From local production of vaccines to digital infrastructure and renewable energy, Japan is investing in health innovation in Africa. Credit: UNDP

By Mandeep Dhaliwal and Osamu Kunii
UNITED NATIONS, Sep 8 2025 (IPS)

At a time of great transformation for global health, solidarity is more important than ever. As other countries have retreated from their commitments, Japan has instead continued its steadfast investment in a shared future that prioritizes human dignity and security.

Japan is reaffirming its commitment to this vision at the Ninth Tokyo International Conference on African Development (TICAD) —a forum that champions African-led development—by placing youth employment and digital transformation at the heart of its agenda.

In line with these priorities, the Japan International Cooperation Agency (JICA) announced US$160 million in bonds to support infrastructure, education and innovation across Africa. Significantly, the initiative invites Japanese companies and financial institutions to partner with and invest in African countries for mutual benefit.

Japan’s leadership on global health has long been underpinned by a strong sense of shared responsibility and solidarity. Wealthy countries should follow Japan’s lead, by building partnerships, scaling up proven innovations and fostering sustainable growth in Africa.

This approach could be particularly transformative for local manufacturing, digital health innovations and climate-resilient health systems—areas where African-led solutions are already gaining ground.

The Accra compact, adopted by the Africa Health Sovereignty Summit convened by Ghanaian President John Mahama, asserts the leadership and sovereignty of African countries in determining the health of their people.

For over a decade, Japan has supported both the Access and Delivery Partnership (ADP) and the Global Health Innovative Technology Fund (GHIT Fund) to develop and deliver health technologies to the people who need them most.

This innovative partnership between the United Nations Development Programme (UNDP) and the GHIT supports the journey of medical innovations, including vaccines, medicines and diagnostics, from lab to bedside. GHIT stimulates research and development, while ADP—led by UNDP—works with countries and communities to introduce and scale up the finished products.

For over a decade, Japan has supported the Access and Delivery Partnership, led by UNDP, to deploy health technologies on the continent. Credit: UNDP Ghana

One recent success is the development and rollout of a new paediatric treatment option for schistosomiasis, an infection caused by a parasitic worm that affects 50 million preschool-aged children. Schistosomiasis, which is found primarily in tropical regions, causes anaemia, stunted growth and impaired cognitive development.

Children aged 6 years and under can now take a small pill for treatment. The GHIT Fund and the Pediatric Praziquantel Consortium—led by German pharmaceutical company Merck—worked together to develop the medicine and transfer the technology to Kenyan pharmaceutical manufacturer Universal Corporation Limited (UCL). Thanks to this collaboration, UCL is now producing medicine locally in Kenya, ensuring sustainable access to treatment for affected communities.

This shift toward local manufacturing is gaining momentum across Africa. Countries from Senegal to Rwanda and beyond are rapidly becoming regional manufacturing hubs for diagnostics, vaccine and medicine production.

In 2024, the Institut Pasteur de Dakar (IPD) inaugurated a new diagnostic manufacturing site, while in 2023, Rwanda collaborated with BioNTech to open what could become Africa’s first mRNA vaccine manufacturing facility. At the same time, digital technologies and AI are reshaping the future of African health care systems.

In June, 50 African Union Member States endorsed a digital micro-planning tool co-created by the Africa Centres for Disease Control and Prevention, the World Health Organization and other partners, to accelerate the elimination of neglected tropical diseases like onchocerciasis and dengue.

Scaling up homegrown tools will strengthen epidemic preparedness, and when disaster strikes, they can mean the difference between containment and catastrophe.

The rise of these innovations underscores Africa’s position as an emerging hub for digital transformation. With Africa’s digital economy projected to grow to $712 billion by 2035, investors have a strong incentive to support the digital infrastructure boom

Japan is already ahead of the curve. Over the past few years, Japan has partnered with Ghana to establish mobile laboratories at the country’s four main points of entry to strengthen pandemic preparedness.

Earlier this year, Japan and Cote d’Ivoire jointly committed to supporting UNDP’s timbuktoo initiative, which promotes entrepreneurship opportunities for startups led by young Africans, including a health tech accelerator focused on amplifying innovation across the health sector in Africa.

Finally, innovation and investment are especially urgent in countries disproportionately affected by climate extremes. African nations are pioneering approaches to climate-resilient health systems that other countries can learn from.

The continent’s leading initiative—the Africa Adaptation Acceleration Programme—has already mobilized more than $15 billion to protect countries against climate shocks. Joint initiatives like Solar for Health and Smart Health Systems, a collaboration between UNDP, governments and other partners, has brought reliable power to 1,000 health facilities across 14 countries, ensuring medicines and vaccines stay cool and lights stay on.

As the impact of climate change on health systems accelerates, programmes like these must be scaled sustainably to protect health systems from current and future threats.

Investment priorities must align accordingly. As Japan leads the way, other countries should follow by funding sustainable, equitable, inclusive and mutually beneficial interventions. This is more than sound policy—it is an imperative for our shared future.

This article was originally published in Nikkei Asia.

Source: UNDP

Mandeep Dhaliwal is Director of the HIV and Health Group, UNDP; Osamu Kunii is CEO and Executive Director, Global Health Innovative Technology Fund

IPS UN Bureau

Follow @IPSNewsUNBureau
  

Ending discrimination is critical to ending HIV/AIDS a public health threat by 2030. Credit: UNDP Sudan

By Mandeep Dhaliwal
UNITED NATIONS, Mar 10 2025 (IPS)

One look at the headlines recently and anyone would know that cuts to foreign aid are jeopardizing hard-won progress on a range of issues. AIDS is one of them.

According to UNAIDS, without new resources 6.3 million people could die from AIDS-related causes by the end of the decade. With the stroke of a pen, the promise of ending one of the deadliest epidemics vanishes.

But what if I told you that money alone will not be enough to get us back on track? That discrimination is quietly sabotaging economies, destabilizing nations and turning preventable and treatable diseases into death sentences?

It has never been more urgent that we take action to protect those being left behind. That is the commitment 193 countries made when they adopted the Sustainable Development Goals.

Between 2021 and 2022, discrimination increased in 70 percent of countries, while global freedoms have steadily declined year-over-year for nearly two decades. Today, no country has all the laws needed to prohibit discrimination against women, and too many countries have laws on the books that criminalize the typically marginalized.

These actions are not just morally wrong, they are economically self-defeating. Discriminatory laws and policies deprive individuals of human dignity, essential services and opportunities, damaging entire economies. Globally, for example, the gender education gap costs about US$10 trillion annually.

Mandeep Dhaliwal

Discriminatory laws and policies deprive individuals of human dignity, essential services and opportunities, damaging entire economies.

History has also repeatedly shown that discrimination harms health. From colonial-era medical exploitation to the apartheid-era denial of healthcare for Black South Africans, discrimination has long determined who receives care and who doesn’t.

Even today, these disparities persist. In the United States, Black women are three times more likely to die from a pregnancy-related cause than white women. And now the advent of technologies such as AI, which hold tremendous promise to transform societies and economies, threaten to hardwire historical discrimination into healthcare if not appropriately regulated.

But nowhere is the impact of discrimination on health more visible than in the fight against HIV. From the earliest days of the AIDS crisis, stigma and government inaction allowed the virus to spread unchecked, leading to countless preventable deaths that devastated families and communities.

In 1990, President Bush signed the Americans with Disabilities Act and the Ryan White Comprehensive AIDS Resources Emergency (CARE) Act into law. These laws made the case for non-discrimination as an essential tool in the fight against HIV and played a pivotal role in improving health equity and shaping anti-discrimination legislation across the world.

Decades later, when we have game-changing prevention and treatment tools to finally end AIDS as a public health threat by 2030, discrimination continues to increase risk and block access for far too many.

Today we have game-changing prevention and treatment tools to fight HIV/AIDS, but stigma and discrimination prevent many people from getting the care they need. Credit: UNDP Zimbabwe

Ending discrimination is in our hands. As we marked Zero Discrimination Day on 1 March, we must remember that discrimination is a human construct that calls for human solutions.

Ending major public health threats like AIDS in a climate of discrimination requires leadership and decisive action. It also requires investments that go beyond funding medicines and commodities. Governments must remove the punitive laws that drive new infections and undermine access to life-saving tools, promote equality for all, and fund community-led responses, ensuring that those left behind have a voice in shaping solutions.

In 2021, countries committed to such steps, recognizing that a rights-based approach is critical to ending AIDS and advancing sustainable development. Yet, with the deadline set for this year, not a single country is on track to meet these goals. Leaders must make good on these commitments—the return on investment for generations will be profound.

We know that the price of discrimination is poverty, instability and disease. The price of equality? Prosperity, peace, health and the end of AIDS as a public health threat. The way out of our crises is clear—deliver on the promise of a world free of discrimination.

Mandeep Dhaliwal is Director of the HIV and Health Group, UNDP

Source: UNDP

IPS UN Bureau

Follow @IPSNewsUNBureau
  

The Mandaue City government signs the Implementing Rules and Regulations of the city’s Anti-Discrimination Ordinance. This marks a significant milestone for the UNDP-supported Kadangpan Project. Credit: UNDP Philippines

By Mandeep Dhaliwal and Kevin Osborne
UNITED NATIONS, Jul 26 2024 (IPS)

Around the world countries are taking powerful steps to protect people’s rights, dignity, and health. Dominica and Namibia became the most recent to decriminalize same-sex relations. South Africa made strides towards decriminalizing sex work.

Japan’s Supreme Court ruled that compulsory sterilization for transgender people is unconstitutional, and for the first time the essential role of harm reduction was recognized in a UN resolution on narcotic drugs.

These achievements all contribute to the landmark 10-10-10 HIV targets, adopted by countries in the 2021 Political Declaration on HIV and AIDS, to reduce new infections and tackle criminalization, stigma and discrimination and gender inequality, issues especially critical for people living with HIV and key populations, including sex workers, men who have sex with men, transgender people, people who inject drugs, and the incarcerated.

Yet, for every heartening step toward justice, setbacks and barriers remain. In the last three months alone, Georgia’s parliament moved to curb LGBTIQ+ rights, Iraq criminalized same-sex relationships, countries in Eastern Europe and Central Asia have signed into law sweeping restrictions on civil society and the Malawi courts upheld a ban on same-sex conduct.

Every action we take now will make a difference

With just one year left to meet these targets, we are still off track. What’s more, the global pushback on human rights and gender equality, constraints on civil society, and the acute funding gap for HIV prevention and addressing structural and social barriers, threaten continued progress on AIDS.

This is the time to re-double our efforts. Every single action taken now to meet the 10-10-10 targets will improve the lives and wellbeing of those living with HIV and other key populations well into the future. It will protect the health and development gains of the AIDS response.

If we are to realistically end AIDS by 2030, we must, in lockstep with recent scientific advances, urgently accelerate efforts by shaping enabling policy environments.

Together with partners, UNDP will use its platform at the AIDS 2024 conference, along with a new #Triple10Targets campaign, to call for urgent action to accelerate progress in scaling national key population-led strategies, promoting allyship and inclusive institutions and unlocking sustainable financing.

Community leadership

Key populations and their sexual partners remain at the highest risk for HIV, accounting for 55 percent of all new HIV infections in 2022 and 80 percent of new HIV infections outside of sub-Saharan Africa, a trend which persists. The heightened risk they face is, in part a result of stigma, discrimination and criminalization.

The heart of the HIV response was built by community advocates, past and present, on its inextricable links to human rights. People living with HIV and other key populations are still leading the charge, based on their experiences and knowledge of what their communities need to tackle discriminatory laws and HIV-related criminalization, which deny them services and violate their human rights.

The recent overturning of a colonial-era sodomy law in Namibia, brought to court by Friedel Dausab, a gay Namibian man, showcases such courageous leadership.

But those most affected by and at risk of discrimination, exclusion and violence must not be left to tackle this alone. Their efforts are that much more effective and powerful when met with global solidarity and inclusive institutions, backed by collaboration and investment.

UNDP continues to promote and prioritize the meaningful engagement of people living with HIV and other key populations in decision-making spaces and policy design, through the work done by SCALE, #WeBelong Africa and Being LGBTI in the Caribbean and its HIV and health work more broadly.

The role for allies

Expanding and deepening networks of allies, in particular fostering links between key populations and scientists, health workers, legal professionals, policymakers, faith leaders, media and the private sector, will be vital to building a sustainable HIV response. Finding common ground with broader social movements is a critical element to policy change and reform.

One such UNDP-led initiative brings together members from the judiciary in regional fora in Africa, Eastern Europe and Central Asia and Latin America and the Caribbean to deepen knowledge and understanding of law, rights and HIV, and the impact of punitive laws and policies.

This work has contributed to informing judicial decisions upholding the rights of marginalized communities in Botswana, Kenya, Namibia, Mauritius and Tajikistan and beyond.

Hundreds of parliamentarians worldwide can now support LGBTIQ+ inclusion through the Handbook for Parliamentarians on Advancing the Human Rights and Inclusion of LGBTI People. These demonstrate how allies can use their power and privilege to shape inclusive polices and institutions that support the dignity and human rights of people living with and affected by HIV.

Unlocking innovative financing

Progress will not be possible without addressing the funding gap. Yet investment in HIV is declining, and funding for primary prevention programmes in low- and middle-income countries has dropped, with a sobering 80 percent gap in 2023.

Countries must boost sustainable investments in the HIV response. This includes both for services and for addressing the structural barriers for these services, particularly in low- and middle-income countries.

Through SCALE, UNDP funds 44 key population-led organizations in 21 countries, boosting capacities to share good practice and remove the structural barriers which impede their access to services and violate their human rights. In the Philippines, Cebu United Rainbow LGBT Sector (CURLS) is working towards comprehensive key population protection ordinances, contributing to the recently-signed Implementing Rules and Regulations of Mandaue City’s LGBTIQ+ Anti-Discrimination Ordinance. These will encourage LGBTIQ+ communities to more proactively engage with services.

Strong national leadership and inclusive institutions are also vital to scaling up funding. Last year UNDP worked with 51 countries to expand innovative financing for HIV and health, utilizing strategies such as investment cases, social contracting, inclusive social protection, health taxes and co-financing.

Achieving health for all

As polycrisis threatens the hard-won gains of the HIV response and the clock winds down on the 10-10-10 targets, we must remain steadfast and focused on the task; scaling national key population-led strategies, promoting allyship and inclusive institutions, and unlocking sustainable funding. The stakes couldn’t be higher.

Achieving the 10-10-10 targets will not only be a victory against this preventable disease, but also against the stigma and discrimination faced by those left furthest behind, ultimately benefiting the health of people everywhere.

There is no path to ending AIDS as a public health threat without the triple ten targets.

Mandeep Dhaliwal is Director of the HIV and Health Group, UNDP; Kevin Osborne is Manager, SCALE Initiative, HIV and Health Group, UNDP.

Source: UNDP

IPS UN Bureau

Follow @IPSNewsUNBureau