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Policy Dialogue Calls for Private Sector Engagement in Tertiary Healthcare Services in Ethiopia

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The Ethiopia National Center of the Africa Health Observatory Platform on Health Systems and Policies (AHOP), in close collaboration with the Federal Ministry of Health (FMoH) and the World Health Organization (WHO), successfully conducted a “Policy Dialogue on Engagement of the Private Health Sector in the Delivery of Tertiary Healthcare Services in Ethiopia.”

Despite its advantages, numerous barriers and challenges hinder the private sector’s engagement in investing in health sector development and healthcare service delivery to optimize tertiary healthcare services, as revealed by the policy dialogue held in Addis Ababa, Ethiopia, on March 21st.

The policy dialogue was graced by the presence of esteemed dignitaries, including Dr. Asnake Wakjira, the Ministry of Health’s management chief executive officer; Dr. Samuel Kifle, the President of Addis Ababa University; senior officials from the WHO African Regional Office and the WHO Ethiopia Country Office; Representatives from the Health Ministries of Ethiopia, Nigeria, and Rwanda; and the London School of Economics. 

The policy dialogue aimed at understanding how private sector engagement impacted the provision of health services generally and tertiary care specifically. It sought to identify changes to enabling environments such as policy and regulatory frameworks, advocacy, implementation of the policy framework, access to physical space, finance, and foreign currency, which have improved the interest and motivation of the private health sector for optimizing and engaging in the scale-up of tertiary healthcare service delivery. 

Moreover, the policy dialogue is set to make significant contributions to the ongoing development of the Ethiopian National Strategy for Private Sector Engagement in the Health Sector. This strategic alignment with the priorities of the Ethiopian Health Sector Mid-term Development and Investment Plan is a promising step towards enhancing healthcare services through effective public-private partnerships.

Speaking at the occasion, Dr. Dawit Wondimagegne, Director of the Ethiopian National Center of AHOP, emphasized that the policy dialogue aimed to foster inclusive discussions, networking opportunities, and strategic collaborations to enhance healthcare systems and services through effective public-private partnerships.

Based on the dialogue’s recommendations, the MoH will reshape strategies and enabling environments for effective private sector engagement in the health sector, strengthening approaches to enhance the capacities of the private sector. The policy dialogue holds significant importance for policymakers, the FMoH, and the private sector, Dr Dawit added.

Dr. Asnake, the Chief Executive Officer of the Ministry of Health, outlined the core priorities of the health sector over the next three years, which include restoring and establishing services in conflict-affected areas, enhancing the provision of medical supplies and equipment, increasing greater private sector engagement, and enhancing the quality and equity of health services.

He affirmed that the Health Sector Medium-Term Development and Investment Plan (HSDIP) will lead to a healthier and more prosperous Ethiopia. He also highlighted the development of a 10-year Specialty and Subspecialty Service Roadmap in Ethiopia to improve availability and access to tertiary healthcare services and ensure the quality of specialty and subspecialty services in both the public and private health sectors.

“The evolving nature of mixed health systems, where 33% of health facilities and healthcare providers in Ethiopia belong to the private sector, underscores the critical role of both public and private sectors in achieving universal health coverage,” said Dr.  Bejoy Nambiar, representing WHO-Ethiopia at the dialogue. He acknowledged that while the involvement of private sector players has increased access to healthcare services, significant challenges remain.

According to Dr. Bejoy, private health facilities and providers are predominantly concentrated at the primary level of service delivery, with only one out of 28 tertiary health facilities being privately owned. He stressed the importance of continuously collecting and analyzing data to align priorities for action and fostering relationships with the main actors to ensure effective private sector engagement.

WHO Regional Office for Africa and the WHO Country Office for Ethiopia have supported the Ethiopian Ministry of Health in reshaping the National Strategy on Private Sector Engagement to ensure equitable access to quality health services for all Ethiopians. Dr. Bejoy reiterated WHO’s commitment to working with the Government of Ethiopia and other partners, including the private sector, to ensure universal access to quality healthcare and improve health outcomes.

The private sector exerts significant influence in most of the world’s health systems, including through direct provision of health services, medicines and medical products, health insurance, health workforce training, information technology, infrastructure, and support services. As a result, most countries have “mixed health systems” where a mix of public and private providers deliver health services and health-related goods.

The Ethiopian Health Sector Mid-Term Development and Investment Plan recognizes the role of the private sector in expanding the health sector’s resource base and delivering specific services. Policy and regulatory frameworks have also been developed to encourage private-sector engagement. 

However, due to the limited engagement of the private health sector in tertiary healthcare service delivery, the public sector remains the primary source of such services (80%). In 2023, out of the 28 comprehensive specialized hospitals for tertiary healthcare service delivery across the country, only one was owned by the private sector.

Distributed by APO Group on behalf of World Health Organization (WHO) – Ethiopia.

Afreximbank delivers exceptional financial results in 2023 amidst a challenging operating environment, results well ahead of expectations

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African Export-Import Bank (“Afreximbank” or the “Group”) (www.Afreximbank.com) has released the consolidated financial statements of the Bank and its subsidiaries for the year ended 31 December 2023.

Largely propelled by the Bank’s and its subsidiaries’ growth, the Group’s results for the financial year ended 31 December 2023 demonstrate a strong and resilient performance, surpassing prior year results and well ahead of expectations. The Bank remained steadfast in implementing its 6th Strategic Plan and delivering value to stakeholders, and this resulted in the Group ending the year, once again, achieving a solid performance and attaining an exceptional financial position.

It is noteworthy that this performance has been enhanced by the Group’s ability to successfully execute its four strategic pillars focused on “Promoting Intra-African Trade,” “Facilitating Industrialization and Export Development,” “Strengthening Trade Finance Leadership” and “Improving Financial Performance and Soundness”.

Net interest income reached US$1.4 billion at the end of the 2023 financial year, compared to US$910.3 million in 2022. The 58.67% increase was driven by the growth in interest income, which in turn was driven primarily by the growth in the Bank’s portfolio of loans and advances. Net Interest Margin grew to 4.96% compared to the prior year’s level of 3.83%.

Due to global inflationary pressures and investment in human capital to support increased business activities, the Group’s total operating expenses were US$304.5 million, 34.93% higher than in 2022. The capacity expansion and rise in expenditures were envisaged in the five-year Sixth Strategic Plan, which is currently under implementation until December 2026.

The Group’s Total assets grew by 20.12% to US$33.5 billion (FY2022: US$27.9 billion), largely on account of increases in net loans and advances to customers and cash and cash equivalents.

The Group Shareholders’ funds, which largely mirrored the Bank’s Shareholders’ funds, recorded a solid growth of 17.55% to reach US$6.1 billion as of December 31, 2023, compared to the FY’2022 position of US$5.2 billion. Accounting for this growth were the US$546.8 million retained income (which is net of appropriated 2022 dividends) and the US$349.8 million fresh equity raised during the year as shareholders supported the GCI II programme, which aims to raise US$2.6 billion paid-in-capital (US$3.9 billion callable capital) by 2026.

Mr. Denys Denya, Afreximbank’s Senior Executive Vice President, commented:

“During the 2023 financial year, the Afreximbank Group exceeded the budget and significantly surpassed its 2022 performance. This outcome was mainly driven by the Bank’s and its subsidiaries’ achievements. Our focus is steadfast on fueling industrial growth, boosting trade within Africa, and promoting exports with added value, which are crucial for the continent’s prosperity. We will continue to maintain a cautious balance between profitability, liquidity, and safety to ensure a decent net interest margin and deliver profitable and sustainable growth and quality assets. We are delighted to report results well above forecasts for the financial year ended 31 December 2023, and look forward to delivering stronger financial outcomes in 2024.”

In 2023, the Bank was ranked number one in all three categories in the Bloomberg Capital Markets League Tables Report for African Capital Markets – number one Mandated Lead Arranger, Bookrunner and Administrative Agent for Sub-Saharan Borrower Loans. This is a testament to the Bank’s leadership role in facilitating capital from within and outside the continent.

 Additionally, its subsidiary, the Fund for Export Development in Africa (FEDA), received multilateral support from Zimbabwe, Kenya, Congo, Chad, Gabon, Sierra Leone, and São Tomé and Príncipe, who officially signed the FEDA Establishment Agreement. This collective support is pivotal in the Bank’s mission to provide lasting financial support to African economies.

The Bank also celebrated a key milestone — its 30th anniversary, marking three decades of financing and supporting trade in Africa and highlighting the need for Africa to enhance intra-African trade and integration amidst the challenges stemming from the global shocks caused by the COVID-19 pandemic, the adverse economic ramifications of the Ukraine crisis, and other global conflicts.

Moreover, the Bank inaugurated its Afreximbank Caribbean Office, a pivotal step in supporting the implementation of the Partnership Agreement between Afreximbank and the Caribbean Community (CARICOM) member states. This expansion solidifies Afreximbank’s commitment to promote and develop trade between Africa and the Caribbean, aligning with its Diaspora Strategy and the African Union’s designation of the African Diaspora as Africa’s sixth region.

Despite Africa’s economic challenges and constraints, Afreximbank’s management and team demonstrated a focus on supporting member countries by offering customized programmes and facilities designed to address the continent’s distinctive needs. These efforts and interventions assisted member countries in meeting trade finance commitments, assessing crucial imports, boosting food security and commodity production, alleviating supply chain bottlenecks, and adjusting to challenges arising from climate change.

Highlights of the results for the Group and Bank are shown below:

 Financial Metrics

 FY-2022 

 FY-2023

 Gross Income (US$ billion)

 1.50

 2.62

 Operating Income (US$ billion)

 1.03

 1.60

 Net Income (US$ billion)

 455.3

 756.1

 Total Assets (US$ billion)

 27.86

 33.47

 Total Liabilities (US$ billion)

 22.66

 27.35

 Shareholders’ Funds (US$ billion)

 5.21

 6.12

 Net asset value per share

 US$58,500

 US$63,683

 FY-2022

 FY-2023

 Profitability

 Return on average assets (ROAA)

 Return on average equity (ROAE)

 1.87%

 9.91%

  2.56%

 13.31%

 Operating Efficiency

 Net interest margin

 Cost-to-income ratio

  3.83%

 21.88%

 4.96%

 19.09%

 Asset Quality

 Non-performing loans ratio (NPL)

3.40%

 2.47%

 Liquidity and capital adequacy

 Cash/Total assets

 Capital Adequacy ratio (Basel II)

14.71%

 27.62%

16.80%

 23.77%

Distributed by APO Group on behalf of Afreximbank.

FORWARD-LOOKING STATEMENTS:
The Bank makes written and/or oral forward-looking statements, as shown in this presentation and other communications, from time to time. Likewise, officers of the Bank may make forward-looking statements either in writing or during verbal conversations with investors, analysts, the media, and other key members of the investment community. Statements regarding the Bank’s strategies, objectives, priorities, and anticipated financial performance for the year constitute forward-looking statements. They are often described with words like “should”, “would”, “may”, “could”, “expect”, “anticipate”, “estimate”, “project”, “intend”, and “believe”.

By their very nature, these statements require the Bank to make assumptions subject to risks and uncertainties, especially uncertainties related to the financial, economic, regulatory, and social environment within which the Bank operates. Some of these risks are beyond the control of the Bank and may result in materially different results from the expectations inferred from the forward-looking statements. Risk factors that could cause such differences include regulatory pronouncements, credit, market (including equity, commodity, foreign exchange, and interest rate), liquidity, operational, reputational, insurance, strategic, legal, environmental, and other known and unknown risks. As a result, when making decisions with respect to the Bank, we recommend that readers apply further assessment and should not unduly rely on the Bank’s forward-looking statements.

Any forward-looking statement contained in this presentation represents the views of management only as of the date hereof. They are presented to assist the Bank’s investors and analysts to understand the Bank’s financial position, strategies, objectives, priorities, and anticipated financial performance in relation to the current period, and, as such, may not be appropriate for other purposes. The Bank does not undertake to update any forward-looking statement, whether written or verbal, that may be made from time to time by it or on its behalf, except as required under applicable relevant regulatory provisions or requirements. 

Media Contact:
Vincent Musumba
Manager
Communications and Events (Media Relations)
Email: press@afreximbank.com
Tel: +20 2 24564100 /1/2/3
Mobile: +201030121123

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About Afreximbank:
African Export-Import Bank (Afreximbank) is a Pan-African multilateral financial institution mandated to finance and promote intra-and extra-African trade. For 30 years, the Bank has been deploying innovative structures to deliver financing solutions that support the transformation of the structure of Africa’s trade, accelerating industrialization and intra-regional trade, thereby boosting economic expansion in Africa. A stalwart supporter of the African Continental Free Trade Agreement (AfCFTA), Afreximbank has launched a Pan-African Payment and Settlement System (PAPSS) that was adopted by the African Union (AU) as the payment and settlement platform to underpin the implementation of the AfCFTA. Working with the AfCFTA Secretariat and the AU, the Bank is setting up a US$10 billion Adjustment Fund to support countries to effectively participate in the AfCFTA. At the end of December 2023, Afreximbank’s total assets and guarantees stood at over US$37.3 billion, and its shareholder funds amounted to US$6.1 billion. The Bank disbursed more than US$104 billion between 2016 and 2023. Afreximbank has investment grade ratings assigned by GCR (international scale) (A), Moody’s (Baa1), Japan Credit Rating Agency (JCR) (A-) and Fitch (BBB). Afreximbank has evolved into a group entity comprising the Bank, its impact fund subsidiary called the Fund for Export Development Africa (FEDA), and its insurance management subsidiary, AfrexInsure, (together, “the Group”). The Bank is headquartered in Cairo, Egypt.

For more information, visit: www.Afreximbank.com

Eritrea: Concert in connection with 30th Anniversary of Diplomatic Relations

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The “Song and Dance Ensemble of the Russian Black Sea Fleet” presented a musical performance at Cinema Roma on April 4, commemorating the 30th anniversary of diplomatic relations between the two nations. The event saw the attendance of ministers, senior government and PFDJ  officials.

Ambassador Zemede Tekle, Commissioner of Culture and Sports, remarked that the event was a part of efforts to bolster the ties between Eritrea and the Russian Federation.

In related developments, the Russian Pacific Fleet frigate, Marshal Shaposhnikov, which had arrived in the port city of Massawa on March 28 for a port call marking the 30th anniversary of diplomatic relations between the Russian Federation and Eritrea, has successfully concluded its mission and departed.

The farewell ceremony was graced by Ms. Asmeret Abraha, Governor of the Northern Red Sea Region; Col. Melake Teklemariam, Chief of Staff of the Eritrean Naval Force; and Mr. Dawit Mengisteab, General Manager of the Massawa and Assab Port Authority.

Distributed by APO Group on behalf of Ministry of Information, Eritrea.

Eritrean Community in Sweden Holds Annual Congress

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The Eritrean community in Sweden convened for its annual congress on March 23 in Stockholm, adopting the theme “Development and Revitalizing Communities.” The event was well-attended by representatives from various Eritrean communities throughout Sweden.

Mr. Biniam Misgina, the chairman of the Eritrean community, highlighted the community’s three-decade-long dedication to organizing and strengthening its members, preserving national values for future generations, vibrantly celebrating national holidays, motivating prosperous Eritreans to invest in their homeland, conducting significant seminars, and offering advice and consultation aimed at parents.

Mr. Biniam pledged to continue efforts to enhance the community’s organizational capabilities and its engagement in national issues, urging members to increase their participation in these endeavors.

In related developments, Mr. Yohannes Teklemicael, Eritrea’s Ambassador to South Sudan, met with officials from the Western ‘Bahr el-Gazal’ region and hosted a seminar for Eritreans living in the area. During the seminar, Mr. Yohannes provided a detailed update on the development initiatives planned for 2024 and the current situation in Eritrea.

Distributed by APO Group on behalf of Ministry of Information, Eritrea.