Students and Distinguished Guests,

My name is Toyin Saraki, and I am the Founder and President of The Wellbeing Foundation Africa, an NGO headquartered in Nigeria which works to improve health and wellbeing outcomes for women and children across the country. WBFA prioritises frontline impact with global advocacy, in alignment with the United Nations Sustainable Development Goals. It is with great honour that I join you today to provide the keynote address at this year’s LSE Africa Summit. This summit, renowned for its commitment to exploring the complexities and opportunities across Africa’s socio-economic landscape, is a testament to the collective dedication towards shaping a more prosperous future for our continent.

The theme of this year’s summit, “African Minds Transforming Futures: Building Resilient Education Systems,” highlights one of the most critical pillars of development in Africa: education, and is especially attuned to the African Union theme of this year: “Educate an African fit for the 21st Century: Building Resilient Education Systems for Increased Access to Inclusive, Lifelong, Quality, and Relevant Learning in Africa”.

Even with a substantial increase in the number of African children with access to basic education, a large number still remain out of school, with nearly 20.2 million children in Nigeria not in school even though primary education is officially free and compulsory, and according to UNESCO out of the 244 million children aged 6 to 18 not in school globally, more than 40%, or 98 million of them, live in sub-Saharan Africa. This reality calls for concern.

Education is not merely about acquiring knowledge, it is the cornerstone upon which resilient societies are built, economies flourish, and futures are transformed. Without education, where would any of us be today? Every single person in this room knows education transforms lives, economies and societies. However, the reality we face across much of Africa, particularly in Nigeria, highlights the urgency of addressing the myriad challenges plaguing our education systems, which continue throughout the span of life, from post-secondary education or upskilling much later on in a profession.

What are the barriers preventing children, women and the most marginalised communities from accessing education? The answers are multifaceted but rooted in systemic issues such as poverty, gender inequality, cultural norms, and inadequate infrastructure. For many children in Nigeria, especially girls and women living in rural areas, the journey to school or university is fraught with obstacles, ranging from long distances to lack of proper facilities and safety concerns.

Furthermore, the quality of education offered, even for those fortunate enough to attend school, often falls short of providing the necessary skills and knowledge to thrive in an increasingly competitive global landscape. The brain drain from Nigeria has also had a severe impact on the country’s educational system, as the lack of qualified teachers and professors has been especially detrimental to providing quality education opportunities to many citizens.

Education is in serious crisis, and progress towards the attainment of United Nations Sustainable Development Goal 4 on education, needs to be enhanced. Globalisation patterns and pressures in our increasingly interconnected world have brought remarkable gains yet, we are keenly aware that the benefits are yet to reach all. Equitable inclusive access to lifelong quality education for all, ensuring that people, especially, women and children match the 21st century global and local marketplaces, will enable adolescents and adults with knowledge and competency to participate in socio-economic, political and civic life.

Despite having the largest economy in Africa, Nigeria faces a shortage of skilled workers hindering its growth. The roots of Nigeria productivity crisis burrow deep into the failures of its education sector. As per UNESCO’s data, Nigeria’s illiteracy rate was a staggering 59% among youths and 65% among adults over 15 years old. Despite the glaring need for reform, the government’s budget allocation to education has consistently been less than the recommended 26% by UNESCO. Addressing these challenges require a concerted effort from all stakeholders – governments, civil society, the private sector, and the international community. 

Education is indispensable to productivity, progress and prosperity, and as the African Union promises to contribute towards revitalised, quality, relevant, and harmonised education systems responsive to the needs of Africa, it is necessary to take into account Africa’s aspiration and capacity in terms of human and material resources for sustainability, longevity and equality. We must prioritise investments in education, not as an expenditure but as an investment in the future prosperity of our nations. 

This means allocating sufficient resources to improve infrastructure, train teachers, and ensure that every child and adolescent, regardless of gender or socio-economic background, has access to quality education. Moreover, we must tackle the root causes of inequality which perpetuate the cycle of educational deprivation. This entails empowering marginalised communities, particularly women and girls, and addressing cultural norms that hinder their access to education. 

When a girl is educated, she grows up into a woman who has the adequate knowledge, information and skill to ensure the welfare of her family, the health and wellbeing of her children and the impact her actions have on her community. As the Founder and President of the Wellbeing Foundation Africa, I am proud to say that we are committed to playing our part in this transformative journey. 

The Wellbeing Foundation Africa has been at the forefront of prioritising education and investing in the lives of children, adolescents, adults and the elderly in Nigeria and across Africa. Since inception in 2004, WBFA has actively engaged in advocacy, writing of educational materials, policy papers and articles to promote education and implementation of health education programmes in collaboration with its local and global partners. Our learnings, guidance and recommendations are currently being actualized through various programmes such as our Adolescent Skills and Drills, Personal, Social and Health Education and Water, Sanitation and Hygiene programme, implemented by a team of committed experts in public health and education who lead our on the ground community trusted grassroots programming. 

We are working tirelessly to ensure that every girl, child, adolescent and adult in Nigeria has the opportunity to fulfil their potential through education, but our efforts alone are not enough. We need collective action, collaboration, and innovation to build resilient education systems that can withstand the challenges of today and prepare our youth for the opportunities of tomorrow. This requires thinking beyond traditional models of education and embracing technology, entrepreneurship, and interdisciplinary approaches to learning. 

Nelson Mandela famously called education “the most powerful weapon which you can use to change the world.” The future of Africa depends on the investments we make in education today, equipping our children, youth and adults with the tools, skills, and possibility of imagination necessary to shape and transform the Africa around them, making their community and society better, more prosperous, and, hopefully, more peaceful in the years ahead.  

It is evident today, as you take part in the summit and share dialogue, that each student of the London School of Economics has the drive and resources to be the force behind the realisation of our shared educational vision. Each of  you is armed with knowledge, passion, and a commitment to excellence, embodying the African minds capable of transforming futures and building resilient education systems. Each of you has ideas, advocacy, and unwavering determination, to not only shape the future of Africa but also inspire global change. I look forward to continuing to support the students of LSE and the Programme for African Leadership, as through our joint efforts we will truly create a world where education is the key to unlocking the full potential of every African child, every African community, and every African nation.      

Thank you. 

With the goal of “Empowering Africa: Unveiling the Hidden Drivers Shaping Tomorrow,” I am honoured to have delivered my keynote address at the 10th Annual St Andrews Africa Summit, a commendable student-led and university-supported initiative dedicated to the challenges and opportunities we face on the continent.

I am particularly heartened by the summit’s focus on women and children’s health alongside science and technology, especially as we commemorated the United Nations International Day of Women and Girls in Science, yesterday, emphasising women’s leadership in science to foster a new era for sustainability, while driving socio-economic development.

From improving health to combating climate change, women and girls play a critical role in the science and technology communities, and it is essential that their participation is strengthened, especially since STEM is widely regarded as critical to national economies across Africa.

I urged each student to seize the opportunity to be inspired, to learn, and to commit to action, as we are reminded of the transformative impact that collective action can have. Through platforms like such, we can foster open and respectful political dialogue, inspire technical innovation, and mobilise sustainable resources, leading to the unveiling of the hidden drivers shaping tomorrow’s Africa, a future defined by hope, resilience, prosperity, and boundless opportunity.

Watch the Keynote:

Written Keynote:

Ladies and gentlemen, esteemed guests, and students of St. Andrews,

It is with immense pleasure that I join you today on this momentous occasion, as we gather for the 10th annual St. Andrews Africa Summit. For a decade now, the St. Andrews Africa Summit has served as a platform for dialogue, collaboration, and action on the pressing issues facing Africa—a testament to the unwavering commitment of this student-led initiative and university-supported endeavour towards a more empowered Africa.

As the Founder-President of the Wellbeing Foundation Africa, and Inaugural Global Health Ambassador for the World Health Organization, I am deeply honoured today to join you in exploring this year’s theme: “Empowering Africa: Unveiling the Hidden Drivers Shaping Tomorrow.” This theme resonates profoundly with the challenges and opportunities we face on the continent, and I commend the organisers for their foresight in selecting such a vital topic, especially as 18 African countries, a third of the population in Africa, head to the polls in 2024.

The importance of democratic governance cannot be overstated. Democracy empowers citizens, especially our youth to participate in the decision-making process, ensuring their voices are heard and their needs addressed. With a flourishing youth population, the voices and votes of young people have the power to drive meaningful change and pave the way for a more inclusive and prosperous Africa.

As we reflect on the journey of the St. Andrews Africa Summit over the past decade, we are reminded of the transformative impact that collective action can have on shaping the future of our continent. It is through platforms like this one today, in which we can foster open and respectful political dialogue, inspire technical innovation, and mobilise sustainable resources to ensure Africa prospers.

I am particularly heartened by the focus on women’s and children’s health, empowerment, and socio-economic development—a cause that lies at the very heart of the Wellbeing Foundation Africa’s mission. For too long, women and children have borne the brunt of inequality across Africa, while being denied access to essential and quality healthcare, education, and economic opportunities.

Yet, as we gather here, we stand on the cusp of change—a change that begins with each and every one of us. At the core of the Wellbeing Foundation Africa’’s initiatives lies a commitment to holistic healthcare, education, and advocacy. Through strategic programming, advocacy and global partnerships, WBFA tackles the root challenges of maternal, newborn and child health while uplifting and empowering communities to build a healthier, brighter future.

Beyond policies and programmes, it is our collective will and determination that will truly drive progress. It is the belief that every individual in Africa has inherent worth and potential—that no one should be left behind—that will propel us forward on this journey of empowerment and transformation.

As we embark on this summit, I urge each and every one of you to seize this opportunity to be inspired, to learn from one another, and to commit to action. For it is through our joint efforts that we will unveil the hidden drivers shaping tomorrow’s Africa—a future defined by hope, resilience, and boundless opportunity.

Together, let us empower Africa and unleash its full potential.

Thank you.

From Davos, Switzerland at the 54th World Economic Forum:

The Wellbeing Foundation Africa Delegation was thrilled to join in launching forthcoming research by the McKinsey Health Institute and the World Economic Forum with leaders across the public, private, social, and philanthropic sectors for an action-oriented convening to explore the latest data powering the effort to draw awareness to the women’s health gap.

The report titled “Closing the Women’s Health Gap: A $1 Trillion Opportunity to Improve Lives and Economies,” emphasizes that investments addressing the women’s health gap would add years to life and life to years – while potentially boosting the global economy by $1 trillion annually by 2040.

When discussing the challenges in women’s health, a common rejoinder is that women, on average, live longer than men. But this neglects the fact that women spend 25% more of their lives in debilitating health. Closing the women’s health gap would allow 3.9 billion women to lead healthier, higher-quality lives.

The report identifies four primary areas that need addressing to close the health gap: Science, Data, Care Delivery, and Investment, and to move forward, the report suggests action on five fronts: investing in women-centric research, strengthening the collection of sex-and gender-specific data, increasing access to women-specific care, creating incentives for investment in women’s health innovation, and implementing policies supporting women’s health.

Closing the women’s health gap is a moral imperative, as addressing these gaps would reduce the time women spend in poor health by almost two-thirds, adding an average of seven days of healthy living for each woman annually.

Together, we have a chance to lift millions of women out of poverty, improve future generations’ health, and foster healthy aging. We cannot succeed when half of us are held back.

Today, on International Women’s Day, I was honoured to virtually provide the goodwill speech at the 2024 National Institute for Legislative and Democratic Studies International Women’s Day Celebration!

Under the exemplary leadership of the Director-General, Professor Abubakar Suleiman, a veritable ‘He4She’ who has significantly contributed to uplifting Nigeria – NILDS has been a steadfast champion for gender equality and inclusion, providing essential support and resources to engender women in overcoming obstacles and achieving their full potential. From advocating for women’s rights to promoting women’s representation in governance, NILDS has been at the forefront of driving meaningful change and creating opportunities for women to excel.

As a Member of the UN Women African Women’s Leadership Network and serving on the Steering Council of the African Women Leadership Network Nigeria, I stand witness to the spirit of African and Nigerian women and their integral role in shaping our nation’s democratic evolution. By channelling the principles of aspirational agendas such as the African Union Agenda 2063 and the United Nations 2030 Sustainable Development Goals, the Wellbeing Foundation Africa Women, Girls & Gender Development Target actions encapsulate a vision which recognises and empowers the birth-to-age rights of women and girls.

With Senior Leadership from the Wellbeing Foundation Africa in attendance, we gathered under the theme “Inspire Inclusion,” and were reminded of the importance of recognising and celebrating the contributions of both men and women towards the empowerment of Nigerian women and their increased participation in governance.

This #IWD2024 celebration led by NILDS highlighted the progress we have made while acknowledging the work that still lies ahead. When we inspire others to understand and value women’s inclusion, we forge a better world, and when women themselves are inspired to be included, there’s a sense of belonging and empowerment. Collectively, let’s forge a more inclusive world for women.

Happy #InternationalWomensDay!

Goodwill Speech:

Good Morning Honourable Ministers; Esteemed dignitaries; Distinguished Guests; Thank you to the Federal Ministry of Health and Social Welfare, Tropical Health & Education Trust and Ducit Blue Solutions for hosting the Global Health Workforce Programme Nigeria Launch Event today.

I am Toyin Saraki, the Founder and President of The Wellbeing Foundation Africa, an NGO which works to improve health and wellbeing outcomes for women, infants and children across Nigeria, prioritising frontline impact with global advocacy, in alignment with the United Nations Sustainable Development Goals and UNFPA ICPD Programme of Action and Three Zeros, in particular zero maternal deaths by 2030.

I am honoured to address you today as we launch pivotal partnerships to enhance and advance healthcare across the nation, including the the Wellbeing Foundation Africa partnership with the Liverpool School of Tropical Medicine in advancing Emergency Obstetric and Newborn Care competency-based curriculum for resident doctors in Obstetrics and Gynaecology at the National Postgraduate Medical College of Nigeria.

This partnership, supported by the Global Health Workforce Programme funded by the UK Department of Health and Social Care and managed by the Tropical Health and Education Trust and Ducit Blue, underscores our commitment to strengthening the healthcare workforce in Nigeria. Leveraging our previous partnership with the Liverpool School of Tropical Medicine, leaders in implementing and evaluating interventions and combining research with capacity strengthening in EmONC, we covered 51 HCFs in 16 LGAs in Kwara State between 2015-2020, establishing thirteen emergency obstetric and newborn care skill rooms comprising of ten main skill labs and three mini labs, benefiting over 700 healthcare providers directly, and reaching an estimated 62,900 women and their newborns, recording a 38% reduction in facility stillbirth rate, leading to the development of the Centre of Excellence. WBFA and LSTM aim to continue to collaboratively elevate healthcare delivery standards while advancing towards Universal Health Coverage for all, as fostering a more robust and sustainable healthcare workforce is paramount to ensuring the delivery of high-quality healthcare services and achieving UHC.

A well-trained and adequately supported healthcare workforce forms the backbone of all healthcare systems, serving as the frontline in addressing the diverse healthcare needs of populations. By investing in continuous professional development and training programmes, particularly in critical areas such as Emergency Obstetric and Newborn Care, we not only equip healthcare professionals with the necessary skills and competencies to provide timely and effective care but also contribute to reducing maternal and neonatal mortality rates, as according to the World Health Organization, the lifetime risk of a Nigerian woman dying during pregnancy, childbirth, postpartum or post-abortion is 1 in 22, in contrast to the lifetime risk in developed countries estimated at 1 in 4900.

Our objectives are clear and resolute. We aim to engage OBGYN students in post-graduate medical education, adapt training packages for revision courses and examination OSCE, establish advanced EmONC Centers of Excellence in Abuja and Lagos, and ensure the sustainability of these centres for postgraduate OBGYN revision courses. Furthermore, we are committed to supporting the NPMCN in providing training to residents, ensuring quality assurance, and rigorously evaluating the programme for maximum impact and effectiveness.

Central to the success of this programme are the esteemed experts from the Royal College of Obstetricians and Gynaecologists (Nigeria Liaison Group) and the experienced master trainers in advanced EmONC provided by LSTM. Their invaluable insights and guidance will undoubtedly contribute to the robustness and efficacy of our initiative, ultimately benefiting the healthcare landscape of our nation.

I extend my heartfelt gratitude to all our partners, stakeholders, government officials, dignitaries, and supporters who have joined us today. Your unwavering commitment and steadfast support will ensure we reach our mission of providing quality health and wellbeing for mothers and newborns across Nigeria.

View this post on Instagram

A post shared by Toyin Saraki (@toyinsaraki)

Good morning, my name is Toyin Saraki and I am the Founder, President, of the Wellbeing Foundation Africa and Inaugural Global Health Ambassador for the WHO Foundation. My Foundation works across Africa to improve health and social outcomes for women and their children, a cause I have dedicated much of my life to.

I am delighted to join you all here today, to celebrate the launch and mark of the Smiles for Mothers Program First Use of Heat-Stable Carbetocin in Nigeria and Sub-Saharan Africa. Today is a life changing moment for women around the world, and the global health community as we will actively witness in real-time the vital impact of heat-stable carbetocin, a new formula which does not need refrigeration or cold-chain transportation, challenges we have faced time and time again in Nigeria.

I personally have been awaiting this major maternal health milestone since the publication of the CHAMPION (Carbetocin hemorrhage PreventION) trial results in 2018 – a study led by the World Health Organization (WHO) as part of a collaboration with MSD for Mothers and Ferring Pharmaceuticals. That data then contributed to heat-stable carbetocin being added to the WHO Model List of Essential Medicines (EML), as well as an update in the WHO’s recommendations on uterotonics for the prevention of excessive bleeding after birth.

Postpartum hemorrhage (PPH) is the leading cause of maternal mortality, morbidity and long term disability related to pregnancy and childbirth in not just low-resource countries, but globally, accounting for nearly one quarter of maternal deaths worldwide. In Nigeria, low use of antenatal care (ANC) and delivery services contribute to PPH, with PPH observed to be the most frequently diagnosed obstetric hemorrhage complication, and majority of women who experience PPH complications have no identifiable clinical or historical risk factors prior to.

While improving overall quality of healthcare is crucial to addressing the high maternal deaths, the use of Heat-Stable Carbetocin will be revolutionary. Maternal health, with thriving mothers and children, is the first and most vital component of healthy societies, economies and nations. Healthy mothers lead to healthy families and strong health systems. It has a direct impact on the welfare of society especially in many developing countries, as a mother’s death is much more than an emotional crisis, it often leads to long-term social and economic breakdown, both for her immediate family and the wider community.

Throughout my years advocating for improved maternal health in Nigeria, one thing has always been clear – effective interventions to prevent and treat PPH do exist and can largely reduce the burden of this life-threatening condition.

I personally have addressed the challenges associated with a lack of access to PPH medication and training, and adequate timely maternal health care ,by developing and then implementing programming through my Wellbeing Foundation Africa to improve access to skilled birth attendance, particularly better quality primary health care at a grassroot community level.

The WBFA, in partnership with the Liverpool School of Tropical Medicine and Johnson and Johnson has successfully introduced, implemented and championed Emergency Obstetric and Newborn Care (EmONC) Skills and Drills training in Nigeria which takes place in-house and equips doctors, nurses and midwives, as a collective team, with the skills needed to overcome obstetric emergencies. The training uses lifelike anatomical models and simulation case scenarios to enable health workers to develop expert first-hand experience – which is often not common in the developing world. At implementing facilities, there’s been a 15% reduction in maternal fatality & 38% reduction in the stillbirth rates – validating our push to scale these lifesaving innovative capacitation to the pre-service curriculum with the denomination of the Kwara State School of Nursing and Midwifery as Nigeria’s First National Centre of Excellence.

As the Inaugural and Emeritus Global Goodwill Ambassador to the International Confederation of Midwives, since 2014, the WBFA has recognised the role of midwives as primary educators and health carers for chilbearing women in our frontline programmes towards safer births and healthy futures through our flagship Mamacare360 Antenatal and Postnatal programme, which covers the mother’s nutritional status, mental wellbeing, and lifestyle choices, before, during and after pregnancy; profoundly affecting the future health and wellbeing of the mother and child. Antenatal education forms part of the early intervention and promotes positive perinatal outcomes and should be viewed as part of a life-long journey. My Foundation promotes respectful care and the involvement of pregnant women and their families by making the mother a premium partner in her own outcome, through education and awareness in birth preparedness.

The quest for real and practical solutions to improve PPH outcomes in Nigeria has seen us walk the daily path from research bench to hospital bedsides and birthing stools in huts over decades, from a simple mat placed under the mother to measure the flow of blood as a practical signal in 2008, and the oxytocin shot for life, to misoprostol with DFID PATHS2 in 2010, to fighting alongside with Flight For Every Mother for hands-on training across Africa in 2013, to our 6-Year WBFA-LSTM-JNJ Program To Improve The Availability and Quality Of Maternal And Neonatal Health Care In Nigeria through the EmONC Skills and Drills Program pioneered from 2015 to 2021 throughout Kwara State, to the London School of Tropical Medicine’s WOMAN Trial of tranexamic acid in 2018, to advocating to the Global Board of Ferrings in January of 2020, and an ongoing working partnership with Laerdal Global Health to improve community midwives access to modern tools and training in the 670 community HCF we have engaged with across Lagos, Kwara, Osun, Cross River, Kaduna, Kano, Sokoto and the FCT Abuja.

Now, with accessible treatment of PPH through heat-stable carbetocin, we will be much closer to reaching the Sustainable Development Goal 3, with our healthcare workers given timely access to appropriate medications and support in procedures relevant to the management of PPH, and our mothers being aware and knowledgeable on advocating for heat-stable carbetocin.

The fact remains that despite significant statistical improvements, becoming pregnant is still one of the most dangerous things a woman can do in her lifetime in Nigeria where there is a 20-fold higher risk of death than in better resourced regions of the world – but today, with the entry of heat-stable carbetocin into the arsenal, we are a quantum leap closer to tackling and ending PPH, demonstrating first-hand how work across both the public and private sectors can help achieve development goals in global health.

It is my hope that the ground-breaking progress we have made today will also mark a new era in strengthening the Essential Medicines Supply Chain and Drug Revolving Fund Management at the Primary Health Care frontline where this matters most, and to transforming maternal care around the globe with positive impact that will be implemented and accessible everywhere through heightened investment and commitment to the cause. When we save the lives of mothers, we are also saving families and communities from tragic emotional, mental and socio-economic costs of irreplaceable losses, but also realizing and potentiating an enormous opportunity for human development and a healthy future for all.

Thank you.