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WHO Collaborates With Legislators to Improve Universal Health Coverage and Health Security

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Legislators from the National Assembly, State Houses of Assembly and the Federal Capital Territory (FCT) converged at the Transcorp Hilton Abuja from 23-25 May 2021 for the Fourth Legislative Health Summit.

Every year, since the first Summit was convened in July 2017 (except in 2020 because of COVID-19), Legislators have gathered to apply their statutory functions of legislation, appropriation, oversight (accountability), and representation to raise health high on the agenda of the government.

A major output of the Summit is the Legislative Health Agenda (LHA) with actionable steps and timelines for implementation at the national and state levels. The LHA details critical interventions for legislative action that will support the attainment of UHC and health security in Nigeria.

The theme of the 2021 Summit which was chaired by the President of the Senate, Senator Ahmed Lawan and represented by the Deputy Chief Whip of the Senate, Senator Sabi Aliyu, is “Universal Health Coverage and Health Security, two sides of a coin for an efficient health system”.

“This summit is coming at a time when COVID-19 has revealed the fractures in the global and indeed Nigerian health systems demonstrated by apparent disruptions in the economy and provision of essential health services”, stated Dr. Walter Kazadi Mulombo, the WHO Nigeria Country Representative (WR) at the Summit.

“The WHO within our mandate under the GPW13 and the Transformation Agenda is committed to supporting member States in the achievement of the health agenda of their choice. With the ongoing restructuring going on including here in Nigeria, stepping up political leadership as a vehicle towards accelerating UHC and health security has, therefore, been considered an appropriate strategic shift.” He added.

To conclude his remarks, Dr. Kazadi promised WHO’s support to develop appropriate accountability mechanisms to track implementation of the Legislative Health Agenda and to extend good practices to other countries.

Earlier in his remarks, Nigeria’s Vice President Prof. Yemi Osinbajo, represented by the Minister of State for Health, Senator (Dr) Olorunnimbe Mamora, reassured Nigerians of the commitment of the Government towards UHC and health security.

“The attainment of the Universal Health Coverage for all Nigerians and especially for the most vulnerable Nigerians are at the heart of the human capital development initiative of this administration. Our experience in the last year of COVID19 in Nigeria has exposed the vulnerability of our health system and the importance of preparedness, diagnosis and response mechanism. The Federal Ministry of Health is committed to the achievement of universal health coverage for all citizens through the Basic Health Care Provision Fund (BHCPF), revised to provide a much richer Basic Minimum Package of Health Services, to meet the common healthcare needs of all citizens.”

In an address of welcome, the Chairman of the Senate Committee on Health and Convener of the Legislative Network for Universal Health Coverage (LNU), Senator Ibrahim Yahaya Oloriegbe, stated that the purpose of the Summit is to review progress against the Legislative Health Agenda set at the last Summit in 2019 towards developing priorities for the year ahead for improvement of the Nigerian health system. He underscored the challenges in the system including COVID-19 and appreciated all development partners who supported the Summit.

The First Counsellor and Deputy Head of Delegation at the European Union Delegation to Nigeria and ECOWAS (EU), Mr. Alexandre Borges Gomes in his goodwill message reiterated the EU’s support and urged the Government of Nigeria to improve strategic investment for UHC and Health Security. “The EU shares the very real concern, a fear, about the impact of COVID-19 on the maintenance of essential health services. Routine immunization has suffered which does not abode well for those States in Nigeria with already extremely low rates. Health is an expensive business and Nigeria, one of the countries of the world with the worst health indicators, has also one of the lowest spending ratios. It would be essential that the sector be prioritized right at the time when appropriations are set if we are to have anything like minimally effective and accountable delivery of services”.

The 3-day event which was supported by development partners including the WHO with funding from the European Union (EU), was graced by the Vice President Prof. Yemi Osinbajo represented by the Minister of State for Health Senator (Dr) Olorunnimbe Mamora, the Speaker of the House of Representatives Rt. Hon. Femi Gbajiabiamila who was represented by the Chairman House Committee on Healthcare Services, Hon. Tanko Sununu, and the Chairman Senate Committee on PHC and Communicable Diseases Senator Chukwuka Utazi.

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Fitch Ratings Raises Egypt’s Credit Outlook to Positive Amid $57 Billion Bailout

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Fitch Ratings has upgraded Egypt’s credit outlook to positive, reflecting growing confidence in the North African nation’s economic prospects following an international bailout of $57 billion.

The upgrade comes as Egypt secured a landmark bailout package to bolster its cash-strapped economy and provide much-needed relief amidst economic challenges exacerbated by geopolitical tensions and the global pandemic.

Fitch affirmed Egypt’s credit rating at B-, positioning it six notches below investment grade. However, the shift in outlook to positive shows the country’s progress in addressing external financing risks and implementing crucial economic reforms.

The positive outlook follows Egypt’s recent agreements, including a $35 billion investment deal with the United Arab Emirates as well as additional support from international financial institutions such as the International Monetary Fund and the World Bank.

According to Fitch Ratings, the reduction in near-term external financing risks can be attributed to the significant investment pledges from the UAE, coupled with Egypt’s adoption of a flexible exchange rate regime and the implementation of monetary tightening measures.

These measures have enabled Egypt to navigate its foreign exchange challenges and mitigate the impact of years of managed currency policies.

The recent jumbo interest rate hike has also facilitated the devaluation of the Egyptian pound, addressing one of the country’s most pressing economic issues.

Egypt has faced mounting economic pressures in recent years, including foreign exchange shortages exacerbated by geopolitical tensions in the region.

Challenges such as the Russia-Ukraine conflict and security threats in the Israel-Gaza region have further strained the country’s economic stability.

In response, Egyptian authorities have embarked on a series of reform efforts aimed at enhancing economic resilience and promoting private-sector growth.

These efforts include the sale of state-owned assets, curbing government spending, and reducing the influence of the military in the economy.

While Fitch Ratings’ positive outlook signals confidence in Egypt’s economic trajectory, other rating agencies have also expressed optimism.

S&P Global Ratings has assigned Egypt a B- rating with a positive outlook, while Moody’s Ratings assigns a Caa1 rating with a positive outlook.

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Fitch Ratings Lifts Nigeria’s Credit Outlook to Positive Amidst Reform Progress

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Fitch Ratings has upgraded Nigeria’s credit outlook to positive, citing the country’s reform progress under President Bola Tinubu’s administration.

This decision is a turning point for Africa’s largest economy and signals growing confidence in its economic trajectory.

The announcement comes six months after Fitch Ratings acknowledged the swift pace of reforms initiated since President Tinubu assumed office in May of the previous year.

According to Fitch, the positive outlook reflects the government’s efforts to restore macroeconomic stability and enhance policy coherence and credibility.

Fitch Ratings affirmed Nigeria’s long-term foreign-currency issuer default rating at B-, underscoring its confidence in the country’s ability to navigate economic challenges and drive sustainable growth.

Previously, Fitch had expressed concerns about governance issues, security challenges, high inflation, and a heavy reliance on hydrocarbon revenues.

However, the ratings agency expressed optimism that President Tinubu’s market-friendly reforms would address these challenges, paving the way for increased investment and economic growth.

President Tinubu’s administration has implemented a series of policy changes aimed at reducing subsidies on fuel and electricity while allowing for a more flexible exchange rate regime.

These measures, coupled with a significant depreciation of the Naira and savings from subsidy reductions, have bolstered the government’s fiscal position and attracted investor confidence.

Fitch Ratings highlighted that these reforms have led to a reduction in distortions stemming from previous unconventional monetary and exchange rate policies.

As a result, sizable inflows have returned to Nigeria’s official foreign exchange market, providing further support for the economy.

Looking ahead, the Nigerian government aims to increase its tax-to-revenue ratio and reduce the ratio of revenue allocated to debt service.

Efforts to achieve these targets have been met with challenges, including a sharp increase in local interest rates to curb inflation and manage public debt.

Despite these challenges, Nigeria’s economic outlook appears promising, with Fitch Ratings’ positive credit outlook reflecting growing optimism among investors and stakeholders.

President Tinubu’s administration remains committed to implementing reforms that promote sustainable growth, foster investment, and enhance the country’s economic resilience.

As Nigeria continues on its path of reform and economic transformation, stakeholders are hopeful that the positive momentum signaled by Fitch Ratings will translate into tangible benefits for the country and its people.

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Seme Border Sees 90% Decline in Trade Activity Due to CFA Fluctuations

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The Seme Border, a vital trade link between Nigeria and its neighboring countries, has reported a 90% decline in trade activity due to the volatile fluctuations in the CFA franc against the Nigerian naira.

Licensed customs agents operating at the border have voiced concerns over the adverse impact of currency instability on cross-border trade.

In a conversation with the media in Lagos, Mr. Godon Ogonnanya, the Special Adviser to the President of the National Association of Government Approved Freight Forwarders, Seme Chapter, shed light on the drastic reduction in trade activities at the border post.

Ogonnanya explained the pivotal role of the CFA franc in facilitating trade transactions, saying the border’s bustling activities were closely tied to the relative strength of the CFA against the naira.

According to Ogonnanya, trade activities thrived at the Seme Border when the CFA franc was weaker compared to the naira.

However, the fluctuating nature of the CFA exchange rate has led to uncertainty and instability in trade transactions, causing a significant downturn in business operations at the border.

“The CFA rate is the reason activities are low here. In those days when the CFA was a little bit down, activities were much there but now that the rate has gone up, it is affecting the business,” Ogonnanya explained.

The unpredictability of the CFA exchange rate has added complexity to trade operations, with importers facing challenges in budgeting and planning due to sudden shifts in currency values.

Ogonnanya highlighted the cascading effects of currency fluctuations, wherein importers incur additional costs as the value of the CFA rises against the naira during the clearance process.

Despite the significant drop in trade activity, Ogonnanya expressed optimism that the situation would gradually improve at the border.

He attributed his optimism to the recent policy interventions by the Central Bank of Nigeria, which have led to the stabilization of the naira and restored confidence among traders.

In addition to currency-related challenges, customs agents cited discrepancies in clearance procedures between Cotonou Port and the Seme Border as a contributing factor to the decline in trade.

Importers face additional costs and complexities in clearing goods at both locations, discouraging trade activities and leading to a substantial decrease in business volume.

The decline in trade activity at the Seme Border underscores the urgent need for policy measures to address currency volatility and streamline trade processes.

As stakeholders navigate these challenges, there is a collective call for collaborative efforts between government agencies and industry players to revive cross-border trade and foster economic growth in the region.

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