By Marty Logan
KATHMANDU, Mar 26 2024 (IPS)

Before COVID-19 hit, in January 2020, 388 million children worldwide were being fed every day at school. Soon after lockdowns began, that number plummeted to 18 million, but just two years later, in 2022, it had recovered, and more — school feeding had reached 420 million children.

Labelled the world’s largest social security net by the United Nations World Food Programme, school meals have become essential tools for governments rich and poor globally. Not only does school feeding allow once-hungry students to focus on learning, in many cases the schemes also help to improve nutrition and eating habits, ensure regular attendance, and through buying ingredients locally or in-country, help to boost local and national economies.

Today’s guest, Donald Bundy, is Director of the Global Research Consortium for School Health and Nutrition. He told me that he is not surprised at the swift recovery of school meals after COVID-19 — he says it was politically expedient for many governments to bring them back quickly. What he didn’t predict was that the recovery would surpass pre-pandemic numbers, even as governments north and south struggled to overcome barriers such as broken supply chains, growing inequality, and persistent inflation.

Bundy points out that school feeding is not an initiative of aid agencies or donor governments. In fact, 98% of the programmes are financed by national governments as investments in their people and future workforce.

We also discuss how countries in the global south, such as Brazil, India and Rwanda, are breaking ground for innovative school feeding while outlier northern countries, such as Canada and Norway, are starting to discuss whether it’s time to adopt national programmes. Bundy also explains how fallout from the pandemic pushed lawmakers in the United States to adopt school meals schemes which led to universal initiatives that feed all students in some of the country’s largest cities, like Houston, New York and Washington, DC.

Resources

• Global Research Consortium for School Health and Nutrition
• School Meals Coalition
• School Feeding Is Now the World’s Largest Social Safety Net – IPS News article

By Marty Logan
Feb 23 2024 (IPS)

After interviewing a member of the Nepal organizing committee ahead of opening day, I was excited about covering my first ever World Social Forum (WSF). He suggested that at least 30,000 and as many as 50,000 activists from over 90 countries would attend the three-day event.

But day 1 disappointed me. The march through the centre of Kathmandu was large, but not the massive showing I expected to see — perhaps because police in the vehicle-clogged city centre didn’t close roads along the route, but squeezed marchers into one lane of traffic. Again, thousands crowded in front of the stage for the opening ceremony but while it was impressive, it was far from a stupendous showing.

But as I hurried to attend various workshops over the next three days I became increasingly impressed. Each session — most held in cold, dusty classrooms in a series of colleges lining a downtown road— was full, some to overflowing.

People were eager to squeeze in, to hear colleagues from across the world explain and advocate on issues that affected all of their lives in very similar ways. Between workshops the chatter of those who had finished early — or at least not late like the rest of us — floated through the open windows of classrooms.

On closing day more than 60 declarations were reportedly issued by the various ‘movements’, the thematic groups that comprise the WSF. I’m sure they assert the need for change: for peace, equality, rights and dignity — for people, nature and the planet. As usual, I support these calls.

But what I learned at my first WSF is that energy and enthusiasm for a world that looks and runs vastly differently than the often terrible one that we inhabit today has not waned among a huge number of people, young and old.

I’d hazard a guess that the ones you’re about to hear, who I recorded at the start of the Forum, would be as engaged and energetic if I had spoken with them after it ended, following hours of listening, learning, and networking about how to create a better world.

"Governments are not motivated to fix migrants’ issues because the money they send home keeps their economies running" Credit: Shutterstock

By Marty Logan
KATHMANDU, Feb 19 2024 (IPS)

As involuntary migration rises around the world, partly in response to the impacts of climate change, justice for those leaving their homes and families to earn a living is largely missing, said activists meeting at the World Social Forum (WSF) in Kathmandu on Sunday.

In various sessions, participants from Europe, northern Africa and Latin America detailed governments squeezing doors shut on migrants trying to enter their countries. Disturbing stories from Asia focused on individuals falling victim to employers and traffickers as their governments looked the other way while profiting from migrants’ income remitted home.

The WSF ends in Nepal’s capital Kathmandu on Monday. During the annual event global activists gather to discuss issues ranging from education to debt relief, legalization of sex work, and poor farmers’ lack of control over their land and resources.

“One of the women we talked to told us that she had to sleep with six to seven men daily for six months. The saddest part is the employer’s wife regularly gave her a pill so she wouldn’t get pregnant,” said a researcher with the Bangladeshi organization OKUP. “Another worker was diagnosed with colon cancer: his employer sent him home without paying a single bit of his salary.”

OKUP hosted the session, Climate Change, Migration and Modern Slavery, to share its report documenting the treatment given to migrant workers from coastal regions in Bangladesh who were forced to leave after the impacts of climate change destroyed their farms and other livelihoods.

Research found that 51% of households migrated after being hit by cyclones, floods, salt water intrusion in their fields, erratic rainfall and other climate disasters. “There is no sustainable adaptation opportunities for them. In most cases people receive assistance from the government after disasters, but there is no sustainable assistance. That’s why people rely on loans to rebuild their houses or restart their farming activities,” said OKUP Chairperson Shakirul Islam.

“Before they can repay the money they experience the next cycle of climate emergency,” he added, making them desperate to go earn money elsewhere in the country or abroad.

Eighty-six percent of those displaced migrate within the country; 14% internationally. En route 90% face excessive fees, 81% do not get a promised work permit and 78% have their salaries held back. “I strongly believe that the same situation is present in other countries in South Asia,” said Islam.

Shakirul Islam, Chairperson of the Bangladeshi organization OKUP, (standing far right) introduces the session Climate Change, Migration and Modern Slavery at the World Social Forum on Sunday, Feb. 18. Credit: Marty Logan/IPS

Malaysian activist Sumitha Shaanthinni Kishna cautioned the group to not blame climate change for the migrants’ problems. “The fear I have is governments using climate change to justify migration. They will say ‘that’s why we have to send our migrants out’. They have done this to justify migration due to poverty.

“The discussion has to be that climate change is real and how the government’s policies are contributing to climate change,” added Kishna, from the organization Our Journey, which provides legal support to migrants and refugees.

In another discussion in another classroom just minutes later and only metres away, activists from India were learning about a hotline created after COVID-19 to help migrant workers in distress. In less than one year, the Migrant Assistance and Information Network has responded to 800-plus calls, said its director, Dr Martin Puthussery.

The cases include 40 deaths (19 accidents, 15 accidents, 6 suicides), 20 instances of forced labour and 16 cases of legal aid or mediation, involving wage theft, delayed payments illegal confinements and imprisonments.

During the question-answer session a participant from northern Bihar state noted that migration is a must because “everything is closed down. Where do the people of Bihar go to earn their livelihood?”

“Can we ourselves create small industries?” she asked. “We can’t depend on the government.”

Governments are not motivated to fix migrants’ issues because the money they send home keeps their economies running, said Arie Kurniawaty from Solidaritas Perempuan in Indonesia at one of the day’s last sessions, Call for Migration Coordination within the WSF in Kathmandu.

“The basic problem is the perspectives of our governments, which think that migrant workers are a commodity… They will try to send many migrant workers abroad without considering if their situation will be good or bad,” added Kurniawaty.

Other speakers in the session, which covered France, Africa, Palestine and Latin America as well as Asia, noted rising numbers of migrants but increasing hostility to them, led by governments.

In Latin America, governments’ actions are linked to rising racism and xenophobia, said Patricia Gainza from the World Social Forum on Migrations. “This is nothing new but in this case we’ve had some very bad decisions by governments, like Peru, who invite people to come but later, for political reasons, pushed them out.”

In Europe, the New Pact on Migration and Asylum, of December 2023, “encourages informal and confidential agreements between European countries and migrant-sending countries that are not legally binding, so that the European Parliament will not have to ratify them,” said Glauber Sezerino of the Paris-based Centre de Recherche et d’Information pour le Développement. “The pact tries to encourage more and more of this kind of agreement, so you can expect more violation of human rights” of migrant workers, he added.

In North Africa, governments are increasingly dominating debate on migration policies, “leaving little room for civil society,” said Sami Adouani of FTDES Tunisia. In February 2023, a xenophobic speech by Tunisian President Kais Saied targeted migrants from sub-Saharan Africa. That triggered an exodus but also “exposed those remaining migrants to more institutional violence,” he added.

Women who always ate last in the household had four times greater chance of having “probable depression,” study finds. Credit: Shutterstock.

By Marty Logan
KATHMANDU, Feb 12 2024 (IPS)

Studies have long shown that some women’s lower status in Nepali households could mean that they eat last and less and as a result lack nutrition. Experts are now looking into how this could affect their mental health, and if the growing impacts of climate change might amplify the process.

“When women eat last (as a mark of respect or due to low status in the household), they often get the last bits of food left over, and they may be compromising the amount of food, which could also be adversely impacting their mental health,” says researcher Lakshmi Gopalakrishnan, in an online interview.

Gopalakrishnan’s research is based on interviews with about 200 newly married women, ages 18-25, in Nawalparasi District in Nepal’s southern Madhesh region, bordering northern India. As is customary, the women moved into their new husband’s homes, living with in-laws in an extended family. They also ate after everyone else had finished their meals, another custom.

The study, titled The relationship between the gendered norm of eating last and mental health of newly married women in Nepal, found that women who always ate last in the household had four times greater chance of having “probable depression.” The reason? Eating last is symbolic of women’s ranking in the household, explains Gopalakrishnan. In the newly married context, women “don’t have the autonomy to make their own decisions; they don’t have the freedom to move outside the house,” she adds.

Food insecurity is key

More recent research concluded that household food insecurity is the main factor in determining women’s eating patterns. Although changes such as a woman becoming pregnant or getting a paying job could improve her household status, and therefore her order of eating — at least temporarily — there would be no changes if the household remained food insecure.

Climate change is already destroying croplands, causing farmers to seek seasonal work and migration to escape food insecurity. This leaves their wives victimized in the community, leading to stress and mental illness in these women

“Across the board, women in food insecure households are more likely to eat last always or most of the time,” says the 2022 article, Do changes in women’s household status in Nepal improve access to food and nutrition? published in the journal Maternal & Child Nutrition.

It adds, “a recent analysis of data from India found that women who eat last have worse mental health, suggesting that there could be additional health impacts of this practice.”

Gopalakrishnan did not find the same link between diminishing household food insecurity and eating less. Her study suggests that’s because “women are treated as lower-status individuals regardless of food security levels in the households.”

The researcher is quick to point out that her work did not find that the women had four times as many episodes of depression, but that they were four times more likely to have “probable depression”. She also suggests, but did not measure, that as women are eating last they might not be eating enough or getting adequate nutrition, creating a “biological pathway” to depression.

Chanda Gurung, a consultant in gender equality and social inclusion, agrees that a possible biological link needs further inquiry. “Sometimes there is food, but what kind of food?” she asks in an online interview. “We really need health professionals (who can say) what kind of food is required to affect mental health, such as stress levels, or what women think? The physical impacts we know.”

Gurung formerly worked as a senior gender expert with the International Centre for Integrated Mountain Development, which focuses on eight countries in the Hindu Kush Himalaya mountain region. She is confident that climate change is affecting food security, but adds that there are many more factors that take a toll on rural women’s lives.

“With more men migrating… women’s workload has grown to the point that they shoulder most of the activities now —whether it’s on the farm, meeting government officials, going to health centres; women are doing all that,” Goodrich says.

Mental and physical health affected

“In some ways it has made women more empowered, more confident because now they can interact more easily. In a way that’s a blessing… but the work burden is extremely high, which takes a toll on both their physical and mental health.”

The heavier workload, added to societal demands — “She’s alone. Is she getting harassed in the family? Facing a lack of income?” — puts more stresses on women, she adds.

A 2021 assessment found that “mental health issues are likely to increase in Nepal due to climate change… For example, climate change is already destroying croplands, causing farmers to seek seasonal work and migration to escape food insecurity. This leaves their wives victimized in the community, leading to stress and mental illness in these women.”

“Poor, rural, female-headed families will face higher vulnerabilities as the climate continues to change,” concluded the report, by the International Federation of Red Cross and Red Crescent Societies.

Gopalakrishnan says studies have shown that there are ways to influence the gender norms that translate into how women are treated in their households.

For example, in one “interventional study”, girls and boys at school were taught about gender equality for two years. “And that actually led to increased support for women and girls opportunities and changed their attitudes towards gender. So these are some examples where we see that yes, it’s possible to change people’s gender attitudes.”

By Marty Logan
KATHMANDU, Dec 5 2023 (IPS)

If I asked you to name the world’s most deadly diseases I’m guessing that you might say HIV/AIDS, tuberculosis, cholera, maybe even COVID-19. In fact, those have all been major killers throughout human history – and some like TB continue to be so, especially in low-income countries.

But there is one group of diseases that is responsible for the deaths of more than two-thirds of people on earth. Let that sink in for moment. For every three people who die, two are killed by these illnesses, which are known as non-communicable diseases, or NCDs.

You probably know about many of them. NCDs include cancers, diabetes, cardiovascular diseases and strokes, lung diseases and mental and neurological illnesses. As the name implies, what sets NCDs apart is that they cannot be passed from one person to another.

Today we’re speaking with Maisha Hutton, executive director of the Healthy Caribbean Coalition, about the growing impact of NCDs on that region. For example, they are responsible for 80% of deaths in the Caribbean, and 40% of all premature deaths. Before COVID-19, one in three children in the region was overweight or obese – a major contributor to developing NCDs — which is one of the highest rates in the world; it might be even higher now, says Maisha.

Besides describing what NCDs look like in the Caribbean and what societies there are doing to tackle the epidemic, Maisha explains why it’s not fair, or correct, to label NCDs as ‘lifestyle diseases’. That’s because the environments where people live have been carefully designed to promote NCD risk factors including alcohol and tobacco use, physical inactivity and unhealthy diets.

A quick note about some terms that Maisha mentions: PAHO is the Pan American Health Organization. GDA, traffic light, and octagonal — or stop sign — are different types of warning labels for food packages. GDA stands for guideline daily amount (or guideline daily allowance).

By Marty Logan
KATHMANDU, Oct 27 2023 (IPS)

If you’re like me, you’ve probably heard a lot of negative talk about the media in recent years. Much of it has focused on the integrity of the so-called mainstream or legacy media that has dominated the information landscape in recent decades, or longer. These attacks, which sometimes actually degenerate into physical assaults, call into question how honestly or fairly these outlets portray the world, including in politics and global issues such as the Covid-19 pandemic.

In response, the established media has often seemed on the defensive or facing renewed competition from platforms that claim to be righting the balance in providing coverage of all voices, often amplifying those on the so-called right wing of the political spectrum. But it has been rare to hear about innovative approaches emerging in response to the criticism.

Solutions journalism is one exception. It focuses on examining attempts to solve major issues facing societies and then analysing the success of those initiatives. It is, says today’s guest – Hugo Balta, publisher of the US-based Latino News Network – one way of going beyond a simple presentation of the day’s ‘bad news’, and then offering possible ways forward.

As I mention in this interview, I know from personal experience that watching the nightly news can be a recipe for frustration and cynicism. I gave it up years ago and instead sought out media that presented more in-depth coverage. That didn’t necessarily mean it was delivering solutions to the major problems of the day, but I somehow felt less detached watching a report that was minutes rather than seconds long. In my own journalism too – although I was initially sceptical about focusing on a single way forward rather than balancing various approaches to an issue – I believe I have naturally gravitated towards reporting about an issue and then exploring possible ways out of an impasse.

Balta, who has worked more than three decades as a journalist, says his former approach was very top-down – “It was ‘we know better than you, the public, what you need to know today’. Solutions journalism helped us to flip that, from a top-down to a bottom-up approach,” he adds. “It’s more about listening and getting direction from the audience that we’re working to reach. They’re telling us what they need from us.”

By Marty Logan
KATHMANDU, Sep 25 2023 (IPS)

“If you were waiting for a couple of years to see how the Taliban would perform, we now have a pretty good idea. We can see that they have moved, step by step, back towards how they ran the country in their first period in power,” says UN Special Rapporteur on the situation of human rights in Afghanistan, Richard Bennett, in this episode.

The human rights expert, and colleagues, have released a series of reports in recent months detailing how freedoms in the South Asian nation have been constrained, especially for women and girls, after the Taliban assumed power almost exactly two years ago, as forces from the US and other western powers exited the country. Since then, says the special rapporteur, the Taliban, which calls its government an “Islamic emirate”, have announced about 60 decrees concerning women, all but one of which has further restricted their movement.

While the smothering of women’s lives has received the most attention outside of Afghanistan, there does not appear to be any improvement in the humanitarian situation, and it could get worse as winter approaches, says Bennett. “The key humanitarian agencies… report that there is still widespread food insecurity, including child malnutrition. Millions of people in Afghanistan are still dependent on humanitarian assistance, including for food.”

It is time that the international community acts on its condemnation of the Taliban’s actions, stresses the special rapporteur. If the documented violations of human rights are not compelling enough, then governments should consider that Afghanistan could become a breeding ground for terrorism.

Bennett has also suggested that the Taliban’s actions against women and girls could be treated as gender persecution, which is considered a crime against humanity by the International Criminal Court. And he noted that some Afghan women are pressing for the definition of the crime of ‘apartheid’ to be expanded to include ‘gender apartheid’.

Please listen now to my chat with Richard Bennett.

Nearly every maternal death is preventable, and the clinical expertise and technology necessary to avert these losses have existed for decades. Credit: Patrick Burnett/IPS

By Marty Logan
KATHMANDU, May 10 2023 (IPS)

A new report reveals that from 2000 to 2015, the global maternal mortality ratio (MMR) fell by 33%, and by more than 50% in 58 countries that had the highest rates of women dying during pregnancy or up to 42 days after delivery. But from 2016 to 2020, maternal mortality barely changed. In 2020, roughly 287,000 women globally died from a maternal cause, which is almost 800 maternal deaths daily, and about one every two minutes.

The report, Trends in maternal mortality 2000 to 2020: estimates, by United Nations (UN) agencies and the World Bank Group, predicted that if current trends continue more than one million extra maternal deaths will occur by 2030, the end of the global Sustainable Development Goals (SDGs).

What are the SDGs?

Health systems must be held accountable for providing quality, respectful and equitable care through a well-trained and supported workforce and well-stocked shelves, At the same time, the persistent gender norms that deprioritize the health of women and girls must be addressed, to afford women respect and care during pregnancy and childbirth, along with protecting their right to access high-quality sexual and reproductive health services

WHO Director-General Dr Tedros Adhanom Ghebreyesus in the foreword to the UN /World Bank report Trends in maternal mortality 2000 to 2020: estimates

The 17 SDGs were adopted by all UN member states In 2015 after the Millennium Development Goals (2000-2015) ended. Each SDG deals with a specific development issue, such as poverty, education and health. And every goal includes specific targets, all of which are supposed to be met by 2030.

What is the SDGs target for maternal mortality?

The SDG target (3.1) for maternal mortality is a global MMR of less than 70 for every 100,000 live births. A supplementary target is that by 2030, no country should have an MMR greater than 140.

Is the world on track to meet the target?

The global MMR in 2020 was estimated at 223, down from 227 in 2015 and from 339 in 2000 – a drop of one-third (34.3%) from 2000 to 2020 but far from the target of 70. If the pace of progress seen in 2016–2020 continues, the MMR will be 222 by 2030 – over three times the target.

Why is the world so far off-track?

The vast majority of maternal deaths are preventable: the clinical knowledge and technology needed to prevent them have long existed. But, such solutions are often not available, not accessible or not put in place, says the report. This is especially true in locations lacking resources and/or among populations that are at greater risk because of so-called ‘social determinants’ — for instance, their economic and education levels and distance from health services.

Where are the biggest challenges?

In 2020, sub-Saharan Africa was the only region with an MMR that the report labels ‘very high’ (500-999) — 545 maternal deaths per 100 000 live births. A 15-year-old girl in the region had a 1 in 40 lifetime risk of dying from a maternal cause. Sub-Saharan Africa alone accounted for roughly 70% of global maternal deaths in 2020, followed by Central and Southern Asia (17%).

Are any countries or regions doing well?

Between 2000 and 2020, Central and Southern Asia achieved the greatest percentage drop in MMR, with a decline of 67.5%, falling from 397 to 129 maternal deaths per 100 000 live births. In 2020, MMR was lowest in Australia and New Zealand. A 15-year-old girl there had a 1 in 16,000 lifetime risk of dying from a maternal cause.

Are there any outliers?

In the United States the MMR soared between 2018 and 2021, from 17.4 per 100,000 live births to 32.9, according to the US Centers for Disease Control and Prevention. During the same period, the MMR for the Black population went from 37.3 to 69.9. For the White population it started at 14.9 in 2018 and rose to 26.6 in 2021.

Many experts point to impacts of COVID-19 as a main cause of the spike, and an article by CNN also notes that the MMR has been steadily rising in the US for three decades.

In 2021 the US Government introduced policies to address the negative trend, including the Black Maternal “Momnibus” Act of 2021. That package of bills aims to provide pre- and post-natal support for Black mothers, including extending eligibility for certain benefits postpartum, adds the CNN article.

Did the COVID-19 pandemic have an impact?

“It is plausible” that the pandemic had an impact on maternal mortality, says the UN/World Bank report, while noting that stagnation in progress started before 2020, when COVID-19 spread globally. Studies in four countries have found excess maternal mortality due to the pandemic but research is scarce.

What needs to change to meet the 2030 target?

The report says multisectoral action is needed to meet various challenges to reducing maternal mortality, including:

• Strengthen health systems by: increasing numbers of well-trained and supervised staff; tackling shortages of essential supplies and making them accountable to ensuring the rights of women and girls;
• Focus on improving access to women and girls marginalized by social determinants, including: ethnicity, age, disability and socioeconomic inequalities, which impede women’s access to and use of sexual and reproductive health services;
• Achieve universal health coverage so that services are affordable;
• A perspective that embraces women’s equality and human rights must animate action;
• Health systems must be made more resilient to climate and humanitarian crises.

What are other benefits of cutting maternal mortality

“A woman’s health lays the foundation for her children’s health, her family, her community and for generations to come,” says the World Economic Forum. Gender equality globally would raise the world’s gross domestic product as much as US$28 billion, it adds.

By Marty Logan
KATHMANDU, Mar 3 2023 (IPS)

Welcome to Strive, a podcast of IPS News, where we chat with new voices about fresh ideas to create a more just and sustainable world. My name is Marty Logan.

We’ve all made asses of ourselves at one time or another. But today’s guest actually made a career out of it — not of messing up but of being The Ass, the author of a satirical column that ran on the back page of the Nepali Times newspaper for more than two decades.

As full-time publisher and editor of the weekly paper he says that writing the column went way beyond horsing around. In fact, more than once during our chat he describes satire as serious business — it’s a way to hint at what is really going on in the halls of power without playing by the regular rules of journalism, but if you cross a line and hit too hard — or too low — you could find yourself in a heap of — well, you know what.

We also discuss the evolution of the Times. It started as a business decision but soon became immersed in war journalism, reporting on the decade-long Maoist conflict. Gradually it developed its brand as a paper that went out of its way to report on the state of the country outside the Kathmandu bubble. Simultaneously it chronicled momentous events including the high stakes, post-war peace process, the downfall of the monarchy, the birth of republican Nepal and the devastating 2015 earthquake.

Post-Covid-19, Nepali Times has resumed printing a hard-copy version to accompany its website. But The Ass, aka Kunda Dixit, believes the physical paper has at most a three-year future before mobile phone readership will render it obsolete. The big challenge, larger even than fending off pressure from anti-democratic forces in government and beyond, will be attracting enough ‘eyeballs’ — in competition with Facebook, Instagram and other social media — to finance operations.

A quick note: early in the episode The Ass talks about the panchayat, which was the party-less system of government that reigned in Nepal before democracy was restored in 1990.

A meeting of the Human Rights Council in Geneva. Credit: UN / Jean-Marc Ferré

By Marty Logan
KATHMANDU, Nov 25 2022 (IPS)

Human rights defenders are alarmed at what appears to be a new process permitting countries to keep confidential their responses to UN experts about allegations of human rights abuses.

A page on the website of the UN human rights office hosts letters (known as “communications”) from human rights experts, or “special rapporteurs”, to those alleged to have committed the abuse — usually a government. In most cases the page also hosts the response, but in some recent instances a placeholder document has appeared that says, “The government’s reply is not made public due to its confidential nature.”

That withholding of information, say the defenders, is unacceptable because the person who sent the allegation of a human rights violation, sometimes at the risk of personal harm, deserves to know how the government is responding

Replies from at least four governments — Ecuador, Guatemala, India and Nepal — and one non-government entity, UK-based tobacco company Imperial Brands PLC, show this form letter.

That withholding of information, say the defenders, is unacceptable because the person who sent the allegation of a human rights violation, sometimes at the risk of personal harm, deserves to know how the government is responding.

“There is a lot of effort from the side of those sending information about incidents of human rights violations happening to them, and they send these to the rapporteurs even knowing that there can be risk to their lives,” says Victoria Tauli-Corpuz, executive director of the Philippine human rights organization Tebtebba, which works for the rights of Indigenous Peoples.

“Part of the process of resolving issues brought before the special rapporteurs is for the victims to read the response of the state, which will be the basis for the next steps they can take. Withholding publication of responses is a dead end for potential resolution of issues,” added Tauli-Corpuz in an email interview. She was the UN special rapporteur on the human rights of Indigenous peoples from 2014 to 2020.

The UN Office of the High Commissioner for Human Rights (OHCHR), which hosts the webpage, did not respond to requests for comment about the apparent change in process.

Communications can also include objections to laws or practices that contravene human rights standards. In 2021, a total of 1,002 communications were sent from experts to 149 countries and 257 “non-state actors”, which include businesses and international bodies and agencies, says an OHCHR report. Of those communications, 651 received replies.

The 1,002 communications concerned 2,256 alleged victims. No statistics are available on how many requests were made for communications to be kept confidential, adds the report.

One Nepal-based defender says she’s not surprised that states have asked for confidentiality, but was startled to hear that it was granted. “Individuals and organizations seek help from the UN because their government does not respond to these issues… they should be receiving updates,” says Mandira Sharma, a human rights lawyer who has experience with UN human rights bodies. “Otherwise why would anyone engage?”

“Unless there is very critical information that would put someone’s life at risk they should be able to make the information public,” added Sharma.

It is not unusual for a reply from a government to include information that is redacted.

There should be a space for human rights experts and countries to have private conversations about allegations, says Sarah M. Brooks, Programme Director for the organization International Service for Human Rights.

“But the communications process is premised on information coming from the ground, from victims and advocates, who often take great risks to share it with the UN. To then hold state responses confidential aligns neither with the purpose of the communication procedure, nor the principle of actually respecting and empowering victims in its conduct,” she said in an online conversation.

“To bend to states’ requests to hold certain information confidential — in other words, to not share possibly life-saving information with victims, family members and lawyers — would be a grave error on the part of any UN actor,” added Brooks.

By Marty Logan
KATHMANDU, Sep 28 2022 (IPS)

Welcome to Strive podcast, where we chat with new voices about fresh ideas to create a more just and sustainable world. My name is Marty Logan.

Before we get to today’s episode, if you enjoy Strive I encourage you to share it with a friend so they can check out the show. If you’re listening in a podcast app just click on the share icon (the one with the up-facing arrow). Or you can share a post on our Facebook, Twitter or LinkedIn channels.

Today we’re learning about what I think is a fantastic new tool for holding governments accountable to their human rights obligations. Actually the Human Rights Measurement Initiative is six years old, so it’s not brand new, but it was a revelation to me when I came across it recently.

What I like is how the Initiative’s Rights Tracker assigns a score to a government’s record on a specific right, let’s say the right to education, based on how other countries with roughly the same level of resources have performed. As a journalist I still believe in the naming and shaming approach but as today’s guest, Stephen Bagwell of the Initiative, and the University of Missouri, St Louis, says, too often governments respond to reports of rights violations by dismissing them as exaggerated or made up. It is much harder to brush off HRMI’s scores, which are largely data-based.

I also like a comparison Stephen uses to explain why human rights should be measured: the Sustainable Development Goals. There are all sorts of updates on progress toward the 2030 SDGs deadline, when in fact governments are not legally obliged to attain the goals. But hundreds of countries have ratified the various human rights instruments, like the Convention on the Rights of the Child or the International Covenant on Civil and Political Rights — yet no one was systematically tracking their progress on meeting those obligations.

One note on abbreviations you’ll hear in today’s episode: ICCPR is the International Covenant on Civil and Political Rights, noted above, and the ICESCR is the International Covenant on Economic, Social and Cultural Rights. Both are bedrock human rights documents. The former is considered law in 173 countries and the ICESCR in 171 countries.

Resources:

Human Rights Measurement Initiative

Nepal page on HRMI’s Rights Tracker

By Marty Logan
KATHMANDU, Sep 7 2022 (IPS)

A 2021 World Bank-financed project in Uganda was supposed to help communities to sustainably manage local areas and to cope with the impacts of Covid-19. But at one site, the Toro Semliki Wildlife Reserve, the funding emboldened the Uganda Wildlife Authority. A government body, and the project’s implementing agency, the UWA has long prevented indigenous communities from reclaiming their land near the wildlife reserve.

Since 2015, UWA rangers have been responsible for more than 86 attacks, including 34 people beaten, shot, or injured, 15 arrested, and at least 29 killed in the wildlife reserve. That’s according to a new report called Wearing Blinders. Reprisals against the local community accelerated during negotiations over the World Bank financing.

Unfortunately, such events are not rare. In 2021, the Business and Human Rights Resource Centre recorded over 600 attacks against human rights defenders in the context of business activities. Many of them involved, either directly or indirectly, development banks. That’s according to one of today’s guests — Lorena Cotza of the Coalition for Human Rights in Development, an umbrella group of over 100 civil society groups and author of Wearing Blinders.

Our other guest is Ugandan human rights defender Gerald Kankya, director of the Twerwaneho Listeners Club. TLC  accompanies communities impacted by development projects, to denounce human rights violations and hold financiers accountable. Days before we spoke, Gerald and his colleagues filed requests for compensation for the families of the Toro Semliki Wildlife Reserve in the High Court of Uganda.

According to Lorena, development banks often shirk their responsibilities. They claim that there are no links between reprisals against community members and their financing of local projects. She believes that banks’ independent complaint bodies do produce insightful and credible investigations. However in the end, they can only make recommendations, not hold banks accountable.

By Marty Logan
KATHMANDU, Aug 4 2022 (IPS)

The largest ever settlement in Canadian legal history, 40 billion Canadian dollars, occurred in 2022, but it didn’t come from a court – it followed a decision by the Canadian Human Rights Tribunal. In 2016 the Tribunal affirmed a complaint that the Government of Canada’s child welfare system discriminated against First Nations children. (First Nations are one of three groups of Indigenous people in Canada).

When I heard about that amount and subsequently how the government was negotiating the details of that settlement, I was astounded. Although I’ve had an interest in and reported regularly about human rights in the past three decades, my most intense experience has been here in Nepal, where for a couple of years I worked at the United Nations human rights office.

Nepal’s Human Rights Commission has a long history of having its recommendations virtually ignored by the government of the day. In fact, since 2000, only 12% of the NHRC’s 810 recommendations have been fully implemented. So when I compared the situation in Nepal to the tribunal’s decision and aftermath in Canada, my first question was ‘how’? How could the human rights situation in the two countries be so different that one government was compelled to pay out $40 billion for discrimination while another could virtually ignore recommendations?

First, I have to confess that my understanding of the human rights framework in Canada and Nepal was lacking. As today’s guest, Professor Anne Levesque from the University of Ottawa, explains, Canada, like Nepal, has a federal human rights commission (as well as commissions in its provinces). But Canada also has the tribunal, a quasi-judicial body that hears complaints and can issue orders. Nepal however, lacks a human rights body that has legal teeth.

But is that the whole story, or are there other reasons why the Government of Canada must – and does – pay up when it loses a human rights case while the Government of Nepal basically files away the NHRC’s recommendations for some later date? Nepal, by the way, is not a human rights pariah. It is serving its second consecutive term on the UN Human Rights Council and the NHRC has been given an ‘A’ rating by an independent organization for conforming to international standards.

Resources

As a lawyer who’s helped fight for the rights of First Nations children, here’s what you need to know about the $40 billion child welfare agreements – article by Anne Levesque

Ruling of the Canadian Human Rights Tribunal

Public advocacy for the First Nations Child Welfare complaint

One in two First Nations children lives in conditions of poverty (First Nations people account for about half of Canada’s Indigenous population of 1.7 million). Credit: Creative Commons/Qyd

By Marty Logan
KATHMANDU, Jul 28 2022 (IPS)

Canada and its major cities consistently appear in Top 10 lists of best places in the world to live. But delve into figures about children’s lives in the northern nation known for ice hockey heroics and you see a different picture.

For example, one in five children in the North American country of 38 million people lives in conditions of poverty. That rises to one in two for First Nations children (First Nations people account for about half of Canada’s Indigenous population of 1.7 million).

Also, Canada ranks 30th among 38 of the world’s richest countries in the well-being of children and youth under age 18, according to UNICEF. “Canada’s public policies are not bold enough to turn our higher wealth into higher child well-being,” suggests UNICEF to explain the gap.

“Canada is not using its greater wealth for greater childhoods: Canada ranks 23rd in the conditions for good childhood but 30th in children’s outcomes,” adds the United Nations agency, in its 2019 report Worlds Apart, the Canadian companion to a global survey of the world’s richest countries.

One in five children in the North American country of 38 million people lives in conditions of poverty. That rises to one in two for First Nations children

UNICEF suggests that rising inequality might be reflected in the low scores for children’s well-being. “More equal societies tend to report higher overall child well-being and fewer health and social problems, such as mental illness, bullying and teenage pregnancy,” says Worlds Apart.

Activist Leila Sarangi goes a step further to explain the inequality. “Canada is still a colonized nation and that is a strategy for maintaining structure and systems that perpetuate things like poverty,” says Sarangi, National Director of Campaign2000, a non-partisan coalition of 120 organizations.

She refers to a 2016 decision of the Canadian Human Rights Tribunal that found the Canadian Government had discriminated against First Nations children in providing child welfare benefits. It ordered the government to pay each affected child $40,000. Earlier this month the government agreed to total compensation of $20 billion for children and caregivers affected by that discrimination.

On 23 June 2002 the UN Committee on the Rights of the Child wrote that it was “deeply concerned” about “discrimination against children in marginalized and disadvantaged situations in the State party (Canada) such as the structural discrimination against children belonging to indigenous groups and children of African descent, especially with regard to their access to education, health and adequate standards of living.”

In its concluding observations of reports submitted in May, the committee recommended that Canada “put an end to structural discrimination against children belonging to indigenous groups and children of African descent and address disparities in access to services by all children.”

Sarangi says Campaign2000 hoped that the federal government budget in April would act on the government’s post-Covid-19 ‘build back rhetoric’ and provide relief to the poorest Canadians. “We really believe that big spending and big change is possible and we saw that in the pandemic, the way that the government moved really quickly to provide different kinds of support and services,” she added in a Zoom interview.

“Unfortunately the budget missed out. It talks a lot about the deficit and trying to reduce the deficit. One of the things that was really absent from that budget — there was really nothing on income security.”

Instead, poor families have fallen into even deeper poverty says Campaign2000’s 2021 report card on child and family poverty, the first time that has happened since 2012. “When the (monthly, tax-free) Canada Child Benefit was implemented in 2016 and 2017 you can see the rate of child poverty drop pretty significantly — you see a real drop in that rate of child poverty,” says Sarangi. “But in the last two years it’s stalling, and that’s because there’s not been new investment into that benefit… it is frustrating because we know that those kinds of transfers work.”

Non-profit organization Canada Without Poverty (CWP) noted that the budget mentioned poverty 4 times, compared to 90 times for its 2021 counterpart. “It is a policy choice not to invest in social programmes that will serve marginalized communities and alleviate and reduce poverty,” says National Coordinator Emilly Renaud in an email interview. “It is not about less money, it is about a lack of political will to deal with issues of poverty.

“The federal government has committed to a 50 percent poverty reduction by 2030, but there is no clear answer as to what that 50 percent will look like, and if it will look equitable,” she added.

CWP’s Just the Facts webpage lists startling statistics such as:

• Between 1980 and 2005, the average earnings among the least wealthy Canadians fell by 20%.
• People living with disabilities (both mental and physical) are twice as likely to live below the poverty line.
• Precarious employment increased by nearly 50 percent over the past two decades.

The situation won’t improve without structural change, says Campaign2000’s 2021 report card: “Dismantling systemic racism, particularly anti-Indigenous and anti-Black racism, is needed to eradicate poverty and inequality. Policies meant to address higher poverty rates in marginalized communities need to be developed with the communities they target and incorporate trauma-informed principles to policymaking.”

By Marty Logan
KATHMANDU, Jul 7 2022 (IPS)

Today we are starting a new series focused on human rights. For people working to create a more sustainable and just world – as we are – a human rights based approach makes sense as it starts from the premise that only by recognizing and protecting the dignity inherent in all people can we attain those goals.

Today’s guest, Victoria Tauli-Corpuz, has immense experience in human rights. She is the founder and executive director of Tebtebba Foundation, which works to improve the lives of Indigenous peoples in the Philippines, her home country, and beyond. She was the Chairperson of the United Nations Permanent Forum on Indigenous Peoples from 2005 To 2010, and UN Special Rapporteur on the Rights of Indigenous Peoples from 2014 to 2020.

We cover a lot of ground in this episode — from Vicky’s analysis of her time as special rapporteur to recent rhetoric around ‘building back better’, the circular economy and other touted economic reforms, versus the reality on the ground. Indigenous communities are facing growing pressure from both states and the private sector to extract the natural resources that they are trying to protect. This dichotomy between the words and deeds of these powerful actors must be continually exposed and challenged by Indigenous peoples, says Vicky.

Asked whether governments of poorer countries are doing enough to protect human rights, without hesitating Vicky answers no. But she also points out that these countries are themselves pressured by international agreements, brokered largely by rich countries, that leave them with few options but to exploit natural resources.

She also tells me about an exciting project — the Committee on the Elimination of Discrimination against Women, a body of 23 global experts, is creating a General Recommendation on Indigenous women and girls. Among other things, it recognize the individual and collective rights of Indigenous women, the latter including respect for their rights to land, languages and other culture. Vicki says it is the first time that a UN treaty body is developing a recommendation focussed on Indigenous women.

Resources

Tebtebba Foundation

UN Permanent Forum on Indigenous Peoples

UN Special Rapporteur on the Rights of Indigneous Peoples

IPS Coverage About Indigenous Peoples Rights

By Marty Logan
KATHMANDU, May 5 2022 (IPS)

This is our third episode on the ongoing movements of people around the world. You can listen to the previous ones, the first about climate migrants and the second on remittances, on any podcast app.

If you’re like me you were surprised to learn about the international students trapped in Ukraine after the Russian invasion in February. In fact, the country had more than 75,000 students from abroad in 2020 according to the Ukraine government.

That figure highlights how student movement globally has changed in recent decades, with many scholars, particularly from the global South, bypassing traditional destinations like the US and UK for lesser known and cheaper centres. But one consistent trend is growth: in 2000 the number of international students globally was estimated at 2 million and by 2019 it had tripled to 6 million.

Our guest today, Rajika Bhandari, understands intimately the movements of international students. She was one herself in the 1990s, travelling from India to the US, where she eventually settled and began a career examining how students travel to learn in foreign countries.

Author of the recently published book America Calling: A Foreign Student in a Country of Possibility, Rajika tells me how certain aspects of the international student experience have remained the same, including financial challenges and adaptation issues. Meanwhile other issues have emerged, like the global rise in nationalism and the growth in academic refugees — young people who flee crises in countries like Ukraine and Afghanistan but are not treated like ‘official’ students in their receiving countries.

Rajika also puts a unique spin on a decades-old topic — explaining how the ‘brain drain’ that steals the young minds that represent the potential of poorer countries is morphing into ‘brain circulation.’ This post-modern movement can have multiple destinations, including students’ home countries, but those nations must be aware and engaged in attracting talent to come home.

Resources

Rajika Bhandari’s website. Check out the collection of articles on various aspects of international students.

Rajika Bhandari’s book — American Calling: A Foreign Student in a Country of Possibility

Students eating lunch at Shivbhawani Primary School, Deulekh, Bajhang, Nepal. Credit: Marty Logan

By Marty Logan
KATHMANDU, Apr 4 2022 (IPS)

When Canada and Nepal are used in the same sentence it’s usually because the former is supporting development efforts in the latter. Not when it comes to feeding children at school.

Worldwide 388 million students, or 1 in 2 schoolchildren, received at least one meal or snack per day at school before the COVID-19 pandemic in what the World Food Programme (WFP), quoting the World Bank, calls the world’s “most extensive social safety net.”

When Covid-19 hit and schools shut their doors, roughly 370 million students in 161 countries went without education and a meal or snack, “suddenly deprived of what was for many their main meal of the day”

Nepal is in a unique position because it is poised to completely take over school feeding from the WFP, which still serves some remote areas of the South Asian country, by 2024. Canada is also being watched because it is just now taking steps to create a centrally-managed programme, the last G7 country to do so, to buttress current patchwork provincial initiatives.

Motivations for governments to launch school feeding programmes vary, but are not solely linked to socioeconomic status, says Donald Bundy, Professor of Epidemiology and Development and Director of the Global Research Consortium for School Health and Nutrition, at the London School of Hygiene and Tropical Medicine, UK.

“Nearly all countries view the programmes as providing a safety net for the most in need,” writes Bundy in response to email questions. “Many view the programmes as contributing to the creation of good health and education, and thus human capital. A substantial group recognize the local economic value to the agricultural sector. A small but increasing number view the contribution to environmental sustainability as important.”

When Covid-19 hit and schools shut their doors, roughly 370 million students in 161 countries went without education and a meal or snack, “suddenly deprived of what was for many their main meal of the day” says WFP’s report State of School Feeding Worldwide, 2020.

In response, governments, development agencies, donors, academia, the private sector, UN agencies and civil society organizations launched the global School Meals Coalition. Its main goals are to restore by 2023 the school feeding programmes lost worldwide because of the pandemic and, by 2030, to launch new ones to feed the 73 million students globally who lacked school meals before Covid-19.

So far, 60+ countries have joined the coalition, including Nepal but not Canada. Its success will depend on the choices that governments make, says Bundy. “Since Covid has affected economies, there has been a contraction of fiscal space which makes getting back to the original situation more difficult… It would seem that countries are prioritizing this investment in their future generations, as indicated by the creation of the coalition, but this has yet to be seen in practice.”

Nepal demonstrated its commitment to school feeding before Covid-19. From 2017 to 2020 the school meals budget almost quadrupled (from $20 million to nearly $70 million), and external funding fell from $4.2 million to $2.8 million in 2020), according to the WFP report.

Lunch time at Janajagriti Basic School in Dhangadhi, Nepal. Credit: Marty Logan

Interestingly, there have been no evaluations in Nepal of the impact of school feeding on students’ nutritional status, says WFP. The country’s School Sector Development Plan (2016-2022) calls for “midday meals in schools to reduce short term hunger among schoolchildren, and address micronutrient deficiencies through multi-fortified foods and diversifying the food basket, including with fresh and locally produced foods.”

While Nepal has drastically cut malnutrition in children under five in recent decades, progress has slowed in the past few years. For example, the 36% rate for stunting (too short for age) in 2016 was greater than the developing country average of 25% and the Asia average of 21.8%.

Today the government’s diya khaja (midday meal) programme covers 71 of 77 districts and WFP is scheduled to hand over operations in the remaining districts (which are already co-funded by Kathmandu) by 2024.

While media reports highlight examples of problems, such as schools handing out dry food to students instead of cooking a hot meal and possible corruption in handling money, reactions at schools recently visited in Nepal’s Far West Province were mainly positive. Officials, teachers and parents stressed attendance had risen, and that pupils were remaining for the entire school day instead of leaving for lunch and staying at home.

Ten local food menus—based on seasonally available foods in particular regions and designed to meet nutritional targets—were credited for the change. “Students are more satisfied now because the meals change daily. With the WFP system there was only one item,” says Headmaster Dev Bahadur Chand at Nanigad Basic School in Baitadi District.

Chand was the only person we spoke to who was satisfied with the programme’s budget of 15 rupees (US$0.12) per meal per child (20 rupees in five remote districts). Others said that while the amount could cover food costs it didn’t leave enough to pay a cook or fuel and transport fees.

At the Nepal Government office that manages the burgeoning programme, the Centre for Education and Human Resources Development (CEHRD), Director Ganesh Poudel acknowledges that issue. “Each child is allotted only 15 rupees; this is the main challenge. This amount is very low—prices are increasing day by day and there are management costs. How can we survive? We have very limited resources,” he says in an interview in his office.

The other major challenge, says Poudel, is human resources. “Nearly one million people are involved in preparing and delivering the school meal programme, directly and indirectly. Some will cook, some will manage, some will pay… How can we prepare them? It requires a big amount of money and preparation.”

While WFP will no longer implement a school feeding programme from 2024, it will remain a partner in the effort, says Nepal Representative and Country Director Robert Kasca. Today, it’s working with the government to upgrade physical and human resources for school feeding in Nuwakot district, a two-hour drive from Kathmandu. Kitchens are being renovated, menus developed and an SMS-based system tested to monitor how the Rs15 allocation is spent.

“Our plan in the next five years will be to try to replicate it around the country,” says Kasca. “If we only do it in Nuwakot it’s not going to automatically happen around the country. We need to do it in many more places to start gaining momentum.”

Students at James S. Bell Community School in Etobicoke, Ontario, Canada where they have a salad bar style lunch programme, first developed in southern California. Credit: FoodShare/Laura Berman/Greenfuse Photography

In Canada, the issue is not launching more school meals programmes but getting the central government to play a guiding role, says Debbie Field, Coordinator of the Coalition for Healthy School Food. Why now? “Basically every country in the North comes up against a new crisis, which is the crisis of fast food and the crisis of health problems related to an industrialized food system,” says Field.

“First and foremost for me, it is a crisis of food and the way in which parents of all incomes are really struggling to feed their children healthy food.” Compared to 1948, when the federal cabinet last discussed school meals, “we have a vast difference of women’s participation rates in the workforce and a complete shift in our school day—most schools have a half hour a day for lunch,” adds Field.

In a written response to questions, Karina Gould, Canada’s Minister of Families Children and Social Development, wrote that the school food policy being developed would “provide access to healthy, diversified and balanced food as a matter of equity, which is essential to addressing food insecurity, reducing the risk of chronic disease and enabling every child to reach their full potential.”

Thirty-five percent of publicly-funded schools in Canada offered a programme in 2018-2019, covering 21 percent of students, from junior kindergarten to Grade 12, found a recent survey. But coverage varied immensely, with one province covering at least 90 percent of schools another just 10 percent.

Field says she is expecting the government to announce C$200 million in the upcoming budget to develop the framework for the eventual programme. But her coalition wants some of that money allocated to existing programmes in the provinces and territories. Eventually, says Field, the central government should provide $2.7 billion, or half the cost of a universal programme, with the provinces and territories contributing the rest.

“We want (the central government) to take a leadership oversight role and provide a federal framework that will allow for development of the best school food programme in the world. We want them to be visionary… and they’re responding well to this idea.”

This work was supported by a Global Nutrition and Food Security Reporting Fellowship from the International Center for Journalists and the Eleanor Crook Foundation.

By Marty Logan
KATHMANDU, Feb 24 2022 (IPS)

I hope you had a chance to listen to our last episode, Environmental disasters creating more migrants within countries. We talked about the rising number of people who are forced out of their homes because of climate or environmental disasters. Nearly 30 million men, women and children in 149 countries were displaced in 2020, temporarily or for good and the signs are, that those numbers will only grow. Today we’re continuing our series of conversations about people on the move globally, talking about remittances and the migrant workers worldwide who send these earnings home to their families—$200 each month on average according to today’s guest, Pedro de Vasconcelos. He is the Senior Technical Specialist/ Coordinator at the Financing Facility for Remittances of the International Fund for Agricultural Development, or IFAD.

The size of global remittances is astounding—$554 billion US dollars in 2019. More surprising to me is that this sum is greater than combining all of the foreign direct investment (FDI) and overseas development assistance (ODA) sent to the countries of the developing world.

In effect, the workers of the world’s poorest countries are doing more to lift themselves out of poverty than anyone else, but that’s not something you often hear in development discussions.

Of course we couldn’t have this conversation without noting the impact of Covid-19 on remittances and migrant workers. Here in Nepal there were horrifying stories in the media of groups of workers, many in Persian Gulf countries, who were forced out of work during lockdowns, eventually ran out of money, then food, and had to rely on the kindness of friends and even strangers, until they could raise enough cash to buy an air ticket home—when flights were available—or just wait out lockdowns.

Pedro predicts that Covid-19’s impact on remittances will be a wake-up call to the public and private sectors about the crucial role that the earnings generated by the world’s migrant workers play in keeping economies afloat. If those involved can sync their efforts to ensure that the money can be sent home as efficiently as possible and that workers are given more and better options to use their earnings, it is possible to imagine a day when migration for work will be a choice and not a necessity.

Please listen now to my conversation with Pedro de Vasconcelos.

Thanks again to Pedro de Vasconcelos of IFAD for sharing his time with me, especially for agreeing to a second interview within days, and when he was travelling, after online connection problems during our first chat. If you have any thoughts about this episode, you can share them with us on Twitter, Facebook or LinkedIn—our handle is IPSNews. We’d also love to hear your ideas for future episodes about People on the Move around the world. Don’t forget—you can follow or subscribe to Strive on Spotify, Google, Apple Podcasts and most other podcast players.

My name is Marty Logan, you can email me at mlogan(at)ipsnews.net. Strive will be back soon and is a production of IPS News.

Medical staff pose in a new maternal care ward at the Melamchi Municipality Hospital, Nepal, in November 2021. Credit: Marty Logan/IPS

By Marty Logan
KATHMANDU, Feb 4 2022 (IPS)

As the omicron wave of Covid-19 rose ominously in Nepal recently, to entice more people to get tested the government reduced the cost of PCR tests from 1,000 rupees ($8.37) to 800 rupees ($6.70) in government facilities and about double that in private ones.

“People with limited incomes can’t afford to get the test, and imagine if four members of a family have symptoms, the PCR tests alone will make a hole in their income,” Dr Baburam Marasini, former director at the Government of Nepal Epidemiology and Disease Control Division, told the Kathmandu Post.

Income per capita in Nepal in 2020 was $1,190, according to the World Bank.

“High quality health care was not universally accessible in Nepal, but was generally enjoyed by only a relatively small and elite portion of the population, and generally, access to health care in the country is unequal and the health system faces perennial shortages of resources, essential drugs and necessary medical infrastructure”

Noting that free treatment of conditions like tuberculosis, malnutrition and malaria had saved many lives in the country, Marasini argued that “the government should make PCR tests free across the country for those who have symptoms.”

While the government has not taken that step, in recent years it has provided free treatment for a growing number of chronic conditions to members of groups in need, such as the elderly, young children and the poorest in society. Yet equality in health care remains a paper promise.

In a briefing paper on the right to health in Nepal during Covid-19, the International Commission of Journalists argued that the government must “ensure that health services, facilities and goods are available to all without discrimination” and “ensure access to at very least the ‘minimum essential level’ of health services, facilities, and goods.”

Originally released in November 2020 and updated in September 2021, the ICJ paper notes that a plan was made to distribute COVID-19 vaccines to members of vulnerable groups first, but “According to various media reports, for example, some of the vaccines allocated for older persons were instead used to inoculate political party leaders, local level representatives, army personnel, their family and friends, administrators, businessmen’s families and their relatives.”

Article 35 of the Constitution of Nepal guarantees “the right to health care,” and its third provision states: “Each person shall have equal access to health care. ” The constitution’s Directive Principles, Policies and Obligations of the State also require that Nepal “keep on enhancing investment necessary in the public health sector by the State in order to make the citizens healthy” and “ensure easy, convenient and equal access of all to quality health services.”

Yet as ICJ points out, research done prior to Covid-19 found that “high quality health care was not universally accessible in Nepal, but was generally enjoyed by only a relatively small and elite portion of the population, and generally, access to health care in the country is unequal and the health system faces perennial shortages of resources, essential drugs and necessary medical infrastructure.”

Senior cardiologist Dr Prakash Raj Regmi says he sees the impact of inequality in health care daily. “In the process of investigation, in the process of treatment, even middle-class people face some difficulty.”

In an online interview the doctor notes that most of his patients are burdened by multiple non-communicable diseases (NCDs), such as cardiovascular diseases, diabetes and kidney and heart issues, whose diagnosis requires extensive testing. Afterwards, these patients often need multiple treatments. “Patients need to undergo several investigations: laboratory tests, x-rays, ultrasound, echo-cardiography. People may need coronary angiography or a CT scan or MRI—all these investigations are expensive.”

While the quality of available drugs is improving, they are also getting more expensive, so some patients discontinue their use prematurely, says Dr Regmi. “For example, a patient is given a follow-up time of three months, but they come only after six months. in that time they have stopped using two out of four drugs, so they develop complications.”

While he can provide financial support, both at his private clinic and at the non-profit community clinic where he also serves, Dr Regmi isn’t sure how many other doctors do the same. “I call myself a social worker… in my private clinic also, people who come for treatment, if they can’t afford their tests and treatment I find some way out; I support those patients.” Some tests can be done for free and for others he says he can direct patients to government labs; samples of medication can be provided at no charge and cheaper versions of drugs prescribed.

Despite the need for these informal mechanisms, Dr Regmi says that fewer patients require financial support today than in previous years, and that those who can afford it usually opt to visit less crowded private facilities.

Various developments have helped improve services in the government system: a new national health insurance scheme, devolution of some health care responsibilities to provinces and municipalities following Nepal’s transition to federalism in 2017, and free treatment of some chronic illnesses for the poorest of the poor, children and the elderly.

“A huge amount of money is being invested in this… This is very good for patients who cannot afford treatment: most of the patients are poor and these NCDs require lifelong treatment.” But the doctor says one thing is missing: “The government should focus on prevention in parallel with providing treatment, but it is not investing in prevention,” he argues.

Inequality is also obvious in maternal health services. For example, Sindhupalchowk is a mostly rural district three hours’ drive from the capital Kathmandu. Despite it having 79 health facilities, families who can afford to do so travel to the capital to have their children delivered or to larger facilities in neighbouring districts. In fact, in 2020 more than 70 percent of pregnant women left Sindhupalchowk to have their babies outside the district.

About one-half of Nepal’s hospitals, including centres for specialised care, such as the national maternity centre, are located in the Kathmandu Valley.

A recent report analysing data from 2001 to 2016 found a growing “remarkable improvement” in maternal health progress nationally, in all wealth groups. But drilling down into the statistics revealed that the poorest of Nepal’s seven provinces “have made minimal to zero progress.”

“Special investment to address barriers to access and utilization in provinces that are lagging to make progress in reducing inequality is urgent. Further studies are needed to understand the strategies required to address the gaps in these provinces and bring about fair improvement,” added the study.

By Marty Logan
KATHMANDU, Jan 5 2022 (IPS)

In the final months of 2021 you likely saw countless media reports of migrant men, women and children getting blocked at borders trying to enter various countries. Two flashpoints were the Mexico-US border and the border between Poland and Belarus, but there were many others.

What you likely didn’t learn from the media was what happened to tens of millions of people who left home, often as a last option, because of conflicts or an environmental emergency but who relocated—at least temporarily—to another part of their own country. Nearly 40 million people in 149 countries made such moves in 2020, an astounding 75% of them for climate or environmental hazards. (The others were displaced by conflict). Today we’re speaking about this with Diogo Serraglio of the South American Network for Environmental Migration, or RESAMA.

Here in Nepal the annual monsoon usually spawns destructive and deadly floods and landslides that shatter the lives of hundreds, even thousands, of people. Many of them rig up temporary homes almost immediately or are housed in emergency shelters nearby until they can rebuild on their land. But in some cases the displaced simply give up and leave, hoping to recreate their lives in a new place. Eventually, if things go well, they will be absorbed into the neighbourhood and the larger community.

Diogo tells me this is a normal scenario globally—people who migrate to a new place within a country find themselves on their own to construct a new life. But, work IS happening to create international frameworks to provide direction on how displaced people should be treated; the challenge is to translate those peerless promises into hot meals and housing where people actually end up. Covid-19 has made that much more difficult, explains Diogo.

One note before we start—Diogo refers to the UNFCCC. That is the acronym of the United Nations Framework Convention on Climate Change, the body that hosted COP26 last November and the 25 previous meetings.

Please listen now to my conversation with Diogo Serraglio.

By Marty Logan
KATHMANDU, Dec 10 2021 (IPS)

I suspect that most of you have at least heard of female genital mutilation, or FGM. It’s a practice that happens in numerous African countries, in which girls’ genitalia are removed or cut, for cultural or religious reasons. FGM has been condemned globally for years and campaigners continue working to end it.

But what might surprise you is that FGM happens in Asia too. And not just in one or two countries. According to today’s guest, Keshia Mahmood from Malaysia-based non-profit ARROW, the practice occurs in as many as 13 countries in both Southeast Asia and South Asia. That shocked me. I think I’m pretty well informed, and I lived in Malaysia for four years, but I didn’t know about FGM happening there. Interestingly, the United Nations joint programme to eliminate FGM works in 17 countries, but none of them are in Asia.

Keshia explains why FGM in Asia — which she refers to as FGM/C, or female genital mutilation or cutting — has been so under-exposed, but how that started changing after its elimination was included in one of the Sustainable Development Goals, whose deadline is 2030. Still, ending it will be a huge challenge, in part because practising communities believe that it is a much less invasive version of FGM than those performed in African countries. Another impediment is the growing medicalization of the practice, which lends it an air of legitimacy.

Keshia also discusses a new initiative co-led by ARROW called the Asia Network to end FGM/C, and some of the avenues it is pursuing to support partners working on the ground to end the practice. They have their work cut out for them: every year more than 1 million girls in Asia are cut in the name of culture and religion.

By Marty Logan
KATHMANDU, Nov 18 2021 (IPS)

The illicit trade in idols and other historical treasures looted from temples, archaeological digs and various sites globally has been estimated at $100 billion a year.

A more telling figure might be the nearly 18,000 villagers in India’s Tamil Nadu state who turned out to welcome home a god figure stolen from one of their temples. More revealing still is the image of a single villager who, seeing a stolen god displayed in a Singapore Museum, falls to the ground and starts to pray.

Vijay Kumar accompanied that villager to the museum, and has witnessed idols lovingly replaced to their ages-old spots in Tamil Nadu temples.

For 16 years he has been working to repatriate gods and goddesses looted from India over the years, and the challenges remain huge, he tells us in today’s episode. For example, in 2020, police seized 19,000 stolen artefacts in an international art trafficking crackdown. 101 suspects were arrested with treasures from around the world, including Colombian and Roman antiquities. One activist estimates that in France alone there are 116,000 African objects that should be returned.

But Vijay is encouraged by the successes of citizen-led movements like his own, which began with a blog, Poetry in Stone, then the launch of the group India Pride Project.

Success can be measured in the growing number of artefacts returned to India: 19, from 1970-2000; 0, from 2000-2013; but 300+ after 2013. That includes roughly 250 items valued at about $15 million, which were repatriated in October, among the treasures looted by disgraced art dealer Subhash Kapoor, the subject of Vijay’s book, The Idol Thief.

Today’s conversation is packed with information, including Vijay’s opinion that countries like India and Nepal, where idols are part of the living heritage and still prayed to daily, should be treated differently than countries whose artefacts are looted from buried remains. He also has advice for would-be activists — in the murky world of art repatriation, be very, very wary about accepting money from anyone.

By Marty Logan
KATHMANDU, Oct 4 2021 (IPS)

Today we’re talking about the aftermath of the horrendous murder of George Floyd in 2020 and the protests that ensued. But first, this is the fourth episode of the show, and we’d really like to hear what you think of it. So could you please take a minute to rate and review us on Apple Podcasts. Thank you!

Welcome to Strive, a podcast by IPS News. My name is Marty Logan.

The brutal murder of George Floyd on May 25, 2020 horrified people around the world. The weeks of massive demonstrations that followed, and the often violent response by police, left many of us captivated and inspired others worldwide to take to the streets in solidarity.

Racial justice activist and organizer Larry Dean would normally have been leading people onto the streets of Chicago, as he had been doing for a decade—but this killing struck him to his core. Instead he went back to his family home to try to tune out the world.

Today, Dean looks back on those dark days and can identify some shafts of light in the movement for racial justice and equality in the United States. But are they bright enough to reveal a path to autonomy and freedom for Black people, one that can overcome a biased justice system, impoverished schools, police budgets that are still ballooning in many cities and many other barriers?

Listen now to my conversation with Larry Dean to find out.

Local stakeholders engaged in participatory livelihoods planning in Champasack, Laos. Credit: A Barlis

By Marty Logan
KATHMANDU, Nepal, Sep 14 2021 (IPS)

As incidents of drought and extreme rainfall increase, farmers in Southeast Asia are partnering with experts to develop targeted weather forecasts to work around the threats and, when adaptation becomes too costly, buy specially designed insurance to protect their livelihoods.

Climate impacts are increasing. In 2016, for example, the impact of what is known as the El Niño Southern Oscillation (ENSO) resulted in severe drought and saline intrusion in 11 out of 13 provinces in the Mekong River Delta. This affected 400,000 hectares of cropland, resulting in 200 million dollars in economic losses and food insecurity among farmers. Household incomes dropped 75 percent, pushing vulnerable farmers who had little savings and no insurance deeper into poverty.

Integrated risk management and risk transfer approaches (e.g. innovative insurance solutions) will be critically required for smallholder growers to manage the physical and financial impacts of climate.

A key component of the project, DeRisk Southeast Asia, is to develop a number of adaptation strategies, says Professor Shahbaz Mushtaq, the project’s insurance segment lead at the University of Southern Queensland (USQ) one of three project partners. The others are the World Meteorological Organisation and the Alliance of Bioversity International and CIAT, part of the CGIAR.

“So the project is working on improved climate forecasts, new irrigation systems and practices, and improving production systems,” says Mushtaq in an online interview. “The underlying premise is that the smallholder growers need to mitigate their risk as much as they can while developing and adopting suitable adaptation practices.”

“Then, the project also acknowledges that there’s a limit to adaptation,” he adds. “Not all risk is manageable. [It is] when it is no longer economically viable then you need to transfer the risk elsewhere, this is where insurance will play a major role”.

ECOM facilitator leads the insurance literacy workshop with coffee farmers in Dak Lak. Credit: A Barlis

DeRisk, funded by the German Federal Ministry for the Environment, Nature Conservation and Nuclear Safety, operates in Vietnam, Laos, Myanmar, and Cambodia. For example, in a pilot led by the Alliance in one of the provinces in the Mekong River delta, the department of crop production (across levels), extension officers and farmers now sit down with weather forecasters (or meet virtually because of COVID-19 restrictions) to mould a general weather forecast into seasonal and 10-day advisories that target rice producers.

“We really emphasize co-development by multiple stakeholders, integrating information from the hydro-meteorological (‘hydro-met’) experts and the crop experts with the local knowledge of farmers,” says Nguyen Duy Nhiem, DeRISK Country Coordinator in Vietnam.

For example, the representatives will take a seasonal forecast, broken down by month, and generate guidance for specific crops such as: “the best planting date, the best variety to plant and if drought happens, what drought-resistant variety to use,” Nguyen tells IPS in an online interview.

That advice is packaged as a bulletin and delivered using a variety of media, including stationary loudspeakers in villages, paper bulletins or posters and on a smartphone app called Zalo.

The 10-day advisories zero in on daily conditions. “For example, if it’s going to rain on a certain day, farmers are told not to apply fertilizers or pesticides because they would leach into the soil,” explains Nguyen.

He’s happy with the project’s progress. The stakeholders from the hydro-met sector and agriculture sector “understand better each other’s languages,” says Nguyen. “For example, prior to project’s engagement when talking about ‘rainy days’, the agriculture stakeholders and farmers think that rain should be an amount that can be measured in a gauge while for the hydro-met sector that can be any amount above 0.0 mm. The definition of rainy days has been explained during discussions and clearly noted in bulletins.”

In addition, Nguyen says the 20,000-plus farmers who have received the advisories in the past two cropping seasons have been very pleased because the information helped them avoid the impact of damaging weather and make more informed decisions better. If plans hold, other districts and provinces in the region will start developing the tailored forecasts in 2022.

Challenges, according to Nguyen, include the lack of capacity of staff in provincial weather offices to develop the tailored forecasts. Another is reaching more farmers. Although many farmers have access to smartphones, not all of them know how to use them to access the advisories in the Zalo group. Possible solutions, he says, include developing an app or partnering with a telecom company to send messages to all customers in project areas.

In neighbouring Laos, agro-climactic advisories are available for the whole country, in monthly and weekly forecasts, says DeRisk Country Coordinator Leo Kris Palao. The implementation of DeRISK in Laos was linked with existing efforts by the Food and Agriculture Organization (FAO) to further improve this system with national partners.

Seasonal agroclimatic bullet poster installed at District Agriculture Service Center in Mekong Delta. Credit: Dang Thanh Tai

The system is automated, he explains in an email interview. Called the Laos Climate Services for Agriculture (LaCSA), the system analyses meteorological and agricultural data from national databases and field-level data collection by local partners. Offices of the Ministry of Agriculture and Forestry review advisories before being disseminated.

LaCSA can be accessed online through an app (Android/iOS), but for those who don’t use IT tools, the information, as in Vietnam, is also shared via loudspeakers, radio and TV, and community and school posters.

More than 21 000 farmers in Laos have adapted their activities after receiving an advisory. “We are happy with the progress made by the De-RISK project in Laos,” says Palao. “Based on our baseline assessment, most of the responses from farmers receiving the agro-climatic advisories indicated that change in planting dates, use of suitable varieties tailored to the climate condition of the season, and water and fertilizer management were among their adaptation practices.”

Mushtaq says that to further mitigate the ‘residual risk’, which can’t be managed economically through adaptation strategies, his team developed various indexed-based insurance products that are now being tested through a pilot insurance scheme – Coffee Climate Protection Insurance.

“We went to the field and interviewed several hundreds of smallholder coffee growers and industry.” The assessment for the insurance scheme included asking about the biggest risks faced by farmers, whether it be drought, disease, or extreme rainfall, among other hazards. “We wanted to develop products for those risks that are most impactful,” Mushtaq says.

The researcher of USQ adds that if an extreme weather event occurs and a farmer can’t immediately recover from losses, “his production would suffer, it would impact the supply chain, it would impact the roaster, and it would impact coffee production regions. But if farmers could get back on their feet very quickly, it would help the industry, it would the whole supply chain. That’s the underpinning driver for the supply chain industry to co-contribute insurance premiums.”

Mushtaq says he was impressed when coffee growers told him that drought and extreme rainfall are major risks but didn’t want drought insurance because they are able to cope through access to irrigation. “But if there’s extreme rainfall, we don’t have an option to manage that risk, so we want products to cater to it,” the farmers said.

The initial assessment found that farmers have a range of attitudes about insurance — some were willing to pay more than the suggested premium, others would not even consider purchasing, and the majority were in the middle, unsure.

Finally, most agreed on the product. What swayed the doubters was the credibility that USQ and its partners had developed over the years working with the coffee industry represented by the private sector and associations, says Mushtaq. “To me, the most important success factor was the presence of the industry itself. You need to have really solid leadership to drive this agenda. And we were very lucky that we got some really good partners in the coffee industry.”

In stages 1 and 2 of the pilot, farmers and coffee traders will split the costs of the premiums, but in later years, other actors in the supply chain, such as roasters, will have to contribute a portion; the exact division of costs still needs to be negotiated.

Currently, the ‘extreme rainfall’ insurance product is in operation, explains Mushtaq, meaning that if total rainfall exceeds the threshold for the two-month season, payments would be triggered. As the insurance is indexed, the payouts would reflect the amount of protection that farmers chose to purchase.

To get to this point, “we had to run several workshops, and gather a lot of information on how index-based insurance products works,” he says, adding that more needs to be done to increase awareness. Moving forward, the team considers running a campaign to address this, “Awareness is still a problem, and we do need to run a massive campaign.”

DeRISK aims to develop its climate services and insurance products further and work with national partners on policies and strategies supporting smallholder farmers in the region in response to climate risks.

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By Marty Logan
KATHMANDU, Sep 6 2021 (IPS)

2020 was a year of tremendous upheaval. The murder of George Floyd, followed by global Black Lives Matter protests, Covid-19 and the stark light that the pandemic shone on inequality within countries and between the global north and south, protests and brutal repression after elections in Belarus, ongoing demonstrations for climate action led by youth around the world, to name just a few.

Civil society, that is all sectors of our lives that are not family, government or for-profit, played a central role in all of these movements. But are those actions leading to positive results that will change people’s lives for the better?

Today’s guest, Lysa John, Secretary General of CIVICUS, a global alliance of civil society groups, responds unequivocally yes. She points to past examples like the campaigns to recognize women’s right to vote and for legal recognition of gay rights.

In these tumultuous times, she argues, what civil society must do better is channel the energy of the movements on the streets into medium and long-term projects to build alternatives to existing structures.

By Marty Logan
KATHMANDU, Aug 31 2021 (IPS)

Do you know if midwife services are available at the Saupia Health Centre in Paunangisu, on the island of Efate in Vanuatu, in the Pacific Islands? I do, and I’ve never been within 1,000 kilometres of the facility — I found the information online within seconds thanks to a data platform called Tupaia.

Developed in 2017 as a system for tracking items on the extremely lengthy supply chains of health materials in the Pacific Islands, today Tupaia is aggregating data about health, education and the environment from a number of unrelated sources, analysing it, and presenting it in an interactive online map.

“You can look at the national level and see how many people have accessed health services within a specified time frame or you can zoom into a province or a district and see more specifically details about where there are maybe gaps to people accessing the health system, or where people are doing really well, and that allows a country to set up different responses”

“If you want to see how many people a country has had in respect to a Covid outbreak, or a dengue outbreak, that sort of information will be displayed in Tupaia,” says Erin Nunan, director of Beyond Essential Services, the company that created the platform.

“You can look at the national level and see how many people have accessed health services within a specified time frame or you can zoom into a province or a district and see more specifically details about where there are maybe gaps to people accessing the health system, or where people are doing really well, and that allows a country to set up different responses,” adds Nunan in a video interview ahead of the Small Islands States (SIDS) Solutions Forum taking place online and in person 30-31 August 2021.

Tupaia is one of the innovations being featured at the event, which aims to kickstart SIDS’ efforts to reach the global development goals by 2030. Organised by the UN Food and Agriculture Organisation in partnership with the UN International Telecommunications Union and co-hosted by the Government of Fiji, the forum gathers representatives of the 38 SIDS worldwide, UN agencies and civil society.

The economies of many SIDS have been battered by COVID-19 restrictions, which have smothered the key tourist trade. Many were also already struggling with monumental challenges like rising sea levels and growing numbers of extreme weather events as a result of climate change. The forum, which ends Tuesday, is meant to “incubate, promote and scale-up home-grown and imported solutions to accelerate the achievement of the agriculture, food and nutrition related Sustainable Development Goals (SDGs),” says the website.

The makers of Tupaia believe that the platform has moved countries closer to the targets for SDG3 (health and well-being), SDG6 (water and sanitation for all) and SDG 17 (strengthen implementation and partnership for sustainable development). Their company, Beyond Essential Systems, has also released Tamanu, a medical records system.

Today, Tupaia operates in six Pacific Island countries, and beyond, collecting data in real time from nearly 800 facilities using a variety of sources including its own app, MediTrak, and creating visualizations that health systems, workers and even patients can use for decision-making. In Fiji, it is helping to track Covid-19 swab samples.

Open source and free, thanks to funding from the Government of Australia and others, Tupaia’s data collection, management, and visualization tools can also be used to collect environmental data to manage resources such as water stations and for disaster response. In Papua New Guinea, the platform is used to track the incidence of malaria.

“It might be a nurse in a clinic, it might be an administrator in a single province, those are the people that we really consider to be the customers of the software, the actual end users,” says Michael Nunan, CEO of Beyond Essential Systems, in another video interview for the SIDS Solutions Forum.

For example, in 2018 an order for cold chain medicines for the island of Kiribati was delayed. As a result, a busy facility ran out of several items, including insulin and Hepatitis B vaccine. But the facility nurse was able to log on to Tupaia and instantly see which nearby facilities had a functioning fridge and stock of the needed medicines. She contacted one of them and was able to organise a quick delivery of stock so there was little interruption to patient care.

Named after a Polynesian navigator who joined the crew of Captain James Cook in 1769, Tupaia takes data that is often siloed in specialised software designed for specific purposes and integrates it in dashboards that are customisable for a variety of user groups.

Tupaia’s data sources, supply chain software for vaccines and other medicines, health information software, and data collection applications, deliver information about health infrastructure including cold-chain, critical medical equipment, staff, and service provision.

“Whatever it is you want to do with data, whether it’s data collection, data aggregation, analysis, visualization, or dissemination, we want you to be able to do that with Tupaia,” says Michael Nunan in the video interview.

By Marty Logan
KATHMANDU, Aug 18 2021 (IPS)

Do you think it’s possible to transform communities that are stagnating from a lack of currency into places where people’s income-generating activities create a vibrant, self-sustaining circular economy?  It is in parts of Kenya that are using the community currency Sarafu, according to today’s guest.

Shaila Agha is Director of Grassroots Economics, which developed Sarafu. She tells us how coupling the currency—which is traded via wallets on mobile phones—with a development initiative, like more sustainable farming techniques, can transform communities. They go from places where a shortage of Kenya shillings can squelch economic activity to being communities where each person is given an equal chance to participate and is rewarded for being an active member.

This is such an intriguing initiative and seems so full of promise. That probably explains why the number of users has jumped 500% since January 2020, and why Sarafu could soon be expanding from Kenya into Cameroon. A bonus is that the currency works on blockchain technology, making it fully transparent, a feature that attracted a recent investment from UNICEF’s Innovation Centre.

If you enjoyed this episode of Strive, please help spread the word by rating or reviewing the show on Apple podcasts. You can also subscribe, follow or favourite Strive on any podcast app.

Stay up-to-date with us between episodes on Twitter and Facebook. You can email me at mlogan@ipsnews.net.

Resources

Grassroots Economics

New IPS Podcast – Strive: Toward a more just, sustainable future:  Existing models and approaches are not leading to progress. Strive seeks out new voices to talk about fresh ideas to create a more just and sustainable world.

Subscribe to our new Podcast on Apple Podcasts here

Civil society leading Covid-19 mask campaign in South Asia

By Marty Logan
KATHMANDU, Jul 30 2021 (IPS)

Footage of flames engulfing bodies at makeshift funeral pyres and stories of people dying in cars as drivers desperately raced from hospital to hospital seeking a bed. These scenes marked the second wave of the Covid-19 pandemic in India just months ago.

Nepal was similarly walloped: staff turned away people at intensive care units and patients attached to oxygen cylinders were being treated in parking lots. Other South Asian countries were less affected but overall Covid-19 has officially killed 450,000 people in the region since 2020.

With vaccines expected to arrive painfully slowly in coming months—India for example has fully vaccinated just 6% of its population, Nepal 4% and Pakistan 2%—mask wearing needs to be the priority, says the guest on today’s episode of Strive.

Maha Rehman is Policy Director at the Mahbub ul Haq Research Centre at Lahore University of Management Sciences, in Pakistan. She is also a leader of the NORM mask-wearing intervention taking place in four countries in the region, and beyond. She describes NORM’s early success in Bangladesh and how finding a way to embed the programme in local communities in each of these very different countries will be key.

If you enjoyed this first episode of Strive, please help spread the word by rating or reviewing the show on Apple podcasts. You can also subscribe, follow or favourite Strive on any podcast app.

Stay up-to-date with us between episodes on Twitter and Facebook. If you have something to say to me directly email me at mlogan@ipsnews.net.

Resources

• NORM mask initiative

Chiring Tamang holds the family’s new baby while his wife Priya looks on. She delivered the girl at home in their village in Nepal’s Sindhupalchowk district in February 2021. Credit: Marty Logan / IPS

By Marty Logan
Kathmandu, Nepal, Jul 21 2021 (IPS)

One year after Nepal’s Ministry of Health (MoH) appealed to international organisations in the country to urgently supply a drug used to stop excessive bleeding after childbirth, a UN agency has delivered $1 million worth of contraceptives to prevent another shortage.

The 1.6 million cycles of oral contraceptive pills and 776,000 units of injectable contraceptives and syringes will prevent roughly 75 000 unintended pregnancies, 22 000 unsafe abortions and 80 maternal deaths, according to the UN Population Fund (UNFPA).

As it was last year at this time, Nepal is at the tail end of a lockdown designed to break a runaway number of Covid-19 cases. Between April and May 2021, daily cases went from 150 to more than 8,000—fuelled by outbreaks in neighbouring India. Intensive care unit beds were unavailable in most hospitals in the capital Kathmandu and some cities on the southern border with India, and patients attached to oxygen tanks were forced into hospital parking lots. Crematoriums had to be expanded to accommodate the dead.

More than 9 500 people have died, and 667 000 had been infected as of 18 July, according to official figures, which are widely considered to underestimate the true impact.

“This support is very timely as Nepal was on the verge of facing a shortage of the injectable contraceptives and oral pills,” said Dr Tara Nath Pokhrel, Director of the Family Welfare Division (FWD) of the MoH. “These supplies will greatly help the federal, provincial and local governments to address the increasing family planning needs during the COVID-19 pandemic,” he added in a UNFPA press release.

Last year’s urgent need was misoprostol, a drug used for medical abortion and to stop excessive bleeding of new mothers, also known as postpartum haemorrhage (PPH). The condition is the leading cause of death among women who give birth at home, a number that skyrocketed after the first case of Covid-19 was detected in January 2020. Deliveries in health facilities fell by more than 50% during the 2020 lockdown, according to The Lancet journal.

The shortage affected only the three-pill package of misoprostol used to prevent PPH, not medical abortion kits. It was December before UNFPA could deliver nearly 500 000 doses to the government, a one-year supply.

Maintaining a steady supply of misoprostol has been a challenge for the Government of Nepal since it took over the programme from a project sponsored by the US government in 2010. Initially, it was able to turn to international partners to source the drug outside of the country, but it soon absorbed the purchasing into its procurement system.

However, in 2014 the government’s corruption agency charged eight ministry of health employees with importing poor quality misoprostol into the country at inflated prices.

Eventually, they were acquitted, along with private-sector suppliers, but the high-profile case put a ‘chill’ on further buying by government officials, a former employee of the project told IPS. “If the person needed to justify (misoprostol procurement) maybe they were thinking, ‘this created lots of tension in the past, so let’s not go for procurement’.

Shortages resulted. Then in 2015, earthquakes rocked Nepal, killing nearly 9,000 people. That disaster was followed by a months-long blockade of road routes from India after Nepal’s politicians approved a controversial new Constitution. Supply chains became twisted and unreliable.

In 2017, following Nepal’s first elections under a federal governance system, some health responsibilities were transferred from central authorities to provincial or local officials, including the purchase and distribution of misoprostol. But local governments appeared unprepared.

“In general, local governments did not have sufficient time and resources to strengthen their procurement capacity on lifesaving maternal and neonatal health commodities,” a spokesperson for UNFPA noted in a statement. “It also depended on how much priority each local government had given to the health sector in general.”

Before Covid-19 hit, the misoprostol programme was in place in 56 of Nepal’s 77 districts, but in January 2020, a survey of 12 of the 56 districts found that none had the drug, says Surya Bhatta, executive director of One Heart Worldwide, an international NGO working in Nepal.

“I think misoprostol is one of the most discussed matters in our office,” he adds. “We talk about this a lot with local leaders, pregnant mothers, female community health volunteers during their monthly meetings, and with service providers in the health facilities. Even for the managers, in larger government forums, there is a lot of discussion happening, but the implementation side has a lot of holes to fill.”

During the 2020 lockdown, misoprostol shortages and PPH deaths of women who gave birth at home generated many headlines. This year there have been no reports of misoprostol shortages, Dr Punya Poudel of the FWD told IPS. However, maternal deaths remained above average for the second year running. From mid-March 2020 to mid-June 2021, there were 258 maternal deaths, compared to 51 in the same period pre-Covid, according to preliminary statistics.

Nepal’s maternal mortality rate of 239 per 100,000 births is equivalent to roughly 1,200 deaths annually.

In the agency’s press release, UNFPA Representative to Nepal Lubna Baqi urged the government and partners to make reproductive health a priority.

“Nepal has continued to struggle with shortages in supplies due to competing priorities and demands, but it is time for the government and development partners to turn their attention to preventing unwanted pregnancies and unsafe abortions by investing in family planning and comprehensive sexuality education.”

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Credit: NYAYA HEALTH NEPAL

By Marty Logan
KATHMANDU, Jan 23 2020 (IPS)

It is easy to be cynical about recent reports of actions taken to end chhaupadi, the traditional practice in parts of western Nepal of segregating menstruating women.

Since December, hundreds of the chhau sheds where women live during their periods have been demolished after the Home Ministry ordered district officials to strictly enforce laws that bar the practice. Local officials have warned they will withhold social security payments to anyone found to be involved in the practice of menstrual banishment.

Hundreds of the chhau sheds where women live during their periods have been demolished after the Home Ministry ordered district officials to strictly enforce laws that bar the practice. Local officials have warned they will withhold social security payments to anyone found to be involved in the practice of menstrual banishment

We have heard such threats from officialdom before, and many of the recently dismantled sheds were likely previously broken and rebuilt. But something does feel different now about the campaign to end the practice that has killed more than a dozen women and girls in the past decade, most of them from exposure to cold, a snakebite or suffocation from fires to warm the windowless sheds in winter.

Is this a tipping point? Could be. More positive news comes from Nyaya Health Nepal, the NGO that runs Bayalpata Hospital in Achham. It has 58 community health workers (CHWs), who are the hospital’s link to residents in the facility’s catchment area. Of them, 29 have not practised chhaupadi since working with Bayalpata and, according to the hospital, of the remaining 29, 25 have given up the practice since they started working there.

Initial interventions were done as sporadic informal discussions with CHWS, says Aradhana Thapa, healthcare design director at the hospital. They were followed by regular discussions in 2017, and then by interventions in 2018-19.

“We started with baby steps, to understand the issue and help provide a safe platform for CHWs to openly discuss and support each other. Last year we added a few more interventions, including social mapping and reaching more pregnant women,” added Thapa in an email interview.

The mapping found that 66% of the 14,000 women of reproductive age in the hospital’s catchment area practise chhaupadi, compared to 50% of the CHWs before Bayalpata’s intervention. CHWs are required to have at least Grade 10 education, which is far above the district average, so does that higher level of education not explain the hospital’s success in helping CHWs give up sheds?

“Education, understanding of menstruation as a biological phenomenon universal to the general population, is allowing this change (in attitude about chhaupadi) to take place,” says Thapa. “However, there needs to be a trigger for that final decision. For many CHWs, that point was that they wanted to give up the practice themselves before preaching to other women.”

Many activists say that chhaupadi is just the most extreme form of the menstrual segregation that occurs throughout Nepal among women of all socio-economic groups, in rural and urban areas.

In December, Parbati Raut of Achham became the last reported victim of the practice. But for the first time, an arrest was made over the death – of the woman’s brother-in-law Chhatra Raut, for banishing her to the shed. Unofficial reports from Achham say that he is out on bail, punished only with having to report to police twice monthly for three months.

A 2005 Supreme Court decision outlawed chhaupadi, and a 2017 national law made forcing a woman to use a shed punishable by up to 3 months in jail or a fine of Rs3,000. Yet, these changes, along with various local regulations that punish the practice or reward women who reject it, have failed to end it.

In one ward in Achham senior citizens’ allowances were reduced as punishment. It was effective because older family members have the strongest ties to beliefs that underlie chhaupadi, such as that not going to the shed once a month will anger gods and result in sickness, or worse, in a village.

CHWs have leveraged such local initiatives in order to give up the practice, particularly campaigns to destroy huts that are led by women. “It is the fact that these are led by local women that makes them so effective. I think it’s peer influence, pressure, that’s playing its part,” says Thapa.

For other CHWs, the decision was driven by practical considerations — absence of caretakers for their children, in cases where the women do not live with their in-laws and their husbands had to be away for work. Says Thapa: “They ended up sitting at home to ensure care for their children.”

This story was originally published by The Nepali Times

Women farmers clearing farmland in Northern Bangladesh. Credit: Naimul Haq/IPS

By Marty Logan
KATHMANDU, Dec 16 2019 (IPS)

Women in Asia and Africa hardest hit by climate change have a tough time adapting to the climate emergency, even with support from family or the state, finds a new study. The results raise questions for global agreements designed to help people adapt to the climate emergency, it adds.  

The findings are based on 25 case studies in three agro-ecological regions on the two continents: 14 in semi-arid locales, 6 in mountains and glacier-fed river basins (including one in Nepal) and 5 in deltas. The main livelihoods in these natural resource-dependent areas include agriculture, livestock rearing and fishing, supplemented by wage labour, petty trade and income from remittances.

Environmental risks include droughts, floods, rainfall variability, land erosion and landslides, glacial lake outburst floods, heat waves and cyclones, all of which negatively affect livelihoods. The study, A Qualitative Comparative Analysis of Women’s Agency and Adaptive Capacity in Climate Change Hotspots in Asia and Africa was published in the journal Nature Climate Change.

When households take steps to adapt to the impact of climate change, the result is that the strategies ‘place increasing responsibilities and burdens on women, especially those who are young, less educated and belonging to lower classes or marginal castes and ethnicities’

It found that when households take steps to adapt to the impact of climate change, the result is that the strategies ‘place increasing responsibilities and burdens on women, especially those who are young, less educated and belonging to lower classes or marginal castes and ethnicities’. This occurred even in cases where support appeared to be available in the form of families/communities or via the state.

Examples include when men migrate to find work because of climate change-induced impacts at home. While the money they earn can boost family incomes, when men are away women must shoulder a larger burden. As a result, most women ‘reported reduced leisure time, with negative consequences on their wellbeing, including the health and nutrition of themselves and their households,’ says the report.

In other cases, governments stepped in with support but during floods or droughts, for example, men dominated state-provided aid and relief facilities, making women rely on their male relatives to receive support.

‘In a sense, women do have voice and agency, yet this is not contributing to strengthening longer-term adaptive capacities,’ concludes the report.

But in three examples in the study, one in Nepal, women did adapt to the increased burdens delivered by climate change. In Chharghare of Nuwakot district, support from a well-established cooperative enabled many women — excluding Dailit women — to switch from raising buffalo and cattle to rearing goats, which adapted better to growing rain scarcity.

“By enhancing women’s agency, we need to understand that we are helping them to create an enabling environment where a women’s right to make decisions about her own life is recognised, where women are economically empowered and free from all forms of discrimination and violence,” said Anjal Prakash, who worked on the case study for the Integrated Centre for Mountain Development (ICIMOD).

Poverty is the main factor in the declining decision-making power of women in some hot spots, says the report, even when women share responsibilities in the family and work outside of the home. In semi-arid Kenya, for example, women of female-headed households sell alcohol to earn money to pay for children’s schooling, but this exposes them to health risks, such as engaging in sexual activities with their clients.

A 35-year-old woman told researchers, “Despite our efforts, there is a high level of malnutrition here. We can’t afford meat, we just eat rice and potatoes, but even for this, the quantity is not enough.”

The study notes that international agreements, such as the gender action plan of the United Nations Framework Convention on Climate Change (UNFCCC) require information about what builds the adaptive capacity of women, and men, so that agreements can support sustainable, equitable and effective adaptation.

It suggests that effective social protection, like the universal public distribution system for cereals in India, or pensions and social grants in Namibia, could contribute to relieving immediate pressures on survival.

‘This however cannot always be done on the “cheap” — investments are needed to enable better and more sustainable management of resources. ‘Women’s self-help groups are often presented as solutions, yet they are confronted by the lack of resources, skills and capacity to help their members effectively meet the challenges they confront,’ the report adds.

This story was originally published by The Nepali Times