On the International Day of Remembrance of the Victims of Slavery and the Transatlantic Slave Trade

Source: APO

The Chairperson of the African Union Commission (AUC), H.E. Mahmoud Ali Youssouf, joins the international community in commemorating the International Day of Remembrance of the Victims of Slavery and the Transatlantic Slave Trade.

On this solemn occasion, the AUC Chairperson pays tribute to the millions of African women, men and children who were forcibly uprooted, subjected to inhumane suffering, and deprived of their dignity and fundamental rights, in what remains one of the darkest chapters in human history.

The AUC Chairperson underscores that the transatlantic slave trade was not only a profound human tragedy, but also a structural injustice whose enduring consequences continue to affect societies across Africa and the African diaspora. In this regard, preserving the memory of these atrocities is essential, alongside a renewed collective commitment to justice, dignity and equality.

The AUC Chairperson calls for strengthened global efforts to confront the legacy of slavery and to address its lasting socio-economic and cultural impacts. He reaffirms the importance of education, remembrance and dialogue as critical tools to combat racism, discrimination and all forms of intolerance.

The AUC Chairperson further reiterates the African Union’s commitment to advancing a global agenda of reparative justice, in line with the continent’s priorities and the aspirations of African peoples and the diaspora.

As the African Union continues to promote unity, solidarity and shared prosperity, this day stands as a powerful reminder of the resilience of African peoples and of the enduring imperative to uphold human dignity and justice for all.

Distributed by APO Group on behalf of African Union (AU).

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Speech by the Deputy Minister in The Presidency Nonceba Mhlauli on the occasion of the opening of the Outcomes Finance Alliance Summit, Cape Town

Source: President of South Africa –

Minister Jayant Chaudhary, Minister of Skill Development and Entrepreneurship of India,
Deputy Minister Mimi Gondwe, Deputy Minister of Higher Education and Training of South Africa,
President and Chief Executive Officer of the South African Medical Research Council Professor Ntobeko Ntusi
Head of the Technical and Vocational Education and Training at GIZ Mr Tobias  Muehler
Directors General,
CEOs,
Esteemed Guests,

It is my pleasure today to welcome you to South Africa for the 2026 Outcomes Finance Alliance Summit.

We are honoured to host this important global gathering in partnership with the South African Medical Research Council, GIZ, and all the partners who have contributed to bringing this Summit to life. We extend a warm welcome to all delegates who have travelled from across the world to be part of this important moment.

This Summit convenes a powerful coalition of leaders from government, private sector, philanthropy, multilateral institutions, and civil society. You represent not only institutions, but a shared commitment to rethinking how we finance development and how we deliver impact at scale.

At its core, this Summit speaks to one of the most urgent questions of our time. How do we ensure that every rand, every dollar, and every investment delivers meaningful, measurable change in people’s lives?

Ladies and gentlemen, across the globe, we are confronted with complex and interconnected challenges. Youth unemployment continues to rise in many regions. Poverty remains persistent. Education systems are under pressure to deliver relevant skills. Health systems are stretched. Climate change is intensifying vulnerabilities, particularly in developing economies.

At the same time, fiscal space is constrained. Governments are being called upon to do more with less, while citizens are rightly demanding accountability, transparency, and results.

It is within this context that outcomes based financing has emerged not as an alternative, but as a necessary evolution in how we think about development finance.

Outcomes based financing shifts the focus from what we spend to what we achieve. It moves us from inputs to results, from activities to impact, and from fragmented interventions to coordinated partnerships that are aligned around shared outcomes.

South Africa has embraced this approach as part of our broader commitment to innovation in public finance, governance, and service delivery.

We are proud to be among the countries that are not only experimenting with outcomes based financing, but actively implementing it at scale.

One of the most significant examples of this is the Jobs Boost Outcomes Fund.

The Jobs Boost Outcomes Fund is one of the largest outcomes based funds globally focused on employment. It was designed to address one of South Africa’s most pressing challenges, which is youth unemployment.

Through this initiative, government has taken on the role of an outcomes funder, committing public resources to pay for verified employment outcomes rather than activities alone.

The design of Jobs Boost is deliberate and innovative.

It brings together government as the outcomes payer, implementing organisations who deliver training and placement services, independent evaluators who verify outcomes, and private sector partners who play a role in absorbing young people into the labour market.

The fund prioritises young people who are not in employment, education, or training, with a strong focus on inclusion, particularly for women and those in underserved communities.

Programme Director, what makes Jobs Boost particularly powerful is that it aligns incentives across the ecosystem. Implementers are rewarded for achieving real employment outcomes, not just for enrolling participants. Government pays only when results are achieved. And young people are supported not only to access opportunities, but to sustain them.

Since its launch, Jobs Boost has supported thousands of young South Africans to access work opportunities across sectors such as digital services, business process outsourcing, green economy initiatives, and traditional industries. Through the R300 million Jobs Boost Outcomes Fund, South Africa has already achieved over 9,100 verified enrolments and more than 6,800 verified job placements for young people, with over R220 million disbursed strictly against independently verified outcomes. This is not a pilot in theory. It is a demonstration, at scale, that outcomes-based financing can deliver real, measurable employment results.

Ladies and gentlemen, beyond the numbers, the jobs boost fund has generated critical lessons. It has demonstrated that outcomes based financing can drive innovation among service providers. It has shown that performance based incentives can improve efficiency and effectiveness. And it has highlighted the importance of robust data systems and independent verification in building trust and accountability.

We have seen, through our implementation partners such as BlueLever, Swift, and Afrika Tikkun, how this model is changing real lives.

We have met young people who entered these programmes without prior work experience, without networks, and often without confidence in their own prospects. Through targeted training, mentorship, and job placement support, they are now earning incomes, supporting their families, and building pathways into sustainable careers.

In the digital economy, young people trained through partners such as BlueLever and Swift are gaining access to opportunities in areas such as data annotation, digital services, and business process outsourcing, sectors that are not only growing, but that are opening doors to the future of work.

Through organisations such as Afrika Tikkun, we have seen young people from historically underserved communities transition from long-term unemployment into stable employment, often becoming the first in their families to access formal work.

One young participant shared that, for the first time, they are able to contribute to household income, support younger siblings, and plan for their future with dignity and hope.

These are not abstract outcomes. They are real transformations.

They remind us that outcomes-based financing is not only about efficiency or innovation in funding models. It is about restoring opportunity, building confidence, and unlocking human potential at scale.
 
Equally important, Jobs Boost has shown that government can play a catalytic role in crowding in additional investment and in shaping markets that deliver both social and economic value.

We have also seen similar progress in the Early Childhood Care and Education Outcomes Fund.

Through this initiative, government has partnered with implementers and private capital to improve early learning outcomes for young children, particularly in underserved communities.

This is a critical investment. Evidence shows that early childhood development is one of the most powerful drivers of long term human capital development, educational attainment, and economic participation.

By using outcomes based models, we are able to ensure that investments in early learning translate into measurable improvements in school readiness, cognitive development, and overall child wellbeing.

These initiatives are not isolated.

They form part of a broader strategic ambition to embed outcomes based approaches within our public systems.
 
However, the journey toward outcomes based financing is not one that government can undertake alone.

The success of this model depends fundamentally on partnership.

It requires collaboration between governments, investors, philanthropies, service providers, data and evaluation partners, and communities themselves.

It requires trust. It requires shared risk. And it requires a willingness to move beyond traditional silos.

We are encouraged by the strong representation at this Summit.

We see here governments that are exploring policy and regulatory frameworks. We see investors who are willing to align capital with impact. We see philanthropies that are de risking innovation. And we see implementers who are at the frontline of delivering change.

This reflects a growing global movement.

Esteemed Guests, at previous Outcomes Finance Alliance Summits, there has been a clear shift in the field.

We have seen a move from small scale pilots toward larger, more ambitious funds. We have seen increasing government leadership in acting as outcomes funders. We have seen stronger emphasis on data, evidence, and learning. And we have seen the emergence of more diverse applications across sectors, including health, education, climate, and social protection.

Importantly, there has also been a recognition that outcomes based financing is not only a technical instrument. It is a system level reform.

It challenges us to rethink how we design programmes, how we allocate resources, how we measure success, and how we hold ourselves accountable to the people we serve.

This Summit builds on that momentum.

Over the coming days, you will engage on critical themes, including scaling outcomes funds, integrating technology and data systems, expanding into new sectors such as climate and health, and strengthening the enabling environment for outcomes based financing.

But beyond the discussions, what matters most is what we do next.

We must move from dialogue to action.

We must identify practical pathways to scale.

We must strengthen the pipeline of investable opportunities.

We must build the institutional capacity required within governments and implementing organisations.

And we must ensure that the benefits of outcomes based financing reach those who need it most.

South Africa stands ready to continue playing a leading role in this global effort.

We bring to this space not only our experience, but also our commitment to innovation, inclusion, and impact.

We see outcomes based financing as a means to strengthen accountability in public spending, to improve service delivery, and to unlock new forms of collaboration between the public and private sectors.

Ultimately, we see it as a tool to advance human dignity and human development.

As we gather here today, we are reminded that behind every statistic is a person. A young person seeking opportunity. A child needing a strong foundation. A family striving for a better future.

Our responsibility is to ensure that the systems we build, and the financing models we design, deliver for them.

Programme Director, I encourage all participants to use this Summit as an opportunity to share lessons openly, to build meaningful partnerships, and to commit to concrete actions that will advance the outcomes financing ecosystem globally.

Let us work together to ensure that financing is not only mobilised, but that it delivers real, measurable, and lasting outcomes.

It is therefore my honour to declare the 2026 Outcomes Finance Alliance Summit officially open.

I wish you a productive and inspiring Summit.

I thank you.
 

SAMRC to host Outcome of Finance Alliance summit

Source: Government of South Africa

SAMRC to host Outcome of Finance Alliance summit

The South African Medical Research Council (SAMRC), together with the Presidency of South Africa’s Presidential Youth Employment Intervention are, from today, hosting a summit aimed at addressing South Africa’s most pressing health and development challenges.

Deputy Minister in the Presidency, Nonceba Mhlauli, is expected to deliver the opening remarks at the summit.

Over the next three days, the Outcome Finance Alliance (OFA) summit will bring together global and local partners to “design and test strategies to make pay-for-success financing instruments a cost-effective and scalable proposition to support development agencies and governments to deliver on the UN Sustainable Development Goals”.

“As South Africa continues to confront high rates of HIV infection, teenage pregnancy, and broader health system pressures, innovative approaches to both service delivery and financing are becoming increasingly critical.

“Outcomes-Based Finance, which links funding directly to measurable results, is emerging as a practical tool to improve accountability, unlock new investment, and ensure that limited resources deliver real impact.

“The SAMRC looks forward to sharing key learnings and challenges, with the aim of identifying pathways to unlock further public–private partnerships that can accelerate the impact and institutionalisation of OBF,” the SAMRC said in a statement.

At the centre of the council’s contribution will be its work in the Social Impact Bonds (SIBs), a model described as enabling “private and philanthropic investors to fund health interventions upfront, with government or donors repaying only when agreed outcomes are achieved”.

“The SAMRC’s first SIB was implemented through the Imagine Programme, a comprehensive intervention targeting adolescent girls and young women in high schools in Moretele and Newcastle, areas with high HIV prevalence and teenage pregnancy rates.

“Launched in 2023, the programme delivers integrated sexual and reproductive health services directly within schools, including access to contraception, HIV testing, pre-exposure prophylaxis (PrEP), pregnancy care, and referrals for further treatment, including ongoing support for those on antiretroviral therapy.

“The programme also provides psychosocial support in safe spaces on the school grounds, helping to reduce stigma and improve overall well-being,” the statement read.

Executive Programme Manager for Social Impact Bonds at the SAMRC, Dr Nevilene Slingers added: “This model fundamentally changes how we fund health interventions.

“By linking funding to verified outcomes, we are able to strengthen accountability, support innovation, and ensure that resources are directed toward interventions that make a measurable difference within health”.

The OFA will provide an opportunity to “deepen collaboration, share lessons, and accelerate the adoption of financing models that prioritise impact”.

“As fiscal pressures continue to mount, these approaches offer a pathway to strengthen health systems while ensuring that investment translates into meaningful and measurable outcomes for communities,” the statement concluded. – SAnews.gov.za

 

NeoB

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Madagascar: United States (U.S.) Launches Security Capabilities Assessment in Mahajanga

Source: APO

An USAFRICOM J54 team joined the U.S. Embassy in Madagascar to launch a comprehensive Capabilities-Based Assessment (CBA) in Mahajanga, establishing the foundation for continued security assistance from the United States to Madagascar.

This collaborative effort will identify shared security challenges, help better understand the roles and responsibilities of the defense and security institutions, assess their existing capabilities and identify gaps. This assessment will help expand and strengthen the U.S.-Madagascar security cooperation, developing sustainable solutions together while building on our historic bilateral military exchange through the years.

By working side by side, both nations are building a safer future.

Distributed by APO Group on behalf of U.S. Embassy in Madagascar.

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Türkiye To Open Embassy in Liberia to Strengthen Cooperation

Source: APO


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The Minister of Foreign Affairs, H.E. Mme. Sara Beysolow Nyanti, on Monday, March 23, 2026, received a high-level delegation from the Republic of Türkiye at the Ministry of Foreign Affairs in Monrovia for the purpose of establishing their embassy in Liberia.

Welcoming the delegation on behalf of His Excellency President Joseph Nyuma Boakai, Sr.,  Minister Nyanti underscored the importance of strengthening bilateral relations and deepening economic cooperation between the two nations.

Referencing two different meetings which she held with the President of the Republic of Türkiye, H.E. Recep Tayyip Erdoğan in 2025, Minister Beysolow Nyanti underscored President Erdogan’s commitment to ensuring his support to the revitalization of Roberts International Airport (RIA). Thanking the Turkish delegation for the upcoming Turkish Airlines flights, she stressed that President Erdogan also requested his government to look closely in supporting the efficient operations of the RIA. 

Speaking on behalf of the delegation, Mr. Mustafa Kemel Basa, Deputy Director General for Administrative and Financial Issues at the Ministry of Foreign Affairs of the Republic of Türkiye, expressed appreciation for the warm reception. He emphasized Türkiye’s interest in creating favorable conditions for Turkish businesses to operate and invest in Liberia. He stressed that usually the Turkish government would first open an embassy and subsequently work on commercial interests such as Turkish Airlines. He indicated however that due to the prioritization of President Erdogan following said meetings with Minister Beysolow Nyanti, the government has accelerated action to ensure that the establishment of the embassy and the commencement of Turkish Airlines move forward simultaneously.

Mr. Basa requested land for the Turkish embassy on the basis of diplomatic reciprocity, something the Ministry of Foreign Affairs will look into immediately. The delegation will be meeting security officials and the Executive Mansion to ensure that their needs for opening the embassy are addressed across the various sectors of government.

Minister Beysolow Nyanti encouraged the Turkish delegation to explore investment opportunities within the Mano River Union Basin, looking at Liberia not only as a market of only its population, but seeing Liberia as a hub of connectivity highlighting its potential for cross-border trade. She described this economic diplomacy push as an initiative that would be a mutually beneficial opportunity that would yield positive outcomes for both Liberia and Türkiye.

Mr. Basa also reaffirmed his country’s commitment to supporting Liberia’s human capacity development through scholarship opportunities for Liberian students. Addressing Liberia’s need for opening an embassy in Ankara, Mr. Basa requested that Liberia look into its embassy in Ankara and a Consulate in Istanbul. Given the request already put forth by Liberia for the opening of the embassy, Mr. Basa invited Minister Beysolow Nyanti to visit Ankara for the next steps.

Distributed by APO Group on behalf of Ministry of Foreign Affairs of Liberia.

President Ramaphosa to officially open the Ninety One Headquarters

Source: President of South Africa –

President Cyril Ramaphosa will this afternoon, 25 March 2026, officially open the Ninety One South Africa Headquarters in Cape Town.

The opening marks Ninety One’s 35th anniversary and a return to its historic home, underscoring the firm’s enduring presence in South Africa and its continued growth as a global investment manager.

This further reflects the firm’s ongoing commitment to the country and its confidence in the country’s future as a leading global financial services hub.

The President’s participation will highlight the critical role of collaboration between government and the private sector in advancing economic growth, attracting investment, and fostering sustainable employment opportunities.

The programme of the President to officially open the building and deliver remarks will commence from 17:30.

NOTE TO MEDIA: DUE TO SPACE LIMITATIONS, THE PROCEEDINGS WILL BE LIVE STREAMED ON PRESIDENCY SOCIAL MEDIA PLATFORMS

Media enquiries: Vincent Magwenya, Spokesperson to President Ramaphosa on media@presidency.gov.za

Issued by: The Presidency
Pretoria
 

Deputy President Mashatile to host China’s Vice President

Source: Government of South Africa

Deputy President Mashatile to host China’s Vice President

Deputy President Paul Mashatile will host his counterpart from the People’s Republic of China, Vice President Han Zheng, at Tuynhuys, Cape Town, in the Western Cape Province. 

The two leaders will co-chair the 9th South Africa-China Bi-National Commission (BNC) on Thursday, under the theme: “South Africa-China Relations in an Era of Global Transformation: Advancing Shared Modernisation”.

“South Africa and China enjoy strong diplomatic relations, anchored in the All-Round Strategic Cooperative Partnership in the New Era. The BNC at the Deputy Presidential level was established in 2000 as the highest-structured bilateral mechanism for consolidating diplomatic, economic, and sectoral cooperation between the two nations,” the Presidency said.

Additionally, reciprocal State Visits and exchange of visits across Government Ministries, Parliament and Provinces reflect the depth of the relations and advance South Africa’s foreign policy and development priorities.

Other Bilateral Structured Mechanisms with China to implement the 10-Year Strategic Programme on Cooperation (2020–2029), and monitor cooperation, include the Strategic Dialogue (SD) at Ministerial level: Department of International Relations and Cooperation (DIRCO), the Joint Economic and Trade Commission (JETC) at Minister of Trade level, the People-to-People Exchange Mechanism (PPEM) at Minister of Sports, Arts and Culture level, and the Joint Working Group at Deputy Ministerial level: DIRCO. –SAnews.gov.za

nosihle

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Implementation of structural reforms pays off

Source: Government of South Africa

Implementation of structural reforms pays off

The implementation of structural reforms has liberalised the energy market; shifted it away from reliance on Eskom; resolved Eskom’s debt and enabled the power utility to invest in repairing and maintaining its energy generation infrastructure. 

“The structural reforms are paying off. We have liberalised the energy market, and we no longer depend solely on Eskom for our electricity supply,” Deputy Finance Minister, Dr David Masondo, said on Tuesday.

Through Operation Vulindlela, government is advancing structural reforms to unlock growth, strengthen infrastructure, and improve state capabilities.

“These structural reforms, along with the resolution of Eskom’s R420 billion debt, have enabled Eskom to invest in repairing and maintaining its energy generation infrastructure. As a result, we are currently not experiencing load shedding.

“It is therefore essential that we continue to reform our economy to withstand global headwinds and external shocks. We must also implement additional measures, such as increasing investment in renewable energy and gas, to diversify our energy sources and reduce the risk of future energy disruptions,” the Deputy Minister said.

Masondo was addressing the launch of Phase 3 of the Towards Inclusive Economic Development (SA-TIED) programme, an initiative intended to support policymaking in South Africa by working closely with researchers to close knowledge gaps crucial to the achievement of inclusive growth and economic transformation. 

“We are launching Phase III at a critical moment. Globally, economic conditions remain uncertain. In this environment, evidence becomes even more important. It enables better prioritisation. It supports more efficient allocation of resources. And it ensures that reforms deliver measurable outcomes,” Masondo said.

Phase III, running from 2026 to 2029, will consolidate and expand the gains already achieved.

The programme will continue to focus on key areas, including public revenue mobilisation, poverty, inequality, and labour markets; Macro-fiscal analysis; and climate-related challenges across food, energy, and water

“Importantly, Phase III introduces a new focus on public expenditure. This is critical. As fiscal space becomes more constrained, the question is no longer only how much we spend, but how effectively we spend.

“Improving the efficiency and impact of public expenditure will be central to achieving inclusive growth,” the Deputy Minister said.

Phase III will be anchored on three core priorities.

First, deepening research for evidence-based policymaking, including strengthening the link between research and implementation.

Second, strengthening data infrastructure by expanding access to administrative datasets and ensuring long-term sustainability.

Third, building state capability through training, skills development, and greater integration of research within government.

“Ultimately, sustainable reform depends not only on good ideas, but on the capacity to implement them. The defining feature of our time is uncertainty. In such an environment, governments must be agile, responsive, and informed.

“SA-TIED represents exactly the kind of institutional innovation required to meet this challenge. As we launch Phase III, we reaffirm a simple principle: better evidence leads to better policy. And better policy leads to better outcomes for our people,” the Deputy Minister said.

He added that the National Treasury remains committed to sustaining the partnership with all partners in government, academia, and development partners, and ensuring that evidence continues to inform the delivery of reform in South Africa. 

“This programme is not only about producing research, but also about embedding evidence within the processes of government.

“It is built on long-term collaboration between policymakers and researchers, grounded in trust and shared purpose. Our partnership with UNU-WIDER has been central to this success,” the Deputy Minister said.

The World Institute for Development Economics Research of the United Nations University (UNU-WIDER) brings global expertise, strong research networks, and methodological rigour, which have strengthened the quality and relevance of the work produced.

“We also extend our appreciation to the European Union and the United Kingdom for their continued support. These partnerships demonstrate that well-aligned collaboration can build lasting institutional capability,” Masondo said. –SAnews.gov.za

 

 

 

 

nosihle

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Mahlobo to address sustainability conference in Johannesburg

Source: Government of South Africa

Mahlobo to address sustainability conference in Johannesburg

Water and Sanitation Deputy Minister David Mahlobo is expected to deliver a keynote address at the 2026 Future of Sustainability Conference in Johannesburg, this evening.

The two-day conference, currently underway in Fourways, started on Tuesday, 24 March 2026, bringing together sustainability leaders, policymakers, chief executive officers, academics and industry specialists to tackle pressing challenges and explore innovative ways of embedding sustainability into business strategies.

Established in 2011, the conference emerged from a partnership between Topco Media and the United Nations to produce the official publication for COP17 – United Nations Climate Change Conference.

The collaboration laid the groundwork for what has become a key platform for advancing sustainability dialogue in Africa.

This year’s programme features expert-led panel discussions examining critical sustainability challenges and opportunities facing both South Africa and the broader continent.

According to the Department of Water and Sanitation, Mahlobo’s address will focus on strengthening partnerships at local, national and global levels, and highlight the Blue Deal as a model for cooperation and progress.

“This is a call to action to commit to strengthening collaboration across all levels of society and investing in innovation and capacity building,” the department said in a statement.

Conference highlights include a panel on supporting grassroots green waste entrepreneurs hosted by HEINEKEN Beverages, which will explore how small-scale innovators are converting waste into economic opportunities within South Africa’s circular economy.

Another session, hosted in partnership with the UN Global Compact Network South Africa, will focus on urban water security. The discussion will examine how collaboration between government, business and communities can strengthen urban water systems through public-private-community partnerships, supported by practical case studies.

Delegates are also expected to gain practical insights into addressing resource scarcity, building resilient urban infrastructure, and adapting to climate change.

The programme further offers guidance on emerging technologies, innovative business models, sustainability reporting, and the role of inclusive leadership in driving both economic and social impact. – SAnews.gov.za
 

 

GabiK

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Médecins Sans Frontières (MSF) demande des investissements durables pour lutter contre la tuberculose chez les enfants

Source: Africa Press Organisation – French


À l’occasion de la Journée mondiale de lutte contre la tuberculose, Médecins Sans Frontières (MSF) appelle les gouvernements et les bailleurs internationaux à placer les enfants au cœur de la lutte mondiale contre la maladie et à s’engager à garantir des investissements durables pour son diagnostic, son traitement et sa prévention chez les plus jeunes, qui demeurent parmi les plus vulnérables. 1,2 million d’enfants sont atteints de tuberculose dans le monde, mais près de la moitié ne sont ni diagnostiqués ni traités. La tuberculose est pourtant une maladie évitable et curable.

« Dans le contexte d’une riposte à la tuberculose déjà insuffisamment financée, les enfants sont encore plus marginalisés lorsque les services sont perturbés par les réductions d’aide, les conflits ou les déplacements de populations », explique Cathy Hewison, référente tuberculose pour MSF. « Les outils pour diagnostiquer et traiter la tuberculose chez les enfants existent, même s’ils restent imparfaits. Pourtant, seule la moitié des enfants concernés sont diagnostiqués ou pris en charge. Pour que la lutte globale contre la tuberculose soit réellement efficace, les enfants doivent devenir une priorité immédiate. »

Selon le Rapport mondial 2025 de l’Organisation mondiale de la santé (OMS) sur la tuberculose, 1,2 million d’enfants et de jeunes adolescents de moins de 15 ans ont contracté la maladie en 2024. Le rapport souligne également qu’un pourcentage alarmant de 43 % d’entre eux n’ont pas été diagnostiqués ni pu accéder à un traitement en 2024. La situation est encore plus critique chez les enfants de moins de cinq ans atteints de tuberculose : seulement la moitié d’entre eux bénéficie d’un diagnostic et d’une prise en charge. Par ailleurs, la combinaison des perturbations des services de lutte contre la tuberculose, liées aux récentes baisses de financements internationaux, et d’un nombre record de personnes déplacées dans les pays les plus touchés laisse présager une hausse du nombre d’enfants non diagnostiqués et non traités. 

Les équipes de MSF sont souvent confrontées à des enfants atteints de tuberculose dont la prise en charge est retardée, faute de méthodes diagnostiques adaptées ou disponibles, ou simplement parce que la maladie n’est pas envisagée par les médecins. 

Malgré cette situation préoccupante, il est possible de mieux repérer les enfants qui échappent au diagnostic et au traitement de la tuberculose en appliquant pleinement les recommandations de l’OMS. Par exemple, chez les enfants de moins de 10 ans, l’utilisation des algorithmes décisionnels thérapeutiques recommandés par l’OMS constitue une approche efficace : ces outils, basés sur des systèmes de scores, permettent aux soignants de poser un diagnostic à partir des seuls signes cliniques (éventuellement complétés par une radiographie, si disponible), notamment lorsque les tests de laboratoire sont indisponibles ou négatifs. Selon des recherches récentes menées par MSF dans cinq pays africains (Guinée, Niger, Nigeria, Soudan du Sud et Ouganda), le recours à ces algorithmes pourrait presque doubler le nombre d’enfants diagnostiqués et, par conséquent, mis sous traitement vital.

« La mise en œuvre des algorithmes décisionnels thérapeutiques de l’OMS au Niger a représenté un véritable signe d’espoir », a déclaré le Dr Moussa Mamane Oumarou Farouk, référent tuberculose pour MSF au Niger. « En 2024 et 2025, près de la moitié des enfants de moins de cinq ans chez qui une tuberculose a été diagnostiquée dans le pays se trouvaient dans les cinq districts où MSF accompagne la mise en œuvre des algorithmes. Étendre ces méthodes à l’ensemble des 72 districts du Niger, en partenariat avec le ministère de la Santé publique et de l’Hygiène, pourrait considérablement réduire le retard de diagnostic chez les enfants et prévenir un plus grand nombre de décès. » 

Tout symptôme ignoré et toute décision thérapeutique retardée exposent les enfants atteints de tuberculose à des formes graves de la maladie, voire à la mort. Il est urgent que les gouvernements et les bailleurs internationaux fassent preuve de volonté politique et renforcent leurs investissements afin de garantir l’accès de tous les enfants aux outils vitaux de prévention, de diagnostic et de traitement de la tuberculose. 

Distribué par APO Group pour Médecins sans frontières (MSF).