Health
Nigeria among high-volume markets for new $1 HIV, syphilis, hepatitis B testing bundle
Published
1 month agoon
Nigeria has been identified among high-volume markets where a new $1 testing package could help expand screening of pregnant women for HIV, syphilis and hepatitis B.
The package, launched by Premier Medical Corporation and Impact Nexus Africa, combines two rapid diagnostic tests under a single commercial offer for use through existing antenatal care services.
The companies said their analysis identified Nigeria, Ethiopia, Tanzania, Uganda, Kenya, Mozambique and South Africa among the countries with the largest potential markets for antenatal hepatitis B screening.
Impact Nexus Africa estimates that the package could generate about $215 million in commodity savings across 74 low- and middle-income countries between 2026 and 2035, if adopted across antenatal care at the modelled volumes.
However, the estimate is based on modelling and does not represent confirmed savings for individual countries, including Nigeria.
How the package works
The Triple Elimination Testing Bundle costs $1 ex-works per woman screened and contains two separate rapid diagnostic tests.
One is the World Health Organisation’s (WHO)-prequalified First Response HIV 1+2/Syphilis Combo Card Test, which screens for HIV and syphilis simultaneously.
The second is the First Response hepatitis B surface antigen (HBsAg) Card Test, which screens for a marker of hepatitis B infection.
The tests remain separate products but are supplied together as a single commercial offer.
The price also includes access to digital training, assessment and competency tools for end users.
The $1 price excludes freight, local distribution, taxes, regulatory costs and other programme or implementation expenses. Orders are subject to a minimum quantity of 100,000 bundles.
Potential savings
According to the companies, the package is between 22 per cent and 46 per cent cheaper in commodity terms than procuring equivalent HIV/syphilis and hepatitis B rapid diagnostic tests separately.
The analysis estimates an addressable market of about 37.8 million antenatal HBsAg tests annually across 74 low- and middle-income countries.
It projects that using the package instead of separately procured tests could generate about $215 million in commodity savings over 10 years.
The companies said annual savings could exceed $10 million in some high-volume markets, while they could remain below US$1 million in smaller markets.
Actual savings, however, would depend on countries’ existing procurement prices, testing volumes and the scale and pace of implementation, according to the analysis.
They also estimate that the modelled rollout could identify HBsAg-positive pregnancies in about 17.1 million women and contribute to averting approximately 2.7 million infant hepatitis B infections between 2026 and 2035.
It said the health impact projections depend on screening uptake, local hepatitis B prevalence and successful linkage of women who test positive to recommended maternal and infant interventions.
Why hepatitis B screening matters
The initiative is aimed at supporting the global effort to eliminate mother-to-child transmission of HIV, syphilis and hepatitis B.
The WHO recommends testing pregnant women for HIV, syphilis and hepatitis B at least once during pregnancy and as early as possible.
While HIV and syphilis screening have increasingly been incorporated into antenatal care, hepatitis B screening remains less consistently implemented across countries.
The companies said the new package could therefore serve both countries that already provide hepatitis B screening and those seeking to introduce or expand it.
They said the approach builds on existing antenatal care systems rather than requiring countries to establish a separate testing platform.
What the package could mean for Nigeria
For Nigeria, the significance of the package goes beyond its lower price.
A 2026 analysis of Nigeria Demographic and Health Survey data found that although 72 per cent of mothers attended antenatal care, only 12.3 per cent were tested for hepatitis B during pregnancy.
Earlier national data also highlighted the gap. An analysis of about 2.8 million pregnant women who received antenatal care across more than 6,000 facilities providing prevention of mother-to-child transmission services found that only 7.2 per cent were screened for hepatitis B.
READ ALSO: Man allegedly kills girlfriend over argument about HIV infection
The Federal Ministry of Health and Social Welfare has also been working to strengthen hepatitis B screening as part of Nigeria’s triple-elimination response. In 2025, the ministry said it planned to introduce free hepatitis B testing, treatment and care for pregnant women who test positive.
Against this backdrop, the new bundle could offer Nigeria a lower-cost option for expanding hepatitis B screening through existing antenatal care services.
The companies said the package is available to public and private sector purchasers across all low and middle-income countries, subject to national registration, importation and procurement requirements.
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Health
ANALYSIS: COP31 puts climate finance, fossil fuel transition, energy ambitions to test
Published
5 hours agoon
November 9, 2026
Nearly 11 years after the adoption of the Paris Agreement, world leaders are preparing for another round of climate negotiations amid growing concerns that global commitments are not translating into action quickly enough to address the climate crisis.
The 31st Conference of the Parties (COP31) to the United Nations Framework Convention on Climate Change (UNFCCC), scheduled for 9 to 20 November in Antalya, Türkiye, will bring together governments, climate scientists, development institutions, businesses and civil society organisations to negotiate the next steps in the global response to climate change.
The summit comes at a critical time, as countries face increasing pressure to reduce greenhouse gas emissions, accelerate investment in clean energy and protect communities already experiencing the effects of rising temperatures.
Yet some of the most difficult questions in international climate negotiations remain unresolved.
Who should pay for climate action? How quickly should countries move away from fossil fuels? And how can developing economies pursue economic growth while reducing emissions and protecting vulnerable populations?
These questions are particularly important for Nigeria and other African countries, where the consequences of climate change are becoming increasingly visible through flooding, drought, extreme heat and pressure on agricultural production.
Beyond the environmental consequences, the negotiations have implications for electricity access, public health, food security, employment and the ability of developing countries to attract investment in cleaner technologies.
COP31 is not expected to produce a single agreement comparable to the Paris Agreement. Instead, much of the work will centre on implementing existing commitments, resolving disagreements carried over from previous conferences and establishing clearer pathways for financing climate action.
The central test will be whether countries can move beyond repeated declarations and agree on practical measures that deliver measurable results.
An unusual leadership arrangement
One distinctive feature of COP31 is the arrangement between Türkiye and Australia, which will share responsibilities for organising and leading the conference.
Türkiye will host the summit, with its Minister of Environment, Urbanisation and Climate Change, Murat Kurum, serving as COP president. Australia’s Minister for Climate Change and Energy, Chris Bowen, will serve as president of negotiations.
The arrangement followed a compromise after both countries pursued competing bids to host the conference.
Under the agreement, Türkiye will oversee the presidency and action agenda, while Australia will lead the formal negotiations.
The partnership is significant because the two countries approach climate policy from different economic positions.
Türkiye is an emerging economy seeking to expand industrial development and energy security, while Australia is a developed economy with substantial fossil fuel production and exports.
Their leadership will therefore be tested by the same disagreements that have complicated previous climate summits, particularly those concerning fossil fuels, climate finance and the responsibilities of developed and developing countries.
The Turkish presidency has placed implementation, electrification, green industrial development and resilient infrastructure among its priorities.
One of its flagship initiatives is the 35-by-35 Global Electrification Pledge, which seeks to increase electricity’s share of global final energy consumption to 35 per cent by 2035, from just over 20 per cent.
The initiative is intended to encourage greater use of electricity in transport, buildings and industry, supported by cleaner power generation, modern electricity grids and energy storage.
However, the pledge forms part of the presidency’s voluntary action agenda rather than a binding agreement negotiated by all countries.
This distinction matters because announcements made by summit organisers do not automatically become obligations under the UN climate process.
The World Leaders Climate Action Summit, scheduled for 11 and 12 November, will provide an early indication of the political support available for these priorities.
The finance question remains unresolved
Climate finance is likely to be among the most contentious issues in Antalya.
Developing countries have long argued that they cannot be expected to reduce emissions and adapt to climate impacts without substantial financial support from wealthier nations, which bear greater historical responsibility for greenhouse gas emissions. This principle is reflected in Article 9 of the Paris Agreement, which requires developed countries to provide financial resources to support developing countries’ mitigation and adaptation efforts.
At COP29 in Baku, Azerbaijan, in 2024, countries agreed that developed nations should take the lead in mobilising at least $300 billion annually in climate finance for developing countries by 2035. The agreement also called for efforts to scale up finance from all public and private sources to at least $1.3 trillion annually by the same year.
The two figures are not interchangeable. The $300 billion target is the new collective finance goal led by developed countries, while the wider $1.3 trillion ambition is expected to draw on a broader range of sources, including private investment.
For developing countries, the concern is whether the money will be available on affordable terms and reach the communities and sectors most exposed to climate risks.
A major disagreement concerns the responsibility of developed countries to provide financial resources under the Paris Agreement.
Developing countries want discussions to address these obligations, particularly the provision of public finance. Some wealthier countries favour a broader approach that includes improving access to finance and expanding the range of contributors.
For Nigeria, the funding needs are substantial.
The country requires investment in renewable energy, electricity infrastructure, climate-resilient agriculture, flood management and early-warning systems. Many of these interventions will depend on concessional finance and public investment, rather than private capital alone.
The question at COP31 will be whether countries can make progress on the scale, quality and accessibility of climate finance, rather than simply restating funding ambitions.
Fossil fuels and the just transition
The future of fossil fuels will also remain a difficult issue.
At COP28 in Dubai in 2023, countries agreed for the first time in a final climate decision to transition away from fossil fuels in energy systems in a just, orderly and equitable manner. The agreement also called for tripling global renewable energy capacity and doubling the rate of energy-efficiency improvements by 2030.
The decision marked a significant shift in climate negotiations. However, countries have continued to disagree over how to implement it, and the commitment has yet to translate into an agreed global roadmap for moving away from coal, oil and gas.
At COP30 in Belém, Brazil, in 2025, countries failed to secure a formal roadmap for the transition away from fossil fuels. The omission exposed the continuing divide between nations seeking faster action and those whose economies depend heavily on fossil fuel production.
The issue is particularly sensitive for Nigeria, where oil and gas remain important sources of government revenue and foreign exchange. At the same time, millions of people lack reliable electricity, while gas flaring, pollution and energy poverty continue to affect communities.
A transition that ignores these realities risks deepening existing inequalities. But maintaining dependence on fossil fuels without a credible plan for cleaner energy also exposes the country to economic and environmental risks as the global energy system changes.
This is where the just transition mechanism agreed at COP30 becomes important. Countries are expected to discuss its structure and implementation at COP31.
The mechanism is intended to strengthen international cooperation, technical assistance and capacity-building to help countries and workers navigate the shift to lower-carbon economies.
For Nigeria, a meaningful just transition must go beyond replacing one energy source with another. It should address the affordability and reliability of electricity, the future of workers in fossil fuel-dependent industries, the development of local clean-energy businesses and the needs of communities affected by environmental degradation.
Adaptation cannot wait
While emissions reduction receives considerable attention at climate summits, adaptation is equally urgent for countries already experiencing the effects of climate change.
Flooding, prolonged dry spells and rising temperatures are affecting livelihoods and infrastructure across Africa. In Nigeria, recurring floods have displaced communities, damaged homes and farms, disrupted transport and increased pressure on public services.
The effects extend beyond physical damage.
Extreme heat can affect workers’ productivity and health, while disruptions to agricultural production can worsen food insecurity. Poorer households often have fewer resources to recover from these shocks.
At COP30, countries agreed on 59 indicators to help measure progress towards the Global Goal on Adaptation. The indicators are intended to assess how countries are strengthening resilience in areas such as water, food systems, health and infrastructure.
However, agreeing on indicators does not automatically provide the resources needed to implement adaptation plans. Developing countries continue to demand more predictable funding, particularly for projects that may not attract private investment.
COP30 also called for efforts to at least triple adaptation finance by 2035. Questions remain over how the commitment will be measured and delivered.
Nigeria’s climate ambitions
Nigeria will arrive in Antalya with an updated climate commitment that sets out a more specific emissions-reduction pathway.
Under its third Nationally Determined Contribution (NDC 3.0), submitted in 2025, Nigeria targets an absolute emissions reduction of 168.2 million tonnes of carbon dioxide equivalent by 2030 and 184.9 million tonnes by 2035, using 2018 as its base year. These targets represent reductions of about 29 and 32 per cent, respectively, against the country’s 2018 net emissions. Nigeria also maintains its ambition to achieve net-zero emissions by 2060.
The plan includes commitments for the energy, industrial, agriculture, land-use and waste sectors. For the oil and gas industry, it targets zero routine gas flaring by 2030, alongside reductions in fugitive emissions from leaks and venting.
But the challenge is turning these commitments into functioning projects and measurable results.
Achieving these targets will require sustained investment in renewable energy, stronger electricity infrastructure, effective regulation and better coordination among government agencies and private investors.
This is particularly relevant to COP31’s proposed 35-by-35 electrification target.
A narrowing window for climate action
COP31 also comes as the international community prepares for the second Global Stocktake under the Paris Agreement, the process through which countries assess collective progress towards the treaty’s goals.
The first stocktake, concluded in 2023, found that global efforts were insufficient to keep the world on track to limit warming to 1.5 degrees Celsius above pre-industrial levels. Its outcome called for faster action on renewable energy, energy efficiency, deforestation and the transition away from fossil fuels.
The latest United Nations Environment Programme Emissions Gap Report reinforces the urgency. It warns that global temperatures are expected to exceed the 1.5-degree threshold, even as it argues that the scale and duration of that overshoot can still be limited through faster emissions cuts.
The report estimates that current national climate pledges, if fully implemented, would reduce emissions by only 11 to 15 per cent by 2035 compared with 2025 levels. A pathway designed to return global temperatures to 1.5 degrees by the end of the century would require emissions to fall by 45 per cent by 2035.
The United States’ absence from the official government delegation will also be notable.
The country formally withdrew from the Paris Agreement in January 2026, presenting another challenge to international cooperation at a time when stronger action from major emitters is needed.
Ultimately, the significance of COP31 will not be measured by the number of speeches, announcements or pledges made in Antalya. It will depend on whether countries can resolve outstanding disagreements, strengthen support for vulnerable nations and establish practical pathways for delivering commitments already on the table.
For Nigeria, the summit should be more than an opportunity to restate its climate ambitions. It is a chance to push for accessible finance, strengthen the case for investment in clean energy and ensure that the transition supports jobs, electricity access and livelihoods.
This report is published as part of the COP31 Reporting Fellowship of the Centre for Journalism Innovation and Development
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Health
Plateau Mega Medical Outreach Treats 17,603 Patients, Performs 724 Surgeries Across Three Zones
Published
1 day agoon
November 8, 2026
The Plateau State Government says its free Mega Medical Outreach has attended to 17,603 patients and performed 724 surgical operations across the three senatorial zones, significantly exceeding its initial target of 6,000 beneficiaries.
The Commissioner for Health, Dr Nicholas Baamlong, disclosed this on Saturday, November 7, 2026, while briefing journalists on the conclusion of the general phase of the exercise organised by Governor Caleb Mutfwang.

According to Baamlong, the outreach, which ran from October 19 to November 6, covered selected public health facilities across the Central, Southern and Northern Senatorial Zones, providing free consultations, laboratory investigations, eye care, dental services and major and minor surgical procedures successfully carried out with no deaths.
The figures released by the Ministry of Health show that the programme attended to 4,294 patients in the Central Zone, 5,625 in the Southern Zone and 7,684 in the Northern Zone.
Across the three zones, the government recorded 5,033 eye consultations, distributed 3,588 pairs of eyeglasses and performed 390 cataract surgeries. A total of 4,857 laboratory investigations and 1,334 dental consultations were also conducted.
The outreach further recorded 724 surgical operations, comprising 151 major and 573 minor surgeries. The procedures included myomectomies, hysterectomies, prostatectomies, thyroidectomies, caesarean sections and orthopaedic interventions.
The ministry also disclosed that 457 people were enrolled in the Plateau State Contributory Healthcare Management Agency (PLASCHEMA) during the exercise.
Baamlong said the 17,603 beneficiaries represented approximately 193 per cent above the initial target, describing the turnout as evidence of the demand for accessible and affordable healthcare services in the state.
However, the commissioner acknowledged that the outreach should not be treated as an isolated intervention, stressing the need to strengthen healthcare delivery across primary, secondary and tertiary health facilities.
He disclosed that Governor Mutfwang intends to institutionalise the programme as a regular intervention rather than a one-off exercise, dismissing suggestions that it was organised primarily because of the approaching election.
According to him, the programme had been planned earlier in the year but was delayed by the coordination, planning and engagement required with development partners, including German partners.
He explained that while emergency interventions, outbreak responses and ambulance services remain part of the ministry’s activities, the medical outreach is another component of the government’s broader healthcare strategy.
The commissioner said the long-term objective should be to strengthen existing health institutions to the point where elaborate medical outreaches would no longer be necessary, while ensuring that residents have regular access to essential healthcare services.
The programme is, however, not yet entirely concluded, as the government announced another three-week phase of specialised medical interventions at Plateau State Specialist Hospital, Jos, Jos University Teaching Hospital (JUTH) and Potters Specialist Hospital, Jos.
The next phase is expected to cover advanced orthopaedic, neurological, neurosurgical, urological and ear, nose and throat (ENT) surgeries for patients requiring more complex medical procedures.
The Permanent Secretary of the Ministry of Health, Mr Samuel Aliyu Tsoho, said the intervention cost millions of naira, while appreciating the governor, medical personnel and other stakeholders who participated in the exercise.
He particularly acknowledged health workers who travelled to rural communities and remained at designated facilities to provide services throughout the outreach.
While the government has presented the figures as a major achievement, the planned institutionalisation of the programme raises an important question about the sustainability of free medical interventions and the capacity of existing public health facilities to provide affordable services beyond periodic government-sponsored outreaches.
For thousands of residents who benefited from the exercise, the intervention provided access to treatments and surgeries that might otherwise have been financially difficult to afford. The challenge now is to translate the intervention into lasting improvements in healthcare access, infrastructure and service delivery across Plateau State.
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