These Zimbabwean farmers with their harvested sorghum are at the mercy of climate change, while the government struggles with meagre financing and tall ambitions to take adequate action. Credit: UNDP-ALM

By Ignatius Banda
BULAWAYO, Zimbabwe , Aug 2 2015 (IPS)

With the U.N. Climate Change conference later this year in Paris fast approaching, Zimbabwe’s climate change commitments face the slow progress on an issue that continues to stalk other developing countries – climate finance.

As it prepares for the U.N. Framework Convention on Climate Change (UNFCCC) Conference of the Parties (COP21), Zimbabwe – like many others in the global South – is grappling with radical climate shifts that have seen devastating exchanges of floods and droughts every year, and still awaits green bailout funds from developed nations, with officials here telling IPS, “this support should come in the forms of technology.”

The country’s halting progress on the climate front is being blamed by local climate researchers on the country’s failure to invest in state-of-the-art climate monitoring technology. More still needs to be done as the country heads to Paris, says Sherpard Zvigadza, Programmes Manager, Climate Change and Energy, for the Harare-based ZERO Regional Environment Organisation (ZERO)."The country [Zimbabwe] needs to partner with those in the private sector who are making an effort to develop projects or reduce their footprint, and implement a reward-based strategy so that both individuals and corporates are encouraged to support the government’s policies" – Steve Wentzel, director of Carbon Green Africa

“Zimbabwe should strengthen systematic observation, ensuring improved real-time observations and availability of meteorological data for research,” Zvigadza told IPS.

These concerns arise from what is seen here as repeated failure by the poorly-funded Meteorological Services Department to adequately monitor climate patterns and put in place effective early warning systems for disaster preparedness.

However, these constraints have not stopped Zimbabwe, which for the past two decades has seen a wilting of international financial support for crafting ambitious climate change interventions.

Recurrent climate-induced disasters have shown that this not the time to treat anything as “business as usual”, says Elisha Moyo, principal climate change researcher in the Climate Change Management Department of the Ministry of Environment, Water and Climate.

And these efforts have brought together civic society organisations (CSOs), farmers and ordinary Zimbabweans in what is expected to shape the country’s negotiations in Paris.

CSOs point to the fact that Zimbabwe has been identified by GLOBE International, which brings together legislators from all over the world, as having on the most comprehensive environmental laws in southern Africa, and say that this should be a stimulus for helping the country make greater strides in climate governance.

According to a climate ministry brief issued last month, Zimbabwe’s climate policy seeks, among others, weather and climate modelling, vulnerability and adaptation assessments, mitigation and low carbon development.

However, as tall as these ambitions sound, the climate ministry has acknowledged that in the absence of adequate financing the country could still be far from meeting its United Nations Framework Convention on Climate Change (UNFCC) commitments.

“There is a need to expand current projects as well as develop new projects throughout the country for the country to position itself to be able to raise funding for these developments,” said Steve Wentzel, director of Carbon Green Africa, a Zimbabwe-based company established to facilitate the generation of carbon credits through validating Reducing Emissions from Deforestation and Forest Degradation (REDD) projects.

“The country needs to partner with those in the private sector who are making an effort to develop projects or reduce their footprint, and implement a reward-based strategy so that both individuals and corporates are encouraged to support the government’s policies,” Wentzel told IPS.

“If the country is serious about moving away from business as usual, awareness raising is key for all stakeholders, including the general population as well as industry,” Zvigadza told IPS. “A vigorous campaign is needed across the country. More importantly, Zimbabwe’s national climate change response strategy has to be operationalised so that the challenges are addressed according to different local circumstances.”

Yet, by the climate ministry’s own admission, progress has remained slow due to the continuing problem of lack of funds, which Moyo believes should be tapped from the richer nations.

“As Africa, and supported by other developing countries from other regions, we believe the rich countries have not yet shouldered a fair share of the burden and should lead by example, in terms of cutting emissions and also providing financial support to poorer nations as stated in the Climate Change Convention,” Moyo told IPS.

And Zimbabwe certainly does need the money. The climate ministry is already wallowing in reduced state funding after the Finance Ministry slashed its national budget from 93 million dollars in 2014 to 52 million this year.

Meanwhile, domestic economic considerations are one of the obstacles to implementation of the country’s troubled climate change policy. Despite seeking to promote clean energy, power generation is still largely fossil fuel-based, where instead of cutting emissions, relatively cheaper coal feeds power generation.

The climate ministry policy brief says the country needs to “reduce greenhouse gas emissions from energy production transmission and use”, but economic hardships have made this a tall order where millions also rely on highly-polluting firewood for fuel.

“We are compiling the “intended nationally determined contributions (INDCs) and have been conducting consultations and data collection around the country especially with reference to the energy sector, which has a high potential of emission reductions through adoption of
renewable energy wherever possible,” Moyo told IPS.

INDCS are the post-2020 climate actions that countries say they will take under a new international agreement to be reached at COP21 in Paris, and to be submitted to the United Nations by September.

For its climate change ambitions to succeed, Zimbabwe must go back to the grassroots, says Wentzel, but unfortunately “there is a lack of knowledge of climate changes issues,” he told IPS.

As Washington Zhakata, Zimbabwe’s lead climate change negotiator put it: “The road to the Paris summit remains unclear with many stumbling blocks on the road.”

Edited by Phil Harris   

A billboard in Freetown, Sierra Leone, urging people to go to hospital to be tested for HIV. Ebola has stopped people from doing that. Credit: Lansana Fofana/IPS

By Lansana Fofana
FREETOWN, Dec 1 2014 (IPS)

The outbreak of the deadly Ebola epidemic in Sierra Leone has dwarfed the campaign against HIV/AIDS, to the extent that patients no longer go to hospitals and treatment centres out of fear of contracting the Ebola virus.

“It is a big challenge for us. HIV/AIDS patients now fear going to hospitals for treatment and our workers, who are also government health officials, are also afraid of contacting patients for fear of being infected,” Abubakar Koroma, Director of Communications at the National AIDS Secretariat, told IPS.“HIV/AIDS patients now fear going to hospitals for treatment and our workers, who are also government health officials, are also afraid of contacting patients for fear of being infected” – Abubakar Koroma, Director of Communications, Sierra Leone’s National AIDS Secretariat

Sierra Leone records one of the lowest HIV/AIDS prevalence rates in the West African region. For over five years, the country has managed to stabilise the figures at 1.5 percent, out of a population of 6 million, mainly because of massive countrywide awareness raising. The authorities also offer free medicines and treatment to people living with HIV/AIDS.

But all this may be reversed if the Ebola crisis is not contained soon.

Before the outbreak of the Ebola crisis in Sierra Leone in April, one key area of success in the fight against HIV/AIDS had been in curtailing mother-to-child transmission. Today, however, there are concerns that it may surge again because pregnant women are now reluctant to go to hospitals for treatment.

In 2004, the prevalence rate among pregnant women was 4.9 percent but, just before the Ebola in April this year, the figure had dropped to 3.2 percent.

According to Koroma, “between January and now, that service [for pregnant women] has dropped by 80 percent. We are worried that the Ebola crisis may worsen the situation.” From the point of view of those already living with HIV/AIDS, this is already happening.

Idrissa Songo, Executive Director of the Network of HIV Positives in Sierra Leone (NETHIPS) advocacy group, says that its members fear going to hospitals for care and treatment and that they are constrained by what he described as a cut in the support they were receiving from donors and humanitarian organisations before the outbreak of Ebola.

“Donors and other philanthropists have turned their attention away from the fight against HIV/AIDS,” he said. “Now it’s all about Ebola. Most organisations have diverted their funding to the fight against Ebola and this is badly affecting our activities.”

Songo added that the core activities of NETHIPS, which include community awareness raising and training of members in care and prevention, have all come to a standstill because of the government’s ban on all public gatherings following the Ebola outbreak.

Given the current crisis, the National Aids Secretariat and the Ministry of Health have set up telephone hotlines to connect with people suffering from HIV/AIDS. The aim is to be able to trace and locate them and then get treatment to them. At the same time, HIV/AIDS patients are now receiving a quarterly supply of the drugs they need, compared with the monthly dosage they were receiving before Ebola struck.

According to Songo, these measures are working because “that way, our members, who fear going to hospitals and treatment centres, can stay at home and take their medication. We know it is risky to go to treatment centres nowadays because of the possibility of contracting Ebola, another killer disease,” Songo told IPS.

Notwithstanding the Ebola crisis, Ministry of Health officials say that they have not lost sight of the fight against HIV/AIDS.

Jonathan Abass Kamara, Public Relations Officer at the Ministry of Health, told IPS that attention is still focused on the fight against HIV/AIDS. “Even though Ebola has taken centre-stage, the Ministry is still very much focused on the fight against HIV/AIDS. We supply drugs to patients regularly and we try our best to give care and attention to them,” Kamara told IPS.

However, while Sierra Leone has made tremendous progress in the fight against HIV/AIDS and its success in this fight surpasses that of almost all countries in the West Africa region, it may well find it difficult to maintain its achievements in this sector if the Ebola epidemic is not brought under control.

(Edited by Phil Harris)

At a time when HIV rates have stabilised or declined elsewhere, the epidemic is still advancing in the Arab world, exacerbated by factors such as political unrest, conflict, poverty and lack of awareness due to social taboos.

According to UNAIDS (the Joint United Nations Programme on HIV/AIDS), an estimated 270,000 people were living with human immunodeficiency virus (HIV) in the countries of the Middle East and North Africa (MENA) region in 2012.

“It is true that the Arab region has a low prevalence of infection, however it has the fastest growing epidemic in the world,“ warns Dr Khadija Moalla, an independent consultant on human rights/gender/civil society/HIV-AIDS.With the exception of Somalia and Djibouti, the [HIV] epidemic is generally concentrated in vulnerable populations at higher risk, such as men-who-have-sex-with-men, female and male sex workers, and injecting drugs users

The United Nations estimates that there were 31,000 new cases and 16,500 new deaths in 2012 alone. “Infections grew by 74 percent between 2001 and 2012 while AIDS-related deaths almost tripled,” says Dr Matta Matta, an infection specialist based at the Bellevue Hospital in Lebanon.

However, both Moalla and Matta explain that figures can be often misleading in the region, due to under-reporting and the absence of consistent and accurate surveys.

With the exception of Somalia and Djibouti, the epidemic is generally concentrated in vulnerable populations at higher risk, such as men-who-have-sex-with-men, female and male sex workers, and injecting drugs users.

In Libya, for example, 90 percent of those in the latter category also live with HIV, notes Matta. Furthermore, adds Moalla, most Arab countries do not have programmes allowing for exchange of syringes.

The legal framework criminalising such activities in most Arab countries means that it is difficult to reach out to specific groups.  With the exception of Tunisia, which recognises legalised sex work, female sex workers who work clandestinely in other countries are not safeguarded by law and thus cannot force their clients to use protection, which allows for the spread of disease.

Lack of awareness, the absence of voluntary testing and of sexual education, social taboos, as well as poverty, are among the factors driving HIV in the region. “Arab governments and societies deny the epidemic and the absence of voluntary testing means that for every infected person we have ten others that we do not know about,” stresses Moalla.

People living with HIV or those at risk face discrimination and stigma.  “More than half of the people living with HIV in Egypt have been denied treatment in healthcare facilities,” explains Matta.

This bleak scenario is compounded by the security challenges prevailing in the region which not only make it difficult to deliver prevention and other programmes, but also restrict access to services by those on treatment and cause displacement and loss of follow-up according to the UNAIDS report.

The war in Iraq that began in 2003, for example, led to the destruction of most of the country’s programmes and facilities under the National AIDS Programme and, according to Moalla, the national aids centre in Libya was recently burnt down.

In addition, in some countries, conflict has significantly increased the vulnerability of women. By 2012, for example, only eight percent of the estimated number of pregnant women living with HIV in the MENA region received appropriate treatment to prevent mother-to-child transmission according to the UNAIDS report.

Meanwhile, only a few governments have worked on effective programmes to fight the epidemic, although there are signs of the emergence of NGOs tackling the problem with people living with HIV and providing them with support.

“North African countries and Lebanon have generally done better than others, while Gulf countries are doing the least,” says Moalla, adding that less than one in five people living with HIV are receiving the medicines they need in the Arab region.

While some efforts have been made with the UNDP HIV Regional Programme pioneering legal reform in several countries, as well as drafting an Arab convention on protection of the rights of people living with HIV in partnership with the League of Arab States, these are not enough.

“The Arab world attitude taking the high moral ground on the issue of HIV is no barrier for the epidemic,” says Matta. “The region’s governments need to address a growing problem that is only worsened by the general upheaval.”

(Edited by Phil Harris)

A medical centre at the Bandama checkpoint in Kenema to test people in transit for symptoms of Ebola. Credit: Mohamed Fofanah/IPS

By Mohamed Fofanah
KENEMA, Sierra Leone, Jul 12 2014 (IPS)

Adikali Kamara is a 36-year-old student nurse working in the government hospital in Kenema, a sprawling town on the fringe of the Sierra Leone’s Gola tropical rain forest.

On June 19, he began feeling unwell, complaining of fever and a headache, and went to a chemist near where he lived to buy anti-malaria drugs and antibiotics to treat typhoid fever. “I thought that my symptoms indicated either malaria or typhoid because these are the most common ailments suffered by everybody here,” said Kamara.

However his condition did not change and two days later he decided to seek proper treatment at the hospital. That was when the doctors discovered he was suffering from Ebola, a disease that causes fever, vomiting, bleeding and diarrhoea and kills up to 90 percent of those infected.

Kamara was admitted immediately and just seven days later he was discharged after receiving supportive treatment.“People are vehemently denying that Ebola exists despite the massive awareness raising that is going on, and those that do believe the illness exists are so afraid that they do not come to the hospital or bring their relatives when they are sick. That is how Ebola spreads in the community” – Michael Vandi, Public Health Education Officer for Sierra Leone’s Eastern Province

Kamara is one the fortunate 51 persons in Sierra Leone who have survived the current Ebola scourge that is also ravaging two other West African neighbours – Guinea and Liberia. So far, 99 have died in Sierra Leone and a further 315 men, women and children have tested positive.

The Public Health Education Officer for Sierra Leone’s Eastern Province, Michael Vandi, who is based in the Kenema hospital which houses the country’s only Supportive Treatment Centre and testing laboratory for Ebola, said that the country is far from winning the fight against the disease, blaming people’s fear and denial of the disease.

Vandi said that “people are vehemently denying that Ebola exists despite the massive awareness raising that is going on, and those that do believe the illness exists are so afraid that they do not come to the hospital or bring their relatives when they are sick. That is how Ebola spreads in the community before we are aware of cases.”

According to Vandi, people are accusing doctors of administering lethal injections to the Ebola patients or removing vital organs for sale in European markets. He said that some even claim that people are being deliberately infected with the virus to reduce the population.

As a result, doctors and nurses in the hospitals have been attacked and many nurses are not wearing their uniforms on the way to work for fear of being attacked in the streets.

“Patients who were admitted – both male and female – are abandoning the hospitals,” said Vandi. “They are now going to pharmacies or being treated by quack doctors or nurses in their homes. This is worrisome because the signs and symptoms of Ebola mimic the prevalent malaria and typhoid fever in the country and, before they know what they are dealing with, it will be too late.”

The Senior Human Rights Officer who heads the Human Rights Commission’s Office in the Eastern Province, Hassan Yarjah, blames the government’s Ebola awareness raising strategy for fanning mistrust and disbelief among people.

He pointed out that the eastern part of the country, in which almost all cases of Ebola have so far been identified, is an opposition stronghold. “What the central government is doing, which I think is wrong, is sending people to these communities that the people cannot identify with; they are parliamentarians, they are ministers, they are executives from the ruling All People’s Congress party and this is a country where everything is polarised,” he said.

According to Yarjah, people in the country’s Eastern Province are saying that “because a census is scheduled for September, the politicians want to scare people away from this part of the country so that their number will dwindle; then, when they delimit the boundaries for constituency seats, this will mean less representatives for the opposition in parliament in the next election.”

“I think government should use the local structures, like the paramount chiefs, the medical personnel on the ground, and the local councils,” Yarjah told IPS.

Meanwhile, the government has announced a ban on regular trade fairs in Kailahun, one of the districts in Eastern Province worst hit by Ebola. There has also been an executive order for placing medical personnel at a number of checkpoints on roads from the Eastern Province to check people for Ebola-related symptoms.

“This has affected our agriculture,” complained Lamin Musa, a farmer from Kailahun. “We cannot sell our produce now at the trade fairs and this had heaped more hardship on our poor people. Even bush meat, which had been a lucrative trade for us, has been banned. It is difficult for us to understand all the suffering we have to undergo because of Ebola.”

Whatever the misgivings, misconceptions and accusations, the virus is thriving, in part due to dysfunctional medical systems and weak disaster management structures in Sierra Leone and its neighbours.

At the beginning of July, the World Health Organization (WHO) held an emergency meeting in Accra, Ghana, with health ministers from 12 West African countries to discuss and propose suggestions to combat the outbreak of Ebola virus that has hit the three West African countries.

The ministers adopted a common inter-country strategy calling for accelerated response to the Ebola outbreak in West Africa. The strategy stressed the need for regional, sub-regional and national leadership, coordinated actions by all stakeholders, enhanced cross border collaboration and the involvement of communities.

For his part, Kamara is optimistic. “I was able to beat this disease and any of you out there can,” he said. “You have to believe that Ebola is real, set aside prejudice and go to the hospital early if you experience the symptoms.”

The problem is that while Ebola may be a killer, a potentially greater threat to Sierra Leoneans and West Africans in general lies in less spectacular diseases. During the current outbreak of Ebola, other diseases are quietly taking their toll. Malaria is still rampant, and there is concern that cholera, which usually attacks during this period of the rains, will resurface to claim more lives.