我刚刚结束了为期五天的埃塞俄比亚和尼日利亚之行。这是那种既令人疲惫又让人充满活力的旅行。虽然我一直与这两个国家的许多合作伙伴保持联系——盖茨基金会已经资助这两国的工作超过15年了——但亲自到访,看到实际的工作进展,总是别有一番感触。
每次我从这样的旅行中回到家,朋友们都会好奇地询问情况如何。以下是我告诉他们的内容。从2000年到2019年左右,埃塞俄比亚和尼日利亚在卫生和减贫方面取得了显著进展,推动了整个撒哈拉以南非洲的进步。然而,新冠疫情、极端天气以及政治和经济的不稳定让这两个国家及非洲大陆的大部分地区遭受了挫折。但正如我在这次旅途中所见,两国正在开展的出色工作让我对它们以及整个非洲的未来充满信心。
我想分享几张这周的照片。感谢所有与我分享时间和见解的人,包括埃塞俄比亚总理艾哈迈德、尼日利亚卫生部长穆罕默德·阿里·帕特(Muhammad Ali Pate),以及此次同行的特别嘉宾——杰出的音乐家乔恩·巴蒂斯特(Jon Batiste)。未来,基金会将与非洲的合作伙伴展开更多合作。根据我本周的见闻,我相信下次访问将同样鼓舞人心。
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我于周日抵达亚的斯亚贝巴,周一上午,我与艾哈迈德总理一起坐了两个小时的车,前往奥罗米亚地区的一个小麦农场群参观。在路上,我们讨论了很多不同的话题,包括医疗保健和经济。但我们可能花了最多时间讨论的是该国在农业方面的惊人进展,总理特别自豪地谈到一个重大成就:埃塞俄比亚不再需要进口小麦,它已经能够自给自足。
我们参观的农场群就是一个很好的例子。三年前,这些土地还没有被耕种。如今,那里有近2400名农民在耕种近10万英亩的小麦,他们正在使用创新的方法来充分利用土地。他们还引进了抗病和耐极端天气的新型小麦品种,同时建立了预警系统,能够在作物病害大面积扩散之前发现并加以遏制。
由于在全国范围内推行这些改革,埃塞俄比亚农民现在每公顷的小麦产量比15年前提高了70%——这是一项非凡的成就,基金会为能够支持这一成就而感到自豪。
在返回亚的斯亚贝巴的路上,我们在一个由奥罗米亚政府建立的家禽养殖场停留了一下,该养殖场旨在帮助年轻人进入家禽行业。他们在这里工作两到三年,获得薪水和一些启动资金,然后开始自己的农业创业。那里非常嘈杂——农场里有2万只鸡!但能见到一些有抱负的农民和有远大梦想的商人,真的令人感到兴奋。
参观完家禽养殖场后,我与总理及另外三位政府领导共进了午餐:卫生部长梅克德斯·达巴(Mekdes Daba)博士、奥罗米亚地区主席西梅尔利斯·阿卜迪莎(Shimelis Abdisa),以及奥罗米亚卫生局局长门格斯图·贝克勒(Mengistu Bekele)博士。我们讨论了过去几年面临的重大挑战,包括新冠疫情和区域冲突,以及政府如何运用循证策略来克服这些挑战,并在消灭脊髓灰质炎、营养和疫苗接种等问题上取得进展。
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从埃塞俄比亚,我前往了尼日利亚。除了与总统蒂努布进行了一次愉快的电话交流外,我还亲自会见了尼日利亚的卫生部长穆罕默德·帕特以及州领导人。我们讨论了该国为改善初级卫生保健系统所做的努力,包括制定一个切合实际、资金充足的计划的必要性,以及使用数据衡量进展的重要性。
医疗保健也是我在国家经济委员会上对全国各州州长和内阁部长讲话中的重点之一,我强调要抓住机会,加强阻止疫苗衍生脊髓灰质炎在尼日利亚爆发的努力。
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我在尼日利亚的大部分时间都聚焦于一个政府和盖茨基金会都高度重视的问题:营养不良。撒哈拉以南非洲地区约有40%的人营养不良,这意味着数百万儿童的身心无法得到充分发育。然而,有许多创新能够带来改变,而尼日利亚正在引领这一进程。
我参加了一个名为Nutrivision的活动,该活动汇集了200名致力于其中一些创新的学生。ONE全球首席执行官恩迪迪·奥康库·努涅利(Ndidi Okonkwo Nwuneli)主持了一场精彩的问答环节——听年轻人分享他们的想法和工作总是很有趣。
在Nutrivision活动上,我很高兴见到了托拉尼·塔约·奥西科亚(Tolani Tayo-Osikoya),即尼日利亚网红、美食博主Chef T。Chef T拥有超过100万粉丝,她宣传良好的营养观念(还有一些出色的烹饪技巧)。我很钦佩她对食品安全的深入思考,以及她对投资创新解决方案的关注,以确保全国各地的儿童都能有一个健康的人生开端。
最后,我非常高兴这次旅行有乔恩·巴蒂斯特的陪伴。乔恩不仅是一位才华横溢的音乐家,还是全球抗击饥饿和营养不良的积极倡导者,他这次同行是为了更深入了解这些工作。与他相识让我对本月晚些时候的基金会目标守卫者大会更加期待,乔恩将在会上表演。纽约见,乔恩!
Highlights of my trip to Nigeria and Ethiopia
I’ve just wrapped up a busy five-day trip to Ethiopia and Nigeria. It’s the kind of trip that’s both tiring and energizing at the same time. Even though I stay in touch with a lot of partners in both countries—the Gates Foundation has been funding work in them for more than 15 years—there’s nothing quite like visiting to see the work in action.
Whenever I get home from a trip like this, friends are curious to hear how it went. Here’s what I’m telling them. From 2000 to 2019 or so, Ethiopia and Nigeria led the way on dramatic improvements in health and poverty that rippled across Sub-Saharan Africa. Since then, the pandemic, extreme weather, and political and economic instability have set both countries back, along with much of the rest of the continent. But as I saw on this trip, there’s great work going on in both places that makes me optimistic about their future, and Africa’s.
I want to share a few photos from the week. Thanks to everyone who shared their time and insights with me, including Prime Minister Ahmed of Ethiopia, Nigerian Health Minister Muhammad Ali Pate, and a special guest who came along for the trip: the amazing musician Jon Batiste. The foundation will be working with African partners even more in the future, and based on what I saw this week, my next visit will be just as inspiring.
I arrived in Addis Ababa on Sunday, and on Monday morning, I took a two-hour car ride with Prime Minister Ahmed to visit a cluster of wheat farms in Oromia region. On the way, we talked about a lot of different topics, including health care and the economy. But we probably spent the most time discussing the country’s amazing gains in agriculture, and the prime minister spoke with particular pride about one big accomplishment: Ethiopia no longer needs to import any wheat. It grows all its own.
The farm cluster we visited is a great example of how they’re doing it. Three years ago, the fields there weren’t farmed at all. Today, nearly 2,400 farmers there are working almost 100,000 acres of wheat, and they’re using innovative approaches to get the most out of the land. Among other things, they’ve adopted new varieties of wheat that resist disease and tolerate extreme weather. They’ve also created early warning systems that can detect and stop crop diseases before they spread too widely.
As a result of these reforms across the country, the average Ethiopian farmer now gets 70 percent more wheat per hectare than they did 15 years ago—a fantastic accomplishment that the foundation has been proud to support.
On the way back to Addis, we stopped at a poultry farm established by the Oromia government to help young people enter the poultry industry. They work there for two or three years, earn a salary and some start-up money, and then go off to start their own agriculture businesses. It was a noisy place—the farm has 20,000 chickens! But it was exciting to meet some aspiring farmers and businesspeople with big dreams.
After the poultry visit, I got to have lunch with the Prime Minister and three other government leaders: Dr. Mekdes Daba, the minister of health; Shimelis Abdisa, the President of Oromia region; and Dr. Mengistu Bekele, the head of the health bureau in Oromia. We discussed the major challenges of the past few years—including COVID and regional conflict—and how the government is using evidence-based strategies to overcome those challenges and make progress on polio, nutrition, immunization, and other issues.
From Ethiopia, I headed to Nigeria. In addition to having a great phone call with President Tinubu, I had a chance to meet in person with Nigeria's health minister, Muhammed Pate, and state leaders. We discussed the country's efforts to improve its primary healthcare systems—including the need for a realistic, well funded plan and the importance of using data to measure progress.
Healthcare was also a key focus of my remarks to the nation’s governors and cabinet ministers at the National Economic Council, where I emphasized the opportunity to improve efforts to stop vaccine-derived polio outbreaks in Nigeria.
Much of my time in Nigeria was focused on something that’s a priority for both the government and the Gates Foundation: malnutrition. About 40 percent of the people in Sub-Saharan Africa are undernourished, which translates into millions of kids who don’t get to fully develop physically or mentally. But there are a lot of innovations that can make a difference, and Nigeria is helping lead the way.
I joined an event called Nutrivision, which brought together 200 students working on some of those innovations. Ndidi Okonkwo Nwuneli, the Global CEO of ONE, moderated a great Q&A—it’s always fun to hear what young people are thinking about and working on.
At Nutrivision, I had a blast meeting Tolani Tayo-Osikoya, better known as the Nigerian influencer and blogger Chef T. With more than 1 million followers, Chef T is spreading the word about good nutrition (along with great cooking tips). I admire the way she thinks about food security and the need to invest in innovative solutions so children across the country can have a healthy start in life.
Finally, I loved having Jon Batiste along for this trip. Jon is not only a brilliant musician, he’s also a great advocate for fighting hunger and malnutrition around the world and wanted to join so he could learn more about the work. Getting to know him made me even more enthusiastic about the foundation’s Goalkeepers meeting later this month, where Jon will be performing. See you in New York, Jon!