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Global childhood immunization levels stalled in 2023 leaving many without life-saving protection

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BY UNICEF

What’s new: New data reveal nearly 3 in 4 infants live in countries where low vaccine coverage driving measles outbreaks

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Global childhood immunization coverage stalled in 2023, leaving 2.7 million additional children un- and under-vaccinated compared to pre-pandemic levels in 2019, according to data published today by the World Health Organization (WHO) and UNICEF.

The latest WHO and UNICEF estimates of national immunization coverage (WUENIC) – which provide the world’s largest and most comprehensive dataset on immunization trends for vaccinations against 14 diseases – underscore the need for ongoing catch-up, recovery and system-strengthening efforts.

“The latest trends demonstrate that many countries continue to miss far too many children,” said UNICEF Executive Director Catherine Russell. “Closing the immunization gap requires a global effort, with governments, partners, and local leaders investing in primary healthcare and community workers to ensure every child gets vaccinated, and that overall healthcare is strengthened.”

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According to the findings, the number of children who received three doses of the vaccine against diphtheria, tetanus, and pertussis (DTP) in 2023 – a key marker for global immunization coverage – stalled at 84 per cent (108 million). However, the number of children who did not receive a single dose of the vaccine increased from 13.9 million in 2022 to 14.5 million in 2023.

More than half of unvaccinated children live in the 31 countries with fragile, conflict-affected and vulnerable settings, where children are especially vulnerable to preventable diseases because of disruptions and lack of access to security, nutrition, and health services.

Additionally, 6.5 million children did not complete their third dose of the DTP vaccine, which is necessary to achieve disease protection in infancy and early childhood.

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These trends, which show that global immunization coverage has remained largely unchanged since 2022 and – more alarmingly – has still not returned to 2019 levels, reflect ongoing challenges with disruptions in healthcare services, logistical challenges, vaccine hesitancy and inequities in access to services.

Low vaccine coverage already driving measles outbreaks

The data further show that vaccination rates against the deadly measles disease stalled, leaving nearly 35 million children with no or only partial protection.

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In 2023, only 83 per cent of children worldwide received their first dose of the measles vaccine through routine health services, while the number of children receiving their second dose modestly increased from the previous year, reaching 74 per cent of children. These figures fall short of the 95 per cent coverage needed to prevent outbreaks, avert unnecessary disease and deaths, and achieve measles elimination goals.

Over the last five years, measles outbreaks hit 103 countries – home to roughly three-quarters of the world’s infants. Low vaccine coverage (80 per cent or less) was a major factor. In contrast, 91 countries with strong measles vaccine coverage did not experience outbreaks.

“Measles outbreaks are the canary in the coal mine, exposing and exploiting gaps in immunization and hitting the most vulnerable first,” said Dr Tedros Adhanom Ghebreyesus, WHO Director-General. “This is a solvable problem. Measles vaccine is cheap and can be delivered even in the most difficult places. WHO is committed to working with all our partners to support countries to close these gaps and protect the most at-risk children as quickly as possible.”

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Global HPV vaccine coverage among girls increased substantially

The new data also highlight some brighter spots in immunization coverage. The steady introduction of new and under-utilized vaccines, including for human papillomavirus (HPV), meningitis, pneumococcal, polio and rotavirus disease, continue to expand the breadth of protection, particularly in the 57 countries supported by Gavi, the Vaccine Alliance. 

For example, the share of adolescent girls globally who received at least 1 dose of the HPV vaccine, which provides protection against cervical cancer, increased from 20 per cent in 2022 to 27 per cent in 2023. This was largely driven by strong introductions in Gavi-supported countries, such as Bangladesh, Indonesia, and Nigeria. The use of the single-dose HPV vaccine schedule also helped boost vaccine coverage.

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“The HPV vaccine is one of the most impactful vaccines in Gavi’s portfolio, and it is incredibly heartening that it is now reaching more girls than ever before,” said Dr Sania Nishtar, CEO of Gavi, the Vaccine Alliance. “With vaccines now available to over 50 per cent of eligible girls in African countries, we have much work to be done, but today we can see we have a clear pathway to eliminating this terrible disease.” 

However, HPV vaccine coverage is well below the 90 per cent target to eliminate cervical cancer as a public health problem, reaching only 56 per cent of adolescent girls in high-income countries and 23 per cent in low- and middle-income countries.

A recent poll of over 400,000 users of UNICEF’s digital platform for young people, U-Report, revealed that over 75 per cent are unaware or unsure of what HPV is, underscoring the need for better vaccine accessibility and public awareness. When informed about the virus, its link to cancers, and the existence of a vaccine, 52 per cent of respondents indicated they want to receive the HPV vaccine but are hindered by financial constraints (41 per cent) and lack of availability (34 per cent).

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Robust local action needed to reach everyone, everywhere with vaccines

While there’s been modest progress in some regions, including the African region and low-income countries, the latest estimates highlight the need to accelerate efforts to meet the Immunization Agenda 2030 (IA2030) targets of 90 per cent coverage, and no more than 6.5 million ‘zero-dose’ children globally by 2030.

The IA2030 Partnership Council calls for increased investment in innovation and ongoing collaboration. The council also recommends partners step up their support for country leadership to improve routine immunization as part of their integrated primary health care programmes, backed by robust political support, community leadership, and sustainable funding.

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From skins to steaks — How wildlife trade is fueling communities in South Africa

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BY NOKUTHABA DLAMINI 

In the small town of Bela-Bela, a quietly flourishing business is unfolding — one that turns wildlife into livelihood, education, and economic opportunity. On a humid afternoon, we walked into the operations of Estelle Nel Taxidermy (and its parent networks), where rows of beautiful animal mounts — from antelope horns to zebra skins, skulls to full-body trophies — line the walls.

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But beyond the busts and custom mounts lies a deeper purpose: this is not simply a display of hunting trophies. It is a system of sustainable use — where animals that die naturally or are hunted legally are completely utilised: meat, skin, horns, bones — nothing goes to waste, and everything acquires value.

As we discovered from our conversations, this network extends beyond taxidermy. Adjacent to the showrooms are processing facilities, butcheries, and game-meat wholesalers — all integral to transforming South Africa’s wild fauna into a formal, regulated, and sustainable economy.

“This is home” — an artisan’s vocation

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I sat down with Melanie Viljoen, who serves as Export Secretary at Estelle Nel Taxidermy. Her voice was calm, resolute.

“For me, it’s like this is home and it’s something that I love to do. I love art. I studied art at school. I can’t think of anything else I’d rather do.”

She told us she’s been with the business for thirteen to fourteen years. Over that time she’s mastered a unique craft. “I’ve found my niche,” she said, “and I’m not going anywhere.”

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Melanie explained how the business flows: outfitters bring in international clients to hunt on private farms, then process the animals: trophy mounts for some, meat for others. Locals also bring animals — sometimes for trophies, sometimes just for meat. There is even “school-mount” work: smaller species, sometimes a mother and its young, carefully preserved — not just for hunters, but for children to touch and learn about wildlife up close.

“We mount animals that have died naturally or were hunted… we use everything, from the meat to the skins and curls. It’s a sustainable way of doing business, and everything has a monetary value.”

This, she says, is both business and passion — blending artistry, conservation, and commerce.

From workshops to global markets — taxidermy meets commerce

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According to membership details o South African Taxidermy & Tannery Association, Estelle Nel Taxidermy offers a wide range of services: from mounting mammals, birds, reptiles; tanning skins and capes; cleaning, mounting and articulating skulls, bones, horns, tusks; to producing novelty leather items, polished horn décor, engraved bones, hoof lamps — even gunbags and furniture. They offer full export packing and crating services, and help clients ship internationally.

What this means is that skins, hides and trophies — once the culmination of a hunt — become far more than personal souvenirs. They become export commodities, contributing to livelihoods of artisans, packers, shippers, and everyone in between.

Yet, as Pieter Swart President of South African Taxidermy & Tannery Association  (SATTA)/chairman of SUCO-SA) told us, that path to global markets is not without obstacles.

“Certain airlines allow the shipping of these trophies. I think it’s about four airlines that you can ship them overseas, but the rest refuse to take their hunting trophies to destinations. As well as the sea shipments — there’s only one ship going to America every three months. The rest of the shipping lines refuse to take hunting trophies.”

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He lamented the difficulty in logistics. And yet, he sees themselves as part of a broader — and misunderstood — effort. “This anti-animal works movement created the idea that hunting is killing the animals and destroying them to extinction — but that is actually quite the opposite,” he said. “More and more, the guys are farming the animals; that is creating a better future for the animals.”

In other words: regulated, sustainable use — of every part of the animal — can coexist with conservation, economic empowerment, and community upliftment.

Game meat: from farm to fork

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Next door to the taxidermy showroom, we toured a modest but hygienic meat-processing Camo Meat facility, run by people like Ina Hechter. They explained that their business started small — in 2012 as a private processing butcher for animals from farms. Around 2017 they expanded into wholesale for local markets. Export remains limited, but local demand is growing.

Their meats include species typical of the South African game-meat industry: kudu, impala, springbok, wildebeest, zebra and others. What began as a niche — somewhat stigmatised — trade is slowly gaining acceptance. Some supermarkets and lodges are carrying game meat; more restaurants are offering “veld flavour.”

Ina told me that in times of drought — when traditional livestock farming may suffer — game-meat businesses often see increased activity. Farms with overstocked wildlife or animals unable to survive drought may harvest and sell meat, skins and other resources. In this way, what might have been a loss can become income, conservation, and food security.

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“Our parks are so small that they can’t sustain all the animals that are there,” Ina said. “Especially in drought years … when it’s not raining a lot you will see they die and then they sell the animals.”M

She sees game meat not only as a business, but as part of a broader sustainable economy — offering healthy, lean protein to consumers, easing pressure on overburdened habitats, and circulating value in rural and peri-urban communities.

More than meat and trophies — a conservation-economy model

What struck me during the tour was how holistic the operation is. It isn’t just about hunters bringing back trophies. It’s about using every bit of what exists: meat, skins, hides, horns, bones — even skulls, and decorative by-products. From full-body mounts to polished horn décor, from retail game-meat packages to furniture made from hoofs: this is a full-value chain.

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Companies like Estelle Nel Taxidermy are members of formal trade associations and provide professional services — tanning, mounting, packing, export documentation — and in doing so, they help formalize trade in wildlife products.

Meanwhile, the game meat industry — though historically informal — is slowly growing more regulated. According to a recent national biodiversity-economy strategy, game-meat production supports economic growth, food security, and employment. The most commonly produced and consumed species: impala, kudu, wildebeest, springbok.

In other words: when properly managed, this sector has the potential to transform perceptions of wildlife — from being simply “wild animals” to resources that can feed, employ and uplift entire communities.

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Challenges — logistics, stigma, regulation

But it’s not all smooth. As Pieter Swart highlighted, export logistics remain a bottleneck: only a few airlines transport trophies; shipping lines are often reluctant; sea freight to markets like the United States may come only every few months. This makes it harder for the industry to scale globally.

Domestically, the market for game meat and wildlife products still battles cultural and regulatory stigma. Many people still frown at game meat; supermarkets and restaurants are only slowly integrating it.

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Regulation is another issue: for the industry to be sustainable, wildlife needs to be farmed or managed responsibly, harvesting must follow quotas, and processing must meet health and safety standards. When abattoirs, tanneries, and exporting agents comply with regulation, this gives the industry legitimacy — but it also requires oversight, capacity, and buy-in from all stakeholders.

A snapshot

Our visit painted a picture of a wildlife economy that’s evolving: where skilled artisans turn skins, horns, skulls into enduring art; where processors supply game meat to homes, restaurants and hotels; where farms, outfitters, taxidermists, meat processors, exporters, and even children (learning from mounted displays) all form part of an ecosystem.

It’s a world that challenges simplistic ideas of wildlife as either “pristine wilderness” or “endangered species.” Instead, it shows how — if managed with respect, regulation, and purpose — natural resources can sustain livelihoods, build economies, and forge a bridge between conservation and commerce.

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For many of those involved — from Melanie Viljoen to Ina Hechter and Pieter Swart — it’s not just business. It’s home. It’s art. It’s the future.

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Zimbabwe pushes youth-centred, rights-based, and community-driven reforms ahead of CITES CoP20

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BY NOKUTHABA DLAMINI 

As the world prepares for the 20th Conference of the Parties (CoP20) to the Convention on International Trade in Endangered Species of Wild Fauna and Flora (CITES), Zimbabwe has outlined a bold and comprehensive policy agenda that shifts global discussions beyond ivory and toward broader issues of sustainable use, human rights, and community empowerment.

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In an exclusive interview with VicFallsLive, Dr. Agrippa Sora, board chairman of the Zimbabwe Parks and Wildlife Management Authority (ZimParks), said the country’s proposals are anchored on a simple but transformative message: wildlife conservation must deliver real benefits to the people living with wildlife.

Key proposals Zimbabwe taking to CITES CoP20

1. Commercial trade in elephant leather products

Zimbabwe is pushing for approval to engage in regulated commercial trade in elephant leather products. Authorities argue that this form of value addition can bring economic gains to local communities, promote sustainable use, and reduce reliance on donor funding.

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2. A formal voice for communities within CITES

Zimbabwe is advocating for the establishment of an Advisory Body or Community Forum within CITES, ensuring that the voices of rural people—who coexist with wildlife—formally shape decisions on international trade, conservation restrictions, and benefit-sharing.

This push echoes one of the founding principles of CITES, which acknowledges that “peoples and States are and should be the best protectors of their own wild fauna and flora.”

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3. Recognition of human rights within conservation governance

Zimbabwe’s delegation wants CoP20 to acknowledge the human rights dimensions of conservation—particularly:

  • The right to safety for communities facing human–wildlife conflict
  • The right to food security
  • The right to benefit from natural resources within their landscapes

For Zimbabwe, these rights are inseparable from wildlife management.

Moving beyond ivory: A broader view of sustainable use

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Dr. Sora emphasized that Zimbabwe does not want the CoP20 debate to be reduced to ivory.

Zimbabwe argues that without these broader interventions, the conservation model remains unbalanced—protecting wildlife while leaving the people who live among it trapped in poverty

Youth at the centre of the conservation agenda

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One of the strongest themes in Zimbabwe’s CoP20 position is youth empowerment, an area Dr. Sora said is now central to national conservation policy.

“Zimbabwe is supporting the Youth Ethnic Conservation Agenda, and we want to continue empowering young people,” Dr. Sora said.

“These are young people who travel long distances between villages and shopping centres, often unaware of wildlife incidents happening around them.”

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He revealed that Zimbabwe has approved the establishment of a national chapter of the CITES Rural Youth Network, a platform designed to give young rural citizens a voice in global conservation decision-making.

Dr. Sora said young people—often traveling long distances between villages and service centres—are the first responders to wildlife encounters, yet are rarely included in policy processes.

“Their inclusion is critical for awareness, safety, and community resilience,” he said.

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A rights-based approach linked to national priorities

Dr. Sora linked Zimbabwe’s CITES proposals to the country’s National Development Strategy (NDS2), which prioritises poverty eradication.

“We want to ensure that communities living within wildlife landscapes receive meaningful support and benefits from the natural resources around them,” he said.

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This includes promoting value addition—for example, crafting products from elephant leather—and enabling community enterprises tied to legal wildlife products.

“We are promoting opportunities for value addition so that communities can benefit economically from the wildlife with which they coexist.”

He added that the board is committed to transitioning youth from vulnerability to empowerment, ensuring access to education, business opportunities, and long-term livelihoods.

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Unlocking finance through sustainable use

Zimbabwe also plans to push for financial mechanisms—particularly the sustainable use of existing wildlife stockpiles—to support community development.

“Our aim is to secure mechanisms that allow us to reinvest in these communities, strengthening their resilience and ensuring they thrive alongside wildlife.”

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Zimbabwe argues that restrictive global trade rules deprive communities of funding that could improve safety, reduce human–wildlife conflict, and support conservation programs.

Zimbabwe’s position rooted in CITES founding principles

Zimbabwe’s proposals, Dr. Sora said, are consistent with the spirit of CITES itself.

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The convention’s preamble affirms:

Wild fauna and flora are an irreplaceable part of the earth’s natural systems… Peoples and States are and should be the best protectors of their own wild fauna and flora… International cooperation is essential to prevent over-exploitation…

Zimbabwe believes that empowering communities, recognizing human rights, and enabling sustainable use are simply modern applications of these foundational principles.

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VicFallsLive editorial policy

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Preamble:

As VicFallsLive and its staff, we commit ourselves to the highest standards of independent journalism.  We serve the public’s right to know in line with Section 20 of Zimbabwe’s donstitution which guarantees this fundamental right in order to allow citizens to make informed decisions and judgments about their society. We pledge to exercise our role with care and responsibility to safeguard public trust in our integrity.

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1.  Accuracy & sourcing

Our first duty is to report accurately. We will take care to evaluate information provided to us and to cross-check it as much as possible before publishing. We will show readers the chain of evidence we have.

1.1 The more serious and controversial a claim is, the more corroboration will be required before it can be published. A single source will not usually be sufficient. Secondary sources like other newspaper reports will be treated with caution, and clearly identified.

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1.2 Anonymous sources will be avoided unless there is no other way to handle a story and there is extensive additional evidence available. Where sources cannot be named, they will still be identified as closely as possible by reference to their organisation, position, relevance to the story or similar safeguards.

1.3 Anonymity will only be granted if the source can persuade us that they have sound reasons for the request. It is not available to people peddling rumour, comment or spin. However, once it has been granted, the newspaper will protect the identity of the source.  

1.4 We will take particular care with information that is passed on to us in furtherance of a particular agenda, and will seek additional corroboration in the light of the motives and interests of a source.

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1.5 Plagiarism will not be tolerated.

1.6 Headlines, captions and posters will fairly reflect the content of articles.

1.7 Special care will be taken with details like numbers, dates, names and words from languages other than English.

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2. Fairness

We will treat the sources and subjects of our reporting fairly, making sure they have a full opportunity to respond to reporting that may affect them.

This means actively seeking out all relevant views and giving people sufficient time to formulate a response. A report can only go ahead without relevant responses if the opportunity to comment has been declined, or if the editor is satisfied that all reasonable measures have been exhausted. In this case, the situation will be explained to readers.

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3. Independence

Our journalistic duty to inform the public trumps all other considerations, whether they are financial, political, personal or any other non-professional interests. This includes the business interests of the platform itself. We will avoid conflicts of interest as well as the appearance of conflicts of interest.

3.1 Editorial material will be kept clearly distinct from advertising or any paid-for content. Any outside support for editorial work, such as through sponsored travel, will be declared in the relevant report.

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3.2 Gifts, favours and freebies will be handled in accordance with the platform‘s policy, which is designed to underline that our goodwill cannot be bought through these means.

3.3 Journalists may only take on outside paid work if it does not impact on their primary responsibilities or create a perception of a conflict of interest, and then only with the permission of the editor.

3.4 Journalists will bear in mind that their private activities can impact on their and the platform‘s reputation. This extends to opinions expressed on public or semi-public social networking platforms.

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We recognise that the media can have a harmful impact on the subjects of our reports, our sources, our audiences and society in general, and pledge to minimise it. We will take particular care when dealing with vulnerable people and groups.

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We will use open, honest means to gather information. Exceptions can only be made when there is strong public interest in a story and there are no alternative methods available.

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5.5 We will keep detailed records of all interviews we conduct, either in note form or preferably as a recording.  

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We accept the same level of public scrutiny and accountability as we subject others to. At all times, responses to complaints will be generous, helpful and governed by the need to make sure readers get the fullest information available.

6.1 We will correct errors with due prominence as soon as we become aware of them. Errors online will not be invisibly corrected. Instead, a note with the correction will be posted with the original article.

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A right of reply, where a full response was not initially included;
An apology; where justified.

These measures can be used in conjunction, and are at the editor’s discretion.

6.2 We accept the jurisdiction of the Voluntary Media Council

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7.4 This code applies to all staff. Where there is doubt about how to proceed, journalists must take advice from section heads or the editor.

: Gifts, freebies and outside interests policy

This policy is designed to manage the issue of gifts and freebies, in order to avoid an impression of conflicts of interest impacting on the reputation of VicFallsLive and its staff.

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1. Gifts and freebies:

1.1 In general, staff are not allowed to accept gifts with a value of over $20.

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1.3 Where practicable and where it would not cause offence, a gift should be returned promptly and with a polite explanation.

1.4 PR handouts that come into the newsroom or to individual journalists must be handed to the managing editor.  From time to time, s/he will organise an auction in the newsroom, and the proceeds will be donated to a charity.

1.5 An offer of funded or subsidised travel or hospitality for an editorial purposes can only be accepted with the permission of the editor, who will decide which reporter will take up the offer. Such offers will only be accepted if there is a legitimate news story to write, which the paper otherwise would not be able to afford to cover. Where such an offer is accepted, a note at the end of the report will explain the situation.

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1.6 A staffer may not solicit free or discounted food, drink, gifts or similar benefits on the basis of his or her employment as a journalist.

2. Register of interests:

2.1 The managing editor will be in charge of a register of interests, where all editorial staff are required to declare any outside interests, including but not limited to:

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Outside work;
Shareholdings;
Family involvements in business;
Organisational memberships.

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