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East Africa: Rwandan MP Leads Bid for Universal Healthcare in East Africa

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The East African Legislative Assembly (EALA) on October 7 passed a motion urging the East African Community (EAC) Council of Ministers and Partner States to accelerate efforts toward achieving universal health coverage across the region to ensure that no citizen of the community is left behind in terms of accessing medical care.
The motion was moved by Fatuma Ndangiza, an EALA MP from Rwanda and seconded by MP Kanini Kega from Kenya. It was introduced under relevant provisions of the EAC Treaty and the Assembly’s rules of procedure.
Article 118 of the EAC Treaty commits Partner States to cooperate in health by strengthening healthcare delivery systems, harmonising national health policies and regulations, and collaborating in research, training, and preventive medicine.
ALSO READ: How Rwanda’s new Rwf7tn strategy plans to improve healthcare
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Universal health coverage (UHC) means ensuring that all people have access to the full range of quality health services they need, including promotion, prevention, treatment, rehabilitation, and palliative care, without financial hardship. The goal aligns with target 3.8 of the UN Sustainable Development Goals (SDGs), which seeks to achieve UHC globally by 2030.
Ndangiza told The New Times that the purpose of the motion was to urge the Council of Ministers to fast-track the attainment of universal health coverage within the EAC.
In particular, it seeks to ensure that every citizen, irrespective of their status, have access to quality, affordable and efficient health care services without exposing the user to financial hardships, she pointed out.
Access to medical insurance schemes, such as community based health insurance, private health insurance and social health insurance are critical components of universal health coverage, Ndangiza said, adding that universal health coverage is a basic fundamental right and a regional and global priority.
She held that health is wealth and improving the health of EAC citizens is a tangible approach towards poverty reduction and building a prosperous community.
ALSO READ: Regional parliament petitioned over inadequate healthcare in EAC
While investment in EAC health systems is key to inclusive and sustainable growth, EAC, like other regions of Africa, faces a critical challenge of creating the foundations for long term inclusive growth, she said.
“The motion is a call to action to partner states Abuja commitment of 2001 to allocate at least 15 percent of their national budgets to Universal Health Coverage to improve health sector,” she stated.
Underscoring the need to ensure access to affordable healthcare for all, she said that, globally, about 100 million people are pushed into poverty every year due to overwhelming out-of-pocket expenditures on health care.
In addition, about 30 per cent of households in Africa have to borrow money or sell assets to pay for health care. Many countries still have high levels of child and maternal mortality.
Malnutrition is still a real problem in sub Saharan Africa and research reveals that no African country is expected to reach the UN target of ending childhood malnutrition by 2030, she pointed out.
In addition, most health systems are not able to deal effectively with epidemics and the growing burden of non-communicable diseases such as diabetes and cancer.
With only five years left to reach 2030, most countries in the region are unlikely to attain goal 3 under target 3.8 of the UN Sustainable Development Goals to achieve universal health coverage, Ndangiza said.
ALSO READ: Experts: Universal health cover will reduce burden on economy
Progress made
In the motion, Ndangiza commended the ongoing regional initiatives towards achieving universal health coverage, including the EAC Vision 2050, which prioritises collaboration, harmonisation of health policies, and strengthening health systems.
Others are the EAC Open Health Initiative, aimed at harmonising Partner States’ health systems to promote equitable access to healthcare, and the establishment of the EAC Health Research Commission, which coordinates regional research efforts and supports the provision of safe, affordable, and effective healthcare services.
The motional also recognised significant progress in Kenya, Tanzania, and Rwanda — particularly Rwanda, which boasts the highest enrolment in health insurance coverage in Sub-Saharan Africa.
Concerns raised
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Despite these positive steps, the motion raised concern that the overall regional UHC attainment remains low, and all the Partner States have not yet met the 2001 Abuja Declaration commitment of allocating at least 15 per cent of national budgets to the health sector – to boost health systems and advance universal health coverage.
Key challenges highlighted include insufficient funding and resource allocation, inadequate healthcare infrastructure, especially in rural areas, shortage of trained health professionals across the region, fragmented health systems and inconsistent regulations, high disease burden, both communicable and non-communicable, and regulatory barriers impeding regional integration of health services.
Resolution of the Assembly
By adopting the motion, the Assembly resolved to urge the Council and Partner States to fast-track the attainment of universal health coverage to improve the efficiency and accessibility of healthcare services; increase national health budget allocations to meet the minimum 15 per cent commitment under the Abuja Declaration; and to harmonise national health policies and regulations, and promote regional cooperation on health matters to ensure equitable, high-quality healthcare across the EAC.
Read the original article on New Times.
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Africa: Land Is Africa's Best Hope for Climate Adaptation – It Must Be the Focus At COP30

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Agriculture, forestry and other land uses together account for about 62% of Africa’s greenhouse gas emissions. At the same time, land degradation, deforestation and biodiversity loss are eroding Africa’s resilience.
But land – especially agriculture – has been on the margins of climate change initiatives. Even at the annual global climate change conference, land hasn’t featured much.
This is changing. In September 2025, Africa’s climate community met in Ethiopia, to agree on the continent’s climate priorities ahead of this year’s global climate conference, COP30. They agreed that land could be Africa’s most powerful tool in tackling climate change.
Much will depend on securing finance at COP30 for agroforestry, forest management and soil carbon restoration projects.
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Read more: Climate crisis is a daily reality for many African communities: how to try and protect them
I’ve been researching land for over 20 years. My research focuses on how to sustainably regenerate land, how community forest enterprises can combat deforestation, and how to rebuild forests as a way of combating climate change.
For this reason, I argue that COP30 must place land restoration and sustainable land management at the heart of the climate agenda. It should recognise that healthy soils, forests and ecosystems are not side issues to climate change. They are the very foundation of economic growth and making the world resilient to climate disasters.
Read more: Climate disasters are escalating: 6 ways South Africa’s G20 presidency can lead urgent action
This is especially critical for Africa, whose people and economies depend so heavily on the land. Agriculture alone, which is intrinsically tied to land, employs over two thirds of Africa’s labour force and typically accounts for 30%-40% of gross domestic product. Yet climate change disasters like prolonged droughts, rising temperatures and destructive floods are steadily eroding the land.
Millions of people in Africa could lose their farms, income, food, and future chances if COP30 does not recognise how land, nature, and climate change are all connected.
Why Africa must prioritise land and nature at COP30
Africa’s agriculture, the backbone of most economies on the continent, has been badly affected by more frequent droughts, floods and unpredictable rainfall. As a result, African countries sometimes lose an estimated 1%-2% of their gross domestic product in a year.
Over half of Africa’s population depends on crops that are fed only by rain. Therefore, extreme weather events hit the majority of Africans directly. At the same time, nearly half of the continent’s land area is degraded.
Read more: Indigenous knowledge systems can be useful tools in the G20’s climate change kit
This affects agricultural productivity and the livelihoods of around 500 million people.
Forest ecosystems such as the Congo Basin, the Guinean forests and Africa’s dryland forests are disappearing rapidly. This is already having devastating consequences for communities that rely on them for food, fuel and income.
Africa must negotiate climate finance with one voice
Adapting to climate change remains Africa’s most urgent priority. The good news is that African countries are already deploying land based actions (adaptation and using land to sequester carbon and reduce emissions) as a weapon against climate change. They are achieving this by expanding agroforestry, restoring wetlands and managing grasslands more sustainably.
This boosts soil health and increases the carbon stored in the ground. These projects are very useful in cutting greenhouse gas emissions, protecting livelihoods and building resilience.
The September 2025 second Africa Climate Summit made the continental emphasis on land official. Its Addis Ababa declaration placed land and nature-based solutions at the centre of Africa’s climate agenda. This was a step forward from Africa’s 2023 climate summit declaration, which made only passing references to land.
Read more: African countries shouldn’t have to borrow money to fix climate damage they never caused – economist
What’s needed now is for Africa to unite and focus on three key climate change areas:
What Africa needs to do at COP30
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Read more: African countries gear up for major push on climate innovation, climate financing and climate change laws
Peter Akong Minang, Director Africa, CIFOR-ICRAF, Center for International Forestry Research – World Agroforestry (CIFOR-ICRAF)
This article is republished from The Conversation Africa under a Creative Commons license. Read the original article.
AllAfrica publishes around 600 reports a day from more than 110 news organizations and over 500 other institutions and individuals, representing a diversity of positions on every topic. We publish news and views ranging from vigorous opponents of governments to government publications and spokespersons. Publishers named above each report are responsible for their own content, which AllAfrica does not have the legal right to edit or correct.
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Africa: African Union Commission Welcomes and Congratulates the Republic of South Africa As G20 Chair and Host

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1. The African Union Commission (AUC) warmly expresses its support for the Republic of South Africa as G20 Chair and welcomes the country for hosting the G20 Summit in Africa for the first time. This milestone reflects South Africa’s growing role in global governance.
2. As the current Chair of the G20, South Africa has shown exceptional leadership in promoting the priorities of the Global South, advancing sustainable development, and strengthening inclusive global governance.
3. The Republic of South Africa is a vibrant democracy that upholds equality, human rights, and the rule of law. Its Constitution and policies reflect values aligned with the African Charter on Human and Peoples’ Rights.
4. South Africa is a nation rich in diversity, home to people of many races, cultures, languages, and faiths living together in unity. This inclusivity is a source of national strength and global admiration.
5. The African Union encourages all international partners to engage with South Africa and the wider African continent on the basis of mutual respect, truth, and constructive cooperation, supporting Africa’s continued contribution to global peace, development, and prosperity.
Read the original article on African Union.
AllAfrica publishes around 600 reports a day from more than 110 news organizations and over 500 other institutions and individuals, representing a diversity of positions on every topic. We publish news and views ranging from vigorous opponents of governments to government publications and spokespersons. Publishers named above each report are responsible for their own content, which AllAfrica does not have the legal right to edit or correct.
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Africa: Governance Failures, Not Just Guns, Driving W/Africa's Growing Crises – Experts Warn

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Abuja — Experts and peacebuilding stakeholders have raised the alarm that governance failures, weak state institutions, and exclusionary politics, not armed violence alone, are fuelling the wave of instability sweeping across West Africa.
They stressed that restoring lasting peace and security in the region will depend on inclusive governance, stronger regional collaboration, and community-driven solutions.
The warning came at the second edition of the West Africa Peace and Security Dialogue (WaPSED 2025), held in Abuja.
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The event was jointly organised by the Building Blocks for Peace (BBFORPEACE) Foundation, the Institute for Peace and Conflict Resolution (IPCR), the LAC-LAC Network of Niger Republic, the Global Partnership for the Prevention of Armed Conflicts (GPPAC) West Africa, and the Society for Peace and Practice.
Speaking at the opening session, Dr. Joseph Ochogwu, Director-General of the Institute for Peace and Conflict Resolution (IPCR), said the region’s lingering challenges; from violent extremism and political instability to climate-induced conflicts, highlight the urgent need for inclusive dialogue and homegrown approaches.
“Sustainable peace in West Africa requires strong regional cooperation and locally driven strategies. We must strengthen our institutions, empower communities, and integrate peace education into national development frameworks,” Ochogwu said.
He urged participants to move beyond mere discussions and focus on practical strategies capable of transforming the region’s security and governance landscape.
Also speaking, Mr. Rafiu Adeniran Lawal, Executive Director of the Building Blocks for Peace Foundation and Regional Coordinator of GPPAC West Africa, said the dialogue was convened to explore solutions to the diverse threats undermining stability across the sub-region, ranging from banditry and insurgency to democratic decline and economic hardship.
“Across West Africa, we face persistent herder-farmer clashes, banditry, and insurgency which have disrupted livelihoods and deepened food insecurity.
“Beyond Nigeria, the resurgence of military takeovers in Niger, Mali, Burkina Faso, and Guinea reflects a troubling democratic retreat and growing disillusionment with governance,” Lawal noted.
He explained that the 2025 Dialogue, themed ‘Reimagining Peace and Security in West Africa: Local Solutions, Regional Solidarity and Global Partnerships,’ was designed to promote community ownership of peace processes and strengthen collaboration among stakeholders.
“Our goal is to centre real actors and lived experiences. By harnessing local knowledge and regional solidarity, we can chart a new course that places people, not power, at the heart of peacebuilding,” he said.
Delivering the keynote address, Prof. Isaac Olawale Albert of the Institute for Peace and Strategic Studies and the TETFund Centre of Excellence in Security Management, University of Ibadan, said the region’s insecurity is deeply rooted in poor governance, weak leadership, and the failure of states to meet citizens’ expectations.
“The problem is not just a lack of weapons to fight insurgents; it is the weakness of our governance systems. Corruption, poor coordination, and elite competition over state resources have created governance vacuums that non-state actors now exploit,” Prof. Albert said.
He argued that lasting solutions require a balanced approach that combines local innovation, regional solidarity, and international support to tackle governance gaps, inequality, and institutional decay.
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“Peace and security cannot be sustained by governments alone. They must be co-owned by citizens, institutions, and regional partners who share a common vision for stability,” he warned.
Prof. Albert also called on governments to prioritise institution-building, promote accountability, and invest in effective local governance structures capable of addressing community-level grievances.
The dialogue brought together policymakers, security experts, civil society organisations, academics, ECOWAS representatives, and members of the diplomatic community.
Participants agreed that rebuilding trust between governments and citizens, strengthening democracy, and promoting transparent governance are essential for lasting peace in the region.
Read the original article on Vanguard.
AllAfrica publishes around 600 reports a day from more than 110 news organizations and over 500 other institutions and individuals, representing a diversity of positions on every topic. We publish news and views ranging from vigorous opponents of governments to government publications and spokespersons. Publishers named above each report are responsible for their own content, which AllAfrica does not have the legal right to edit or correct.
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