
Internet. At the 2004 Rotary International Council on Legislation, some resolutions were introduced to promote the use of the Web/Internet for Rotary meetings and training sessions. At each microphone, representatives from African districts lined up with red cards—opposing the motion, contending that African countries did not have the access necessary to participate. Ironically, one of the motivating factors was to give African clubs more affordable, less time-consuming access to meetings. Today, the African world is changing. Through the use of satellite phones, solar-sourced electricity, and less-expensive appliances, African Rotarians, and their projects, have more immediate access to Internet communications. –pjs, 2011.
The Special Rapporteur of the U.N. Human Rights Council (2011) believes that the Internet is one of the most powerful instruments of the 21st century for increasing transparency in the conduct of the powerful, access to information, and for facilitating active citizen participation in building democratic societies. Indeed, the recent wave of demonstrations in countries across the Middle East and North African region has shown the key role that the Internet can play in mobilizing the population to call for justice, equality, accountability and better respect for human rights. As such, facilitating access to the Internet for all individuals, with as little restriction to online content as possible, should be a priority for all States.
9. Leading NGOs in Africa—ROTA’s ‘Competitive Environment’
According to the U.N., there are at least 3,776 non-governmental organizations (NGOs) working in Africa. Some are single purpose, e.g., Water for Africa, Drop in the Bucket.Org. Others, like The Hunger Project, have a major focus but also address other basic needs—HIV prevention, microfinance, etc. Some, like Oxfam, are heavily involved in advocacy for social justice and human rights.
Many, like Rotary, have a comprehensive package of programs, albeit varying the mix depending on local needs. Action areas typically include: agriculture, health, HIV/AIDS prevention and treatment, education/literacy, environment, conflict resolution, and micro-finance. Other than possibly the U.N., it appears that no NGOs are operating in all 54 countries of Africa. Here are some of the leading NGOs in Africa today and the number of African countries they serve:
CARE International (28)
Save the Children (11)
Helen Keller International (11)
Peace Corps (29)
Salvation Army (20)
Red Cross (20)
Heifer Project International (6)
Oxfam International (50)
World Vision (21)
Child Fund International (formerly the Christian Children’s Fund) (15)
Action Aid International (21)
Catholic Relief Services (38)
Lutheran World Relief (6)
The Water Project (3)
U.N. World Food Program (41)
The Rotary Foundation Trustees have selected Aga Kahn University, with campuses in Kenya, Tanzania, and Uganda, as a Future Vision strategic partner in Maternal and Child Health in east Africa. Oikocredit International, which operates in more than 70 countries, has also been selected as a strategic partner because of its relationships with local entrepreneurs and microfinance organizations. ROTA’s regional teams are well-positioned to identify other strategic partners from among those NGOs working within their regions. Reid Garrett Hoffman co-founder of Linked-In, says:” You have to know which industries are working and what is happening inside them and then “find a way to add value in a way no one else can. For entrepreneurs it’s differentiate or die — that now goes for all of us.”
- Observations from Nicholas Kristof
The New York Times columnist, Nicholas Kristof, frequently writes about issues in developing parts of the world. After his recent trip to Africa with a graduate student and a teacher, he made the following observations on July 1, 2011: Africa appears to be turning around. Africa’s economy is growing significantly faster than America’s or Europe’s. Six of the ten fastest growing economies are in sub-Saharan Africa. Other positives he found are: Literacy is increasing five times faster since 2000 than in the previous ten years; democratization—in the last decade the number of democratic countries has grown from four to 18; food fortification (iron, zinc, folic acid, and B-12) added to flour is making healthier people; under 5 mortality has declined from 12.4M in 1990 to 8.1M in 2009; anti-retrovirals have reduced AIDS transmission; solar and cell phones transform villages. Ongoing challenges cited by Kristof are: civil conflict and insecurity; corruption and suffocating bureaucracy; AIDS; and the lack of family planning.
–New York Times, 7/1/2001.
|Rotary Clubs, Interact Clubs, Rotaract Clubs, Rotary Community Corps in Africa, Zone 20|
|Northern and Sub-Saharan Africa|
|COUNTRY||Region||DISTRICT||# of Rotary Clubs (Active)||# of Rotaract Clubs||# of Interact Clubs||# of RCC Clubs||# of Rotarians|
|Q4 (30 June)||Q1 (30 Sept.)||Q4 (30 June)||Q1||Q4 (30 June)||Q1||Q4 (30 June)||Q1||Q4 (30 June)||Q1|
|Morocco (Incl. Western Sahara)||N||9010||30||30||21||22||2||2||8||8||558||559|
|South Africa||S||9270, 9320, 9350, 9400||230||229||46||42||269||270||7||7||4.911||4.859|
|Central African Republic||W||9150||2||1||1||1||–||–||–||–||33||13|
|Democratic Republic of Congo||W||9150||22||21||10||10||1||1||–||–||463||430|
|Nigeria||W||9110, 9125, 9140||245||236||281||283||212||213||35||35||5554||5487|
|Republic of Congo (Brazzaville)||W||9150||4||4||1||1||4||4||–||–||100||98|
|Sao Tome and Principe||W||9150||1||1||–||–||–||–||–||–||10||10|
|Blue font indicates an increase|
|Red font indicates a decrease|
|Libya||Non-Rotary Country – Open for Extension|
|Somalia||Non-Rotary Country – Open for Extension|
|2009-10 Quarter 4||2010-11 Quarter 1||+/-|
|Rotaract Clubs||662||668||+ 6|
|Interact Clubs||850||854||+ 4|
|RCC Clubs||289||291||+ 2|
The Polio Summit has come and its
purpose to generate additional and sustainable
momentum owards the final interruption of the wild
poliovirus in Nigeria and in other remaining
countries of the world was, from feedbacks
received, very much achieved. Indeed the summit has been
described as the BEGINNING OF THE END TO POLIO.. HIGHLIGHTS … POLIOPLUS is a “Do- Something” programme… “We must do it… We can do it… We can be Winners… Let’s Do It!” So says Rotary International President Ray Klinginsmith at the opening ceremony of the PolioPlus Summit held on Tuesday 21st September 2010 at the Transcorp Hilton Hotel, Abuja. The RI President in a speech which provided a detailed history of the PolioPlus programme from its very conception, its travails and challenges before being accepted as a Rotary International programme called on all Nigerian Rotarians to be the bulldogs to ensure that it is finished and that we do not have a case of polio. “….If you (Nigerians) do not succeed locally, he said, “we (Rotary) cannot succeed globally… And so the Future of Rotary is in your hands here in Nigeria. You have to continue to support this to the end.” Earlier, President Ray had praised
Nigeria’s success this past year which he described as astonishing but cautioned that “Nigeria is still on the list of the 4 remaining endemic countries and so,” he said, “we cannot let down our guard.” He then gave 2 reasons why Rotary must succeed 1.The children themselves who are
being saved, and 2. Polio Eradication has put Rotary on the world stage, and if we do not succeed, if we do not eradicate the disease, we are going to lose face, we are going to lose credibility, we are going to damage our reputation and our own members may lose confidence. This was well stated by an attendee Chris McLucas ‘Failure is not an option’ For us to make sure we end this polio campaign as WINNERS… Rotarians in POLIO UPDATE AUGUST & SEPTEMBER 2010 2
Nigeria have been called upon to do the
following: 1. Advocate with national, state governors
and LGA chairmen 2. Support traditional leaders (Emirs,
district and ward heads) 3. Help supervise ‘Independent
Monitors” and vaccination teams PRE-EVENTS… Participants started
arriving in Abuja from the 17th
September in time to participate in key
pre-Summit events: i. the Sub-National Immunization Plus Days
(SNIPDs) campaign on the 18th , 19th
& 20th September. ii. Welcome the
RI President Ray Klinginsmith and the Rotary
leadership to Nigeria. A reception was
hosted by Past RI President Jon. B.
Majiyagbe and his spouse Ayo at their residence.
SEPTEMBER 2010 ROUNDS OF SUB-NATIONAL IMMUNISATION PLUS
DAYS (SNIPDs) SNIPDs using bivalent oral polio
vaccine (bOPV) took place in all 19 northern
states and the Federal Capital Territory (FCT) of Abuja and
environs from the 18th to 21st September 2010. Many
participants who came from all parts of
the country and abroad for the summit
seized the opportunity to participate in the
just concluded IPDs in Bwari Area Council
and Nomadic Fulani Settlements of FCT, Karu
Government Area of Niger State and Suleija in Niger State. Participants took part in advocacy visits to the traditional leaders, districts and wards heads, Local Governments authorities as well as participate in immunization and monitoring activities over the 3-day period 18-20 September 2010. The direct experience of polio immunization activities at these levels has been described as very beneficial. Some of the participants included the Vice Chair IPPC John L. Sever, Trustee
David Morgan, Director Keith Barnard Jones, Chair ARPPC Ambroise Kasongo, ARPPC member Nahu Senaye Araya, Carol Pandak, a number of state representatives and several Nigerian Rotarians. RI President’s Visit: The RI President Ray arrived in the country by the Ethiopian Airline on Monday 20th to a rousing welcome by a large group of Rotarians including international officers. He was accompanied by RI Director Sam Owori and others. Also at hand to welcome him at the airport was a cultural group. From the airport, his motorcade went straight to the National Strategic Cold Store where he was taken round by top officials of the National Primary Health Care Development Agency (NPHCDA). From the Cold Store, he
was taken to nearby village where he met with the village head and immunized some children before going to the Hilton. 3 That evening, the RI President and Rotary leaders were hosted to a cocktail party by Past President of RI Jon B. Majiyagbe and his spouse Ayo. The Summit By 9.00am on Tuesday 21st September 2010 the day of the Summit itself, over 430 Rotarians and guests were already in Abuja and by lunch time, there were 499 registered participants in the Congress Hall of the Transcorp Hilton – venue of the Polio Summit The Summit was declared opened by the Minister of State for Health, Alhaji Sulaiman Bello representing President Goodluck Jonathan who could not attend due to the MDG meeting in New York. Participants came from the broad spectrum of the stakeholders in polio eradication in the country including present and past leaderships of the government and its agencies., Traditional leaders as represented by the Emir of Zaria. Members of the Diplomatic corps. The leadership of the spearheading partners WHO, UNICEF, CDC/USAID as well as representatives of developmental partner agencies, Dr.
Bruce Aylward from WHO Geneva and, of course, Rotarians from Nigeria and the globe etc. Some extracts of the addresses: From President Goodluck Jonathan read by Hon. Minister of State for Health “My administration is committed to sustaining the progress and finishing the job of polio eradication. We will not be the country with the last case of polio, working together; I can assure you of that! There is still important and hard work to do—and I know everyone is fully committed to put in that extra effort on behalf of our children—so let’s take our hats off to the past while we roll up our sleeves to the future—and finish the job of polio eradication in Nigeria once and for all”. From the Hon. Minister of Health –Rotarian& Prof. Dr C. Onyebuch
Chukwu …read by Dr. Henry Akpan “My fellow Rotarians, I thank you for your steadfast commitment to making Nigeria polio free—we are almost there. It is my honor to host you this evening for dinner to recognize the success to date—and encourage you all to work even harder to finish the job. Courtesy Call on Vice-President of Nigeria: Rotary International paid a courtesy
call on the Nigeria Vice President, Arc. Namadi Sambo on Tuesday 21st Sept. 2010 at the Aso Rock Village. The Rotary team- led by RI President Ray Klinginsmith included PRIP Jon B. Majiyagbe and spouse Ayo, Vice-Chair TRF John and spouse Judy Germ, all visiting RI Officials (Directors & Trustees), Vice Chair IPPC, members of the ARPPC, the 3 District Governors in Nigeria and a good number of the PDGs. Appreciation: On behalf of the Nigeria National PolioPlus Committee, the Summit Organizing Committee and indeed the 4 entire Nigerian Rotarians, I wish to express our sincere gratitude to RI President Ray, The Rotary Foundation Trustees, all the Trustees, Directors and IPPC members that attended the Summit, the ARPPC members, the visiting Rotarians, all our partners, the diplomatic missions, the Traditional Leaders, and all other guests for their support in ensuring the success of the Summit. And to the Rotary leaders in Nigeria, the Summit Committee chaired by Rotary Coordinator Ben Aghazu and the LOC it is a big thank you for a job well done. NNPPC MEETING:
The PolioPlus Summit provided the opportunity for the Nigeria National PolioPlus Committee to hold its first meeting for the Rotary year 2010-2011 on Sunday 19th September 2010 at the Rockview Hotel, Abuja. Carol Pandak, Manager PolioPlus Division from Evanston was in attendance. ARPPC MEETING: The African Regional PolioPlus Committee also took the opportunity of the Summit to hold its first meeting for the Rotary year in Abuja and this on Wednesday 22nd September, 2010 at the Transcorp Hilton. The committee congratulated Nigeria
for hosting a successful Polio Summit. DAN MARAYA JOS ADVOCACY TOUR TO NORTHERN STATES
The Rotary Polio Ambassador Dan Maraya Jos
embarked on an advocacy tours to 3 northern states
of Jigawa, Kano and Kastina to sensitize and
encourage all stakeholders on the need to
support the polio immunization programme. Reports
from the states indicated that Dan Maraya
Jos was well received at every stop
and his messages were useful and fruitful. From
Jigawa state we had this report… “…
the team comprising of the state officials,
partners, Rotarians Dan Maraya visited the Emir of Ringim who
fortunately is a Rotarian. The meeting with the Emir
was very interesting. The Emir took
time to enlighten his councilors and the audience in
on the activities and objectives of Rotary. From Katsina… … the team also visited Riko ward,
Kufan Dan Settlement in Jibia Local Government where the officials also joined the visiting team. The Community was known to be Non compliant in nature they all promised to give their maximum support to the program and the youth from the settlement and neighbouring villages will assist to enlighten the non compliant households in their respective villages and Improve immunization activities and they were very glad having Dr.Adamu Dan Maraya Jos all the way to their village. …And from Kano. In company of the Rotarians led by Vice Chair Sagab Ahmed, DMJ visited 5 the high risk LGAs of DAWAKIN KUDU and WARAWA on 16th & 17th Sept.
respectively. The Kano state Ministry of Health provided the team with transport with Public Address System. The team paid a courtesy call to the 2 L.G.As officials and the district heads. DMJ entertained the populace together with KOROSO INTERNATIONAL TROUPE which drew up a lot of crowd including children and parents. Conclusively, the campaign with the live performance of Dr ADAMU DAN MARAYA JOS was a perfect introduction into the POLIO Eradication effort and which has started showing positive influence on the non-compliance settlements. DISTRICT GOVERNORS MEET WITH MINISTER OF HEALTH..: On August 8, all the 3 District Governors met with the Hon. Minister of Health, Prof. Onyebuchi Chukwu. Also in the team were NNPPC Chair, PDGs Joshua Hassan & Kola Owoka, DGN Lawrence Okwor and Tayo Olofinlade, Abuja Polio Coordinator. The Minister called on the Rotary leaders to assist in mobilising Rotarians to support primary health care activities essential to sustain the gains of polio eradication. He wanted the communities sensitised and mobilized to use the health centres around them. This is expected to also help strengthen Routine Immunization in Nigeria. The District Governors promised that
Rotary Clubs all over the country would be mobilized to adopt, at least, one PHC for effective onitoring, motivation and support to be able to deliver sound health services to the people.
ROTARY/UNICEF WORKPLAN MEETING/WORKSHOP In order to sensitize the present Rotary leadership on the PEI, for better and effective utilization of UNICEF support for our Polio Eradication activities and other health concerns, a 2-day Workshop was organized in Lagos on September 5 – 8, 2010. Participants at the workshop included – District Governors, District Governor Elects, District PolioPlus Chairmen, District Chairmen for Health Task Forces, key NNPPC members, Zonal Representatives and the PolioPlus Programme Coordinators. EPIDEMIOLOGY REPORT 8 wild polioviruses have been confirmed in 5 states in 2010 compared to 388 WPV cases confirmed in 27 states in 2009. And the last word from President
Ray… LET’S DO IT!