Africa

The weekend's deadly hotel siege served as a reminder that the militants remain a potent threat.

A disgruntled youthful population weigh up whether to back the MPLA, in power for more than 40 years.

Displaced children in Burundi wait for class to begin. Credit: ECW/Amizero

By Juliet Morrison
United Nations, Aug 23 2022 (IPS)

Yasmine Sherif, Director of Education Cannot Wait (ECW) issued a wake-up call for the global community to support efforts on facilitating education in crisis areas. She was speaking at the United Nations at the launch of the global fund’s annual report titled We Have Promises to Keep.

The UN global fund for education in emergencies and protracted crisis chief also cited highlights from the report, which revealed that ECW and its strategic partners had reached a total of nearly 7 million children and adolescents since becoming operational in 2017.

In 2021 alone, the organization raised more than US$388.6 million and helped 3.7 million children and adolescents in 32 countries.

According to the report, half of all children reached by ECW to date have been girls, and nearly 43 percent have been of refugee or internally displaced status.

Yasmine Sherif, Director of Education Cannot Wait, speaks to reporters at the United Nations in New York. Credit: Juliet Morrison/IPS

Sherif noted that 2021 had been ECW’s biggest year for resource mobilization. The organization has had to expand its efforts to try to meet the increased need caused by the COVID-19 pandemic and the outbreak of conflicts.

The current amount of those in need is “shocking”, Sherif said.

In 2017, 75 million children and adolescents were deemed in need of educational support. Now, 222 million require ECW’s assistance.

Recent analysis from the organization showed that 78.2 million crisis-afflicted children and adolescents are not in school, and 119.6 million are failing to reach the minimum competencies in reading and mathematics, despite being in school. An additional 24.2 million youth are in school and achieving the minimum proficiency but are still affected by crises and in need of support.

To address this surge, ECW has issued a call to action. The organization’s #222MillionDreams campaign aims to engage governments, foundations, and the private sector to support the organization through financial donations.

Discussing the initiative, Sherif emphasized the importance of education for those in conflict areas.

“222 million youth are not only suffering from armed conflict and COVID-19 and forced displacement but on top of that they are taken away from their last hope—the access to a quality education.”

Access to education is important, she added, as it can not only change the lives of children and adolescents but also the lives of those around them.

Supporting ECW programs was also critical, given the organization provides psychosocial support for those in conflict zones, Sherif noted.

“We are dealing with deeply traumatized children and young people. You can just imagine the excruciating pain of losing your family, being disposed of, running from villages that are on fire, sexual violence […] the human misery up there is so much more than we imagine. The least you can do if you can’t imagine it is to use financial resources, at least, to remove it.”

She noted that the global community had pledged to ensure youth had access to education no matter their circumstances.

“We have made promises through the sustainable development goal 4 and through the human rights convention that every child, even if you are left behind in conflict and emergencies, in climate disasters or as a refugee, we promised them a quality education.”

Sherif told reporters she was confident action to meet the 222MillionDreams goal could be taken. The organization is hosting a High-Level Financing Conference in February 2023 with the Government of Switzerland, and she noted that the conversation would continue with the UN Transforming Education Summit that will take place in September.

Above all, prioritizing education is key to meeting sustainable development goals (SDGs), Sherif said.

“Education is the key to all sustainable development goals. How can we, without education, achieve gender equality and [end] extreme poverty? It’s also the key to achieving all human rights. Without education, how can you have a free and fair trial, freedom of expression, and so forth? Education is the very foundation.”

IPS UN Bureau Report

 

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They say their families were forcibly evicted from fertile land to make way for tea plantations.

Rohingya refugee girl Rohima Akter, 13, is excited about learning to write in the Burmese language in the UNICEF learning centre in Cox's Bazar.​ ​The new curriculum provides Rohingya refugee children with formal and standardized education.​ Credit: UNICEF Bangladesh

By Joyce Chimbi
United Nations, Aug 23 2022 (IPS)

Syrian refugee children are among the most disadvantaged in Iraq. Even before the COVID-19 pandemic, only 53 percent of school-aged Syrian refugee children in the country were enrolled.

Across the globe, in Bangladesh, more than 890 000 Rohingya refugees live in 34 congested camps in Cox’s Bazar. COVID, fire, monsoons, floods, and landslides impacted education.

In Nigeria, since the conflict began in north-eastern Nigeria in 2013, at least 2,295 teachers have been killed, more than 1,000 children abducted, and 1,400 schools destroyed.

Yet, Education Cannot Wait, the global fund for United Nations global fund for education in emergencies and protracted crises, believes that progress can be made to prevent the children from Syria, Bangladesh, Afghanistan, Chad, Ethiopia, Lebanon, Pakistan, and South Sudan among other regions, from falling off the education system and consequently missing out on lifelong learning and earning opportunities.

“There is no dream more powerful than that of an education. There is no reality more compelling than to attain one’s full potential. We must keep our promise: to provide inclusive and equitable quality education and promote lifelong learning opportunities for all, as enshrined in the Sustainable Development Goals (SDG4) and Human Rights Conventions,” says Gordon Brown, the United Nations Special Envoy for Global Education and former Prime Minister of the United Kingdom.

“While progress is being made, we still have a long way to go. Today, we are faced with the cruel reality of 222 million children and adolescents worldwide in wars and disasters in Africa, Asia, the Middle East, and South America who need urgent financial investments to access a quality education.”

This progress has now been documented in ECW’s We Have Promises to Keep: Annual Results Report released today. The annual report comes on the back of ECW’s estimates laying bare the plight of crisis-impacted children and adolescents and how this plight remains less visible to the global community.

A young girl in her classroom in Yemen, where an ECW-funded programme is supporting educators and students by improving access to quality education. Credit: Building Foundation for Development Yemen

According to ECW, 222 million school-aged children and adolescents caught in crises urgently need educational support. These include 78.2 million who are out of school and 119.6 million who are in school but not achieving minimum competencies in mathematics and reading.

Worst still, an estimated 65.7 million of these out-of-school children—or 84 percent—live in protracted crises, with about two-thirds or 65 percent of them in just ten countries, including Afghanistan, Ethiopia, the Democratic Republic of the Congo, Mali, Nigeria, Pakistan, Somalia, South Sudan, Sudan, and Yemen.

Conflict, forced displacement, climate-induced disasters, and the compounding effect of the COVID-19 pandemic fueled increased education in emergency needs, with funding appeal of US$2.9 billion in 2021, compared with US$1.4 billion in 2020.

While 2021 saw a record-high US$645 million in education funding—the overall funding gap spiked by 17 percent, from 60 percent in 2020 to 77 percent in 2021, according to the newly-released annual report.

“ECW’s solid results in our first five years of operation are proof of concept that we can turn the tide and empower the most marginalized girls and boys in crises with the hope, protection, and opportunity of quality education. We can make their dreams come true, whether it’s to become a nurse, a teacher, an engineer, or a scientist,” said Yasmine Sherif, Director of Education Cannot Wait.

“With our strategic partners, we urge governments, businesses, and philanthropic actors to make substantive funding contributions to ECW to help turn dreams into reality for children left furthest behind in crises.”

Towards delivering the promise of lifelong learning and earning opportunities, the report shows ECW investments with strategic partners reached close to 7 million children and adolescents, 48.4 percent of whom are girls, since becoming operational in 2017.

Despite the ongoing multiple and complex challenges of COVID-19, conflict, protracted crises, and climate-related disasters, the annual report reveals that the fund and its partners continue to expand the response to education in emergencies and protracted crises globally.

In 2021 alone, ECW mobilized a record-breaking US$388.6 million. Total contributions to the ECW Trust Fund are now top US$1.1 billion.

Across 19 countries supported through ECW’s Multi-Year Resilience Programmes, donors and partners mobilized more than US$1 billion in new funding for education programmes.

Through its strategic partnerships, ECW reached 3.7 million children and adolescents across 32 crisis-impacted countries in 2021 alone, including 48.9 percent girls. An additional 11.8 million children and adolescents were reached through the fund’s COVID-19 interventions that same year, bringing the total number of children and adolescents supported by COVID-19 interventions to 31.2 million, of which 52 percent are girls.

But these highlights are tempered by concerns over an increase in the scale, severity, and protracted nature of conflicts and crises, continued attacks on education, and record-high displacements driven by climate change, conflicts, and other emergencies.

For instance, the COVID-19 pandemic significantly deepened the global learning crisis. In 2020 and 2021 alone, 147 million children missed over half of in-person instruction, and as many as 24 million learners may never return to school, according to UN estimates.

These challenges notwithstanding, the report provides more evidence of progress made by focusing on quality learning outcomes for the most marginalized children in crises. Of all children reached by ECW’s investments to date, half are girls, and 43 percent are refugees or internally displaced children.

Additionally, ECW grants indicate “improved levels of academic and or social-emotional learning; 53 percent of grants that measure learning levels showcase solid evidence of increased learning levels compared to 23 percent of grants active in 2020.”

Overall, the share of children reached with early childhood and secondary education increased substantially. Early childhood education increased from 5 percent in 2019 to 9 percent in 2021. Secondary education increased from 3 percent to 11 percent for the same period.

On inclusivity, estimates show that 92 percent of ECW-supported programmes demonstrated an improvement in gender parity. Today, more girls and boys are completing their education and or transitioning to the next grade or level, with a weighted completion rate of 79 percent and transition rate of 63 percent.

Teachers were not left behind as nearly 27,000 teachers—52 percent female—were trained and demonstrated increased knowledge, capacity, or performance in 2021.

To address the special needs of children and adolescents traumatized by war and conflict, over 13,800 learning spaces now have mental health and or psychosocial support activities. The number of teachers trained on mental health and psychosocial support topics doubled in 2021, reaching 54,000.

Ahead of its High-Level Financing Conference in Geneva in February 2023, the organization called on government donors, the private sector, foundations, and high-net-worth individuals to turn commitments into action by making substantive funding contributions to ECW.

The funding has already made a difference in Nigeria, where since January 2021, ECW partners facilitated 26,775 new school enrolments, an increase of 49.4 percent over the previous year.

In Cox’s Bazar, where 77 percent of children study at home, ECW partners supported the caregivers with bi-monthly visits and through radio broadcasting and the distribution of educational materials.

And in Syria, a consortium of partners was able to significantly improve conditions for children, with 74 percent of children showing an improvement in mathematics.

IPS UN Bureau Report

 

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Excerpt:

‘We Have Promises to Keep’ – Education Cannot Wait results report shows how investments reach 7 million crisis-impacted children and adolescents in the world’s toughest contexts. However, the report indicates there is still much work to be done as 222 million school-aged children and adolescents caught in crises urgently need educational support.

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Ecuador, Peru and their three shared water basins: the Puyango-Tumbes, Catamayo-Chira and Zarumilla Watersheds and Aquifers. Credit: UNDP Ecuador

By Andrew Hudson and Katharina Davis
UNITED NATIONS, Aug 23 2022 (IPS)

We tend to associate rivers and lakes with the countries in which they are located. Yet a little-known fact is that more than half of the world’s freshwater bodies are shared.

Indeed, 153 countries share at least one of the world’s 256 transboundary river and lake basins. In an age of rapid development and climate change, the equitable and sustainable management of precious natural resources such as water are essential to global food security, economic development, and to reducing poverty.

Freshwater systems also provide the vital basis for energy production, transport, tourism and other economic activities. Around the world, many shared freshwater ecosystems face severe degradation, having been battered by poorly planned dams, pollution, habitat loss, overfishing, climate change, and the introduction of invasive species.

That’s why the UN Water Convention is so significant, and worth commemorating on its 30th anniversary, as the United Nations did on June 30th. Formally known as “The Convention on the Protection and Use of Transboundary Watercourses and International Lakes,” it outlines how to improve transboundary cooperation.

Opened in 2003 for global membership, the Water Convention has 44 parties, and many more have asked to join. According to progress tracked for the UN Global Goal on transboundary waters, barely more than half of the shared waters are covered by an operational arrangement.

Given the degraded state of shared freshwater ecosystems and knock-on socio-economic effects, it is critical that we put proper cooperative arrangements in place.

Beyond the formal commitment to cooperate on transboundary waters, the convention has in many cases served as inspiration and a model for the development, negotiation, adoption and coming into force of individual shared waterbody legal frameworks and their associated institutional mechanisms.

The benefits go beyond the equitable and sustainable use of water resources. The convention has promoted and advanced regional economic integration, reduced the risk of multi-country conflict, contributing to regional security and peace.

UNDP is active in more than 30 transboundary river and lake basins, and groundwater systems in four continents. The UN Development Programme (UNDP) created dedicated support for the political aspects of transboundary water cooperation, or water diplomacy, through the Shared Waters Partnership.

To assist countries to operationalize management on shared water systems, UNDP supports joint waterbody assessments and diagnostics; the establishment of multi-country institutions and their secretariats; joint development and management of a vision, strategy and action plans; institutionalization of regular exchange of data and information; and exchange of regular, formal communication between countries.

Cooperation between neighbours can affect water management and broader peace and security. UNDP’s transboundary waters portfolio, largely financed by the Global Environment Facility (GEF), includes many projects:

1. The Drin Basin in the southeast Balkans: Connecting five countries and five water bodies in Albania, Greece, Kosovo*, Montenegro and North Macedonia, the Drin Basin sustains unique ecosystems and endemic biodiversity, while supporting the economic activity of over 1.6 million people. This initiative addressed increasing ecological degradation and climate change in the basin through the Drin Coordinated Action agreement developed in 2011. Key achievements include the Drin Core Group, the de facto joint coordination body; the Transboundary Diagnostic Analysis as well as the endorsement of the Strategic Action Programme, including the steps to address the main transboundary problems.

2. Ecuador, Peru and their three shared water basins: the Puyango-Tumbes, Catamayo-Chira and Zarumilla Watersheds and Aquifers: This collaboration takes place in the context of a long history of border disputes in the Amazon basin.

In 2017, a Binational Commission for Integrated Water Resources Management in the Ecuadorian-Peruvian transboundary basins were established to consolidate bilateral cooperation for peace, as well as for the use and management of water resources. The project strengthened the Binational Commission to facilitate cooperation and joint action and developed stakeholder capacities to improve the management of water resources.

As we consider the mounting pressures facing our rivers and lakes, it is important that all transboundary water basins are governed and managed collaboratively.

The Water Convention has set formal transboundary cooperation in motion, and the 2030 Global Goals, with a dedicated target – SDG 6.5 – on integrated water resources management at all levels, including through transboundary waters, represents an important goalpost.

Given that nearly half of the world’s transboundary waters still lack an operational cooperative arrangement less than eight years before the 2030 mark, there is an urgent need to support countries to develop the capacity to sustainably manage shared waters.

The UN Water Convention will continue to inspire and support progress towards this key target.

* References to Kosovo shall be understood to be in the context of Security Council Resolution 1244 (1999)

Andrew Hudson is Head of Water and Ocean Governance Programme, UNDP and Katharina Davis is Thematic Expert on Water, Climate and Urban Resilience, UNDP.

Source: UNDP Blog

IPS UN Bureau

 

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By Anis Chowdhury and Jomo Kwame Sundaram
SYDNEY and KUALA LUMPUR, Aug 23 2022 (IPS)

After four years of Trump’s ‘America first’ isolationism, US President Joe Biden announced “America is back”. His White House has since tried to find allies against China and Russia.

But it has not found many, especially in the Global South. His summit with Southeast Asian leaders was well attended, but promised little. Worse, his Summit of the Americas revealed fading US influence in its long-time backyard.

Anis Chowdhury

Africa not aligned
The latest U.S. Strategy Towards Sub-Saharan Africa (SSA) was expected to do better on the continent of Trump’s “shithole countries”. But it delivered little more than rhetoric. As with its Indo-Pacific Economic Framework for Prosperity, it is seen as “a hamburger without the beef”.

Biden’s strategy explicitly seeks to “counter harmful activities” by China and Russia, and “to expose and highlight the risks of negative PRC and Russian activities in Africa”. But it offers no evidence of such threats.

It asserts China “sees the region as an important arena to challenge the rules-based international order, advance its own narrow commercial and geopolitical interests, undermine transparency and openness”.

Similarly, it insists “Russia views the region as a permissive environment for parastatals and private military companies, often fomenting instability for strategic and financial benefit.”

Presenting Biden’s SSA strategy in South Africa (SA), US Secretary of State Anthony Blinken claimed, “Our commitment to a stronger partnership with Africa is not about trying to outdo anyone else”. He emphasized, “our purpose is not to say you have to choose”.

While “glad” the US was not forcing Africa to choose, SA foreign minister Naledi Pandor reminded the Blinken mission no African country can be “bullied” or threatened thus: “either you choose this or else.” The host also reminded her guests of the plight of the Palestinian people and life under apartheid.

Jomo Kwame Sundaram

Visiting Rwanda just before Blinken’s announcement, US Ambassador to the United Nations Linda Thomas-Greenfield had threatened, “Africa could face consequences if they trade in U.S.-sanctioned commodities”.

Pandor described the US Congressional bill, ‘Countering Malign Russian Activities in Africa Act’ as “offensive legislation”. The bill, the 2021 Strategic Competition Act and the US Innovation and Competition Act have all been criticized by Africans, including governments, as “Cold War-esque”.

Calling for diplomacy, not war, Pandor urged, “African countries that wish to relate to China, let them do so, whatever the particular form of relationships would be.”

US credibility in doubt
Biden’s SSA strategy has four explicit objectives – foster openness and open societies, deliver democratic and security dividends, advance pandemic recovery and economic opportunity, and support conservation, climate adaptation, and a just energy transition.

The US strategy paper refers to the 2022 G7 Partnership for Global Infrastructure and Investment (PGII) promising $600bn. Confident the PGII will “advance U.S. national security”, the White House has pledged $200bn “to deliver game-changing projects to strengthen economies”.

After all, the 2005 G7 Gleneagles Summit promise – to double aid by 2010, with $50bn yearly for Africa – remains unfulfilled. Actual aid has been woefully short, with no transparent reporting or accountability.

Over half a century ago, rich nations promised 0.7% of their national income in development aid. The US has long ranked lowest among the G7, spending only 0.18% in 2021. Worse, US aid effectiveness is worst among the world’s 27 wealthiest nations.

Meanwhile, rich countries have fallen far short of their 2009 pledges to provide $100bn in climate finance annually until 2020 to help developing countries adapt to and mitigate global warming.

After his stillborn Build Back Better World initiative, many doubt how much Congress will approve, and what will be for SSA. Likewise, before mid-2021, the Biden administration promised support for pandemic containment.

But it did not support developing countries’ request to the World Trade Organization (WTO) for a temporary waiver of related patents. The June 2022 WTO compromise was nothing less than “shameful”.

Supplies of Covid pandemic needs from China and Russia have been decried as “vaccine diplomacy”. Sanctions against Russia have disrupted contracted delivery of 110 million doses of its vaccine. This jeopardizes UNICEF efforts to vaccinate many countries, including Zambia, Uganda, Somalia and Nigeria.

With 43.87 vaccine doses per 100 people – less than a third of the 157.71 world average, or under a quarter of the US mean of 183 doses per 100 people – Africa had the lowest Covid-19 vaccination rate, by far, in mid-August 2022.

The SSA strategy paper highlights US-Africa HIV-AIDS partnerships. But it is silent about Big Pharma getting a US sanctions threat against SA for producing generic HIV-AIDS drugs. The US only backed down after a worldwide backlash as Nelson Mandela stood firm.

West still exploiting Africa
Biden’s SSA strategy promises to “engage with African partners to expose and highlight the risks of negative PRC and Russian activities in Africa” in line with the US 2022 National Defense Strategy.

But it ignores why Africa remains underdeveloped and poor. After all, Africa has around 30% of the world’s known mineral reserves, and 60% of its arable land. Yet, 33 of its 54 nations are deemed least developed countries.

The New Colonialism report showed British companies control Africa’s key mineral resources, with 101 mostly UK companies listed on the London Stock Exchange having mining operations in 37 SSA countries.

Together, they controlled over a trillion dollars’ worth, while $192 billion is drained yearly from Africa via profit transfers and tax dodging by foreign companies.

France retains control of its former colonies’ monetary systems, requiring them to deposit foreign exchange reserves with the French Treasury. It has never hesitated to topple ‘unfriendly’ governments through coups and its military.

Recently, the US promised to continue providing intelligence, surveillance and reconnaissance support on Africa to France, using its advanced drone and satellite technology.

As ex-colonial powers continue to control and exploit SSA, policies imposed by donors, the International Monetary Fund and multilateral development banks have ensured its continuing underdevelopment and impoverishment.

Once a net food exporter, Africa has become a net food importer. With more pronounced Washington Consensus policies since the 1980s, food insecurity has worsened. SSA has also deindustrialized, making it more resource dependent and vulnerable to international commodity price volatility.

Forget the past?
Many Africans have suffered much due to colonialism, racism, apartheid and other oppressions. Pan-Africanism contributed much to the non-aligned movement during the old Cold War. Julius Nyerere famously declared in 1965, “We will not allow our friends to choose our enemies”.

Half a century later, Mandela reminded the West not to presume its “enemies should be our enemies”. Older Africans still remember the former Soviet Union and China for their support through past struggles, when most of the West remained on the wrong side of history.

Africans are correctly wary of the new “Greeks bearing gifts” and promises. While most do not want a new Cold War, many see China and Russia offering more tangible benefits. Unsurprisingly, 25 of Africa’s 54 states did not support the March 2022 UN General Assembly resolution condemning Russia’s invasion of Ukraine.

IPS UN Bureau

 

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By Edgardo Ayala
SAN SALVADOR, Aug 23 2022 (IPS)

Getting sick is one of the worst fears facing Jorge, a Salvadoran living in the United States, because without access to health insurance or public health programs, he knows he will not be able to afford the high cost of hospital care.

“It scares me to think about what would happen if I got sick, the medical services here are very expensive,” Jorge told IPS by video call. He preferred not to mention his last name for fear that, because he is undocumented, he could be traced and deported by U.S. immigration authorities.

Jorge, 56, left his native El Salvador, the smallest of the Central American countries, more than 10 years ago, where he worked as an English teacher. He went to the United States to forge a better future for himself."One night in a hospital, depending on the health problem, can generally cost 5,000 to 10,000 dollars." -- Emilio Amaya

“I came in search of the American dream, but that dream is now a kind of American nightmare,” he said, sitting on the side of his bed in the small room where he lives in the town of Silver Spring, in the southeastern U.S. state of Maryland.

Without the documents that would allow him to live legally in the U.S., Jorge is unable to find a better job, and must settle for working in a company that distributes vegetables, grains and other groceries to online buyers. He is paid 13 dollars an hour.

“I’m actually feeling a weird little pain here, in this part of my arm,” he added, and showed the area that has started to hurt.

According to him, the pain is probably due to the long hours he has to spend in a cold room, at a temperature of 4°C, because he is in charge of removing the products to be packaged and shipped.

Immigrants demand respect for their rights, including health care, during a demonstration in front of the State Capitol in Sacramento, California. CREDIT: Courtesy of the San Bernardino Community Service Center

Lacking health care in the world’s richest country

Like Jorge, many of the estimated 11 million undocumented immigrants living in the United States face the harsh reality of putting their lives at risk by not seeking hospital services, primarily for two reasons.

First, because they know that the costs of these medical services are exorbitantly high, even for citizens and legal residents, and even worse for undocumented immigrants, who do not have well-paying jobs and are generally ineligible to participate in state or federal health care programs.

And second, because they are afraid to go to hospitals because they believe, not without reason, that the immigration authorities will show up to detain and deport them.

“The fear is not unfounded, there have been documented cases of people who came for medical attention and the hospitals called the immigration office,” Emilio Amaya, executive director of the San Bernardino Community Service Centre, told IPS.

But Amaya added that “We cannot say that this is a generalized practice, there have been isolated cases, but it is common in towns on the border with Mexico.”

His organization, located in the San Bernardino Riverside area of California, has been helping undocumented migrants since 2001, added Amaya, a Mexican who has lived in the United States for some 40 years.

Regarding the high cost of hospital services, Amaya added: “In general terms, regardless of immigration status, access to medical care is difficult and expensive.”

And it gets more complicated, he said, in the case of undocumented immigrants, since they do not go to the hospital because they do not qualify for public medical assistance programs for low-income people, such as Medicaid, or because of the aforementioned fear of being detained by immigration authorities.

In doing so, they put their health at risk.

The possibility of receiving medical coverage, he said, as a result of state or federal programs, depends on the state or city where one lives, since there is no national standard that applies across-the-board throughout the country.

And while undocumented individuals generally have difficulty becoming eligible for some form of public health care, such as the national Medicaid program, in some states, such as California, there have been positive steps toward greater inclusion.

“For years we have been working on a campaign called Health for All, which has been allowing anyone, regardless of their immigration status, to have access to public health services,” Amaya said.

He said that a few years ago, young people up to the age of 26, regardless of their immigration status, qualified for Medicaid, and last year a law was passed that gives medical coverage to anyone over the age of 55, regardless of immigration status.

“Now we are trying to extend this to any person regardless of age,” he said.

But “this is not the case in other states, such as Texas, Alabama, Tennessee, the Carolinas, where access to health care for the undocumented community is nonexistent,” he said.

Americans and immigrants call for a public health system that guarantees universal access and want Medicaid to cover migrants without resources, regardless of their immigration status. CREDIT: Telesur TV

An arm and a leg

Most of the 11 million undocumented immigrants in the United States come from four countries: Mexico and the Central American countries of Guatemala, El Salvador and Honduras, which face acute problems of unemployment, insecurity, lack of education and housing.

In the United States, the richest and most powerful nation in the world, a healthcare system dominated by the profit motive, driven by one branch of the financial industry – the insurance industry – reigns supreme.

“This is unbridled capitalism, in all its glory,” said Jorge, talking to IPS at 7:00 p.m. while at the same time preparing his food and other things, to get up the next day at 4:00 a.m., and start his up to 14-hour workday an hour later.

If you do not have an employer that provides health insurance, or if you are not a beneficiary of programs such as Medicaid, which is designed with state or federal funds to cover people with little ability to pay, the cost of medical treatment must be borne by you alone, and it costs an arm and a leg.

“One night in a hospital, depending on the health problem, can generally cost 5,000 to 10,000 dollars,” Amaya said.

An operation can run around 50,000 to 100,000 dollars, “and someone with cancer ends up half a million dollars in debt,” he added.

Hospitals are required by law to provide medical services regardless of immigration status.

But with no private insurance policy and no medical coverage, and with a bill to pay of several thousand dollars, these hospitals give people the possibility of paying for the service in monthly installments.

According to the Cable News Network (CNN), which cited a report released in July 2021 by the Kaiser Family Foundation, 23 percent of immigrants in general and 46 percent of undocumented immigrants are uninsured, compared to just over nine percent of U.S. citizens.

Jorge told how a co-worker, an undocumented Guatemalan whose name he preferred not to give, suffered a hernia six months ago. He went to the hospital when he could no longer stand the pain, and the treatment cost him 12,000 dollars.

“Since then, he has that debt to the hospital, he hasn’t been able to pay a thing until now,” Jorge said.

The Guatemalan’s father-in-law, who he also did not identify, had an accident at work, falling from the roof of a house and suffering multiple fractures, said Jorge.

A metal plate to replace the broken bone, plus several therapy sessions, cost 400,000 dollars, he said.

Oscar, a Mexican immigrant who has obtained U.S. citizenship, told IPS that in 2004, having just arrived as a beneficiary of a legal temporary work program sponsored by a binational agreement, he sought help for stress.

An ambulance from one of the hospitals in Panama City Beach, the city in the state of Florida where he lived at the time, picked him up for medical assistance.

“They took an X-ray and an electrocardiogram, and I spent about two hours in the hospital, and for that they charged me 800 dollars,” said Oscar, 56, who works as a driver for the rideshare app Lyft and lives in Richmond, California.

The medical coverage included in Oscar’s contract only covered work-related accidents, he said, not other types of ailments outside the scope of work, although the stress was probably directly linked to the hotel work he performed.

Amaya, the director of the San Bernardino Community Service Centre, noted that despite the burden of having to pay debts for the hospital service received, the organization encourages undocumented individuals to seek health care.

“It is better to save your life by running up a debt you have to pay off in installments than to lose your life by not seeking the extremely expensive service,” he concluded.

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Over 2 billion people live in water-stressed countries, which is expected to be exacerbated in some regions as a result of climate change and population growth. Credit: Jeffrey Moyo/IPS.

By Baher Kamal
MADRID, Aug 22 2022 (IPS)

This is how the Muslims’ Holy Book – the Quran refers to the most precious element of life.

Religions apart, also UNESCO underlines the fact that “water is a unique and non-substitutable resource.”

Now comes the question if water is finite or infinite? UNESCO says that it is “of limited quantity.” And the Food and Agriculture Organization (FAO) reports that water use has been growing globally at more than twice the rate of population increase in the last century.

Globally, at least 2 billion people use a drinking water source contaminated with faeces. Microbial contamination of drinking-water as a result of contamination with faeces poses the greatest risk to drinking-water safety

Essentially, it says, demographic growth and economic development are putting unprecedented pressure on renewable, but “finite” water resources.

Anyway, the reality is that, over the last decades, Planet Earth has been facing an alarming problem of water scarcity.

Indeed, it is estimated that over 2 billion people live in water-stressed countries, which is expected to be exacerbated in some regions as a result of climate change and population growth.

 

Why is water scarce?

Before going further, it might be convenient to report that there are several dimensions of water scarcity that can be summarised as follows:

– Scarcity in availability of fresh water of acceptable quality with respect to aggregated demand, in the simple case of physical water shortage;

– Scarcity in access to water services, because of the failure of institutions in place to ensure reliable supply of water to users;

– Scarcity due to the lack of adequate infrastructure, irrespective of the level of water resources, due to financial constraints.

 

Dangerously polluted

These three explanations are aggravated by another fact: water is not only scarce – it is also highly contaminated. See these findings by the World Health Organization (WHO) and other UN bodies:

• Globally, at least 2 billion people use a drinking water source contaminated with faeces. Microbial contamination of drinking-water as a result of contamination with faeces poses the greatest risk to drinking-water safety.
• While the most important chemical risks in drinking water arise from arsenic, fluoride or nitrate, emerging contaminants such as pharmaceuticals, pesticides, per- and polyfluoroalkyl substances and microplastics generate public concern.
• Safe and sufficient water facilitates the practice of hygiene, which is a key measure to prevent not only diarrhoeal diseases, but acute respiratory infections and numerous neglected tropical diseases.
• Microbiologically contaminated drinking water can transmit diseases such as diarrhea, cholera, dysentery, typhoid and polio and is estimated to cause 485.000 diarrhoeal deaths each year.

To the above data, UNESCO reports that 80% of all industrial and municipal wastewater is released into the environment. And that 50% of all malnutrition is due to the lack of water, sanitation and hygiene.

 

Food under threat

This already catastrophic situation is so grim that, in addition to the life of humans, animals, plants -–in short ‘Every Living Thing’–, one of the sectors that most depend on water–crops is now highly endangered.

Indeed, since the 1950s, reminds the United Nations, innovations like synthetic fertilisers, chemical pesticides and high-yield cereals have helped humanity dramatically increase the amount of food it grows.

“But those inventions would be moot without agriculture’s most precious commodity: fresh water. And it, say researchers, is now under threat.”

Moreover, pollution, climate change and over-abstraction are beginning to compromise the lakes, rivers, and aquifers that underpin farming globally, reports the UN Environment Programme (UNEP).

 

Wastewater

Among the major causes that this international body highlights is that in some arid areas, there has been an increase in the amount of wastewater used to grow crops.

“The problem can be exacerbated by flooding, which can inundate sewage systems or stores of fertiliser, polluting both surface water and groundwater.”

 

Mounting risks

• Fertiliser run-off can cause algal blooms in lakes, killing fish. Storm run-off and forest fires are further risks to farming and food security.
• In some places around the world, pollution is also seeping into groundwater, with potential long-term impacts on crops, though more research is needed to establish the precise effects on plants and human health.
• The amount of freshwater per capita has fallen by 20% over the last two decades and nearly 60% of irrigated cropland is water-stressed.
• The implications of those shortages are far-reaching: irrigated agriculture contributes 40% of total food produced worldwide.

Now take a closer look at what is behind the decline of the world’s per capita freshwater reserves and how this is affecting farmers, as explained by the world body specialised in environmental issues.

 

Drought and aridification

Research shows that global warming is sparking longer-lasting droughts, like the record-setting dry spells that have gripped East Africa and the Western United States. This, say experts, is a prime example of climate change in the flesh.

According to the Global Land Outlook, a report by the United Nations Convention to Combat Desertification (UNCCD), over one-third of the world’s population currently lives in water-scarce regions.

 

Groundwater

Groundwater supplies 43% of the water used for irrigation. But improvements in drilling technology over the last few decades have led to its unsustainable extraction in parts of the world, such as India.

FAO estimates that 10% of the global grain harvest is being produced by depleting groundwater resources.

 

Saltwater intrusion

Intensive irrigation can lead to a rise in the water table, syphoning salt into the soil and the roots of plants, affecting their growth.

As well, the overuse of groundwater can combine with climate-change-induced sea-level rise to cause saltwater to penetrate coastal groundwater aquifers. This can damage crops and their yields and affect drinking water supplies.

UNEP estimates that around one-tenth of rivers around the world are affected by salinity pollution.

 

Land degradation

Humanity has altered more than 70% of the Earth’s land area, causing what the Global Land Outlook called “unparalleled environmental degradation”. In many places, the ability of soils to store and filter water is waning, making it harder to grow crops and raise livestock.

All the above also leads to the steady loss of biodiversity.

 

The markets and the short-term profits

The way nature is valued in political and economic decisions is both a key driver of the global biodiversity crisis and a vital opportunity to address it, according to a four-year methodological assessment by 82 top scientists and experts from every region of the world.

The Assessment Report on the Diverse Values and Valuation of Nature, released on 11 July 2022 by the Intergovernmental Science-Policy Platform on Biodiversity and Ecosystem Services (IPBES), finds that:

• There is a “dominant global focus on short-term profits and economic growth, often excluding the consideration of multiple values of nature in policy decisions.”
• Economic and political decisions have predominantly prioritised certain values of nature, particularly market-based instrumental values of nature, such as those associated with food produced intensively.
• Although often privileged in policymaking, these market values do not adequately reflect how changes in nature affect people’s quality of life. Furthermore, policymaking overlooks the many non-market values associated with nature’s contributions to people, such as climate regulation and cultural identity.

 

Why is it now degraded faster than ever?

“Biodiversity is being lost and nature’s contributions to people are being degraded faster now than at any other point in human history,” said Ana María Hernández Salgar, Chair of IPBES.

“This is largely because our current approach to political and economic decisions does not sufficiently account for the diversity of nature’s values.”

 

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Promoting children’s primary and secondary education, especially for girls, will contribute significantly to development efforts as well as facilitate the demographic transition. Credit: Joyce Chimbi/IPS

By Joseph Chamie
PORTLAND, USA, Aug 22 2022 (IPS)

While most countries in the world have made the transition from high to low rates of deaths and births, many countries, largely in Africa, face the challenges of high fertility rates that are resulting in rapidly growing populations.

In 2020 thirty-six countries, of which thirty are among the United Nations’ least developed countries, had fertility rates of more than four births per woman (Chart 1). The combined populations of those three dozen countries in 2020 amounted to nearly 1 billion people, or approximately 12 percent of the world’s total population of nearly 8 billion.

 

Source: United Nations. * Least developed country.

 

By 2058 when the world’s population is projected to reach 10 billion, the combined populations of those thirty-six high fertility countries are expected to more than double to more than 2 billion. Their population total will represent approximately 22 percent of the world’s projected population in 2058.

Among the high fertility countries, ten of them, all least developed nations except Nigeria, had rates that were five or more births per woman in 2020. Furthermore, half of those countries had fertility rates of six or more births per woman. The highest rate was Niger’s at nearly seven births per woman (Figure 1).

 

Source: United Nations. * Least developed country.

 

The high fertility rates of those ten countries are contributing to the rapid growth of their populations. For example, the populations of all of those ten countries are projected to at least double by 2058. Consequently, the combined populations of those ten countries are expected to increase from 419 million in 2020 to 970 million by 2058, or from about 5 percent of the world’s population to 10 percent.

The largest population among those ten countries is Nigeria. Its population is expected to increase from 208 million in 2020 to 419 million by 2058. As a result of that rapid demographic growth, Nigeria is projected to move from the world’s seventh largest population in 2020 to the third largest by midcentury.

In addition, the population of the Democratic Republic of the Congo is expected to nearly triple between 2020 and 2058, increasing from 93 million to 257 million. However, among the thirty-six high fertility countries, Niger is expected to experience the most rapid demographic growth over the next several decades. Niger’s population of 24 million in 2020 is projected to more than triple to 83 million by 2058.

An important consequence of the high fertility rates is a young age structure. Half or more of the populations of the top ten fertility countries are children below the age of eighteen years. Moreover, in five of those countries the median age of the population is 15 years or less (Figure 2).

 

Source: United Nations. * Least developed country.

 

The thirty-six rapidly growing, young populations are facing numerous challenges. In addition to confronting high levels of poverty, those countries are facing serious difficulties in reducing hunger, providing basic education, offering decent work and employment opportunities, promoting women’s rights, providing healthcare, and reducing inequalities. Furthermore, many of them are among the countries with the lowest Human Development Index.

In some of those countries, the majority of the adult population is illiterate. For example, the proportion illiterate is more than 60 percent of the adult population in Benin, Burkina Faso, the Central African Republic, Chad, Guinea, Mali, Niger, and South Sudan.

As has been the case in regions worldwide, promoting children’s primary and secondary education, especially for girls, will contribute significantly to development efforts as well as facilitate the demographic transition

In addition, various studies report that Africa is likely to be the most vulnerable continent to climate change impacts. The effects are particularly pronounced in sub-Saharan countries due to temperature increases, changes in rainfall patterns, extreme weather patterns, and increasing natural disasters. For many of the rapidly growing countries, those effects already pose serious risks to water and food systems, public health, agriculture, employment, socio-economic development, and population displacement.

The three dozen rapidly growing populations are not on track to meet Sustainable Development Goal 2 to end hunger and ensure access to safe, nutritious and sufficient food all year round, and to end all forms of malnutrition. Since 2012 the number of undernourished people in drought-prone sub-Saharan African countries has increased by 46 percent.

In some of the high fertility African countries, the proportions suffering from undernourishment are high. For example, the proportion of Somalia’s population undernourished is 60 percent, followed by the Central African Republic at 48 percent, and the Democratic Republic of the Congo at 42 percent.

Climate change is also contributing to mass displacement of people in those countries due to heatwaves, droughts, and failed crops. Looking for relief from difficult living conditions, many move from rural areas to large cities.

In addition, large numbers of men and women in those rapidly growing countries are seeking to migrate both legally and illegally to other countries. Their preferred destinations are the countries of North America and Europe.

For example, in the most populous African country, Nigeria, about half of its population of more than 200 million people would like to migrate to another country. Even higher proportions wanting to resettle abroad are the populations of Sierra Leone and Liberia, 71 and 66 percent, respectively.

It’s abundantly clear that the three-dozen high fertility, rapidly growing populations are facing formidable economic, social, and environmental challenges. There are no simple and quick remedies to address those many challenges, which are expected to become more problematic in the coming decades.

However, it is certainly the case that many of those rapidly growing populations would benefit from international assistance, financial aid, and technical expertise. Contributions from the international community, aid agencies, and financial institutions would facilitate economic development, employment opportunities, and social progress as well as alleviate hunger, malnutrition, and poverty in those countries.

An important step in addressing those development challenges is to expediate the demographic transition in those countries, which would result in lower rates of population growth. Simply stated, development efforts in the rapidly growing populations should emphasize transitioning from high rates of fertility to low rates.

Finally, as has been the case in regions worldwide, promoting children’s primary and secondary education, especially for girls, will contribute significantly to development efforts as well as facilitate the demographic transition. Those efforts need to be reinforced with the provision of basic health care, including the widespread availability of family planning information, methods, and services.

 

Joseph Chamie is a consulting demographer, a former director of the United Nations Population Division and author of numerous publications on population issues, including his recent book, “Births, Deaths, Migrations and Other Important Population Matters.”