Aga Khan Health Services and French agencies partner to improve Palliative Care in Kenya and Tanzania
The Aga Khan Health Services (AKHS), an agency of the Aga Khan Development Network (AKDN) and Expertise France today signed an agreement to enhance the quality of palliative care services in the Aga Khan Hospitals in both Kenya and Tanzania. The programme is being grant funded by the Agence Francaise de Developpement under which AKHS will receive 250,000 € to conduct specialised training for 4 doctors and 4 nurses – also known as “champions” through the Institut Curie.
The Euros 250,000 grant will go towards the implementation of a pilot palliative care training project for professionals from four hospitals of the Aga Khan Health Services in Kenya (Nairobi, Kisumu and Mombasa) and Tanzania (Dar Es Salaam). The programme will be implemented by Institut Curie, world renowned for their technical expertise in palliative and supportive care and their pragmatic, tailor-made trainings. Expertise France has been instrumental in working with the Aga Khan Health Services and Institut Curie to develop the overall implementation plan.
According to Dr Alexis Burnod, the project’s key expert and responsible for implementing Institut Curie’s training activities, « The spread of palliative care culture as a criterion of healthcare excellence towards patients and their families is a universal invitation. It is the result of the work of an entire team dedicated to promote a comprehensive care focused on the patient. This partnership programme with our Kenyan and Tanzanian counterparts reinforces this international humanist dynamic”.
“Our 15 years of experience creating partnerships and exchanges between hospitals in the North and the South have shown the value of giving healthcare professionals the opportunity to learn from one another – improving not only skills, but also the organisation and the continuum of care” added Mr Sebastien Mosneron Dupin, CEO of expertise France.
The partnership will bring Kenya and Tanzania closer to their goal of establishing palliative care services in the region by providing specialised clinical training as well as by enabling hospital professionals to establish designated palliative care units. Experts from Institut Curie and Expertise France will provide continual support and feedback throughout the process, resulting in invaluable information for advocacy, policy changes and scaling-up of the programme.
Palliative care in low-income countries
The quality of life of patients and their families facing life-limiting illness is a growing concern in low-income countries, particularly in Africa. Low income countries are disproportionately burdened with chronic diseases such as cancer, HIV-AIDS, kidney, heart and respiratory disease and face particular challenges in providing palliative care.
According to WHO and the World Palliative Care Alliance, a staggering 78% of the 19.2 million adults requiring palliative care are estimated to be in middle- and low-income countries. Often, health facilities in these countries lack pain medication, adequate hospital facilities, specially-trained medical staff, designated palliative care units and government or policy support. In particular, opioid pain-relief is very limited, and often prohibited from importation in a large number of African and Central/South Asian countries: an estimated 80% of the world’s population currently lacks access to opioids for pain relief at the end of one’s life.
“This partnership comes at a time when there is a large unmet need for palliative care within the health systems in Kenya and Tanzania,” said Dr. Gijs Walraven, Director of Health, signing the agreement on behalf of the Aga Khan Development Network. “There is an urgent need for education, and for advocacy with decision makers to take action and create enabling environments for palliative care at the national level.”
Improving palliative care in Kenya and Tanzania
The enhancement of palliative care in middle and low-income countries is a key priority for the Aga Khan Development Network (AKDN), working mainly in Africa, Asia and the Middle East. Expertise France has also responded to the burden of chronic and non-transmissible diseases in its strategy for improving health in middle- and low-income countries. The Institut Curie is a leading French institution for cancer care and research and has developed an innovative, multidisciplinary and comprehensive approach to palliative care.
About Aga Khan Health Services
The Aga Khan Health Services (AKHS) is one of three agencies of the Aga Khan Development Network (AKDN) that support activities in health. The others are the Aga Khan Foundation (AKF) and the Aga Khan University (AKU). Together, the three agencies provide quality health care to five million people annually and work closely on planning, training and resource development. AKHS also works with the Aga Khan Education Services (AKES) and the Aga Khan Agency for Habitat (AKAH) on the integration of health issues into specific projects. The AKDN health system has been operating in East Africa for over 80 years. Its expanding East Africa Integrated Health System is dedicated to providing high-quality health coverage at affordable prices to an economically diverse population.
About Expertise France
Expertise France is the French public agency for international technical assistance. It aims at contributing to sustainable development based on solidarity and inclusiveness, mainly through enhancing the quality of public policies within the partner countries. Expertise France designs and implements cooperation projects addressing skills transfers between professionals. The agency also develops integrated offers, assembling public and private expertise in order to respond to the partner countries' needs. ► www.expertisefrance.fr
About the Institut Curie
A leading player in the fight against cancer, Institut Curie brings together an internationally-renowned research centre and an advanced hospital group that provides care for all types of cancer – including the rarest forms. Founded in 1909 by Nobel laureate Marie Curie, Institut Curie comprises three sites (Paris, Saint-Cloud and Orsay), where more than 3,300 members of staff are dedicated to achieving three objectives: hospital care; scientific research; and the sharing of knowledge and the preserving of legacy. As a private charitable foundation since 1921 that is recognised as serving the public interest, Institut Curie is supported by donations and grants. This support is used to fund discoveries that will improve treatment and the quality of life of cancer patients.
Rome - The heads of the International Fund for Agricultural Development (IFAD) and AFD today signed an agreement to work together to develop rural areas, which includes the provision of a €200 million loan to IFAD.
This loan gives the opportunity to increase investment in rural areas of developing countries and help achieve the Sustainable Development Goals of ending hunger and poverty by 2030.
"This is an important agreement between IFAD and AFD,” said Kanayo F. Nwanze, President of IFAD. “At a time when governments face constraints on development funding, and with the demand for IFAD’s services higher than ever, this loan gives us the opportunity to increase investment in rural areas of developing countries and help achieve the Sustainable Development Goals of ending hunger and poverty by 2030.”
“Through AFD, France wanted be the first member of state to support, under IFAD's sovereign borrowing framework, its 2016-2018 programme. This sovereign loan of 200 million euros marks, I am convinced, a new step in the partnership relations between our institutions. We both share a common dedication to achieving the Sustainable Development Goals. Joining our forces for agricultural, rural and local development is a key step in this direction”, said AFD’s Director General Rémy Rioux.
AFD, a public financial institution that implements policy defined by the French government, seeks to combat poverty and promote sustainable development. IFAD is an international financial institution and specialized United Nations agency focused on eradicating rural poverty. Both organizations share a similar approach to agricultural and rural development and prioritize investments in small-scale farming and share the goals of achieving food security and sustainable rural development.
The two organizations have already collaborated on a number of initiatives including the development of weather insurance products and support to farmers’ organisations in Africa. Through the Memorandum of Understanding and the loan agreement signed today, the two organizations commit to working closely together in the future, with a focus on increasing investments in rural finance, adaptation to climate change, gender equality and stemming migration.
IFAD invests in rural people, empowering them to reduce poverty, increase food security, improve nutrition and strengthen resilience. Since 1978, we have provided US$18.4 billion in grants and low-interest loans to projects that have reached about 464 million people. IFAD is an international financial institution and a specialized United Nations agency based in Rome – the UN’s food and agriculture hub. www.ifad.org
AFD is marking the preparation of its new strategy for Africa by organizing a symposium on 12 April at the Institut du Monde Arabe in Paris, in partnership with France Médias Monde . High-level speakers will be discussing these issues during various roundtables.
30 million km2. 1.2 billion inhabitants. 2,000 modern languages. 54 countries. 5 different climates. 1 continent.
Yet Africa is very often understood in a dual manner: North Africa on the one hand, and Sub-Saharan Africa on the other. This is, at any rate, the framework of interpretation adopted by donors, in their approach to relations with the continent. Such an interpretation presupposes that there is a homogeneity across Sub-Saharan Africa, which is neither proven, nor necessarily experienced or thought of in such a way by the continent’s populations and institutions.
What are the political, social, economic and cultural dynamics at work today, from Cape Town to Rabat, from Dar-es-Salaam to Nouakchott? What are the issues of a continentwide approach to Africa? What are the views today of philosophers, economists and entrepreneurs on this subject?
These are all questions which Agence Française de Développement wishes to debate during this symposium, at a time when it is developing its new strategy for Africa. High-level speakers will be discussing these subjects during various roundtables.
© Photo Yellow Mao
AFD and the French National Assembly Host Global Launch of World Bank Study on the Role of Governance and the Law in Promoting Development
AFD and the World Bank today co-hosted an international conference at the National Assembly to launch a new World Bank study which urged developing countries and international development agencies to rethink their approach to governance, as a key to overcoming challenges related to growth, equity, and security.
The 2017 World Development Report: Governance and the Law explores how the unequal distribution of power in a society interferes with the effectiveness of progressive policies, which aim to improve people’s lives. According to the report, power asymmetries help explain, for example, why model anti-corruption laws and agencies often fail to curb corruption, why decentralization does not always improve municipal services; or why well-crafted fiscal policies may not reduce volatility and generate long-term savings.
Using country examples of state building in Somalia, curbing corruption in Nigeria, growth challenges in China, and slums and exclusion in Indian cities, the report says there are three winning ingredients of effective policies: commitment, coordination, and cooperation. These should form the three core functions of institutions needed to produce better governance outcomes.
In thanking the National Assembly and AFD for hosting the Paris launch event, and for their long-running support of his agency’s development, mission, World Bank Chief Economist, Paul Romer, said he hoped that the 2017 World Development Report would make a significant contribution to better understanding of governance and practical ways to improve it:
“Government officials do not act in a vacuum. Their decisions reflect the bargaining power of citizens who jockey with each other to advance competing interests. We need to confront a complicated political process in every country where power can influence the outcome of that process and we have to ask how can make sure that process leads to progress for everyone,” said World Bank Chief Economist Paul Romer.
After a panel discussion with leading development practitioners and economists on how to implement the new governance findings, Rémy Rioux, the Chief Executive Officer of AFD delivered closing remarks in which he said that the new report complemented AFD’s own research and operational commitment to innovative, durable solutions which advanced the development ambitions of developing countries and their people worldwide.
“Governance is a cornerstone of development. Making institutions work better improves the delivery of public policies and services essential for the people. Building effective, accountable, and inclusive institutions is a fundamental Sustainable Development Goal that all countries, North and South, share in common. AFD now counts governance within its mission for development and will exercise this mandate in some 90 countries and territories, with all levels of government and society, to turn this agenda into reality. Today, I am delighted that the World Bank and AFD engage together in the conversation on governance. The official launch of World Development Report on the topic, for the first time ever in Paris, coincides with the presentation of AFD’s Roadmap on governance. As practitioners of sustainable development, we are convinced that sound governance drives peoples ever closer to a world in common” concluded Rémy Rioux, the Chief Executive Officer of AFD.
► For more information, please visit: http://www.worldbank.org/wdr2017