➢ WITH “ROOM2RUN,” AfDB LAUNCHES SECURITIZATION MARKET FOR MULTILATERAL
DEVELOPMENT BANK SECTOR
➢ TRANSACTION IS IN DIRECT RESPONSE TO G20 ACTION PLAN FOR MDB BALANCE SHEET OPTIMIZATION
➢ AfDB COMMITS TO REINVEST FREED UP CAPITAL INTO NEW AFRICAN INFRASTRUCTURE
LENDING, MAKING ROOM2RUN ONE OF THE LARGEST IMPACT INVESTMENTS EVER
➢ TRANSACTION IS SUPPORTED BY NEW EUROPEAN UNION GUARANTEE TOOL (EUROPEAN FUND FOR SUSTAINABLE DEVELOPMENT)
OTTAWA, Canada, 18 September 2018 — The African Development Bank (AfDB), the European Commission, Mariner Investment Group, LLC (Mariner), Africa50, and Mizuho International plc today announce the pricing of Room2Run, a US $1 billion synthetic securitization corresponding to a portfolio of seasoned pan-African credit risk. Room2Run is the first-ever portfolio synthetic securitization between a Multi-Lateral Development Bank (MDB) and private sector investors, pioneering the use of securitization and credit risk transfer technology to a new and previously unexplored segment of the financial markets.
Structured as a synthetic securitization by Mizuho International, Room2Run transfers the mezzanine credit risk on a portfolio of approximately 50 loans from among the African Development Bank’s nonsovereign lending book, including power, transportation, financial sector, and manufacturing assets. The portfolio spans the African continent, with exposure to borrowers in North Africa, West Africa, Central Africa, East Africa, and Southern Africa. Mariner, the global alternative asset manager and a majority owned subsidiary of ORIX USA, is the lead investor in the transaction through its International Infrastructure Finance Company II fund (“IIFC II”). Africa50, the pan-African infrastructure investment platform, is investing alongside Mariner in the private sector tranche. Additional credit protection is being provided by the European Commission’s European Fund for Sustainable Development in the form of a senior mezzanine guarantee.
“Room2Run gives us fresh resources to invest in the projects Africans need most,” said Akinwumi Adesina, President of the African Development Bank Group. “Africa has the most promise, the greatest natural resources, and the world’s youngest population. But we also have the world’s most persistent infrastructure deficits. The African Development Bank has the strategy to address these infrastructure finance gaps—and Room2Run gives us the capacity to make it happen.”
Structured as an impact investment, Room2Run is designed to enable the African Development Bank to increase lending in support of its mission to spur sustainable economic development and social progress. In connection with Room2Run, AfDB has committed to redeploy the freed-up capital into renewable energy projects in Sub-Saharan Africa, including projects in low income and fragile countries.
“On the Impact scale, Room2Run is off the charts,” said Dr. Andrew Hohns, Lead Portfolio Manager and head of the Mariner Infrastructure Investment Management team. “Room2Run answers the call of the G20 for private sector participants to step in and facilitate development finance, providing a template for attracting significant private sector capital into urgently needed projects in developing economies.”
Raza Hasnani, Head of Infrastructure Investment at Africa50 commented, “Room2Run provides an innovative and commercially viable solution to the African Development Bank’s risk management and lending objectives, while paving the way for commercial investors to support and benefit from the growth of infrastructure on the continent. Africa50 is very pleased to participate in this landmark transaction, which is in line with our mandate to drive increased investment in infrastructure in Africa, and to create pathways for long-term institutional capital to flow into this space.”
Room2Run enjoys the support and participation of the European Commission with an investment from the European Fund for Sustainable Development, in the form of a senior mezzanine guarantee. “Only a few days after announcing our renewed Alliance with Africa for sustainable investments and jobs, I am very happy to announce that we are, together with the African Development Bank, launching Room2Run,” commented Neven Mimica, the European Commissioner for International Cooperation and Development. “This initiative is a perfect example of what we are doing to support investments in African low income and fragile countries through the External Investment Plan. Through Room2Run we provide
an additional protection to investments in the field of renewable energy. Through our Guarantee, investments under Room2Run will translate into extending supply to many people currently without electricity whilst creating much-needed new jobs.”
Room2Run also directly responds to calls by the G20 that MDBs use their existing resources to full capacity, as articulated in the 2015 G20 MDB Action Plan to Optimize Balance Sheets, as well as calls for greater MDB efforts to crowd-in private investment. The G20 has called on MDBs to share risk in their non-sovereign operations with private investors, including through structured finance, mezzanine financing, credit guarantee programs, and hedging structures.
The Government of Canada has been a global leader in advocating for MDBs to use their existing resources more efficiently and to mobilize private capital for global development. The goal of the G20 MDB Action Plan to Optimize Balance Sheets is to catalyze significant new development financing from the MDBs throughout the real economy in key development regions. “Attracting more private capital into global development efforts is critical to building economies that work for more and more people around the world,” said Bill Morneau, Canada’s Minister of Finance, “that’s why Canada and our G20 partners have been calling on multilateral development banks to use their existing resources as efficiently as possible, and to look for new ways to attract more private capital. We are pleased to see the African Development Bank come forward with a transaction that directly responds to both of these objectives. Room2Run is an innovative solution to a long-standing challenge.”
Juan Carlos Martorell, Co-Head of Structured Solutions at Mizuho International, adds, “Compared to other synthetic securitizations, a major achievement of Room2Run has been to ensure that ratings agencies, and in particular S&P, reflect the merits of the risk transfer into their rating assessments for multilateral development banks. AfDB’s leadership through this transaction has now set the stage for broader adoption of the instrument throughout the MDB community.”
Maktech’s Godwin Makyao: Now Is A Time of Entrepreneurial Opportunity in East Africa
Published by AfricaLive.net
As an executive decision-maker in both the telecommunications and tourism industries, Godwin Makyao could not have experienced a more diverse set of challenges as the Covid-19 pandemic hit East Africa.
The crisis has paralysed the global tourism industry. On the other hand, the reliance of all industries on the telecommunications sector has been magnified.
In East Africa, the crisis could act as a catalyst for the further development of the telecommunications industry, opening up opportunity for investors and operators in the sector.
Mr Makyao is the Founder and Executive Director of Maktech, a Tanzanian telecommunications with operations also in Mozambique. Mr Makyao believes that in the face of the crisis, the industry stood up well despite being held back in certain areas by a lack of infrastructure.
“I would say the sector has responded positively to the extent the infrastructure could allow.
“Our telecommunications industry was not ready for a pandemic such as this one. Here in Tanzania, for example, it was assumed that data infrastructure would only be required in workplaces, schools and other vital institutions; so the infrastructure was concentrated there.“
“When people got confined to their homes; however, it was discovered that home data was in high demand. We are looking to close this gap to ensure that people have access to fast internet at home, the parks, the beaches and even the football pitches.”
In Tanzania, where 17 per cent of the population spread over 55 per cent of the land of the country do not have access to mobile coverage, building telecommunications infrastructure is a national priority. Tanzania’s Vision 2025 policy which intends to industrialise the Tanzanian economy is facilitating access to funding infrastructure development. The rate of change in poverty-stricken rural areas has until now been a concern, however.
“Not much has changed in Maktech during the Covid-19 crisis apart from our increased focus on the need for fast internet in rural areas”, says Mr Makyao
“Although most people in rural areas now have mobile phones, most of those are not smartphones. A scarcity of smartphones means slow internet and information deficiency. We are, therefore, faced with two problems that need solving; the need for high-speed internet in rural areas and the need for smartphones. Both of these problems need to be addressed by delivering low-cost solutions since most of the people are low-income earners.”
While in the telecommunications industry it is expected to be a time of growth, for the tourism industry the focus is on adaptation.
Mr Makyao explains, “When it comes to Escarpment Luxury Lodge, we have had to make a different approach because health and safety are now the priority.
“Our staff is currently working hard to keep track of who used what facility at what time. All this is designed to maintain accountability and to keep other guests safe in case we have an infection. Our attention has gone away from the plans we had prior to expand and improve our facilities, to investing in tracking infrastructure. In a luxury hotel like ours, guests expect nothing less than the highest standards of safety and health; so our focus now is in investing adequately towards that.”
As economies globally seek to adapt to the crisis, and tourism industries slowly begin to come back to life around the world, Mr Makyao believes it is too early to make predictions on the long term impact for the sector.
“I think it’s too early to tell at the moment. We still don’t know how travel will be affected entirely. Europe and America could introduce new criteria or regulations when it comes to travelling to Africa. The standards required for hotels might also change drastically.
“We, therefore, need time to be able to look at the changing trends, to craft a long term strategy. A lot will depend on the setting of common standards globally in the hospitality sector. Our focus has to be on the safety and health of guests first before we can have a clear picture on other issues.”
Despite the challenges that 2020 has brought to both industries, and the East African economy in general, the long-term prospects for growth in the region remain strong.
Godwin Makyao remains determined in his mission to inspire a new generation of Tanzanian and African entrepreneurs. And the Maktech founder is open to foreign investment and collaboration to fuel growth in telecommunications and tourism in East Africa.
Mr Makyao is a pioneer in developing Tanzania’s telecommunications infrastructure through Maktech, a company he founded in 2001.
Mr Makyao opened Escarpment Luxury Lodge and Safari in Tanzania’s stunning Lake Manyara National Park in 2011. After enjoying success in the telecommunications industry, Mr Makyao’s investment into the tourism sector was primarily driven out of love for his native Tanzania and a desire to contribute to the conservation of the Lake Manyara area and its wildlife.
“I set up Escarpment Lodge to diversify my business” explains Mr Makyao.
“Back in 2010, three industries stood head and shoulders above the rest in Tanzania. These were mining, tourism, and telecommunications. I was already in the telecom industry, and mining was not an option for me, so tourism became the obvious go-to. The fact that 90 per cent of investors in the sector were foreign bothered me. It baffled me that locals had not even looked into it, especially in the high potential Kilimanjaro area. I took the chance because I knew I could leverage my knowledge of the place and the culture.
“Penetrating the market took quite some doing for us. The tourism industry is vastly different from the telecommunication industry, especially since demand fluctuates. The first four years were challenging, but things are looking up now after quite a steep learning curve.
“Setting up a tourism venture like mine demands being environmentally conscious. Sustainability is on the minds of all investors in this industry. The government is also cognizant of this and has set up very stringent anti-poaching and anti-pollution measures. I have set up my business with future generations in mind. I want to ensure that they get to enjoy the scenic beauty of Tanzania by conserving the environment today.”
Lake Manyara National Park sits in the Arusha and Manyara regions in the north of Tanzania. It is ideally located for visitors also looking to see the crown jewels of the Tanzanian tourism industry; Serengeti National Park and Mount Kilimanjaro.
Escarpment Luxury Lodge also ideally placed to cater for “bleisure” tourists who combine business with pleasure, given that Tanzania, and the city of Arusha in particular, is developing as a hub for the meetings and events industry.
Despite having no personal experience in tourism until Escarpment opened its doors, Mr Makyao and his team have successfully developed the lodge over the past nine years with the last three years, in particular, seeing visitor numbers grow. In 2019, the Escarpment team were rewarded by winning the Global Award of the Luxury Lodge category at the World Luxury Hotel Awards.
Escarpment’s contribution to Tanzania goes beyond business and its economic value to the Lake Manyara community. Tourism has a significant impact on conservation efforts on the African continent, with governments aware that without continued investment in environmental conservation, the tremendous growth enjoyed by the tourism industry would be quickly reversed.
Tanzania’s tourism industry has grown by 300% over the past decade, attracting more than 1 million visitors annually with the majority coming for wildlife safaris. It is this opportunity for growth, combined with the conservation of Tanzania’s wildlife, that Godwin Makyao and the Escarpment team are now ready to develop further through partnership with local and international investors.
Furthermore, having built successful business models in both telecommunications and tourism, Mr Makyao now actively looks to inspire a new generation of entrepreneurs to continue the sustainable and responsible development of Tanzania.
Building Tanzania’s Telecommunications Powerhouse
Mr Makyao’s wealth comes from his pioneering work in developing Tanzania’s telecommunications infrastructure through Maktech, a company he founded in 2001.
Maktech builds the necessary infrastructure for mobile operators to work in East African markets, and work with the major players of the African telecommunications industry, including Vodacom TZ, Vodacom MZ, Vodacom DRC, Nokia, Airtel, Tigo, TTCL, Helios Towers, Huawei, ZTE, Ericson, Ceragon, Commscope, TMCEL and Halotel.
Maktech is a great Tanzanian entrepreneurial success story, particularly as the company was built with limited access to capital. Mr Makyao attributes the successful development of the company to proper planning and execution of a strategy to enter a completely underserved market in need of telecommunications infrastructure.
The company now intends to leverage off of the relationships built over the last eighteen years to expand into new markets, positioning itself as a driver of African development through ICT infrastructure roll-out. Mr Makyao explains “We have working relationships with Vodacom, Nokia, Airtel, Huawei, Ceragon; Tigo, ZTE, Helios Towers and Ericson. These big-name corporations see our collaboration as an opportunity to venture into more African markets.
“The work we do will lay the groundwork for these big players to come and invest. The last eighteen years have cemented our profile as a powerhouse in Tanzania. Seven years ago, we launched our Mozambique office, and we are now staring at Zambia, DRC, Ethiopia, Madagascar, and Botswana. Our aim is not solely to make money from the countries we expand into but to add to the culture. These countries will reap significant benefits if we facilitate the penetration of ICT much quicker.”
Unleashing Africa’s Entrepreneurial Potential
The rapid improvement in Africa’s digital infrastructure has opened up entrepreneurial opportunity across the continent. From smallholder farmers to emerging start-up hubs in Cape Town and Nairobi, every segment of African business has been positively impacted by the digital communications revolution.
In spite of this, developing successful entrepreneurs at scale remains the critical challenge for African economic growth.
Across the continent, the statistics show both how reliant African economies are on small and medium enterprises (SMEs) and the challenges that entrepreneurs face in developing job-creating businesses.
SMEs are estimated to be responsible for over 80% of employment in Africa. Small companies account for more than 60% of the continent’s business-to-business spending, and over 80% in Nigeria, Kenya, Tanzania, and Ethiopia.
However, many parts of the continent have the highest failure rates in the world for new businesses. 46% of new companies launched in Kenya and 71% of new companies launched in South Africa will have closed within their first year.
For those who do survive, scaling up is challenging. Only about 1% of micro-enterprises that have started with less than five employees have grown to employ ten people or more.
Access to capital is a significant challenge for African entrepreneurs and small business owners, with Africa’s SMEs facing a credit gap of $135 billion.
However, the challenges in developing successful homegrown African businesses go beyond access to capital, a point that Makyao is keen to stress to Tanzania’s emerging business owners.
Indeed, the development of Maktech from a position of limited start-up capital demonstrates that capital is only part of the winning formula for African business development. Despite initial challenges, Maktech grew from employing just four people in 2003 to over 180 in 2019.
Mr Makyao sees identifying opportunity within the many barriers to doing business in Africa as the key to entrepreneurial success, as he explained in an interview with AfricaLive; “Africa presents more opportunities than risks.
“If you consider that we still have hundreds of millions of people barely getting mobile services, then you can see the opportunity. The size of the potential African market, coupled with the saturation of markets across the globe, should have investors sold.
“The local entrepreneur must do proper research on what they want to do. If you ask a lot of budding entrepreneurs what they need to get started, they will mostly say capital.
“That’s not the best way to think about it because their main concern should be problem-solving.
“Before they start their venture, they must identify markets for their products. Success belongs to those who do proper research and have a solid business plan, not just to those who have the money. A lack of a problem-solving mentality encourages duplication of ideas. That’s how we end up with ten shops selling the same items on the same street.”
Inspiring growth in a new generation of African entrepreneurs is a central part of Maktech’s identity as it prepares for further growth in new African markets. In addition to working with network operators and telecommunications equipment vendors, Maktech is expanding into network operation centre management and ICT services for banks, airlines and security companies. The company intends to own its own Network Operations Centre and achieved an annual turnover of $24m by 2024.
The impact of developing digital infrastructure in Africa is significant. By some estimates, a 10% increase in broadband penetration in low- and middle-income countries can result in a 1.38% increase in economic growth. At Maktech, Mr Makyao’s vision is to both build the necessary digital infrastructure for growth and inspire a new generation of problem-solving African entrepreneurs ready to take advantage of the opportunities of a fully connected digital world.
A Call to Action to Grow East African Tourism
While telecommunications infrastructure roll-out has positively impacted upon all sectors of business in Africa, it is in the tourism sector that Mr Makyao has taken a hands-on approach to investment.
Following the successful development of Escarpment Luxury Lodge, further investment is on the horizon. Mr Makyao is actively looking for partners with the ability to develop similar luxury lodges that positively impact on conservation initiatives in East Africa.
The numbers show that investment in East African tourism remains an attractive proposition. Around 67 million tourists came to Africa in 2018, a record 7% increase from 63 million arrivals in 2017 and 58 million in 2016. There remains significant potential for growth in the Tanzanian market. While 1 million visitors came to Tanzania in 2018, South Africa and Morocco attracted over 11 million each.
The growth of Intra-African tourism also has Escarpment and the Tanzanian tourism industry preparing to receive growing numbers of visitors from within the continent.
Having built a strong brand with Escarpment, expansion is on the horizon for Mr Makyao’s tourism business. Investors will take confidence from government spending under the leadership of President Magufuli, as Tanzania invests heavily in the infrastructure required to accelerate the growth of its economy.
Tanzania’s Vision 2025 is focused on uplifting the country through building the necessary infrastructure and environment for industrialisation. The infrastructure spend has direct benefits for the tourism industry, and the Escarpment team intend to be fully ready before 2025 for anticipated growth opportunities.
“We are looking at 2024 as the year when we will have both the second and third lodge open.” says Mr Makyao.
“The second lodge should be up and running by 2021, and it will be located either in the Serengeti or in Zanzibar. Our brand is already well known, and we have distinguished ourselves quite well from the competition. The Serengeti is a favourite in terms of location because we want our guests to be able to view the famous wildebeest migration conveniently. Watching the spectacle is hard to do from our first lodge because of the distance.
“We want to develop our next two sites in line with our country’s vision 2025 goals. These goals are high on our President John Pombe Magufuli’s list of priorities.
“The construction of the $14.2 billion Standard Gauge Railway that connects Dar es Salaam to landlocked East African countries is just one of the projects that give us great encouragement. Investors in the tourism sector will benefit from the resuscitation of Air Tanzania, which has bought half a dozen new planes.
“The high-speed passenger train services will also help in delivering both domestic and international tourists to our exotic locations. Our president’s vision and willingness to pump money into infrastructure means we are well on our way to becoming a middle-income economy.”
Investors looking to engage with Godwin Makyao regarding opportunities in East Africa’s tourism industry and ICT in Africa, or those looking for further information on Maktech, are encouraged to reach out to Maktech Group Strategic Officer Robson Murigo via [email protected] or [email protected]
How To Select The Right Forex Broker
Content provided by CompareForexBrokers
In an industry that is quite competitive, there is always a question as to whether or not a customer has chosen the right product for themselves. This concern rings true with money Forex Traders.
The Forex Broker market is saturated with many different trading options; however, we have tried to come up with the most important metrics that should be considered when choosing which Forex Broker to leave your investment with. In all honesty, it could be the difference between maximising your investment and seeing your capital go down the drain.
Is your broker regulated?
One of the more integral features of a Forex Broker is their Security. Is the Broker regulated? The regulatory body in South Africa is known as the FSCA (Financial Services Conduct Authority). The FSCA is known as a Tier 1 regulator; is a broker has satisfied their requirements, as a trader you would feel comfortable to rely on their credibility.
How much do my trades really cost?
Another aspect of the Forex experience that determines what Broker a trader chooses is the costs involved with the brokerage account. No matter where a trader is looking, there are always commissions to be paid and spreads to be assessed. How much of a profit is a broker attempting to gain? Are majority of your wins, going straight to your bank account? This will also depend on the type of trader you are. If you are looking for tight spreads, you might choose to trade with a specific broker.
One of the more popular discussions when it comes to compare Forex Brokers centres around the trading platforms that brokers use, which brokers offer the most advanced platforms, the most popular, the more original platforms etc. One of the key assessment criteria is whether the platform is easy to understand, use and process trades through. Day traders might require features including Level 2 quotes as well as in depth market charts to assist with analysis. Whereas other platforms might require satisfaction of certain benchmarks to enable a trader to employ that particular platform. A good reference point is this list of forex trading platforms which is segregated by software and traders ability.
How important is customer service?
Another metric in determining the most optimal Forex Broker is assessing their customer service. Does a broker offer 24/7 phone and email access? The most successful Forex Brokers will do their utmost for their customers, including providing an expert account advisor to assist with making trades, maximising profits, and minimising risk throughout a traders FX portfolio. Some FX brokers also offer translation services. If you’re interested in seeing how the various brokers stack up to a customer service test, see here.
What does my broker offer?
Finally, before making your final choice on FX Broker – attention should be paid to the financial instruments offered by the various brokers. Some offer the basic currency pairings and not much else. For a trader looking to diversify their portfolio and manage risk in the most effective manner possible, choosing such a broker would not be the right decision. Brokers that offer commodities, agriculture instruments, metals, stocks, cryptocurrency, and futures would provide a trader with all the tools to ensure they achieve trading success.
Always remember that trading comes with risk and its important to manage such risks in an adequate manner. See here for more information on African brokers and what might suit your trading strategy.
South Africa’s MISSION HEALTH
“We didn’t’ see this coming”– Bill Gates in last year’s annual letter as Chairman of the Gates Foundation.
No, he wasn’t talking about COVID-19; Gates was referring to other surprise megatrends in global healthcare, one of the most complex, regulated and challenging sectors, which demands principled executives who can safely helm our Mission Health. Gates’ worthy list informs the 2020 edition of Executive Forecast’s South Africa report which covers a greater understanding of the true economic impact of health, redefines the catch-all term of “access,” and explores financing mechanisms, breakthrough technologies, and empowerment of the historically disadvantaged.
Mission Health highlights how we can work together to navigate the complexities in restoring investor confidence, attracting investment, and ultimately, achieving the “triple bottom line” in a South African context.
Strong Health, Stronger business
If we needed any greater evidence of the massive impact of health on the economy, witness the single biggest market decline since the Great Recession of 2008, sparked by the COVID-19 pandemic. But the impact can also go the other way: investing in health is always good business. South Africa’s business and government communities understand that you can’t invest in what you don’t plan for—and you won’t invest in what you don’t understand. Together, they’re driving planning and greater understanding through formal and informal channels.
“We are a proactive government and prioritize the people’s needs. We are creating platforms for the private sector to participate and invest in the country.”Thembi Siweya, Deputy Minister of the Planning Department.
“We have been pushing for investment and growth which is a critical issue in South Africa, as nothing happens without them,” says Cas Coovadia, Director of Business Unity South Africa (BUSA). “It is a matter of changing the narrative and it is in our hands to do this, government, business and labor together. We need leadership that understands our role in the global economy and what needs to be done to get our economy going.” Stavros Nicolaou, Chairman of Pharmisa, a South African industry trade-group stresses the importance of implementing structural reforms, and that the business community is fully behind President Ramaphosa’s drive to restore governance, liquidity, and sustainability in state-run enterprises.
Risenga Maluleke, Statistician-General and Head of Statistics South Africa, emphasizes the importance of knowing as much as possible about the population you’re planning for. “We collect data from households, from industry, from administrative records from schools, clinics and police. Statistics must be independent, facts can be stubborn!” Maluleke asserts. “There have been several initiatives championed by the President to encourage Foreign Direct Investment into the country,” says Thulisile Manzini, CEO of Brand South Africa. “These include the launch of the South African Investment Conference with a clear target of U$68 billion over 5 years. Of the inaugural U$17 billion investment, approximately U$14 billion worth of projects is in the implementation phase across different sectors. Last year’s SA Investment Conference also saw an investment commitment of U$21 billion pledges made from various investors.” Manzini also points towards a new “One Stop Shop” concept which removes red tape for investors by providing more coordinated, streamlined, and professional services to companies, bringing together special economic zones, provincial investment agencies, local authorities, and government departments. Talking about economic spillover, “there is a whole domino effect in coming up with innovative medicines and treating patients,” says Dr Konji Sebati, CEO of IPASA, the Innovative Pharmaceutical Association of South Africa. “We create a virtuous cycle of life. Few people are aware of the contribution that pharmaceutical companies make to human welfare. Not only do their medicines save lives, it improves health, and prolongs and enhances quality of life, but medicines also reduce overall healthcare costs.”
“FEW PEOPLE ARE AWARE OF THE CONTRIBUTION THAT PHARMACEUTICAL COMPANIES MAKE TO HUMAN WELFARE”DR KONJI SEBATI, CEO OF IPASA
Shifting disease maps
Africa has historically been the epicenter of a multitude of global health initiatives. Notably, the world’s largest publicly-funded antiretroviral (ARV) program, increasing life expectancy by over a decade, an unprecedented achievement that has led to unprecedented business opportunities. However, partly as a result of its successes, the disease profile of the continent has been shifting—and its healthcare system along with it. South Africa must continue to develop expertise in managing both communicable diseases and non-communicable diseases, whose treatments must coexist in a fragile balance. Through collaborative know-how and coordinated effort between public and private initiatives, people on both sides of the equation believe it’s possible to re-engineer the country’s healthcare system. The National Health Insurance (NHI), is a universal health coverage scheme being implemented over a 14-year period starting in 2012.
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