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Abaminisitiri b’Ubuzima n’imari (Finance) b’Umuryango wa Afurika yunze Ubumwe (AU), hamwe n’abayobozi ba un, basabye ishoramari ryihutirwa kandi rirambye mu bakozi b’ubuzima ku mugabane wa Afurika, harimo no kubaka umubare w’abakozi b’ubuzima baturiye abaturage (community health workers - CHW) bagera kuri miliyoni ebyiri kugeza mu mwaka wa 2030. Abayobozi bavuze ko iri shoramari ari ingenzi mu gukomeza umutekano n'ubukungu bw'ubuzima muri Afurika (Africa’s health security and sovereignty - AHSS) no kwihutisha intambwe ijyanye n'itangizwa rya Serivisi z'Ubuzima ku Bantu Bose (Universal Health Coverage - UHC

Mu izina rya AU Champion for Human Resources for Health n'Umubano ushinzwe Gutanga Serivisi z’Ubuzima ku Baturage, H.E. Perezida Bola Ahmed Tinubu, H.E. Kashim Shettima, Visi Perezida wa Nigeria, yagize ati: “Afurika ntishobora kugera ku itangwa rya serivisi z'ubuzima ku bantu bose cyangwa kurinda abaturage bayo itita kubuzima . Yongeyeho ko “Uzukuntu bw’Ubuzima butubahiriza amahirwe ntabwo ari ubukungu bw'ubuzima; ni ugushyira ubuzima mu byago”.

Nubwo umugabane wa Afurika ufite umubare munini w’uturemangingo tw’indwara, ufite ikibazo gikomeye cy’abakozi b’ubuzima. Ikigo cya OMS (World Health Organization) giteganya ko hazabaho igihombo cy’abakozi b’ubuzima barenga miliyoni esheshatu mu mwaka wa 2030, ibyo bikaba bizahungabanya iterambere mu guhashya indwara, gutahura ibibazo by’ihutirwa, no kugeza serivisi z'ubuvuzi bw'ibanze ku baturage, harimo ubuzima

Mu magambo ye, Prof. Muhammad Ali Pate, Minisitiri w’Ubuzima n’Ubuzima bw’Iyimiryango, yatangaje ko Nigeriya yiyemeje kuyobora urugero: “Kugera mu 2027, twifuza gushyiraho abakozi b’Ubuzima bo mu ruhando mpuzamahanga (Community Health Workers) 100,000 bafite umushahara, bakaba bashyizwe mu muryango w’ubuvuzi w’Intara, kandi dukomeze guhamagarira abakozi b’ubuzima mu midugudu (CHWs) guhigirwa agaciro, gushyirwaho amategeko, kunonosorwa, no kwinjizwa mu muryango w’ubuvuzi w’igihugu.”

Raporo y’Inama y’Akarere ku byuBuzima ivuga ko buri dola rimwe (US$1) ishora mu bakozi b’ubuzima, ibyarangiza kuguza kugeza ku $19 mu nyungu z’ubukungu, mu gihe kudakora bishobora kuzateza ibihombo bingana na miliyari $1.4 mu 2030. Bugaragazwa ko hakenewe miliyari $4.3 buri mwaka kugira ngo hubakwe umubare w’abakozi b’Ubuzima bo mu ruhando mpuzamahanga miliyoni ebyiri mu 2030.

“Guhanga udushya mu bakozi b’ubuzima muri Afurika ntibikwiye gufatwa nk’igihombo, ahubwo ni ishoramari mu mutekano w’ubuzima no mu mbaraga z’ubukungu,” yavuze Dr. Jean Kaseya, Umuyobozi Mukuru wa Afrika CDC.

Byongeye kandi, Komisiyo yiyemeje kugenda ikorana n’abafatanyabikorwa n’Ibihugu by’abanyamuryango mu rwego rwo kubaka umuryango ukomeye w’ubuvuzi, hagamijwe gukemura ingorane z’ingenzi no guteza imbere umwuga mu buryo bukurikiza Umuyoboro w’Afurika n’Igenamigambi ryo Kwihutisha ibikorwa. Prof. Julio RAKOTONIRINA, Umuyobozi w’Ubuzima

Icyegeranyo cyakozwe na Africa CDC na UNICEF kigaragaza ko mu mwaka wa 2024, hakozweho abakozi b’ihutirwa b’ubuzima (CHW) bagera ku 1.042 miliyoni; ariko ubushobozi bw’abakozi b’ihutirwa b’ubuzima buracyari ku kigero cya 7.5 per 10,000 abantu—biri hasi cyane kandi ntibihuye n'ikigero cya 25 per 10,000 cyashyizweho na Africa CDC nka kimwe mu bipimo bigamije kugera ku ntego yo kubona Serivisi z’Ubuzima mu buryo bwuzuye (UHC) ku gipimo cya 70% mu mwaka wa 2030. N'ibihugu bitandatu gusa ni byo bifasha mu buryo bw’imbere (domestically) birenze 80% by’amafaranga ajya mu bigo byo gutanga serivisi z’abakozi b’ihutirwa b’ubuzima, kandi ibihugu 16 bitanga inzira zateguwe zo gukomeza imirimo.

Urugero rwatanzwe n’ibihugu nka Nigeria, Senegal, Ethiopia, na Malawi rwerekana ko kwagura umubare w’abakozi b’ihutirwa b’ubuzima ku rwego rw’Igihugu bishoboka iyo hari ukwiyemeza gukomeye kwa politiki, ubushobozi bwo mu gihugu, no gufatanya neza n’abafatanyabikorwa mu bikorwa bihuriweho bijyanye n’imigambi y’igihugu ishyigikiye Iteka rya Lusaka.

Abayobozi bashishikarije ibihugu bigize Umuryango kwinjiza ishoramari mu bakozi b’ihutirwa b’ubuzima mu ngengo y’imari y’igihugu, gukomeza gushyigikira ishoramari mu kazi k’abakozi b’ihutirwa, gukomeza kunoza imikoranire hagati y’ibigo by’ubuzima n’ibigo by’imari, no gushyira mu bikorwa ingamba z’ukwigisha ku muvuduko mpuzamahanga, harimo n

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