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Surgery Safaris – The Facelift Africa Needs

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If you have got hard currency, you can afford to come to Africa to look good or feel better for less. Fourteen million people, spending between $3,800 and $6,000 per visit, are travelling the world looking for medical treatment with a beach holiday.

It’s a market estimated to be worth between $45 billion and $72 billion, and South Africa is sitting at the top table, according to Patients Beyond Borders (PBB), a US-based firm that has given medical tourism advice for a decade. The country has the advantage of good hospitals, English speaking doctors and breathtaking landscapes.

They call it medical tourism and it’s growing among the wealthy and not-so-wealthy. Even those who don’t have so much money are heading to hospitals in countries like South Africa where their hard currency makes it cheaper and also helps them escape hospital waiting lists in their own land.

Even in these hard times, PBB expects this multi-billion-dollar industry to increase by up to 25% per year over the next 10 years.

One entrepreneur who is banking on this is Cape Town-based Faith Cartwright, who founded Medical Tourism SA three-and-a-half years ago. Cartwright, a hospitality and guesthouse owner, noticed many of her guests were in South Africa for medical procedures.

“Who wouldn’t pay if they knew that they had to go through two years of pain waiting for a knee operation? Imagine you have decided you want children and you are told you can’t go through fertility treatment because you are 39 and cannot get an appointment,” says Cartwright.

“I thought ‘what if medical tourists like these could be given access to private medical care, have their accommodation and travel needs taken care of, and plan safaris and other tourist excursions, all through the same service provider?’”

Sitting by the harbor at the V&A Waterfront, a popular tourist destination in Cape Town, it is easy to see why many decide to find a hospital bed here. Above us are the stunning peaks of Table Mountain and just down the road you can book a tour to see a great white shark, helicopter rides or pirate cruises. All this to the sound of seals, seagulls and many languages, as wealthy tourists from around the world stroll by with their bulging shopping bags.

Faith Cartwright, the founder of Medical Tourism SA. (Photo by Jay Caboz)

Cartwright has as many customers as there are tourists on this street on this morning.

“It’s the reason why I’m so busy. Just this morning I was facilitating 65 women from Botswana to meet a doctor in Johannesburg at a fertility clinic. Sometimes you do get a good feeling about the work. But it can also be hard work and frustrating. It is rewarding when you know you are helping someone who has been struggling for years to get pregnant,” says Cartwright.

“Fertility is a big thing here. We get a lot of it from all over the world, but in Africa, there is a particular stigma that if you can’t get pregnant, you can be kicked out of your community. I also see a lot of requests for bone marrow transplants and women looking to slim themselves with gastric bypass surgery.”

It’s the start of the high tourist season in Cape Town and Cartwright is on call 24/7. For this 48-year-old mother, her time needs to be managed down to the minute.

“Thanks to the weakness of the rand, hundreds of medical procedures are available at a comparatively low cost, with most surgeries coming in at roughly a third of the price for an equivalent procedure in the UK. Affordable breast augmentation, for example, costs around $8,000 in the UK, but only about $3,600 in South Africa. More minor treatments, such as botox injections, can be even cheaper – $310 in the UK versus $70 in South Africa,” says Cartwright.

READ MORE: Suffering And Waiting On the Wrong Side Of The Divide

It is not just the rich and famous that makes these journeys either. Cartwright has seen hundreds of clients from all walks of life.

“Our clients range from the ones who can afford to be pampered to those who can barely afford it. We’ve had people staying in Cape Town eating [maize meal] for 21 days straight, because that is all they could afford over their IVF (in vitro fertilization) treatment; they were so desperate to have a child,” she says.

“I had a woman come from Australia who failed 17 rounds of IVF and South Africa was her last option. She now has a daughter and came back to South Africa to try for a second.”

Using US prices as a reference, across a variety of specialties, PBB estimates South Africa to be 25% to 40% cheaper.

“Most nations in Africa continue to struggle to build out their healthcare infrastructure and are thus not yet suitable for the contemporary international medical traveler. South Africa (particularly Cape Town and Johannesburg), are exceptions, offering an array of medical care for regional and long-haul travelers, including cosmetic surgery, cardiology, dental care, joint and spine work, and ophthalmology,” says Josef Woodman, CEO of PBB.

It is not all rainbows and butterflies. Business isn’t helped by the lack of efficiency when crossing borders.

Cartwright tells of a US couple, a husband (the sperm donor) and wife, looking to come to South Africa for IVF treatment. It meant both needed to apply for South African visas. There was an error in the husband’s application, and, because of new visa regulations that required applications in person at a South African embassy, it meant he had to fly to the South Africa embassy twice. By the time they entered their application correctly he missed their window. The wife had to come to South Africa alone, and they had to find another sperm donor.

“As she was walking off the plane I asked her where her husband was. It was only then that she told me their story. Not only was it a huge waste of money for two flights to the South African embassy, but they lost out on their flight tickets and reservations in South Africa, which need to be paid for in advance before applying for your visa,” says Cartwright.

“This is where the medical tourism industry can help, resolving issues when you hit a brick wall. I would have been able to help them both get here. The process of IVF is incredibly stressful without worrying about the technicalities of international travel,” says Cartwright.

Another challenge is putting Africa on the map. Many patients know little about the country they are visiting and often make the mistake of booking doctors in Johannesburg with their accommodation in Cape Town, 1,500 kilometers away.

“Abroad, people still think we’ve got lions and elephants in our backyards. It’s very seldom I hear a good story about South Africa. Most of the things people know are about our crime, our president and that we have no water in Cape Town.”

“We need to tell the good story. South Africa is an amazing place. It’s got first-class treatment. What really stands out is that we are English speaking. It’s a calling point and a huge thing. Imagine when you go to a country like Thailand and you can’t read the road signs. Now imagine trying to be a patient there who needs medical treatment.”

While the costs for those traveling into Africa may seem affordable, it is a different story for those living in it. In South Africa’s case, the recently tabled White Paper on National Health Insurance (NHI) wants to give medical aid to all South Africans to make healthcare accessible to the poor. Its implementation has been hotly contested.

READ MORE: ‘Healthcare Has Got To Be Available To Everybody’ 

Many fear this will be the tipping point that brings the country’s health system to its knees and results in qualified doctors emigrating. The uncertainty surrounding the impact of the NHI on the private sector, and other compounding issues like an overburdened public healthcare system, could be why medical tourists choose not to come to South Africa.

“There are a huge amount of doctors in South Africa. The NHI only affects South Africans and not my clientele. In fact, I think it will encourage more doctors to work in the [medical tourism] industry.”

“The healthcare industry needs to look at more innovative ways of looking after its patients. I get calls from lots of South Africans trying to get help [with surgeries]; most don’t even know where to find a good doctor. Most South Africans can’t afford to go overseas and pay for a surgery. My uncle died of a brain tumor while he was waiting for a date to operate,” says Cartwright.

Ultimately, the success of medical tourism will depend on exchange rates, prices, quality of medical care and hospitality services on offer to tourists. Even Cartwright is keeping an eye out for opportunities elsewhere.

“I’ve been thinking seriously of emigrating to the United Kingdom and setting up base there. My plan would be to fly down to South Africa once a month and check up on the base here. Working from South Africa is too far away. Moving to the UK is quite a good move for the business. It’s central, with access to clients from Europe and America. It’s an hour’s flight to many of the medical conventions and conferences, which are great places to network. It’s also a good idea because there has been a rise in wellness travel, doing yoga retreats and all that. It’s taking off in the UK and Europe and I’d like to get in on this wave. South Africa would be an awesome destination for wellness tourism.”

Cartwright remains optimistic. She believes that medical tourism can offer a window of opportunity for doctors who still want to work in the private sector.

“I’ve found the Tanzanians to be the most sincere and humble. I’ve found that Nigerians, if you look after them, they will become part of your family for life. The people come and go. I try not to remember their names because I am so afraid of breaking their confidentially. But when they leave, we become a huge part of their lives.”

For Cartwright there is no time to stop, relax and watch the waves. She leaves the Waterfront with a phone to her ear, as usual, talking to her next medical tourist with money to spend.

Golden Oldies

A 2014 study by VISA  found the United States to be the largest hub for medical tourism. Thailand, Singapore, Germany, Korea, and Spain are quickly catching up.

Their data showed by 2025, travelers over the age of 65 will more than double their international travel to 180 million trips, accounting for one in eight international trips globally. Older travelers can afford bigger trips and are more focused on comfort and health than saving money.

The ageing traveler will transform travel and one area that is already growing in response is the medical tourism industry as more travelers opt to combine medical treatments with vacation.

“We believe that medical tourism is primed for accelerated growth as more of these older travelers seek new treatments, as well as lower-cost or higher-quality care not available in their home country,” the report concludes. – SOURCE: Mapping the Future of Global Travel and Tourism (2014) VISA

Cover Story

‘From Zero to Hero’: The Queen Of The 800 meters Caster Semenya

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Caster Semenya, the Olympian, on never quitting, come what may.

It is August 2009 in Berlin, Germany, at the finals of the International Association of Athletics Federations (IAAF) World Championships.

It’s the 800 meters race; among the eight female runners is 18-year-old South African Caster Semenya, in a yellow track top and green shorts.

Thousands watch from the pavilion, loudly cheering as they await the gun to go off.

In the fourth line, Semenya waits too, blocking out all the noise in her head.

She takes in a long, deep breath and says a prayer.

“On your marks!” shouts the referee.

The women crouch.

“Get set!”

“Bang!”

And the race is on.

The young Semenya from Limpopo, one of South Africa’s nine provinces, runs alongside some of the world’s most famous athletes such as Mariya Savinova from Russia.

In two minutes, a winner will be crowned.

In an impressive show of might and mettle on the track, Semenya sprints ahead of the others.

With long strides, she is the clear lead.

A competitor from Kenya, Janeth Jepkosgei Busienei, then manages to run ahead of Semenya. It’s a tight race as they lead neck-to-neck.

At the sound of a bell signaling they have reached the 400-meter mark, Semenya bolts ahead of the group leaving a wide gap between her and the others.

At 1:55:45, Semenya is officially the champion.

It is a big win for the village girl from Limpopo.

“Things just went from zero to hero, so boom! Zero to hundred. It was just great,” beams Semenya when we meet her for the interview with FORBES WOMAN AFRICA.

At the end of the race, she does her signature move – the cobra – hands facing inwards and then outwards.

Holding the South African flag, she runs a few meters in a lap of honor.

Her country is proud, super-proud of its millennial daughter.

This match was the unforgettable milestone that launched the career of a simple girl from Limpopo on to the world stage.

Her name was soon going to be etched in gold.

Caster Mokgadi Semenya is the reigning Olympics and world champion in the women’s 800-meter race.

On a hot Monday morning in October, we meet Semenya in the leafy suburb of Greenside in Johannesburg, South Africa.

She arrives ahead of the appointed time with her wife Violet and her manager Becky Motumo. Her vehicle is number-plated ‘CASVIO’, an amalgamation of Semenya’s and Violet’s names.

That weekend, she had just returned from New York City, in the United States (US), where she received the Wilma Rudolph Courage Award from the Women’s Sports Foundation and from tennis icon Billie Jean King.

The ceremony was to award women who have extraordinary achievements in sport, and Semenya was one of the recipients.

As she enters the studio for our interview dressed in all-blue Nike apparel and sneakers, she greets everyone warmly.

First on the agenda for the day is makeup, something the sports star says she can never get used to.

“I like to be myself, I am true to myself. I just like myself the way I am and I don’t want anything to change in me,” says Semenya.

“With makeup, it’s the part I hate the most because I don’t like it. That’s not me, so it’s just something else. I don’t like it at all, I just do it because it is business,” she says, laughing.

Semenya opts for the natural look.

She says she loves the simple life, and has always been this way since her early years growing up in the small village of Ga-Masehlong.

As she readies, she reminisces those  years.

“Growing up in Limpopo was special to me, I’m a village girl,” she says.

“When you grow up in a big family, obviously, they appreciate you for who you are and everything you do. They support you. They don’t criticize your work, they just go with the flow and they want what makes you happy.”

Her family was extremely supportive of her love for sports.

Semenya started playing soccer at the age of four, on the street with her friends, and in the bush, where they would bet on matches.

“Actually, I was the best striker in the village [when it came to] street football,” she laughs.

“Everytime I got on to the pitch, everyone wanted me, so I was that kind of a kid.”

In a few years, the young Semenya traded in the football boots for running shoes.

“Before you can kick a ball, you have to run first. Football is all about speed, it is more about agility and how you can move.”

In grade one, Semenya was introduced to athletics and immediately found her feet as a sprinter.

But due to a lack of facilities and proper coaching at the school, she decided to opt for middle-distance running, instead of sprinting.

“With middle-distance, you can run anywhere you want and you can still perform. You don’t really need to be surrounded by mentors and stuff like that,” she says.

Semenya came to realize that she enjoyed running more than football and so traveled a lot to take part in competitions.

At the age of 12, she moved from living with her mother to taking care of her grandmother who was getting older.

“She’s a great human being. I am truly blessed to walk in her footsteps,” she says about her.

“She taught me more responsibility, how to take care of myself and how to take care of others. She also taught me respect, how to appreciate and how to accept others.”

Her grandmother supported her dreams to run, unaware then of how far it would take Semenya.

In 2007, at the age of 16, Semenya ran her first international race in Botswana.

Unfortunately, she was placed fifth and returned to South Africa defeated, but hopeful.

“From there, I discovered that there are a lot of things to learn and I need to focus more and concentrate.”

Semenya worked harder and pushed herself to become better than her competitors.

It was the beginning of her international career in sports.

From ‘zero to hero’

The year 2008 was her final year in high school.

 Semenya continued to compete whilst pursuing her studies.

She had qualified for the 2008 World Junior Championships held in Bydgoszcz in Poland in July that year.

She was one of two Africans competing in the 800m-race.

 Unfortunately, she didn’t make it.

Three months later, her luck changed.

She competed in the 2008 Commonwealth Youth Games in Pune, India.

Semenya won her first international title with a record of 2:04, which was not bad for a 17-year-old.

It was a defining moment in Semenya’s career.

“From there, that’s when I knew this is my field. I need to be in command and I need to train hard. I need to be strong physically and mentally, and everything needs to be ready,” she says.

Since then, gold has become her color.

After the win and back to reality, Semenya went back to high school to complete her matric examinations – these were two fulfilling accomplishments for the young athlete.

2009 was a year of monumental change for Semenya.

The village girl moved to the big city.

She traveled 317km from Limpopo to Pretoria, South Africa’s capital, and enrolled at the University of Pretoria studying athletics science.

 While there, she trained under Micheal Seme, preparing for more career-defining races.

Semenya dedicated her time to intense  training, working on improving her running time.

She ran the 800 meters in two minutes and qualified for the 2009 IAAF World Championships, but due to lack of experience, she didn’t know much about her competitors who had been running for years.

“I knew what I wanted to achieve. It was all about running good times and back then, good times take you to winning big championships,” she says.

In July that year, at the African Junior Athletics Championships, Semenya won both the 800m and 1,500m races with the times of 1:56:72 and 4:08:01 respectively.

She had improved her 800m running time by eight seconds since winning the Commonwealth Games nine  months earlier.

She was the fastest runner worldwide for the 800m races that year. She had bested the senior and junior South African records held by South African female athletes Zelda Pretorius and Zola Pieterse, popularly known as Zola Budd.

But there was no time to lose.

Caster Semenya crosses the line to win the gold medal in the women’s 800 meters final during day five of the 12th IAAF World Athletics Championships at the Olympic Stadium.

Semenya continued to press on training to compete in the IAAF World Championship 2009 in August in Berlin.

She went on to win as a newcomer among some of the world’s best runners.

The long run to freedom

Back home, she brought more glory to the nation.

But as South Africa cheered and celebrated her, others had different plans for the teenage athlete.

At the time, news reports surfaced about the IAAF looking into the young athlete.

The reports suggested that they were conducting gender tests on her.

In a statement published by the IAAF in September that year, they declined to comment on the medical testing of Semenya but confirmed that it was indeed gender-testing.

“We can officially confirm that gender verification test results will be examined by a group of medical experts,” they said.

At the time, they were in discussion with the South African Ministry of Sport and Recreation and Semenya’s representatives, with the view to resolve the issues surrounding Semenya’s participation in athletics.

It was a dampening end to her year.

In November, the results came back.

They found Semenya to have high testosterone levels.

As a result, she was suspended from running and forced to sit on the sidelines.

Semenya’s response was released in a statement by her lawyers.

“I have been subjected to unwarranted and invasive scrutiny of the most intimate and private details of my being,” Semenya said.

“Some of the occurrences leading up to and immediately following the Berlin World Championships have infringed on not only my rights as an athlete but also my fundamental and human rights.”

Reminiscing on the events that took place, Semenya tells FORBES WOMAN AFRICA that she wasn’t and still isn’t worried about the IAAF.

 She will continue to run the race she started.

“Actually, I never thought anything about them. It was just all about me. What is it that I can control? Of course, if someone is or wants to do whatever they want to do, there is nothing you can do,” she says.

“So, I never think about such people. I always think about myself and what will benefit me… There’s nothing I can do about what organizations think and there’s nothing they can do about what I think.”

The case was complex.

 Media reports and critics questioned the ethics of their testing and their methods.

But Semenya was not the first.

 News items and academic reports suggest that sex verification tests at the IAAF started as early as the 1950s.

Dutch athlete Foekje Dillema was reportedly banned in July 1950 after undergoing gender-testing by the IAAF.

In more recent times, Dutee Chand, Pratima Gaonkar and Pinki Pramanik, all from India, have reportedly had to undergo gender-testing too.

But Semenya stood strong.

After her experience, she calls on all women to unite.

“I think we as women need to come together and support each other,” she says.

“Without that, you will still feel discriminated, you still feel oppressed, you still feel criticized in everything that you do and you will still feel like you are not recognized,” she says.

During this trying period for Semenya, back home in Limpopo, a 15-year-old girl from the small town of Westenburg was acting as Semenya in a high school play.

Caster Semenya.
Picture:
Motlabana Monnakgotla

Sevenah Adonis was finishing her grade eight at Hoërskool Pietersburg when she played Semenya for the year-end school concert.

It was also the same period Adonis first heard about the track star.

Semenya’s trial had inspired the young girl.

“My general perception of Caster Semenya  when I had just heard of her is that she’s a very fantastic athlete,” Adonis tells FORBES WOMAN AFRICA.

 “Limpopo is a very isolated place. There’s not a lot of exposure or anything, so for her to actually make it over the parameters of Limpopo is remarkable. I do look up to her and I aspire to go beyond my borders and accomplish things that she has accomplished,” she says.

Adonis is currently pursuing a degree in economics at the University of Limpopo.

The 22-year-old hopes to meet Semenya one day, but for now, she watches and cheers on her fellow Limpopo native making a global mark.

Back in Semenya’s world, July 2010 (after six months of being suspended) was when she received the news she had been waiting to hear.

The IAAF announced that she would be able to compete again.

“The IAAF accepts the conclusion of a panel of medical experts that she can compete with immediate effect,’’ they said in a statement.

The medical details and findings are confidential.

Despite the controversy with the IAAF, Semenya had been dubbed a hero by many for the way she handled the situation.

During the interview with us, she remembers what former South African President, the late Nelson Mandela, once told her when they met.

“Be the best that you can be,” he said to her.

“He just told me, ‘people can talk, people can do whatever they want to do, but it’s up to you to live for yourself first before others. So, the only thing that you can do is to be the best that you can be’,” she says.

It was the best advice she had ever been given.

Semenya returned stronger, winning every race and championship she entered.

“My goal is to be the greatest and there is nothing that anyone can do about it,” she says.

“I’m an athlete, I train and I perform. That’s me and that’s what keeps me going. I believe in myself and I trust myself and I’m always motivated. I’m a very positive person. So even if something comes in a negative way, I always find a way to put in more positive,” she says.

Semenya went on to win a silver medal in the 800 meters at the World Championships in Daegu, South Korea, in 2011.

But it was in the year 2012 when she showed the world her true prowess on the track.

Leading the charge in London

Semenya was only 21 years old when she participated in her first Olympic Games.

“I was more mature then I think, but I didn’t have that knowledge of understanding my body; how to train myself, you know, to calm down,” she says.

But the prestige of the Olympic games excited Semenya.

It was the opening ceremony at the 2012 London Olympics and Semenya carried the South African flag proudly in front of  thousands at the London Stadium (formerly known as the Olympic Stadium), while leading the South African Olympic team.

It was a proud moment for South Africans across the world.

Thousands and thousands cheered her on.

“It shows a great quality, especially more in leadership. So, I lead the team in and then, of course, I still have to go deliver because people look up to you. Your family, your friends, the entire nation. They expect you to perform,” she says.

One of the challenges she faced was not knowing whether all her training had been good enough for that moment.

She didn’t know what to expect.

“What’s going to happen in this championship? Am I going to win? Am I going to even win a medal?” she asked herself at the time.

“It was kind of the most stressful championship I have had in my life…” she says today.

It all came down to how prepared she was.

“When I walk onto that track, I perform. So, when I perform, I expect people to recognize my work but not just because I am me, but for the work that I do,” she says.

But once it was time for the race to take place, Semenya put all her worries aside and stayed focused.

“It is no longer about what happened last week. It’s about what’s going to go down now. We are more focused about it. It’s do or die,” she says. The pressure was on. Semenya was determined to win. Crowds in the stadium cheered waiting for the gun to go off.

“Bang!”

The runners started off.

Semenya began to pick up pace.

As she did, she looked back and saw the other runners catching up.

It was do or die.

“The main thing was to think ‘I have to keep going’. But my other mind was like ‘you have lost the race, there is nothing you can do’… But when you believe that ‘ok, I still have a chance for a medal’, you will just keep on pushing until you get the momentum.”

In the end, Semenya was placed second, behind Russia’s Savinova.

Semenya brought home silver.

It was a proud moment and South Africa celebrated with her as the whole world watched the new face of 800m.


Francine Niyonsaba and Caster Semenya. Picture: Adrian Dennis/ AFP/ Getty images

Francine Niyonsaba, an 800m Burundian gold and silver medallist, was a competitor alongside Semenya at the same race.

After meeting a few months earlier in Monaco, they had become friends.

“Caster Semenya is a good runner. She loves everybody and I think she is a very talented girl and an inspiration to all, especially African youth,” Niyonsaba tells FORBES WOMAN AFRICA.

Twentyfive-year-old Niyonsaba draws inspiration from her friend.

She says that the challenge women face in Burundi is that they feel they can’t achieve anything, elsewhere in the world.

“In Burundi, in our culture, women believe they cannot do something special in the world but it is just a mentality,” she says.

“A woman can do everything!”

Both Niyonsaba and Semenya are passionate about inspiring other women in sport and putting Africa on the map.

Caster Semenya reacts after winning gold in the women’s 800 meter final on Day 15 of the Rio 2016 Olympic Games at the Olympic Stadium.
Picture: Adrian Dennis/ AFP/ Getty images

At the 2016 Olympics Games in Rio, Brazil, the two competed again.

This time, Niyonsaba won silver and Semenya won gold.

They met again at the 2017 World Championships in London and it was the same win again; Niyonsaba silver, and Semenya gold.

Despite the two always running against each other, Niyonsaba says on the track, Semenya has been very encouraging towards her and the others.

“As an African, she is trying to do something special. She is an exceptional girl, because you know as women in Africa we are afraid to do some things. So, Caster Semenya is trying to show everyone that women can do everything,” says Niyonsaba.

‘I don’t see myself

stepping down’

After bagging world titles and beating records, what else is on the cards for the sports star?

For Semenya, there’s no stopping her and she plans to stay on in the sports industry.

“I don’t see myself stepping down; until  I’m 40, that’s when I’ll be satisfied.”

Semenya plans to become the greatest middle-distance runner in the world and she plans to break more records.

Back home, in Pretoria, she has been running the Caster Semenya Foundation aimed at coaching and equipping children who are active in sports.

The foundation currently trains 20 children aged 12 years and older.

She plans to expand it to other parts of the country.

“My main goal is to empower women and help other young men to be better in future,” she says.

“You have to show them first that education is important and we balance it with sports. If we can perform both sides, I think we will be fulfilled,” she says.

“Education never stops, you keep on learning every single day.

“Without education, your decision-making will be weak… when you are educated, it becomes very easy to make decisions and decide what is the next step.”

In 2018,  she received her diploma in Sports Science from North-West University.

But she hasn’t stopped.

She is currently pursuing a degree in Sport Management at the Tshwane University of Technology.

It has been a big year for the athlete.

In September, she joined the Nike ‘Just do it’ campaign for its 30th birthday.

It featured some of the greatest athletes, the likes of tennis icon Serena Williams and former National Football League quarterback Colin Kaepernick, with each bringing social issues to the fore.

In October, she became the ambassador of Discovery Vitality.

In November, she won big at the South African Sport Awards. She took home the People’s Choice Sports Star Of The Year; Sports Woman Of The Year, and the Sports Star Of The Year.

She was also nominated for the 2018 Female World Athlete of the Year at the IAAF Athletics Awards in December.

With all her accolades and achievements, as her star continues to rise, what about her finances?

During the interview, when asked how much she is worth, the village girl from Limpopo simply smiles and says, “I’m just priceless, to be honest.” 

‘She Is So Humble; Does Not Sweat The Small Stuff’

Caster Semenya’s manager, Becky Motumo. Picture: Supplied
Becky Motumo describes what it’s like managing Caster Semenya’s busy diary.

What is it like working with Caster Semenya?

I love how driven she is… Every single day is absolutely dynamic, ever-changing. It is always a rush. When I talk about a rush, I mean in a good way, because it is a very busy period for us.

I think that having a boss like her, is unique in the sense that she is very direct. So she knows what she wants. She is very assertive. I think for me it’s those little experiences that really make it special.

What are some of the qualities that make her who she is?

People are always quite taken aback by the kind of person she is, her humility. They will try to deck it out, you know roll out the red carpet.

They want to offer her the world and she is so humble. She wants to walk in and get the job done and be professional. She will deliver everything that needs to be delivered. And she respects your time as well. She gets it done and she is out, and you know you have to appreciate someone with a work ethic like that.

What is your favorite memory of her?

Every day! I think especially the times when we are traveling, when we are brainstorming and when we are talking about future plans. She is a very animated individual.

She has an incredible sense of humour and I don’t know anybody who wouldn’t enjoy being around that. It makes working with her an absolute pleasure.

Yes, we are serious, yes, we are professional, yes, we are about the business, but it does help to have those moments of humour when she is talking like Michael Jackson, or dancing, or doing something completely out of the ordinary. And that’s a side of her people wouldn’t know about unless you are close to her.

But I enjoy that, and I enjoy the relationship that I have with her wife Violet.

What kind of a leader is Semenya?

Her time is very important to her. She likes to show up on time, she is extremely professional in terms of that.

I try to arrive at a venue 30 minutes before she gets there. But, if you are late and you are messing with her time because she has such a tight schedule, then definitely she will let you know about that. She will try and be kind about it but she is very stern, so you know that’s one of the examples.

But, as soon as she has told you how she feels, we quickly move on and it’s about the work. And I think that’s the one thing I love about her. She does not sweat the small stuff.

She does not sit and harbor any ill feelings, or spend too much time worrying about anything in the past, so we move on very swiftly.

At the end of the day, it is about getting the work done and that is what we are about.

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2018 African Of The Year – President of Rwanda Paul Kagame

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In an exclusive interview, Paul Kagame, Rwandan President and Chair of the African Union, speaks to Methil Renuka about intra-Africa trade, how governments can drive entrepreneurial growth and why he will always find time to play sports.


The appointment is at 11AM on a November morning in Kigali, and past the tight security at the presidential offices located on KG7 Avenue, the views are of manicured lawns and a verdant paradise with hulking trees, chirping birds and cobbled pathways fringed by hibiscus and frangipani flowers. Kigali is a clean city with rolling hills and green valleys, but the foliage within Village Urugwiro, where we are meeting President Paul Kagame, is a botanist’s dream. A few minutes in the airy waiting lounge – accentuated by cream, olive green colors and a touch of wood – and the president walks in, tall and in an immaculate blue suit. He greets us warmly and is relaxed, joking about how much he dislikes posing for photographs. Yet, he obliges, against the greenery.

Kagame, who is also head of the African Union (AU), has been adjudged the ‘2018 African of the Year’ at the eighth All Africa Business Leaders Awards (AABLA).

Who is he dedicating it to, we ask? “The people of Rwanda,” he says. He shares more with FORBES AFRICA:   

Q. You are completing a year as chair of the African Union. Africa is such a diverse heterogeneous continent, with each country having its own interests. How challenging is your job in bringing a balance?

A. It’s absolutely challenging, and as you rightly said, you have to deal with diverse interests, cultures and backgrounds. Yet, Africa needs to be together in handling continental matters because there are more things that similarly affect Africans than are different. There are also different mentalities. You find some people are used to doing things a certain way, even if they are shown – or they see for themselves – that doing things differently might bring better results, they still stick to the old ways.

Talking about my task… The first thing is to pay attention to people’s concerns, to people’s ways of looking at things and take all that into account, as you also create space for people to discuss openly and show how we are all together in a different time than we have been used to… The moment you create that space for discussion, which we have done, the moment you increase consultation and also allow people to participate in challenging the points of views out there that tend to shape directions, we all have to follow, especially when you are able to identify things with certain success stories that exist. For example, in a country not making good progress or that is not ready to change, you can still point to their own situation and say ‘no, but you actually made good progress in this area because these were the contributing factors’. This can always be explained even in the wider context of where we want to go as a continent by coming together. So unity and regional integration have been emphasized.

We have been able to show that entrepreneurship, business and intra-Africa trade that have been lacking are actually more important than focusing solely on the market outside of the continent… That conversation helps people understand more, it helps people come together and we keep reminding them your neighbor is more important than someone far away from you. We are all neighbors one way or the other. My country has four neighbors and then one of the other countries we are neighbors with has nine neighbors. So it cuts across. We find we are actually very closely-linked and therefore, as we look at ourselves as individual countries, we need to recognize that if it’s sub-regional blocs or the continent, we become bigger, we are actually better off for it if we work together. Businesses and economies grow multiple times when we work together.

What I discovered from the beginning was there is no magic here other than just working with what there is and being realistic about it and allowing that conversation, and challenging one another, and being real in pointing out real things that matter, and we take it from there. And I think it has been good progress. We have put a lot of effort into it and every African country, every African leader, has played their part. So we just keep encouraging and keep going. Later, we can show everyone the benefit coming out of this very short period’s effort of working together.

Q. One of the aspirations of Agenda 2063 of the AU is a united Africa. How important is it for the rest of the world to see Africa as a single powerhouse?

A. We need it. We need that backdrop from which we should see things and remind ourselves how this continent is actually great, a continent projected to be 2.5 billion by 2050. That’s huge, bigger than any other continent. Africa is endowed with all kinds of resources, and natural resources, so how do you not think it’s important? Therefore, we have to create a clear context in which we operate and understand all aspects of this value of being in a position where we have huge assets in terms of people and natural resources and everything that anyone would wish for. So what remains is, how do we harness this? How do we leverage this? So we had to create long-term, medium-term pathways and say we should develop human capital and infrastructure. This huge workforce that keeps coming… 29 million supposed to be [pouring] into the labor market every year [until] 2030; you’ve got to think about this and ask what it means. It’s a huge asset if we make correct investments. It’s also a huge risk if you just keep [pouring] 29 million people in the labor market when they have nothing to do. The framework of 2063 provides sufficient room for us to think, reflect and therefore make the right investments for us to fulfill continental aspirations.

Q. The concept of a single African market. How far are we from realizing that?

A. I was pleasantly surprised when we had the summit here for the African Continental Free Trade Area. Initially, scepticism was expressed by some people, saying ‘but this can’t work, it can’t happen, Africa is divided, it never gets things right together’. So when the leaders came to Kigali for this extraordinary summit, we expected only a few countries to sign up, but we got 44 countries signing up on the first day. But we have also seen how it has been increasing, with countries ratifying the free trade area and free movement of people, goods and services. Therefore, that is a signal Africans understood the importance of this, and it is important indeed if we want to transform our economies and allow opportunities for prosperity to our people… I think [the single African market] is making very good progress even with that background of scepticism. We have already left that behind us and are moving forward.

Q. You are a leader who looks to the future not forgetting a painful past. How hard were the last two decades for you?

A. Very hard (laughs), which is an understatement, but that is the spirit, about learning lessons of the difficulties you have gone through but not allowing that to hold you back, to make you a hostage of that tragic experience, but rather learn lessons as quickly as you can and focus on where we are going in the future and doing our best to even keep making references to that past if you will. And therefore helping you to decide which choices to make at any given time in the future. So, 20 years has been a journey of difficulties but I think of the good stories too, and that is what encourages all of us.

We have had tragedies, and at the same time, the efforts of bringing people together through reconciliation, through deciding which direction we take for our future… the people have responded with energy, with positivity, and that has not come to nothing, it has actually borne fruit. We’ve seen progress.

Even the people, when you look at their faces and you look at how they go about things, it as if nothing ever happened here, yet history is loaded with terrible experiences. And apart from those tragic experiences, we have had other external pressures – people who are quick to forget. Sometimes, the demands [are] even from the outside about how we should deal with things, what we should do, what we shouldn’t do, as if our lives are to be decided from the outside and as if we have nothing to do with determining our own course in the future.

But we have calmly had dialogue with such people behind those pressures. We have also focused and really concentrated on what we understand, even the hard choices we have to make, but the good thing is, every three or five years down the road, we were able to measure and say, ‘well, what have we gained from the different choices and efforts we made’. Could we have done things differently or even better? Even putting into account all these unnecessary external lessons, and pressures, we still listen. We don’t fall short on that. We always listen, but at the same time, we fully understand we are the ones for ourselves.

Q. Speaking about the future, Rwanda has been a pioneer in private sector-led economic transformation. What to you are the new industries and wealth creators of the future? 

A. From the outset, we understood we have to deal with people. How do you invest in them, how do you prepare them for their role? As a government, we have to improve their lives but also allow this broad national transformation to take place. Then it comes to skills. You give them more opportunities to access things that cut across what they have to do, whether it is the agriculture sector and the agri-businesses around that and the whole value chain, and remembering that agriculture, for example, is very important.

The other part is we have seen, in terms of technology, infrastructure, digitalization, the internet; we have to prepare people to use that, as they have a multiplying effect in many ways, even if it is in public service, and delivery of that in the population that plays that part… Different sectors are impacted by this, therefore, provide the infrastructure to do that, and then the innovation that will come along with it… So these are things we think about – how to create wealth for our own people, how to allow people to thrive…

But then, around that are rules of the game. How do you create an environment to allow disruption and innovation? For example, if you look at how we have been preparing the ground and allowing these activities to take place, in terms of even globally in the ease of doing business – the World Bank report where Rwanda is 29th in the world and second in Africa. All these are to answer that question: how do we create this wealth? It’s the environment, it is specific things to invest in, it’s how we leverage the resources we have.  

Q. How do you promote entrepreneurial capitalism, how are you looking at youth-led startups?

A. The question you raise is important. For example, we have an initiative called YouthConnekt, where we try to encourage young people to be innovative. We give them cash prizes, but this is to excite them and make them think innovatively. It also creates healthy competition among young people, but above all, it stimulates them to think [about] what they need to do that fits in with the times we are in. We also have formed business development funds that cut across districts and the country that help people understand what entrepreneurship holds for them and that they can participate and therefore, we give them seed money, if they specifically come up with these ideas but some of the ideas may come through this support by educating them. We have created an Innovation Fund, and help thousands of our young people by combining both innovation and entrepreneurship, we hope to keep exciting our young people to be able to do a number of things. We have national entrepreneurship programs.

Every five years, we see what this has done, what impact it has had, and also make improvements. So it keeps going. It has had a huge impact. We see it has been working and draw lessons from these experiences of young people feeding back to us as government institutions and then we respond as much as we can. Of course, governments have limitations. It doesn’t have everything it requires or wishes to deploy, to reach the goals we want. We’ve been trying to be thoughtful in involving the young people. We have also provided them educational programs that include vocational training and technical programs that help them to not just study in schools and sometimes come up with no skills, but to also acquire knowledge. The skills that are required for employment are lacking so we have also tried to cover that gap and are making good progress.

Q. What really drives entrepreneurship? How do we make sure young people stay on the continent?

A. It is a combination of many things. Some of it may even be political, meaning, the political environment must be that of reassurance to the citizens in general, but to the young people as well, and reassurance in a sense that it not something you just deliver to them, but something you deliver by allowing them to participate or [by conveying that] they have a place in their own country, and politically, they can participate, which again relates to the socioeconomic part of it.

Therefore, if politically, they understand they are participants and not just observers – they need to even participate in addressing some of the problems – then the next demand is ‘what about these bread-and-butter issues, how do I take care of myself, take care of my family; every effort is being done by the government to allow us young people to really play our part; and it means I start with my own environment, in my country, but how about if we connect across borders’?

So to a great extent, it speaks to politics. How do African countries and leaders allow this cross-border economic activity that interests these young people and holds them here so they don’t reach a point where they become desperate in which [case] they go to other places? Sometimes, they reach these [other places] and actually find the situation is even worse, so we have to find a way of talking directly to the young people, but above all, create new things on the ground they can experience and participate in.

It’s not one side that is going to deliver it and put on the table, it’s everybody. It has to be everyone, leaders of countries, and leaders of different kinds who have to play a bigger role.

Q. How do you think capitalists, billionaires and African business can help this process and work collaboratively with the government?

A. We want the private sector to be in the lead of our countries’ or continental transformation; that is for sure, but again, collaboration is important and this is the big burden that lies with governments and we must address how we allow not only the private sector to thrive, to freely do what it is meant to do, but how do we work with them. For example, many times that there have been discussions about private-public partnerships, some people are uncomfortable about them. You don’t understand why. There is no question that if the government played its part in allowing the private sector to thrive and the private sector also understands that if they do their part with the government, that’s very important in the thriving of the citizens of the country, which again constitute the market in which we operate.

So if the people of Rwanda are thriving, the citizens are well, then the business person should be happy because this is the market in which they play. But you can’t be rich and continue sustainably as a businessman in a very impoverished market. It’s just common sense. So if the market, the people are thriving, it feeds back to the private sector but then the private sector should respond in the same way… I mean if you’re a government person, a political leader, you also want to see a country that is registering economic growth, registering development. I think the private sector-mind is going to respond positively to these good signals originating from the political environment, from the leadership. It’s in their interest as well. So we really should be happy with the private-public partnership. There is no question about it, it’s a win-win sort of relationship.

Q. A leader, military leader and father to four children. What is the role you cherish most and how do you find the time to do justice to each?

A. I consider myself lucky, in this sense, I don’t even have to make a lot of effort in being myself; that is the starting point. I try to be myself, I try to be a family person, a person that relates with relatives, friends, and not only here, but outside the country. So I am first and foremost comfortable with that. The rest that comes along with that is the responsibility I now hold. I need no reminder that many people look up to me to say ‘what is he thinking [about] us, what are we going to be able to achieve with his leadership’. It doesn’t matter how the leadership role I play came about, whether it was accidental or planned, but I am there, so I have to play this role effectively.

It’s really trying to be comfortable with myself, comfortable as a family person, as a person who has friends, and who relates to even those who are not my friends directly (laughs). I have the responsibility to them and I must do as much as I can fairly without fear or favor. The balance has been happening without much effort.

Q.  How do you unwind? Do you get the time to play sport?

A. I do a lot of sport. I have to create time, there is no doubt. In fact, at times, I have to do things at strange hours, sometimes when others are sleeping… I even do my exercises very late in the night when I should be resting, but again, I always find ways of compensating for what I have missed because I also have to find time to rest, to sleep, above all.

I never lack sleep. Whenever I have a few hours to put my head on the pillow, without much effort, I go to sleep.

I do follow sport. I have been a good fan of Arsenal football club for about three decades now. Whenever they are playing, whatever game, whenever I have the time, I always want to watch.

I do follow other sports as well. I watch tennis, basketball – I follow the National Basketball Association (NBA).

I used to play basketball for fun, but am not a professional, and I never came anywhere near that. But I play tennis, I work out and enjoy watching games if I am not able to play.

Q. Your favorite sportsmen…?

A. They are many. For basketball, for many years, my favorite team for NBA has been the Golden State Warriors. I enjoy watching Stephen Curry, Kevin Durant, Klay Thompson, but of course I also enjoy watching LeBron James, and then there are young upcoming players I have now started following.

‘2018 African of the Year’

‘African of the Year’ is one of the categories at the eighth All Africa Business Leaders Awards (AABLA).

The annual event (held this year on November 29) honors business excellence and leaders who have had a considerable impact on their industry and community. The nominees for the ‘African of the Year’ category, including several African statesmen, were judged based on the following criteria: their international profile, positive impact, their ability to build equality, develop society, champion inclusiveness, deal with corruption, transform society, enforce governance, alleviate poverty, lead economic development and be an African leader who is a role model. 

Paul Kagame: The Rwandan president and head of the African Union (AU) has spent this year improving the economic conditions of his country, and talking continental trade. He made headlines for the partnership with Alibaba, and for improving the ease of doing business in Rwanda as attested by the World Bank. Rwanda has inked a three-year deal as the tourism partner of English football club Arsenal. As a tribute to growing regional cooperation, three months after assuming the chairmanship of the AU, Kagame hosted, in Kigali, over 50 African heads of state, for the signing of the African Continental Free Trade Area, which envisions a single market expected to generate a combined GDP of more than $3.4 trillion and benefiting 1.2 billion people. So far, 49 countries have come on board.

-Renuka Methil

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WATCH | Father-Son Duo Pascal & Uzoma Dozie on Cover of Forbes Africa November Issue

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Key contributors to the growth of the Nigerian economy, they have redefined banking by leveraging technology and connecting people to market. From just £100 in his bank account, Pascal Dozie has built a business empire his son Uzoma is taking to the future.

READ: The Money Men Of Nigeria’s Banking Industry

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