Health workers inside a "CUBE" talk to an Ebola patient, while a nurse consults a chart outside. ALIMA Ebola Treatment Centre, Beni, Democratic Republic of the Congo. Two drugs have been found to successfully treat the Ebola virus. Aid agencies have welcomed the news saying it allows communities to access early treatment. Courtesy: World Health Organisation (WHO)
By Issa Sikiti da Silva
COTONOU, Benin, Aug 20 2019 (IPS)
While people in the Democratic Republic of Congo (DRC) are slowly being made aware that scientists have discovered two drugs that are effective in treating Ebola, letting go of the fear and anxiety that has prevailed across the country this year will require more work.
After several months of intense research, mAb114 and REGN-EB3, two out of four drugs tested, where found to have been effective in a clinical trial, according to a joint statement on Aug. 12 by the World Health Organisation (WHO), DRC’s National Institute for Biomedical Research (INRB) and Ministry of Health, National Institute of Allergy and Infectious Diseases (NIAID).
It is the first ever multi-drug trial for the deadly virus.
The deadly hemorrhagic fever has claimed the lives of 1,800 people since last August.
“This is very good news for patients,” Dr Esther Sterk, Médecins Sans Frontières (MSF) Adviser for Tropical Diseases, told IPS. “It is good that these two drugs are recommended because not only do we expect them to improve their chances of survival, but they are also easier for medical staff to administer.”
The complexities of receiving treatment
But the latest outbreak of the deadly virus has resulted in fear among local communities. With the epicentres of the outbreak largely centred in conflict-ridden areas, communities there have been fearful and mistrustful of the virus and medical workers. Many also found the process of screening for the disease reportedly intimidating.
And on Aug. 13, residents in Goma, the capital of North Kivu province and a city of two million people overlooking Gisenyi in neighbouring Rwanda, was overrun by protestors after the news spread that two Ebola patients were been healed and discharged from the treatment centres.
“People misunderstood it, and thought the government and white people were plotting to infect us all with Ebola by letting these patients go home. It is only later in the day that we were told that these people were free to go because they were treated with a new cure that has just been found,” Christian Kasereka, an informal trader, told IPS.
In July, Marixie Mercado, United Nations Children’s Agency (UNICEF) spokesperson told IPS that, “the Ebola outbreak is taking place in an extremely complex operational environment and the response must of course factor in political, security, and socio-cultural challenges”.
She said that UNICEF was leading the work on community engagement. “We work with a broad swathe of influential community and religious leaders, mass media, schools, and Ebola survivors, to bring crucial knowledge on symptoms, prevention and treatment, to the households and communities most at-risk.
“We are learning from intensive, ongoing research and analysis of community feedback to better understand local needs, fears and concerns, and to adapt the response in ways that are socially and culturally acceptable. There is growing community ownership over the response, but far more is needed,” Mercado said at the time.
Greater community ownership and understanding needed to stop the outbreak
The Goma protests offered truth to her words that more still needs to be done.
Other international health agencies have the same view.
Sterk did caution that while the drugs improved the chances of survival of patients, teams working on the ground could not relax as ways to reduce transmission needed to be found.
“While this is welcome news, it alone, won’t end the Ebola outbreak. We still urgently need to find a way to cut transmission, which requires placing affected communities at the centre of the response by prioritising their healthcare needs and rethinking the current failing response strategies,” Sterk told IPS.
“We expect that using the two most successful treatments will improve the outcome for patients, but the challenges remain there: to break the chain of transmission, to improve the follow-up of contacts, to encourage people to report to a health facility as early as possible when the symptoms appear, to support the healthcare infrastructure in the region so that access to general healthcare is preserved during this difficult time.”
The WHO had echoed these concerns in its statement last week stating that not enough people were being treated. Currently people take 5 to 6 days before seeking treatment.
Euloge Ishimwe, International Federation of Red Cross and Red Crescent Societies (IFRC) head of communications for Africa region, told IPS that people with symptoms often delay or avoid going to a health facility or an Ebola treatment centre, placing their families and communities at risk.
“This also has critical impacts on our work with communities. If communities are engaged and understand the treatment as well as see more people surviving from the disease, they are more likely to seek health care early,” Ishimwe said, adding that the findings were a pinnacle moment in the Ebola response, as it allowed communities to access early treatment.
MSF has worked alongside several partners under the supervision of the WHO and took part in the implementation of the trials while supporting the Ebola treatment centres in Katwa and Butembo between January and February this year.
The study is part of the emergency response in the DRC, in collaboration with a broad alliance of partners, including MSF, the Alliance for International Medical Action (ALIMA), the International Medical Corps (IMC), INRB and NIAID, which is part of the United States’ National Institutes of Health.
The study has since stopped and the successful drugs are being administered to all those affected.
“We must move forward to implement the outcomes of this research. We will continue to conduct rigorous research with our partners. We’ll incorporate those findings into the outbreak response through a variety of prevention and control strategies,” Dr Mike Ryan, WHO Executive Director for Emergencies Programme, had said in a statement.
Highlights of the latest outbreak:
What’s next?
Professor Jean-Jacques Muyembe, director general of DRC’s National Institute for Biomedical Research (INRB), and a co-discoverer of Ebola in 1976, said that the city of Goma was now out of danger since about 200 contacts and suspected cases have been identified. “We are waiting for the latest results and monitoring as the points of entry to the city are being reinforced.”
IFRC Africa’s Ishimwe said the Ebola outbreak was far from over. “This news doesn’t mean it’s over – there is still a lot of work to do. We must stay the course until the last case is treated and the region is declared Ebola-free.”
But Anita Masudi, a resident from Butembo, North Kivu, one of the epicentres of the Ebola outbreak, is relieved.
She told IPS: “Oh yes, we are very happy about what’s happening out there though I’m not sure if everyone can now relax hoping that it’s the end of Ebola in the North Kivu. Nevertheless, I’m not afraid any more.”
Related ArticlesThe post A ‘Cure’ for Ebola but Will it Stop the Outbreak if People Won’t Get Treatment? appeared first on Inter Press Service.
By Lakshi De Vass Gunawardena
UNITED NATIONS, Aug 20 2019 (IPS)
The Southern African Development Community (SADC), which comprise 16 member states, loses about 8.8 billion dollars in trade-related illicit outflows and about 21.1 billion dollars in external government debt payments annually, according to a new report released here.
Michael Buraimoh, Director, Action for Southern Africa (ACTSA), told IPS there are several reasons for this, including the lack of capacity to combat trade mis invoicing and managing debt; nature of politics and institutions in Southern Africa leading to corruption and mismanagement; and the unjust nature of the global economy.
The report, titled The Money Drain: How Trade Misinvoicing and Unjust Debt Undermine Economic and Social Rights in Southern Africa, was launched ahead of a summit meeting of SADC leaders in Tanzania August 17-18.
Sunit Bagree, ACTSA’s Senior Campaigns Officer and author of the report, said: “It’s a scandal that rich countries barely seem to care that Southern Africa is haemorrhaging money.”
“A broken international economic system is, fundamentally, why trade misinvoicing and unjust debt are depriving SADC governments of massive funds that they could use to realise economic and social rights for the many people living in poverty in the region,” he noted.
Bagree said SADC governments can certainly do more, for example by employing innovative tools to detect potential misinvoicing of trade transactions and organising comprehensive public debt audits.
“But they must also call out powerful international countries for failing to live up to their responsibilities and turning their collective backs on vulnerable people in Southern Africa,” he declared.
The 16 member countries of SADC are: Angola, Botswana, Comoros, Democratic Republic of Congo, Eswatini, Lesotho, Madagascar, Malawi, Mauritius, Mozambique, Namibia, Seychelles, South Africa, United Republic of Tanzania, Zambia and Zimbabwe.
The report revealed that in Southern Africa, the youth unemployment rate is 31 percent, 5.4 million people are currently undernourished, at least 617,400 new HIV infections emerge a year, and more than 40 percent of the population in 12 countries lack access to basic sanitation services.
Trade invoicing causes the SADC region to lose at least 8.8 billion dollars a year, and the report estimated that South Africa alone suffers of a loss of at least 5.9 billion dollars per year due to illicit trade flows.
On top of this, the region is bearing even more losses due to debt. The report cites that Angola alone is emptied of 21.1 billion dollars a year as a result of principal and interest payments on debt.
To add to this, the parts of Africa that were devastated by cyclones earlier this year has mass debts to pay back to wealthier countries.
Several institutions have attempted to raise concerns about trade mis invoicing and debts, but progress has been fragmented and slow, and nothing fruitful has emerged.
Asked what role ACTSA will take going forward, Buraimoh said: “We are promoting our report to the media in the U.K. and USA, as well as in Southern Africa and in continental Europe.”
He also revealed they are aiming to meet with and directly influence, the U.K. and U.S. governments, International Monetary Fund (IMF), World Bank, the United Nations, the Commonwealth and African Union (AU) in relation to the report’s findings and recommendations.
This is expected to lay the basis for future advocacy work on debt and trade-related illicit flows with civil society partners such as Jubilee Debt Campaign, Zimbabwe Coalition on Debt and Development (ZIMCODD), Global Financial Integrity and the Southern Africa Trust.
He added that they aim to add value to the work of these partners and join up regional and global work on these two crucial issues, and that this will be a vital contribution to efforts that considers development from a rights-based perspective and as a concept that relates to issues beyond aid.
“By evaluating success of all the above we can measure progress as relates to the report’s recommendations.
As what role the U.N. should play, Buraimoh said the U.N. Human Rights Council has done some good work on these issues.
“We want to see this continue. The U.N. General Assembly should do more, and some U.N. agencies e.g. Economic Commission for Africa also have engaged, while others can do more.”
He said that all need to work together to ensure International Financial Institutions take more progressive approaches.
“You can really help us by getting the report circulated as widely as possible. The more people are energised about this the better it would be for us to make it an international priority. It is a problem plaguing the entire Global South, not only Southern Africa”, he declared.
Related ArticlesThe post Southern African Development Community Loses Billions in Illicit Outflows appeared first on Inter Press Service.
By Claudia Ortiz
PANAMA CITY, Aug 20 2019 (IPS)
Throughout my ten years working in international development and climate policy, I’ve mostly heard colleagues talk about the private sector as if it was this intangible, multifaceted medusa with its own business lingo that is impossible for us policy experts to tackle: “the ‘private sector’ needs a return on investment in order to act on climate” or “the ‘private sector’ does not have the right incentives, but we need ‘private’ capital to solve this crisis”
First, we need to untangle who we are talking about when we refer to “the private sector”. Are we talking about multinational corporations, wealthy investors, banks, entrepreneurs?
Secondly, unless we approach these actors with the problem, invite them to the discussion table, and hear them out, we will certainly never know the best way to get their interests aligned with climate solutions.
On the other hand, UN organisation and multilateral climate and environment funds interact almost entirely with public institutions and governments. So, when it comes to raising the bar on contributions to the Paris Agreement, climate change adaptation, and accessing climate finance, it seems the ball falls into the governments’ court.
We hear the usual refrain: “Governments need to mainstream climate risk into development policies” or “Governments need to act” or “Heads of State need to meet to raise ambition on NDCs [ Nationally Determined Contributions that countries made to the Paris Agreement]”
But will Government officials shaking hands and signing project proposals magically solve the climate crisis?
Here’s an idea: create a robust business case – whether it is by showing returns on investments or economic losses due to inaction – for profit-seeking actors to financially back up an NDC or National Adaptation Plan (NAP) and activate most of the domestic heavy-lifting that is needed to make these plans a reality.
In Latin America, we see an urgent need for public-private collaboration regarding action on climate change. As far as climate justice goes, the region is on par with most African and Asian peers: their contribution to global warming is less than that of USA and Europe.
However, the mega-biodiverse region remains highly vulnerable to climate change, economic growth is fuelling more carbon emissions, and the need for climate-resilient development is vital.
Despite a growing economy, according to the International Monetary Fund (IMF), Latin America is growing at a slower rate than previously anticipated and well below growth rates of other regions, largely due to tightening of global financial conditions and lower commodity prices.
Low investment in human capital and entrepreneurship means economic inequality and a vulnerable middle class continues to be an issue in the region, a region that is already over-dependent on natural resources.
This socio-economic situation is further exacerbated by climate change related catastrophic events, changes in rainfall patterns and in temperatures. It is projected that a temperature rise of 2.5°C could have a negative impact on the Latin American GDP of 1.5 to 5 percent.
To make matters worse, grant and donor funding from multilateral climate and environmental finance sources are on a downward trajectory in the region, partly due to its “middle income” status; meaning governments are expected to use non-grant instruments to mitigate emissions or adapt to climate change.
The bleak reality is that we can no longer rely on grant-funded projects to cut down emissions or urgently adapt to the already devastating effects of the climate crisis.
But, remember the “private sector”? What is the contribution of wealthy investors, small entrepreneurs, and banks to this puzzle? Should they care? Is the region ready?
The good news in Latin America is that opportunities for private capital investment, which has significantly grown in recent years (for example, venture capital investment jumped from US $500M in 2016 to US $2 Billion in 2018 in the region) is at an all-time high.
There is also a growing sense of business opportunity amongst regional, national and private banks, investors, and entrepreneurs who understand the implications of climate risks in their value chains, operations, and portfolios.
Impact investors are financing reforestation initiatives in Mexico and climate-resilient productive landscapes in Honduras. Banks are developing innovative and flexible financial instruments to support small producers in rural Costa Rica protect their water resources through ecosystem-based adaptation.
Honey and cocoa cooperatives in Guatemala have established climate-resilient value chains by understanding the outstanding risks of climate change to their businesses. UNDP has served as a connector for these partnerships and supported on-the-ground projects which are the vehicles for these fascinating initiatives.
Taking advantage of the NDC and NAP processes, policy makers are approaching businesses, corporations and investors to see how they can contribute to finance the implementation of such plans.
Such is the case of Uruguay, Ecuador and Chile, where UNDP and its partners – including Global Environment Facility (GEF) and Green Climate Fund (GCF) — have been instrumental.
With the Latin America and Caribbean Climate Week (concluding August 23), including the Regional NDC Dialogues organised by UNDP in partnership with UNFCCC, we have another opportunity to welcome the private sector to the discussion table.
Regional and national banks, NGOs, think-tanks and consulting firms will all convene in Salvador de Bahia, Brazil, along with government representatives from across the region, to find ways of working together to fight climate change.
The post Solving the Climate Crisis is Beyond Governments appeared first on Inter Press Service.
Excerpt:
Claudia Ortiz is UNDP Technical Advisor on Climate Change Adaptation
The post Solving the Climate Crisis is Beyond Governments appeared first on Inter Press Service.
A United Nations Relief and Works Agency for Palestine Refugees (UNRWA) school in Gaza. Top management at UNRWA are being probed for alleged abuses of power. Credit: Khaled Alashqar/IPS
By James Reinl
UNITED NATIONS, Aug 20 2019 (IPS)
A senior United Nations official has promised a thorough investigation into allegations of misconduct in field operations in Yemen and the occupied Palestinian territories, saying that those responsible would be punished.
Ursula Mueller, the U.N.’s assistant secretary-general for humanitarian affairs, decried the “devastating” impact of U.N. staffers lining their own pockets with cash that was donated for the world’s neediest people.
The world body’s reputation in the Middle East has been dented by a series of allegations that some of its officials in Palestine and Yemen are guilty of graft, sexual misconduct and other wrongdoing.
“We need to really look at the people who are committing these very devastating activities for the humanitarian response,” Mueller said in response to a question from IPS on Monday.
“When we are made aware of these irregularities or corruption or fraud, we follow up and I think there [are] mechanisms and rules in place to do so. And also these people need to face consequences. That it’s not brushed aside and can go unpunished.”
According to documents, top management at the U.N. Relief and Works Agency for Palestine Refugees (UNRWA), including its commissioner general Pierre Krahenbuhl, are being probed for alleged abuses of power.
The confidential report by the U.N.’s internal watchdog describes an “inner circle” of Krahenbuhl and top aides engaging “in sexual misconduct, nepotism, retaliation, discrimination and other” wrongdoing.
Krahenbuhl struck up a relationship with senior adviser Maria Mohammedi in 2014 that was “beyond the professional” and arranged for her to fly alongside him on costly business class flights, it is claimed.
Krahenbuhl has rejected the report’s claims and said UNRWA is well managed.
Meanwhile, the U.N. is battling separate graft claims in Yemen, where it is tasked with tackling the world’s worst humanitarian crisis after five years of war has pushed millions of civilians to the brink of famine.
More than a dozen staffers have reportedly worked with fighters on all sides to pocket cash from the aid cash swishing around Yemen; some gave high-salary jobs to unqualified people, according to an Associated Press report.
A World Health Organization probe began in November, amid allegations of dodgy accounting by Nevio Zagaria, 20, an Italian doctor, who reportedly handed out well-paying jobs to friends, including a student who was tasked with looking after his dog.
The graft claims — and their damaging fallout — showcase how the U.N. can struggle to keep track of funding dollars and its own workers, who often operate autonomously in rapidly-changing crisis zones.
The scandal in UNRWA, which provides services to some 5 million Palestinian refugees, is particularly damaging, as it comes as the United States Trump administration has called for the agency to be shuttered.
Already, Belgium, Switzerland and the Netherlands have cut funding to UNRWA.
“The United Nations has a zero tolerance for corruption,” Mueller, also the U.N.’s deputy emergency relief coordinator and a former German civil servant and diplomat, told reporters in New York.
“We depend on voluntary contributions from member states from individuals to contribute to humanitarian response … any taint of corruption or fraud is disastrous. So we have fraud prevention mechanisms in place and when we hear about irregularities, we make every effort to follow up and correct it.”
UNRWA was set up in the years after some 700,000 Palestinians were expelled or fled their lands during the 1948 war over Israel’s creation. It provides medical and schooling services to millions of poor refugees in Lebanon, Jordan, Syria and the Palestinian territories.
In Yemen, a Western-backed coalition of Saudi Arabia, the UAE and others intervened in March 2015 against the Iran-backed Houthi rebel movement that ousted President Abd-Rabbu Mansour Hadi from power in late 2014.
The post UN Aid Boss Promises “Punishment” for Misconduct in Yemen and Palestine appeared first on Inter Press Service.
By Anis Chowdhury and Jomo Kwame Sundaram
SYDNEY and KUALA LUMPUR, Aug 20 2019 (IPS)
Recently, Christine Lagarde, outgoing Managing Director of the International Monetary Fund (IMF), argued that developing ‘countries need a seat at the table’ to design rules governing international corporate taxation.
This acknowledges recent IMF findings that developing countries lose approximately USD200 billion in potential tax revenue yearly, about 1.3 per cent of their GDP, due to companies shifting profits to low-tax locations. Oxfam estimated in 2018 that extreme poverty could be eradicated for USD107 billion annually, i.e., about half the lost revenue.
Anis Chowdhury
Corporate taxation?Corporate tax rates in developing countries have fallen by about 20 per cent since 1980 with uncertain impacts on ‘greenfield’ foreign direct investment (FDI) outside resource sectors. In most cases, there have been net revenue losses as developing countries heavily depend on corporate taxation.
Low and middle income countries have lost USD167-200 billion annually, around 1-1.5 per cent of a country’s GDP, due to corporate tax competition. As a share of GDP, Sub‐Saharan African countries have suffered the most revenue losses, followed by Latin America and the Caribbean, and South Asia.
BEPS
Developing countries’ complaints about tax losses due to TNC profit shifting and tax evasion have long fallen on deaf ears. Designed by developed countries, international corporate tax rules have generally favoured ‘residence’, mainly developed countries, over ‘source’, primarily developing countries, where TNCs operate and secure profits.
Developed countries also lose revenues, as TNCs ‘game’ the rules to minimize their tax liability globally. Estimated annual revenue losses to high-income OECD countries range from 0.15 to 0.7 per cent of GDP, now of greater concern with their heightening fiscal predicaments following the 2008-2009 global financial crisis.
Jomo Kwame Sundaram
Mandated by the G20, the OECD Base Erosion and Profit Shifting (BEPS) project since 2013 has provided countries with tools needed to tackle ‘transfer pricing’, harmful tax regimes, treaty abuse, etc.Developing countries still not at table
BEPS actions were decided on, and approved by 44 countries, including OECD, OECD accession countries and other G20 members. Recognizing the different needs of developing countries in its 2014 Report (Part 1 and Part 2), the OECD sought to address some of their concerns with two initiatives in 2016.
The first was the BEPS Inclusive Framework (IF) to include developing countries as BEPS associates; as of August 2019, 134 countries were members. Second, a Multilateral Instrument (MLI), involving more than 100 developed and developing countries, was negotiated to deal with, among others, tax treaty abuses.
Almost all countries are now in the IF. Yet, it has not improved on the original BEPS actions. While developing country BEPS associates supposedly participate on an ‘equal footing’, they have no decision-making role. Apparently, ‘equal footing’ only refers to implementation of the BEPS 4 Minimum Standards. MLI largely addresses OECD member concerns and is not intended to protect the tax rights of source developing countries.
Unsurprisingly, although raised during IF consultations, developing country concerns — such as allocation of taxing rights between source and residence states, taxation of informal economy and their differential needs — remain largely unaddressed and unresolved.
With such failures implying legitimacy deficits, BEPS measures are unlikely to benefit developing countries very much. In fact, the BEPS Project and the BEPS Inclusive Framework were never intended to deal with challenges faced by developing countries.
Dubious benefits
BEPS has developed in line with OECD international model tax treaties, reflecting developed countries’ norms. Its technical assistance programmes — such as Tax Inspector without Borders (TIWB), by the OECD with the UNDP, and the Platform for Collaboration on Tax, by the IMF, WB, UNDP and OECD — help developing countries to achieve BEPS Minimum Standards, disadvantaging developing countries in several respects:
Hence, developing countries must examine both the costs and benefits of the IF for implementing BEPS minimum standards while continuing to demand meaningful seats at the BEPS negotiating table, which should be truly inclusive and multilateral, e.g., at the United Nations itself, and not just through a donor-dominated UN fund or program, where accountability to developing countries is limited.
The post South Must Also Set International Tax Rules appeared first on Inter Press Service.
In the Solomon Islands, approximately 40 percent of the population of 550,000 could have active Trachoma. Credit: Catherine Wilson/IPS.
By Ifeanyi Nsofor
ABUJA, Aug 19 2019 (IPS)
Recently, the World Health Organisation (WHO) launched global consultations for a new Roadmap on how to eliminate Neglected Tropical Diseases (NTDs). The roadmap would help achieve universal health coverage by 2030, address health emergencies and promote healthier populations.
This intervention is unprecedented because it could begin to reverse the neglect and inequities that the 17 main NTDs bring. Many NTDs are debilitating and reduce the quality of life of and dehumanize the infected, yet most are preventable and treatable.
NTDs disproportionately affect 1.6 billion poor people worldwide. Most of the burden is in Africa, Asia and Latin America. Africa accounts for more than 50% of the global burden of NTDs. South East Asia has the second highest burden of NTDs – the region accounts for 74% of reported cases of leprosy globally.
A reason for this geographic clustering of NTDs is that they thrive in communities without access to clean water, basic sanitation and primary health care. Simply put, NTDs are diseases of inequity.
Neglected Tropical Diseases disproportionately affect 1.6 billion poor people worldwide. Most of the burden is in Africa, Asia and Latin America
Sadly, women and children bear the brunt of NTDs the most. These diseases have negative impacts on school attendance, reproductive health and economic activities. Leprosy, intestinal worms and trachoma highlight the devastations caused by NTDs and show why it is imperative to address them to improve people’s economic wellbeing and human dignity.
Intestinal worms such as hookworm, roundworm, whipworm, and schistosomiasis infect more than 25% of the world’s population. The demographic mostly infected by these worms are school-age children.
Hookworms are passed in stool. In many developing countries, there is still widespread public stooling – 546 million Indians (equivalent to 74% of population of Europe) have no access to toilets and therefore stool in public. In Nigeria, for instance, 23.5% of the population stool in public.
It is not hard to imagine that in communities with open defecation, playgrounds become breeding grounds for all sorts of infections. Hookworms which are passed in stool lurk around, penetrate the skin and infect children. Therefore, a favorite pastime of children becomes a dangerous gateway to lifetime of misery, discomfort and lost productivity. Mass drugs administration delivered once a year clears intestinal worms.
Imagine having an infection that makes you lose all sensory feelings. You could run into a wall or step into fire unaware. These are some of the consequences of leprosy. More than 200,000 cases of leprosy were reported in 2017, according to WHO. Because the previous practice of isolating people affected by leprosy was to stow them away in leprosy settlements, people are unware that leprosy still deforms, isolates and stigmatizes many.
Leprosy is a disease linked to poor sanitation, but it could take years for deformities to begin to manifest. Perhaps the saddest part of leprosy is that it begins as hypopigmented spots on the skin that have lost sensation. Access to primary healthcare in poor and underserved communities where leprosy is prevalent means that such skin patches are properly diagnosed early as leprosy and patients placed on the right medications. Once these medications are started, the person affected with leprosy can no longer transmit the disease.
Trachoma, an infection of the eye is the leading cause of preventable blindness worldwide. Again, poor sanitation is implicated in the transmission of trachoma. Infection of trachoma spreads through personal contact. Flies that have been in contact with eye and nose discharges from infected people carry the infection.
Repeated infections over many years leads to eyelashes rubbing directly on the surface of the eyeball thereby leading to blindness. One hundred and fifty-eight million people reside in trachoma endemic areas and are at risk of blindness.
Prevention and control of trachoma involves surgery to treat the blinding stage; antibiotics through mass drugs administration to clear the infection; facial cleanliness to ensure the infection does not linger; and environmental improvement by giving access to clean water and sanitation.
While the proposed roadmap is commendable, governments across Africa, Asia and Latin America must show leadership in prioritizing universal access to health care and focusing on social determinants of health.
When primary health care is available in the remotest communities, health workers can provide basic health education and healthcare to the people. Universal Health coverage should be backed by increased risk communication to communities, to engender behavior change. For example, educating communities on the negative consequences of open defecation must be followed with provision of clean water.
To be sure, governments alone cannot provide the required solutions to reduce the burden of NTDs. Philanthropists, pharmaceutical companies, foundations, civil society organisations and social entrepreneurs must join this fight.
In 1987, the pharmaceutical company Merck made a commitment to donate as much Mectizan as needed to help eliminate river blindness – the Mectizan Donation Program. Thirty years later, this commitment reaches more than 250 million at-risk people annually.
Likewise, the Audacious Fund plans to reach 100 million people in Africa, who are at risk of NTDs with deworming programs integrated with access to clean water, sanitation and hygiene strategies.
The WHO roadmap is an open call for inputs. All stakeholders must come on board and ensure that these preventable and treatable diseases that affect the poorest billion in the world are eliminated once and for all.
The post World Health Organisation’s New Effort Can Help End Neglected Tropical Diseases appeared first on Inter Press Service.
Excerpt:
Dr. Ifeanyi Nsofor is a medical doctor, the CEO of EpiAFRIC, Director of Policy and Advocacy for Nigeria Health Watch
The post World Health Organisation’s New Effort Can Help End Neglected Tropical Diseases appeared first on Inter Press Service.
Osamu Kusumoto (Ph.D.), Executive Director and Secretary General Asian Population and Development Association (APDA)
By Osamu Kusumoto
TOKYO, Japan, Aug 19 2019 (IPS-Partners)
The Asian Population and Development Association (APDA) organized the “African and Asian Parliamentarians’ Meeting on Population and Development for ICPD+25” on August 5 – 6, 2019, in Dar es Salaam, Tanzania, to serve as a platform to gather the opinions and set of proposed actions of parliamentarians in the Asia and Africa regions.
Osamu Kusumoto
This November, the world will celebrate the 25th anniversary of the International Conference on Population and Development (ICPD) through a Summit in Nairobi, Kenya.The theme of the event, which is called ICPD+25, will revolve along with the progress made by countries on the Programme of Action (PoA) in the last 25 years, as well as on how to tackle the unfinished business of the ICPD. The event will also underscore the role of parliamentarians in ensuring that the gaps are addressed.
The ICPD+25 Summit in Nairobi will coincide with the 50th-anniversary celebration of the establishment of UNFPA, the international organization who was and continue to be the main force behind the ICPD.
The ICPD+25 Summit will define the efforts of countries in addressing population issues in the context of the Sustainable Development Goals, which was adopted in 2015.
The ICPD Programme of Action shaped the discourse around the issues of population, reproductive health and rights, and gender equality. Before the ICPD, the population was regarded as the main variable for achieving sustainable development.
The ICPD achieved a paradigm shift in the way we perceive population issues as its nature from one of the most important variables for achieving sustainable development to becoming the subject of society’s debates. It used to be handled as a statistical target but following the principles of the ICPD, it became clear that addressing population issues should be a result of voluntary decision making or through informed choice.
As a result, two different philosophies were formed: the population is the largest variable in sustainable development, and at the same time it is not a means of sustainable development. The past 25 years of addressing population issues exist between these two directions, and the center of the population activities was a history that emphasizes the direction of RR.
In view of this, the African and Asian Parliamentarians’ Meeting is set to make a major contribution to the Nairobi Summit, which requires substantial international agreement since ICPD, through the integration of reproductive rights and the SDG approaches. It clarified several issues, made recommendations and affirmed its commitments.
Thus,
(2) Clarifying that the purpose of ICPD and SDGs are the same and that without finishing the unfinished business of the ICPD Programme of Action is not possible to achieve the SDGs;
(3) The reproductive rights concept has been clearly defined in the ICPD as early as 25 years ago. Efforts to prevent unwanted and unplanned pregnancy – which is the main cause of population growth in developing countries – must be triggered by arguments that population-related problems hamper the achievement of sustainable development goals;
(4) There is a need to achieve an appropriate level of fertility rate in developing and developed countries by using the same perspective to view to fulfill the Reproductive Rights. Fertility transition which introduces balanced fertility at both developing countries and developed countries what will be called the third demographic transition should be the result of social and economic policies that bring about the development in countries; and
(5) Mere discussions and/or interpretation about reproductive rights concept is not productive. To realize its actual meaning, questions such as “How can we achieve reproductive rights?” should be the front and center of the discussions. This and questions around requisite conditions to avoid death due to starvation i.e. ensuring food security, protecting the environment, and securing water are just as important and critical discussion components and should be considered in the bigger scheme of things.
The post “The African and Asian Parliamentarians’ Meeting on Population and Development: Creating Positive Impacts for ICPD+25 and SDGs” appeared first on Inter Press Service.
Excerpt:
Osamu Kusumoto (Ph.D.), Executive Director and Secretary General Asian Population and Development Association (APDA)
The post “The African and Asian Parliamentarians’ Meeting on Population and Development: Creating Positive Impacts for ICPD+25 and SDGs” appeared first on Inter Press Service.
By Nimarta Khuman
PORT VILA, Vanuatu, Aug 19 2019 (IPS)
Vanuatu is among the world’s ‘most at-risk’ countries to natural disasters. In the last 12 months alone, the country has faced multiple volcanic eruptions, earthquakes, cyclone and tsunami.
The largest humanitarian emergency was caused by volcanic eruptions on the island of Ambae which resulted in the evacuation of over 8,000 people. Some displaced communities have resettled in the islands of Santo and Efate, but land ownership is a contentious issue.
Vanuatu also has the lowest rate of women in parliament and ministerial positions globally and high rates of gender-based violence. Cumulatively, these issues increase the risks affecting women and girls in humanitarian emergency and recovery periods.
In an interview with UN Women, Nimrata Khuman explains what it means to incorporate gender and protection in humanitarian action and why it’s important.
Excerpts from the interview:
What is meant by “Gender and Protection in Humanitarian Action”?
When we talk about gender and protection in humanitarian action, we need to ask the questions about whether we have addressed the different needs of women, girls, men and boys in our humanitarian response, because there is no “one size fits all” approach that works.
Every context in which a disaster has happened is different and women and girls may have unique risks, vulnerabilities and capabilities. There are other factors that can contribute to their marginalization and vulnerability, such as disability, age, sexual orientation, income and location.
The Department of Women’s Affairs leads the Gender and Protection Cluster in Vanuatu in partnership with CARE and Save the Children. The Cluster works to promote women’s voice and leadership, prevent and respond to gender-based violence, and ensure child protection and disability inclusion in any humanitarian response is designed and implemented for the affected population.
During the humanitarian response to the Ambae disaster for example, referral pathways for gender-based violence and child protection services were developed and Gender and Protection Cluster partners raised awareness within communities about violence prevention and where to go to access assistance.
Partners also developed and disseminated information for communities about their rights during evacuation and resettlement, conducted leadership training for women involved in humanitarian response, provided psycho-social support services and child-friendly spaces to help children cope with the effects of the disaster.
Volcanic eruption in Vanuatu
How did you incorporate gender and protection in the humanitarian response in Vanuatu?
The Gender and Protection Cluster ensures that people’s rights are protected and respected, and they can access services across all sectors safely and with dignity. This involves assessing needs, referring concerns and raising awareness among communities and service providers (such as agencies involved in food distribution, shelter, education and water, sanitation and hygiene).
It also involves advocating with other ministries to include gender and protection concerns into their response. During the Ambae State of Emergency, a joint Gender and Protection and Health Cluster was established to provide services across sectors for people with disabilities.
The Gender and Protection Cluster worked with the WASH Cluster to raise awareness on issues such as safety, lighting and privacy for toilet and shower facilities. During the Ambae and Ambrym responses, partners also integrated information on gender equality and menstrual hygiene management when speaking to communities.
We have also drawn attention to the lack of access to land and income for displaced communities, exposure to violence and delays in children’s education, when advocating with the Government.
We are now in the Ambae recovery phase and have been working with the Prime Minister’s Office to ensure all sectors include relevant actions and budgets for gender and protection in the programmes under the Ambae and Affected Islands Recovery Plan.
What has been the role of women in the different crises in Vanuatu in the past year?
Women are a vital part of humanitarian response and the ongoing emergencies have presented an opportunity to increase women’s participation and leadership in humanitarian action. In the Department of Women’s Affairs for example, seven of the ten staff who have been involved in leading response in different provinces are women.
The National Disaster Management Office and NGOs have involved senior female staff members in coordinating and responding to emergencies. The Vanuatu Women’s Centre has also been very active in efforts to prevent and respond to gender-based violence in emergencies and has provided support for life-saving counselling, health, legal assistance and access to justice services for survivors of violence.
At the community level, women are pivotal to disaster preparedness, and for designing response and resilience activities that meet the needs and realities of their communities. Gender and Protection Cluster partners are implementing programmes involving women in Community Disaster and Climate Change Committees and increasing women’s voice in decision-making at the local level.
But we need more women in leadership positions within communities, in the humanitarian sector and in Ministries and Departments which make decisions on policy, planning and financial resource allocations.
What are the biggest challenges that you are facing in your work in Vanuatu?
Since I arrived in Vanuatu a year ago, there have been five natural disasters due to the volcanic eruptions in Ambae, volcanic eruptions and earthquake in Ambrym, a tsunami affecting Aneityum, Tropical Cyclone Oma, and most recently, the Coconut Rhinoceros Beetle, which has the potential to destroy livelihoods of tens of thousands of people if left untreated.
These disasters have caused people to leave behind their homes, their land and jobs. Integrating into new communities has also not been an easy process for the displaced. Some are still living in tents in Santo and there is tension between displaced people and host communities due to the lack of essential services and resources in resettlement sites.
Some of the key issues that the Gender and Protection Cluster addresses in times of emergencies include violence against women and children, family separation, inclusive response for marginalized groups and ensuring that people can access services across sectors.
Although we have been able to shape policies, we need them to be implemented down to the community level. For this to happen, we need increased awareness that addressing gender and protection in humanitarian action is lifesaving and planning and budgeting needs to reflect that.
More initiatives are also required to prepare communities for the effects of natural disasters and to ensure that they are supported in the recovery phases.
What innovative approaches have worked so far?
Listening to communities and community-led solutions have been key in the programmes developed by the Gender and Protection Cluster partners. In Vanuatu, we have very strong church and chief systems and the Gender and Protection Cluster has been working with both in disaster preparedness, emergency and recovery.
Partners have trained church leaders and chiefs in community-based protection, peacebuilding, violence prevention and referral pathways. Churches are often used as evacuation centres and in the recovery phase, the Vanuatu Christian Council has mapped churches and assessed inclusivity of design in different islands.
The Vanuatu Women’s Centre has trained church leaders and chiefs to become male advocates and other partners have included local chiefs in their awareness-raising activities to ensure women’s leadership and voice is factored into response programmes.
The joint Gender and Protection and Health Cluster for the Ambae State of Emergency was also the first of its kind in Vanuatu and demonstrated that collaboration across different sectors and ministries can increase access to services for the most vulnerable.
Building upon lessons learned from recent disasters, in the next year we will be working on strengthening preparedness and response at the local level and developing protocols for elimination of violence against women and girls in emergencies.
We will also be training government, NGO partners and community leaders in Gender and Protection in Humanitarian Action and setting up Gender and Protection Committees in each of the six provinces of Vanuatu.
The post Addressing Gender & Protection Issues During Humanitarian Emergencies appeared first on Inter Press Service.
Excerpt:
Nimarta Khuman is a Gender and Protection Advisor at UN Women under the Australia Assists Program, managed by RedR Australia. Her role involves supporting the Vanuatu Government’s Department of Women Affairs and Gender and Protection Cluster to address gender and protection concerns related to the Ambae emergency and other natural disasters.
The post Addressing Gender & Protection Issues During Humanitarian Emergencies appeared first on Inter Press Service.
By Marcy Hersh
BEIRUT, Aug 19 2019 (IPS)
To mark World Humanitarian Day, we celebrate the overlooked women leaders who are first responders, unwavering advocates, and powerful change-makers in humanitarian emergencies.
Yet to truly power progress, we can’t stop at celebrating their efforts – we must also push for the support and investment women humanitarians need to continue their vital work.
Women Deliver spoke with Cecilia Chami, Programs Director for the Lebanon Family Planning Association for Development and Family Empowerment (LFPADE) on what women-focused civil society organisations (CSOs) need to maximise their impact.
World Humanitarian Day also coincides with a special milestone for LFPADE: today, August 19, marks their 50th anniversary as the first and oldest family planning organisation in Lebanon.
Drawing from LFPADE’s five decades of experience, Chami highlights the power of women-focused CSOs, and what the world can do to help continue their vital work.
Excerpts from the interview:
HERSH: Women make up a large part of LFPADE’s team, including in leadership positions and as direct service providers. How does having strong women on your team help advance LFPADE’s work and mission?
CHAMI: LFPADE works to empower women in all aspects of their lives to achieve gender equality – so having strong women on our team is essential. Women are the best experts on our lives, so we understand what women in our communities need, can relate to the challenges they face, and appreciate the quality of services they deserve.
For example, we know from experience that access to family planning and sexual and reproductive health (SRH) services improves lives and futures of girls, women, and their whole communities. So, while these services might be sidelined in many traditional humanitarian responses, we prioritise a woman’s ability to control her fertility at the core of all our work.
As women from Lebanon, we also know the contexts and entry points to deliver services most effectively. We work with anyone who influences the lives of girls and women – including boys, men, community leaders, and mothers-in-law – to help girls and women make more autonomous decisions about their lives and bodies. We are only able to form these partnerships because communities know us, trust us, and believe in us.
HERSH: What can the world do to better support women and women-focused organisations in humanitarian action?
CHAMI: International actors wield so much power in humanitarian action – and it’s time they share more of that power with women-focused CSOs.
First, international organisations must work hand-in-hand with women-focused CSOs as equal partners, designing programs together that really respond to the needs of girls and women in our communities.
Often, local and national organisations like LFPADE are only seen as implementing partners that can execute the projects envisioned by foreigners. We bring grassroots expertise and community voices to the table – so we must actually be engaged at the outset.
Resources are key to maximising our impact, too. We often rely on unreliable funding streams and short-term grants to sustain them, which makes it very hard for us to work. Long-term investment in women-focused CSOs is the fuel we need to achieve results that have a real impact.
HERSH: LFPADE has worked to provide SRH services to women throughout Lebanon for 50 years, including Palestinian and Syrian women. When you reflect on the organisation’s history, what have been some of the biggest successes and lessons learned?
CHAMI: The biggest success of LFPADE was pushing for the removal of regressive laws which forbade talking about family planning and contraceptives in Lebanon. By doing so, we made it possible for us – and other women-focused organisations across the country – to advocate for family planning and the sale of essential contraceptives. This also made it possible for the government ministries to begin to implement SRH programs nationwide.
Another success was our ability to mobilise quickly to ensure that refugee responses prioritise SRH services for all girls and women. We worked with the United Nations Relief and Work Agency for Palestinian Refugees (UNWRA) to provide their medical and paramedical staff with training on how to provide these services in their clinics.
Since 2013, we have also dedicated a large part of our efforts to meeting the needs of Syrian refugees who have fled from home – and to date have reached over 30,000 Syrian men, women, and children with SRH awareness campaigns and programs.
One big lesson learned throughout all these successes is that girls and women must be included in the design of all projects for them. When we take the time to speak with girls and women about their needs and challenges at the outset, we be sure to design programs to fit their realities.
HERSH: You work you do is often difficult and tiring – but you continue to be an inspiring change-maker in Lebanon. What motivates you to continue your important work as a Program Director for LFPADE, even during the most challenging times?
CHAMI: What motivates me to continue working is the impact our programs are achieving. When I meet and talk to girls and women, I see firsthand how our efforts improve their lives and the lives of their children.
One quote that will always stay with me comes from a woman who attended a course LFPADE runs on women’s leadership: “You gave us self-confidence and knowledge, and we know now that we too can make a difference.” When every woman in Lebanon realises their power to make a change, my job will be done.
The post The Role of Women’s Organisations in Crisis-Settings appeared first on Inter Press Service.
Excerpt:
Marcy Hersh, is the Senior Manager of Humanitarian Advocacy at Women Deliver & Cecilia Chami is the Programs Director of Lebanon Family Planning Association for Development and Family Empowerment (LFPADE).
The post The Role of Women’s Organisations in Crisis-Settings appeared first on Inter Press Service.
By Crystal Orderson
LHASA, Aug 19 2019 (IPS)
Tibet’s complicated typography means that the terrain is not easy for its people. Whilst the country is breathtaking, one incredible story about Tibet is that of the dramatic socio-economic changes the region has undergone.
The post How Tibet Doubled its Life Expectancy appeared first on Inter Press Service.