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The CPC’s fifth plenum and China’s 14th Five-Year Plan 2021-2025

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I’m Robert Lawrence Kuhn and here’s what I’m watching: The fifth plenum of the 19th Communist Party of China Central Committee, its agenda and impact.

Foreigners wonder how China is thinking, where China is going? Party plenums are clues. Party plenums are formal meetings of the Central Committee, the highest level “Congress,” as it were, of the ruling Communist Party of China, attended by more than 300 full and alternate members.

The fifth plenum marks an inflection point between China’s two centenary goals: the first, the moderately prosperous society, achieved this year, 2020, highlighted by the elimination of all extreme poverty.

The fifth plenum rolls out a framework of China’s 14th Five-Year Plan, 2021 to 2025, the first five-year plan of economic and social development looking ahead 30 years to China 2050. The 14th Five-Year Plan is deemed critical, given decreasing international trade such that demand for Chinese goods is less, and a volatile global environment such that sensitivity to China’s rise is more, thus preparing the country for economic challenges at home and growing hostilities abroad.

The focus will be on what President Xi Jinping has called the “Double Development Dynamics” strategy, rebalancing toward China’s domestic market – according to leadership, to “facilitate better connectivity between domestic and foreign markets for more resilient and sustainable growth.”

Essential is high-quality growth and self-sufficiency in science and technology – hi-tech independence – especially the design and manufacturing of semiconductor chips, which undergird all the frontier technologies: artificial intelligence (AI), 5G, supercomputing, quantum computing, even smartphones. Other technologies include renewables, material science, new energy vehicles, biotechnology, and space science.

The plenum will also present a midterm economic strategy called “2035 vision,” the half-way mark to China 2050, when China intends to become a fully modernized, socialist nation and a great power in the world, particularly in science and technology and in defense. This implements what Xi stated at the 19th CPC National Congress in late 2017: China will “basically” realize socialist modernization by 2035.

According to a recent Politburo announcement, “We must seek development that has higher quality, higher efficiency, higher fairness, higher sustainability, and higher safety. We must seek a synthesis of scale, speed, quality, efficiency, and safety.”

There are cautions. China’s race for self-sufficiency in semiconductor chips, supplying vast funding, can entice non-expert companies, with the all-too-predictable failures and wastes.  Recently, the National Development and Reform Commission asserted that companies with no experience, no technology, and no talent should stop blindly rushing into the industry.

Advancing science and technology should be a global good in that all humanity benefits, no matter the country of origin — the COVID-19 vaccine being a prime example. The challenge for China in presenting its 14th Five-Year Plan, founded on science and technology, is to show the world why all should root for, not against, its success.

I’m keeping watch. I’m Robert Lawrence Kuhn.

Scriptwriter: Robert Lawrence Kuhn

Cameraman: Morgan Compagnon

Video editor: Hao Xinxin

 

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Financing Health Futures: Nigeria, Ghana, Uganda Turn to Tobacco and Telecom Taxes in Big Push Against Malaria

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African leaders, parliamentarians, health experts, and development partners have renewed their commitment to ending malaria by 2030, with a bold call for domestic financing through innovative taxation on tobacco, alcohol, and telecom services to close critical funding gaps.

The discussions took center stage at the Big Push Against Malaria: Harnessing Africa’s Role high-level political engagement in Abuja, where Nigeria, Ghana, and Uganda showcased new homegrown financing strategies aimed at reducing dependence on dwindling donor support.

Africa’s Heavy Burden

Malaria remains one of Africa’s deadliest diseases. In 2023, the world recorded 263 million cases and nearly 600,000 deaths, with 94% of cases and 95% of deaths occurring in Africa. Nigeria alone accounted for 26.6% of global cases and 31% of deaths, according to the World Malaria Report 2024. Children under five remain the most vulnerable, making up 76% of deaths.

Despite progress — with Nigeria cutting malaria deaths by more than half since 2000 through insecticide-treated nets, preventive treatments, and the rollout of the new R21 malaria vaccine — leaders warned that global targets are off-track. The World Health Organization’s technical strategy for malaria (2016–2030) has stalled since 2017, with Africa unlikely to meet its 2025 and 2030 milestones without urgent action.

Taxing for Health Futures

The Nigerian Parliament’s Committee on HIV/AIDS, Tuberculosis, and Malaria (ATM) announced plans to fund malaria elimination through “sin taxes” and telecom levies.

According to the House Chair on ATM, Hon. Linda Ogar, a bill is underway to restructure the National Agency for the Control of AIDS (NACA) into a multi-disease agency that will address HIV, TB, and malaria.

The new financing mechanism proposes:

Taxes on tobacco, alcohol, and other luxury items

Dedicated levies on telecom airtime and mobile money transactions

A percentage of the nation’s consolidated revenue

“These resources will provide sustainable funding to strengthen health systems and accelerate malaria elimination,” Ogar said, stressing that Africa must stop relying solely on foreign donors. “We cannot continue to take two steps forward and five steps backward. Africa must begin to show the world that we are ready to solve our problems ourselves.”

Similar models are already being piloted in Ghana and Uganda, where levies on mobile money and telecoms are being redirected to finance health interventions. The Abuja meeting urged other African countries to adopt this approach as part of a continental framework for sustainable financing.

Leaders Call for Urgent Action

Nigeria’s Minister of State for Health and Social Welfare, Dr. Iziaq Adekunle Salako, emphasized that while malaria is preventable and treatable, it still kills hundreds of thousands yearly due to funding shortfalls, climate change, insecticide resistance, and humanitarian crises.

“To truly defeat this disease, we must rethink, join forces, and mount a concerted ‘Big Push’. Funding gaps remain a major obstacle, and innovative domestic financing is the way forward,” Salako declared.

From the civil society front, grassroots representatives pledged to act as “foot soldiers”, demanding that communities have a seat at the decision-making table. The World Health Organization, Bill & Melinda Gates Foundation, Aliko Dangote Foundation, and other partners reaffirmed support but stressed the need for stronger political will and local ownership.

Private Sector and Global Support

Representing billionaire philanthropist Aliko Dangote, the Nigeria Malaria Council reiterated that private sector investment must complement government financing. Meanwhile, the Global Fund confirmed it has invested nearly $2 billion in Nigeria’s malaria response and committed an additional $500 million for 2024–2026, including support for local production of malaria drugs.

The Gates Foundation’s Uche Anaowu noted that while progress has slowed, malaria remains beatable:

“Smallpox is the only human disease ever eradicated. The question is — can malaria be next? I believe Africa has both the burden and the opportunity to lead the world in making that happen.”

Financing Health Futures: Nigeria, Ghana, Uganda Turn to Tobacco and Telecom Taxes in Big Push Against Malaria

Abuja, Nigeria – African leaders, parliamentarians, health experts, and development partners have renewed their commitment to ending malaria by 2030, with a bold call for domestic financing through innovative taxation on tobacco, alcohol, and telecom services to close critical funding gaps.

The discussions took center stage at the Big Push Against Malaria: Harnessing Africa’s Role high-level political engagement in Abuja, where Nigeria, Ghana, and Uganda showcased new homegrown financing strategies aimed at reducing dependence on dwindling donor support.

Africa’s Heavy Burden

Malaria remains one of Africa’s deadliest diseases. In 2023, the world recorded 263 million cases and nearly 600,000 deaths, with 94% of cases and 95% of deaths occurring in Africa. Nigeria alone accounted for 26.6% of global cases and 31% of deaths, according to the World Malaria Report 2024. Children under five remain the most vulnerable, making up 76% of deaths.

Despite progress — with Nigeria cutting malaria deaths by more than half since 2000 through insecticide-treated nets, preventive treatments, and the rollout of the new R21 malaria vaccine — leaders warned that global targets are off-track. The World Health Organization’s technical strategy for malaria (2016–2030) has stalled since 2017, with Africa unlikely to meet its 2025 and 2030 milestones without urgent action.

Taxing for Health Futures

The Nigerian Parliament’s Committee on HIV/AIDS, Tuberculosis, and Malaria (ATM) announced plans to fund malaria elimination through “sin taxes” and telecom levies.

According to the House Chair on ATM, Hon. Linda Ogar, a bill is underway to restructure the National Agency for the Control of AIDS (NACA) into a multi-disease agency that will address HIV, TB, and malaria.

The new financing mechanism proposes:

Taxes on tobacco, alcohol, and other luxury items

Dedicated levies on telecom airtime and mobile money transactions

A percentage of the nation’s consolidated revenue

“These resources will provide sustainable funding to strengthen health systems and accelerate malaria elimination,” Ogar said, stressing that Africa must stop relying solely on foreign donors. “We cannot continue to take two steps forward and five steps backward. Africa must begin to show the world that we are ready to solve our problems ourselves.”

Similar models are already being piloted in Ghana and Uganda, where levies on mobile money and telecoms are being redirected to finance health interventions. The Abuja meeting urged other African countries to adopt this approach as part of a continental framework for sustainable financing.

Leaders Call for Urgent Action

Nigeria’s Minister of State for Health and Social Welfare, Dr. Iziaq Adekunle Salako, emphasized that while malaria is preventable and treatable, it still kills hundreds of thousands yearly due to funding shortfalls, climate change, insecticide resistance, and humanitarian crises.

“To truly defeat this disease, we must rethink, join forces, and mount a concerted ‘Big Push’. Funding gaps remain a major obstacle, and innovative domestic financing is the way forward,” Salako declared.

From the civil society front, grassroots representatives pledged to act as “foot soldiers”, demanding that communities have a seat at the decision-making table. The World Health Organization, Bill & Melinda Gates Foundation, Aliko Dangote Foundation, and other partners reaffirmed support but stressed the need for stronger political will and local ownership.

Private Sector and Global Support

Representing billionaire philanthropist Aliko Dangote, the Nigeria Malaria Council reiterated that private sector investment must complement government financing. Meanwhile, the Global Fund confirmed it has invested nearly $2 billion in Nigeria’s malaria response and committed an additional $500 million for 2024–2026, including support for local production of malaria drugs.

The Gates Foundation’s Uche Anaowu noted that while progress has slowed, malaria remains beatable:

“Smallpox is the only human disease ever eradicated. The question is — can malaria be next? I believe Africa has both the burden and the opportunity to lead the world in making that happen.”

The Big Push: From Talk to Action

Speakers acknowledged that Africa has hosted too many malaria meetings without concrete outcomes. This time, however, leaders insisted the Abuja gathering must mark a turning point — from dependency to self-reliance.

With Nigeria, Ghana, and Uganda setting the pace on tax-based health financing, the continent now faces the challenge of replicating and scaling up these models.

“Now that Africa is at a critical point, the need for a Big Push against malaria cannot be overemphasized. If we align political will, innovative financing, and community engagement, we can end malaria within our lifetime.”

Nigeria, Ghana, and Uganda are pioneering a shift from donor dependence to domestic revenue mobilization via tobacco, alcohol, and telecom taxes — a model hailed as central to financing Africa’s health futures and ending malaria by 2030
Speakers acknowledged that Africa has hosted too many malaria meetings without concrete outcomes. This time, however, leaders insisted the Abuja gathering must mark a turning point — from dependency to self-reliance.

With Nigeria, Ghana, and Uganda setting the pace on tax-based health financing, the continent now faces the challenge of replicating and scaling up these models.

“Now that Africa is at a critical point, the need for a Big Push against malaria cannot be overemphasized. If we align political will, innovative financing, and community engagement, we can end malaria within our lifetime.”

Nigeria, Ghana, and Uganda are pioneering a shift from donor dependence to domestic revenue mobilization via tobacco, alcohol, and telecom taxes — a model hailed as central to financing Africa’s health futures and ending malaria by 2030

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