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Empowering Community Health Workers through Resilient Supply Chains in Kenya

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Community Health Promoters receive commodities from Magacha Community Health Officer David Odhiambo, Suna West,
Migori County, Kenya. Photo credit Joseph Ngaruiya

Supply chains are only as strong as their weakest link. This holds particularly true for health supply chains, where any break or delay can be deadly — life is at risk when communities don’t receive medical supplies on time. At the heart of community health, Community Health Workers (CHWs) play a critical role in achieving Universal Health Coverage (UHC) and improving health outcomes—but only when they have the necessary tools, including access to medicines and supplies.

Around the world, however, CHWs often face stockouts of essential medicines and supplies, a challenge that weakens the entire health system. Recognizing this, Lwala Community Alliance and VillageReach partner with the Kenya Ministry of Health to build a resilient supply chain system that empowers CHWs (Community Health Promoters in Kenya) and ensures uninterrupted access to essential health services. Our current efforts are focused on Migori County, Kenya, and extend to the national level through collaboration with the Ministry of Health.

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Tackling Supply Chain Challenges in Migori County
Our journey began with a baseline assessment of Migori County’s health supply chain in March 2023. The findings indicated a 45% stockout rate for essential medicines, including many commodities required for community health services. Such stockouts not only diminish the quality of care CHWs can provide but can also reduce morale. Additionally, the assessment found gaps in stock management, revealing the need for training and mentorship for CHWs and facility-based providers.

Lacking essential supplies makes us feel helpless. When we can’t identify health issues early, it leads to poorer health outcomes in the community. At times, we are forced to refer residents to distant health facilities for services that could have been provided locally,” says Millicent Miruka, a Lwala-supported CHW. “Since we received the CHW kits from the national government last year, we’ve addressed these challenges more effectively and enhanced the care we provide to our community.”

Building CHW Skills for Better Commodity Management
Our strategy emphasizes equipping CHWs with the skills they need for effective commodity management. VillageReach and Lwala partnered to develop a training curriculum for CHWs on the supply chain. “The training comprehensively covers all aspects of commodity management from ordering and reporting to proper storage and handling,”. says Hellen Okello, Lwala’s Supply Chain Coordinator. “In addition, we are conducting training sessions within health facilities to enhance the competency of health care workers in commodity management and reporting”.

Zipporah Owino, the Nurse in charge at Magacha Health Dispensary collects medical supplies from the
pharmacy. Photo credit: Joseph Ngaruiya

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With 80% of CHWs in Migori County now equipped with essential supplies and resources to provide basic health services to their communities, this training helps them manage their supply of medicines, keep accurate records, and make informed decisions on restocking. Following a successful pilot in Migori County, this training was officially integrated as a module in the recently revised National CHW Curriculum. This achievement is evidence of how a local initiative can have a positive, sustainable impact at the national level.

“From the start, it was clear that addressing these challenges required a comprehensive and an integrated strategy that encompassed workforce development, strengthening of supply chain governance structures and continuous improvement through supply chain audits” noted George Nzioka, Senior Supply Chain Manager at VillageReach.

Using Data to Improve Supply Chain Decisions
At the heart of our approach is an electronic inventory management tool that simplifies inventory control and data collection. We have integrated a commodity management module into the electronic community health information system (eCHIS)—a new digital platform for CHWs developed by government and community health partners in Kenya.

This integration empowers CHWs to make informed decisions for optimizing stock. We are currently in the advanced stages of piloting this module in Migori County, paving the way for its broader implementation. We have also collaborated with other community health and technology partners in Kenya to document best practices for digital CHW stock management in this technical brief.

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Hellen Okello, Supply Chain Coordinator at Lwala Community Alliance, trains CHWs alongside George Nzioka, Senior Manager of Supply Chain at VillageReach, at the Magacha Dispensary in Suna West, Migori County, Kenya. Photo credit: Joseph Ngaruiya

Driving Lasting Change in Supply Chains
Our advocacy efforts are focused on integrating CHWs into the county and national supply chain tools, processes, policies and strategies. In Migori, we worked with the county government to develop the Migori County Supply Chain Strategy–the first in Migori, and the second in Kenya–which includes commodities used by CHWs. This collaborative effort seeks to transform the planning and budgeting of essential commodities, aiming to reduce stockouts and improve access to life-saving medicines.

By prioritizing the integration of community health commodities into our forecasting and planning strategies, we are ensuring Migori County can effectively meet its stock needs and enhance the delivery of critical health services.

To further strengthen supply chain operations, we provide technical support to health products and technologies units (HPTUs) at both county and sub-county levels. HPTUs were formed to ensure access to health products and technologies of assured quality, safety, efficacy, and cost-effectiveness. We are also conducting thorough audits of supply chains to identify areas for improvement, working closely with the government to refine standard operating procedures for supply chain management at the community level in Migori County and the national level.

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A CHW checks the blood pressure of a Magacha community member. Photo credit: Joseph Ngaruiya

Stories of Success
Our efforts are beginning to bear fruit. We are seeing improved access to essential medicines due to enhanced commodity management training. Introducing a mentorship framework for CHWs has improved service delivery and made health interventions more effective “In my community, I serve 80 households, visiting at least seven each day. Before heading out, I ensure I have my health education tools, equipment and supplies in my bag,” shares Millicent Miruka, a CHW supported by Lwala in Migori County. “Having these tools gives me the confidence to serve my community and deliver high-quality health care services.”

Looking Ahead
We are in the early stages of implementing the Supply Chain for Primary Health Care (SC4PHC) solution in Kenya, focusing on building robust supply chain systems at both the national and county levels. Our goal is to scale up these initiatives and ensure that every community has access to essential health services.

“This effort is about more than just strengthening supply chains; it’s about building a healthier future for all Kenyans,” says Julius Mbeya, Lwala Co-CEO. “By empowering CHWs and equipping them with the resources and support they need, we can create a world where every community has access to the health services needed to thrive.”

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CHWs with commodities at Magacha Dispensary in Suna West, Migori County. Photo credit: Joseph Ngaruiya

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How Nahid Islam Became a Face of Bangladesh’s Revolution

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How Nahid Islam Became a Face of Bangladesh's Revolution

Two years ago, Nahid Islam graduated from Dhaka University with a bachelor thesis that examined why no student movement in Bangladesh had ever managed to reach its goals. Little does it matter that he forgot what his conclusion was. The 26-year-old has now changed history. 

Islam was one of the most visible faces of a student movement which kickstarted countrywide mass protests in Bangladesh in recent months, resulting in the ousting of Prime Minister Sheikh Hasina, once considered to be among the most powerful women in the world.

“Hasina is a bloodsucker and a psychopath,” Islam told TIME with a calm voice from an opulent black leather chair in his wood-paneled office at the Ministry for Information Technology in Dhaka, on a Sunday afternoon in September.

Not long ago, he was an information technology tutor, forced into hiding in order to avoid being arrested by the government. Now he is the country’s ICT and media minister.

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In June, together with a handful of other students, Islam walked into the library at Dhaka University, holding up placards calling on people to take to the streets. The High Court had just reinstated a controversial quota that favored family members of veterans from Bangladesh’s 1971 Liberation War to get government jobs. Islam and his colleagues demanded a fair chance for everyone instead.

Protests against the quota system first rattled university campuses across Bangladesh in 2018. At the time, the government eventually backtracked and the protests died down. This year too, it could have ended with the issue of the quota system, Islam said. 

But then security forces began shooting live rounds at protesters. On July 16, Abu Sayed, another student leader, was shot dead while walking towards police officers with open arms.

“His killing turned out to be a game-changing moment for the movement,” said Islam. The protests quickly swept up large parts of the population across the country, offering people a welcome outlet for mounting frustration in the face of a corrupt government, soaring prices, and an increasingly authoritarian rule. 

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Eventually the protesters focused on Prime Minister Hasina herself. When the students came up with a one-point demand on August 3, it was Islam who delivered it: Hasina needs to resign, he announced on the campus of Dhaka University. On August 5, when hundreds of thousands were closing in on her residence in the heart of Dhaka, she boarded a helicopter and was flown to India, where she remains in exile.

“No one thought she could be toppled,” Islam said, rocking back and forth in his big leather chair.

Read More: Sheikh Hasina and the Future of Democracy in Bangladesh

With the military’s support, the students—all of the sudden in charge of a country of 170 million—asked Nobel Peace Laureate Muhammad Yunus, 84, to preside over an interim government. The economist, who rose to fame when he revolutionized the development industry with his microcredit idea, was in exile himself due to an array of legal charges levied against him by the Hasina government. He’s been acquitted since taking office.

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As the head of the interim government, Yunus is Islam’s boss now—but only because the students wanted it this way. When asked who was taking orders from whom, Islam smirks before saying: “Yunus consults us on all major decisions.” 

He points at a red landline on his desk at the ministry. “The VIP phone,” Islam said and shrugged. “No idea what I should use it for. I text Yunus on Whatsapp.”


If Islam is still puzzled about everything that has happened in his life over the past couple of weeks, his stoic demeanor does not give it away.

His personal secretary, a seemingly stressed officer older than himself, keeps rushing in and out of the room, carrying documents for him to sign. Islam’s two mobile phones are ringing constantly. And visitors show up until the early morning hours at his residence in an uncharacteristically lush area of Dhaka, where the living room alone—adorned with a chandelier and white velvet sofas—is almost as big as his old apartment.

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The sociology graduate has always been among those who defied the government. In his first week of university in 2017, the Dhaka-born son of a teacher took part in protests against a coal plant on the edge of the Sundarbans, a mangrove forest on the border with India. In 2019, Islam ran for campus elections and later, along with his peers, formed a student organization at Dhaka University, the Democratic Student Force.

But he first became known to the larger public in July of this year, after he was kidnapped and tortured by the country’s intelligence services, notorious for its enforced disappearances of government critics. One sweltering night, around 30 plainclothes officers showed up at a friend’s house where he was hiding to avoid arrest for his role in the protests. He says they put black cloth on his head, then they told him: “the world will never see you again.”

In what Islam believes was one of their secret prisons, they beat him with what he says felt like an iron rod, leaving bruises on his arms and legs. Dizzy from a combination of the pain, tormenting sounds, and a glistening bright light directed at him, he drifted in and out of consciousness.

“Who’s the mastermind? Where is the money coming from?” they wanted to know, he recalled. A day later, Islam says he was dumped beside a bridge. Photos of his injuries were circulated by local media and caused outrage.

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“The intelligence services were looking for known faces, for the leader of our movement, but we didn’t have just one. That was our main strength,” he said. And while he seems to be navigating his new role as a minister with confidence, he insists that leading the protests was teamwork: “The media always want one face, but I am not the only leader in this movement. There were many of us.”


TOPSHOT-BANGLADESH-POLITICS-UNREST-YUNUS
Muhammad Yunus, center, speaks during a press conference as Students Against Discrimination group’s chief Nahid Islam, second from the right, watches on August 8, 2024.Munir Uz Zaman—AFP{/Getty Images

After Hasina’s government was ousted, the power vacuum had to be filled quickly. Dr Samina Luthfa, Islam’s sociology professor from Dhaka University, says she met an uncharacteristically nervous Islam on the day the students announced the interim government to the people. “He’s very young, it was a huge responsibility.”

In the aftermath of the overhaul, people’s expectations projected onto the interim government are skyrocketing. In this new Bangladesh, everybody anticipates only the best from the students who guided them in the liberation from a “dictator,” as many now dare to say openly.

Read More: The Trials of Muhammad Yunus

His phone is ringing, again. He is being asked to mediate at a Dhaka hospital, where students attacked doctors after one of their peers died from alleged neglect. The doctors responded with a strike. While he is gulping down his rice and chicken lunch, another call. Can Yunus’ office share his number with some protesters who demand government jobs?  

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“It’s odd,” Islam said, “once this was us,” he says, referring to the protesters. “Now we’re the ones who have to manage it.” 

Bangladeshis are energized by the success of making their voices heard after a 15-year rule that was sustained by vote rigging, crackdowns on critics, and a general climate of fear. People are now making use of their new freedom. Women stage demonstrations against harassment cases. Students oppose exams they want to see postponed after weeks of interrupted classes. Even school children in upper-class parts of Dhaka were seen protesting—they didn’t like their principal, they said.

“Over the last 15 years people couldn’t talk, now they finally get a chance,” Islam explained. 

But his biggest challenge might still lie ahead.  

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While there is a general sense of relief in the country, there’s not been much time to celebrate. Restoring law and order remains a concern for the new government. And there’s also a lingering fear that the military or the ousted Awami League could try to forcibly take back power. It would not be the first time, as in Bangladesh, politics have traditionally been marred by violence.

Islam says that it is the job of the interim government to root out corruption and bring the country back onto a path of democracy until elections are held. “We will only be here for a short time.”

“All the corruption and the violence – people don’t want this anymore,” he said. “We should understand the pulse of the new generation. We need to move on.”

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Argentina’s Javier Milei denounces UN’s ‘socialist’ agenda in speech

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Argentina’s libertarian President Javier Milei has accused the UN of imposing a “socialist” agenda on its members and called on countries to sign up to a “freedom agenda”, in a fiery speech that underlined his status as a political provocateur beloved by the alt right.

In his debut address to the UN general assembly in New York on Tuesday, Milei focused on the 42-page “Pact for the Future” adopted by the UN on Sunday, which includes points promoting climate action, gender equality and regulation of artificial intelligence.

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“Argentina will not back any policy that implies the restriction of individual freedoms or trade, nor the violation of the natural rights of individuals,” Milei said. “We invite all nations of the free world to join us, not only in opposing this pact, but in the creation of a new agenda for this noble institution: the freedom agenda.”

He added that the UN’s previous 2030 sustainable development agenda was “a supranational programme of a socialist nature” and accused the UN of becoming “multi-tentacled Leviathan that seeks to decide what each nation state should do and how the citizens of the world should live”.

Milei has courted the global spotlight since taking office in December, speaking regularly at multilateral summits and conservative political conferences and forming friendships with prominent figures such as Tesla chief executive Elon Musk, whom Milei met with for the third time on Monday in New York City.

“My companies are actively looking for ways to invest in and support Argentina,” Musk said in a post on his X platform on Tuesday.

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Earlier this month in an interview with broadcaster LN+ Milei referred to himself as “one of the most relevant politicians on planet earth. One is Donald Trump and the other is me.”

Milei’s domestic agenda has largely focused on fixing Argentina’s worst economic crisis in two decades, mainly by rolling out a severe austerity package designed to bring down triple-digit inflation.

But the libertarian economist, who has denied the existence of human-caused climate change and is a staunch opponent of Argentina’s legalisation of elective abortion, has also pledged to wage a “cultural battle” against Argentina’s left.

He has dissolved Argentina’s women’s and environment ministries and shut down its anti-discrimination institute.

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“I’m here to warn you that we are at the end of a cycle,” Milei said at the UN on Tuesday. “The collectivism and moral posturing of the woke agenda have collided with reality.”

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Shoppers rush to buy ‘fab’ dupe snack scanning at tills for £1.20 less than the original beloved breakfast favourite

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Shoppers rush to buy 'fab' dupe snack scanning at tills for £1.20 less than the original beloved breakfast favourite

SHOPPERS are rushing to buy a “fab” snack dupe scanning at tills for £1.20 less than the popular original.

Iceland is currently selling Toast’Em Pop-Ups for just £1.50.

The Toast'Em Pop-Ups are a direct rival for Kellogg's Pop Tarts

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The Toast’Em Pop-Ups are a direct rival for Kellogg’s Pop TartsCredit: EXTREME COUPONING AND BARGIANS/FACEBOOK

The product is a dupe for Kellogg’s Pop Tarts range.

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Prices for the original do vary, according to supermarket price comparison site Trolley.co.uk.

Frosted Chocotastic Toaster Pastries cost £2.25 at B&M, while the Strawberry Sensation flavour and the Chocotastic Breakfast Pastry Snack both cost £3 each at Sainsbury’s.

Most Pop Tart flavours though are available for £2.69 including “Frosted Hot Fudge Sundae” and “S’mores Choco & Marshmallow” flavours.

Taking to the Extreme Couponing and Bargains UK group on Facebook they wrote: “£1.50 in Iceland stores. Opinions?”

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They also added a photo of their haul, showing the flavours Frosted S’mores and Frosted Cookies and Crème.

Other members of the group were suitably impressed with the breakfast treats.

One wrote: “My kids love the smore ones they are a firm favourite.”

Another added: “Cookies and creme ones are to die for in my opinion, better than any pop tarts I’ve had. Haven’t tried the smores.”

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A third fan said: “My kids prefer these to the original.”

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A fourth person chipped in with: “Just like the American pop tarts! Amazing for the money!!”

While one mum posted: “My boys said a bit doughy but good. A fab cheaper alternative.”

There are plenty of comparison websites out there that’ll check prices for you – so don’t be left paying more than you have to.

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Most of them work by comparing the prices across hundreds of retailers.

Google Shopping is a tool that lets users search for and compare prices for products across the web.

Simply type in keywords, or a product number, to bring up search results.

The news comes after the supermarket chain launched four different stonebaked pizzas for just £2.50 each.

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The pizza’s aren’t the cheapest ones that Iceland sells.

The frozen food giant also has a range of thin crust pizzas which cost £1 each.

Iceland also recently announced that its classic drink Um Bongo is back on the shelves years after it was discontinued in 2003.

How to save money on your supermarket shop

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THERE are plenty of ways to save on your grocery shop.

You can look out for yellow or red stickers on products, which show when they’ve been reduced.

If the food is fresh, you’ll have to eat it quickly or freeze it for another time.

Making a list should also save you money, as you’ll be less likely to make any rash purchases when you get to the supermarket.

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Going own brand can be one easy way to save hundreds of pounds a year on your food bills too.

This means ditching “finest” or “luxury” products and instead going for “own” or value” type of lines.

Plenty of supermarkets run wonky veg and fruit schemes where you can get cheap prices if they’re misshapen or imperfect.

For example, Lidl runs its Waste Not scheme, offering boxes of 5kg of fruit and vegetables for just £1.50.

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If you’re on a low income and a parent, you may be able to get up to £442 a year in Healthy Start vouchers to use at the supermarket too.

Plus, many councils offer supermarket vouchers as part of the Household Support Fund.

Do you have a money problem that needs sorting? Get in touch by emailing money-sm@news.co.uk.

Plus, you can join our Sun Money Chats and Tips Facebook group to share your tips and stories

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Iceland are currently the selling the Pop Tarts dupe for just £1.50

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Iceland are currently the selling the Pop Tarts dupe for just £1.50Credit: Getty

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AI newsletter firm changes ‘trending’ logo after Buzzfeed threat

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An AI-powered aggregator newsletter publisher has changed its logo in response to a legal threat from Buzzfeed.

Buzzfeed got in touch with Trending Now in July after Press Gazette published a story about the business, which had exceeded one million subscriptions across 27 B2B verticals within two years of its launch without employing any journalists.

Buzzfeed issued a “cease and desist” letter over the Trending Now logo, which featured a circle containing an arrow pointing up and to the right with a kink downwards and up again in the middle.

Press Gazette received a similar letter after our original article included a screenshot of the Trending Now site in which the logo could be seen. We agreed to remove the image but not remove the full article.

Trending Now said it had not realised the close similarity its logo, designed in-house, held to Buzzfeed’s trademarked version until the copyright letter arrived.

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However it agreed that they looked “almost identical” and agreed to change its design within 90 days. Trending Now’s new logo features a straight arrow pointing upwards from the edge of a circle and is in the process of being fully rolled out.

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Trending Now managing director Joe Newton told Press Gazette that during the redesign process, they noticed that the “zigzag icon is like the globally used kind of symbol for the term trending”.

“So when we were searching for different variations of that, they’re all pretty similar. I mean, don’t get me wrong, the Buzzfeed trademarked version and our version was very similar, but it’s that zigzag arrow is kind of the commonly used icon for the word trending. So it sort of seems a bit funny to us: it’s like if someone was to trademark the infinity symbol, do you know what I mean?”

Newton specifically cited the arrows on the logos for Google Trends and business media company Morning Brew, although neither are in a circle like Buzzfeed’s. A similar symbol has also been used on a Tiktok Trending report.

Trending Now’s designer concluded that the zigzag arrow in a circle to symbolise trending was “a bit outdated anyway”. Newton added: “Why not turn it into a positive? It definitely has been a positive because we’ve got a better logo, it’s been modernised now and maybe we’ve even modernised the icon for the term trending.”

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Buzzfeed logo and other 'trending' logos with a similar upwards arrow: from Tiktok trending report, Google Trends and Morning Brew
Buzzfeed logo and other ‘trending’ logos with a similar upwards arrow: from Tiktok trending report, Google Trends and Morning Brew

Email pged@pressgazette.co.uk to point out mistakes, provide story tips or send in a letter for publication on our “Letters Page” blog

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Chinese stock markets rally for second day after PBoC stimulus

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Chinese stock markets rally for second day after PBoC stimulus

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‘They’re back’ Aldi shoppers rave over return of ‘lush’ Toblerone dupe chocolate bar

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'They're back' Aldi shoppers rave over return of ‘lush’ Toblerone dupe chocolate bar

ALDI shoppers have been left overjoyed after the supermarket’s iconic Toblerone dupe returned to shelves.

Fans of the bargain retailer have been pleading for the Specially Selected Swiss chocolate bar to make a comeback, with Aldi finally giving in.

Aldi's Specially Selected Swiss chocolate bar has made a comeback

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Aldi’s Specially Selected Swiss chocolate bar has made a comebackCredit: Facebook/Newfoodsuk
The product is a much cheaper dupe of the white chocolate Toblerone bar

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The product is a much cheaper dupe of the white chocolate Toblerone barCredit: Alamy

The blonde bar is seen as a family favourite with happy customers describing it as “lush” as they race into stores to grab one.

Each 100g pack cost is now priced at £1.69.

Each bar is packed with delicious ingredients from white chocolate, honey, almond, nougat and salted caramel pieces.

An actual bar of normal Toblerone will set you back a hefty amount with the smallest offering being a 200g bar for £4 at Tesco.

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However if you want the white chocolate version like Aldi’s alternative then it will cost you a whopping £6 for a 360g bar.

The bars were last seen in November 2023 but seemingly vanished after winter leaving shoppers gutted to believe they were a Christmas treat only.

But with it being restocked already sweet toothed fans are raving about its return.

A picture of the bar back on shelves was shared to social media with one happy shopper saying: “This looks amazing!!!”

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As another simply wrote: “That looks lush!”

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Another said: “How yummy does this look.”

A four replied: “Oh yesssssss, you need to find me one.”

Before a fifth commenter added: “Oh these are the business. Really yummy.”

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The product is still unavailable online at Aldi meaning those who want to get their hands on it will need to go their local store to check.

Bargain specialists Aldi are known as the kings of great deals.

They are selling an incredible dog-friendly product perfect for the chilly autumn weather.

The reversible puffer jacket item is being sold as part of the supermarket’s Specialbuy range later this week with it prices set to start from just £7.99.

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Aldi Specialbuys are a unique and fantastic offering from the supermarket.

For a full run down of the best they have to offer check out this article.

It comes as Aldi bargain hunters were also rushing out to get their hands on a dupe for a popular Cadbury’s dessert.

Dairyfine Pots of Choc, Aldi’s version of Cadbury’s Dairy Milk Pots of Joy, are described as a “smooth and creamy dessert”.

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Other shoppers were going wild for a middle-aisle find that’s scanning at tills for as little as 99p.

The Kids Camping Chair – shaped like a fox – was already massively reduced at just £4.99 but one lucky shopper managed to bag one up for under a pound.

You can find your nearest Aldi store by using the retailer’s store locator tool on its website.

Remember it is always best to shop around to try and spot which shop has the best deal on any particular product.

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When’s the best time to shop at Aldi?

WHEN it comes to shopping at Aldi, the best time to do so depends on what you want to buy.

For reduced items – when shops open

Red sticker items are rare at Aldi’s 830 UK stores, but the supermarket says that none of its food goes to waste so there are some to be found – if you’re quick.

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A spokesman for the supermarket said: “All items are reduced to 50 per cent of the recommend sales price before stores open on their best before or use by dates.”

That means you have the best chance of finding reduced food items if you go into stores as soon as it opens.

Opening times vary by shop but a majority open from 7am or 8am. You can find your nearest store’s times by using the supermarket’s online shop finder tool.

For Specialbuys – Thursdays and Sundays

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Specialbuys are Aldi’s weekly collection of items that it doesn’t normally sell, which can range from pizza ovens to power tools.

New stock comes into stores every Thursday and Sunday, so naturally, these are the best days to visit for the best one-off special deals.

For an even better chance of bagging the best items, head there for your local store’s opening time.

You don’t have to head into stores to bag a Specialbuy, though.

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They also go on sale online, usually at midnight on Thursday and Sunday, and you can pre-order them up to a week in advance.

As long as you spend at least £25, you’ll get the items delivered for free.

Remember: once they’re gone, they’re gone, so if there’s something you really want, visit as early as possible

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