Inter Press Service » Women’s Health Turning the World Downside Up Thu, 03 Sep 2015 21:01:34 +0000 en-US hourly 1 Winning Women a Greater Say in Somaliland’s Policy-Making Thu, 27 Aug 2015 07:45:41 +0000 Katie Riordan Women sport their national pride at the annual Somaliland Independence Day celebration on May 18 in Hargeisa. Advocates argue that a political quota would give women a greater say in their country's policy-making. Credit: Katie Riordan/IPS

Women sport their national pride at the annual Somaliland Independence Day celebration on May 18 in Hargeisa. Advocates argue that a political quota would give women a greater say in their country's policy-making. Credit: Katie Riordan/IPS

By Katie Riordan
HARGEISA, Aug 27 2015 (IPS)

Bar Seed is the only female member in Somaliland’s 82-person Parliament, but activists hope upcoming national elections may end her isolation.

Gender equality advocates in the self-declared nation are currently renewing a push for a quota for women in government that has been over a decade in the making.

“The public’s opinion is changing,” says Seed hopefully.

Somaliland, internationally recognised as a region of Somalia and not as an autonomous nation, nonetheless hosts its own elections and has its own president.  It is often hailed as a burgeoning democracy that circumvented Somalia’s fate as a failed state. But noticeably absent from the decision-making process – to the detriment of the country’s development, activists argue – are women. [Somaliland] is often hailed as a burgeoning democracy that circumvented Somalia’s fate as a failed state. But noticeably absent from the decision-making process are women

With only Seed in Parliament, no women in the House of Elders known as the Guurti, and two female ministers and two deputies, supporters argue that a political quota enshrined in law is necessary to correct this gender imbalance.

“Nobody is going to take a silver platter and present it to women. We aren’t being shy anymore, we are saying: you want my vote? Then earn it,” says Edna Adan, a former foreign minister in Somaliland and founder of the Edna Anan University Hospital, a facility dedicated to addressing gender issues such as female genital mutation (FGM).

Adan has witnessed the debate about women in government evolve over the years, playing out as a political game often filled with empty promises to appoint more women in positions of power.  A measure to enact a political quota has twice failed to pass Somaliland’s legislature, once shot down by Parliament and once stymied by the Guurti.

But Adan believes conditions have ripened for women to make a final push for a quota as they have become more organised and strategic in their lobbying efforts.

While some accuse advocates of “settling” for their current demand of a reserved 10 percent of seats – meaning women would only run against women for eight spots in Parliament – Adan counters that setting the bar higher at the moment is unrealistic.

In addition to pushing for this 10 percent clause in an election law that Parliament is slated to review and debate in the coming months, advocates are also lobbying political parties to have voluntary quotas for their list of parliamentary candidates for seats outside those exclusively reserved for women.

A disputed extension decision made in May that postponed Somaliland’s elections for president, parliament and local councils until at least the end of 2016 and as late as spring 2017 drew the ire of the international community and much of civil society including organisations backing a women’s political quota.  Critics say the extension calls into question Somaliland’s commitment to a democratic process.

But the extra time may prove to be a silver lining for quota lobbyists. It could give them leverage to force politicians to prove their adherence to building an inclusive government in order to appear favourable to their constituents and the international community by pushing for more women in government.

“Women have threatened the parties that if they don’t support us, then we will not support them,” says Seed, who is a member of the Waddani Party, one of Somaliland’s two current opposition parties.

However, she explains that parties often publicly support ideas and mechanisms that push for gender parity but have a poor track record of following through with them. In many ways they have not been obliged to because, historically, women have not voted for other women in meaningful numbers.

“So they know it’s a bit of any empty threat but some are frightened [they could lose female votes],” Seed adds.

Also standing in the way of women is Somaliland’s deeply entrenched tribal and clan system that overshadows politics. In order to win elections, individuals need the support of clan leaders who sway the vote of members of their tribe, explains Seed. But since men are viewed as the stronger candidate, women rarely received clan endorsement.

A woman’s position is also unique in that she often has claims to two clans, the one she is born into and the one that she marries into, though this rarely works to her advantage.

“If a woman goes on to become a minister, both clans would claim her, but if she asks for help, they both tell her to go to the other clan,” said Nura Jamal Hussein, a women’s advocate who is contemplating running for political office.

The Nagaad Network, a local NGO dedicated to the political, economic and social empowerment of women, has been the buttress of the push for a quota. Its current director, Nafisa Mohamed, says that convincing women – who, according to some estimates, are about 60 percent of the voting bloc – to vote for women will be crucial to defying the status quo.

Given the cultural and religious barriers that women contend with, that status quo will be incredibly difficult to change, she says. Mohamed counts small victories like a change in hard-line religious preaching that denounced women’s presence in politics. She says approaching spiritual leaders on an individual basis to garner their support has proved fruitful and that they are generally warming to the idea of women in government.

But the power of religion in shaping public opinion is still palpable.

Mohamed Ali has served in Parliament since it was last elected in 2005. He backs legislation for a quota for women in government.  But asked if a woman could be president, he says it would be contrary to the teachings of the Quran, a view shared by many that IPS talked to.

While he hesitantly admits that he may one day change his views, he says others would accuse him of “not knowing one’s religion” if he advocated a woman for president.

Critics have brushed the quota off as an import from the West and an unnecessary measure that is pushing for change that a country may not be ready to undertake. Some also question if it will genuinely result in its desired effect that political empowerment for women will trickle down to other aspects of life.

Amina Farah Arshe, an entrepreneur, believes that if there was greater focus on economic empowerment for women, more political representation would naturally follow.

“I hate quotas. I want women to vote for themselves without it,” she says.  “But the current situation will not allow for that so we still need it.”

Edited by Phil Harris   

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The U.N. at 70: Leading the Global Agenda on Women’s Rights and Gender Equality – Part Two Mon, 17 Aug 2015 13:25:15 +0000 Lakshmi Puri Lakshmi Puri, Deputy Executive Director of U.N. Women. Credit: U.N. Photo/Rick Bajornas

By Lakshmi Puri

The efforts of the United Nations and the global women’s movement to promote the women’s rights agenda and make it a top international priority saw its culmination in the creation of U.N. Women, by the General Assembly in 2010.

UN Women is the first – and only – composite entity of the U.N. system, with a universal mandate to promote the rights of women through the trinity of normative support, operational programmes and U.N. system coordination and accountability lead and promotion.This is a pivotal moment for the gender equality project of humankind.

It also supports the building of a strong knowledge hub – with data, evidence and good practices contributing to positive gains but also highlighting challenges and gaps that require urgent redressal.

UN Women has given a strong impetus to ensuring that progressive gender equality and women’s empowerment norms and standards are evolved internationally and that they are clearly mainstreamed and prioritised as key beneficiaries and enablers of the U.N.’s sustainable development, peace and security, human rights, humanitarian action, climate change action and World Summit on the Information Society (WSIS) + 10 agendas.

In fact, since its creation five years ago, there has been an unprecedented focus and prioritisation of gender equality and women’s empowerment in all normative processes and outcomes.

With the substantive and intellectual backstopping, vigorous advocacy, strategic mobilisation and partnerships with member states and civil society, U.N. Women has contributed to the reigniting of political will for the full, effective and accelerated implementation of Beijing Platform commitments as was done in the Political Declaration adopted at 59th session of the Commission on the Status of Women; a remarkable, transformative and comprehensive integration and prioritisation of gender equality in the Rio + 20 outcome and in the 2030 Agenda for Sustainable Development through a stand-alone Sustainable Development Goal and gender sensitive targets in other key Goals and elements.

Additionally, there was also a commitment to both gender mainstreaming and targeted and transformative actions and investments in the formulation and implementation of financial, economic, social and environmental policies at all levels in the recently-concluded Addis Accord and Action Agenda on  Financing For Development.

Also we secured a commitment to significantly increased investment to close the gender gap and resource gap and a pledge to strengthen support to gender equality mechanisms and institutions at the global, regional and national levels. We now are striving to do the same normative alchemy with the Climate Change Treaty in December 2015.

Equally exhilarating and impactful has been the advocacy journey of U.N. Women. It  supports and advocates for gender equality, women’s empowerment and the rights of women globally, in all regions and countries, with governments, with civil society and the private sector, with the media and with citizens – women and girls, men and boys everywhere including through its highly successful and innovative Campaigns such as UNiTE to End Violence against Women / orange your neighbourhood, Planet 50/50 by 2030: Step it up for Gender Equality and the HeforShe campaign which have reached out to over a billion people worldwide .

UN Women also works with countries to help translate international norms and standards into concrete actions and impact at national level and to achieve real change in the lives of women and girls in over 90 countries. It is in the process of developing Key Flagship Programs to scale up and drive impact on the ground in priority areas of economic empowerment, participation and leadership in decision making and governance, and ending violence against women.

Ending the chronic underinvestment in women and girls empowerment programs and projects and mobilising transformative financing of gender equality commitments made is also a big and urgent priority.

We have and will continue to support women and girls in the context of humanitarian crisis like the Ebola crisis in West Africa and the earthquake relief and response in Nepal and worked in over 22 conflict and post conflict countries to advance women’s security, voice, participation and leadership in the continuum from peace-making, peace building to development.

UN Women’s role in getting each and every part of the U.N. system including the MFIs and the WTO to deliver bigger, better and in transformative ways for gender equality through our coordination role has been commended by all. Already 62 U.N. entities, specialised agencies and departments have reported for the third year on their UN-SWAP progress and the next frontier is to SWAP the field.

Much has been achieved globally on women’s right from education, to employment and leadership, including at the U.N. Secretary-General Ban Ki-Moon has appointed more senior women than all the other Secretary-Generals combined.

Yet, despite the great deal of progress that has been made in the past 70 years in promoting the rights of women –persistent challenges remain and new ones have come up and to date no country in the world has achieved gender equality.

The majority of the world’s poor are women and they remain disempowered and marginalised. Violence against women and girls is a global pandemic. Women and girls are denied their basic right to make decisions on their sexuality and reproductive life and at the current rate of progress, it would take nearly another 80 years to achieve gender equality and women’s empowerment everywhere, and for women and girls to have equal access to opportunities and resources everywhere.

The world cannot wait another century. Women and girls have already waited two millennia. The 2030 Agenda for Sustainable Development and all other normative commitments in the United Nations will remain ‘ink on paper’ without transformative financing in scale and scope, without the data, monitoring and follow up and review and without effective accountability mechanisms in this area.

As we move forward, the United Nations must continue to work with all partners to hold Member States accountable for their international commitments to advance and achieve gender equality and women’s empowerment in all sectors and in every respect.

UN Women is readying itself to be Fit For Purpose but must also be Financed For Purpose in order to contribute and support the achievement of the Goals and targets for women and girls across the new Development Agenda.

This is a pivotal moment for the gender equality project of humankind. In order to achieve irreversible and sustained progress in gender equality and women’s empowerment for all women and girls – no matter where and in what circumstances they live and what age they are, we must all step up our actions and investment to realise the promise of “Transforming our World ” for them latest by 2030. It is a matter of justice, of recognising their equal humanity and of enabling the realisation of their fundamental freedoms and rights.

As the U.N. turns 70 and the entire international development  and  security community faces many policy priorities – from poverty eradication, conflict resolution, to addressing climate change and increasing inequalities within and between countries – it is heartening that all constituents of the U.N. – member states, the Secretariat and the civil society – recognise that no progress can be made in any of them without addressing women’s needs and interests and without women and girls as participants and leaders of change.

By prioritising gender equality in everything they pledge to not only as an article of faith but an operational necessity, they signal that upholding women’s rights will not only make the economy, polity and society work for women but create a prosperous economy, a just and peaceful society and a more sustainable planet.

Part One can be read here.

Edited by Kitty Stapp

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The U.N. at 70: Leading the Global Agenda on Women’s Rights and Gender Equality – Part One Fri, 14 Aug 2015 12:12:38 +0000 Lakshmi Puri Lakshmi Puri, Deputy Executive Director of U.N. Women. Credit: U.N. Photo/Rick Bajornas

By Lakshmi Puri

If there is any idea and cause for which the United Nations has been an indispensable engine of progress globally it is the cause of ending all forms of “discrimination and violence against women and girls, ensuring the realization of their equal rights and advancing their political, economic and social empowerment.

Gender equality and the empowerment of women has been featured prominently in the history of the United Nations system since its inception. The ideas, commitments and actions of the United Nations have sought to fundamentally improve the situation of women around the world, in country after country.Twenty years after its adoption, the Platform for Action remains a gold standard of international commitments on strategic objectives and actions on gender equality and women's empowerment.

Now, as we celebrate the United Nations’ 70th anniversary, the U.N. continues to be the world leader in establishing the global norms and policy standards on women’s empowerment, their human rights and on establishing what we at U.N. Women call  the Planet 50 / 50 Project on equality between women and men.

Equality between men and women was enshrined in the U.N.’s founding Charter as a key principle and objective. Just a year after, in 1946, the Commission on the Status of Women (CSW) was set up as the dedicated intergovernmental body for policy dialogue and standard setting and monitoring gender equality commitments of member states and their implementation.

Since then, the Commission has played an essential role in guiding the work of the United Nations and in setting standards for all countries, from trailblazing advocacy for the full political suffrage of women and political rights to women’s role in development.

It also gave birth to the Convention on the Elimination of All Forms of Discrimination against Women, CEDAW, adopted in 1979. Often called the international bill of rights for women, and used as a global reference point for both governments and NGOs alike, the Convention has been ratified by 189 States so far.

These governments regularly report to the CEDAW Committee which has also become a generator of normative guidance through its General Recommendations, apart from strengthening the accountability of governments.

As the torch-bearer on women’s rights, the U.N. also led the way in declaring 1975 to 1985 the International Women’s Decade. During this period the U.N. held the first three World Conferences on Women, in Mexico (1975), Copenhagen (1980) and Nairobi (1985) which advanced advocacy, activism and policy action on gender equality, women’s empowerment and women’s rights in multiple areas.

In 1995, the U.N. hosted the historic Fourth World Conference on Women, and adopted the Beijing Declaration and Platform for Action, one of most progressive frameworks which continues to be the leading roadmap for the achievement of gender equality and women’s empowerment globally.

Twenty years after its adoption, the Platform for Action remains a gold standard of international commitments on strategic objectives and actions on gender equality, women’s empowerment and women’s rights in 12 critical areas of concern including poverty, education, health, economy, power and decision making, ending violence against women, women’s human rights, conflict and post conflict environment, media, institutional mechanisms and the girl child.

Since 1995 gender equality and women’s empowerment issues have permeated all intergovernmental bodies of the U.N. system.

The General Assembly, the highest and the universal membership body of the United Nations, leads the way with key normative resolutions as well as reflecting gender perspectives in areas such as agriculture, trade, financing for development, poverty eradication, disarmament and non-proliferation, and many others. Among the MDGs, MDG 3 was specifically designed to promote gender equality and empower women apart from Goal 5 on maternal mortality.

The Economic and Social Council (ECOSOC) has also been a strong champion of gender mainstreaming into all policies, programmes, areas and sectors as the mains strategy in achieving gender equality and women’s empowerment.

Progress achieved so far has been in part possible thanks to ECOSOC’s strong mandate for mainstreaming a gender perspective and its support to the United Nations system-wide action Plan on Gender Equality and Women’s Empowerment (UN-SWAP) which constitutes a unified accountability framework for and of the U.N. to support gender equality and empowerment of women.

Strongly addressing the impact of conflict on women and their role in peacebuilding, the U.N. sent a strong signal by addressing the issue of women peace and security in the landmark Security Council resolution 1325 (2000) which asserted  the imperative of  women’s empowerment in  conflict prevention, peace-making and peace building apart from ensuring their protection.

This resolution was seen as a must for women as well as for lasting peace and it has since been complemented by seven additional resolutions including on Sexual Violence in Conflict. This year as the 15th anniversary of Security Council resolution 1325 is commemorated, a Global Study and Review on its effective implementation is underway.

It is expected to renew the political will and decisive action to ensure that women are equal partners and their agency and leadership is effectively engaged in conflict prevention, peace-making and peace-building.

Part Two can be read here.

Edited by Kitty Stapp 

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Half a Million U.S. Women and Girls at Risk of Genital Cutting Wed, 05 Aug 2015 19:41:34 +0000 Kitty Stapp FGM is a taboo topic in many cultures. Credit: Travis Lupick/IPS

By Kitty Stapp
NEW YORK, Aug 5 2015 (IPS)

Jaha Dukureh knows firsthand the barbaric effects of undergoing female genital mutilation/cutting (FGM/C). Now a resident of the United States, she was mutilated as a baby in the Gambia in West Africa. Her sister bled to death after enduring the same procedure.

What was done to Dakureh is called “infibulation,” where the clitoris and the labia are removed and the vagina is sealed to insure a girl’s virginity until marriage."Policy makers, doctors, police, teachers and community leaders all have a role in making sure that girls can receive the help they need and deserve. There is no excuse for this type of abuse." -- Paula Kweskin

Now a passionate advocate against FGM/C, Dakureh issued a call to arms on the eve of President Barack Obama’s recent visit to Africa, urging him to “play a historic role in the fight to eliminate FGM.”

“While the origins of FGM are ancient and predate organised religion, there is one thing we know for sure: its purpose is to control female sexuality and lessen a woman’s humanity,” she wrote in a powerful commentary for the Guardian.

In the last 15 years, the number of women and girls at risk of FGM/C in the United States has more than doubled, advocacy groups warn, calling for stronger measures to prevent this human rights violation.

According to data from the Population Reference Bureau, a nonpartisan Washington, D.C. research group, a staggering 506,795 girls and women in the United States have undergone or are at risk of undergoing FGM/C.

“It’s important this subject is no longer taboo,” Paula Kweskin, a human rights attorney who produced a film called Honor Diaries that deals with the problem of FGM, told IPS. “It needs to be discussed at every level so that it can be addressed and eradicated. When it’s swept under the carpet, women and girls are revictimized by the silence and inaction.”

“Policy makers, doctors, police, teachers and community leaders all have a role in making sure that girls can receive the help they need and deserve. There is no excuse for this type of abuse.”

The top 10 metropolitan areas where girls and women are at highest risk of female genital mutilation include New York, Washington, D.C., and Minneapolis-St. Paul.

The PRB notes that FGM/C, which entails partial or total removal of the external genitals of girls and women for religious, cultural, or other nonmedical reasons, has devastating immediate and long-term health and social effects, especially related to childbirth.

Most girls at risk are in found in sub-Saharan Africa. In Djibouti, Guinea, and Somalia, for example, nine in 10 girls ages 15 to 19 have been subjected to FGM/C. But the practice is not limited to developing countries.

An estimated 137,000 women and girls in Britain have undergone the procedure, according to a report released in July by City University London and Equality Now.

In the United States, the PRB says, efforts to stop families from sending their daughters abroad to be cut — so-called “vacation cutting” — spurred the passage of a law in 2013 making it illegal to knowingly transport a girl out of the United States for the purpose of cutting.

“We urge the U.S. to provide a public update on its plans to ensure all efforts to end FGM are sustainable and supported with funding, and support and encourage state efforts to end FGM at local levels,” Shelby Quast, policy director at Equality Now, said last month.

She added that having specific laws in each state would prompt state schools, hospitals and clinics as well as local law enforcement agencies and the judiciary to step up prevention efforts and act swiftly in FGM cases.

“People in [the U.S.] don’t want to think it happens here. But their daughters might be sitting next to a best friend who can be subjected to a violent, cultural procedure,” she told NPR. “If it were cutting the nose or the ear off — something everyone could see — there’d be a different response. We can’t continue to hide this away.”

The U.S. Congress had already passed a law in 1996 making it illegal to perform FGM/C and 23 states have laws against the practice, which has grown in part because of increased immigration from countries where FGM/C is prevalent, especially in North and sub-Saharan Africa.

Between 2000 and 2013, the PRB says, the foreign-born population from Africa more than doubled, from 881,000 to 1.8 million. Just three sending countries—Egypt, Ethiopia, and Somalia—accounted for 55 percent of all U.S. women and girls at risk in 2013.

“This is a barbaric and completely unnecessary practice that causes devastating physical and psychological damage for countless girls and women in the United States and countries across the globe,” said Raheel Raza, president of the Council for Muslims Facing Tomorrow.

Raheel, a human rights activist, is among several Muslim women featured in Honor Diaries, a documentary breaking the silence on FGM and other abuse against women and girls in honour-based communities.

Edited by Thalif Deen

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‘Ambassadors of Freedom’ – Palestine’s Resistance Babies Fri, 31 Jul 2015 16:51:51 +0000 Silvia Boarini Karam and Adam, twin Palestinian babies born after their mother underwent IFV treatment using sperm smuggled out of the Israeli prison where their father has been held for the last 11 years. Credit: Silvia Boarini/IPS

Karam and Adam, twin Palestinian babies born after their mother underwent IFV treatment using sperm smuggled out of the Israeli prison where their father has been held for the last 11 years. Credit: Silvia Boarini/IPS

By Silvia Boarini
GAZA CITY, Jul 31 2015 (IPS)

Thirteen-year-old Hula Khadoura sits on a large sofa in her grandfather’s home in the neighbourhood of Tuffah, Gaza City, her one-year-old twin brothers Karam and Adam on her lap. “I am so happy they arrived,” she beams, holding the babies’ feeding bottles in her hands.

There is an aura of mystery and something of the miraculous around the  twins’ births – their father, Saleh Khadoura, has spent the past 11 years in an Israeli prison and has had no physical contact with Hula’s mother, Bushra, since then.

Hula hears people refer to her brothers as ‘special babies’ but does not fully grasp what the fuss is about. She is completely unaware of the unusual obstacles her father’s sperm had to overcome to reach her mother’s eggs.“After the suffering I am put through with each visit [to her husband in an Israeli prison], with the searches and the humiliation, with this pregnancy, with Karam and Adam, I wanted to show that rules can be broken” – Bushra Abu Saafi

Freedom ambassadors

Bushra Abu Saafi, is one of around 30 Palestinian women who have conceived babies since 2013 with sperm smuggled out of the Israeli prisons in which their husbands are being held. She was only the second woman in Gaza to do this. Before her, two had tried but only one succeeded.

According to the Palestinian Prisoners’ NGO Addameer, there are currently some 5,750 Palestinian political prisoners being held in Israel. Of these, roughly 5,550 are adult males.

Women whose husbands are serving decades-long sentences do not want to see their dream of starting a family, or increasing its size, taken away by the very same authorities that took away their husbands.

Until recently, the Israeli Prison Service (IPS) was highly sceptical that sperm smuggling could be happening at all. Spokesperson Sivan Weizman told the press that tight security made it very unlikely. Recently, though, they have acknowledged that it may be an issue.

The Palestinian National Authority and Hamas, on the other hand, have never shown any doubt and have financially supported women wishing to try this very unconventional method of conceiving.

In May in Gaza, the Palestinian Ministry of Prisoners even organised a collective birthday party for the little ‘ambassadors of freedom’, as babies born this way are often called.

Families apart

“It was my husband who suggested we try ‘in vitro fertilisation’ (IVF) treatment with his smuggled sperm,” Bushra Abu Saafi told IPS from her father’s apartment, where she lives with her five children.

The majority of Palestinian households have at least one relative in an Israeli prison. For a people under occupation, political prisoners become part of the collective identity, they are adopted by Palestinians as long lost brothers, sisters, mothers or fathers and are celebrated at Prisoners’ Day marches and recurring demonstrations.

In the private sphere, the prisoners continue to be individuals and occupy prominent places in the home. Their handicrafts are displayed with pride, their photos adorn each room and the vacuum they have left is still palpable.

A flowery picture frame with a photo of her smiling husband Saleh in his twenties sits on a side table in Bushra’s living room. He was arrested at the age of 23, accused of being part of the Islamic Jihad. They had been married for five years and only two of their children have had the privilege of spending some time with him as a family.

When Saleh was imprisoned, Bushra was pregnant with Ahmed. “It hasn’t been easy these past 11 years,” she told IPS.  “We miss him terribly, my son Ahmad especially. He doesn’t know the meaning of the word ‘father’. He tells me ‘when I grow up I want to be like grandad’.”

Smuggling new life out of jail

Entering a fourth pregnancy was something Bushra did not take lightly and her father worried about the extra pressure. “When Saleh proposed this to me from prison, I was sceptical,” she confessed. “My family and I worried about what people would say. Imagine, pregnant with a husband in jail!”

She need not have worried. The advice she was given, like other women undergoing IVF in this way, was to tell everyone in her family and village that her husband’s sperm had been brought out and would be used for insemination. Since then, local media stations have helped spread the story and both Palestinian society and local religious authorities have been highly supportive.

“In the end, my father saw that it was my desire to try for another baby and eventually supported my choice,” Bushra said. It took two months and many tests before she could be ready for the operation.

Although the women do not wish to discuss how the sperm is smuggled past Israeli security and out of prison, it is acknowledged that it may be slipped into the clothes of  unaware children.

While wives talk to imprisoned husbands through glass and over a phone, children are the only ones allowed physical contact at the end of a visit. The clinics performing the operation,  both in Gaza and in the West Bank, report that sperm has arrived in a variety of improvised containers, from sweet wrappers to eye drop bottles.

“The preparation, the waiting, it was all very tough,” said Bushra. “But when the news came that I was pregnant, the pressure was off and we finally celebrated.” The double surprise came later, when she was told that twins were expected.

She describes the steps leading to this pregnancy as being about resistance and overcoming challenges. “After the suffering I am put through with each visit, with the searches and the humiliation, with this pregnancy, with Karam and Adam, I wanted to show that rules can be broken.”

Fertility and non-violent resistance

According to Liv Hansson, a Danish public health specialist who has researched fertility in Palestine, the practice of sperm smuggling only makes associations between fertility and resistance easier to draw.

“In a context such as Palestine, where women are well educated and child mortality is low, a lower fertility rate would be expected according to classic demography,” Hansson told IPS. The fertility rate of 4.1 registered in Palestine between 2011 and 2013, then, must be seen in the light of Israel’s ongoing occupation.

Indeed, fertility has long been considered by Palestinians as part of resistance efforts against Israel’s military occupation. For its part, Israel views high fertility rates in the West Bank and Gaza, and in majority Palestinian areas inside Israel, as a very real threat. Talk of the ‘demographic time-bomb’ – the time when Palestinians will outnumber Jewish Israelis – is very common.

“Former Palestinian president Yasser Arafat famously stated that ‘the wombs of Palestinian women are the greatest weapon of Palestine’,” Hansson told IPS. “Fertility is seen as something of interest not only to the family but to the community, society at large and to politicians too.”

The wait

Bushra and her five children will have to wait three more years to be reunited as a family with Saleh. Since 2012, following the release of kidnapped Israeli soldier Shalit, Israel’s Prison Service has been slowly reinstating visiting rights for family and prisoners from Gaza.

Ahmed saw his father two years ago for the first time, Hula six months ago and for the twins, the only meeting so far has been through the photograph on the side table, portraying Saleh as a young man eager to live life.

Edited by Phil Harris    

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World Population to Hit 8.5 Billion by 2030 Thu, 30 Jul 2015 10:46:25 +0000 Aruna Dutt Mothers and their children gather at a community nutrition centre in the little village of Rantolava, Madagascar, to learn more about a healthy diet. Credit: Alain Rakotondravony/IPS

Mothers and their children gather at a community nutrition centre in the little village of Rantolava, Madagascar, to learn more about a healthy diet. Credit: Alain Rakotondravony/IPS

By Aruna Dutt

The global population has now reached 7.3 billion. In the last 12 years, the world has added approximately one billion people, and in the next 15 years this is expected to occur again.

The United Nation’s new global and regional population estimates and projections entitled “World Population Prospects: The 2015 Revision” predicts the population will reach 8.5 billion in 2030, a further 9.7 billion in 2050 and 11.2 billion by 2100.

Nine per cent of the world’s population lives in the 21 “high-fertility” countries, where the average woman would have five or more children in her lifetime. Of these 21 countries, 19 are in Africa and two are in Asia.

It is estimated that over half of this population growth will occur in Africa  – even if there is a substantial reduction of fertility levels which population growth is highly dependent on. Africa also has the highest adolescent birth rate: 98 out of 1,000 women.

Africa will “play a central role in shaping the size and distribution of the world’s population over the coming decades,” says the report.

In the 48 least developed countries (LDCs), of which 27 are in Africa, the population is projected to double or even triple in most of the countries. Countries which are predicted to increase at least five-fold by 2100 include Angola, Burundi, Democratic Republic of Congo, Malawi, Niger, Somalia, Uganda, Tanzania, and Zambia.

The least developed countries are much less likely to develop unless the challenges of population growth are properly dealt with, it says.

The concentration of population growth in the poorest countries makes it harder for their governments to “eradicate poverty and inequality, combat hunger and malnutrition, expand education enrollment and health systems, improve the provision of basic services and implement other elements of the post 2015 sustainable development agenda.”

In least developed countries, steep reductions in fertility are expected. The goal is for women and families to achieve their desired family size by investing in reproductive health and family planning.

The report stresses the necessity of ensuring reproductive health, access to accurate information and the safe, effective, affordable and acceptable contraception method of their choice is necessary, according to the United Nations Population Fund. Women’s lack of support from their partners or communities is also a deterrent, and it is common for family planning to be discouraged.

Edited by Kitty Stapp

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U.N.’s Post-2015 Development Agenda Under Fire Wed, 29 Jul 2015 23:19:17 +0000 Thalif Deen Secretary-General Ban Ki-moon (second from left) with Irish Minister and UNICEF Goodwill Ambassador in Dublin. Credit: UN Photo/Evan Schneider

Secretary-General Ban Ki-moon (second from left) with Irish Minister and UNICEF Goodwill Ambassador in Dublin. Credit: UN Photo/Evan Schneider

By Thalif Deen

The U.N.’s highly ambitious post-2015 development agenda, which is expected to be finalised shortly, has come fire even before it could get off the ground.

A global network of civil society organisations (CSOs), under the banner United Nations Major Groups (UNMG), has warned that the agenda, which includes 17 Sustainable Development Goals (SDGs), “lacks urgency, a clear implementation strategy and accountability.”“We hoped for a progressive and fair financing agreement that addressed the root causes of global economic inequality and its impact on women’s and girls’ lives. But that’s not what we got." -- Shannon Kowalski

Savio Carvalho of Amnesty International (AI), which is part of the UNMG, told IPS the post-2015 agenda has become an aspirational text sans clear independent mechanisms for people to hold governments to account for implementation and follow-up.

“Under the garb of national ownership, realities and capacities, member states can get away doing absolutely nothing. We would like them to ensure national priorities are set in conformity with human rights principles and standards so that we are not in the same place in 2030,” he added.

The 17 SDGs, which are to be approved by over 150 political leaders at a U.N. summit meeting in September, cover a wide range of socio-economic issues, including poverty, hunger, gender equality, sustainable development, full employment, quality education, global governance, human rights, climate change and sustainable energy for all.

All 17 goals, particularly the eradication of extreme poverty and hunger worldwide, are expected to be met by the year 2030.

The proposed follow-up and review, as spelled out, lacks a strong accountability mechanism, “with several references to national sovereignty, circumstances and priorities which risk undermining the universal commitment to deliver on the SDGs,” says UNMG.

“We are wondering how committed member states will be able to ensure genuine public participation, in particular of the most marginalised in each society, in decisions that will have an impact on their lives.”

This applies also to questions related to financing (budget allocations) in the actual implementation of the agenda, says a statement titled “Don’t break Your Promise Before Making it”.

“We are keen to ensure that people are able to hold governments to account to these commitments so that these goals are delivered and work for everyone,” says UNMG, which includes a number of coalitions and networks who will be monitoring the post-2015 process.

These groups include CSOs representing women, children and youth, human rights, trade unions and workers, local authorities, volunteers and persons with disabilities.

Asked about the composition of the UNMG, Jaimie Grant, who represents the secretariat for Persons with Disabilities, told IPS that UNMG is the official channel for the public to engage with the United Nations on matters of sustainable development.

“Across all these groups, stakeholders and networks, we share some very broad positions, but there are many thousands of organisations feeding in to it, in various capacities, with various positions and priorities,” he explained.

Adding strength to the chorus of voices from the opposition, the Women’s Major Groups, representing over 600 women’s groups from more than 100 countries, have also faulted the development agenda, criticising its shortcomings.

Shannon Kowalski, director of Advocacy and Policy at the International Women’s Health Coalition, told IPS the SDGs could be a major milestone for women and girls.

They have much to gain: better economic opportunities, sexual and reproductive health care and information and protection of reproductive rights, access to education, and lives free from violence, she noted.

“But in order to make this vision a reality, we have to ensure gender equality is at the heart of our efforts, recognising that it is a prerequisite for sustainable development,” she added.

The coalition includes Women in Europe for a Common Future, Equidad de Genero (Mexico), Global Forest Coalition, Women Environmental Programme, Asia Pacific Forum on Women, Law and Development, WEDO (Women’s Environment and Development) and the Forum of Women’s NGOs (Kyrgyzstan).

Kowalski also expressed disappointment over the outcome of the recently concluded conference on Financing for Development (FfD) in Addis Ababa.

“We hoped for a progressive and fair financing agreement that addressed the root causes of global economic inequality and its impact on women’s and girls’ lives. But that’s not what we got,” she said.

“We expected strong commitments on financing for gender equality and recognition of the value of women’s unpaid care work. We expected governments to address the systemic drivers of inequalities within and between countries, to establish fair tax policies, to stop illicit financial flows, and to address injustices in international trade structures that disadvantage the poorest countries.”

“We were disappointed that there were no new commitments to increase public financing in order to achieve the SDGs,” Kowalski declared.

Carvalho of Amnesty International said, “It will be impossible to achieve truly transformative sustainable development and to leave no one behind without conducting regular, transparent, holistic and participatory reviews of progress and setbacks at all levels.”

“The agenda acknowledges the need for international financial institutions (IFIs) to respect domestic policy, but does not go far enough to ensure that their activities do not contribute to any human rights violations.”

“I think we need to strengthen the argument for the agenda to be universal – when all countries have to deliver on their commitments and obligations.”

These, he said, include Official Development Assistance (ODA) and tax justice.

Meanwhile, in a statement released to IPS, Beyond 2015, described as a global civil society campaign pushing for a strong successor to the Millennium Development Goals (MDGs), said “for the SDGs to have a real impact on people’s lives everywhere, people themselves must participate in implementing the goals and reviewing progress, and be active agents in decisions affecting them.”

The Beyond 2015 Campaign said it welcomes the focus on inclusion and participation reflected in the current draft that is being negotiated at the United Nations, and “we count on governments to translate their commitments into action as soon as the SDGs are adopted.”

In implementing the SDGs, it is crucial that states honour their commitment to “leave no one behind”.

“This means tracking progress for all social and economic groups, especially the most vulnerable and marginalized, drawing upon data from a wider range of sources, and regular scrutiny with the involvement of people themselves,” the statement added.

Additionally, an even higher level of participation and inclusion is needed, at all levels, when implementation starts.

“People must be aware of the new agenda and take ownership of the goals for real and sustainable changes to occur.”

The Beyond 2015 campaign also welcomed the commitment to an open and transparent follow-up framework for the SDGs, grounded in people’s participation at multiple levels.

“We believe the current draft could be improved by including specific time-bound commitments and endorsing civil society’s role in generating data to review commitments,” it said.

“We insist on the need for governments to translate the SDGs into national commitments as this is a crucial step for governments to be genuinely accountable to people everywhere.”

Edited by Kitty Stapp

The writer can be contacted at

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In Search of Jobs, Cameroonian Women May End Up as Slaves in Middle East Wed, 15 Jul 2015 14:14:15 +0000 Ngala Killian Chimtom The lack of jobs after graduation frequently pushes Cameroonian girls into searching for work opportunities, sometimes overseas and sometimes with horrific consequences. Credit: Ngala Killian Chimtom/IPS

The lack of jobs after graduation frequently pushes Cameroonian girls into searching for work opportunities, sometimes overseas and sometimes with horrific consequences. Credit: Ngala Killian Chimtom/IPS

By Ngala Killian Chimtom
YAOUNDE, Jul 15 2015 (IPS)

Her lips are quavering her hands trembling. Susan (not her real name) struggles to suppress stubborn tears, but the outburst comes, spontaneously, and the tears stream down her cheeks as she sobs profusely.

The story of this 28-year-old’s servitude in Kuwait is mind-boggling. Between her sobs, she tells IPS how she left Cameroon two years ago in search of a job in Kuwait.

“I saw job opportunities advertised on billboards in town. The posters announced jobs such as nurses and housemaids in Kuwait. As a nurse and without a job in Cameroon, I decided to take the chance.”"We were herded off to a small room. There were many other girls there: Ghanaians, Nigerians and Tunisians … [then] bidders came and we were sold off like property" – Susan, a young Cameroonian women who escaped from slavery in Kuwait

With the help of an agent whose contact details she found on the billboard, Susan found herself on a plane, bound for Kuwait.

She was excited at the prospect of earning up to 250,000 CFA francs (420 dollars) a month. That is what the agent had told her, and it was a mouth-watering sum compared with the roughly 75 dollars she would have been earning in Cameroon, if she had a job.

“We work in liaison with companies in the Middle East, so that when these ladies go, they don’t start looking for jobs,” Ernest Kongnyuy, an agent in Yaounde told IPS.

But the story changed dramatically when Susan, along with 46 other Cameroonian girls, arrived in Kuwait on Nov. 8, 2013.

“We were herded off to a small room. There were many other girls there: Ghanaians, Nigerians and Tunisians,” then “bidders came and we were sold off like property.”

Susan was taken away by an Egyptian man. “I think I got a taste of hell in his house,” she says, tears streaming down her cheeks.

She would begin work at five in the morning and go to bed after midnight, very often sleeping without having eaten.

Very frequently, she tells IPS, the man tried to rape her but when she threatened to report the case to the police, she met with a wry response from her tormentor. “He told me he would pay the police to rape me and then kill me, and the case wouldn’t go anywhere.”

Cut off from all communication with the outside world, Susan says that she found solace only in God. “I prayed … I cried out to God for help,” she recalls.

Susan’s is not an isolated case. Brenda, another Cameroonian lucky enough to escape, has a similar story. She had to wash the pets of her master, which included cats and snakes.

“I was sharing the same toilet with cats … I called them my brothers, because they were the only “persons” with whom I conversed.”

Pushed to the limits, both girls told their employers that they were not ready to work any longer. Brenda says that when she insisted, she was thrown out of the house.

“At that time I was frail, I was actually dying and I didn’t know where to go.” After trekking for two days, she found the Central African Republic’s embassy and slept for two days in front of it before she was rescued.

Susan was locked in the boot of a car and taken to the agent who had brought her from the airport.

“Events moved so fast and I found myself spending one week in immigration prison and an additional three days in deportation prison,” she says.

When both girls were finally put on a flight bound for Cameroon, all their property had been seized, except for their passports and the clothes they were wearing.

The scale of the problem is troubling. According to the 2013 Walk Free Global Index of Slavery, about three-quarters of a million people are enslaved in the Middle East and North Africa.

The report indicates that for the past seven years, Kuwait and Saudi Arabia have been ranked as Tier 3 countries for human trafficking and labour abuses. Tier 3 countries are those whose governments do not fully comply with the minimum standards in human trafficking and are not making significant efforts to do so.

Apart from Africa, people from India, Nepal, Eritrea, Uzbekistan, etc. … “migrate voluntarily for domestic work, convinced of the employment agencies’ promises of lucrative jobs,” said the report.

“Upon entering the country, they find themselves deceived and enslaved – within the bounds of a legal sponsorship system.”

Susan and Brenda are now back home, but they are suffering from the trauma of their horrible experience in Kuwait.

The Trauma Centre for Victims of Human Trafficking in Cameroon has been working to bring relief to the women. “We try to make them feel at home,” says Beatrice Titanji, National Vice-President of the Centre.

“They have been exposed to bad treatment. They have been called animals. They have been told they stink, and when they enter the car or a room, a spray is used to take away the supposed odour … I just can’t fathom seeing my child treated like that,” she told IPS.

She called on the government to investigate and prosecute the agents, create jobs and mount guard at airports to discourage Cameroonians from going to look for jobs in the Middle East.

Edited by Phil Harris   

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Opinion: Women in Sport – Scoring for Equality Mon, 13 Jul 2015 12:59:12 +0000 Phumzile Mlambo-Ngcuka

Dr. Phumzile Mlambo-Ngcuka is UN Under-Secretary-General and Executive Director, UN Women

By Phumzile Mlambo-Ngcuka

The Women’s World Cup has shown people everywhere what women athletes are all about: skill, strength, unity and determination. I extend my heartfelt congratulations to the winners – the team from the United States – and to all others who participated. You are inspiring millions of women and girls around the world to pursue their goals and dreams.

Dr. Phumzile Mlambo-Ngcuka. Photo: Marco Grob

Dr. Phumzile Mlambo-Ngcuka. Photo: Marco Grob

Women are far more visible in sports today than at any previous point in history. The Women’s World Cup, as just one example, reached tens of millions of viewers, breaking television ratings records. The teams in that event were doing more than adroitly blocking a pass or scoring a goal.

They were challenging stereotypes and demonstrating women’s leadership and other abilities that can readily translate into many other domains. Perseverance and team spirit, among other values, can take women far in business, politics, scientific research, the arts and any other field.

As inspiring as the Women’s World Cup is, however, it also reminds us that gender inequalities still plague professional sports. For example, the women were required to play on artificial turf, which is often regarded as more physically punishing than natural grass – the surface favoured by athletes and provided when male teams play.

And there is the name itself—the World Cup is assumed to be for men, while women require the qualifying “Women’s” to describe their event.The total payout for the Women’s World Cup was 15 million dollars, compared with 576 million dollars for the last men’s World Cup—40 times less.

Women players also face a huge pay gap. The total payout for the Women’s World Cup was 15 million dollars, compared with 576 million dollars for the last men’s World Cup—40 times less.

The winning women’s team received two million dollars in prize money, whereas the winning men’s team took away 35 million dollars. The losing U.S. men’s team was still awarded 8 million dollars—four times as much as the champion U.S. women’s team.

Similar pay gaps occur across other professional sports – with the exception of tennis, which since 2007 has awarded equal prize money at all four Grand Slam tournaments. That should be the model to which all other sports aspire. All sports federations should close the gap and put women and men, in this and all other respects, on an equal playing field.

Deeply entrenched, discriminatory notions of women’s diminished status, whether the issue is a playing field or a paycheck, harm individual women and girls. They are denied their rights and blocked from achieving their full potential. Such norms also undermine sport itself, tarnishing notions such as fair play and open competition.

It is time to overturn the barriers and stereotypes, because every step to do so is a step towards gender equality and women’s empowerment. Many women athletes, especially in sports not traditionally considered “feminine”, lead the way, with grit and grace.

Sports programmes have been successful in reducing restrictions on mobility and social isolation that many women and girls experience, particularly those who live in poverty, and who might otherwise be mainly confined within their communities and families.

Through sport, women and girls can find safe places to gather, build new interpersonal networks, develop a sense of identity and pursue new opportunities, often in the process becoming more engaged in community life.

Governments, the United Nations, civil society, the sport movement and others have recognized the contribution of sports to the social, economic and political empowerment of women and girls. Now is the time to act on this recognition.

Women and girls should be encouraged to explore sports, and anyone who would like to participate should be able to do so. In some cases, this may require increased investments; in others, a rebalancing of resources to ensure equal opportunities for men and women, girls and boys.

Sport and the pursuit of gender equality can be mutually reinforcing — through the creation of role models, the promotion of values and powerful outreach. Both can generate a dream and drive people to strive for change, unleashing tremendous benefits for individuals and for our societies at large.

Edited by Kitty Stapp

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“Get to Zero, Stay at Zero” – The Comprehensive Plan to End Ebola Sat, 11 Jul 2015 10:51:17 +0000 Aruna Dutt By Aruna Dutt

“The threat is never over until we rebuild,” Sierra Leone’s President Ernest Bai Koroma stressed at an Ebola Recovery Conference Friday in New York.

On May 9, the west African country of Liberia was declared Ebola-free by the World Health Organization (WHO) after 14 long months battling against the disease. However, two months later,  in only one week ending Jul. 5,  there were 30 confirmed Ebola cases reported in West Africa, three in Liberia, nine in Sierra Leone, and 18 in Guinea, according to the United Nations.

Koroma said that Ebola is a “stubborn enemy” which tends to keep showing its face.

“The battle now is to get the few cases down to zero, and getting our countries and the whole world to stay at zero,Koroma asserted.

During the one-day high-level conference, the presidents of these three west African countries came together at the U.N. headquarters in New York along with Secretary-General Ban Ki-moon, Zimbabwe’s President and Chair of the African Union, Robert Mugabe, as well as many other key actors to focus international attention, share recovery plans and raise funds.

In the sub-regional recovery plan there is a strong focus on rebuilding the health institutions, which were already fragile before the epidemic, according to the World Bank’s latest reports, with 4,022 more maternal related deaths of women per year predicted  in West Africa because of the  loss of health workers due to Ebola.

President Mugabe said that “we cannot afford to be complacent” because the underlying causes of the diseases’ exacerbation still exist.

Although there is emphasis on health, the recovery plans are comprehensive, focusing on  issues from water, and sanitation, to gender, youth and social protection; and even information and communication technology.

President of Liberia Ellen Johnson-Sirleaf  speaking on behalf of the Mono River Union (MRU), the intergovernmental institution comprising the three countries  — Guinea, Sierra Leone, and Liberia —  stated that the plan is fully aligned with development plans, with a focus on “empowering our communities who were determined to protect their lives and their livelihoods”, cash transfers to local communities being a central part of the plan.

Sirleaf stated that 4 billion dollars was the amount needed for the next two years to implement the sub-regional plans, however over 5 billion dollars was promised during the pledging segment of the conference.

Both Mugabe and Sirleaf  called on the international community for a debt cancellation of 3.16 billion for the three countries, and Mugabe called on the private sector, especially those involved in extracting natural resources, to be socially responsible and engage in building economic resilience in their countries.

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Humanitarian Emergencies Lend Urgency to World Population Day Wed, 08 Jul 2015 16:47:17 +0000 Thalif Deen A group of young Somali girls at the Ifo 2 Refugee Camp in Dadaab, Kenya, which is supported by the United Nations High Commissioner for Refugees (UNHCR). Credit: UN Photo/Evan Schneider

A group of young Somali girls at the Ifo 2 Refugee Camp in Dadaab, Kenya, which is supported by the United Nations High Commissioner for Refugees (UNHCR). Credit: UN Photo/Evan Schneider

By Thalif Deen

On the eve of World Population Day, the United Nations is fighting a virtually losing battle against growing humanitarian emergencies triggered mostly by military conflicts that are displacing people by the millions – and rendering them either homeless or reducing them to the status of refugees.

The number of forcibly displaced people has risen to a record number – almost 60 million at the end of 2014, according to the latest U.N. figures.“Governments and electorates are increasingly loath to accept large numbers of people who are in great need, ethnically different and may pose threats to social stability.” -- Joseph Chamie

But that number will continue to rise through 2015 – judging by the unprecedented number of refugees fleeing their home countries, and mostly crossing the Mediterranean Sea, seeking safe havens in European countries.

“Among these, most women and adolescent girls face particular threats as a result of the absence of health and other essential services that they need,” says U.N. Under-Secretary-General Dr. Babatunde Osotimehin, executive director of the U.N. Population Fund (UNFPA).

“The complex emergencies we are responding to include protracted conflicts, made worse by poor or failed governance, the consequences of climate change, and the engagement of extremist groups claiming territory, resources and power,” he points out.

The theme of this year’s World Population Day – “Vulnerable Populations in Emergencies” – is aimed at highlighting the special needs of women and adolescent girls during conflicts and humanitarian disasters.

According to the United Nations, the number of people requiring critical relief has more than doubled since 2004, to over 100 million today, over and above the 60 million displaced people.

Current funding requirements for 2015 stand at a staggering 19.1 billion dollars compared with 3.4 billion dollars in 2004.

Joseph Chamie, former director of the United Nations Population Division, told IPS the focus of the 2015 World Population Day, which will be commemorated on July 11, is both timely and appropriate given that a record number of more than 60 million men, women and children have been displaced from their homes.

Although the current number of people displaced is at a record high, it will likely increase to substantially higher levels in the coming years as the political unrest and civil conflicts remain unresolved and become more widespread, he noted.

“The forced displacement of millions of men, women and children has created a humanitarian crisis that is challenging countries in every region of the world.”

Chamie said the many services needed by the vulnerable people, including food, shelter, clothing, health care, schooling and safety, are overwhelming the capacities of governments and non-governmental organisations (NGOs).

Unfortunately, the international community has not been able to agree on a comprehensive solution to the crisis, he pointed out.

“Governments and electorates are increasingly loath to accept large numbers of people who are in great need, ethnically different and may pose threats to social stability.”

Chamie said economic uncertainties, record government deficits, high unemployment and concerns about national and cultural identity are contributing to growing anti-immigrant sentiment.

According to a report by the U.N. Refugee Agency (UNHCR) released last week, the large majority of the 137,000 people who crossed the Mediterranean Sea into Europe during the first half of this year were fleeing from war, conflict or persecution, making the Mediterranean crisis primarily a refugee one.

The report said one third of people arriving in Italy or Greece were from Syria, whose nationals are almost universally deemed to qualify for refugee status or other forms of protection.

The second and third most common countries of origin are Afghanistan and Eritrea, whose nationals are also mostly considered to qualify for refugee status.

There was an 83 per cent increase in refugees and migrants crossing the Mediterranean from January to June — 137,000 compared to 75,000 in the same period last year, according to UNHCR.

The number of deaths at sea rose to record levels in April of this year, when more than 1,300 people drowned or went missing in a single month, compared to 42 last April.

In a statement released here, UNFPA said women and adolescent girls who are caught up in humanitarian emergencies also face much greater risk of abuse, sexual exploitation, violence and forced marriage during conflicts and natural disasters.

In addition, many women who survive a crisis become heads of household, with the sole responsibility of caring for their children.

They often have to overcome immense obstacles to provide health and care for children, the sick, the injured and the elderly, and bear the heaviest burden of relief and reconstruction. As a result, they may neglect their own needs as they care for others, UNFPA said.

One of the priorities of UNFPA is to empower and safeguard the well-being of women, adolescent girls, and young people and address their specific needs and concerns.

“We work closely with governments, the United Nations system, local partners and others on disaster preparedness to ensure that reproductive health is integrated into emergency responses.”

“On this World Population Day, we call on the international community to redouble efforts to protect the health and rights of women and girls”, the agency said.

Edited by Kitty Stapp

The writer can be contacted at

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Toilets with Piped Music for Rich, Open Defecation on Rail Tracks for Poor Tue, 30 Jun 2015 21:34:08 +0000 Thalif Deen Children investigate their community's newly improved toilets, one of UNOCI's “quick impact projects” (QIPS) which supported the rehabilitation of schools and toilets in Abidjan. Credit: UN Photo/Patricia Esteve

Children investigate their community's newly improved toilets, one of UNOCI's “quick impact projects” (QIPS) which supported the rehabilitation of schools and toilets in Abidjan. Credit: UN Photo/Patricia Esteve

By Thalif Deen

As most developing nations fall short of meeting their goals on sanitation, the world’s poorest countries have been lagging far behind, according to a new U.N. report released here.

The Joint Monitoring Programme report, ‘Progress on Sanitation and Drinking Water: 2015 Update and MDG Assessment’, authored by the U.N. children’s agency UNICEF and the World Health Organisation (WHO), says one in three people, or 2.4 billion worldwide, are still without sanitation facilities – including 946 million people who defecate in the open.“We cannot have another situation where we appear to be succeeding because the situation of the comparatively wealthy has improved, even as millions of people are still falling ill from dirty water or from environments that are contaminated with faeces." -- Tim Brewer of WaterAid

“What the data really show is the need to focus on inequalities as the only way to achieve sustainable progress,” said Sanjay Wijesekera, head of UNICEF’s global water, sanitation and hygiene programmes.

“The global model so far has been that the wealthiest move ahead first, and only when they have access do the poorest start catching up. If we are to reach universal access to sanitation by 2030, we need to ensure the poorest start making progress right away,” he said.

Pointing out the existing inequities, the report says progress on sanitation has been hampered by inadequate investments in behaviour change campaigns, lack of affordable products for the poor, and social norms which accept or even encourage open defecation.

Although some 2.1 billion people have gained access to improved sanitation since 1990, the world has missed the Millennium Development Goal (MDG) target by nearly 700 million people.

Today, only 68 per cent of the world’s population uses an improved sanitation facility – 9 percentage points below the MDG target of 77 per cent.

Still, the world has made “spectacular progress” in water, Jeffrey O’Malley, Director, Data, at UNICEF’s Research and Policy Division, told reporters Tuesday.

In 2015, 91 percent of the global population used an improved drinking water source, up from 76 percent in 1990, while 6.6 billion people have access to improved drinking water.

The total without access globally is now 663 million, almost a 100 million fewer than last year’s estimate, and the first time the number has fallen below 700 million.

As the MDGs expire this year, the goal on water has been met overall, but with wide gaps remaining, particularly in Sub-Saharan Africa.

The goal on sanitation, however, has failed dramatically. At present rates of progress it would take 300 years for everyone in Sub-Saharan Africa to get access to a sanitary toilet, said the report.

Tim Brewer, Policy Analyst on Monitoring and Accountability at the London-based WaterAid, told IPS the MDG goal on water was met largely because of those who were easiest to reach.

“The poorest are often still being left behind. What we need to do in the new U.N. Sustainable Development Goals (SDGs), now under negotiation, is to make sure that progress for the poorest is made the headline figure.”

“We cannot have another situation where we appear to be succeeding because the situation of the comparatively wealthy has improved, even as millions of people are still falling ill from dirty water or from environments that are contaminated with faeces,” he noted.

Brewer said monitoring is key: “We need to measure basic access for the poor, as well as measuring other indicators such as whether water is safe and affordable, and whether wastewater is safely treated.”

“This is the only way to make sure we reach everyone, everywhere by 2030 and hold governments accountable to their promises,” he argued.

In countries like Japan and South Korea, according to published reports, sanitation is far beyond a basic necessity: it has the trappings of luxury with piped in music, automatic flushing, and in some cases, scenic window views — even while millions in developing nations defecate openly in nearby rural jungles or on rail tracks (with their bowel movements apparently being coordinated with train schedules, according to a New York Times report.)

The practice of open defecation is also linked to a higher risk of stunting – or chronic malnutrition – which affects 161 million children worldwide, leaving them with irreversible physical and cognitive damage.

“To benefit human health it is vital to further accelerate progress on sanitation, particularly in rural and underserved areas,” says Dr Maria Neira, Director of the WHO Department of Public Health, Environmental and Social Determinants of Health.

Asked if it would be realistic for sanitation goals to be rolled into the proposed SDGs with a target date of 2030, UNICEF’s Wijesekera told IPS that an even more ambitious sanitation target is suggested for the new SDG agenda – to eliminate open defecation and achieve universal access to sanitation.

“I think the goal of achieving universal access to sanitation by 2030 is possible, but only if we start focusing on the poorest and most vulnerable right now (rather than waiting for the wealthiest to gain access first, as has historically been the case).”

He said: “We can also learn from the successes of the past 25 years, and especially the last 15. A number of countries have made rapid gains during the MDG era.’

For example, he pointed out, Ethiopia has reduced open defecation rates by 64 percentage points and Thailand has closed the gap in access between the richest and the poorest.

This shows what is possible when countries recognise the importance of tackling inequalities in access to Water, Sanitation and Hygiene (WASH), thus unlocking wider benefits in health, nutrition, education and economic productivity, he noted.

Asked how the sanitation problem can be resolved, Wijesekera told IPS: “Sanitation is not rocket science; most developed countries take it for granted.”

“But our experience on the ground in developing countries shows that it is not just a question of governments investing money and technology. It is also about changing ordinary people’s attitudes and behaviours, and this takes time,” he said.

Sanitation can best be addressed by countries establishing and investing in people and systems at a local level to change people’s behaviours, and to get the private sector engaged in providing affordable and good quality products and services for the poor.

This, he said, needs to be led by countries themselves, and donors, international organisations and the private sector all have a role in providing financing and expertise.

He also said there is a growing awareness of the importance of sanitation as a foundation for human and economic development.

World leaders – from the U.N. Secretary-General, to the President of the World Bank, to the Prime Minister of India – are all talking about it.

“We need to translate this high level political support into action in order for all people to have access to what is theirs as a human right: clean drinking water and adequate sanitation,” said Wijesekera.

Edited by Kitty Stapp

The writer can be contacted at

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Women’s Groups Say Gender Equality is a Must for Sustainable Development Wed, 24 Jun 2015 17:41:30 +0000 Beatriz Ciordia By Beatriz Ciordia

On the eve of negotiations on the political declaration for the United Nations Summit to adopt the Post-2015 Development Agenda, the Women’s Major Group (WMG) calls on governments to define a transformative agenda to ensure just, sustainable and rights-based development.

The goal of the event “No Sustainable Development Without Equality”, held on Tuesday, was to launch 10 Red Flags reflecting concern about gender equality and human rights and highlighting the areas that need to be strengthened to achieve a truly transformative agenda.

“Gender equality and human rights are cross-cutting priorities but they have never received enough recognition,” said Eleanor Blomstrom, WMG Organising Partner and Program Director of Women’s Environment and Development Organization (WEDO).

“If we want the Post-2015 Development Agenda to be successful, these issues must be fully recognised as critical priorities,” she added.

Women and girls comprise the majority of people living in poverty, experience persistent and multidimensional inequalities, and bear a disproportionate burden of the impacts of financial and environmental crisis, natural disasters and climate change.

According to the United Nations Development Programme (UNDP), girls account for the majority of children not attending school; almost two-thirds of women in the developing world work in the informal sector or as unpaid workers in the home. Despite greater parliamentary participation, women are still out numbered four-to-one in legislatures around the world.

Gender equality and the full realisation of the human rights of girls and women of all ages are cross-cutting issues themselves but they’re also essential for poverty eradication and to achieve the Sustainable Development Goals (SDGs).

Nurgul Djanaeva, WMG Organizing Partner and President of the Forum of Women’s NGOs of Kyrgyzstan, stressed the importance of keeping the private and public sector accountable, especially on gender equality, in order to achieve gender equality and sustainable development.

“There must be regional, national and global reviews and constant data collection and analysis. Likewise, all the results need to be measured,” she said.

“Transparent and inclusive processes, as well as effective monitoring and evaluative mechanisms, are a must here. A lack of accountability tools is considered as a violation of human rights”, she added.

Speakers at the event also put special emphasis on the key role played by feminist organisations at both the grassroots and international levels, as well as the urgent need for international cooperation and public-private partnerships to achieve gender equality and therefore sustainable development.

Edited by Kitty Stapp

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Costa Rican Women Try to Pull Legal Therapeutic Abortion Out of Limbo Wed, 24 Jun 2015 17:21:01 +0000 Diego Arguedas Ortiz In public hospitals in Costa Rica, like the Rafael Ángel Calderón hospital in San José, there is no protocol regulating legal therapeutic abortion, for doctors to follow. As a result, physicians restrict the practice to a minimum, leaving women without their right to terminate a pregnancy when their health is at risk. Credit: Diego Arguedas Ortiz/IPS

In public hospitals in Costa Rica, like the Rafael Ángel Calderón hospital in San José, there is no protocol regulating legal therapeutic abortion, for doctors to follow. As a result, physicians restrict the practice to a minimum, leaving women without their right to terminate a pregnancy when their health is at risk. Credit: Diego Arguedas Ortiz/IPS

By Diego Arguedas Ortiz
SAN JOSE, Jun 24 2015 (IPS)

The lack of clear regulations and guidelines on therapeutic abortion in Costa Rica means women depend on the interpretation of doctors with regard to the circumstances under which the procedure can be legally practiced.

Article 121 of Costa Rica’s penal code stipulates that abortion is only legal when the mother’s health or life is at risk. But in practice the public health authorities only recognise risk to the mother’s life as legal grounds for terminating a pregnancy.

“The problem is that there are many women who meet the conditions laid out in this article – they ask for a therapeutic abortion and it is denied them on the argument that their life is not at risk,” Larissa Arroyo, a lawyer who belongs to the Collective for the Right to Decide, an organisation that defends women’s sexual and reproductive rights, told IPS.

“The problem isn’t the law, but the interpretation of the law,” said Arroyo.

She and other activists are pressing for Costa Rica to accept the World Health Organisation’s definition of health, which refers to physical, mental and social well-being, in connection with this issue.

Many doctors in public hospitals, unclear as to what to do when a pregnant woman requests an abortion, refuse to carry out the procedure regardless of the circumstances.

Illegal abortion in Costa Rica is punishable by three years in prison, or more if aggravating factors are found.

“It’s complicated because in the interactions we have had with doctors, they tell us: ‘Look, I would do it, but I’m not allowed to’,” said Arroyo.

Others say they have a conscientious objection to abortion, in this heavily Catholic country.

In Costa Rica, abortion is illegal in all other situations normally considered “therapeutic”, such as rape, incest, or congenital malformation of the fetus.

Activists stress the toll on women’s emotional health if they are forced to bear a child under such circumstances.

“Many women don’t ask for an abortion because they think it’s illegal,” Arroyo said. “If both women and doctors believe that, there’s no one to stick up for their rights.”

This creates critical situations for women like Ana and Aurora, two Costa Rican women who were carrying fetuses that would not survive, but which doctors did not allow them to abort.

In late 2006, a medical exam when Ana was six weeks pregnant showed that the fetus suffered from encephalocele, a malformation of the brain and skull incompatible with life outside the womb.

Ana, 26 years old at the time, requested a therapeutic abortion, arguing that carrying to term a fetus that could not survive was causing her psychological problems like depression. But the medical authorities and the Supreme Court did not authorise an abortion. In the end, her daughter was born dead after seven hours of labour.

The Collective for the Right to Decide and the Washington-based Center for Reproductive Rights brought Ana’s case before the Inter-American Commission on Human Rights (IACHR), as well as that of Aurora, who was also denied the right to a therapeutic abortion.

Her case is similar to Ana’s. In 2012, it was discovered that her fetus had an abdominal wall defect, a kind of birth defect that allows the stomach, intestines, or other organs to protrude through an opening that forms on the abdomen. Her son, whose legs had never developed, and who had severe scoliosis, died shortly after birth.

In 2011, the United Nations Committee on the Elimination of Discrimination against Women (CEDAW) expressed concern that “women do not have access to legal abortion because of the lack of clear medical guidelines outlining when and how a legal abortion can be conducted.”

It urged the Costa Rican state to draw up clear medical guidelines, to “widely disseminate them among health professionals and the public at large,” and to consider reviewing other circumstances under which abortion could be permitted, such as rape or incest.

The international pressure has grown. Costa Rican Judge Elizabeth Odio, recently named to the San José-based Inter-American Court of Human Rights, said in a Jun. 20 interview with the local newspaper La Nación that “it is obvious that therapeutic abortion, which already exists in our legislation, should be enforced.”

“There are doctors who believe therapeutic abortion is a crime, and they put women’s lives at risk,” said Odio.

In March, Health Minister Fernando Llorca acknowledged that “there is now a debate on the need for developing regulations on therapeutic abortion – a debate that was necessary.”

Activists are calling for a protocol to regulate legal abortion, established by the social security system, CCSS, which administers the public health system and health services, including hospitals. But progress towards a protocol has stalled since 2009.

“For several years we have been working on a protocol with the Collective and the CCSS,” said Ligia Picado, with the Costa Rican Demographic Association (ADC). “But once it was completed, the CCSS authorities referred it to another department, and the personal opinions of functionaries, more emotional than legal, were brought to bear.”

The activist, a member of one of the civil society organisations most heavily involved in defending sexual and reproductive rights, told IPS that “the problem is that there is no protocol or guidelines that health personnel can rely on to support the implementation of women’s rights.”

Picado said the need for the protocol is especially urgent for women whose physical or emotional health is affected by an unwanted pregnancy and who can’t afford to travel abroad for an abortion, or to have a safe, illegal abortion at a clandestine clinic in this country.

Statistics on abortions in this Central American country of 4.7 million people are virtually non-existent. According to 2007 estimates by ADC, 27,000 clandestine abortions are practiced annually. But there are no figures on abortions carried out legally in public or private health centres.

Groups of legislators have begun to press the CCSS to approve the protocol, and on Jun. 17 the legislature’s human rights commission sent a letter to the president of the CCSS.

“We hope the CCSS authorities will realise the need to issue the guidelines so that doctors are not allowed to claim objections of conscience and will be obligated to live up to Costa Rica’s laws and regulations,” opposition lawmaker Patricia Mora, one of the authors of the letter, told IPS.

Edited by Estrella Gutiérrez/Translated by Stephanie Wildes

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Cameroonian Women and Girls Saying No to Child Marriage Wed, 10 Jun 2015 18:08:52 +0000 Ngala Killian Chimtom Bienvienue Taguieke, now 15, who refused to be sold into marriage when she was 12 for the equivalent of 8.5 dollars. Credit: Ngala Killian Chimtom/IPS

Bienvienue Taguieke, now 15, who refused to be sold into marriage when she was 12 for the equivalent of 8.5 dollars. Credit: Ngala Killian Chimtom/IPS

By Ngala Killian Chimtom
MAROUA, Cameroon, Jun 10 2015 (IPS)

Twelve-year-old Bienvienue Taguieke was expected to obey her parents and marry a man 40 years her senior, but an association of women in Cameroon’s Far North Region, where child marriages are rife, put a stop to it in a sign that women are starting to speaking out against the practice.

“I was a pupil at a government school in Guidimdaz, a village in the Mokolo area of the Far North Region when a man offered 5,000 CFA francs (around 8.50 dollars) to my mother for my hand in marriage. I refused and alerted some people including the headmistress of my school,” Bienvienue, now 15, told IPS.

Bienvienue believes her mother had considered the offer for economic reasons. “I think my mother wanted to sell me because of poverty. My father had died and there was nobody to pay my school fees and take care of us,” she says.“My daughter will not suffer like me. I will do everything to keep her in school. I am appealing to government to outlaw early marriages, so that girls can go to school, and get married only after their studies” – 15-year-old Nabila who succeeded in escaping from her marital home

However, the school’s headmistress, Asta Djarmi, begged Bienvienue’s mother not to give her daughter away to a much older man. “The headmistress stopped the marriage arrangement my mother had initiated, then the people of ALDEPA, a local civic group campaigning against child marriages, intervened and repaid the 5,000 CFA franc “dowry” to this man. They are also the ones paying my school fees today,” says the grateful schoolgirl.

The 15-year-old says she dreamt of becoming a teacher, and that getting married as a child could have ended that dream. Now that she not had to do so has revived that dream.

Hers is not an isolated case of resistance in the region. Across the Far North Region, teenage girls are resisting what they consider a hurtful culture.  In neighbouring Zilling village, for example, 15-year-old Nabila succeeded in escaping from her marital home.

“I was forced by my parents into marrying an elderly man two years ago when I was only 13. I lived in the man’s house for 14 painful days. I felt as if an evil spirit was haunting me and I decided to run away,” the young girl recalled.

But those 14 days left her pregnant, and the teenager now raises the child by herself. Ironically, the man she was coerced to marry has now filed a court case against her, demanding that Nabila return to her marital home.

“I can’t do that,” she insists. “Not for anything in the world.” The premature marriage spoiled her chances of becoming the nurse she had wanted to be and now Nabila insists that she will never let her daughter go through the same trauma.

“My daughter will not suffer like me. I will do everything to keep her in school. I am appealing to government to outlaw early marriages, so that girls can go to school, and get married only after their studies.”

ALDEPA is now providing legal assistance to the teenage mother, and a senior official of the association, Henri Adjini, told IPS that it is currently paying the school fees of 87 teenagers rescued from early marriages.

Adjini said that forced marriages were part of the culture of the local Mafa and the Kapsiki tribes, explaining that parents marry off their daughters in exchange for dowry payments in the form of money, livestock or goods.

“The wish to strengthen family ties and friendships is very important for people here and they believe marrying off their daughters could do just that. Some other parents simply use their daughters to pay off their debts … the young woman’s choice hardly counts here,” he told IPS.

Marrying daughters off is an income-generating strategy in Cameroon, where almost one-third of the country’s 22 million people are poor, according to the United Nations.

In fact, according to the U.N. Population Fund (UNFPA), there is a relationship between early marriage and poverty in the Central African country, with 71 percent of child brides coming from poor households. Figures from the U.N. Children’s Fund (UNICEF) for 2014 show that 31 percent of teenage girls in the Far North Region fall prey to early marriages.

Cameroon’s Minister of Women’s Empowerment and the Family, Marie Therese Abena Ondoa has publicly condemned these marriages, saying that it is “immoral to sell out girls as if they were property.”

Child marriage is not unique to Cameroon, however. Many countries in the region and in the world face similar, or even worse case scenarios.

According to a 2013 UNFPA report, two out of five girls under the age of 18 are married in West and Central Africa. The worst culprit is Niger with 75 percent of child marriages – the highest rate in the world – followed by Chad with 72 percent and Guinea with 63 percent.

Like most governments in the region, Cameroon does little to protect these girls. The legal minimum age of marriage in Cameroon is only 15 years for girls, and 18 years for boys.  Even then, the legal requirement that marriage should only be contracted between two consenting partners is hardly enforced.

Minister Ondoua has helped launch advocacy campaigns and collaborated with NGOs, community and religious leaders in rural areas to educate the population, but she has not been able to convince government to raise the legal marriage age.

Nevertheless, the campaigns have been bearing fruit, with many girls saying “no” to family attempts to sell them off.

Girls like Abba Mairamou who resisted her father’s attempt to sell her off at the age of 12, are a living testimony to this success.

“I was only 12-years-old when my father pulled me out of primary school in 2004 to offer me to his friend as a wife. I refused and my father got angry and wanted to send me away from the house. I was desperate until I was, introduced to the association that fights against violence towards women in Maroua,” Abba says.

“Later, my father was invited to a meeting and he was persuaded to be opposed to early and involuntary marriage .This completely changed my father and me. I not only refused to be a victim of involuntary marriage, but today, I am a fighter against it.”

Abba formed the Association for the Autonomy and the Rights of Girls, known by its French acronym ‘APAD’, to sensitise teenage girls and parents in her Zokkok neighbourhood in Maroua against early marriages.

“We now offer shelter to many victims of forced marriages, and many girls are now standing up to that hurtful custom,” she beams.

Edited by Lisa Vives/Phil Harris

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Inequality Blocks Further Reduction in Child Mortality in Latin America Tue, 09 Jun 2015 16:11:51 +0000 Marianela Jarroud A doctor attends a 10-month-old baby in a public health centre in Bolivia, in one of the regular check-ups that are a requisite for women to receive the mother-child subsidy, one of the mechanisms created to reduce maternal and infant mortality in the country. Credit: Franz Chávez/IPS

A doctor attends a 10-month-old baby in a public health centre in Bolivia, in one of the regular check-ups that are a requisite for women to receive the mother-child subsidy, one of the mechanisms created to reduce maternal and infant mortality in the country. Credit: Franz Chávez/IPS

By Marianela Jarroud
SANTIAGO, Jun 9 2015 (IPS)

The progress that Latin America has made in reducing child mortality is cited by international institutions as an example to be followed, and the region has met the fourth Millennium Development Goal, which is to cut the under-five mortality rate by two thirds.

But this overall picture conceals huge differences between and within countries in the region.

“There have been major strides in reducing child mortality in Latin America and the Caribbean,” said Luisa Brumana, regional health adviser with the United Nations children’s fund, UNICEF.

“However, that improvement has not benefited everyone equally,” she told IPS from the UNICEF Regional Office for Latin America and the Caribbean, in Panama City.“We tend to think that children in rural areas face the worst conditions. But recently, with the migrations to the large cities and the bad conditions in poor outlying suburbs, things are just as complicated in those areas.” -- Luisa Brumana

In Brumana’s view, “this inequality has given rise to large variations in health indicators, both between and within countries, with results generally based on wealth, education, geographic location, and/or ethnic origin.”

National averages, which in some cases are good, hide enormous inequalities in what continues to be the world’s most unequal region.

Mónica, from Chile, has been fighting for the past three years to keep her fourth child alive. He was born deformed and with brain damage. She asked to remain anonymous, because it is a touchy issue at a family and personal level.

“It has been a constant struggle, but today my son is a survivor,” she told IPS. “We have spent a lot of money, we have gone to the best doctors. I am 100 percent dedicated to his recovery. And he’s doing better every day: he communicates, we go out for walks, we play together,” she said with enthusiasm.

But Mónica admitted that not everyone has access to the best care, and that there are large contrasts despite the technological advances seen in recent years.

In Chile, where GDP stands at over 277 billion dollars, the income of a child who lives in a wealthy household is 8,000 times higher than that of a child born into poverty, according to the Fundación Sol – an example of the challenge of inequality that continues to face the region.

That is reflected in essential areas like education and health.

In 2002, for example, five premature infants from poor families died of septic shock in a public hospital in Viña del Mar, 140 km northeast of Santiago, after the preterm formula they were given through feeding tubes was contaminated by wastewater that dripped from the floor above.

“Inequalities persist and I know that if we didn’t have the means, our son’s health would be much worse. It’s horrible, but it’s true,” Mónica said.

A family in a village on the banks of the Atrato river in the northwestern Colombian department of Chocó, where child mortality is three times higher than in the capital. Credit: Jesús Abad Colorado/IPS

A family in a village on the banks of the Atrato river in the northwestern Colombian department of Chocó, where child mortality is three times higher than in the capital. Credit: Jesús Abad Colorado/IPS

According to UNICEF, between 1990 and 2013 under-five mortality per 1,000 live births was reduced 67 percent in Latin America. This is the region that has made the greatest progress in that regard, along with East Asia and the Pacific, which saw a similar reduction.

According to the MDGs progress chart, the region has met the goal of cutting child mortality by two-thirds, from 54 to 19 deaths of children under five per 1,000 live births between 1990 and 2013.

These advances are linked, among other factors, to economic growth in the region, where some 70 million people left poverty behind in the past decade, according to figures published in late May by the United Nations Food and Agriculture Organisation (FAO).

Worldwide, preventable and treatable causes are the leading culprits in infant mortality. And in this region, child mortality is mainly marked by the persistence of inequalities caused by different factors, such as income level, the population group to which the family belongs, where they live, or the educational level of the parents.

“For example, for a rural family that lives far from a health centre, access to healthcare is much more difficult and that can affect children’s health, such as in terms of keeping to the vaccination schedule,” Brumana explained.

“Other factors in a country that doesn’t have a good social safety net are high medical costs, which are a problem for low-income families, or the quality of health services, which is essential for guaranteeing proper care for children,” she added.

“No less important is for services to take into account cultural differences between regions and to be able to offer services adapted to different customs,” the expert said.

According to UNICEF’s “Committing to Child Survival: A Promise Renewed – Progress Report 2014”, the five countries that stand out the most in the region are Cuba, Chile, Antigua and Barbuda, Costa Rica and St. Kitts and Nevis, which have infant mortality rates below 10 per 1,000 live births.

And the five countries that despite the progress made still face the biggest challenges are Haiti, Bolivia, Guyana, Guatemala and the Dominican Republic, in that order. In the case of Haiti, the poorest country in the hemisphere, 73 children died per 1,000 live births in 2013.

“There are major inequalities within countries,” said Brumana, who added that although certain factors have more of an influence than others, “we can’t generalise about which ones have the strongest influence.

“We tend to think that children in rural areas face the worst conditions. But recently, in the migrations to the large cities and with the bad conditions in poor outlying suburbs, things are just as complicated in those areas,” she said.

One example is Colombia, where the national averages are good, but in the hinterland enormous inequalities are seen from province to province.

For example, she noted, the northwestern department or province of Chocó has an under-five child mortality rate three times higher than the rate in Bogotá: 30.5 per 1,000 live births compared to 13.77, respectively, according to 2011 figures.

“The priority now is to give better access to the most marginalised population groups, which are generally the ones living in remote rural areas, or indigenous or black people,” Brumana said.

She pointed out that there are regional initiatives working towards progress along those lines.

One example is A Promised Renewed for the Americas, whose aim is to reduce inequities in reproductive, maternal, neonatal, child, and adolescent health by means of stepped-up political and technical support for developing countries to detect inequities and raise awareness, bringing together key actors and promoting the sharing of best practices.

Another challenge is reducing neonatal mortality rates among children in their first month of life – one of the most critical stages of development.

Globally, 2.8 million babies die during this stage of their lives. One million of them don’t even live to see their second day of life.

According to the regional initiative, the important thing now is to maintain public policies focused on improving access to healthcare, and to decentralise health policies. And, as always, to guarantee education, a factor that leads to a reduction in infant mortality.

Edited by Estrella Gutiérrez/Translated by Stephanie Wildes

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U.N. Challenges Asia-Pacific to Be World’s First Region to End AIDS Epidemic Fri, 05 Jun 2015 14:01:03 +0000 Thalif Deen HIV-positive women gather in Kathmandu, Nepal for a skills training. Credit: Bhuwan Sharma/IPS

HIV-positive women gather in Kathmandu, Nepal for a skills training. Credit: Bhuwan Sharma/IPS

By Thalif Deen

The United Nations has expressed confidence that the Asia-Pacific region, with almost five million people living with HIV, is politically committed towards the elimination of the deadly disease AIDS.

Michel Sidibé, executive director of UNAIDS, said the Asia-Pacific region is moving the world forward into new frontiers of development. "Our region has broken many barriers and saved countless lives, showing how developing countries can share responsibility, cooperate and take the lead in ending AIDS." -- Dr. Shamshad Akhtar

“You have all the right tools in your hands, beginning with political commitment. I challenge you to be the first region to end the AIDS epidemic,” he told a meeting in Bangkok.

According to the latest figures, new HIV infections have declined since 2001 and more than 1.6 million people were receiving anti-retroviral treatment by June 2014.

At the 71st session of the U.N. Economic and Social Commission for Asia and the Pacific (ESCAP) in the Thai capital Friday, political leaders and high level officials from 50 countries and territories in the region endorsed the Report of the Asia-Pacific Intergovernmental Meeting on HIV and AIDS.

The new framework identifies three areas of action. The first area is supported by ESCAP and focuses on continuing national reviews and consultations to address legal and policy barriers for ensuring universal access to HIV prevention, treatment, care and support.

The second area calls for national reviews and consultations on ensuring access to affordable drugs and medicines.

The third area promotes the development of national HIV investment cases and plans to ensure sustainable financing of the AIDS response.

Addressing the meeting, Dr. Shamshad Akhtar, U.N. Under-Secretary-General and Executive Secretary of ESCAP, said “less than halfway through 2015, with renewed vigour, governments at the highest level have committed to meet [several] regional challenges, [including that] of HIV and AIDS.”

“Our region has broken many barriers and saved countless lives, showing how developing countries can share responsibility, cooperate and take the lead in ending AIDS,” he added.

Frank Bainimarama, the prime minister of Fiji and chair of the 71st session, said: “The framework is a road map for countries on how best to accelerate their efforts in the HIV response. It will help shape the future of the HIV response in the Asia-Pacific region beyond 2015.”

In the past 10 years, at least 56 countries have either stabilised or reduced new HIV infections by more than 25 percent, according to the United Nations.

Globally, new HIV infections have been reduced by nearly 20 percent and new HIV infections among babies have dropped by 25 percent—a significant step towards achieving virtual elimination of mother-to-child transmission of HIV by 2015.

In 2011, the world commemorated 30 years of AIDS and the AIDS response.

In June 1981, scientists in the United States reported the first clinical evidence of a disease that would later become known as acquired immunodeficiency syndrome or AIDS.

Its cause, the human immunodeficiency virus (HIV), was identified in 1983.

And according to the United Nations, 30 years later the AIDS epidemic has spread to every corner of the world and more than 60 million people have been infected with HIV.

Edited by Kitty Stapp

The writer can be contacted at

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Despite Setbacks, Global Sanitation Makes Progress, Says Fund Tue, 02 Jun 2015 21:10:44 +0000 Thalif Deen An open drainage ditch in Ankorondrano-Andranomahery, Madagascar. Credit: Lova Rabary-Rakontondravony/IPS

An open drainage ditch in Ankorondrano-Andranomahery, Madagascar. Credit: Lova Rabary-Rakontondravony/IPS

By Thalif Deen

When the United Nations hosted a panel discussion last year urging its partners to “break their silence” on open defecation, Singapore’s deputy permanent representative Mark Neo was outspoken in his characterisation: “Open defecation is a euphemism. What we are talking about is shitting in the open.”

And over one billion people worldwide do so every day.“This is a crucial step towards achieving better health, reducing poverty and ensuring environmental sustainability for the most marginalized people in the world.” -- Chris Williams

In India alone, there are nearly 600 million people (out of a total population of over 1.2 billion) without access to sanitation, according to the Water Supply and Sanitation Collaborative Council (WSSCC) based in Geneva.

Currently, about 35 countries, mostly in Africa and Asia, fall into that category, including Niger, Sierra Leone, Mali, Burkina Faso, Burundi, Zimbabwe, Mozambique, Ethiopia, Guinea, Liberia, Bangladesh, Madagascar, Nepal, Angola, Pakistan, Myanmar, Cambodia, Congo, India and Laos, among many others.

A new study by the Geneva-based Global Sanitation Fund (GSF), released Tuesday, says 2.5 billion people, or 40 percent of the global population, lack access to decent sanitation, including more than a billion who defecate in the open.

Still there is progress: nationally-led sanitation programmes supported by the GSF have enabled 4.2 million people to have improved toilets; seven million people and more than 20,500 communities to be free of open-defecation; and eight million people with handwashing facilities.

“These results prove that we are moving closer to our vision of a world where everybody has sustained sanitation and hygiene, supported by safe water,” said Chris Williams, executive director of WSSCC.

“This is a crucial step towards achieving better health, reducing poverty and ensuring environmental sustainability for the most marginalised people in the world.”

The study says diarrheal disease, largely caused by poor sanitation and hygiene, is a leading cause of malnutrition, stunting and child mortality, claiming nearly 600,000 under-five lives every year. Inadequate facilities also affect education and economic productivity and impact the dignity and personal safety of women and girls.

The governments of Australia, Finland, the Netherlands, Sweden, Switzerland and the United Kingdom have contributed to the GSF since its establishment by WSSCC in 2008.

Close to 105 million dollars has been committed for 13 country programmes, and aimed at reaching about 36 million people.

The GSF says the results have been achieved due to the work of more than 200 partners, including executing agencies and sub-grantees composed of representatives from governments, international organisations, academic institutions, the United Nations and civil society.

One of the strongest success factors in the GSF approach is that it allows flexibility for countries to develop their programmes within the context of their own institutional framework and according to their own specific sanitation and hygiene needs, sector capacity and stakeholders, says a press release.

This implementation methodology is used to reach large numbers of households in a relatively short period of time and is vital for scaling up safe sanitation and hygiene practices.

The GSF has been described as ” a pooled financing mechanism with the potential to further accelerate access to sanitation for hundreds of millions of people over the next 15 years.”

Between 2013 and 2014 alone, the GSF reported an almost 90 percent increase in the number of people living open-defecation free in target regions of 13 countries across Africa and Asia.

During this same period, the GSF also supported a 55 percent increase in the number of people with access to improved toilets in those same areas.

The United Nations system has identified global funds as an important tool to enable member countries to achieve their national development targets, including those for sanitation and hygiene.

Edited by Kitty Stapp

The writer can be contacted at

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When Kenyan Children’s Lives Hang on a Drip Sat, 23 May 2015 17:06:44 +0000 Miriam Gathigah Prof Grace Irimu shows IPS a drip feed bag and a copy of Kenya’s ‘Basic Paediatric Protocols’ as she explains the importance of intravenous treatment in saving the lives of young children affected by acute watery diarrhoea. Credit: Miriam Gathigah/IPS

Prof Grace Irimu shows IPS a drip feed bag and a copy of Kenya’s ‘Basic Paediatric Protocols’ as she explains the importance of intravenous treatment in saving the lives of young children affected by acute watery diarrhoea. Credit: Miriam Gathigah/IPS

By Miriam Gathigah
NAIROBI, May 23 2015 (IPS)

Acute watery diarrhoea is a major killer of young children but misunderstanding over the benefits of fluid treatment is preventing many Kenyan parents from resorting to this life-saving technique and threatening to reverse the strides that the country has made in child health.

The 2014 Kenya Demographic and Health Survey, released in April this year, reports that the country’s under-five mortality rate fell to 52 deaths per 1,000 live births in 2014, down from the 74 deaths in 2008-09, but still far from the 32 per 1,000 live births targeted under the Millennium Development Goals (MDGs).“Parents must … understand that rapid fluid treatment is life-saving for children diagnosed with shock or poor blood circulation due to diarrhoea” – Prof Grace Irimu, Associate Professor of Paediatrics, University of Nairobi

The primary treatment for acute watery diarrhoea is rehydration, administered intravenously in the most severe cases of very young children suffering from shock after losing excessively high quantities of body fluids. A fluid bolus – or rapid liquid dose – delivered directly through an intravenous drip allows a much faster delivery than oral rehydration.

However, notes nurse Esther Mayaka at the Jamii Clinic in Mathare, Nairobi, “parents of children brought to hospital with acute watery diarrhoea are refusing to have them put on [drip] fluid treatment and this is a major concern because diarrhoea is a leading killer among children and giving fluids is still the main solution.”

She told IPS that the ongoing rains and floods in many parts of the country “have created a comeback for diseases like cholera whose most telling sign is watery diarrhoea which needs to be managed with fluids.”

In February this year, Kenya’s Director of Medical Services, Dr Nicholas Muraguri, issued a cholera outbreak alert following an increase in cases of acute watery diarrhoea in several counties, including Homa Bay, Migori and Nairobi.

According to Prof Grace Irimu, Associate Professor of Paediatrics at the University of Nairobi, the reluctance to resort to drip fluid treatment has arisen due to misunderstanding generated by a Fluid Expansion As Supportive Therapy (FEAST) study in 2011 to establish whether the bolus technique was the best practice to use among children diagnosed with shock.

The FEAST study, which was conducted among children in Kenya, Tanzania and Uganda, found that fluid boluses increased 48-hour mortality in critically-ill children with poor blood circulation or shock in these resource-limited settings in Africa, but Irimu told IPS that the study excluded diarrhoea and only studied illnesses associated with fever, such malaria and sepsis.

“Parents must therefore understand that rapid fluid treatment is life-saving for children diagnosed with shock or poor blood circulation due to diarrhoea,” she said.

The Kenya Paediatric Association is also trying to set the record straight and, in a statement shared with IPS, the association reiterated that “diarrhoea complicated by severe dehydration is one of the biggest killers of children globally.”

According to the paediatrics association, the FEAST study excluded children with diarrhoea and dehydration because “the value of giving fluids in this group is well known. Giving appropriate fluid therapy is essential.”

Prof Irimu told IPS that the FEAST study had led to a revision of the ‘Basic Paediatric Protocols’, Kenya’s national guidelines for paediatric care, and clauses that address the treatment of diarrhoea were also revised.

Previously, a child diagnosed with shock as a result of diarrhoea would be given fluids in three cycles, every 15 minutes depending on the response. Now, the child receives the fluids in two cycles and if there is no response, health providers are advised to proceed to slower fluid administration where the child is given the amount that the body needs, depending on the level of dehydration.

Meanwhile, the country continues to make strides in dealing with HIV/AIDS – another critical health issue covered by the MDGs – among children. Studies show that the number of children with HIV aged between 18 months and 14 years fell from 184,000 in 2007 to 104,000 in 2012, according to the most recent Kenya Aids Indicator Survey.

However, Prof Joseph Karanja, a reproductive health and HIV/AIDs expert in Nairobi, says that the country can still do better because “through available antiretroviral drugs as a preventive measure among HIV positive mothers, HIV transmission to the infant can be reduced to as low as one percent.”

Dr Pauline Samia, a paediatric neurologist and a board member of the Kenya Paediatric Association, says that there is also a commitment to address conditions that challenge the management of HIV among children such as epilepsy.

“Though research in this area is limited, an estimated 6.7 percent of children with HIV also have epilepsy, with at least 50 percent of children with HIV having central nervous system problems such as delayed development, behavioural challenges and convulsions,” she observes.

Regarding progress in other MDGs, some progress has been made in reducing the prevalence of underweight children less than five years of age, one of the goals set for eradicating extreme hunger and poverty.

The 2014 Kenya Demographic and Health Survey reports that not only has childhood malnutrition declined significantly, from 35 percent in 2008 to the current 26 percent, but the prevalence of underweight children also decreased from 16 percent in 2008 to 11 percent in 2014.

On the front of improving maternal health, the survey says that while maternal mortality remains high at 488 deaths in every 100,000 live births, in the past five years more than three in five births (61 percent) took place in healthcare facilities, a marked improvement compared with the 43 percent in 2008.

Edited by Phil Harris   

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The U.N. at 70: Time to Prioritise Human Rights for All, for Current and Future Generations Wed, 20 May 2015 13:23:26 +0000 Dr. Babatunde Osotimehin Babatunde Osotimehin, Executive Director of the United Nations Population Fund (UNFPA). Credit: UN Photo/Paulo Filgueiras

Babatunde Osotimehin, Executive Director of the United Nations Population Fund (UNFPA). Credit: UN Photo/Paulo Filgueiras

By Dr. Babatunde Osotimehin

Seventy years ago, with the founding of the United Nations, all nations reaffirmed their faith in fundamental human rights, in the dignity and worth of the human person, and in the equal rights of men and women and of nations large and small.

The commitment to fundamental human rights that was enshrined in the United Nations Charter and later in the Universal Declaration of Human Rights lives on today in many other treaties and agreements, including the Programme of Action of the 1994 International Conference on Population and Development.There is a wealth of indisputable evidence that when sexual and reproductive health is integrated into broader economic and social development initiatives, it can have a positive multiplier effect on sustainable development and the well-being of entire nations.

The Programme of Action (PoA) , endorsed by 179 governments, articulated a bold new vision about the relationships between population, development and individual well-being.

And it was remarkable in its recognition that reproductive health and rights, as well as women’s empowerment and gender equality, are the foundation for economic and social development.

The PoA is also rooted in principles of human rights and respect for national sovereignty and various religious and cultural backgrounds. It is also based on the human right of individuals and couples to freely determine the number of their children and to have the information and means to do so.

Since it began operations 46 years ago, and guided by the PoA since 1994, the United Nations Population Fund has promoted dignity and individual rights, including reproductive rights.

Reproductive rights encompass freedoms and entitlements involving civil, political, economic, social and cultural rights.

The right to decide the number and spacing of children is integral to reproductive rights and to other basic human rights, including the right to health, particularly sexual and reproductive health, the right to privacy, the right to equality and non-discrimination and the right to liberty and the security of person.

Reproductive rights rest not only on the recognition of the right of couples and individuals to plan their families, but also on the right to attain the highest standard of sexual and reproductive health.

The impact of the PoA has been nothing short of revolutionary for the hundreds of millions of women who have over the past 21 years gained the power and the means to avoid or delay a pregnancy.

The results of the rights-based approach to sexual and reproductive health, including voluntary family planning, have been extraordinary. Millions more women have become empowered to have fewer children and to start their families later in life, giving them the opportunity to complete their schooling, earn a better living and rise out of poverty.

And now there is a wealth of indisputable evidence that when sexual and reproductive health is integrated into broader economic and social development initiatives, it can have a positive multiplier effect on sustainable development and the well-being of entire nations.

Recent research shows that investments in the human capital of young people, partly by ensuring their right to health, including sexual and reproductive health, can help nations with large youth populations realize a demographic dividend.

The dividend can help lift millions of people out of poverty and bolster economic growth and national development. If sub-Saharan Africa realized a demographic dividend on a scale realized by East Asia in the 1980s and 1990s, the region could experience an economic miracle of its own.

The principles of equality, inalienable rights, and dignity embodied in the United Nations Charter, the Universal Declaration of Human Rights and the Programme of Action are relevant today, as the international community prepares to launch a 15-year global sustainable development initiative that builds on and advances the objectives of the Millennium Development Goals, which come to a close later this year.

The new Post-2015 Global Sustainable Development Agenda is founded on principles of equality, rights and dignity.

Upholding these principles and achieving each of the proposed 17 new Sustainable Development Goals require upholding reproductive rights and the right to health, including sexual and reproductive health.

Achieving the proposed goal to ensure healthy lives and promoting well-being for all at all ages, for example, depends in part on whether individuals have the power and the means to prevent unintended pregnancy or a sexually transmitted infection, including HIV.

Human rights have guided the United Nations along the path to sustainability since the Organisation’s inception in 1945. Rights, including reproductive rights, have guided UNFPA along that same path for decades.

As we observe the 70th anniversary of the United Nations and look forward to the post-2015 development agenda, we must prioritise the promotion and protection of human rights and dignity for every person, for current and future generations, to create the future we want.

Edited by Kitty Stapp

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