ANNUAL CAPACITY BUILDING WORKSHOP REPORT

ASSOCIATION OF MEDICAL COUNCILS OF AFRICA

USE OF DIGITAL TECHNOLOGY AND INNOVATION

IN STRENGTHENING GOVERNANCE AND
REGULATION IN HEALTHCARE
 FOREWORD

In the era of unprecedented advancements in technology, the healthcare

sector stands on the cusp of a transformational journey towards improved
governance and regulation. The AMCOA Annual Capacity Building workshop
2024 serves as a timely and essential platform for healthcare policymakers,
regulators, practitioners, and stakeholders to come together and explore the
profound impact of digital technology and innovation on healthcare governance
and regulation.

The digital technology and innovation have and continue to revolutionize

healthcare governance and regulation. From telemedicine to health information
systems, digital solutions strengthen regulatory frameworks, promote patient
safety, and optimize healthcare delivery processes.

AMCOA and its member states acknowledge that it is imperative to embrace

various transformative tools to enhance efficiency, effectiveness, and equity in
healthcare systems worldwide. Throughout this workshop, participants had the
opportunity to engage in insightful discussions, exchange best practices, and
collaborate on strategies to leverage digital technology for the betterment of
healthcare governance and regulation.
Report of the AMCOA Annual Capacity Building Workshop 2024 Page 2 of 40
 ACKNOWLEDGEMENTS

The Management Committee of AMCOA wishes to extend its heartfelt gratitude

to all individuals and organizations whose unwavering support and
contributions made the AMCOA annual Capacity Building Workshop 2024 a
resounding success.

Sincere appreciation and acknowledgement goes to the Medical Council of

Malawi for graciously hosting this significant event. Appreciation equally goes
to all delegates representing various health professional regulatory bodies,
whose active engagement and insightful contributions enriched the discussions
and workshops throughout the event. Your expertise and enthusiasm are
essential in fostering a culture of continuous learning and improvement.

Special appreciation is extended to the speakers, trainers, and workshop

facilitators for sharing their knowledge, experiences, and best practices in
leveraging digital technology to enhance governance and regulation in the
healthcare sector. We also acknowledge the generous support of our sponsors
and partners, whose generosity and commitment played a pivotal role in
ensuring the success of this workshop.

Last but not least, we express our gratitude to all MCM staff members, AMCOA
Secretariat, volunteers, and support personnel involved in the planning,
coordination, and execution of this workshop. Your hard work, dedication, and
attention to detail were instrumental in delivering a seamless and impactful
event.

AMCOA reaffirms its commitment to harnessing the power of digital technology

and innovation to strengthen governance and regulation in the healthcare
sector. Together, we will continue to work towards advancing the quality,
safety, and effectiveness of healthcare delivery for the benefit of all.

PROF. SIMON NEMUTANDANI

AMCOA PRESIDENT

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 TABLE OF CONTENTS

ACKNOWLEDGEMENTS..................................................................................................... 3

ABBREVIATIONS............................................................................................................... 5

INTRODUCTION................................................................................................................. 6

THE HOST: MEDICAL COUNCIL OF MALAWI......................................................................7

WELCOME AND COUNTRY INTRODUCTIONS: DR. DAVIE ZOLOWERE................................8

WELCOME BY HOST COUNTRY: PROF JOHN CHISI............................................................9

WELCOME BY AMCOA PRESIDENT: PROF. SIMON NEMUTANDANI...................................10

WELCOME BY THE PRINCIPAL SECRETARY: TECHNICAL MINISTRY OF HEALTH...............11

WELCOME BY MINISTER OF HEALTH, HON. KHUMBIZE KANDODO CHIPONDA, MP.........12

OBJECTIVES OF THE WORKSHOP AND RULES OF ENGAGEMENT....................................13

SUMMARY OF PRESENTATIONS....................................................................................... 14

WORKSHOP OUTCOMES: WAY FORWARD.......................................................................27

CLOSING STATEMENT BY PROF. JOHN CHISI MCM CHAIRPERSON...................................27

CLOSING STATEMENT BY PROF SIMON NEMUTANDANI- AMCOA PRESIDENT..................28

ANNEXURES.................................................................................................................... 29

DECLARATION................................................................................................................. 33

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 ABBREVIATIONS

AMCOA Association of Medical Councils of

Africa
IPE Interprofessional Education
IPC Interprofessional Communication
LMIC Low- and Middle-Income Countries
MANCO Management Committee
MCM Medical Council of Malawi
SDG Sustainable Development Goal
UHC Universal Health Coverage
WHO World Health Organization

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INTRODUCTION

The Association of Medical Council of Africa (AMCOA) Annual Capacity Building

Workshop 2024 was hosted by the Medical Council of Malawi in Collaboration with
Ministry of Health of Malawi. It was hosted at Bingu International Convention Centre
(BICC) Lilongwe Malawi from 18th March – 20th March 2024. The theme for the
workshop was “Use of Digital Technology and Innovation in Strengthening Governance
and Regulation in Healthcare. How do we become SMART Regulators?” This theme was
selected as it creates an opportunity to discuss ways to strengthen governance and
regulation in the wake of technology in healthcare.

This workshop brought together a consortium of experts, policymakers, regulators, and

practitioners and other key stakeholders from across Africa representing AMCOA
member states. The key purpose was to provide a platform for training, insightful
discussions, and collaborative exploration on healthcare governance in an era of
technological advancements. Over the course of three days, participants undertook a
series of dynamic exchanges, presentations and practical case studies aimed at
exploring digital technology in healthcare governance and regulation.

The purpose of the AMCOA Capacity Building Workshop was to improve effectiveness at
the organizational level, specifically for health regulators, training institutions and
health facilities to be aware of the regulatory requirements and changing trends. Some
of the topics that were covered included health regulatory issues focusing on areas of
education and training, registration, corporate governance, strategy, information
technology, data sharing, risk management, financial management and donor sourcing.

The sessions dissected and critically highlighted the role of telemedicine and electronic
health records in revolutionizing patient care. Further, the sessions were geared
towards navigating the regulatory challenges posed by emerging technologies like
artificial intelligence and biotechnology. This report is a brief summary and testament
to the collective knowledge, skills, expertise and wisdom exhibited during the Capacity
Building Workshop.

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THE HOST: MEDICAL COUNCIL OF MALAWI

The Medical Council of Malawi (MCM) plays a pivotal role in overseeing and regulating
medical practice in Malawi. Established under the Medical Practitioners and Dentists Act
of 1987, the MCM serves as the statutory body responsible for ensuring the highest
standards of medical care and professional conduct among healthcare practitioners in
Malawi. With a mandate that encompasses licensure, accreditation, and disciplinary
oversight, the MCM plays a critical role in safeguarding public health and maintaining
the integrity of the medical profession.

MCM is legally mandated to handle four key roles among others. Firstly, MCM is tasked
with the role of registration and licensing of medical, paramedical, dental and allied
health practitioners. Secondly, MCM regulates health facilities both public and private,
static and outreach. Thirdly, MCM handles health care related complaints from patients,
clients and the public. Lastly, MCM regulates the training and practice of all registered
practitioners under its mandate.

The Medical Council of Malawi composes of the following members –

COUNCIL MEMBER NAME POSITION

Prof John Chisi Chairperson
Dr Grace Chiudzu Vice Chairperson
Dr Charles Mwansambo Member
Dr James Mchenga Member
Dr Singatiya Chikumbanje Member
Dr Mulinda Nyirenda Member
Dr Kondwani Kawaza Member
Mrs Cecilia Daka Chisale Member
Dr Matilius Likhoozi Member
Dr Patrick Watayachanga Chirwa Member
Mrs Joyce Gundani Member
Dr Lilian Gondwe Chunda Ex-Official-MOH

The Council is supported in its operation by a team of excellent staff comprising of

various professionals and key personnel. The secretariat staff is led by Dr Davie
Zolowere who is the current CEO and registrar. The excellence of the MCM team was
well displayed during the planning, coordination, and execution of the AMCOA Capacity
Building Workshop 2024.

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WELCOME AND COUNTRY INTRODUCTIONS:
DR. DAVIE ZOLOWERE

Dr. Zolowere, the CEO and Registrar of

Medical Council of Malawi welcomed all
delegates to Malawi and thanked AMCOA for
choosing MCM to host the capacity building
workshop 2024. He expressed his heartfelt
gratitude to the honorable Minister of Health
for not only gracing the workshop but for
continuously supporting MCM and its
operations.

He highly appreciated every stakeholder

present and averred that each stakeholder
has a distinct role and contribution essential
for the success of the workshop. He then
proceeded to carry out country introductions
recognizing all AMCOA member states
present and their respective heads of
delegation.

He further introduced with great humility the AMCOA management committee and
secretariat. He extended his gratitude to the AMCOA secretariat for the support offered
during the preparation and execution of the workshop. Dr. Zolowere concluded by
introducing the MCM council members. In conclusion, he urged all the participants to
respect everyone’s input and emphasized on the need to maintain open minds as there
is always room for learning and improvement.

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WELCOME BY HOST COUNTRY: PROF JOHN CHISI

Prof. John Chisi, the Chair of MCM gave the

welcoming remarks on behalf of the host
country. He began by thanking the Hon.
Minister of Health for the support that the
ministry provides to health regulators in
Malawi and further conveyed MCM’s
gratitude to His Excellency, the State
President for taking Health Care
Regulations as one of his priority areas as
evidenced by the independence which the
government of Malawi provides to health
regulators in Malawi to discharge their
duties without interference.

Prof. Chisi welcomed all the participants to Malawi and thanked AMCOA for believing in
MCM to host the annual capacity building workshop. He proceeded to enumerate the
roles and mandate of the Medical Council of Malawi which include –
1. Regulating medical, paramedical, dental and allied health practitioners.
2. Regulating health facilities both public and private, static and outreach.
3. Handling health care related complaints from patients, clients and the public.
4. Regulating training of registered practitioners.

Prof. Chisi explained that the purpose of hosting the workshop is to facilitate
discussions among scholars, researchers, health practitioners, associations, health
regulators and experts in the health field to develop innovative solutions to the various
healthcare issues facing our communities, nations, continent and the globe. He opined
that the conference was aimed at focusing on discussions on strengthening
interprofessional collaboration and team-based regulation to incorporate the multiple
disciplines available for the conference.

Finally, Prof Chisi thanked the strategic partners and sponsors for their support.

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WELCOME BY AMCOA PRESIDENT: PROF. SIMON NEMUTANDANI

“Africans have a wealth of resources to share amongst each other and there is therefore no need to
travel to Europe to learn what our neighboring African countries have already mastered.”

Prof. Nemutandani, the AMCOA president gave his

welcoming remarks on behalf of AMCOA. He begun by
thanking the Hon. Minister of Health and the Ministry at
large for allowing AMCOA capacity building workshop
2024 to be held in Malawi. He remarked that the
presence of the Hon. Minister of Health in the workshop
was a sign of solidarity, passion, and support.

He welcomed all the delegates to the workshop and

appreciated them for honoring AMCOA’s invite. Prof.
Nemutandani extended a
special appreciation to the AMCOA secretariat, and particularly Dr Magome Masike
and Ms. Sadicka Komey, for their support and hard work towards the success of the
workshop.

It was his position that Africa as a continent is still lagging in the use and
acceptance of technology in healthcare. He opined embracing technology will
improve the quality of healthcare in Africa. He submitted that it was time for
Africans to heed the wake up to the call of technology as technology has already
reached the remote areas.

He concluded by averring that he hoped the workshop will help create opportunities
for best practices in Africa and ultimately strengthen regulation and governance in
healthcare in the wake of the digital era. He concluded by welcoming more
members to the AMCOA community and further requested existing members to
promote and market benefits of AMCOA.

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WELCOME BY THE PRINCIPAL SECRETARY: TECHNICAL MINISTRY OF HEALTH

Dr. Lillian Gondwe-Chunda is a specialist

physician, currently serving as the Chief of
Health Services- Technical under the Ministry
of Health, Malawi. She took the stage to usher
in the Hon Minister of Health. She remarked
that there was a pressing need to embrace
digital technology in healthcare. She opined
that traditional Africa before technology has
long been overtaken and the practice of
medicine must not be left behind. Dr. Chunda
averred that technology has improved the
way of life and advancements in technology
have made service delivery, healthcare
included, more efficient, reliable and
accessible.

Dr. Chunda however cautioned the delegates

on the dangers of technology in healthcare.
She highlighted
the continuous violations to the right of privacy of patients and the abuse of digital
technology by medical professionals. She highlighted that in the wake of Covid 19,
practitioners embraced technology but some of the repercussions amounted to
professional malpractice. He therefore urged all delegates to deliberate on ways of
governing technology in healthcare with an aim of maintaining professionalism, patient
safety and upholding the glory of all healthcare professionals. Dr. Chunda concluded by
welcoming the Honorable Minister of Health to give her remarks.

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WELCOME BY MINISTER OF HEALTH, HON. KHUMBIZE KANDODO CHIPONDA, MP

“Regulation of the practice of medicine, training, mentorship, research, curative, rehabilitative

and preventive healthcare must be discussed in the context of digital technology and
innovation.” Hon. Khumbize Kandodo Chiponda, MP

Hon. Khumbize
Kandodo Chiponda, MP
is a seasoned politician
who is serving as
Member of Parliament
for Kasungu Southeast
Constituency and as the
Minister of Health. Hon.
Khumbize Kandodo
Chiponda,

She expressed her

delight in having the
AMCOA capacity
building workshop 2024
being hosted in
Malawi by MCM. She welcomed all the delegates to Malawi and thanked the AMCOA
member states for choosing Malawi for the 2024 workshop. She commenced her
remarks by concuring with the definition of health by the WHO that health is not
merely the absence of disease or infirmity but a state of complete physical, mental
and social well-being. She expressed her delight in the workshop theme as it aligns
with Malawi’s vision 2063 and the health sector strategic plan 3 which outlines
Malawi’s roadmap to ensure UHC by 2030. Hon. Khumbize submitted that
Technology, digital health, research, leadership and governance are critical pillars
of the strategic plan.

She averred that the importance of innovation and technology was attested to
during the Covid 19 pandemic. She opined that without good collaborative
governance, technology and innovation we would still be grappling with the pangs
of the pandemic. She concluded this point by submitting that technology is an
important accelerator for high quality care. She submitted that the Ministry was
committed to improving and ensuring the availability of competent and motivated
human resources for health for quality and innovative health service delivery. She
urged all the delegates to perceive the capacity building workshop as a platform
for continuous professional development and to exchange as much knowledge,
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skills and experience as possible.

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Hon. Khumbize Kandodo Chiponda, MP also spoke on the need for strong,
responsive and independent health regulatory frameworks in Africa. She averred
that collaborations among various health regulatory bodies both locally, regionally
and internationally would help ease the means of doing business through the
exchange of information, reciprocal recognition and harmonization of training
standards.

She urged all other Malawi Health Professionals Association and regulators to
consider joining AMCOA as members. She assured the delegates that the Republic
of Malawi and the Ministry of health are keen to see digital technology and
innovation improve governance and regulation in healthcare. She concluded by
thanking all the strategic partners and donors for their support and the MCM Board,
Secretariat and AMCOA secretariat for organizing the workshop. Hon. Khumbize
Kandodo Chiponda, MP therefore officially declared the AMCOA annual capacity
building workshop-2024 officially opened.

OBJECTIVES OF THE WORKSHOP AND RULES OF ENGAGEMENT

(Dr Magome Masike, Head of AMCOA Secretariat)

Dr Masike ushered the sessions by setting out the rules of

engagement that would bind all delegates for the during the
capacity building workshop. Key among these rules were:
 Everyone participates, no one dominates
 Respect Differences of Opinion
 Be present
 Stay Focused on the Goal
 Mobiles on Silent
 Take note of the Schedule
 Respect Time
 Tackle problems, not people
Dr. Masike reminded the members that the objectives of the workshop were both
objective and subjective. It was therefore imperative that all members present should
pay keen attention to the proceedings with an aim of learning as much as possible and
to build up on the workshop theme for the benefit of the other. He urged the delegates
to purpose to share their knowledge, skills, experience and best practice with other
delegates and to purpose to learn something new by the end of the workshop.

He submitted that at the heart of the training over the next few days was the
exploration of digital technology, and best practices in the core functions of health
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regulation, namely governance, education and training. ethics, continuous professional
development. He averred that as regulators

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we must recognize that these tools are needed to enhance our capabilities and
effectiveness. It is our actions now will shape the future of healthcare regulation.

He stated that the workshop trainers will take all the delegates on a journey across the
regulatory landscape and educate them on what is required to be effective SMART
regulators and how regulators must adapt to the changing landscape without losing
sight of our core responsibilities. He stated that the trainers will also highlight how
regulators and practitioners must harness the power of digital technology to streamline
processes, improve decision-making, and ultimately protect the public interest. He
concluded by urging the delegates to embrace the changes brought about by digital
technology and innovation and strive to become SMART regulators who will lead the
way in shaping the future of healthcare regulation.

SUMMARY OF PRESENTATIONS

Throughout the Capacity Building Workshop delegates explored a diverse range of

presentations highlighting the transformative potential of digital solutions in advancing
healthcare regulation. From discussions on harnessing data analytics to enhance
decision-making, to leveraging telemedicine for improved access to care, and exploring
regulatory frameworks for emerging technologies, each presentation underscored the
critical role of innovation in shaping the future of healthcare governance.

This section will highlight the key principles and highlights of all the presentations
made during the workshop on 18 th and 19th March, 2024 by the various speakers. It is
essential to acknowledge the invaluable contribution that all the esteemed speakers
made. Their insights enriched understanding of the transformative potential of digital
technology in healthcare governance and regulation. This summary encapsulates the
key highlights and takeaways from each presentation, providing a comprehensive
overview of the diverse perspectives shared during the workshop.

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 Presentation One THE ROLES OF THE HEALTH REGULATOR, REGULATORY
AUTONOMY, LAW, AND GOVERNANCE

Presenter ADV NTSIKELELO SIPEKA SOUTH AFRICA

Presenter’s Biography Adv Sipeka is a legal visionary, business executive and
governance specialist of over eighteen (18) of Legal
Advisory, compliance risk and governance experience. He
has been a Company Secretary and Senior Manager for
over ten (10) years. Amongst positions held was as a Legal
Advisor, Litigation Officer, Practicing Advocate of the High
Court of South Africa, Head of Department Governance
and Company Secretariat. He is currently employed as a
Head of Division Executive Company Secretariat and
Acting Head of Department Legal and Regulatory Affairs at
the Health Professions
Council of South Africa.
Key Points  Good corporate governance is a culture.
 It is pertinently concerned with power and decision
making in the organization.
 Ensures that power is not abused and that decisions
are made by the right people at the right levels.
 It relates to transparent and ethical leadership. way
 Promotes accountability.
 Governances must be guided by strategic objectives.
 Ethical leadership is premised on good corporate
governance practices.
 Principles of the agency theory
 Fiduciary duties require those tasked with governance
to act in good faith and in the best interest of the
organization
 There should be checks and balances that prevent
abuse and misuse of power.
 Regulatory Authority/ Agency
 Regulatory bodies to protect the public and ensure
public confidence in a profession.
 In exercising their duty of care directors (board
members) should ensure prudent and reasonable
steps have been taken in regard to IT governance.
 The Board be cognizant of all Technological and
Information requirements and the relevant legal
provisions.
 The pervasiveness of information technology in
business today mandates the governance of IT as a
corporate imperative.
 Telehealth is a fast-growing practice
 Ensuring the organization’s technology architecture
enables the achievement of strategic and operational
objectives.
 Importance of managing risks pertaining to

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 security of technology.
 Monitoring and responding appropriately to
developments in technology.

Presentation Two NEW TECHNOLOGIES IN HEALTH REGULATION

Presenter PROF STANLEY OMINDE KHAINGA KENYA

Presenter’s Biography Prof. Khainga is the current chair of the Kenya Medical
Practitioners and Dentists Council. He has over 34 years of
experience in the health sector where he has served in
various capacities. He is currently a Professor of plastic
surgery at the University of Nairobi. He is an accomplished
physician and one of the top plastic surgeons and
consultant in the country. He serves in different capacities
in a number of boards and associations: Chair Kenya
Society of Plastic, Reconstructive and Aesthetic Surgeons
(KSPRAS), Chair Kenya Society of Plastic & Reconstructive
Surgeons, President Pan African
Association of Plastic Surgeons among many others.
Key Points  Advancements in technology in the health
sector has revolutionized delivery of health services.
 Improved patient outcomes
 Improved research and collaboration
 Enhanced operational efficiency
 Technologies in healthcare:
• Electronic Medical Records
• Blockchain in Healthcare
• Artificial Intelligence (AI)
• Remote patient monitoring (RPM)
• Wearable technology
• Telemedicine
• Virtual and augmented reality
• Smart pills
• 3D bioprinting
 Healthcare Regulation and Governance is
achieved through:
• Statutes
• Policy Documents
 Various systems in the technology ecosystem must
be interoperable.
 Developers of solutions provide Application
Programming Interfaces (APIs) that define how they
interact with other systems.
 These systems must be interoperable and be
compatible with the internationally accepted
standards.
 Challenges to technology solutions in healthcare:
• Cost-
• Cybersecurity threats-

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 • System Interoperability costs
• Existing policies and statutes
 Registrations Systems and Processes from a
KMPDC Perspective
• Regulatory Human Resource Information
System (rHRIS) – Manages the registration
and licensing.

Q&A Session The following are some of the questions that were asked;
 Q1: Restriction of CPD from areas of specialization
 Q2: Examination of foreign trained practitioners
 Q3: Management of Fraud and systemic failures.
 Q4: varying minimum entry requirements for
different countries.
 Q5: Regulation of biomedical engineering

USE OF TECHNOLOGY IN ENSURING QUALITY OF CARE IN

Presentation Three HEALTHCARE PRACTICE [PUBLIC, PRIVATE, HEALTHCARE
FACILITIES

Presenter DR BONGANI CHIKWAPULO MALAWI

Presenter’s Biography Dr. Bongani Chikwapulo is an Improvement Advisor
working in the Malawi Ministry of Health. Prior to joining
the Ministry, he served as a District Health Officer in
multiple districts and also held the position of Zonal
Manager overseeing multiple districts. He brings extensive
experience working at all levels of the healthcare system.

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 Key Points  Quality of Care is the degree to which health
services increase the likelihood of desired health
outcomes.
 Quality health services should be Evidence-based,
Safe, People-Centred (Customer centered)
 Improving quality should be a core component of
UHC
 Major System gaps; in safety, prevention,
integration, and continuity of care
 Quality of care is worst for vulnerable groups i.e.
the poor, those with stigmatized conditions
 Technology can
improve Quality of Care
 Reduction in the rate of medication errors
 Improved handover process
 Patient data management systems- Reduction in
charting time
 Telemedicine - virtual visits and telemonitoring
 Electronic incident reporting
 Overall Electronic Medical Record
 AI in health care is being used to Improve
diagnostic accuracy, develop personalized
treatment plans, enhance patient monitoring,
streamline administrative processes.
 Ethical and regulatory Concerns, Concerns around
data privacy, algorithm bias, accountability, patient
autonomy and the potential for unintended
consequences.
 Continued regulation, monitoring, auditing and
evaluation(impact) are critical during the testing
and implementation of Health Information
Technology.
 Augmentation, Not Replacement, AI can help with
diagnosis, treatment planning, and administrative
processes, but human oversight and clinical
judgment
remain essential.

 Improve efficiency and productivity of health

workers by freeing up health workers’ time so that
they focus more on engaging with patients
 Challenges of technology in healthcare:
 Algorithm bias
 Interoperability Issues
 Privacy and security data concerns
 Usability and User Experience Challenges
 Integration with Clinical Workflows
 Overview of Malawi Health Sector
 Case scenario- Cancer Management in Malawi

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  Poor quality of care is causing more deaths than
lack of access to care in LMICs.
 Technology enables quality of care through
improving guideline adherence and reducing
medication errors and adverse drug reactions.
 AI can improve healthcare delivery by ensuring
more accurate diagnoses, personalized treatment
plans, early interventions and efficiency.
 There are ethical and regulatory concerns which
necessitate proper evaluation and continuous
regulation in health care.
 Need to adhere to Telemedicine regulations for
safety balance between usage of digital technology
and innovation
against safety concerns.
Q&A Session The following question was asked;
Q1: Trends/knowledge that the ministry is planning to
adapt to improve digital health care delivery?

Presentation Four DEVELOPMENTS IN REGULATING CONTINUOUS

PROFESSIONAL DEVELOPMENT

Presenter MR. MPHO MBODI SOUTH AFRICA

Presenter’s Biography Mpho Mbodi is a health practitioner registered with the
Health Professions Council of South Africa. Professional
interests are in management and administrator.
Professional employment includes experience in both
public and private entities in both healthcare roles as well
as in non-health roles ranging from junior management to
executive level of leadership. His current employment is
with the Health Professions Council of South Africa as Head
of Division for the Professional Practice unit. Formal
educational background includes a diploma in biomedical
technology, degree in health service management and
public administration, postgraduate diploma in
business management, Master of Business
Administration and is currently studying toward a law
degree.
Key Points  The means by which members of the profession
maintain, improve and broaden their knowledge,
expertise and competence, throughout their
professional lives.
 It includes both formal and informal learning
activities.

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  Practitioners have a responsibility to continually
update their professional knowledge and skills.
 The employers have responsibility to ensure that
their practitioners are adequately capacitated.
 Compliance with certain conditions relating to CPD
is pre- requisite for continued registration/licensing.
 Attributes Of CPD Accreditors
 The standardisation of the CPD program
ensures consistency, public confidence,
quality.
 Cycle For CPD Programme:
• Refection
• Scope of practice
• Individual and team learning
• Identification of needs
• Outcomes
 Effective CPD programme ensures that CPD are
patient centred, and Practitioners plan their own
learning path.
 CPD can strengthen networks, improve motivation
and be empowering for healthcare professionals.
 The positive effects of CPD in turn can
translate to
attainment and retention of higher quality care.
Q&A Session The following are some of the questions that were asked;
 Q1: Harmonizing CPD taken outside the country with
local regulation
 Q2: Harmonization of CPD in different aspects of
health care
 Q3: Regulation of CPDs and provision of services
 Q4: freedom of association and regulation of
CPD’s by professional bodies.

Presentation Five USING TECHNOLOGY TO STRENGTHEN

INTERPROFESSIONAL COLLABORATION AND TEAM-BASED
REGULATION AMONG HEALTH REGULATORS
Presenter
MR THADEE VUGUZIGA RWANDA
Presenter’s Biography He is the Deputy Registrar & Deputy CEO of Rwanda
Medical and Dental Council and a Member of Physician
Information Exchange committee of IAMRA. He is the
Secretary General of Rwanda Human Genetics Society and
a member of National Maternal and perinatal death
surveillance and response
Thadee is a Certified Master Trainer in Medical
Certification of
Cause of death and Certified expert by Higher Education
Council for curriculum review and inspection of medical
schools.
Key Points  Interprofessional Education (IPE) is an experience

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 that occurs when two or more healthcare providers
learn about, from and with each other to enable
effective collaboration and improve health
outcomes.
 Interprofessional collaboration (IPC) is the process
of developing and maintaining effective
interprofessional
working relationships with practitioners,
patients/families

and communities to enable optimal health outcome.

 Importance of IPC important in healthcare:
• Reduction in Medical errors/negligence cases
• Narrowing of Communication gaps among
health professionals and patients
• Patient-centered care will be enhanced
 Bringing healthcare professionals creates
collaborative relationships.
 Improved quality of service within healthcare
institutions and enhanced confidence between
healthcare professionals and patients.
 IP Communication refers to instances where
professionals from different professions
communicate with each other in a collaborative,
responsive and responsible manner.
 IPC provides constructive feedback to
Interprofessional team members.
 Role Clarification-health Professionals should
always understand their own scope of practice and
the scope of practice of those in other professions.
 Helps reduce intra-team conflict, mitigate role
ambiguity, dissolve professional boundaries, and
build trusting relationships.
 Interprofessional Conflict Resolution.
Q&A Session The following are some of the questions that were asked;
 Q1: How best do we implement IPE and IPC in
different programs.
 Q2: Evidence that IPE works
 Q3: Role of regulators in promoting access to
healthcare
 Q4: Integration of role clarification and task
shifting of different stake holders in health.

Presentation Six USE OF TECHNOLOGY IN EDUCATION (ASSESSMENT AND

ACCREDITATION, CURRICULUM DEVELOPMENT
HARMONIZATION, TRAINING REFORMS, AND MEDICAL
INTERNSHIPS)
Presenter
DR. DIVINE BANYUBALA GHANA

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 Presenter’s Biography Dr Divine Banyubala is a Physician by primary training
and also a legal practitioner. He holds a Masters and PhD
degrees in Bioethics and Medical Jurisprudence from the
School of Law, the University of Manchester in the UK. He
has vast experience in healthcare Ethics and Law
(Bioethics and Medical Jurisprudence), health policy,
professional regulation, ethics education, research ethics
and ethics governance.
Dr Banyubala is currently the Registrar of the Medical and
Dental Council, Ghana, a member of the Legal Committee
of the Ministry of Health of Ghana and the Legal
Committee of the Association of
Medical Councils of Africa (AMCOA). A Management
Committee

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 member of the Association of Medical Councils of Africa
(AMCOA) and a Member of the Board of Directors of
the International
Association of Medical Regulatory Authorities (IAMRA).
Key Points  Use of technology for medical education and training
in the areas of assessment and accreditation,
curriculum development and harmonization, training
reforms, and medical internships.
 Assessment and accreditation of medical/dental
training institutions are critical processes that ensure
the quality of medical/dental education and training
programmes.
 Some challenges include Standardization and
Consistency and Evolving Educational Landscape.
 Achieving consensus on international accreditation
standards and facilitating cross-border accreditation
processes pose significant challenges due to
differences in healthcare systems, cultural contexts,
and regulatory frameworks.
 Technology can remedy this challenge by:
• Provision of cost-effective solutions for
accreditation preparation and compliance
• Provide standardized assessment tools and
platforms.
• Streamlines data management processes and
facilitates integration of disparate data
sources
• Fosters collaboration and knowledge-sharing
among accreditation bodies
• provide automated workflows, accreditation
processes and ensuring alignment with
regulatory requirements.
 Ghana’s Example of the Accreditation and
Compliance Platform.
 Developing competency-based, harmonised
medical/dental curricula can be a very daunting and
time-consuming process.
 Using technology to develop and harmonise
curriculum for medical education can streamline
processes, enhance collaboration among
stakeholders, and ensure alignment with
educational standards and best practices.
 Technology facilitates the integration of
multidisciplinary content by providing digital
repositories, virtual libraries, and online resources.
 Technology enables the delivery of medical
education content to a wider audience, including
remote and underserved areas.

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  Technology facilitates active learning methodologies
and simulation-based training in medical education.
 Technology supports lifelong learning and
professional development for healthcare
professionals.
 Technology streamlines administrative
tasks -

Posting/Placement of House Officers/interns.

 Automated scheduling systems for managing
rotations and shifts. Accredited training facilities
and interns are both managed using this system.
 Technology streamlines administrative tasks and
enhances Quality Assurance.
 Controlled learning environments with zero risk to
human patients or participants.
 Improved regulatory control and compliance- and
ultimately
quality and safe care.

Presentation Seven PROFESSIONAL CONDUCT PROCESSES PREVENTIVE

APPROACHES IN MANAGING DISCIPLINARY CASES
Presenter
PROF. JOEL OKULLO UGANDA
Presenter’s Biography Prof. Okullo has a working experience spanning 47 years.
He is currently the Chairman of the Uganda Medical and
Dental Practitioners Council, a post he has held for the last
eleven (11) years. He is part of a group who monitors the
Medical Schools in the East African Community states. The
Council also advises the Government on various medical
issues. He is the Company Health Advisor for Shell (Vivo
Energy) and works closely with other members of the
world -wide team to promote Health, Safety and
Environment in Shell operations.

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 Key Points  Duty of a Health professional
• Respect for human life
• Respect of patient dignity
• Respect patient confidentiality
• Non- discrimination
• Obtain informed consent
• Accurate documentation
 Regulators roles defined
 Regulation is complex and dynamic it requires
constant adaptation and innovation to respond to
the changing needs of the health system and
health profession.
 Regulator's role is to ensure provision of quality,
safe and accessible health care
 Medical malpractice occurs when a health care
professional through a negligent act or omission,
deviates from standards that are set, accepted and
recognized by the profession, and thereby causes
injury harm or death to a patient.
 Health provider factors that can lead to medical
malpractice include:
• Physician Fitness to practice
• Poor documentation
• Competence
 Patient induced factors include:
• Language and Cultural barriers

• Poor understanding of the health system

• Poor understanding of the patient charter
 Health systems related factors include:
• Complex health system
• Work schedule
• Task shifting
 Prevention can be through target group awareness,
training, Monitoring performance, CPD and Fitness
to practice among others.
 Various sanctions available and depends on the
gravity and nature of the offence
 Digital platforms should be designed, developed
and implemented with a human-centered approach
and taking into account the health care system
within which it is going to operate
 Documentation is important as doctors for
future
investigation purposes and records

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 Q&A Session The following are some of the questions that were asked;
 Q1: Recommendation for practitioners trained
abroad to ensure they meet standards
 Q2: Conflict between disciplinary laws and other rules
of the land.
 Q3: Limitation of action for medical negligence claims.
 Q4: Mitigation of complaints by people that doctors
help each other in cases of malpractice
 Q5: medical professions and drug and substance abuse

Presentation Eight RESOURCE MOBILIZATION STRATEGIES FOR REGULATORS

Presenter
HON. DR. DANIEL YUMBYA KENYA
Presenter’s Biography Resource mobilization strategies for regulators
Hon. Dr. Daniel Yumbya, MBS.EBS the current Hon.
Minister for Health, Machakos County since November
2022. He was the Chief Executive Officer of the Kenya
Medical Practitioners and Dentists Council, a position he
has held from 1999-2022. He is one of the AMCOA
founding members and has been the Chair, Finance
Committee & member of the Management Committee
since 2012. He is tehe director IAMRA representing the
African continent since 2016 and the IAMRA Membership
Committee Chair since 2017.

He has served as a Consultant with the IFC/World Bank on

Kenya Patients Safety Impact Evaluation (KePSIE) Project,
Consultant with AMREF on Health Worker Migration. He
holds Doctor of Humane Letters (Honoris Causa) - Mount
Kenya University and a Master’s Degree in Business
Administration (International) MBA (I),
(Edith Cowan University, Australia.
Key Points  Resource mobilization refers to the process of
gathering, organizing, and deploying various types
of resources to
achieve specific goals or objectives.

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  These Resources could include Financial,
Human, Technological, Information, Skill,
Services, Equipment
 Also involves strategic planning, utilization, and
optimization of available resources to achieve
desired outcomes.
 Some of the benefits of financial sustainability
to an organization include:
• Operational Efficiency
• Mission Continuity
• Stakeholder Confidence & Attraction
• Innovation and Growth.
• Accountability & good governance
• Strategic Planning
 Regulators can diversify funding sources through:
• Subscriptions and Memberships
• Stragetic Partnerships
• Advertising and Marketing
• Set and ensure Budgetary Controls
• Grants and Donations
 Strategic partners are external entities or
organizations with whom an organization forms
collaborative relationships to access and leverage
resource
 Support by strategic partners can be in the form of:
• Financial and in-kind Support
• Collaborative Projects
• Capacity Building and Training
• Visibility and Reputation Enhancement
• Access to Networks and Markets
 Investment of surplus income promotes income
generation, Capital preservation and liquidity
management
Q&A Session The following are some of the questions that were asked;
 Q1: What is AMCOA doing to ensure that members
under it are able to write proposals
 Q2: How will we achieve use of technology with
shortage of human resources.

Presentation Nine USE OF TECHNOLOGY IN PROFESSIONAL PRACTICE,

REGULATING TELEHEALTH, TELEMEDICINE,
TELERADIOLOGY, AND TELEPATHOLOGY
Presenter
MR MPHO MBODI SOUTH AFRICA
Presenter’s Biography Mpho Mbodi is a health practitioner registered with the
Health Professions Council of South Africa. Professional
interests are in management and administrator.
Professional employment includes experience in both

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 public and private entities in both healthcare roles as well
as in non-health roles ranging from junior management to
executive level of leadership. His current employment is
with the Health Professions Council of South Africa as
Head of Division for
the Professional Practice unit. Formal educational
background

includes a diploma in biomedical technology, degree in

health service management and public administration,
postgraduate diploma in business management,
Master of Business
Administration and is currently studying toward a law
degree.
Key Points  Telehealth, telemedicine, teleradiology and
telepathology.
 Telehealth as important to bridge the gap between the
served and underserved and We should make it a habit
to continue learning Telehealth as it reduces time to
access of basic services and it improves and reaches
out different people as they are given what they need.
 There is legal need to create right platforms to lead the
right regulations for tele-health and people must be
sensitized about the platforms created and we don’t
have to wait for others to innovate for us.
 Patient outcomes may be determined based on our
willingness to embrace the benefits of Telemedicine.
Therefore, choosing the most appropriate tele-
technology is key to delivering the best telehealth.
 Telehealth must not be used in social media
platforms and
always obtain informed consent
Q&A Session The following are some of the questions that were asked;
 Q1: Ethics on sharing of Radiological data using
informal platforms
 Q2: Plausibility of a practitioner to diagnosing a
condition using a smartwatch
 Q3 Role of regulators in preventing intellectual
theft due to Tele-health
 Q4 Extent to which AI is accountable

Presentation Ten MANAGING IMPAIRMENT OF HEALTH PRACTITIONERS

Presenter
PROF FASTONE GOMA ZAMBIA
Presenter’s Biography Dr Fastone Mathew Goma is Professor of Physiology and
Cardiovascular Health. He is a graduate of the University
of Zambia, having obtained his MB ChB there in 1988.He
obtained the MSc in Cardio-Respiratory Physiology at
University College London in 1994 before proceeding to
University of Leeds where he obtained his PhD in

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 Cardiovascular Sciences in 1998. He returned to University
of Zambia (UNZA) soon after that where he had been
participating in the processes of teaching and learning of
Cardiovascular Medicine at the UNZA School of Medicine
from where he retired in 2018. He was Deputy Vice-
Chancellor at Eden University in Lusaka 2019 - 2021.He
also studied International Public Health at University of
Alabama at Birmingham (UAB), USA and Tobacco
Dependency Management at the Centre for Addiction and
Mental Health (CAMH), University of Toronto, Canada. He
was also Director of the Centre for Primary Care
Research (CPCR) in Lusaka which aims at
enhancing research in NCDs with special
emphasis on

cardiovascular diseases (CVD) and related co-morbidities.

His main research areas include risk factors for Non-
Communicable Diseases (Tobacco & Hypertension), Health
systems research (Human Resources for Health (HRH)),
and Palliative Care. He was Chairperson for the Second
Health Professions Council of Zambia where he shared the
platform with the late Prof George Magoha (MHSRIEP)
2013-2017 and got appointed to HPCZ as
CEO/Registrar in October 2022.

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 Key Points  Impaired physician- “one unable to fulfil professional
or personal responsibilities due to psychiatric illness,
alcoholism or drug dependency
 Approximately 10- 15% of physicians will be impaired
at some point in their careers.
 Healthcare professionals have higher rates of abuse
with benzodiazepines and opiates
 Identifying impairment is often difficult because the
manifestations are varied, and physicians will
typically suppress and deny any suggestion of a
problem.
 Untreated impairment may result in loss of license,
health problems, and even death.
 Institutional, local, and state-wide impaired-physician
programs are required for the active treatment and
rehabilitation of impaired healthcare professionals.
 These programs ought to be designed to also assist
the clinician with re-entry into clinical practice.
 Rarely should punitive action be taken when the
healthcare provider undergoes successful treatment
and ongoing follow- up management.
 Overall recovery rates for impaired healthcare
professionals seem to be higher compared with other
groups, particularly with intensive inpatient
management and subsequent follow- up care.
 The Physician Health Program (PHP) supports
physicians, residents, medical students, physician
assistants and clinical assistants who need to
prioritize their personal health, while continuing to
provide safe and effective care to patients.
 It is a colleague's ethical duty to act immediately to
intervene. The best approach is usually to contact a
Physicians Health Program rather than the Regulator,
and to report the suspected addicted physician.
 Self-reporting
 Treatment can be through abstinence, detoxification,
Rehabilitation and medical stabilization.
 Decisions about whether it is safe to practice should
include the following considerations:
• The potential for cognitive impairment alone or in
combination with other medications
• The potential for misuse or diversion of the
medications

• The presence of co-occurring illness

• physician expert with experience and expertise
in the treatment and monitoring of physicians
with SUD

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 Q&A Session The following are some of the questions that were asked;
 Q1 Voluntary withdrawal from practice due to impairment
 Q2: Drug dependence and burn out

This section serves as a summary of the presentations made during the workshop. It is
important to note that while efforts have been made to accurately capture the key themes
and insights discussed during the workshop, this section does not encompass the entirety
of the event proceedings. Therefore, readers are encouraged to refer to additional
resources and materials for a comprehensive understanding of the topics covered and
discussions held available on https://amcoa.org/index.php/resources/ .

WORKSHOP OUTCOMES: WAY FORWARD

Following the diverse discussions, the following was earmarked for implementation namely –

i. Webinars and/ or training sessions to be held on the following topics –

a. Resource Mobilization
b. Report and Proposal writing
c. Management of Impairment of practitioners
d. Harmonization of CPD in different aspects of health care
e. Technology streamlining regulatory administrative tasks
f. Monitoring and responding appropriately to Developments in technology

CLOSING STATEMENT BY PROF. JOHN CHISI MCM CHAIRPERSON

Prof. Chisi expressed his deep gratitude and inspiration by the insightful and successful
capacity building workshop. He thanked all the speakers, participants, and organizing
team for their dedication, expertise, and insights, which contributed to the workshop's
success. Prof. Chisi emphasized that the diverse perspectives presented during the
sessions are instrumental in enriching the understanding of the challenges and
opportunities in healthcare governance and regulation. He opined that throughout the
workshop, the critical role of digital technology in enhancing healthcare governance
and regulation was explored. Case studies from around the world demonstrated
successful integration of technology in healthcare systems, highlighting valuable
lessons and best practices.

According to Prof. Chisi, the interactive nature of the workshop fostered collaborative
thinking and innovative problem-solving approaches among professionals from various
sectors. He encouraged all delegates to carry forward the knowledge and insights
gained into their respective fields, advocating for policies and practices that prioritize
the health and well-being of communities worldwide.

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Looking ahead, Prof. Chisi emphasized that the work does not stop there, as the
connections and partnerships formed during the workshop are just the beginning. He
highlighted the potential for significant change in healthcare through the power of
digital technology and innovation and expressed optimism about the future
advancements that could be achieved together.

CLOSING STATEMENT BY PROF SIMON NEMUTANDANI- AMCOA PRESIDENT

Prof. Simon Nemutandani emphasized the significance of protecting the public interest
through the promotion of high standards in medical education, registration, and
regulation, as evidenced by the attendance and participation during the workshop. He
opined that the AMCOA Capacity Building Workshop is a pivotal platform for shaping
and discussing Africa's healthcare plan to address challenges in healthcare delivery and
practice regulation. Prof. Nemutandani stressed the importance of well-designed
regulations that prioritize public safety and respond to evolving healthcare trends and
innovations.

He commended the speakers for their contributions to the discussions on digital

technology and innovation in healthcare regulation, emphasizing the opportunities they
offer to enhance governance. Prof. Nemutandani expressed gratitude to the Guest of
Honour, the Hon. Khumbize Kandondo Chiponda M.P Minister of Health, Malawi, and
acknowledged the support of various sponsors in making the workshop successful. He
thanked the AMCOA Management Committee, the Malawi Medical Council, the Local
Organizing Committee, and the event organizers for their stewardship and support.
Prof. Nemutandani extended appreciation to the organizing team, AMCOA Secretariat,
BICC staff, ushers, and rapporteurs for their meticulous planning and execution of the
event. He expressed gratitude to all participants and emphasized the importance of
collaboration in addressing healthcare challenges.

Finally, he invited attendees to the AMCOA Annual Conference 2024 hosted by the
Health Professions Council of Zambia, where regulation in the era of artificial
intelligence would be further explored. With these remarks, he declared the AMCOA
Annual Capacity Building Workshop officially closed.

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ANNEXURES

1. AMCOA Management and Secretariat Present

Name Designation Country

Prof. Simon Nemutandani President South Africa
Ass Prof Joel Okullo Member Uganda
Prof Stanley Khainga Member Uganda
Dr Benjamin Wilson Member Namibia
Dr Divine Banyubala Member Ghana
Dr Kgosi Letlape Past President (ex- South Africa
officio)
Dr Magome Masike Head AMCOA South Africa
Secretariat
Ms Sadicka Komey AMCOA Secretariat South Africa
Adv Ntsikelelo Sipeka Legal Counsel South Africa
Adv Esther Mutheu Legal Counsel Kenya
Ms Kurhula Mndluli AMCOA Secretariat South Africa
Ms Elizabeth Yawson AMCOA Secretariat Ghana
Ms Rose Wafukho AMCOA Secretariat Kenya
Mr. Duncan Mwai AMCOA Secretariat Kenya
Mr. Tonny Lugalia AMCOA Secretariat Kenya
Ms. Hannah Mugo AMCOA Secretariat Kenya

2. Member Countries Present

Country Organization/Company
Eswatini Eswatini Medical and Dental Council
Ghana Medical and Dental Council, Ghana
Kenya Kenya Medical Practitioners and
Dentists Council
Lesotho Lesotho Medical Dental and Pharmacy
Council
Liberia Liberia Medical and Dental Council
Namibia Health Professions Councils of Namibia
Rwanda Rwanda Medical and Dental Council
Rwanda Allied Health Professions
Council
National Council of Nursing and
Midwives National Council of Rwanda
South Africa Health Professions Council of South
Africa
South Sudan South Sudan General Medical Council
Seychelles Seychelles Medical and Dental Council
Tanzania Medical Council of Tanganyika

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 Uganda Uganda Medical and Dental
Practitioners Council
Country Organization/Company
Allied Health Professionals Council of
Uganda
United States ECFMG and FAIMER Divisions of Intealth
Zambia Health Professions Council of Zambia
Zimbabwe Medical & Dental Practitioners Council
of Zimbabwe
Health Professions Authority Zimbabwe
Allied Health Practitioners Council of
Zimbabwe

3. List of Sponsors
a) Standard Bank
b) PROPEL Health
c) Oxfam
d) Partners in Health
e) Seed Global
f) AMREF
g) Intermed
h) Precious Medicals
i) ECFMG

4. Conference Rapporteurs
a) Adv. Esther Mutheu
b) Ms. Olivia Mgwadira
c) Ms. Zodwa Sichali
d) Dr. Francis Msimbu
e) Dr Innocencia Hope Makoza
f) Dr. Chigomezgo Mweso
g) Dr Ireen Tusekire Mwasapi

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 5. Pictorials

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DECLARATION

This report, signed on 22 April 2024, is a true reflection of the events at the AMCOA Annual
Capacity Building Workshop 2024.

Adv. Esther Mutheu

AMCOA Head Rapporteur

Ms. Sadicka Komey

AMCOA Secretariat

Dr Magome Masike
Head: AMCOA Secretariat

Prof. Simon Nemutandani

AMCOA President

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