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We will be publishing our study soon along with over 20 other studies from the World Bank exploring the link between forced migration and social cohesion.

The continent averages less than one intensive care bed and one ventilator per 100,000 people, Reuters found.

Donations have poured in from a foundation set up by Chinese billionaire Jack Ma, and the World Bank is helping procure more than $1 billion worth of equipment for Africa.

even in a best-case scenario, Africa could need at least 111,000 more intensive care beds and ventilators - more than 10 times the number it has at present.

Tanzania, publicly criticised by the WHO for not restricting large gatherings, has sometimes gone for days without updating its coronavirus figures and has refused to tell donors anything about its public health resources

In Madagascar, where the president is pushing a botanically-based remedy untested in an international clinical trial, the health ministry took five weeks to respond to Reuters questions about the number of ventilators in the country.

The WHO does not have the funds to carry out detailed surveys on a regular basis, Yao said. "Information is critical for us to better help," he told Reuters. "It's difficult to anticipate their overall needs if you don't have accurate information."

around 685 tests have been carried out per million people - far below the 37,000 per million in Italy or 22,000 in the United States.

South Africa accounts for 30% of Africa’s tests, although it has less than 5% of the population. Nigeria, which has 15% of the population, has carried out just 2% of testing; it began by testing strategically then broadened it out, Health Minister Osagie Ehanire said. Chad and Burundi have carried out fewer than 500 tests each. Chad said it didn’t have enough testing kits and staff after many of them had fallen ill; Burundi did not respond. Tanzania carried out 652 tests and identified 480 cases.

the World Bank is helping more than 30 African nations source medical supplies. South Sudan recently received a donation of five ventilators, bringing its total to nine. But the new ventilators have yet to be plugged in because the isolation centre is being expanded

Intensive care beds are expensive, difficult to run, and very unevenly distributed. Chad, an oil-rich but impoverished nation of 15 million people, has only 10, whereas the island nation of Mauritius, a financial hub home to 1.2 million, has 121.

The continent’s three giants - Nigeria, Ethiopia and Egypt - have 1,920 intensive care beds between them for more than 400 million people

Kenya has 518 beds in its public and private facilities, but 94% are already occupied by non-COVID-19 patients

Under a best-case scenario - what Imperial College researcher Charlie Whittaker described as a complete lockdown for an indefinite time - at least 121,000 critical care beds will be needed at the peak of the pandemic on the continent, Reuters found. That compares with 9,800 at present

Africa has no history of building ventilators. South Africa’s state-owned defence company Denel plans to begin making them, and institutions in Kenya and Senegal have developed prototypes. But authorities in Senegal say they’ve only certified imports before; it could take months to get a prototype certified and mass-produced.

In many nations like Nigeria, South Sudan and Zimbabwe, electricity is extremely unreliable and hospitals depend on diesel-powered generators. Some health facilities in poorer, often rural, areas are unable to pay for the constant refueling and maintenance they need.

Continent-wide, one doctor serves an average of 80,000 people, World Bank data shows. There are more in wealthy Mauritius - 2 doctors per 1,000 - but countries like Liberia, Malawi or Burundi have far fewer.

only nine countries have one or more physicians qualified to administer anaesthetics per 100,000 people, according to the World Federation of Societies of Anaesthesiologists. Most have staffing levels comparable to Afghanistan or Haiti.

The Africa CDC, set up by the African Union in 2017, worked with the WHO to rapidly roll out testing. In January, only South Africa and Senegal could test for the new coronavirus, but now all African countries can perform tests apart from tiny Lesotho and the island nation of Sao Tome and Principe.

Private hospitals are generally better staffed, but their revenues have dropped by an average of 40% since March, mostly due to a decline in elective surgeries and regular outpatient chronic treatment, said the Africa Healthcare Federation, an umbrella organisation for the private healthcare sector. Private hospitals are also having to spend more on protective equipment, and private insurance companies are delaying settling claims in many countries, said Dr. Amit Thakker, the head of the federation.

The Rome Treaty, which established the EEC in 1957, was nothing short of a resurrection of the Berlin Conference's General Act, which 73 years earlier had sought to create an internationalised regime of free trade stretching across the middle of Africa. In Rome, six European countries, without the involvement of any Africans, promised each other equal access to trading and investment opportunities in what is today the territory of 21 African countries: Senegal, Mali, Guinea, Ivory Coast, Benin, Mauritania, Niger, Burkina Faso, the Republic of the Congo (Congo Brazzaville), the Central Africa Republic, Chad, Gabon, the Comoros, Madagascar, Djibouti, Togo, Cameroon, the Democratic Republic of the Congo (DRC), Rwanda, Burundi and Somalia. In fact, as noted by Hansen and Jonsson, three-quarters of the territory covered by the EEC actually lay outside continental Europe.

Senghor personified the contradictions of independence. A formidable intellect, he led his nation into the Yaounde agreement, was the foremost proponent of negritude and ruled for two decades before retiring on New Year's Eve 1980, the first African president to leave office voluntarily. He then promptly left for France, where he had been a citizen since 1932.

It was into this context that the countries of Africa were born. Congenitally misshapen, they were easy prey for Europe. The Eurafrica project was simply given a makeover as the 1963 Yaounde Convention signed between the EEC and 18 former French and Belgian colonies. Under the agreement, the Europeans allowed free access to their domestic markets to products from the African members, while the latter were, at least initially, permitted to impose restrictions on the entry of European goods into their territories in order to protect their own infant industries. Three years earlier, however, the UN Economic Commission for Africa had warned, as related by Hansen and Jonsson, that the arrangements were likely to lead to economic dependency by tempting the Africans "to prefer the short-run advantage of tariff concessions [in EEC markets] to the long-run gains of industrial development".

By 1962, an American observer in Paris, Schofield Coryell, declared that African countries remained "essentially what they were: agricultural appendages to Europe". If this sounds familiar, it is because African elites are, to borrow from Wole Soyinka, still heading to foreign capitals to loudly proclaim their tigritude, while consigning their countrymen into debt and bondage.

Although Europe was "the home of nationalism" according to Macmillan, Africans were encouraged to think of it as genuine indigenous expression. Even though the African nations espousing it were born out of the 1884 Berlin Conference and African nationalist leaders were the products of colonial schools and European universities, African nationalism was still cast as the antidote to colonialism rather than an outgrowth of it.

True decolonisation requires more than just the physical absence of the coloniser. It means deconstructing the frameworks that have been used to define the African's place for him. That is the work that remains to be done.

Patrick Gathara is a communications consultant, writer, and award-winning political cartoonist based in Nairobi.

Unlike the Soviet Union, Russia is not a global ground combat power.

Russia has employed heavily armed mercenaries from the notorious Wagner Group and a range of other (PDF) government-cozy (and perhaps government-run) companies as the tip of the Russian foreign policy spear. In effect, Russia has outsourced its foreign policy in Libya, Syria, the Central African Republic, Madagascar, Mozambique, Sudan, Ukraine, Yemen, Burundi, and other global hot spots.

Dmitry Utkin, former commander of the Russian military intelligence directorate's (GRU's) Spetsnaz special forces units, allegedly founded the Wagner Group in 2014. Wagner and an elite GRU Spetsnaz unit reportedly share a military base in the Russian town of Molkino.

RAND's work on will to fight—the disposition and decision to fight, act, or persevere in conflict and war—and on Russian state power suggests that Russia is using mercenaries due in great part to its inherent military and civil weaknesses. Russian mercenaries (in fact, all mercenaries) also have behavioral limitations and vulnerabilities to influence. Dependence on mercenaries also reflects a vulnerability in Russian national will to fight. Both of these weaknesses can be exploited.

Mercenary soldiers with the Wagner Group (formerly Moran Security Group, and then Slavonic Corps Limited) and other Russian mercenary groups like Patriot, took the lead in some of the more dangerous frontline operations in Syria while uniformed Russian soldiers guarded air and naval bases along Syria's coastline

Russia's military has strictly limited ability to project ground power worldwide. It has almost no organic ability to project and sustain ground power more than a few hundred kilometers beyond its own borders. Russian strategic lift is anemic compared to Soviet-era lift. Available forces are often tied down in one of the many frozen conflicts that ring Russia's western and southern borders.

In February 2018, Russian-hired mercenaries led (or at least closely accompanied) a Syrian militia force armed with artillery and heavy tanks to seize an oilfield near the city of Deir az-Zour in northeastern Syria. American Special Operations Forces and Marines decimated them with hours of precision air attacks, killing perhaps (PDF) hundreds and causing the rest of the force—including the mercenaries—to flee. As Russian-hired mercenary personnel retreated from the battlefield at Deir az-Zour, other teams of Russian private military actors had to call in helicopter teams to evacuate the wounded from the battlefield in the absence of state support.

Russian mercenaries have also performed poorly in Africa. In Mozambique, Wagner mercenaries stumbled through the kinds of partner-building efforts at which U.S. special operations forces tend to excel. They offended the locals and reportedly double-crossed allies to make money. Islamic State insurgents have successfully attacked and killed them on poorly secured roads. Mercenary disinformation tactics in Mozambique backfired. What was billed as a Russian power play in a former Soviet client state looks like a disaster in the making.

Wagner sent hundreds of trainers and security personnel to the Central African Republic to help Russian commercial interests secure mining rights and to support a complex regional diplomatic push to increase Russian influence. There has been little pretense in this operation: It is primarily a money-making venture. In one case, Wagner mercenaries reportedly helped the rebels they were hired to fight in order to help a Russian mining company gain access to diamond mines. Wagner has been linked to the suspicious deaths of three journalists who were nosing around its CAR operations. This Russian mercenary-led deployment has been partially successful in countering French influence, but it is not clear that reported successes on the ground outweigh the lasting, negative consequences of Wagner's cutthroat behavior.

Russia sent mercenaries and probably some active military forces to support Khalifa Haftar's anti-government forces in Libya. In early 2020, 1,000 Wagner mercenaries reportedly fled the front lines between pro- and anti-government forces after suffering a resounding defeat. Combat losses for Wagner in Libya are unknown but possibly significant.

as individuals and as a group, Russian mercenaries have repeatedly shown that they will pursue self-interest and commercial interests over state interests, and that they will quickly abandon partner forces—and perhaps each other—when the tactical risks fail to outweigh the financial rewards.

There is no shortage of genuine tough guys in groups like Wagner and Patriot. Under the will to fight factor of quality, many Russian mercenaries would earn high marks for fitness and resilience. But outright toughness and even elite military training alone cannot sustain the will to fight of an individual primarily motivated by money.

Together, the weaknesses within Russian mercenary forces and within the Russian state in relation to press-ganged youths, conscripts, and casualties may offer ready opportunities for exploitation in great-power competition. These broader weaknesses in Russian national will to fight could be examined to identify more ways to prevent Russia from aggressively undermining Western democracy.