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Paul Lee hopes return could spark run for Hotshots

first_imgUK plans Brexit celebrations but warns businesses may suffer Don’t miss out on the latest news and information. It’s too early to present Duterte’s ‘legacy’ – Lacson Phivolcs records 2 ‘discrete weak ash explosions’ at Taal Volcano Steam emission over Taal’s main crater ‘steady’ for past 24 hours Carpio hits red carpet treatment for China Coast Guard PLAY LIST 02:14Carpio hits red carpet treatment for China Coast Guard02:56NCRPO pledges to donate P3.5 million to victims of Taal eruption00:56Heavy rain brings some relief in Australia02:37Calm moments allow Taal folks some respite03:23Negosyo sa Tagaytay City, bagsak sa pag-aalboroto ng Bulkang Taal01:13Christian Standhardinger wins PBA Best Player award “I wish that’s going to be the case. I hope that with me returning to the team, I could help the team go up,” he said. “We wish that this is the start of our ascent.”Sports Related Videospowered by AdSparcRead Next LATEST STORIES Nueva Ecija warehouse making fake cigarettes raided, 29 Chinese workers nabbed GALLERY: Barangay Ginebra back as PBA Governors’ Cup kingscenter_img Sacramento youngsters lead World past US in NBA Rising Stars game Photo by Tristan Tamayo/ INQUIRER.netPaul Lee’s return to the lineup couldn’t have come at a better time as Magnolia snapped its two-game skid with a 96-81 victory over GlobalPort on Friday.Returning from an ankle injury which forced him to miss the Hotshots’ last three games, Lee was as lethal as ever, firing 13 points, three rebounds, and three assists in his 23 minutes of play.ADVERTISEMENT Lights inside SMX hall flicker as Duterte rants vs Ayala, Pangilinan anew MOST READ Phivolcs records 2 ‘discrete weak ash explosions’ at Taal Volcano “At least, we were able to help the team. I’m so glad because after the two-game losing streak, we were able to bounce back. Although we didn’t had a good first half, we stayed together and found a way to get this win,” he said.Lee bared that he still feels a bit of pain on his ankle, but his eagerness to return to the court got the better of him which led to his solid showing against the Batang Pier.FEATURED STORIESSPORTSTim Cone, Ginebra set their sights on elusive All-Filipino crownSPORTSGinebra beats Meralco again to capture PBA Governors’ Cup titleSPORTSAfter winning title, time for LA Tenorio to give back to Batangas folk“Maybe it was the adrenaline that kicked in. I was gone for three games so I feel hyped to play. Now, I’m feeling the sting, but I think I can manage this going to our next game,” he said.The 29-year-old guard is keeping his hopes up that he’ll be 100-percent come Magnolia’s game against Meralco on Saturday in Cagayan de Oro as he sees his team’s full-health as a promising sign for the team. Sea turtle trapped in net freed in Legazpi City View commentslast_img read more

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European Bank Approves US$27.3M to Upgrade RIA

first_imgUrgently needed work to upgrade the runway and address safety at Liberia’s main airport will be backed by Europe’s loan of US$27.3 million through its long-term lending institution, the European Investment Bank (EIB), following an agreement signed in Washington D.C. on Monday, October 13.Amara M. Konneh, the Liberian Minister for Finance and Development Planning, said “The European Investment Bank had always been a true partner to the people of Liberia. The airport rehabilitation project is another clear manifestation of that partnership.”The twenty year loan, worth  US$27.3 million (EUR 19.6 million) for Roberts International Airport was formally agreed on the sidelines of the World Bank-IMF meetings in Washington at a ceremony attended by Amara M. Konneh, Finance Minister of the Republic of Liberia and Executive Governor of the Central Bank of Liberia (CBL) Dr. J. Mills Jones.The occasion also allowed detailed discussion of issues of pressing concern in Liberia, the government’s economic recovery plan and EIB’s engagement in West Africa.“The European Investment Bank stands side by side with Liberia at this time of need. We will continue our engagement with Liberian officials, partner institutions and European Union Delegations in the region and will ensure that any support we can provide will be of best use. Upgrading Monrovia’s airport is essential for Liberia and we are pleased to share experience from similar projects elsewhere in Africa.” said Pim van Ballekom, European Investment Bank Vice President.This is the first European Investment Bank operation with the Liberian Airports Authority and follows recent support for improving electricity generation in Liberia through backing for rehabilitation of the Mount Coffee Hydropower Plant.The runway work will also include improvements to runway drainage and runway lighting.  When completed, it will allow Robert International Airport to comply with international civil aviation standards. The project is being co-financed with the Saudi Fund for Development and the Arab Bank for Economic Development in Africa.The European Investment Bank has experience supporting airport investment around the world and has provided EUR 12.5 billion for new airports and airport upgrading in the last decade. This has included runway improvements in Maputo, upgrading regional airports in Tanzania, air traffic control in Madagascar and West Africa, as well as Heathrow Terminal 5, Amsterdam Schiphol, Frankfurt and Paris airports. The European Investment Bank (EIB) is the long-term lending institution of the European Union, owned by its Member States. It makes long-term finance available for sound investment in order to contribute towards EU policy goals.Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window)last_img read more

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Ghana to shut down FA after graft claims

first_img0Shares0000Ghana Football Association head Kwesi Nyantakyi is shown proposing that journalists posing as investors pay him $11 million to help grease the palms of key government officials © AFP / CARL DE SOUZAACCRA, Ghana, Jun 7 – Ghana on Thursday said it would dissolve the country’s football association after explosive revelations of bribe-taking by referees and kickbacks to top officials that have shocked the football-mad nation.Information minister Mustapha Abdul-Hamid said the government had “decided to take immediate steps to have the GFA (Ghana Football Association) dissolved” because of the “widespread nature of the apparent rot”. The GFA had earlier pledged to tackle corruption in the wake of a long-awaited undercover documentary unveiled in Accra on Wednesday night, just over a week before the start of the World Cup finals.Hidden camera footage purportedly showed referees taking as little as $100 (85 euros) each to rig matches.It further alleged that GFA President Kwesi Nyantakyi — a senior member of world governing body FIFA and the Confederation of African Football (CAF) — requested $11 million from reporters posing as investors to secure government contracts.He also allegedly tried to profit personally from a $5 million-a-year, five-year sponsorship deal with the GFA in what the expose said was a “clear breach” of ethics.The information minister said the government, which has pledged to cut corruption in the country, was “shocked and outraged” at the claims.The documentary “exposes gross malfunctioning of the Ghana Football Association characterised by widespread fraud, corruption and bribery”, he said in a statement.The conduct of all GFA officials and the suspended director-general of the National Sports Authority, Robert Sarfo Mensah, was referred to police for further investigation and any “appropriate action”, he added.Provisional measures will be put in place to run the sport in Ghana until a new body is formed. CAF and FIFA will be kept informed, he said.“Government will see to it that the necessary reforms are urgently undertaken to sanitise football administration in the country,” the minister stated.– ‘No cover-up’ –The GFA said it had not seen the documentary, which has sparked concerns about media freedom in Ghana after the journalist responsible received death threats.But it said in a statement: “We view the allegations circulating in the media very seriously and would wish to take immediate steps to address them.”It added: “The GFA wishes to place on record that, there will be no attempt of a cover-up or shield any of our members caught in alleged acts of corruption.“The GFA wishes to assure all that as an institution it does not condone any manner of corrupt practices.”The governing body said it had previously acted swiftly against claims of match-fixing.In 2014, Britain’s Channel 4 television and the Daily Telegraph newspaper claimed Nyantakyi agreed a $170,000-deal for Ghana’s national side to play in a friendly organised by match fixers.Nyantakyi denied signing any contract.– ‘Wake-up call’ –Ghana’s senior men’s team, the Black Stars, have not qualified for the World Cup finals in Russia, which include two teams from West Africa; Nigeria and Senegal.At the last tournament in Brazil in 2014, Ghana’s previous government chartered a plane to send more than $3 million in cash to players in a row over appearance fees.That decision caused a scandal back home as the country struggled with spiralling inflation, a yawning budget deficit and depreciating currency.Diplomats, lawmakers, government ministers and members of the public packed a conference centre in Accra to watch the first screening of the two-hour documentary on Wednesday.Football fan Simon Gyamfi said afterwards it was a “wake-up call” for the national game, adding: “I hope it will lead to a total clean-up in Ghanaian football.“There is so much corruption in the system… The entire Ghana FA executive must be scrapped. What we have just seen is a total disgrace to the beautiful game.”The documentary is the work of secretive investigative journalist Anas Aremeyaw Anas, who has previously exposed graft in the judiciary.After watching an advance private screening, President Nana Akufo-Addo complained to police that Nyantakyi had “used the president’s name and office fraudulently”.Nyantakyi was then questioned and released pending further investigation.A lawmaker from Akufo-Addo’s ruling New Patriotic Party has since accused Anas of being corrupt and insinuated he should be killed and his colleagues beaten up.0Shares0000(Visited 1 times, 1 visits today)last_img read more

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EXCLUSIVE interview: Tony Adams on ‘lack of class’ at Arsenal, Wenger and more

first_imgArsenal legend Tony Adams was a special guest on the Alan Brazil Sports Breakfast on Friday.In a wide-ranging interview, he spoke of his disappointment at being overlooked for a job at the north London club under Arsene Wenger.Tony Adams tells talkSPORT: Arsenal won’t win title and could end up MID-TABLE if they lose Alexis Sanchez and Mesut OziPlus, he discussed Wenger’s managerial skills, gave his thoughts on the Frenchman’s new contract and reflected on the struggles he has faced in his life and career.Listen to the full talkSPORT interview with Tony Adams abovelast_img read more

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Have Man United progressed under Mourinho or should they have just kept LVG?

first_img Jose Mourinho Transfer Record at Manchester United TOTAL SPENT: £388.89 millionTOTAL OUTGOINGS: £73.81 millionTOTAL NET – £315.08 million “Enjoy the wine, have a mince pie. Bye bye.” The extraordinary end to Louis van Gaal’s press conference #SSNHQ— Sky Sports News (@SkySportsNews) December 23, 2015Collapsing on the edge of his technical area also won him no favours, with many seeing it as an example of yet more erratic behaviour of a man on the edge.However, there was little to no discontent within the squad during his reign and his eagerness to promote from the youth teams won him at least a few supporters.Marcus Rashford, Jesse Lingard, Andreas Pereira and Timothy Fosu-Mensah were all given debuts by van Gaal and looked set to uphold the United tradition of promoting from within.ConclusionWhile United fans will argue they should have achieved more under Mourinho given the money he has spent and the players he has brought in, the club has quite clearly progressed.However, Mourinho’s reckless and surly approach this season suggests it may not be too long until his traditional implosion occurs and he finds himself unemployed yet again. Meant to bring United greatness, van Gaal’s signing proved to be costly and ineffective Mourinho’s Premier League record at Man United Mourinho has built a team at Old Trafford to keep the ball, but converting chances remains a problem.Coupled with the defensive blunders made by defenders he feels are not equipped to compete at the top level, United are struggling to control games in the way their Portuguese boss wants.TransfersWhen Ferguson left in 2013, he somehow managed to win the Premier League with a squad containing Rio Ferdinand, Patrice Evra, Nemanja Vidic and Ryan Giggs – players who should have been replaced to keep United fresh for their title defence.However, David Moyes stuck with the old guard and it ultimately cost him his job as United stagnated.The rebuilding job under Louis van Gaal began spectacularly with Daley Blind, Radamel Falcao, Memphis Depay leading the way. The British transfer record was broken to bring Angel Di Maria to Old Trafford fresh from his Champions League-winning heroics with Real Madrid. However, owing to the aforementioned pragmatic style, United’s new signings failed to click – a feature which was to become all too common under the Dutchman.In total, he spent £258.5million on new players in his two years at Old Trafford, with many players no longer at the club.In the Dutchman’s defence, his net spend was ‘only’ £129million, but £44million of that came from selling Angle Di Maria to Paris Saint Germain after one season.The transfer policy under successor Mourinho has been far more aggressive but with equally unsuccessful results. As bullish as ever, the former Chelsea boss told reporters ‘I want it all’ with a gleam in his eye which suggested ‘The Special One’ was finally back on top.However, fast forward to the present day and this could not be further from the truth.Mourinho seems completely lost in Manchester – overwhelmed by the growing pressure and constantly trying to put out fires within the club.Rumours of a rift with Paul Pogba and a lack of communication over spending with vice-chairman Ed Woodward have only served to further embarrass United fans.With Zinedine Zidane and Antonio Conte reportedly in the frame to replace him already, the Mourinho-era at Old Trafford seems almost certain to end prematurely. Relations in and out of the clubTo say Mourinho is burning bridges would be an understatement, the Portuguese seems to be lapsing during his third season in charge as he has so often done in the past.In both spells with Chelsea, Mourinho was sacked shortly after the beginning of his third season after relationships with players disintegrated and results began to subsequently suffer.The start of his third season at Old Trafford has seen Anthony Martial fined for attending the birth of his daughter, a protest banner is scheduled to fly over Old Trafford against Burnley and his general demeanour in press conferences and on the touchline suggest the end could be nigh. van Gaal’s infamous dossier proving he was not a long-ball merchant essentially signalled the beginning of the end for the Dutchman Under Mourinho, fans have clamoured for a more attack-minded approach more reminiscent of the Ferguson era.However, the pragmatic Mourinho has continually opted for a controlled style of football more likely to be seen in Serie A.In United’s most recent defeat to Brighton, the Red Devils made 572 passes in the game – with 408 of them being played forward.However, they only managed seven inside the Seagulls penalty box. Matches – 78Wins – 44Draws – 21Losses – 13Goals scored – 126Against – 61Win ratio – 56% 10 10 To give Mourinho credit, he has improved United’s league form during his reign – finishing with 69 points in 2017, and then 81 the following season.In fact, had local rivals City not enjoyed such an incredible record-breaking season, United surely would have been in with a much closer shout of winning the title. In the Premier League however, it is Mourinho who comes out on top in the head-to-head-comparison.Having been in charge for two games longer, the current Manchester United manager has a 56% win ratio, 5% better than his predecessor. Jose Mourinho is enduring his worst spell as Manchester United manager since being appointed two years ago.When the Portuguese arrived at Old Trafford in May 2016, just four days after the club had won the FA Cup, he promised to make supporters forget the hurt of the previous three years under David Moyes and Louis van Gaal. Matches – 76Wins – 39Draws – 19Losses – 18Goals Scored – 111Against – 72Win ratio – 51% Style of playOne of the biggest gripes about Manchester United under Louis van Gaal was the supposedly boring style of play, something the former Ajax boss was always quick to refute.When former West Ham United boss Sam Allardyce accused the former Barcelona manager of playing ‘long-ball football’, van Gaal took the bizarre approach to producing a dossier at a press conference which suggested otherwise.However, in his final season in charge, United failed to score more than 50 Premier League goals in a season for the first time in history – further strengthening claims the Red Devils had become too boring. 10 10 10 10 Despite bringing in Eric Bailly and Victor Lindelof, the Portuguese still clamoured for a marquee centre-back signing, with Harry Maguire and Toby Alderweireld both being linked to the club.After spending over a quarter of a billion pounds on his squad, Mourinho is still not happy and you only have to look at United’s biggest rivals to see why.Since the summer of 2016, Liverpool have a net spend of £141.06million after splashing £387.12million on new players but got to the Champions League final and have signed the Premier League’s top scorer.Similarly, City have spent an incredible £543.17million to leave them with a net spend of £398.71million. But that resulted in them finishing 19 points ahead of United last season in the league, smashing several Premier League records on their way. Manchester United’s pass map against Brighton on Sunday (Image and information courtesy of Van Gaal deserved to lose his job, but he proved there is a huge amount of rebuilding left at Manchester United 10 United fell short against Chelsea during last season’s FA Cup final The mood around Manchester United right now is toxic Under van Gaal, United were certainly not in as much disarray, but the Dutchman was a PR disaster at times.His failure to communicate properly with the media, bizarrely storming out of a Christmas press conference early and offering wine and mince pies to astounded journalists. Van Gaal’s only saving grace came in the form of the 2016 FA Cup – United’s first piece of major silverware since the final Premier League title won under Sir Alex Ferguson’s tutelage.But Mourinho won the EFL Cup and Europa League trophy in his first season at the club, and took United to the FA Cup Final last season where they were narrowly beaten by Chelsea. United’s worst Premier League finishes in history City crushed everyone in the way of the Premier League title Van Gaal was sacked by the Red Devils just two days after winning the FA Cup Final 10 All this furore begs the question; Would Manchester United be have been better off keeping predecessor Louis van Gaal?With both men having almost identical tenures in charge, there is no better time to compare the two to determine whether or not the club has progressed since sacking the Dutchman.Success on the pitchHaving left the Netherlands job after the 2014 World Cup for United, LVG promised ‘to make history’ and, in his defence, he wasn’t wrong.In Manchester United’s Premier League history, two of the club’s worst domestic seasons came under van Gaal’s reign, with the other being the disastrous debut season of David Moyes. Gone is the charismatic and cocky boss who masterminded Inter Milan, Chelsea and Porto Van Gaal Premier League record 10 10 Van Gaal never really got to grip with the Premier League or the English press but there was a clear sense he wanted to try to at least please the fans – his teams just lacked the cutting edge required.While it would have interesting to see him given another season in charge, perhaps with the sort of financial backing given to Mourinho, the 67-year-old ultimately deserved to lose his job.But, as his predecessor is finding out, rebuilding Manchester United in a post-Sir Alex era will not be an easy feat.last_img read more

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Finance manager dodges jail time as it would disrupt plans of billion-Euro Donegal wind farm

first_imgIn Oxford, Deputy Circuit Judge Patrick Eccles (pictured above) delivered a suspended sentence to English finance manager Michael Chase-Sarver for perverting the course of justice after dodging a speeding fine by deceiving authorities.Chase-Sarver and business partner Noel Shortt have plans to open a billion-Euro wind farm in Carrickaduff which could potentially create 300 jobs by December 2017.Despite Judge Eccles’ belief that Chase-Sarver deserves to spend time behind bars, he delivered a suspended sentence as he did not want to jeopardize the opening of the wind farm as it would ruin job prospects for 300 ‘honest’ workers. Chase-Sarver repainted his car after being caught speeding, asking mechanics to backdate the job to seem as though it had always been that colour and then claimed that someone else had been using his number plate fraudulently.‘This is Oxfordshire’ reported that although Judge Eccles believes he ‘deserved’ to go to jail, he spared him the time behind bars following evidence given from Irish engineer and property developer Noel Shortt that Chase-Sarver’s stint in jail would ‘sink’ their plans for a billion-euro 35,000 acre wind farm in Donegal which will create 300 jobs.The 35,000 acre site was bought from more than 100 individual farmers.The business men hope to have the wind farm running by December 2017 at the latest in order to cash in on a government subsidy, meaning turbines would have to be ordered this November. Judge Eccles, clearly displeased by Chase-Sarver’s actions, called him “unbelievably dishonest”, however added that he could not “allow an honest man’s life and 300 potential jobs be ruined by his actions.”A Facebook page which is supported by over 1,000 people was made by concerned locals in Donegal who opposed the plans for the wind farm. They are  investigating the impact a wind farm may have on the local community from Castlefin, through the Finn Valley, Mourne Derg and on to Barnesmore Gap.Chase-Sarver was sentenced to a four month stint behind bars, along with a two year suspended sentence. A curfew was also imposed upon him, meaning he will have to be at his home between the hours of 6pm and 6am every day.Finance manager dodges jail time as it would disrupt plans of billion-Euro Donegal wind farm was last modified: September 24th, 2016 by Elaine McCalligShare this:Click to share on Facebook (Opens in new window)Click to share on Twitter (Opens in new window)Click to share on LinkedIn (Opens in new window)Click to share on Reddit (Opens in new window)Click to share on Pocket (Opens in new window)Click to share on Telegram (Opens in new window)Click to share on WhatsApp (Opens in new window)Click to share on Skype (Opens in new window)Click to print (Opens in new window)last_img read more

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Uganda throw away 15-point lead to loose opening game at the Afro Basket

first_imgAngola’s Amando Costa was pivotal as his country got off to a winning start against Uganda. Courtesy photo.Uganda Men’s Basketball team the Silver Backs lost their opening group game at the ongoing 2017 Afro Basket championships in Senegal and Tunisia after a second half of nearly a no show.Having led by as many as 15 points in the first half they gave away 55 points in the second as record African champions Angola eventually won it in 94-89 in over time.Robert Opong was the first man on the score board converting his first of a game high 23 points on the night by sinking one of two free throws after being fouled by Angola’s Felizardo Ambrosio in the first minute.Uganda took the first quarter 22-10 with wounderful perfomances from the likes of A’Darius Pegues, Stanley Ociti and Stephen Omonyi.In the second quarter, Angola dominated possession but Uganda grabbing the all important points as it finished 22-19 in favour of the Silver Backs to ensure they (Uganda) went into the first half leading 44-29.With the Ugandan bench proving ineffective, Angola took the initiative in the third quarter, registering six points before Uganda could answer. By the end of the quarter, Uganda’s lead had been reduced to only seven points.In the fourth, Angola went into the lead for the first time since leading 2-1 in the first quarter when Reggie Moore who managed only nine points on the night shot outside the D for his only 3 pointer on the night as the 2015 loosing finalists led 70-69 with just over six minutes to play.The lead changed hands four times in the last five minutes as the game ended 84-84 to enuser the first over time of the championships.In overtime, only Stephen Omony and Robert Opong got onto the score sheet for the silver backs who managed only five points to Angola’s 10 meaning that the 11 time African champions won 94-89.In the other results so far, follow group mates Morocco beat up on CAR 76-66 with Guinea loosing 55-75 to Rwanda, Tunisia winning 68-51 aganist Cameroon, Senegal thrashing South Africa 83-44 and defending champions Nigeria Ivory Coast’s late serge to win 78-77.Today, action returns as Uganda takes on CAR at 7pm Ugandan time.Uganda’s starting five.•Jimmy Enabu•Robert Opong•Stephen Omony•Stanley Ociti•A’Darius PeguesBench• Jonathan Egau• Samuel Kalwanyi• Syrus Kiviiri• Ben Komakech• Jonah Kermu Otim• Joseph IkonAfro Basket 2017Tunisia and SenegalUganda 89-94 AngolaMarius Ndiaye Stadium, DakarCommentslast_img read more

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Buncrana ‘pools together’ for colourful St Patrick Day parade – Pic special

first_img Buncrana ‘pools together’ for colourful St Patrick Day parade – Pic special was last modified: March 19th, 2019 by StephenShare this:Click to share on Facebook (Opens in new window)Click to share on Twitter (Opens in new window)Click to share on LinkedIn (Opens in new window)Click to share on Reddit (Opens in new window)Click to share on Pocket (Opens in new window)Click to share on Telegram (Opens in new window)Click to share on WhatsApp (Opens in new window)Click to share on Skype (Opens in new window)Click to print (Opens in new window) Some residents in Buncrana used its St Patrick’s Day parade to send out a message that the townspeople want their swimming pool open again.The float was one of several colourful attractions for what proved to be a great parade for the Inishowen town.Joe Boland of Northwest Newspix was on hand to catch all the action.last_img read more

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Latest: Chelsea 1 Galatasaray 0 (Agg: 2-1) – Eto’o strikes at the Bridge

first_imgChelsea took a step towards the Champions League quarter-finals as Samuel Eto’o gave them an early second-leg lead.Galatasaray’s former Chelsea star Didier Drogba was given a predictably warm reception on his return to Stamford Bridge, where the home side went ahead after only four minutes.Oscar linked up well with Eden Hazard to create the opening for Eto’o and the striker’s hurried shot crept under the body of keeper Fernando Muslera, who perhaps should have done better.And after more nice interplay involving Hazard and Oscar, Frank Lampard sent an effort over the bar.Chelsea: Cech; Ivanovic, Cahill, Terry, Azpilicueta; Ramires, Lampard; Willian, Oscar, Hazard; Eto’o Subs: Schwarzer, Kalas, David Luiz, Mikel, Schurrle, Ba, Torres.Follow West London Sport on TwitterFind us on Facebooklast_img read more

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Malawi health workers help fill gap

first_imgCommunity treatment schemes, run by health assistants, are helping manage child malnutrition in Malawi, and reduce the need for hospitalisation. (Image: Cindy House blog) MEDIA CONTACTS • College of Medicine University of Malawi +265 1 871 911RELATED ARTICLES • African path labs under the spotlight • Malawi: Africa’s warm heart • Scientist abuzz over mosquito • School to empower Malawian girlsThe scope of Malawi’s health assistants is being broadened to help treat child malnutrition and compensate for a lack of medical skills in the country.Rudi Thetard of Management Sciences for Health – an NGO working to strengthen public healthcare across the world – says that since 2008, about 1 000 health surveillance assistants (HSAs) had completed the several-week-long training course.After an additional six days of training on top of their basic module, many were conducting “village clinics”, enabling more communities to access treatment for malaria, fever, pneumonia and diarrhoea. Access to treatment is up by a quarter in the areas in which the assistants were deployed, he said.The World Health Organisation (WHO) estimates there are about two doctors and 59 nurses for every 100 000 people in Malawi. In 2006 the vacancy rate for nurses stood at about 65%.It is also estimated that about 59% of Malawi-born physicians are practising outside the country.Donors contribute about 60% of the country’s total health expenditure, according to the WHO.After basic training, the low-skilled health practitioners initially work with clinical officers – medical personnel who have completed a three-year course – who are used as substitutes for physicians.The idea of using health assistants in Malawi first came about in the 1960s as a way to help eradicate smallpox.Simple approachesHSAs with additional training travel to remote and isolated communities by bicycle, providing medical services that were previously unavailable.“Simple approaches allow for the expansion of services. Even Malawi’s scale-up of antiretrovirals, which has been very successful, is based on very simple approaches and standard treatment regimens,” Thetard said.About 11.9% of Malawians aged 15 to 49 are HIV-positive.Thetard added some medicines, especially anti-malarials, were being overused and this could be corrected by equipping HSAs with on-site diagnostic tools, such as rapid malaria testing.Learning from the severe droughts of the late 1990s, where community management of acute malnutrition was first employed, HSAs were now playing a crucial role in treating this among children, Thetard said. Seasonal or cyclical hunger means about 47% of Malawian children are classified as stunted, he added.Nowadays a nurse or clinical officer determines the severity of a child’s condition and whether the case merits hospitalisation or management by HSAs at their homes.Relying less on clinicsUntil recently children requiring nutritional rehabilitation were routinely admitted to hospital for up to three weeks, removing them from the home environment, and burdening poor families with additional transport costs to visit their children.Thetard said the drought experience had shown that as many as 80% of acutely malnourished children can be treated as outpatients and that through the establishment of community nutritional services, almost double the number of paediatric malnutrition cases can be identified.“In child survival this kind of simplicity is so important, and moving away from a heavily clinic-based approach is possible,” Thetard said.Source: Irin Newslast_img read more

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