A/HRC/37/57 Nigeria 79. In 2012, the Government of Nigeria, under the auspices of its Ministry of Education, adopted a national policy on albinism. The policy outlines the main health challenges faced by persons with albinism, including recommendations on the prevention and treatment of skin cancer. 85 The policy is holistic and covers several areas of work, including the promotion of self-esteem and a feeling of belonging, along with access to health and the promotion of free ophthalmological and dermatological services. 80. To that end, the policy establishes a target, to be achieved by 2020, of a 50 per cent improvement in accessing qualitative and affordable health and social services by persons with albinism. The interventions outlined in the policy will provide basic information and medical services for the prevention of visio-dermal health issues related to albinism; provide counselling and psychosocial services for persons with albinism by health systems stakeholders in public and private sectors; secure free, accessible qualitative treatment and rehabilitation of persons with albinism with skin cancer, sunburn and low vision. 81. The Ministry of Health, in partnership with the National Hospital in Abuja and the Albino Foundation, coordinate a project on free skin cancer treatment, which provides treatments that have a direct impact on avoiding premature deaths. According to the Albino Foundation, free medical treatment has been provided to over 4,000 persons with albinism who have skin cancer. 86 Today, the main challenges of the project are inadequate integration or mainstreaming in the health sector, funding and access to treatment, as the travel costs to Abuja remain prohibitive for most and subsidies by the Albino Foundation in this regard are limited. United Republic of Tanzania and Malawi 82. In the United Republic of Tanzania and Malawi, the mobile clinics specifically attending to persons with albinism who live in non-urban centres have had a highly positive impact on skin cancer prevention and treatment, as well as reasonable accommodation for visual impairment. 83. In the United Republic of Tanzania, the Regional Dermatology Training Centre at the Kilimanjaro Christian Medical Centre has developed a comprehensive care programme for persons with albinism. The programme includes the registration and periodical health inspection of persons with albinism in different regions of the country; the provision of free dermatological services; education and awareness-raising on the importance of sun protection; and distribution of sun protection materials. In conjunction with Kilimanjaro Sunscreen (KiliSun) and Standing Voice, it covers 10 regions and reaches 2,000 persons with albinism. 84. Furthermore, the programme produces the locally made sunscreen, Kilimanjaro Sun Care or KiliSun, at the Kilimanjaro Sunscreen Production Unit. The unit produces and ensures a free supply of KiliSun, promotes the use of local resources and seeks to avoid reliance on external donations of commercial sun protection products. 85. This production of sunscreen responds to the realities and needs of persons with albinism, following a bottom-up approach. It offers a sun protection factor of at least 30 and protection against ultraviolet A and B radiation. The unit, in collaboration with health workers, community dermatologists and civil society, including the Tanzania Albinism Society and Standing Voice, ensure the quality of distribution, including assessment and education on the use of sunscreen.87 86. Moreover, in 2018, the Association of Persons with Albinism in Malawi will launch its first sunscreen pilot production in nine districts, in anticipation of the launch of a fullscale production unit in 2019 or 2020. This initiative is coordinated with the Government, United Nations agencies and KiliSun, and represents direct follow-up to the 85 86 87 National policy on Albinism. See albinofoundation.org. Information received from KiliSun. 17

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