By Dr Vivian Manyeki, Public Health Specialist and Tobacco Harm Reduction Advocate In the busy corridors of the 11th Conference of the Parties (COP11) to the WHO Framework Convention on Tobacco Control (FCTC) in Geneva, a heated exchange occurred. A young delegate, determined and armed with data, confronted a representative of a major global foundation. “We appreciate your contributions,” she said. “But Africa’s strategies must reflect our realities, not imposed templates.” This moment highlighted the tension between philanthropy and sovereignty. Wealthy philanthropists offer solutions for Africa, but governments must remain…
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