Tanzania backs Prof. Janabi for WHO Africa post amid hope and leadership challenges

Analysts say WHO has yet to announce the reopening of the nomination process as per the constitution. Photo: Courtesy

By Adonis Byemelwa

Tanzania’s President Samia Suluhu Hassan has announced the nomination of Professor Mohamed Janabi, Executive Director of Muhimbili National Hospital (MNH), as a candidate for the position of Regional Director for Africa at the World Health Organization (WHO).

This prestigious role, which became vacant following the untimely passing of Dr. Faustine Ndugulile, offers a significant opportunity for Tanzania to maintain its representation in global health leadership.

Speaking on 10th December 2024 during a swearing-in ceremony for newly appointed government officials at the State House in Tunguu, Zanzibar, President Samia expressed her confidence in Professor Janabi's expertise and contributions to the health sector.

"Today, I share with you something important. After a careful review of qualifications, we have decided to forward Professor Janabi's name to the WHO to contest for this critical role. It is a challenging task, and I urge you, Professor Janabi, to begin preparing yourself for this responsibility," President Samia declared.

The role of WHO Regional Director for Africa was previously held by Dr. Faustine Ndugulile, a respected Tanzanian leader in global health who tragically passed away in India while undergoing treatment. Dr. Ndugulile's legacy as a transformative figure in public health has left a significant void, raising the stakes for his successor.

If confirmed, Professor Janabi will bring a wealth of experience from his long-standing career in the Tanzanian health sector. His tenure at MNH and his advisory role to the President on health matters have earned him recognition as a dedicated professional with a deep commitment to advancing healthcare in the country.

Nevertheless, discussions surrounding the nomination have raised concerns regarding the timing and transparency of the process. Observers have noted that WHO has yet to announce the reopening of the nomination process, which is expected to follow the official guidelines set out in its constitution.

This procedural step involves inviting member states to submit candidates, after which the WHO Executive Board conducts a rigorous evaluation before finalizing the shortlist.

Prominent Tanzanians, including former UN-Habitat head Professor Anna Tibaijuka, have expressed their views on the matter. Taking to her social media account on X, Professor Tibaijuka shared her thoughts: "I have received numerous inquiries regarding the announcement of Professor Janabi’s candidacy. While his qualifications are commendable, it is my understanding that WHO protocols may necessitate restarting the nomination process. Should that happen, Tanzania retains the right to field another candidate, and I believe we can once again secure victory."

She added, "Elections of this nature often carry political undertones. Sympathy votes may sway the outcome, but they may also present unexpected challenges. Let us honor the memory of Dr. Faustine Ndugulile and trust that due process will prevail. May he rest in peace."

Dr. Ndugulile's ascent to the role of WHO Regional Director for Africa highlighted his extensive background in global health leadership, international collaboration, and strategic vision aligned with WHO priorities.

While Professor Janabi's credentials are impressive, some analysts have pointed out that his career has largely focused on operational roles within national healthcare institutions rather than positions at the global policy level.

Key criteria for the WHO Regional Director position include demonstrated leadership in global health, a track record of international collaboration, and strategic alignment with WHO’s priorities. Dr. Ndugulile, for instance, brought considerable experience as a former Deputy Minister of Health and Permanent Secretary, which provided him with a robust platform to navigate international health dynamics effectively.

In comparison, Professor Janabi has excelled in operational management and clinical expertise, notably steering MNH and the Jakaya Kikwete Cardiac Institute (JKCI) in 2016 toward improved healthcare delivery.

His academic qualifications, which include a medical degree and specialization in cardiology, have further strengthened his profile as a leading figure in Tanzania’s medical field. While his exposure to global health governance is limited, his reputation as a results-oriented professional has drawn widespread respect.

The path forward is expected to be shaped by the upcoming WHO Executive Board meeting in Geneva on February 25, where discussions will likely address how to proceed following Dr. Ndugulile’s passing.

If a new nomination process is initiated, Tanzania and other member states will be invited to propose candidates for consideration.

This development has also sparked broader reflections on Tanzania’s capacity to field candidates for high-profile international roles.

Critics have accentuated the need for a transparent selection process to avoid perceptions of premature or politically driven decisions that could undermine the credibility of the country’s nominees.

Professor Tibaijuka emphasized the importance of maintaining professionalism and adherence to WHO guidelines. "Let us approach this opportunity with patience and respect for established protocols. The nomination of Professor Janabi is a proud moment for Tanzania, but it must be supported by a process that reflects the values of fairness and integrity."

As the debate unfolds, Tanzania continues to mourn the loss of Dr. Ndugulile while rallying behind Professor Janabi's candidacy.

His achievements, including his leadership in promoting public health initiatives and improving nutrition education, position him as a strong contender.

 However, the outcome will depend on WHO’s decision-making process and the dynamics of international support.

In his distinguished career, Professor Janabi has become a household name in Tanzania for his contributions to healthcare. He has been instrumental in modernizing MNH and championing programs to enhance medical training and patient care.

 His pragmatic approach to solving healthcare challenges has earned him accolades, but his lack of direct involvement in global health policymaking may pose challenges in a highly competitive international arena.

Tanzania is preparing for the potential reopening of the nomination process; the nation faces the delicate task of balancing national pride with the practicalities of securing a place at the global health leadership table. Whatever the outcome, the spotlight on Professor Janabi underscores the critical role of leadership in shaping the future of health in Africa and beyond.

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