According to a 2016 Guttmacher Institute study, 60% of girls ages 15-19 in developing countries who want to avoid pregnancy do not have access to modern contraceptive methods. Women Deliver Young Leaders Kizanne James and Khadija Sinanan dive deeper into stigma around contraceptive use in their home country of Trinidad and Tobago as part of their projects as World Contraception Day Ambassadors.

Not your typical MD

Kizanne James is not your typical medical doctor. Based in Trinidad and Tobago, she has over 15 years of experience in youth leadership and works daily to educate her young patients on family planning. Through her World Contraception Day Ambassador project, she created a mobile app and website that helps people access contraception. The website and app provide accurate and timely information about types of contraceptives available, as well as where to access them, including the exact location of 16 health centers that provide them for free.

“Contraception is free in Trinidad at most health centers so you just have to go and tell them you want this and they’ll book you an appointment. So you don’t need to go to a gynecologist, you can just go to a health center.”
— Kizanne James

As part of her project, Kizanne also set out to collect information about young people’s understanding of contraceptives. She interviewed, photographed, and filmed 73 young people from different areas of the country about their attitudes, perceptions, and experiences with contraception.

“That experience was so eye-opening for us because we had so many misconceptions out there and people were uncomfortable to discuss something that is just part of us. Sexual health is part of us.”
— Kizanne James

Elevating underrepresented voices

Trained as an attorney, Khadija Sinanan is dedicated to working with young people in Trinidad and Tobago. She is the Co-Director of WOMANTRA, a youth-led organization dedicated to feminist activism and scholarship to improve the lives of women and girls in the Caribbean.

Her project as a World Contraception Day Ambassador focused on highlighting the intersectionality of race, gender, and social inequalities affecting young people. Through in-depth interviews and storytelling, Khadija sought to amplify the voices of young people in rural communities as well as LGBTQIA communities, both of which have historically been underrepresented in Trinidad and Tobago.

“I wanted to see what have been the lived experiences of young people. Sometimes there’s a lot of pushback in communities so some people aren’t comfortable coming out or speaking openly about their experiences.”
— Kizanne James

Source: Women Deliver

Jennifer Maldonado (I), her little sister and Carmen Carbajal, at the entrance to her home in San Salvador. They hung a white flag as a sign that they had run out of food during the quarantine adopted by the government since March 21 to contain the COVID-19 infections, as did many families in El Salvador and neighbouring Guatemala. This year marks the 25th anniversary of the Beijing Declaration and Platform for Action. It was supposed to have been a ground-breaking year for gender equality, but the coronavirus pandemic has instead widened inequalities for girls and women across every sphere. Credit: Edgardo Ayala / IPS

By Neena Bhandari
SYDNEY, Australia, Jul 24 2020 (IPS)

Sixteen-year-old Suhana Khan had just completed her grade 10 exams in March, when India imposed a nationwide COVID-19 lockdown. Since then, she has been spending her mornings and evenings doing household chores, from cooking and cleaning to fetching drinking water from the tube well. 

“I am really missing school. Nearly half the year has gone and we have no books and no teachers to teach. We don’t know if and when we will be able to resume our studies,” Khan, who is from Kesharpur village in the western Indian state of Rajasthan, told IPS.

The disappointment in her voice is palpable. While teachers at the local government school are supposed to conduct online classes, most of the 350 households in the village have only one mobile phone with internet connectivity, which male members in the family take to work.

School closures are putting young girls at risk of early marriage, unintended pregnancies and female genital mutilation (FGM). A recent analysis has revealed that if the lockdown continues for six months, the disruptions in preventive programmes may result in an additional 13 million child marriages, seven million unintended pregnancies and two million cases of FGM between now and 2030.

Suhana Khan (right) has been unable to complete her schooling after schools in India closed during a nationwide lockdown. Now she works as a volunteer teacher for younger children. Courtesy: Bodh Shiksha Samiti

Khan has been fortunate to find work as a volunteer teacher with a local community based Non-Government Organisation, Bodh Shiksha Samiti. She teaches 11 children from her extended family for two hours daily in her own home.

“I wish there was someone to teach me too. I am desperate to continue my education and become a police officer so I am able to protect myself and other girls and women. We can’t step out of our homes after sunset. Every day, we hear of girls being abused,” she told IPS.

This year marks the 25^th anniversary of the Beijing Declaration and Platform for Action, the most progressive blueprint ever for advancing women’s rights and gender equality. It was supposed to have been a ground-breaking year for gender equality, but the novel coronavirus pandemic has instead widened inequalities for girls and women across every sphere – from education and health to employment and security. It has increased women’s unpaid workload and aggravated the risk of domestic violence. 

Gabriela Cercós, 24, from Barueri, a municipality in Brazil’s São Paulo state, told IPS, “Women, who work from home are overburdened with housework, home schooling and looking after their children. In isolation, domestic violence has grown. Recently my close friend was assaulted, but she didn’t report the incident because she has a child and she can’t afford to be a single mother.” 

As COVID-19 cases spiral, lockdowns are being extended, further isolating women living with abusive, controlling and violent partners. Civil society organisations are reporting an escalation in calls for help to domestic violence helplines and shelters across the world. But for every call for help, there are several others who are unable to seek support.

Globally 243 million girls and women (aged 15-49 years) have been subjected to sexual and/or physical violence perpetrated by an intimate partner in the past 12 months. Yet, nearly 50 countries have no laws that specifically protect women from such violence. The global cost of public, private and social violence against women and girls is estimated at approximately two percent of global gross domestic product (GDP) or $1.5 trillion. As security, health and money worries heighten, and the stress is compounded by cramped and confined living conditions, these numbers will soar, according to United Nations Women. 

“Before COVID-19, we already knew that every country in the world would need to speed up progress to achieve gender equality by 2030. And we also know that disease outbreak affects women and men differently and exacerbates gender inequalities. That’s why to achieve the Sustainable Development Goals (SDGs) and have a strong response and recovery to COVID-19, we must apply a gender lens in order to address the unique needs of girls and women, and leverage their unique expertise. Without this gender lens, we can’t truly ‘Build Back Better,’” Susan Papp, Women Deliver’s managing director for Policy and Advocacy, told IPS.

Women Deliver, an international organisation advocating around the world for gender equality and the health and rights of girls and women, is powering the Deliver for Good campaign, an evidence-based advocacy campaign that calls for better policies, programming, and financial investments in girls and women. 

Essential maternal healthcare and family planning needs of girls and women have also been adversely impacted by reallocation of resources to contain the pandemic. 

“The impact of COVID-19 across Africa on women, girls and youth in particular has been immense. The pandemic closed more than 1,400 service delivery points across IPPF’s member countries, including nearly 450 mobile clinics, which are vital to reach rural populations, and in humanitarian settings so often poor and underserved,” International Planned Parenthood Federation’s (IPPF) Africa Regional Director Marie-Evelyne Pétrus-Barry told IPS. IPPF is one of some 400 organisations and diverse partners that have joined the Deliver for Good campaign by committing to deliver for girls and women. 

“Twenty of our African member associations reported shortages of sexual and reproductive health commodities within weeks of COVID-19 appearing. We’re now seeing the impact on our ability to deliver services, despite the very best efforts of our members to adapt to new ways of working. 

“The number of services delivered to young clients in Benin between March and May fell by more than 50 percent compared with the same time last year. In Uganda the fall was 47 percent. These are devastating figures, and the impact on women, girls and youth will be have a very negative impact on the development, livelihood and human rights of African women, girls and youth,” Pétrus-Barry added.

Women are primary caregivers, nurturing their own families, and they are also serving as frontline responders in the health and service sectors. Globally, women make up 70 percent of the health workforce – nurses, midwives and community health workers. They also comprise the majority of staff in health facility services, such as cleaning, laundry and catering. 

The pandemic has compounded the economic woes of women and girls, who generally earn less, work in insecure informal jobs and have little savings. Many women work in market or street vending, depending on public spaces and social interactions, which have now been restricted to prevent the spread of coronavirus. Almost 510 million or 40 percent of all employed women globally work in the four economic sectors – accommodation, food, sales and manufacturing – worst affected by the pandemic.

Cercós, who worked in hospitality at one of the international hotel chains earning a monthly income of BRL 2200 ($ 412) before the pandemic, is now on unemployment insurance. She’s just received the first of four instalments of BRL 1700 ($ 319) each.

“It is very difficult to get a job now. I have been having anxiety attacks. I am afraid to leave home and I am trying not to sink into depression. Some days are harder than others and the news doesn’t help,” she said.

This year, some 49 million extra people may fall into extreme poverty due to the COVID-19 crisis. In June, at the launch of the policy brief on food security, United Nations Secretary-General António Guterres’ warned that the number of people who are acutely food or nutrition insecure will rapidly expand.  He is urging governments to put gender equality at the centre of their recovery efforts.

Gerda Verburg, Scaling Up Nutrition (SUN) movement coordinator and U.N. Assistant Secretary-General, noted that gender equality (SDG 5), good nutrition and zero hunger (SDG 2) are intrinsically linked. SUN is also a partner organisation for the Deliver for Good campaign, prioritising action and investments for girls and women.

“Before the COVID-19 pandemic reared its head, progress was stalling in these areas, alongside needed climate action. Although the impacts of the coronavirus on women’s and girls’ nutrition and food security are yet to be seen, there is no doubt that the loss of livelihoods and food system disruptions – disproportionally affecting women and the future perspectives of young women – will push countries even further from reaching the Sustainable Development Goals (SDGs), and ensuring a more equal world, free from hunger and malnutrition in all its forms,” Verburg told IPS.

11-year-old Fatoumata Binta (left) and her brother Iphrahima Tall (right) collect water from a dry river bed. This summer, the family has struggled to get enough water. Credit: Stella Paul/IPS

By Stella Paul
HYDERBAD, India, Jul 22 2020 (IPS)

With Tabaski (Eid al-Adha) around the corner, 11-year-old Fatoumata Binta from Terrou Mballing district in M’Bour, western Senegal, wakes up early and joins her brothers Iphrahima Tall and Ismaila to fetch water from a river several miles from home.

This summer, the family has struggled to get enough water as city taps have often run dry. But because of the coronavirus, they need extra water for maintaining cleanliness and frequent handwashing.

But there is another reason why they need additional water.

In a few weeks time, Muslim families will sacrifice a livestock animal to mark Tabaski. Binta’s family have been raising goats to sell on the market ahead of the festival, but the animals need lots of water. 

“If they don’t drink enough, the goats will lose weight and sell for less,” Binta, who has not been to school since March because of the COVID-19 pandemic, tells IPS.

Schools in Senegal, which closed on Mar. 15, were scheduled to reopen on Jun 2. However, the return was cancelled as several teachers tested positive for the coronavirus across the country, but mainly in Ziguinchor in the southern Casamence region. To date, the country has officially counted more than 8,985 coronavirus cases, including 174 deaths.

But when schools reopen in August-September, Binta might not return. The reason, she says, is that her community school doesn’t have enough water. Besides, there are no toilets for girls and Binta, who has just begun to menstruate, feels too shy to use a shared toilet.

Poor WASH Reflects Low Priority

According to the recently published United Nations Educational, Scientific and Cultural Organisation (UNESCO) report on global education, only one percent of schools in Senegal have separate toilets for girls. The dismal performance has actually put the country at the bottom of a list of 45 developing countries.

Experts say that the core reason behind this is the low priority attached to girls’ education. Although the government has been focusing on girls’ enrolment at elementary level, the focus on improving their water and sanitation needs has remained a neglected subject.

Fatou Gueye Seck, programme coordinator from the Coalition of Organisations in Energy for the Defence of Public Education (COSYDEP Senegal), shares an example. 

Since 2016, the number of people enrolled in Functional Literacy Centres (CAF) has fallen by more than half, with the number of learners decreasing from 34,373 to 15,435. This underperformance is explained by the insufficiency of the overall amount of funding for CAFs.

“The funding is supposed to be one percent of [public spending] but in reality that is not happening. Unless the funding is increased, in the middle and secondary cycles, gender parity in the country’s education sector cannot be reached until 2021,” Seck tells IPS.

Seck is also the president of the education theme of the Deliver for Good Senegal campaign, an evidence-based advocacy and communication platform that promotes the health, rights and wellbeing of girls and women. The campaign is part of a larger, global campaign powered by Women Deliver.

“In Senegal, the gender index is still against girls,” Seck told IPS in an earlier interview.

Girl students at a school in the Pikine suburb of Dakar, Senegal. A recent United Nations report says, only one percent of schools have a separate toilet for girls. Credit: Stella Paul/IPS

Growing water crisis in urban areas

In urban Senegal, water shortages have been frequent for several years, affecting thousands of households. 

But this summer, the shortage has been more acute, as most homes have seen their taps run dry or reduced to a trickle. 

In recent weeks during the  emergency coronavirus lockdown, protests have rocked both the streets of the capital Dakar and M’Bour, a city in western Senegal. Many citizens complained that water supply has worsened since this January when the government signed over the rights of water distribution and management, for 15-years, to a private company called Sen’eau.

As the protests grew, the company made a public statement, blaming the crisis on a storm that damaged some of its infrastructure and promised to normalise distribution by next year.

The government has also assured the public that a solution will be found. On Jun. 17, following a cabinet meeting, Senegalese President Macky Sall stressed  “the imperative to mobilise technical expertise and financial resources to ensure the optimal functioning of hydraulic infrastructures”.

But in the meantime, citizens are spending extra money on purchasing water. Although the rainy season arrived in July, urban Senegal is still struggling with supply shortages of daily water.

Fatima Faye, a 23-year-old health worker in M’Bour, tells IPS that she spends $10 every week on purchasing water: “The taps only give droplets, but the water bills are quite big.”

Unsafe water affecting education

According to Global Waters, an agency supported by the USAID Center for Water Security, Sanitation, and Hygiene, 49 percent people in Senegal lack access to proper sanitation facilities while 20 percent of Senegalese don’t have access to safe drinking water.

For them the only source of water are open wells and rivulets. So they drink non-potable, unfiltered and untreated water.

Amina Diop, a fruit seller from Guediyawaye, a suburb in Dakar, has been using an open well for all her domestic water needs. Her entire family, including her two daughters, also drink from the same water source. 

Before the lockdown began, one of her girls, 10-year-old  Aminata, often missed school. “Her stomach ran, so I just let her be at home,” Diop tells IPS. Aminata was likely ill because of contaminants in the water source.

But a Women Deliver policy brief on access for girls and women to resources such as water and sanitation notes the benefits of “bringing sanitation options closer to or within the home is a critical improvement for women in the community”.

“It means they won’t have to walk long distances to find a site that is private, which decreases the risk of gender-based violence. It saves them time and energy, reduces their exposure to violence, and improves their nutritional status, which in turn has a positive impact on their reproductive health and pregnancy outcomes,” the brief notes.

It also notes a 2012 study in sub-Saharan Africa that showed a 15-minute decrease in time spent walking to a water source is associated with;

• 41 percent average reduction in diarrhoea prevalence, 
• 11 percent reduction in under-5 mortality, and
• improvements in the nutritional status of children.

Menstrual hygiene takes a hit

According to a 2017 survey done by Water Supply and Sanitation Collaborative Council (WSSCC) — the United Nations-hosted organisation dedicated to advancing Sustainable Development Goal 6 of providing clean water and sanitation for all people — 56 percent of girls students in Senegal miss school due to menstruation and inadequate water, sanitation and hygiene facilities.

Some Senegalese NGOs have started to fill the knowledge gap by holding informal classes and workshops with young female students. One of these is Apiafrique, a Dakar-based social enterprise that produces environment-friendly feminine hygiene products,

Marina Gning, the CEO of Apiafrique, has held several workshops for school-going students over the last two years where she teaches them the importance of maintaining menstrual hygiene and also trains them in making sanitary pads that can be reused.

“Throughout Africa, women and girls are often thought of as impure during menstrual cycles, and face societal exclusion, as well as a lack of adequate sanitation infrastructure in schools and homes,” Gning tells IPS.

Between the fight against pandemic, which requires extra water for frequent handwashing, and the country’s water-supply crisis, maintaining menstrual hygiene has become a challenge.

“The challenge now, is keeping the sanitary pads clean. Reusable pads means something that you need to wash. But if there is not enough water, how can you do any washing? So, what use can you make of the knowledge?” Amelie Ndecky, a college student who attended one of Gning’s workshops in 2018 in Ngaparou, a suburb of M’Bour, asks IPS.

Her questions remain unanswered.  

Millions of school-aged children in Pakistan drop out before completing primary education. The COVID-19 pandemic has magnified the already-existing inequities for women and girls. A recent study from the Malala Fund estimates that an additional 2o million secondary school girls might never return to school after the crisis has passed.Credit: Zofeen Ebrahim/IPS

By Emily Thampoe
UNITED NATIONS, Jul 21 2020 (IPS)

Catherine Bertini, former executive director of the World Food Programme, began the IPS United Nations Bureau webinar “The Impact of the COVID-19 Pandemic on Women and Girls” by reminiscing on a talk she gave in 1995 entitled “Women eat last”. She remarked that after 25 years, the phrase is still something that is relevant to the present day.

“So often in societies, it is the women who prepare the food, gather the food, grow the food and find it somewhere. Even if their families are desperately poor [they] are the ones who prepare it and serve it. And they serve it first to their husbands and boys. So some things take much longer to change than we can possibly change them,” Bertini said.

The webinar, which took place on Jul. 14, had six guest speakers, including moderator Doaa Abdel-Motaal, the advisor of the Guarini Institute for Public Affairs in Rome, Italy.

The speakers all touched upon how the pandemic will affect women’s and girls’ access to food and education and the effect it is having on their mental health, particularly in developing countries and countries of conflict and refuge.

According to Bertini, at the end of 2019 there were an estimated 80 million people in need of food and who could die if not aided.

WFP has stated that millions more have been forced closer to starvation and if no action is taken many will die as “an unprecedented 138 million people who face desperate levels of hunger as the pandemic tightens its grip on some of the most fragile countries on earth”. WFP has appealed for $5 billion in aid.

Bertini said that there are external factors that contribute to less access to food, especially during the pandemic.

“These issues come because of the physical access, economic access, transport issues, production issues and other issues related to the effects of the crisis of COVID-19. This is in addition to the other issues that the poor have to deal with in so many places,” Bertini said.

The majority of the food WFP provides is distributed through women and girls, Bertini explained, because they will most likely be the ones preparing food in households.

“With COVID-19, all of the issues that have been problematic for women and girls throughout the world and throughout time have become worse,” Bertini said.

The COVID-19 pandemic has magnified the already-existing inequities for women and girls, as caretakers, professionals and as citizens of the world. According to Yasmine Sherif, director of Education Cannot Wait, a recent study from the Malala Fund estimates that an additional 2o million secondary school girls might never return to school after the crisis has passed. This may be due to internal conflicts within the countries, natural disasters, economic strife or even forced displacement.

“In countries of conflict or refuge, education is both there to help and empower the girls and adolescent girls and it is also a protection method. It keeps them away from having early child marriages and having children when they are children themselves. It also keeps them in a protective environment from getting involved in trafficking and gender based violence that can come as a result of conflict and during crisis, especially during the COVID-19 pandemic,” Sherif said.

Sherif said that if these young girls do not return to school, they will be affected by extreme poverty because of conflict and the consequences that come with being in a place of refuge or immense violence.

Sherif said these factors were related to the issue of food access that Bertini raised, adding that young girls and adolescents are the group most affected.

Sherif used South Sudan as an example of a country that has recently found freedom but where, prior to the COVID-19 pandemic, 72 percent of primary school aged girls did not attend school.

“We are really speaking about an education crisis that was there well before we had a health crisis. If we do not invest in education, especially girls education, we are going to leave behind 50 percent of the world’s population gravely affected by conflicts and disasters. And that can only perpetrate the vicious cycle of crisis, conflict, hunger and poverty. Unless we invest in girls and women, we cannot speak about sustainable development and we cannot speak about recovery from COVID-19,” Sherif said.

Susan Papp, managing director of Policy and Advocacy at Women Deliver, a global advocacy organisation that champions gender equality and the health and rights of girls and women, told IPS that the COVID-19 crisis is demonstrating that “if we want to deliver health, well-being, and dignity for all, governments and decision-makers must apply a gender lens to response and recovery efforts. Policies that do not apply a gender lens will fall short for everyone”.

“Decision-makers across sectors must commit to rebuilding a stronger and more equal society for everyone including girls and women. This starts with governments collecting data disaggregated by age, gender, race, and other factors to better understand the needs of girls and women and ensure they respond to those needs effectively,” she said.

Along with the collection of data, Papp said that a key part of applying a gender lens to COVID-19 is to institute a gender marker to tag investments and programming that incorporate gender considerations.” 

In the absence of gender sensitive, gender responsive measures to ongoing global crisis women and girls will emerge from the pandemic even further behind than they were pre-COVID-19.

** Additional reporting by Miriam Gathigah in Nairobi.

A woman farmer selling her produce at a local market in Casamence, southern Senegal. In sub-Saharan Africa, 90 percent of those in informal employment, which is typically low-skilled with poor working conditions, are women. Credit: Stella Paul/IPS

By Stella Paul
HYDERABAD , Jul 20 2020 (IPS)

Growing up in the Senegalese capital of Dakar, Siny Samba (28) watched with fascination as her grandmother made snacks for her family, using the fresh fruit from their garden. She would often help her grandma make these snacks to feed the neighbourhood children.

“One day, I am going to have snack parties for children like Granny does,” Samba would tell herself.

But years later, when she visited local stores to buy fruit preserves, she was disappointed to see only expensive, imported products on the shelves. They neither tasted as fresh as her Grandma’s ones, nor where they as high in nutritional value.

So in 2017, armed with a degree in food processing engineering from France, Samba launched Senegal’s first baby food startup – Le Lionceau (The Lion Cub). Her goal: to provide Senegalese mothers and infants with a choice of locally-processed food, made from organic, fresh farm produce.

Initially, she started with three types of fruit jams. But now, three years later, she has expanded to 15 products, including jam, jelly, marmalade, cereal and biscuits. Her company now employs nine people and also trains fruit and vegetable farmers across Senegal in safe harvesting techniques and safer storage methods as well as the organic certification process. 

“We have a very simple philosophy: make the best use of our country-grown fruits and vegetables and sell to people who love feeding their children healthy, nutritional products. So, we are building a business that sustains and improves the local food value chain and organic farmers while providing high quality food to Senegalese people,” Samba tells IPS.

Senegal – a fertile ground for startups

Samba’s Le Lionceau is one of the many startups that have mushroomed up across Senegal in recent years.

According to VC4A — an organisation that provides technical and financial support to startup ventures globally and in Senegal — there are 128 registered startups in the West African nation, over a dozen of which are owned by women.

However, it is often assumed that the number of women-owned startups are much higher as many women entrepreneurs hesitate to register their businesses due to high taxes, which include 18 percent Value Added Tax (VAT) and 30 percent company taxes.

The figures are not unusual for the continent.

“Participation in informal employment that is typically low-skilled and comes with poor working conditions is higher among women than men. In 2018, this was the case in more than 90 percent of sub-Saharan African countries,” states a policy document by the Deliver for Good campaign, which promotes 12 crucial investments in women and girls, including dramatically reducing gender-based violence; the respect, protection and fulfilment of sexual health and rights; ensuring equitable and quality education as well as boosting women’s economic empowerment.

However, the introduction of the Senegal Startup Act promises to provide support for startups, while easing their tax burden.

The law was passed in December 2019 after 19 months of intense consultation and discussions among 60 Senegalese innovation enthusiasts, 20 startup supporter organisations and government representatives, including the tax authority, and the education and economy and finance ministries.

The law aims to promote and provide tax breaks and other benefits to innovative new businesses in various fields, ranging from food and agriculture to health and mobile banking. Senegal is only the second African country after Tunisia to have such a law supporting startups.

Perhaps it will create an encouraging environment for women entrepreneurs, but the law itself has no special provisions for them. 

“The new law is really a big ball of hope for all of us who have started without any external help and were struggling to create everything from scratch, like consumer awareness, training of suppliers, creating a conducive market, building infrastructure etc,” says Samba.

Giving the information women need

• In Senegal, 49.9 percent of women of reproductive age have anaemia, says the global nutrition report which profiles the burden of malnutrition at the global, regional, sub-regional and country level.
• In children the rate of acute malnutrition is nine percent, which is higher than the developing country average of 8.5 percent, the report states.

Despite the high burden of challenges, resources are always inadequate, say many experts.

There is never enough credible information available to mothers on malnutrition, nor is there enough funding for those who are working to improve women’s and children’s health, says Fatou Ndiaye Turpin, the executive director of Réseau Siggil Jigéen (RSJ), a women’s rights organisation that aims to promote and protect women’s rights in Senegal.

RSJ is also one of the convenors of the Deliver for Good campaign coalition in Senegal, which is part of a larger, global campaign powered by Women Deliver. 

Seynabou Thiam, a Dakar-based digital entrepreneur and mother of two young children, agrees with Turpin. In Senegal, there isn’t enough credible information in the public domain on issues that mothers need such as childcare, child nutrition, mothers’ health and well-being etc., Thiam tells IPS.

In 2013, Thiam founded Yaay.sn, a social networking group for mothers that aims to close this information gap. The network, Senegal’s first digital social community, has over 12,000 members.

Using blogs, posters, videos and photographs as resources, Yaay.sn offers Senegalese mothers the information they need about childcare, nutrition and health though a platform that allows them to connect, share their problems and seek support from each other.

Thiam  has won several awards for her startup, including the Female Digital Enterprise Award in 2015 and Africa Digital Communication Days Awards 2019.

“We currently have two major platforms – a group page on Facebook and a channel on Youtube. The construction of our website has already started, so technically, we are in a transition phase right now. But I am hopeful that our website will be completed and operational soon,” Thiam tells IPS.

In 2011, only 15 percent of Senegalese had access to the internet, according to World Bank data. But today, less than a decade later, the number has dramatically increased to 58 percent. The rapid digitisation is an encouraging factor for women who have the potential to become digital entrepreneurs, says Thiam.

“Women have a systemic approach to business. Sustainability is always at the back of their mind, even as they create wealth. They also constantly think of the welfare of those around them – including their families,” Thiam tells IPS.

Women sell farm produce in Casamence, southern Senegal. Evidence shows that women’s full participation in the economy drives better performing and more resilient businesses and supports economic growth and wider development goals for nations. Credit: Stella Paul/IPS

Joining the Fight Against COVID

Gaelle Tall is the co-founder and chief sales officer of Paps, an e-logistics start-up that provides delivery services across Senegal. When the COVID-19 crisis began to effect the country, which has no online grocery stores, Tall quickly added a new service to Pap’s offers: delivery of food, water and hygiene products to people living under lockdown restrictions.

Another health startup which has been quick to join the fight against COVID-19 is SenVitale, which created the Passeport Universelle de Santé.

Launched in 2017 and co-founded by 22-year-old Nafissatou Diouf, the Passeport Universelle de Santé is a QR scan of a patient’s medical data that is integrated on a card, bracelet, or a pendant. Doctors can instantly access patient medical data by scanning the QR code.

When the COVID-19 outbreak reached Senegal, SenVitale created a web platform where citizens can take a coronavirus self-assessment test before approaching a medical facility. So far, over 100,000 people have taken the test, thereby taking some burden off a stressed national health service. Senegal has over 8,000 cases reported. 

“I lost my aunt who died mainly because she couldn’t find enough information on her sickness. So, we wanted to find a system that would help our doctors and health practitioners act faster,” Diouf, who won Best Startup of the Year (Senegal) awards and also the Feminine Coup de Coeur awards in 2019, tells IPS.

Areas awaiting urgent interventions

Senegal’s population, currently 16.7 million, is expected to rise to 22.3 million by 2030.

“In such a context, reproductive health programmes for young and inactive populations are essential for Senegal to capture the demographic dividend and for the country’s economic and social situation to improve,” Turpin tells IPS.
She identified four crucial areas of women’s health that urgently need greater attention: maternal mortality, access to contraception, information on reproductive health and investment.

The current volume of investment and attention to all of these four areas remains inadequate, although some NGOs are providing services, Turpin says.

“The NGOs are closely linked to public health structures and most of the time operate as referral clinics for public sector clients. These NGOs also create digital platforms to facilitate access to information and products on sexual and reproductive health,” she adds, admitting that no start-up business has stepped into the reproductive health area with a bankable service.

Perhaps its time for a woman to take on the challenge. “Evidence shows that women’s full participation in the economy drives better performing and more resilient businesses and supports economic growth and wider development goals for nations,” Women Deliver notes in a policy brief.

Meanwhile, female entrepreneurs like Samba are trying to add value to their current services by making videos on health, food quality, nutrition, organic food and the need for building immunity through the consumption of fresh, healthy food.

The videos in Senegal’s main indigenous language, Wolof, are free and handed to women and girls who purchase her products.

“Working for health, nutrition and food is hard,” she says, explaining that remains a lack of funding and infrastructure, taxes are high and there are many cultural barriers.

“For example, when I go for a business appointment with my male co-founder, people speak to him and ignore me,” Samba says.

But she believes things are changing.

“But (there are) many organisations providing training to women entrepreneurs, there are networking facilities. There is a new law plus the opportunity to improve women and children’s health. So, it’s an exciting time to have a startup.”

Ndiabou Niang was able to get access to prenatal care after her town’s mayor decided to finance the health membership of nearly 300 women and children. Courtesy: Réseau Siggil Jigéen

By Neena Bhandari
SYDNEY, Australia, Jul 14 2020 (IPS)

Pregnant with her second child, 30-year-old Ndiabou Niang was enduring pelvic pain, but couldn’t afford to access prenatal care in Diabe Salla, a village on the outskirts of the small town of Thilogne in north-east Senegal. Her husband was unemployed and her earnings of under CFAF 10,000 (17 USD) from selling seasonal fruits in the local market were insufficient to make ends meet.

During her last prenatal visit, she was prescribed some tests, an ultrasound and medicines that would cost CFAF 39,000 (USD 67). An astronomical amount for her meagre income. So she didn’t follow through with the treatment, opting to suffer in silence instead.

Many pregnant rural women, living below the poverty line, don’t follow through on their prescriptions and delay their prenatal visits till they are in their third trimester, which puts them at greater risk of pregnancy-related complications.

Senegal has integrated the United Nations’ Sustainable Development Goals (SDGs) into its national policies and plans, but socio-economic, cultural and religious norms and attitudes impede women’s and girls’ access to sexual and reproductive health services and rights, especially in remote and rural areas. The challenges include early marriage, unmet contraceptive needs, early pregnancy, unsafe abortions and female genital mutilation.

The country’s version of Universal Health Coverage is Maladie Universelle (CMU) rests on mutual health organisations (MHOs) that provide health insurance wherein each person contributes a yearly enrolment fee that is matched by the government. The annual member contribution to the mutual health insurance is CFAF 3,500 (USD 6).

People in remote and rural areas choose not to join the mutual health insurance because Health Posts, local facilities that dot the country, have limited drugs and treatment options. Consultations at these posts cost CFAF 1,000 (USD 1.70), but they are not equipped to provide advanced obstetric care – like caesarean sections or blood transfusions. So the distances from local health posts to a district or regional hospital, poor road infrastructure, and cost and shortage of ambulances are some of the other challenges rural women face in accessing healthcare.

Aware of this, Réseau Siggil Jigéen (RSJ), an NGO that aims to promote and protect women’s rights in Senegal, through the IntraHealth International-led Neema project, a consortium of seven health organisations working to extend reproductive health services to last-mile recipients, began extensive advocacy to mobilise the community and local authorities to promote MHO membership.

After several sustained advocacy meetings, the mayor of Thilogne decided to finance the MHO membership for nearly 300 women and children. Niang, was one of them.

“It helped me to get X-rays, prescription drugs and have a caesarian delivery at the Regional Hospital Center of Ourossogui. The cost was CFAF 75,000 (USD 129), but as a MHO member, I only had to pay CFAF 15,000 (USD 25). I am now committed to do everything for my own health and my children’s health, who are 3 months and 18 months old,” she told the local RSJ member. She is also making her family and friends aware of the benefits and urging them to join the MHO.

RSJ and IntraHealth International have been working together for a decade to reposition family planning in Senegal and in the sub-region.

“Together, we introduced the fight against gender-based violence and early pregnancies in schools, and we help health workers improve care in their communities. Now we’re advocating to local governments to mobilise more domestic resources, which make reproductive health services accessible for pregnant women and teenagers who otherwise couldn’t afford them,” IntraHealth International’s Senegal Country Director Dr Babacar Gueye told IPS.

Several other mayors have also followed suit and made financial commitments to reduce maternal and infant mortality in their communities.

In Senegal, a Least Developed Country with 16.7 million people and a fertility rate of 4.5 per woman (2020):

• maternal mortality ratio remains high at 315 deaths per 100,000 live births (2017);
• 74 percent births were attended by skilled health personnel during 2014-2019;
• and only seven percent of girls and women could make a decision on sexual and reproductive health and rights during 2007-2018 period, according to the United Nations Population Fund’s (UNFPA) World Population Dashboard Senegal.
• (Data to be read in context with technical notes and sources in the link above)

“Senegal can only embark on the path of development when young people and women are in good health, educated, well trained and equipped to seize development opportunities. Creating these conditions is a social, economic and political necessity,” UNFPA’s assistant representative in Senegal, Moussa Faye, told IPS.

Fifteen years after Senegal passed the 2005 Reproductive Health Law, the decrees to implement it have still not been ratified. The Deliver for Good Senegal campaign’s advocacy objective for 2020 is to get the decree on Family Planning enacted. It is part of a larger, global campaign powered by Women Deliver, a global advocacy organisation that champions gender equality and the health and rights of girls and women.

The Deliver for Good Senegal campaign’s steering committee, convened by RSJ and Energy 4 Impact, is working with other civil society organisations and ministers to roll out a roadmap to push the competent authority to sign the decree.

“The campaign is advocating at national and local level to reduce maternal and child mortality rates and mobilise financial resources to strengthen the access of women and young people to family planning services and information, whatever their purchasing power and their geographical location. The implementing decree on family planning would qualitatively strengthen the health of mothers and children and help Senegal achieve the SDGs related to women’s health and rights,” Fatou Ndiaye Turpin, executive director of RSJ and co-leader of the Deliver for Good Senegal campaign, told IPS.

An implementing decree is also needed to describe the modus operandi to allow non-medical workers to provide a wide range of family planning services to vulnerable rural, disadvantaged urban, poor and young people, in particular through community-based distribution.

To ensure women in disadvantaged areas have access to family planning services, there is a growing emphasis on primary health care. For example, the community-based health worker programme, the Bajenu Gox Initiative (which means paternal aunt or godmother in Wolof) to train women to be leaders in reproductive health. Local bajenu gox are enlisted by the government to provide support to women during prenatal, delivery and postpartum periods, and advice on caring for children under five years old in areas where trained medical professionals are not available. 

While family planning policies have been progressive, Ouagadougou Partnership Coordination Unit’s Director, Marie Ba told IPS, “One needs to balance this progress with the prevalent socio-cultural barriers, misconceptions and misinformation around contraception, reproductive rights and health, relatively high unmet contraceptive needs, inequality in terms of gender and social norms, especially in rural areas. For example, only 20 percent of married women aged 15 to 19 report making decisions alone or jointly with their husbands regarding their own health care.”

Many women still need to get permission from their husband or mothers-in-law to use a contraceptive and many young girls are unsure whether they are allowed to use contraceptives before they turn 18. According to UNFPA, the contraceptive prevalence rate for all women aged between 15 and 49 using any method of birth control was 22 percent (2020); and and 16 percent of all women aged between 15 and 49 had their need for family planning unmet (2020). 

Family planning options – birth control pills, implants, intrauterine devices, easy-to-use self-injectable contraception – are now becoming more readily available in regional health posts.

“However, three challenges remain. Stockouts at national and regional level – the stockout rate for injectables varies between 25 and 45 percent in key cities; the same is true for implants, where stockouts can reach 80 percent in the public sector. Secondly, problems with the supply of products to service delivery points. Thirdly, product quality control which remains variable and insufficient,” Turpin told IPS.

Child marriage is still prevalent. As many as 29 percent girls were married by age 18, according to UNFPA. It exposes girls to harmful consequences – sexual and psychological abuse and violence; early pregnancy, which has the risk of medical complications and even death.

Abortion is illegal in Senegal except when three doctors agree that the procedure is required to save a mother’s life.  It is also prohibited in cases of rape or incest. These strict abortion laws have forced many young women to resort to unsafe, illegal abortion services, which often put their health and lives at risk. The adolescent birth rate for girls aged 15 to 19 years was 78 per 1,000 births, according to UNFPA. 

“Abortion is the fifth-leading cause of maternal death in Senegal. It strongly influences maternal mortality with eight percent of maternal deaths linked to unsafe abortions and 50 percent of the reasons for emergency admission to referral maternities,” Turpin told IPS.

The COVID-19 restrictions have led to closure of many reproductive health and family planning services, disruption in supply chains of contraceptives, which are posing a significant risk to women and girls’ health.

In Senegal, although gender parity has been achieved in favour of girls in primary education, the dropout rate at secondary school among female learners is high and few older girls remain at school and complete their education. Credit: Mikaila Issa/IPS

By Mantoe Phakathi
MBABANE, Jul 13 2020 (IPS)

When Fatima* became pregnant in the middle of the school year and dropped out, she was disowned by her parents. Hers is a story that could have ended as another statistic of dropout rates among female learners in Senegal.

But Fatoumata Fall, a member of the Réseau Siggil Jigéen (RSJ), an NGO that promotes and protects women’s rights in Senegal, heard about Fatima’s story from health officers at the Keur Massar Health Post. She approached municipal authorities for assistance.

Moustapha Mbengue, the mayor of the Keur Massar Municipality, offered moral and financial support for Fatima, enabling her to receive prenatal care. And the combined efforts of Fall and Mbengue also convinced Fatima’s parents to welcome their daughter back home. Mbengue also undertook to assist Fatima in continuing with her studies after childbirth.

It was a happy ending for Fatima.

Though many other girls in the West African nation face different realities.

According to the United Nations Educational, Scientific and Cultural Organisation (UNESCO), although gender parity has been achieved in favour of girls in primary education, where for every 100 boys enrolled, there are about 104 girls, the dropout rate at secondary school among female learners is high.

“Dropping out of school is significantly common not only in the transition from primary to secondary but also within secondary education,” observed UNESCO in its 2011/12 Global Partnership for Girls’ and Women’s Education fact sheet.

Alongside economic challenges, UNESCO mentions teenage pregnancy and early marriage as some of the reasons why girls do not remain at school and complete their education.

Fatou Gueye Seck, from the Coalition of Organisations in Energy for the Defence of Public Education (COSYDEP Senegal), told IPS the 2016 Multidimensional Review attributes the limited access to education for women and girls to early marriage, among other reasons.

Quoting a 2017 Organisation for Economic Co-operation and Development (OECD) report, Seck said 25 percent of girls aged 15 to 19 were married in 2014, compared to 4.6 percent of boys in the same age group.

• According to the U.N.Population Fund’s (UNFPA) report, “Against My Will: State of World Population 2020”, states the adolescent birth rate of girls aged 15 to 19 is 78 per 1,000 births.

“In Senegal, the gender index is still against girls,” Seck told IPS.

As a result, said Seck, the scale of illiteracy, especially among women in rural Senegal, is also symptomatic of the poor access to education. According to UNESCO, Senegal’s literacy rate for the population aged 15 years and above is 64.81 percent for males and 39.8 percent for females.

“This phenomenon remains very recurrent among women in rural areas where only 25.9 percent of them are literate,” Seck said.

Seck said a 2014 regional analysis of the phenomenon shows that the regions of Ziguinchor (62.3 percent) and Dakar (61.9 percent) have the best literacy rates. In contrast, the regions of Matam (24.9 percent), Tambacounda (26.6 percent), Diourbel (29.8 percent) and Kolda (33.1 percent) stand out with the lowest rates.

Quoting an OECD report, Seck said since 2016, enrolments in Functional Literacy Centres, which give dropouts a second chance at learning, have fallen by more than half. The number of learners – 92.5 percent of whom were women – dropped from 34,373 to 15,435.

The OECD attributed this underperformance to the inadequacy of the overall amount of funding towards the National Ministry of Education, Illiterate Youth and Adult Basic Education, which is below 1 percent of public spending on national education.

“In this regard, the 2007 Bamako conference [African Regional Conference in Support of Global Literacy] on the financing of non-formal education recommended that States increase this ratio to 3 percent,” said Seck.

Seck is also the president of the education theme of the Deliver for Good Senegal campaign, an evidence-based advocacy and communication platform that promotes the health, rights and wellbeing of girls and women.

Powered by Women Deliver and various partners, part of the campaign’s activities are to help the country achieve Goal 4 of the Sustainable Development Goals – access to quality education for all. The campaign is calling for the increased funding for school-based reproductive health education to keep young people in school. 

According to Seck, since the launch of the Deliver for Good campaign, the authorities of targeted municipalities have been successful in addressing issues related to education and sexual and reproductive health.

“As an example, [Mbengue] has been proclaimed ‘Mayor Champion of Education’ by his peers. In fact, the mayor made a commitment to increase the budget allocated for the reproductive health of adolescents and young people and declared himself a spokesperson for this cause to his fellow deputies of the National Assembly,” she said.

Seck stressed the important role of women in the family and in society, in general, adding that the more educated she is, the more crucial her place is in the economic and social development of the community. She said a society in which the percentage of educated women is high has more opportunities to access knowledge, economic, health and cultural assets than one made up mainly of illiterate women.

“Within the family, the role of the mother in the educational success of children in the family has been the subject of numerous studies, which have shown that children whose mother has a certain level of education are more likely to have successful studies than those whose mother is illiterate,” she said. 

She said Senegal’s 10-year Education and Training Programme, which put in place an important strategy and resources for achieving parity within the deadlines of the Education For All goal, are beginning to pay off.

“Indicators have started to evolve in favour of girls even if the gains must be maintained in view of the cases of early pregnancies which constitute a real obstacle to the development of girls,” Seck said.

*Not her real name

Zigunchor in Senegal’s southern Casamence region has the highest literacy rate in the country but here gender-based violence such as such as Female Genital Mutilation (FGM) is still practiced. Credit: Stella Paul/IPS

By Stella Paul
HYDERABAD, India, Jul 7 2020 (IPS)

Growing up in Senegal’s southern Casamence region — a conflict zone —  Fatou Ndiaye, now 43, often heard gunfire and watched fearfully as she saw people flee their villages. But what she dreaded more than a flying bullet was Female Genital Mutilation (FGM).

In her Wolof community, village grandmothers or professional circumcisers cut off the genitals of girls as young as 7 with a sharp blade. Ndiaye wanted to speak out against this but did not have the courage. But one day 13 years ago, she met Aissatou Sall, a fellow Senegalese woman who used storytelling to raise awareness against FGM.

“Connecting with her and hearing her stories taught me a lot about cutting. I learnt how women’s rights were often violated under the disguise of religious norms and traditions. And it gave me the courage to tell my family that I would speak against FGM and every harmful practice from now on, with or without their support,” Ndiaye, who has since become a professional storyteller herself, tells IPS. Occasionally, she also makes documentary videos in order to raise social awareness in her community.

Like Ndiaye, thousands of Senegalese women and girls are learning to take a stand against gender-based violence like FGM, child marriage, stoning and menstrual taboos through communication platforms that include storytelling, community counselling, mobile apps, art, poetry and videos.

GBV and girls’ education in Senegal

Statistically, when compared to its closest neighbours, Senegal has a much lower rate of gender-based violence (GBV), especially FGM. The average education rate is also much higher that its neighbours.

According to data published by the United Nations Children’s Fund, eight percent of women 20-24 years were married or in union before age 15 and 29 percent of women 20-24 years were married or in union before age 18. In addition, 24 percent of Senegalese girls and women aged 15 to 49 years have undergone FGM, while in Mali, Gambia, Mauritania and Guinea Bissau its 89, 76, 67 and 45 percent respectively for the same age group. 

However, within ethnic minority communities the numbers are almost as high as they are across the border, says Molly Melching, the founder of Tostan — one of the longest-running and most influential NGOs in Senegal working to curb FGM through community awareness and non-formal education. 

Based in Dakar, Tostan works across Francophone Africa and also in Somalia and Djibouti.

According to Melching, more and more Senegalese have been rejecting FGM thanks to a coordinated ground movement focused on community awareness raising, which is spearheaded by several civil society movements.

There are other forms of GBV, such as child marriage, which have a high prevalence in the country.

UNICEF data shows “eight percent of women 20-24 years were married or in union before age 15, and 29 percent of women 20-24 years were married or in union before age 18”. 

“In Senegal, the national literacy average is 51 percent. But there is a disparity between boys and girls. 70.7 percent of boys go to school while for girls the number is 63 percent. Almost all the girls who drop out of school [do so] because of early marriage,” Fatou Gueye Seck, coordinator at Coalition des Organisations pour la Défense de l’éducation Publique (COSYDEP), a Dakar-based NGO promoting free and inclusive education, tells IPS.

Ending GBV with Non-formal Education

Melching, who has been working in Senegal for four decades, tells IPS that most families here have relatives across the border who share a common set of values and cultural practices. To address a contentious issue like FGM, which is embedded in the value system, it is important to educate the entire community so that the knowledge can also be shared.

Tostan has been educating communities, including smaller minority groups living in far-flung regions, using a rights-based approach and a diverse package of communication tools, including guidebooks in the local language and mobile-based learning modules.

“Let’s be honest: there is no social change unless the community is directly involved. Nobody likes it if you go to them and say ‘this is wrong about your culture and that is wrong about your tradition.’ So, you have to work in a way where the space is open for the community to freely involve and engage to think and act,” Melching tells IPS.

At Tostan’s human rights-based Community Empowerment Programme (CEP), community members attend classes on human rights. They also learn about their right to health and the right to be free from all forms of violence. They also discuss the responsibilities they share to protect these rights in their community.

In sessions on health, they learn about the potential, immediate, and long-term harmful consequences of the practice and discuss ways to prevent these health problems in the future.

Finally, instead of blaming or criticising, community members are encouraged to discuss practices like FGM that are harmful for them, which then leads to the decision to end the practice.

The impact has been impressive, reveals Melching. Over 8,000 communities from Senegal and seven other countries in sub-Saharan Africa have publicly declared to end FGM and child/forced marriage.

Micro credit to curb GBV

Queen Sheba Cisse was born in Alabama, United States, but returned to her roots in Senegal over a decade ago. For the past seven years, Cisse has been helping the women of M’bour, a town in the western Thies region, become financially independent.

Cisse’s NGO has set up a micro credit programme that assists women develop their own local businesses. Attendees are asked questions like “What do women want? What business will work? What will give them a higher say in the family? etc.”

“There is no denial that GBV, like cutting, is still a big challenge in our community. But instead of looking at it as an isolated issue, we took a holistic look and realised cutting is performed by women because they believe in the ritual.

“We also realised that where women were economically empowered, they had a voice and their voices were taken seriously. So, we decided to strengthen women’s voices and help them become financially independent, so they could decide on their own GBV,” Cisse tells IPS.

Continued investment – the need of the COVID hour

According to a recent report released by the U.N. Population Fund (UNFPA), titled “Against My Will: State of World Population 2020”, an additional two million cases of FGM will occur globally by 2030. An additional 5.6 million child marriages can also be expected globally because of the coronavirus pandemic.

A new U.N. Educational, Scientific and Cultural Organisation report, “All means All”, shows that exclusion in education has deepened during the COVID-19 pandemic and about 40 percent of low and lower-middle income countries have not supported disadvantaged such as the poor, linguistic minorities and learners with disabilities during school shutdowns.

The list includes Senegal where only 13 percent of schools are equipped with internet and 28 percent of schools have computers, severely limiting online education.

To bridge the gaps, the report makes a series of recommendations that include more consultation with communities, greater participation by NGOs and providing targeted financing for those who are currently lagging behind.

A similar call for continuing support to Senegalese girls and women affected by the pandemic was given by the Deliver for Good global campaign. In April, the campaign published an open letter urging all governments to “apply a gender lens and put girls, women, and gender equality at the center of COVID-19 preparedness, response, and recovery”.

Powered by Women Deliver and various partners, the campaign aims to make the Sustainable Development Goals, including goal four of education work best for girls and women.

Seck of COSYDEP, which is one of the Deliver for Good campaign partners in Senegal, describes how the campaign has continued to support girls and women’s education across Senegal.

“We have been working in different municipalities across the country, organising local meetings and field visits and have seen a lot of these municipal councils achieving great success,” she says. 

For example, in the Keur Massar municipality, the mayor was declared “Mayor Champion of Education” by his peers after he pledged to increase the budget allocated to the reproductive health of teenagers and young people.

In Guinchor, Casamence, where Nadiaye lives with her two young children, the pandemic has brought life to a standstill.

However, instead of suspending her awareness-raising work, Ndiaye is now exploring new areas like internet talk shows to continue her storytelling.

“The beauty of non-formal education is that we teach and learn in every possible way. So, I am now planning to start an audio show. Because of the shutdown I can’t travel, but with this show I can cross the borders and educate people living on the other side too.”

Asha Abdi, a former member of Nairobi County assembly, says progress for the increased participation of women in politics in Kenya has been painfully slow. Credit: Miriam Gathigah/IPS

By Miriam Gathigah
NAIROBI, Jul 6 2020 (IPS)

In 2013, Alice Wahome ran in her third attempt to win the hotly-contested Kandara constituency parliamentary seat in Murang’a County, Central Kenya. As is typical of rural politics, the field was male-dominated, with the stakes being high for all candidates but more especially so for Wahome — no woman had ever occupied the Kandara constituency parliamentary seat.

“It was a very brutal campaign. I was harassed, verbally abused, threatened with physical violence and many unprintable things were [said to me] even in public,” Wahome tells IPS.

She says that attributes that are considered admirable and desirable in male politicians were weaponised against her and other women in politics.

“When we vocalised our opinions they said we talk too much and the underlying message is that decent women do not talk too much. When you have a stand, and are firm in your political beliefs and values, they say you are combative, intolerant and aggressive. The same qualities in men are acceptable,” Wahome says.

So vicious was the contest for the hearts of Kandara’s voters that on the morning of the 2013 general elections, the community woke to find packets of condoms branded with Wahome’s name. On the packets were messages, purportedly from Wahome, encouraging voters to embrace family planning.

“This was a smear campaign to show my people that I was not fit to be their leader. There are many things that politicians give to voters, such as food items. Distributing condoms in a rural, conservative society on the day of the elections is political suicide,” Wahome, a lawyer, says.

Fortunately, she had spent years interacting with the community, promoting health initiatives, education and the empowerment of women and girls. So despite the smear campaign, Wahome became the first woman to win the Kandara seat and is currently serving her second term in the national assembly after her 2017 re-election.

Propaganda, threats of violence and especially sexual and physical violence, public humiliation and unrelenting vicious social media smear campaigns are a few of the challenges that women in politics, like Wahome, have to overcome to win and sustain political leadership.

This is in addition to overall campaign challenges such as limited financial and human resources and vicious internal politics. But even at the political party level, the system is still skewed in favour of men who own and finance these parties.

“The political arena is very hostile towards women. The campaign trail is littered with lived experiences of women who have been brutalised for seeking leadership,” Wangechi Wachira, the executive director of the Centre for Rights, Education and Awareness (CREAW), tells IPS.

CREAW is a local partner for Deliver For Good global campaign that applies a gender lens to the Sustainable Development Goals and is powered by global advocacy organisation Women Deliver. The Deliver For Good campaign partners advocate to drive action in 12 critical investment areas, including strengthening women’s political participation and decision-making power.

Wangechi has been at the forefront of holding the government accountable for gender equality and equity, as provided for by Kenya’s 2010 gender-progressive constitution, which demands that all appointed and elected bodies constitute one-third women.

Article 27 (8) of the Constitution’s Bill of Rights says: “The State shall take legislative and other measures to implement the principle that no more than two thirds of the members of elective or appointive bodies shall be of the same gender.” 

The national assembly is obligated to enact the Constitution of Kenya (Amendment) Bill 2018, also known as the Gender Bill, to realise this provision. But more than 10 years down the line, this obligation remains unfulfilled. In 2019, parliament did not even have the required two thirds of members present in the house — the requisite quorum for a constitutional amendment — to vote on the bill.

“The national assembly has failed the women of Kenya. We have gone to court to push for the national assembly to enact legislation to correct blatant gender inequalities. There is too much resistance and push back from a patriarchal system,” Wangechi says.

It is this resistance that women in politics find themselves up against in their quest for leadership. Women account for just 9.2 percent of the 1,835 elected individuals in 2017, a marginal increase from 7.7 percent in 2013, according to a report by National Democratic Institute and the Federation of Women Lawyers-Kenya, the latter being another Deliver For Good local partner. 

This report shows that in the 2017 elections, 29 percent more women ran for office than in the 2013 general elections and there are now more women in elected positions across all levels of government. But Asha Abdi, a former member of the Nairobi County Assembly, tells IPS that progress has been painfully slow.

Overall, there are now 172 women in elective positions — up from 145 in 2013. In the 2017 general elections, 23 women were elected to the national assembly compared to 16 in 2013, and another 96 were elected to the county assemblies compared to the 82 women in 2013.

As such, women account for 23 percent of the national assembly and senate, with this figure including the 47 seats reserved exclusively for county women representatives. 

Human rights campaigners say that the momentum to hold the national assembly accountable had picked but as the COVID-19 pandemic rages on, concerns are rife that the gender agenda is no longer a priority.

“COVID-19 has not slowed down political activities in this country. In fact, leaders are behaving as if we are going into elections tomorrow and not 2022. We have serious political re-alignments and nobody is speaking for women,” Grace Gakii, a Nairobi-based gender and political activist, tells IPS.

“Ordinary Kenyans are more concerned with staying safe from the virus and feeding their families. So some of the small gains we have made could be lost during this pandemic because there is no one to hold political parties and powers that be accountable,” she says.

Recognised as East Africa’s economic powerhouse by the World Bank, this economic giant lags behind its neighbours in as far as women representation across government bodies is concerned.

In South Sudan, the figures for women in politics are higher, with 28.9 percent in elected positions. Uganda has 34 percent, Tanzania and Burundi 36 percent, and Rwanda 61 percent.

“Political campaigns and the intense lobbying that goes with it are very difficult for women. There are many meetings at night and exclusive meetings in ‘boys’ clubs’. Society is warming up to women but too slowly. When you vie against men, all the male opponents gang up against you, because it is considered a big insult to be defeated by a woman,” Abdi says.

While the 2017 general elections showed a small shift in the political landscape, resulting in the election of the first three female governors and the first three female senators, Wahome says that the road ahead remains long and winding.

She says that women in politics should and can successfully rise to the challenge.

Wahome encourages women to draw strength from others who have tried and succeeded, saying that with time, patriarchal attitudes and customs will shift. She particularly encourages women to engage in grassroots transformative projects with their communities.

“There are many areas to choose from including education and community health. Let the people see what you can do and later, they will back you all the way to the top.”

Irene Omari says that the most pressing problems women in business face includes a lack of credit. Credit: Miriam Gathigah/IPS

By Miriam Gathigah
NAIROBI, Jun 29 2020 (IPS)

Pauline Akwacha’s popular chain of eateries, famously known as Kakwacha Hangover Hotels and situated at the heart of Kisumu City’s lakeside in Kenya, is facing its most daunting challenge yet. Akwacha and other women in business across this East African nation are bracing themselves for the post-COVID-19 economy. 

Strategically located at the heart of Kisumu’s bustling central business district, business at Kakwacha had always been very good. One could hardly find a seat at the eateries.

“We are known for our fresh, traditional foods, including meat and especially fish. This is the lakeside and fish is a big part of our lives. The meals are very affordable and the portions filling,” she tells IPS.

The first COVID-19 case in this East African nation was confirmed on Mar. 13. Within days the Kakwacha chain, other restaurants and the hospital industry closed as the government issued strict social distancing protocols to curb the spread of the virus.

“Now my doors are closed and am losing a lot of money because I still have to pay rent and do whatever is necessary to cushion my staff,” Akwacha says.

To reopen, Kakwacha will have to follow the strict guidelines issued by the Ministry of Health. Restaurant owners are required to pay from $20 to $40 for each staff member to undergo mandatory COVID-19 testing before reopening.

Still, without cash flow, Akwacha will find it difficult to re-open.

Across the street, Irene Omari, the sole proprietor of one of the biggest branding companies in Kisumu City and its surroundings, has similar concerns about the market post-lockdown. As a woman, she struggled to access loans to start her business.

“It is very difficult to run a business as a woman. In the beginning I could not even access credit because financial institutions did not take me seriously. I had to learn to spend 15 percent of every coin I made, and save 85 percent to plough back into the business. Women do not access loans easily because of strict collateral requirements,” Omari tells IPS.

Omari says that the most pressing problems women in business face, include a lack of credit, patriarchal stereotypes and naysayers who tell women that they cannot succeed — because they are not men.

But she succeeded despite this. Up until the lockdown, her printing and branding business occupied two large floors in a building in the lakeside city. There, she pays $1,500 in rent per month, a considerable sum that shows just how big and strategically-located her business is.

“I brand for hotels, schools, companies, non-governmental organisations and walk-in individual clients. We have something for everyone. Our printing department caters mostly to schools. I have invested heavily in mass production by purchasing machines worth millions [of Kenyan shillings],” Omari tells IPS.

But COVID-19 has also hit the very heart of her business. With schools, hotels and restaurants closed, and as companies face a most uncertain future, business is at an all-time low. 

Omari has diverse business interests and also invested in a trucking business to transport construction materials across the larger Western region. But this industry has also been impacted by the lockdown.

Kenya’s gross domestic product (GDP) is projected to decelerate significantly due to COVID-19. The most recent World Bank Kenya Economic Update predicts economic growth of 1.5 to 1.0 percent in 2020. Growth focus for 2020 was estimated at 5.9 percent pre-COVID. 

While COVID-19 may be the latest addition in a long list of challenges that women in business have had to endure, there are concerns that the pandemic will only widen existing economic gender inequalities.

In 2018, only a paltry 76,804 or 2.8 percent of the country’s formal sector employees earned a monthly salary in excess of 1,000 dollars. Of these employees, 36.5 percent were women, accounting for only one percent of the total formal sector employees, according to the Kenya National Bureau of Statistics.  

There are no real-time statistics available yet on the impact COVID-19 has had on women in business.

But dated statistics paint a picture of the difficulties women had have to overcome.

Overall, Kenya has significantly expanded financial access and reduced financial exclusion. The number of people without access to any financial services and products reduced from 17.4 percent in 2016 to 11 percent in 2019. But while financial access gaps between men and women are narrowing, women are still lagging behind, according to the Central Bank of Kenya financial access survey of 2019.

For instance, in 2016, 80.9 percent of women-to-women business partnerships were denied loans by micro-finance institutions, according to the Kenya National Bureau of Statistics.

As such, more women in business are turning to the informal sector such as table banking or merry-go-round savings and lending groups.

“This is why investing in women and providing much-needed affirmative action support remains necessary and urgent,” Fridah Githuku, the executive director of GROOTS Kenya, tells IPS. GROOTS is a national grassroots movement led by women, which invests in women-led groups for sustainable community transformation. 

So far, this Deliver For Good local partner has invested in nearly 3,500 women-led groups. Deliver For Good is a global campaign that applies a gender lens to the Sustainable Development Goals and is powered by global advocacy organisation Women Deliver.

In the agricultural sector where, according to World Bank statistics, women run three-quarters of Kenya’s farms, the government says that women’s investments in farming does not match the amount of money they receive in loans.

Currently, women still only account for 25 percent of the total loans issued by the government’s Agricultural Finance Corporation (AFC). This, experts say, is an improvement from 11 percent in 2017.  

Githuku points out that previously land title deeds were a non-negotiable requirement for loans with the AFC and prevented women-led enterprises in the agricultural sector from accessing credit.

Today, women do not have to rely on land title deeds and can support their loan applications to the AFC with motor vehicle log books and cash flow statements.

But experts are concerned that these loans might come to naught as COVID-19 continues to disrupt the entire farming chain; from the acquisition of farm inputs as farmers struggle to access seeds and fertiliser, to productivity on farms, and the transportation of produce to the markets.

For now, it is a wait-and-see situation for women in business, including Akwacha and Omari, as Kenyans continue to speculate on whether the economy will fully open up anytime soon. 

Aïssata Ba is amongst several rural women selected by Energy 4 Impact to participate in an economic empowerment programme, which provides women entrepreneurs with access to renewable energy technologies. Courtesy: Energy 4 Impact Senegal

By Neena Bhandari
SYDNEY, Australia, Jun 24 2020 (IPS)

Aïssata Ba, 45-year-old widow and mother of seven children, has been practising market gardening for the past 30 years in Lompoul Sur Mer village in the Niayes area of north-west Senegal. For many women in the village, endowed with fertile soil and favourable climate, it is the primary source of income throughout the year.

But lack of infrastructure, access to sustainable energy, financial support, equipment and knowledge of modern practices makes it a hard toil for these women engaged in market gardening, which is small-scale production of fruits, vegetables, flowers and cash crops during the local growing season and sold directly to consumers.

Aïssata had to manually prepare seedbeds, remove weeds and irrigate her 0.15 hectare plot by drawing water from the well, a bucket at a time, with the help of her two sons 17 and 23 years old.

“It was physically draining and time consuming. It limited our production capability,” Aïssata told IPS via Mariama Traore, Energy 4 Impact’s (E4I) Gender and Advocacy Officer and Co-Leader of Deliver for Good Senegal Campaign, powered by global advocacy organisation Women Deliver.

Energy 4 Impact, a non-profit organisation working with local businesses to extend access to energy in Africa, and Siggil Jigeen, an NGO that promotes and protects women’s rights in Senegal, are steering the Deliver for Good Senegal Campaign to invest in girls and women for achieving the United Nations’ Sustainable Development Goals (SDGs). The focus priorities of the campaign, a coalition of local representatives of civil society organisations, government leaders, U.N. agencies, and the private sector, include increasing women’s access to resources – clean and renewable energy.

In 2018, only 42.3 percent of households in rural areas had access to electricity, according to Senegal Energy Ministry’s 2019-2023 Energy Sector Policy Paper. Most rural households, institutions and small businesses in Senegal currently rely on hazardous, traditional and inefficient energy sources, such as wood, for lighting, cooking and other energy needs.

“This low availability, adoption and use of welfare-enhancing electrical appliances, especially in poor and rural communities, specifically impacts the time women spend in poverty and the drudgery of labour-intensive activities,” Traore told IPS, adding that “Women’s paid and unpaid labour status and power relations, gendered social norms related to land and asset ownership and independent income, dramatically influence their ability and incentive to access modern energy services and appliances.”

Aïssata is amongst several rural women selected by Energy 4 Impact to participate in an economic empowerment programme, which provides women entrepreneurs involved in farming, dairy production, agriculture and shop owners access to renewable energy technologies, such as solar-powered pumps, freezers, solar systems, and equipment for drying, milling, and processing crops.

Since installing the solar pump, Aïssata’s production has increased from 900 kg to 1,428 kg of vegetables and her six-monthly turnover has shot up to $617 from $350. 

“It has not only improved my productivity and income, but also our living conditions. I also received technical knowledge to evaluate the profitability of crops, support with accessing finance for the pump and learning modern business skills,” she said.

“Last year, my onion crop was the first to arrive on the market, giving me a competitive edge to sell it at a premium price. Since then, I have had a good cycle of crops – tomatoes and cabbages, turnips and onion seeds. This phenomenal transformation in such a short time has inspired me to invest in more land and install a solar sprinkler system in the future,” Aïssata added.

Limited access to energy has been impeding the country’s socio-economic development. The campaign is ensuring that women are being locally recognised as key actors within the energy sector.

Earlier this year, 43-year-old Assy Ba was helped with a loan to buy a solar freezer for her restaurant in the small town of Manda in Tambacounda region, south-east of the national capital Dakar. This made it possible for her to sell cold food products in her off-grid electricity village. Her restaurant had a steady stream of customers stopping for refreshments as Manda is located at the crossroad of two main routes leading to the southern part of Senegal bordering Gambia and Guinea-Bissau. She also had regulars from the large weekly markets.

“My monthly turnover increased to around $400 from a mere $60 or 65 and I could also save food wastage. But since the COVID-19 travel lockdowns have been imposed, we only get very few local customers. I am eating into my savings. My husband is too old to work. Every day, I worry about feeding our eight children and repaying the business loan,” Assy told IPS via Traore.

Energy 4 Impact studied the impact of COVID-19 on 20 women entrepreneurs it supports.

• 95 percent said they were very worried about their financial future and the future of their businesses and how that will impact access to food and health.
• 70 percent of them said that their business was strongly impacted, mainly by the loss of customers and the supply of raw materials, and they had difficulty in repaying their loan.

“We believe it is crucial, more than ever before, to focus on expanding energy access to power economic activities, as this has a very tangible impact on women’s welfare and opportunities,” Energy 4 Impact’s West Africa director Mathieu Dalle told IPS.

• In Senegal, women comprise almost 50 percent of the population.
• 47 percent of the 15 million Senegalese live below the poverty line and half the population is food insecure, according to the National Agency of Statistics and Demography of Senegal.

For rural women, involved in agriculture, food security is a major challenge and that is the reason they need sustainable energy sources to improve and increase the production, preservation and processing of food.

With funding support from ENERGIA, an international network on gender and sustainable energy, and other development partners, Energy 4 Impact’s Foyré Rewbé2 – Empowering Women, Engendering Energy project is assisting women with solar energy. In its sixth phase (April 2019 to March 2022), the project aims to increase the number of rural women entrepreneurs – involved in cereals and peanut farming, fisheries and aquaculture, livestock production, light industry and agro-processing, trade and services – in sustainable Productive Uses of Energy (PUE).

“We are advocating that part of the revenue from oil and gas should fund the development of renewable energies, especially for women’s income generating activities,” Traore told IPS.

The solar resources in Senegal are characterised by 3,000 hours of sunshine per year, and average overall daily solar irradiation of 5.8 kWh / m2 / day. These resources have been harnessed through photovoltaic and thermal solar systems.

The campaign’s advocacy work has led to gender being integrated into national energy policies and programmes. “Women are the heart of society and any progress is only possible through their participation,” said Fatou Thiam Sow, gender focal point and coordinator of studies and planning unit at the Senegalese Ministry of Energy.

Women’s empowerment, including economic empowerment through expansion of renewable energies, has to be at the core of reducing carbon emissions and building climate-resilient societies.

Since the Deliver for Good Senegal Campaign began, many women organisations are today more aware of and they are defending their right to access clean and sustainable energy for their domestic and productive uses.

COVID-19 has significantly impacted women-led businesses across Africa. “Women are disproportionately represented in most of the economic sectors hit by the pandemic. Ensuring that stimulus packages and post COVID-19 policies are gender-sensitive will be critical to getting African women entrepreneurs back on their feet,” Esther Dassanou, coordinator of the Affirmative Finance Action for Women in Africa programme, told IPS.

The Ibrahim Malik public hospital in Khartoum, Sudan. Abortion is only legal in Sudan under very specific circumstances. As a result a number of women continue to access unsafe abortions. Courtesy: Abdelgadir Bashir

By Reem Abbas
KHARTOUM, Jun 22 2020 (IPS)

Omnia Nabil*, a Sudanese doctor, who worked in one of the largest hospitals in Khartoum, the country’s capital, was devastated to witness the deaths of 50 young women who had unsafe abortions during a space of just three months.

“I would see 16 cases of failed abortions on a given day. I would insert my hand and pull out syringes or leaves, unsanitary items that were inserted by midwives to induce a miscarriage,” Nabil told IPS.

For Sudanese women, getting an abortion is often a very lonely and dangerous process because it is only allowed in very specific cases.

Article 135 of the Criminal Law of 1991 legalises “miscarriage” only to save the mother’s life, if she is a victim of rape in her first trimester or if the foetus is dead. However, in all cases, women need their husband’s consent for the procedure.

Women who do not meet these requirements generally end up going to traditional midwives. But it places the women’s lives at risk. And if caught, it is an offence punishable with imprisonment of up to six years or a fine.

• This Northeast African nation of some 41 million people was ruled for 30 years by dictator Omar al-Bashir until he was removed from power by the country’s military in April 2019 after mass pro-democracy protests.
• Under Al-Bashir’s rule the country experienced decades of war and repression resulting in the current internal displacement of 2.1 million people. 

Sudan’s transitional government, formed in August 2019, allocated 40 percent of its parliamentary seats to women. This resulted in laws restricting freedom of dress, movement and work being repealed and female genital multination being criminalised. However, there have been no changes to the law on abortion.

Abortion – a dangerous and lonely procedure

But as international organisations working on reproductive health were slowly shut down in years prior to the transitional government being formed, small groups or networks of people have been working together to ensure that women are able to access safe abortions.

Because most women can’t access hospitals or healthcare facilities because they fear arrest, they end up having the abortions alone, or with little help. Sarah Ali* was one of them.

When Ali found out about her pregnancy, she struggled to find a nurse or doctor who would help her obtain an abortion.

“I was running out of options and a midwife working at a private hospital had agreed to help me, but was unable to find the pills. I was entering my 11th week when I received the pills sent in a package by Women on Web,” Ali, who no longer lives in Sudan, told IPS.

The pills, a combination of mifepristone and misoprostol, were sent by Women on Web, a Canadian non-profit organisation that “advocates for and facilitates access to contraception and safe abortion services to protect women’s health and lives”, according to its website.

• The organisation provides women with abortion pills within the first 10 weeks of their pregnancy, after an online consultancy, which allows those who have a problem accessing a safe abortion to have a medical abortion in their homes. According to the organisation, a medical abortion in the first 10 weeks is “very low risk of complications and resemble having an early miscarriage”.

“After the procedure, I was able to go back to the midwife for a check-up and make sure I didn’t get an infection,” said Ali.

There are no recent statistics on unsafe abortions in Sudan. However, according to Women Deliver, “An estimated 25.1 million unsafe abortions take place [globally] each year. Every year, approximately, 6.9 million women in developing countries are treated for complications from unsafe abortions, and complications from unsafe abortions cause at least 22,800 deaths each year.”

Nabil watched as women who had unsafe abortions and came to the hospital for help eventually died.

“They would usually die from what we call septic abortion, which is essentially an infected abortion process and even though I was pro-choice from early on, this tragedy inspired me to start the abortion network,” said Nabil, who has since left the country.

Underground networks help women access safe abortions

With a core group of doctors, doctors-in-training and supporters, Nabil created a network to obtain misoprostol for patients and supported them if they had future complications. The network was a small and deeply-secure structure.

“The work was dangerous. At some point, we had a patient in the hospital and the doctor treating her suspected that she was unmarried, she called the police and I had to help her and her partner escape,” said Nabil.

Knowing the risks, Nabil took her precautions. She had a separate phone and always used a fake name with patients seeking abortions.

The core team worked for years without getting caught and recruited younger doctors when those in the team had moved on to other jobs.

“We tried to support girls from lower-income households and offered them the pills at reduced prices relying on our acquaintances in the field. But in the end, we were unofficial and dependent on word of mouth, so you have to know someone to make the initial contact,” said Nabil.

In the last few years, the network’s capacity was reduced as more of its members moved on to other countries seeking better economic situations. Nabil continued to help from a distance and her close friend was the last one in the network, until he also left the country.

Shrinking space for service providers 

The last statistics on the use of misoprostol dates back to 2011, when DKT International, a health charity operating in Sudan and the largest non-government provider of reproductive health products and services at the time, published a report stating that 450,000 units of Misoprostol and 16,000 kits of MVA were used/sold that year.

DKT came under attack in 2012 when radical parliamentarians clashed with the Minister of Health over family planning, abortion equipment and the distribution of condoms.

But things became worse when the government shut down another international organisation working on reproductive health.

“This organisation had provided an important device called vacuum aspirator or NVA for abortion and miscarriage cases and it was registered in Sudan until the government stopped it. It is life-saving and important and now few doctors have it and can only do it under the table,” said Salma Habib* an activist working on SRHR issues here.

In the meantime, there is one doctor in Sudan who is willing to perform medical abortions and support his patients in taking misoprostol, but he has been banned from working here since 2006.

When Dr. Abdelhadi Ibrahim, a young Ob/Gyn specialist moved to Sudan from the UK in the 1997, young women patients started asking him to perform abortions.

Ibrahim estimated that he had provided safe abortions to at least 10,000 women over a period of seven years and helped many others restore their hymens to indicate virginity.

In 2006, Ibrahim was arrested and tried in a high-profile court case and was sentenced to six years in prison and his license was revoked by the Sudan Medical Council.

“Until today, I am fighting to get back my license. I won two law suits and the council continued to stall and now after the revolution, they just made appointments in the council and a committee should be formed to look into it, I must’ve visited the council’s building hundreds of times,” Ibrahim, who he has not worked in 14 years and was forced to sell some of his property to support himself, told IPS.

Abortion pills too costly for most women

In the meantime, prices of medical abortion pills have soared.

“Today, most women can not afford a safe abortion in Sudan. The pills could cost at least $142 to $214 or even more and the quality of the pills and their expiration date could be a problem because you are buying from the black market after all,” said Habib, who added that there are fake pills on the market also.

Most Sudanese women have to use traditional midwives as they can’t access the expensive pills. It places them at risk to unsafe abortions.

The procedures performed by midwives are often dangerous, but in addition the midwives often criminalise the behaviour of their patients.

“I know a girl who was circumcised by a midwife after an abortion and was told that this is to stop her from having sex again, it is clear that midwives could punish you or take advantage of your situation,” said Ali.

But as Nabil’s abortion network closed, parallel networks sprung up. Habib supports her network by accessing pills from Women on Web and from trusted sources inside Sudan.

“There are people working now, I don’t know many of them, but one of my former clients is now leading the same efforts and helping other women,” said Nabil.

*Names changed to protect identity. 

Kenya's Matrimonial Property Act, which is discriminatory towards women and inconsistent with the country's constitution, means few married women own land. Less than five percent of all land title deeds in Kenya are held jointly by women and only one percent of land titles are held by women alone. Credit: Miriam Gathigah/IPS

By Miriam Gathigah
NAIROBI, Jun 1 2020 (IPS)

Ida Njeri was a civil servant with access to a Savings and Credit Cooperative Society (SACCO) through her employer, and her husband a private consultant in the information and communication sector, when she began taking low-interest loans from the cooperative so they could buy up land in Ruiru, Central Kenya. She’d willing done it. Part of their long-term plan together for having a family was that they would acquire land and eventually build their dream home. But little did Njeri realise that 12 years and three children later the law would stand against her right to owning the matrimonial property.

“As a private consultant, it was difficult for my husband to join a SACCO. People generally join SACCOs through their employer. This makes it easy to save and take loans because you need three people within your SACCO to guarantee the loan,” Njeri tells IPS.

“My husband had a savings bank account so we would combine my loans with his savings. By 2016, I had 45,000 dollars in loans. My husband would tell me the amount of money needed to purchase land and I would take out a loan,” she adds, explaining that her husband handled all the purchases.

By 2016 the couple had purchased 14 different pieces of land, each measuring an eighth of an acre. But last year, when the marriage fell apart, Njeri discovered that all their joint land was in her husband’s name.

“All along I just assumed that the land was in both our names. I never really thought about it because we were jointly building our family. Even worse, all land payment receipts and sale agreements are also in his name alone,” she says.

Worse still, there was little she can do about it within the current framework of the country’s laws.

Despite Article 45 (3) of the 2010 Constitution providing for equality during marriage and upon divorce, and despite the fact that  Njeri’s marriage was registered (effectively granting her a legal basis for land ownership under the Marriage Act 2014) there is another law in the country — the Matrimonial Property Act 2013 — which stands against her. 

More specifically, it is Section 7 of the act that states ownership of matrimonial property is dependent on the contributions of each spouse toward its acquisition.

• “Ownership of matrimonial property rests in the spouses according to the contribution of either spouses towards its acquisition, and shall be divided between the spouses if they divorce or their marriage is otherwise dissolved,” Section 7 states.  

Because Njeri had no proof of jointly purchasing the land, upon her divorce she is not entitled to it.

Hers is not an isolated case of married women struggling to ensure their land rights.

In 2018, the Kenya Land Alliance (KLA), an advocacy network dedicated to the realisation of constitutional provisions of women’s land rights as a means to eradicate poverty and hunger, and promote gender equality, in line with Sustainable Development Goals (SDGs), released an audit of land ownership after the disaggregation and analysis of approximately one third of the 3.2 million title deeds issued by the government between 2013 and 2017 — the highest number of title deeds issued in any regime.

Odenda Lumumba is a land rights activist and founder of KLA, which is a local partner for Deliver For Good, a global campaign that applies a gender lens to the Sustainable Development Goals (SDGs) and powered by global advocacy organisation Women Deliver. She explains that the data on land ownership is a pointer to the reality that gender disparities remain a concern, especially because of the intricate relationship between land tenure systems, livelihoods and poverty.

“There is very little progress towards women owning land. There are so many obstacles for them to overcome,” Lumumba tells IPS. 

• The KLA audit of land ownership found that only 103,043 titles or 10.3 percent of title deeds were issued to women compared to the 865,095 or 86.5 percent that went to men.

• Even greater gender disparities were found in terms of the actual land size. While men own 9,903,304 hectares in titled land, representing 97.76 percent of land, women own 1.67 percent or 10,129,704 hectares of land during this five year period.
• Further, this audit found that men own 75 percent of land title deeds of all allocated land settlement schemes.

In 2018, the Federation of Women Lawyers (FIDA) in Kenya petitioned Kenya’s High Court, arguing that Section 7 of the Matrimonial Property Act was discriminatory towards women and inconsistent and in contravention of Article 45 (3) of the Constitution.

The court dismissed the petition, ruling out a blanket equal sharing of marital property as it would “open the door for a party to get into marriage and walk out of it in the event of divorce with more than they deserve”.

Within this context, less than five percent of all land title deeds in Kenya are held jointly by women and only one percent of land titles are held by women alone who are in turn disadvantaged in the manner in which they use, own, manage and dispose land, says FIDA-Kenya.

But as gender experts are becoming alarmed by the rising numbers of female headed households — 32 percent out of 11 million households based on government estimates — securing women’s land rights is becoming more urgent.

“The Matrimonial Property Act gives women the capacity to register their property but a majority of women do not realise just how important this is. Later, they struggle to access their property because they did not ensure that they were registered as owners,” Janet Anyango, legal counsel at FIDA-Kenya’s Access to Justice Programme, tells IPS. FIDA-Kenya is a premier women rights organisation that, for 34 years, has offered free legal aid to at least three million women and children. It is also another Deliver For Good/Women Deliver partner organisation in Kenya.

Anyango says that in law “the meaning of ‘contribution’ was expanded to include non-monetary contributions but it is difficult to quantify contribution in the absence of tangible proof. In the 2016 lawsuit, we took issue with the fact that the law attributes marital liabilities equally but not assets”.

• In 2016 FIDA-Kenya sued the office of the Attorney General with regards to act, stating the same issues of discrimination against women. 

In addition to the Matrimonial Property Act, laws such as the Law of Succession Act seek to cushion both surviving male and female spouses but are still skewed in favour of men as widows lose their “lifetime interest” in property if the remarry. And where there is no surviving spouse or children, the deceased’s father is given priority over the mother. 

Women Deliver recognises that globally women and girls have unequal access to land tenure and land rights, creating a negative ripple effect on development and economic progress for all.

“When women have secure land rights, their earnings can increase significantly, improving their abilities to open bank accounts, save money, build credit, and make investments in themselves, their families and communities,” Susan Papp, Managing Director of Policy and Advocacy at Women Deliver, tells IPS.

She says that applying a gender lens to access “to resources is crucial to powering progress for and with all during the COVID-19 pandemic, even as the world continues to work towards the SDGs”.

And even though marriage services at the Attorney General’s office have been suspended due to the COVID-19 pandemic, as have all services at the land registries, women like Njeri will continue to fight for what they rightfully own.

Excerpt:

At least 54 percent of sexually active adolescent women in Kenya who would like to postpone pregnancy have an unmet need for modern contraception. Credit: Miriam Gathigah/IPS

By Miriam Gathigah
NAIROBI, May 25 2020 (IPS)

It was only when 17-year-old Eva Muigai was in her final trimester that her family discovered she was pregnant. Muigai, a form three student who lives with her family in Gachie, Central Kenya, had spent her pregnancy wearing tight bodysuits and loose-fitting clothes that hid her growing baby bump.

“The plan was to have an abortion but I was too scared. My classmate had an abortion last year and she almost died, so I kept postponing the abortion.

“I gathered courage at five months and my cousin took me to a man who does abortions at the shopping centre. He refused to do the abortion because he preferred pregnancies that were not older than three months,” Muigai tells IPS.

Muigai says that one day, while seven months pregnant, she “just fainted and my mother tried to loosen my clothes so that I could get more air”.

“It then became clear that I was pregnant,” she recalls.

Last month, two weeks shy of her due date, Muigai was rushed to hospital with severe abdominal cramps. The attending doctor rushed Muigai into theatre for an emergency caesarian section.

Her newborn baby did not survive.

Last week, Muigai was re-admitted to hospital with further complications after first experiencing swelling in her stomach and then her entire body.

“Complications of pregnancy and child birth are a leading cause of preventable deaths and ill health among adolescent women, aged 15 to 19 years, in Kenya,” Angela Nguku, executive director of the White Ribbon Alliance for Safe Motherhood, Kenya, tells IPS.

The alliance has been at the forefront of advocating for adolescent health and universal access to sexual and reproductive health and rights (SRHR) and is a Deliver For Good partner organisation in Kenya.

• Deliver For Good is a “global campaign that applies a gender lens to the Sustainable Development Goals (SDGs) and promotes 12 critical investments in girls and women to power progress for all”. Powered by Women Deliver, a global advocacy organisation that champions gender equality and the health and rights of girls and women, more than 400 organisations have joined the Deliver for Good Campaign.

Tamara Windau-Melmer, a senior manager for Youth Engagement at Women Deliver, says that adolescent girls are often left behind because the policies, programmes, and investments meant to serve them are not designed in an inclusive, gender-responsive way.

“Adolescent girls must be meaningfully and authentically engaged in decision-making about their own lives, especially as it pertains to information about and access to contraception,” she tells IPS.

• According to the World Health Organisation (WHO), adolescent mothers face higher risks of eclampsia, uterine infection and systemic infections than women aged 20 to 24 years.
• Babies of adolescent mothers face higher risks of low birth weight, preterm delivery and severe neonatal conditions.

“Additionally, comprehensive sexuality education is critical as it offers the opportunity to reach adolescent girls with important information and skills to take control of their lives and pursue a brighter future for themselves, their families, and their communities,” Windau-Melmer says.

But the provision of comprehensive sex education in Kenya remains a hotly-contested issue by religious leaders, who hold great sway on such matters, and it is yet to be rolled out in line with National Adolescent Sexual and Reproductive Health policy.

Nguku says that despite a 2012 government commitment to provide affordable and accessible high quality reproductive health services to adolescents, this promise remains on paper in the form of the National Adolescent Sexual and Reproductive Health policy.

“The policy was updated in 2015 so that adolescents can have accurate, timely information and quality services but adolescent women still have many unmet needs,” she says.

• Adolescent women in Kenya account for an estimated one-fifth of the female population of over 26 million, and account for approximately 14 percent of all births, according to the most recent Kenya Demographic and Health Survey. 
• Statistics by the Guttmacher Institute, a leading global research organisation, show that 63 percent of pregnancies among adolescents in Kenya are unintended, as was the case with Muigai. 35 percent of these unintended pregnancies are aborted. 

But research by the Guttmacher Institute shows that at least 54 percent of sexually active adolescent women in this East African nation who would like to postpone pregnancy have an unmet need for modern contraception.

• The institute’s research further shows that satisfying the unmet need for modern contraceptives among adolescent women in Kenya would result in a 73 percent drop in unintended pregnancies. Currently, adolescent women account for an estimated 86 percent of all unintended pregnancies in the country. 
• Further, the Guttmacher Institute shows that a combination of modern contraceptives for all adolescents who need it, and adequate care for all pregnant adolescents and their newborns, would reduce adolescent maternal deaths by 76 percent. Currently maternal deaths stand at 450 per year.

Georgina Nyambura, the founder of Umoja Women Mobile Health Care, a registered, community-based organisation with over 6,000 members across the country, says that stigma and discrimination remain barriers to adolescent women seeking SRHR services. Credit: Miriam Gathigah/IPS

These grim statistics pale in comparison to the country’s impressive progress toward the increased uptake of modern contraceptives.

At the end of the 2012 Family Planning Summit in London, where governments and donors committed to ensure more women and girls could access modern family planning by 2020, Kenya committed to increasing the uptake of modern contraceptives by married women to 58 percent. 

By 2017, Kenya surpassed the set target, increasing the uptake of modern contraceptives for all women by a third. Statistics by the Ministry of Health show that contraceptive usage for all women now stands at 61 percent. But for adolescent women this usage stands at 40 percent.

As a result, nearly one in every five teenage girls has either had a live birth or is pregnant with their first child, according to the Ministry of Health.

“Our society is very religious and even where policies allow young girls to access all the sexual and reproductive health services all women are entitled to, the situation is very different on the ground,” says Georgina Nyambura, the founder of Umoja Women Mobile Health Care, a registered, community-based organisation with over 6,000 members across the country.

“It is a common saying that girls are more afraid of pregnancy and, therefore, evidence that they are having sex, than of HIV.”

• In Kenya, nearly half of new HIV infections occur among the country’s youth aged 15 to 24 years.

To address fears of stigma and discrimination towards adolescent women, Nyambura urges the government and actors in the health sector to re-evaluate the manner in which this cohort access services, including information on sexuality.

However, the current coronavirus pandemic is expected to reverse any gains that have already been made. Kenya has reported some 1,214 COVID-19 cases. The country has been in a nationwide lockdown since April, with a nighttime curfew still in place and schools and religious centres closed.

“A health pandemic such as COVID-19 will only widen the existing gap between adolescent women and all the SRHR services that they need. Human and financial resources have now been directed into fighting this health crisis.

“On the other hand, people themselves will only come to the hospital now if it is a matter of life and death. Pandemics affect our health service seeking behaviours and patterns,” Grace Kanini, a nurse at one of the country’s referral hospitals, tells IPS.

However, adolescent health challenges informed the government’s family planning commitments made in 2017 during the second Family Planning Summit in London.

Two of the three revised government commitments on family planning target adolescent women. 

• The first commitment is to scale up contraceptive uptake from 61 percent to 66 percent for all women by 2030.
• The second commitment is to increase contraceptive prevalence rate among adolescent women from 40 to 50 percent by 2020, and to 55 percent by 2025.
• And a further commitment to reduce teenage pregnancy among adolescent women from 18 to 12 percent by 2020, and to 10 percent by 2025.

For the first seven months of her pregnancy, while she was hiding it from her family, Muigai did not have a single antenatal care checkup. And she is not an anomaly.

According to the Ministry of Health, 51 percent of pregnant adolescents have fewer than the four essential antenatal care visits recommended by the WHO, and 33 percent do not give birth in a health facility. 

Nguku says that the government will need to invest more into family planning programmes that target this cohort.

Fully meeting contraception, maternal and newborn health care needs for adolescents across the country would cost an estimated 89 million dollars each year.

But not meeting these needs will cost an estimated 114 million dollars annually, of which 63 million dollars would go to care related to unintended pregnancies, says the Guttmacher Institute.

The scenario speaks true to Muigai’s situation.

An ‘A’ student with dreams of becoming a neurosurgeon, she now lays in a referral hospital receiving medical treatment. 

Excerpt:

Data is important in ensuring gender equality, and experts say as traditional means of data collection may no longer be possible under the current COVID-19 restrictions and lockdowns, this provides an opportunity to collect data in more innovative ways. Credit: Stella Paul/IPS

By Samira Sadeque
UNITED NATIONS, May 5 2020 (IPS)

The current coronavirus pandemic can offer insight into how to shake-up traditional methods of data collection, and might provide an opportunity to do it in more innovative ways, in turn enhancing progress towards gender equality.

“Necessity is the mother of invention, and when you look at society’s crisis – whether that’s a health crisis or natural disaster or war – [they] really force us to think about the ways of working and whether or not they’re serving us well as a community,” Susan Papp, Managing Director of Policy and Advocacy at Women Deliver, an international organisation advocating around the world for gender equality and the health and rights of girls and women, tells IPS.

The global pandemic has highlighted loopholes and dangers in traditional systems across the world: healthcare access, the economy, tools to address gender violence.

“Because things are moving so rapidly with COVID-19, it shows how important and how reliant we are as a society on data systems. And that our old ways of interacting with data are not sufficient to be able to protect our people, to make sure they are healthy,” she adds. 

Papp shared her thoughts just a few days after United Nations Women released a brief on how to collect data on violence against women and girls (VAWG) under the current circumstances, given heightened cases of domestic violence cases women and girls around the globe are facing. The brief also states that under the current circumstances, traditional means of data collection may no longer be possible.

Meanwhile, access is a huge issue for the collection of data since technology plays a key role in ensuring that information is communicated. In cases of VAWG, use of technology may exacerbate the situation with an abuser. 

These concerns highlight the need for accurate and important data, as well as the challenges posed in trying to attain them. IPS speaks with Papp on the importance of data in ensuring gender equality, as well as the challenges of the current methods being used — and how that can be changed in “innovative” ways. 

Inter Press Service (IPS): Why is accurate data collection important to ensure gender equality? 

Susan Papp (SP): A gender equal world is healthier, wealthier and more productive. We need to be able to have an understanding of the reality of women and girls in order to advance gender equality. We’ve seen that what gets measured has the best chance of getting done. And really reliable and timely gender specific data is crucial to that accountability. 

World leaders can make a lot of promises about creating a more gender equal world but without data you have no way of knowing whether those promises are part of reality. 

Furthermore, you need to be able to have that data to point where the gaps in services are and where the problems exist for girls and women. Because without that, policymakers are shooting in the dark. And you can’t have policies that are ill-informed and don’t portray the whole picture. 

Susan Papp is the Managing Director of Policy and Advocacy at Women Deliver.

IPS: According to Women Deliver, only 13 percent of countries have a gender statistics budget. How could such a budget hold governments accountable in ensuring gender equality?

SP: It’s critical in the treatment of the SDGs that gender statistics are invested in, that statistical offices and divisons are able to collect data disaggregated by sex, with an intersectional lens. So, ideally, they would be starting to think about gender data that would look at questions around sexual orientation and sexual identity as well. 

Right now, there is a tremendous lack of information for non-binary gender identities. So how are they counted and how are their needs and realities reflected? 

Too often, [for] girls women and non-binary individuals, their needs are completely not reflected and in order to understand those needs, you need to have better data system. 

IPS: How does that apply to the current situation?

SP: What we need to do as a community is maybe be a little bit less purist in our approach to data collection methods and use a moment like COVID-19 as an opportunity to really innovate about collecting data in real time. And [to] find ways to verify that data that may not necessarily be as rigorous and as time consuming as the past mechanisms for verifying the data.  

IPS: What would being more innovative entail? 

SP: It’s examples as documented by the World Bank, or Bloomberg’s initiative in New York for contact-tracing, using GPS, credit card data to be able to track where you’ve been, whether or not you may have been in contact with someone who has the virus: that is the future and I think COVID-19 has really been an eye opening moment for us to recognise that the way we’ve been collecting data and information in the past is no longer serving our world well. 

IPS: In that sense, data collection can be conflated with compromising privacy, with women and gender non-binary people being especially vulnerable to it. Is there any conversation on that conflict?    

SP: Absolutely. And you’re starting to see some really good principles being developed and come out around this. 

A lot of the data that’s been collected historically on VAWG had been collected face to face. And now, a lot of that data needs to be collected virtually and leveraged through things like mobile phone platforms, phone hotlines. Some real principles have been set that have been very useful around safety, privacy and confidentiality around women’s responses, doing no harm, making sure that the data collectors have some sensitivity training and that they understand the ethical and safety principles that they need to hold. 

IPS: In terms of collecting data, what would you say is the main factor that poses an obstacle for government and local leaders?

SP: Data can be expensive to collect, and it can be really expensive to analyse. And I think the lack of investment in data is one thing that needs to be resolved. Second, a lot of really amazing data do exist, but the problem may lie in understanding how to access and use that data in a way that’s ethically responsible, in a way that protects the identity of people, so that it’s still useful yet anonymised. 

A lot of the processes, though very brilliant and important work by the U.N., need to be reconsidered. The world is moving at a much more rapid pace than it was before and [we need to think about] how to reconcile the very puristic standard data collection and analysis methods and usability with some of the more emerging needs with open data.

The Russian capital, Moscow. Sex workers in the country say although public opinion about their work is shifting, they still face marginalisation and criminalisation. Credit: Ed Holt/IPS

By Ed Holt
BRATISLAVA, Apr 27 2020 (IPS)

Despite seeing a shift in attitudes towards them in recent years, Russian sex workers say they continue to struggle with marginalisation and criminalisation which poses a danger to them and the wider public.

• Sex work is illegal in Russia and, historically, public attitudes to the women, and more recently men, involved in providing it have been predominantly negative, and often virulently hostile.
• This has led to them being marginalised and with little protection against violence and prejudice not just among the general public and clients, but also the police and wider justice system.
• However, they say they have seen a change in the last two to three years as some of their work campaigning for rights and awareness of their work, has begun to bear fruit in the last few years.

“Media have begun to talk and write much more about sex work. Much of this has been more positive to sex workers, …and both their tone and rhetoric have become more tolerant,” Marina Avramenko of the Russian Forum of Sex Workers, which offers legal consultancy and support to sex workers, told IPS.

She added: “Sometimes media outlets conduct informal opinion polls about attitudes in society towards sex work and according to the results of these informal surveys, it is evident that more people have begun to talk about the need to allow sex work.”

• Sex work, which has been illegal in Russia since the Russian Federation was formed in 1991, is punishable both under criminal law and Russian civil offences legislation.
• Organising, or forcing someone into, prostitution, is a criminal offence carrying a penalty of up to eight years in jail. But sex work itself is a civil offence punishable by fines of up to 30 Euros.

Sex workers are one of the most marginalised groups in Russia today.

This is down in part to the influence of the Orthodox Church, which has grown in popularity in the decades since the fall of communism, on society and government policy. As with many other minority groups, such as the LGBTI community, sex workers have been demonised by the clergy.

Politicians also often publicly speak of sex workers in derogative or sometimes violently hostile terms.

“A negative attitude towards sex workers has been formed in society through propaganda and the Church. Sex workers are not recognised as a ‘social group’ and when people call for them to be killed or raped, or spread hate against them, they are not punished.

“False myths are also spread in society that sex workers destroy families, that they infect people with various diseases, and that sex workers are associated with organised crime,” said Avramenko.

Criminalisation itself also fuels this marginalisation.

International rights groups, including Amnesty International and Human Rights Watch, have repeatedly highlighted the effects of criminalisation of sex work.

They point out it often leaves sex workers with no protection from police, unable to report crimes against them during their work for fear of getting a criminal record, or having their earnings confiscated or their work reported to others.

This means that the perpetrators of the crimes against them know they can act with impunity, while police can also abuse, extort or physically and sexually assault them with equal impunity.

Indeed, this is often the case in Russia. According to the Russian Forum of Sex Workers, informal surveys have shown that in about 80 percent of police raids on brothels or independent sex workers’ establishments, officers beat sex workers.

Some sex workers also recount horrific incidents they know of colleagues gang-raped by police, or held for days at police stations and beaten and starved.

“In general, police officers feel even more impunity than criminals and commit many crimes against sex workers,” said Avramenko.

Because of this, sex workers seldom report crimes to police. And, even if they do, these are rarely, or poorly investigated.

Evgenia Maron of the Russian Forum of Sex Workers’ Executive Committee, spoke to IPS about some of the cases which the group had been involved in, including that of sex worker from Gelendzhik who was raped. Investigators refused to initiate proceedings against her attacker on the grounds that “the applicant provides sexual services, which means that the perpetrator’s actions are not socially dangerous”.

He was eventually jailed for five years after Russia’s Commissioner for Human Rights intervened.

In another case, a man filmed the robbery and rape of a sex worker in Ufa and forced his victim on camera to say that she was a prostitute as he was sure this would guarantee his impunity. He was eventually convicted but was sentenced to just over two years in jail and released immediately because he had already served that time in prison awaiting trial.

Sex workers also struggle to access lawyers. According to Maron, out of 250 cases where sex workers ended up in court under Administrative Code offences, only two were represented by lawyers in their hearings.

A church in Moscow. Russian sex workers say that Russia’s Orthodox Church has helped foster negative attitudes towards them in society. Credit: Ed Holt/IPS

International rights and health organisations have also warned of the serious health threat posed by marginalisation of certain groups in society, including sex-workers.

Russia has one of the world’s worst HIV epidemics with more than a million people infected and infection rates running higher than in sub-Saharan Africa. The epidemic has been driven largely by injection drug use but HIV is increasingly transmitted sexually and sex workers have been identified as particularly vulnerable.

A study published in 2016 by the Sex Workers’ Rights Advocacy Network (SWAN) in Eastern Europe and Central Asia, showed more than a quarter of sex workers had faced physical or sexual violence by police officers and that police persecution deprived them of the opportunity to work in safe conditions, choose clients, or use condoms with every client.  

But stigma and fear of their work being exposed mean sex workers struggle to access proper healthcare.

“Sex workers face obstacles in receiving medical care, primarily because there are very few special programs for them, and when they turn to state healthcare services, sex workers hide because of concerns about stigma that they are engaged in sex work,” said Maron.

Maron said that ensuring sex workers’ rights was essential, not just for the workers themselves, but for any country’s wider society, including public health.

“In the the event of violence, a sex worker cannot control the use of condoms, for example. Sex workers having greater guarantees of protection from violence, being able to file complaints with the police without obstacles, and rapists being punished to the fullest extent of the law will lead to positive health outcomes in the long run.

“It is violence that prevents necessary protection against STIs and other infections which have an important impact on public health,” she said.

In a few months a new version of Russia’s Administrative Code, which governs civil law offences, is due to be approved by lawmakers.

During its drafting phase Russian rights organisations and sex worker groups campaigned to have penalties for sex work stripped from the new version of the code.

The fines are officially recorded in an Interior Ministry database and employers running background checks on job applicants will often reject those they see have fines for sex work. There have also been reported incidents of the children of sex workers being refused access to higher education or employment in the public sector after these records have been found.

“[Having] prostitution as an offence destroys all opportunities for [these] women in their future lives,” Irina Maslova, director of the Silver Rose sex workers’ rights movement, was quoted as saying in the Kommersant newspaper in March.

The calls were ignored and relevant articles in the current code on sex work will remain in the new code.

Many rights groups say that the work undertaken by groups like the Russian Sex Workers Forum to try and guarantee sex workers’ rights is essential to ensuring wider gender equality.

In a 2017 report, the Global Network of Sex Work Projects argued that “ultimately, there can be no gender equality if sex workers’ human rights are not fully recognised and protected”.

The group said: “Sex workers’ rights activists, feminist allies and human rights advocates have long held that the agency of sex workers must be recognised and protected, that all aspects of sex work should be decriminalised, and that sex work should be recognised as work and regulated under existing labour frameworks.

“Given that the majority of sex workers are women and many come from LGBT communities, protecting sex workers’ rights is imperative to achieving gender equality as defined under the Convention on the Elimination of All Forms of Discrimination Against Women (CEDAW)”.

According to a policy brief on sexual health and rights by Women Deliver, an international organisation advocating around the world for gender equality and the health and rights of girls and women, “policies that address the often tenuous legal positions of sex workers should ensure that they are not further victimised by laws that could potentially lead to incarceration”.

“Sex workers are often forced to live and work on the margins of society due to the criminalisation and stigmatisation of their work; this provides them with little possibility for legal recourse if they experience any kind of gender-based violence. Strong legal and policy frameworks must include provisions that reflect the complete and diverse experiences and challenges women face in order to truly provide comprehensive protection of women’s sexual health and rights,” Women Deliver state.

Meanwhile, Russians sex workers continue to call for decriminalisation, although, Avramenko argues, it will only help to a certain extent.

“By itself, decriminalisation will not change much,” said Avramenko, citing the experience of sex workers in Kyrgyzstan and Kazakhstan where sex work is decriminalised.

“There, sex work is not punishable, but the police and the state are constantly finding ways to violate sex workers’ rights,” she said.

She added decriminalisation needed to be accompanied by greater public awareness of sex work and its benefits for society as well as rooting out police corruption.

It appears unlikely this will happen any time soon with the church continuing to wield significant influence over political policy and public opinion, and the recent lack of change to civil law offences for sex work.

Maron said that for activists like her there was little they could do than carry on their work.

“We will continue to try to improve access to healthcare and justice for sex workers and open dialogue about what sex work is and what interaction with a sex worker means for wider society,” she said.

Their work does seem to be having some effect though, as the change in media reporting and surveys showing a more positive public attitude to sex work suggest.

“This is down to our work,” said Avramenko.

Excerpt:

ActionAid Vanuatu conducted COVID 19 awareness and TC Harold early warning preparedness for islanders. Cyclone TC Harold made landfall on the South Pacific island nation this month. Courtesy: ActionAid Vanuatu

By Neena Bhandari
SYDNEY, Apr 20 2020 (IPS)

Sitting atop a banyan tree branch, Fiona Robyn had a cell phone tightly clasped in her fist raised high to get a signal. She was impatiently waiting for the SMS weather alert from the Women’s Wetem Weta (Women’s Weather Watch (WWW)) hub in Port Vila as cyclone TC Harold raged towards the Republic of Vanuatu in the South Pacific Ocean on Apr. 5.

No sooner had she received the message, Robyn, a WWW leader in Eton on the eastern coast of Efate island in Vanuatu, immediately swung into action. She began mobilising other women and youth to help widows, the physically challenged and older people secure their roofs, store food and clean water, secure documents in air tight containers, and move those in unsafe houses to the local school serving as an evacuation centre.

When natural disasters strike, women are the first responders for their families and communities. The WWW programme is giving women in remote areas access to appropriate timely information, and building their capacity and confidence to communicate complex scientific weather and climate information from the Meteorological Department in simple “disaster ready” warnings to prepare for cyclones, floods, droughts and volcanic eruptions.

“Women in my community are taking lead in disaster preparedness, emergency and humanitarian crises situations. Our husbands are beginning to acknowledge this transformation,” Robyn told IPS. She is one of about 60 WWW leaders aged between 18 and 33 years, who are working on the frontline in Erromango and Tanna islands in Shefa province, and in Efate island in Tafea province of Vanuatu, which is recognised as one of the most vulnerable countries to the impacts of climate change and disasters in the world.

In 2015, Cyclone Pam had seriously harmed the livelihoods of over 40,000 households and resulted in economic damages accounting for 64 percent of the country’s GDP. This month, TC Harold made landfall at Category 5 causing wide scale damage to infrastructure and vegetable and food gardens.

Global women’s rights organisation, ActionAid is collaborating with Shifting the Power Coalition (StPC), a regional alliance of 13 women-led civil society organisations from six Pacific Forum member countries, WWW, Women I Tok Tok Tugeta (WITTT), a coalition of women leader groups, and the National Disaster Management System in supporting local women through training, network building and research to ensure women’s rights and needs are addressed in climate change and humanitarian disaster response.

“Some of our women are dealing with six crises currently – COVID 19, drought, scarcity of potable water, and volcanic ash, acid rain and sulphur gas as we have several active volcanoes,” ActionAid Vanuatu’s country programme manager, Flora Vano told IPS from the WWW hub in the country’s capital, Port Vila.

The hub is a message bank, where information received from the Meteorological Department and women leaders is stored and shared.

“It is a two-way communication process which is enabling women to become leaders in disaster planning and adaptation. For example, women leaders will message the hub that a cyclone is approaching and we don’t have water supply. We relay this information to the Department of Water so they can help the community.

“Similarly, women will message about crops being damaged by a pest. We convey this information to the Department of Agriculture, who in turn informs us of what the community needs to do or they will send officials on the ground to ensure food security,” Vano said.

The messaging service, a combination of SMS and in-person for remote areas, has reached 77,000 people or nearly a quarter of Vanuatu’s population.

“Each woman leader looks after three to four villages and in each village, the women convene their own sister circles. They communicate weather alerts in local languages so women can understand and take requisite action. For example, if there is a gale force wind warning, we explain that this level of wind speed means it can move a thatched roof house or if there is a mango or coconut tree near the house, there is high probability of it falling and damaging the house,” Vano added.

When natural disasters strike, women are the first responders for their families and communities. ActionAid Vanuatu conducted COVID 19 awareness and TC Harold early warning preparedness for islanders. Courtesy: ActionAid Vanuatu

WWW, which is recognised as the gender best practice by the World Meteorological Organisation, is an inter-operable information and communication system that was adapted for Vanuatu by Sharon Bhagwan-Rolls, technical adviser of StPC, based on the Fiji Women’s Weather Watch.  Bhagwan-Rolls developed the system with and for rural women so that they could access meteorological information to enhance disaster preparedness, and have their own channels of communication to share reports to ensure local and national disaster response is inclusive and accountable to women of all diversities. 

StPC focuses on strengthening the collective power, influence and leadership of Pacific women in responding to disasters and climate change. It shows how local information becomes not just national, but also regional and it has given women the opportunity to participate in national and international forums and influence the agenda on disaster preparedness and climate change adaptation.

“The new Pacific Young Women Responding to Climate Change programme supported by the Australia Pacific Climate Partnership, which we are rolling out shortly, is engaging with young women and looking at demystifying climate science and information in a way that it not only boosts disaster preparedness plans, but also how information from meteorological/weather office can be used to improve planning of health programmes, food security and women’s leadership in new livelihood initiatives offering economic alternatives,” Bhagwan-Rolls told IPS.

“It will build the capacity of young women while utilising the traditional, indigenous knowledge of older women and marrying it with science to use climate service information a lot better. In Pacific Island countries, the traditional village development planning committees tend to be led by men. Through collaboration of the StPC, women leaders are learning how to engage with traditional leaders, and faith leaders because our church community is very strong,” Bhagwan-Rolls added.

Vanuatu, like most Pacific Island countries, except Tonga and Palau, has ratified the Convention on the Elimination of All Forms of Discrimination against Women (CEDAW), but gender inequalities exist.

“In most countries in the Global South, women are at the frontlines of the global climate emergency. It is critical to involve women in decision making on climate action. Supporting women to take leadership positions in emergencies not only ensures that women’s immediate needs are addressed, it also has a lasting positive impact on gender equality, particularly in countries like Vanuatu where women have no voice in the National Parliament,” says Carol Angir, ActionAid Australia’s programme manager for Women’s Rights and Emergencies.

Members of the 2018 and 2019 G7 Gender Equality Advisory Councils, including Women Deliver, an international organisation advocating around the world for gender equality and the health and rights of girls and women, are urgently calling on G7 member states to take into account the gendered dimensions of the COVID-19 crisis and to prevent the deterioration of gender equality and women’s rights worldwide.

In a letter, they are urging governments to take special measures to support healthcare and social workers, create additional emergency shelter spaces, ensure immediate removal of abusers from homes, keep all girls engaged in learning, guarantee access to sexual and reproductive health services, and provide free menstrual and modern contraception products for girls and women.

Excerpt:

Sex workers in Chennai give a thumps up to India's liberalised abortion law. Many sex workers are living with HIV and face discrimination and stigma in accessing safe abortions. Credit: Stella Paul/IPS

By Stella Paul
NEW DEHLI, Apr 14 2020 (IPS)

Arti Zodpe is from the Tamasha (folk dance-drama) theatre in Sangli, in India’s Maharashtra state. After evening performances, some of the singers and dancers offer sex work services to the audience.

“We [Tamasha sex workers] live outside of the city as people feel disturbed by the sound of our ghunghroo [anklet bracelets with bells] and music. When we go to the city, especially to a sex health clinic, the staff say, ‘so you have come to spread your filth here’. If we get an abortion, they make us clean the floor afterwards,” she had said at a recent gathering of doctors and abortion rights experts.

Zodpe’s life narrates the difficulties vulnerable women like her face to get an abortion, and explains in painful detail the layers of social discrimination and stigma marginalised women face in orthodox Indian society.

Safe abortion still a dream for many

Abortion has been free in India since 1971, yet millions of women still fail to access safe abortions.

According to the Lancet Global Health report 2019, 15.6 million abortions occurred here in 2015, of which 78 percent were conducted outside of health facilities. Most of these abortions were also by women obtaining medical abortion drugs from chemists and informal vendors without prescriptions.

According to the Office of the United Nations High Commissioner for Human Rights (OHCHR), unsafe abortions are estimated to account for 9 to 20 percent of all maternal deaths in the country. 

A more recent study by Mahila Sarvangeen Utkarsh Mandal (MASUM), a Pune-based NGO, and Asia Safe Abortion Partnership (ASAP) conducted in seven of India’s 29 states revealed that 80 percent of women were unaware of the existing law and, as a result, feared seeking safe abortion services.

The study, released last month, interviewed 200 participants and found that all had had an abortion at some point, while some had as many as six. Yet none of the women had revealed this to their family or friends, primarily for fear of social stigma.

According to Hemlata Pisal, the project coordinator at MASUM, there were various gaps and discrepancies when it came to abortion services in public health centres (PHC):

• Medical abortion pills were largely unavailable, and even when they were available (through private clinics or mostly pharmacies), there was a variation in the dosages and types of pills prescribed.
• The out-dated D & C (dilation and curettage) method was still being used in many health centres across India and there was no standard protocol followed for both surgical and non-surgical methods.
• But above all there was a high level of stigma practiced by the staff.

“Women we interviewed reported that when they approached PHC for abortion they were often refused or subjected to extreme humiliation and abuse,” Pisal told IPS.

Liberalising the law

On Mar. 17, a week before the country went into a nationwide lockdown to stop the spread of the coronavirus disease or COVID-19, the Indian parliament voted for an amended version of the old abortion law, the Medical Termination of Pregnancy (MTP) Act, 1971, making it more liberal and accommodative.  

• One of the salient features of the amended MTP law was increasing the upper limit for abortion from 20 to 24 weeks. However, the new law will only favour “special categories of women”, which include rape survivors, victims of incest, those who are differently-abled and minors.
• It also gives a woman the opportunity to terminate her pregnancy if foetal abnormalities are detected within 24 weeks of her pregnancy. In recent years, several law suits were filed that demanded a raise in the upper limit for foetal abnormalities.

Speaking at parliament on the occasion, the India’s health minister Harsh Vardhan said that the new law was very progressive and it promised to ensure the safety of women. 

Medical practitioners and health exerts also welcomed the amendment.

Dr. Noor Fathima, a senior public health official and Bangalore-based gynaecologist, told IPS that it would make abortion “less cumbersome to service providers”.

“The [amended] MTP Act is particularly a boon to women who are facing emotionally draining and stigmatising pregnancy conditions,” Fathima told IPS.

Lack of accountability fuels discrimination

However, many said that continued social stigma posed a serious threat to the effectiveness of the new law, which also grants a woman the right to complete privacy.

But vulnerable groups of women rarely enjoy this right to privacy, said Kousalya Periasamy, the head of Positive Women’s Network (PWN), a Chennai-based group advocating equal rights for HIV positive women across India.

“Staff at any abortion centre would frequently ask us ‘why were you sleeping with your partner when you have HIV’?  We are also asked to submit identity documents and consent letters from male family members. Often we are denied an abortion even without a reason. And after the abortion, we must clean up the room,” Periasamy told IPS.

The reason behind such humiliation, says Mumbai-based gynaecologist and coordinator at ASAP, Dr. Suchitra Dalvie, is that presently there is no accountability for quality of abortion care or for refusals.

“Women are still dying of septic abortions and/or enduring immense pain, public-shaming and judgemental-abusive attitudes. Unless we are plugging these holes, the situation will not change dramatically because 80 percent of women are unaware on the law to begin with,” she told IPS.

Stigma – a global challenge

Katja Iversen, chief executive officer of Women Deliver — the New York-based global advocacy group — agrees that stigma is a serious obstacle to availing abortion services worldwide.

“Abortion is a basic healthcare need for millions of girls and women, and safe, legal pregnancy termination saves women’s lives every day. Unfortunately, abortion has been stigmatised to keep people from talking about it and to maintain control over women’s bodies, and that silence leads to political pushback and dangerous myths,” Iversen told IPS.

The study by MASUM also found some of these myths and unfounded beliefs which existed among women across the country. Some of these are:

• The medical termination of a pregnancy is illegal. 
• Abortion is legal only up to 12 weeks.
• Abortion is not allowed for first pregnancy.
• Abortion causes permanent infertility.
• One’s husband’s signature is mandatory for an abortion.

“These beliefs ultimately block the ways of society to view and discuss abortion as a normal health issue and discuss in a transparent manner,” says Pisal.

Safe abortion for a better life

According to Iversen, free and regular access to reproductive health, including abortion care, can lead to overall improved living conditions of women and a more gender-equal world.

“When girls and women have access to reproductive health services, including abortion, they are more likely to stay in school, join and stay in the workforce, become economically independent, and live their full potential. It is a virtuous cycle and benefits individuals, communities, and countries,” she said.

The United Nations Sustainable Development Goal (SDG) 3 to ensure healthy lives and promote the well-being of all also confirms this. Target 3.7 of SDG 3 specifically aims to ensure “universal access to sexual and reproductive health-care services”.

In India, however, achieving this target might need more than a change in the law.

Dr. Ravi Duggal, a senior health consultant based in Mumbai, suggests strengthening the public health system, which he believes will ensure cost regulation and access to services as a matter of right; timely and regular stocking of medicine; and sensitisation of service providers, including doctors and nurses.

Fathima agrees.

“A stronger public health system is a need of the hour. If the staff is non-judgemental, confidential, respecting privacy and (generate) prompt response will go a long way to shift women from seeking abortion care at unqualified facilities to approved facilities.”

But as India extended its three-week COVID-19 lockdown until May 3 with just over 10,000 cases recorded, it’s the poor who have been the hardest hit by the countrywide closures.

This includes women in need of abortions as all hospitals and clinics have closed their free, outdoor, non-coronavirus treatment services.

And in Sangli, Zodpe’s home district, the area has been declared a COVID-19 hotspot. For poor, marginalised women like herself this means a great struggle for survival as they are unable to work and earn a living and also remain unable to access sexual and reproductive health care.

Sahle-Work Zewde is Ethiopia's first female president. Since coming to power in 2018, Prime Minister Abiy Ahmed has reorganised the cabinet to ensure that 50 percent of the government’s top ministerial positions have been given to women. Never before in Ethiopia have so many high-ranking government positions been held by women. Courtesy: UN Photo/Evan Schneider

By James Jeffrey
YORK, United Kingdom, Apr 10 2020 (IPS)

Recent gains by women in the Ethiopian political landscape offer a chance to improve gender equality around the country and put an end to long-standing societal iniquities.

Since coming to power in 2018, Prime Minister Abiy Ahmed has reorganised the cabinet to ensure that 50 percent of the government’s top ministerial positions have been given to women.

Sahle-Work Zewde became the country’s first female president, while Aisha Mohammed became the country’s first defence minister. Never before in Ethiopia have so many high-ranking government positions been held by women.

In 1991, the share of seats held by women in the Ethiopian parliament was under 3 percent. Today it stands at 38 percent, almost twice the ratio of women in the United States Congress.

But, at the same time, stark gender disparities persist all around the country. The hope is that improved representation in the federal government will tangibly affect and improve the status of Ethiopia’s more than 50 million women and girls.

“There is strong evidence that as more women are elected to office, there are more policies enacted that emphasise quality of life and reflect the priorities of families, women and minorities,” Katja Iversen, president of Women Deliver, an international organisation advocating around the world for gender equality and the health and rights of girls and women, tells IPS.

“Studies also show that women are more likely than men to work across party lines, help secure lasting peace, and prioritise health, education and other societal priorities key to the wellbeing and prosperity of both constituents and societies at large.”

At the same time, there are concerns that Ethiopia’s most recent female politicians are not in elected positions rather are making up a quota. 

“The women who are in power are more loyal to the prime minister than the public that is why they find it difficult to act—for fear of disappointing the person who put them there,” Hadra Ahmed, a freelance Ethiopian journalist, tells IPS.

“We can only say women are in politics when they are represented as candidates and as decision makers,” she adds.

Women in Ethiopia have long faced systemic inequities. The discrepancies begin early and often persist throughout Ethiopian women’s lives. Nearly twice as many men than women over age 25 have some secondary education. Women often face more economic constraints than men, including less access to credit and limited market access.

“Ethiopians strongly believe that women can never be as good as men and this is specially heart breaking when it comes from your mother [or] a well-educated person that you probably look up to [such as] your teacher,” Ahmed says.

“And the whole system tells you that you are not as capable through different policies like affirmative actions that lower the passing grade rather than helping girls to study and making sure they make it to school in time.”

Female genital mutilation rates remain high, with 74 percent of girls and women aged 15 to 49 years of age experiencing FGM, according to UNICEF. Child marriage still occurs, with about 58 percent of Ethiopian females marrying before they turn 18.

Eighty percent of Ethiopia’s population resides in rural areas and women provide much of the agricultural labour in these communities, while shouldering the majority of child-rearing duties.

But the contributions of women can go largely unrecognized. Fathers or husbands often restrict access to resources and community participation. One in three women experience physical, emotional or sexual violence, according to USAID.

“Ethiopian society practices negative social norms that reinforce inequality and perpetuate deep power and gender imbalances,” Dinah Musindarwezo, director of policy and communications for Womankind Worldwide, a global women’s rights organisation working in partnership with women’s rights organisations and movements, tells IPS.

“The perceptions and attitudes that women should belong to the kitchen and men in the board room are widely spread across the world. Although we have seen changes and progress towards women participating in public sphere including in political leadership, we are seeing less progress of men entering the kitchen and taking leadership in care work. Globally, women still perform majority of unpaid and domestic work.”

Ethiopia is no exception, Musindarwezo says, illustrated by the widespread expectation that women should not only be the primary childcare providers but they should also perform the majority of unpaid and domestic work.

In Ethiopia’s northern Tigray region, life for the majority of women follows a traditional course, centred on family and agriculture. Credit: James Jeffrey/IPS

In 2017, Ethiopia ranked 121 out of 160 countries on a Untied Nations gender equality index based on various social, health and political factors.

“If you look at the experience of other countries like India, the media representation of strong women is what helped women become stronger in the society,” Ahmed says. “Seeing a stronger version of us somewhere pushes us to be better. Assigning to women a quota in government positions and exploiting them in these positions will not solve anything.”

Iverson says that in order to make sure women’s political participation is not only symbolic, governments must also fully commit to gender equality through equal pay, affordable childcare, gender sensitive budgeting and auditing, and paid parental leave.

Parental leave—including paternity leave—has proven a significant “norm changer” in improving women’s participation in the workforce, Iverson says. When men take paternity leave, she explains, it both affirms that caregiving is everyone’s responsibility, helps improve pay equity, and makes it easier for more women to be successful and climb the career ladder.

Despite the Ethiopian government’s bold moves to empower female politicians, the country’s fraught political realm—which can be dangerous for anyone, regardless of sex—still poses many hurdles for women to overcome, especially given the pernicious influence of social media.

“Women politicians face unique forms of online and offline attacks and deliberate actions to discourage their participation in politics,” Daniel Bekele, commissioner of the Ethiopia Human Rights Commission, said during the keynote speech at the “Women’s Political Participation and Election in Ethiopia: Envisioning 2020 and Beyond for Generation Equality” national conference at the end of 2019.

“This reflects how patriarchal [our] society is in its functions.”

Musindarwezo notes that in addition to having women in political leadership, it’s just as important to create an environment that is conducive for women to be effective leaders.

“Often times we expect women to magically address all the issues especially gender issues without removing structural barriers they face,” Musindarwezo says. “Women political leaders face barriers such as their voices being overshadowed by political parties’ voices, limited access to adequate resources they need to make a difference and being held to different standards to those of men. Women leaders often face biased public criticism, harassment and intimidations just because they are women.”

Bekele says that Ethiopian women face particular challenges in times of elections that seriously impact and discourage their participation. Ethiopia is due to hold an all-important national election this year, but currently it has been delayed due to the COVID-19 coronavirus outbreak.

“There must also be implemented legal protections for women including laws against gender-based violence, policies regarding sexual harassment, and accessible justice systems for accountability,” Iverson says. “Countries must ditch discriminatory laws that are holding women back and enact legal frameworks that advance gender equality at work, in society and at home.”

Those at Women Deliver note how, to Ethiopia’s credit, it has brought in a new law that annulled previous legal provisions that gave authority to a husband over a couple’s assets and whether his wife could work outside of the home.

As a result of the legal change, spouses are now equal with regard to the administration of assets, and a husband cannot unilaterally prevent his wife from working. The World Bank estimates that this law has enabled an increase in the participation rate of women in productive sectors.

Despite continuing challenges for Ethiopian women, change is afoot beyond the political level. In the Ethiopian capital, Addis Ababa, Setaweet is the country’s first feminist research and training company, which offers tailor-made gender equality services for schools, agencies and corporate companies. Its flagship project is a feminist curriculum for secondary school students dealing with femininity and masculinity, healthy relationships and positive self-images.

“Women are powerful agents of change, and their participation at all decision-making levels is a prerequisite for politics and programs that reflects societies and are effective, sustainable and inclusive,” Iversen says.

Excerpt:

Women bear the brunt of climate change disasters. Credit: Women Deliver

By IPS International Desk
NEW YORK, Mar 31 2020 (IPS)

Vanessa Nakate of Uganda may have been cropped out of a photograph taken at the World Economic Forum, but she along with Swedish activist Greta Thunberg have made the climate crisis centre stage.

Women Deliver Young Leader Jyotir Nisha discusses with Costa Rican President Carlos Alvarado Quesada on how to harness young people to overcome gender inequality and address climate change in a recent wide-ranging interview.

Quesada says key strategies to designing policy to fight climate change require unconventional decision-making to address challenges like climate change, biodiversity loss, the fourth industrial revolution, and inequality.

“These are intertwined factors that can hinder development if unattended but, if tackled, they could potentially accelerate progress and wellbeing for all,” he says.

“And, of course, this is a task that young leaders are able to handle and produce the timely answers that are necessary.”

Bringing in her experience in the non-profit sector, Nisha says training girls and women in up-cycling plastic waste to produce handmade goods has assisted them to contribute to their family income and their empowerment in the community. The question is, how can this be broadened.

Quesada says women, in particular young women, are leading the way.

Costa Rican President Carlos Alvarado Quesada. Credit: Women Deliver

However, women’s roles are often underestimated, unrecognised, and unpaid.

“Women and girls with access to technology have already begun developing innovative tools to reduce emissions by targeting sustainable consumption and production practices, including food waste, community waste management, energy efficiency, and sustainable fashion.”

The solutions exist, but much more is needed.

“It takes a whole-of-society approach for collaboration and cooperation on a bigger and enhanced scale.”

The President suggests that the way investments are made could be fundamental to ensure a flow of finance to the communities, including women, and youth. This will, he believes, provide “a stable source of funding for businesses and services that contribute to the solution of social or environmental challenges.”

The impact of this will be partnerships between traditional sources of finance, like international cooperation and development banks, and new partners, like philanthropy, hedge funds, or pension funds.

“And what better than young people giving the thrust that all this requires?”

Nisha says she was pleased to see the massive mobilisation of young people at the inaugural Climate Action Summit last year. The summit had little good news for climate change with concerns raised that the accelerating rise in sea level, melting ice would have on socio-economic development, health, displacement, food security and ecosystems. However, beyond taking to the streets, they also need to hold decision-makers accountable.

“In the last months we have witnessed the irruption of massive mobilisations in different parts of the world, lead mostly by young people. This would seem surprising for a generation that has been accused several times of passivity, indifference, and individualism,” Quesada says. “I truly believe that, as long as these demands are channelled through democratic and pacifist means, they are extremely important to set a bar and a standard of responsibility for us, decision-makers — who are, by the way, more and more often, young people.”

He adds that world leaders owe them explanations of the decisions made.

“We must also have the wisdom to pay attention to these demands and take into account their opinions and proposals to reach agreements that have the legitimacy of consensus-building.”

However, Nisha notes, while campaigns like the Deliver for Good campaign is working across sectors reports at COP25, and the recent World Economic Forum (Davos), “climate change continues to threaten progress made toward gender equality across every measure of development.”

At WEF Global Gender Gap Report 2020 showed that it would take more than a lifetime, 99.5 years in 2019 for gender parity across health, education, work and politics to be achieved.

Quesada says the climate catastrophe “demands that policymakers and practitioners renew commitments to sustainable development — at the heart of which is, and must continue to be, advancing gender equality and women’s empowerment, and realising women’s rights as a pre-requisite for sustainable development.”

Costa Rica, he says, has been recognised internationally on two significant areas: the respect of human rights and environmental protection.

“The present Administration has taken these objectives a step further by paying particular attention to women’s rights, inclusion, and diversity, and including them as part of our core policy principles and our everyday practices,” he says. “We expect to increase women’s integration into productive processes and achieve women’s economic empowerment through specific policies linked to our long-term development strategy — the Decarbonization Plan — allowing the transformational changes our society needs.

However, the critical question, Nisha says, is: “What can world leaders and governments do today to ensure young people have a seat at the decision-making table?”

Quesada is confident that young people will be part of the solution.

“The challenges we are facing today are unprecedented precisely because previous generations did not have to face situations such as biodiversity loss, global warming, or the emergence of artificial intelligence and technology. Thus, we need new answers and solutions from Twenty-First Century people, and those should and will be put forward by the youth,” he says.

The importance of youth involvement was recently highlighted too at the meeting of African Leaders for Nutrition in Addis Ababa. African Development Bank (AfDB) President Akinwumi Adesina said Africa should invest in skills development for the youth so the continent’s entrepreneurs can leverage emerging technologies to transform Africa’s food system to generate new jobs. This is especially urgent as the population on the continent is expected to double to 2.5 billion people in 40 years putting pressure on governments to deliver more food and jobs in addition to better livelihoods.

In a recent interview with IPS International Institute for Tropical Agriculture (IITA) Director General, Nteranya Sanginga, explained that this change is neither easy or necessarily something all leadership has taken on board.

“Our legacy is starting a programme to change the mindset of the youth in agriculture. Unfortunately (with) our governments that is where you have to go and change mindsets completely. Most probably 90 per cent of our leaders consider agriculture as a social activity basically for them its (seen as a) pain, penury. They proclaim that agriculture is a priority in resolving our problems, but we are not investing in it. We need that mindset completely changed.”

Quesada is unequivocal that this attitude needs to change.

“My advice to world leaders is to have the humility to listen to the people and to allow more inclusive and participatory decision-making. And to the young people, I can only encourage them to own their future, and to act accordingly, with vision, courage, and determination.”

For Dr Edna Adan Ismail maternal health and midwifery is deeply personal. In an interview with Women Deliver Young Leader Musu Bakoto Sawo, Ismail recalls her mother’s devasting experiences which impacted on her own life’s choices.

Dr. Edna Adan Ismail

“My mother lost one baby to a forceps delivery when a Caesarean section could have saved the foetus that had become impacted in her narrow bony pelvis.”

Several years later her parents lost a second baby who was “delivered alive but was then accidentally dropped by the untrained midwife who had delivered it. The newborn fell on his head and died instantly.”

Because of this tragedy, midwifery became her lifelong passion.

When Ismail returned from the UK to Somaliland as the country’s first qualified nurse-midwife, she found herself faced with a myriad of problems during pregnancy and childbirth. These were due to education, poverty, unemployment and because of the damage caused by female genital mutilation (FGM).

Women also did not have a political voice.

These conditions led her to a lifetime of activism which led to the setting up of women’s organisations which could put pressure on the government and political parties. Working for the World Health Organisation also helped in spreading the word.

“What really inspires me today is how far we have come but also how far we still have to go to achieve our goal of equal human rights for all,” Ismail says.

The distance to needed to travel was starkly highlighted in WHO’s “Cost Calculator” released earlier this year. The organisation estimated that FGM incurs a massive economic cost of about for $1.4 billion annually treating health complications arising out of FGM practices. This is based on 27 countries on its dataset.

“I know many battles have been won during the past 42 years and the fact that the world knows about it is proof that our message has been heard,” she says.

“Sadly, however, little girls are still cut, damaged and killed all because of this cruel tradition that has no place in the world. While every action that saves even one child is good, we should broaden our campaigners and now include college and university students who are the parents of tomorrow.”

Women Deliver Young Leader Sawo agrees there is no easy solution to FGM.

“In my experience in The Gambia, there is sometimes a gap between the laws, knowledge and practice, whereby existing laws to combat FGM or knowledge of the negative health consequences of FGM do not always influence the exercise of this practice within communities,” Sawo says, pointing out that there “instances where gaps in the law create minimal protection of women and girls from FGM.”

Ismail acknowledges this but says: “I know many battles have been won during the past 42 years and the fact that the world knows about it is proof that our message has been heard.”

“Sadly, however, little girls are still cut, damaged and killed all because of this cruel tradition that has no place in the world. While every action that saves even one child is good, we should broaden our campaigners and now include college and university students who are the parents of tomorrow.”

Ismail advocates for fathers and young leaders to become involved in the fight against FGM. “We strongly wish for and welcome the support of fathers whose daughters are the ones who are being damaged to the point that they may not be able to one day give them the grandchildren every parent wishes for,” Ismail says.

The solution to saving the young girls, is, however, for society to take a stand. Parents, traditional and religious leaders, legislators, activists, and women’s organisation tall have a role to play.

“Passing a law alone will not be enough, and at the end of the day, we cannot put all our mothers and grandmothers in jail. Legislation that punishes the one who performs FGM is the kind of legislation that I would like to see.”

Young people’s voice in this is vital – and Ismail is adamant that within her university, all must take a stand against it.

“In my university … every student must have a course on the harmful effects of FGM and every student must make a public statement condemning FGM. Any student who does not wish to do this cannot remain in my university.”

It’s been more than 25 years after the International Conference on Population and Development (ICPD. Governments and civil society are in the process of developing ambitious programmes of action for the next decade to meet the Sustainable Development Goals.

As an African woman, who is a health practitioner and a gender equality activist, Ismail wishes to see “concrete actions that prioritise the health and rights of girls and women.”

While organisations and governments left the 2019 International Conference on Population and Development (ICPD) in Nairobi motivated to achieve the development goals for women and girls, is task not going to be an easy one.

The United Nations Population Fund (UNFPA), puts the cost of delivering Sustainable Development Goal #5 on gender equality and empowerment of women and girls over the next decade at $264 billion, with $683 million needed to address sexual and reproductive health services for women and girls in conflict areas.

For Ismail and her interviewer Sawo young people in particular have a critical role to play.

“Become better educated, study the issue thoroughly, develop your strategies collectively, make your voices heard as a group and through written articles, research results for publication and discussions in the local media and journals,” Ismail says.

Most of all Ismail’s message is:
“Learn what works from others and share with them what has worked for you. Never give up!”

Credit: Women Deliver

By Nayema Nusrat
NEW YORK, Feb 15 2020 (IPS)

In a recent report by World Economic Forum (WEF) shows women suffer a “triple whammy” in the workplace. Without drastic action, gender parity will take more than a lifetime to achieve. This is the challenge that Katja Iversen, President and CEO of Women Deliver is staring down.

“We know that achieving gender equality is not a women’s issue. It is a societal issue. To be successful … boys and men must be involved at all levels and all ages,” said Iversen.

Iversen’s involvement WEF 2020 annual meeting in Davos increased the spotlight on gender equality. She was involved in a myriad of discussions, conversations, panel debates, midnight huddles and a social media drive. As the woman who heads leading global advocate for gender equality, health and rights of girls and women her role at the annual forum was clear cut.

“We provoked discussions using our ‘gender lens’ – a small magnifying glass. We gave this to leaders and influencers to bring down the mountain and apply to their businesses, governments, and lives,” Iversen said in an exclusive interview with IPS.

“Along with our partners, Promundo and Unilever/Dove Men+Care, we released a series of recommendations on male engagement in gender equality, condensed in a catchy infographic.”

Iversen went on to emphasise how “everybody – including the men and women in Davos – must apply a gender lens to every aspect of life, from leadership, to health systems, to schools, the workplace, and at home. That is an important step to change systems, to change harmful norms, and drive progress.”

This may seem a momentous task. The WEF report, released in December 2019, highlighted the factors that fuel the economic gender gap. This included a noticeably low level of women in leadership positions, wage stagnation, labour force participation and income.

The report highlights what it terms a ‘Triple Whammy’ for women in the workplace. Women, the report said, are highly represented in many of the roles that have been hit hardest by automation.

Moreover, not enough women are entering technology-driven professions where wage growth is more profound. This puts women into the middle to low wage categories that have been stagnant since the financial crisis in 2009.

Thirdly, a lack of access to capital prevents them from pursuing entrepreneurial activities, another key driver for income.

WEF aims to close the gender gap by setting up coalitions between relevant ministries and the largest employers to increase female labour force participation, increase women in leadership positions, close wage gaps and prepare women for jobs of the future. Additionally, the global business commitment on Hardwiring Gender Parity in the Future of Work mobilises businesses to commit to hiring 50% women for their five highest growth roles between now and 2022.

Iversen said women must be involved in the development and growth of Artificial Intelligence (AI) and ubiquitous digital technology for them to benefit.

“We know that innovation and technology hold a lot of power and can be used for good – but only if it works for girls and women and identifies the bias that holds them back,” she said.

While there was potential for digital technologies, like AI, to unlock better health access and information, new employment and leadership opportunities, and greater economic security for women – it could “just as likely leave big parts of the population behind and exacerbate existing inequalities”.

This was why the gender lens in the development and implementation of AI and other tech solutions is so critical, said Iversen. Having women involved in the growth of digital technology “can ensure technology is more representative and can eliminate unconscious bias in hiring, promotion, and recruitment”.

It is critical that women’s education, especially in the field of technology, is enhanced, enabling them to participate in future workforce equally.

“We also need to make sure we are investing in women’s lifelong education and training, particularly in science, technology, engineering, and math. It is key to their professional and financial security in the workforce of tomorrow.”

Investment in women and their participation in the economy has a ripple effect.

“Evidence and common sense confirm that when leadership and the workforce represent the population and include women, it leads to better economic, social, and political cohesion and puts us on a better, more sustainable path.”

The Secretary-General of the United Nations, António Guterres, noted in his speech at WEF 2020 that while problems were global, the responses were fragmented.

“If I had to select one sentence to describe the state of the world, I would say we are in a world in which global challenges are more and more integrated, and the responses are more and more fragmented, and if this is not reversed, it’s a recipe for disaster,” he warned.

Iversen explains that by putting the gender lens at the centre of the solutions, it would enhance society’s ability to achieve its Sustainable Development Goals. It would also mitigate the ‘fragmented responses’ to global challenges.

“Gender is cross-cutting, it is essential to progress and to achieving the Sustainable Development Goals. Conservation of our planet; eradicating poverty and ensuring health; education; peace, and prosperity for all need to be integrated. This requires putting a gender lens to the entire development agenda,” Iversen said.

“One of the reasons the world is facing so many challenges right now, including trade wars, conflict, climate change, and growing inequality, is that girls, women, and marginalised groups are prevented from accessing power, both political and financial. Big egos, narrow interests, and profit over people and planet have been, mistakenly, prioritised, and we are paying the price for that.”

Women Deliver’s President was emphatic that “development actors from across the spectrum must abandon siloed approaches. It was essential to work together to drive progress for the people and planet, including girls and women, both through financial investment and multi-sector partnerships.”

Iversen is confident. WEF was “good start to the Decade of Action for the Global Goals and the 2020 Generation Equality push, demanding women’s equal participation in political life and decision-making in all areas of life.”

Involving the younger generation was also paramount to achieving the Sustainable Development Goals.

“What was also clear coming down the Davos mountain is that any efforts to push the development agenda over the finish line will fail if they don’t involve young people. Because youth not only have a stake in reaching our ambitious development goals by 2030, they are also well-suited to identify solutions right now.”

To address and improve gender equality, Iversen emphasised that it required a global effort. The private sector has a vested interest and a significant role to play in advancing gender equality. “We want governments and business leaders to use the gender lens in all they do. They should complete a concrete analysis of what progress they have made and what gender gaps remain,” Iversen said.

Both should ask themselves: What policies and procedures are inhibiting or promoting progress? What gender norms are prevalent and need to be addressed? What investments in gender equality could be made?

“And once that analysis is complete – get to work!”

Women Deliver has been relentless in that message and in bringing the evidence to bear with great partners. “And in recent years we have seen that the world – including at WEF – has started to catch on. Our challenge now is to move from talking to mobilising dedicated action.”

Women Deliver continues to be serious advocates, speaking up for girls and women in every setting.

“We’ll continue to advise committees for big corporations and international agencies. We’ll continue to elevate the voices of young advocates and local organisations around the world. We will continue to push back on the pushback to protect our gains and drive further progress,” Iversen said.

“We will continue to communicate from podiums, in boardrooms and hallways of major summits, on the pages of major newspapers, on (television) screens and social media – with the clear message: In a gender-equal world, everybody wins.”

IPS asked about the trend of women participating as policy-makers at WEF. Just how prominent is women’s role? Iversen replied that “24% of the 2,700 formal WEF participants were women. While that is an improvement from previous years, it’s still way too small. WEF has pledged to double female participation by 2030, and we are ready to help to speed it up.”

“We have a long way to go, but I saw progress at WEF,” said Iversen, adding, “More and new world leaders – in business and government – are picking up the gender lens. There is still so much to be done, and progress is slow for an impatient optimist like myself. But I came down the Davos mountain more hopeful than I went up, and more ready than ever to power progress for girls, women and gender equality in the Super Year ahead.”

Iversen remains optimistic. “Ultimately, we want to work ourselves out of a job. Then sit back and see a world where gender inequality is a thing of the past, where it is something people make fun of like the ‘old days’. Where people say, ‘I can’t believe we didn’t do this sooner’.”

‘Joginis’, otherwise known as India’s ‘temple slaves’, dance outside a temple during a religious festival. Credit: Stella Paul/IPS

By Lyndal Rowlands
NEW YORK, Mar 6 2015 (IPS)

Media coverage of maternal, sexual and reproductive health rights is crucial to achieving international development goals, yet journalists covering these issues often face significant challenges.

“When I was a baby, I got sick and some of my family members decided that I should die because I was not a boy. Decades later, I’m inspired by the courage of my mother - and countless other women – to expose and end gender-based violence and inequality.” -- IPS correspondent Stella Paul
Recognising the contributions these journalists make to advancing women and girls’ rights, international advocacy organisation Women Deliver have named 15 journalists for their dedication to gender issues ahead of International Women’s Day 2015.

Among the journalists Women Deliver recognised for their work is IPS correspondent Stella Paul from India.

Paul was honoured for her reporting on women’s rights abuses through articles on such issues as India’s ‘temple slaves’ and bonded labourers.

Paul’s dedication to women’s rights is not only shown through her journalism. When she interviews communities, she also teaches them how to report abuses to the authorities and hold them accountable for breaking the cycle of violence.

Paul is herself a survivor of infanticide.

She told Women Deliver, “When I was a baby, I got sick and some of my family members decided that I should die because I was not a boy.

“Decades later, I’m inspired by the courage of my mother – and countless other women – to expose and end gender-based violence and inequality.”

Among others, Paul’s story on bonded labour in the southern Indian city of Hyderabad has had a tangible impact on the lives of those she interviewed.

In July she blogged about how one woman featured in the article ‘No Choice but to Work Without Pay‘, Sri Lakshmi, was released from bonded labour by her employer after a local citizen read the article on IPS and took action.

Lakshmi’s daughter Amlu, who once performed domestic labour while her parents went off to work, is now enrolled in a local elementary school.

Women’s issues aren’t ‘soft news’

Another journalist honoured was Mae Azango from Liberia.

Women Deliver CEO Katja Iversen told IPS, “Mae Azango deserves a Pulitzer. She went undercover to investigate female genital mutilation in Liberia.

“After her story was published she received death threats and [she] and her daughter were forced into hiding. Mae’s bravery paid off though, as her story garnered international attention and encouraged the Liberian government to ban the licensing of institutions where this horrific practice is performed,” Iversen added.

Azango told Women Deliver, “Speaking the truth about female genital cutting in my country has long been a dangerous thing to do. But I thought it was worth risking my life because cutting has claimed the lives of so many women and girls, some as young as two.”

Iversen said that many of the honourees had shown incredible dedication, through their work.

“For some of our journalists, simply covering topics deemed culturally taboo – like reproductive rights, domestic violence or sexual assault – can be enough to put them in danger,” she said.

However despite their dedication, journalists still also face obstacles in the newsroom.

“One of the questions we asked the journalists was: what will it take to move girls’ and women’s health issues to the front pages?” Iversen said.

“Almost all of them said: we need more female journalists in leadership and decision-making positions in our newsrooms. Journalism, like many other industries, remains a male dominated field, which can be a major obstacle to publishing stories on women’s health and rights.”

But the issue also runs deeper. There is also a lack of recognition that women and girls’ health rights abuses and neglect are also abuses of human rights, and combatting these issues is essential to achieving development for everyone, not just women and girls.

This means that women’s health is often seen as ‘soft news’ not political or economic news worthy of a front-page headline.

“Unfortunately women’s health and wellbeing is still, for the most part, treated as ‘soft’ news, despite the fact that when women struggle to survive, so do their families, communities and nations,” Iversen said.

“Every day, an estimated 800 women die in pregnancy or childbirth, 31 million girls are not enrolled in primary school and early marriage remains a pervasive problem in many countries. These are not just women’s issues, these are everyone’s issues – and our honorees are helping readers understand this link.”

As journalist Catherine Mwesigwa from Uganda told Women Deliver, “Women’s health issues will make it to the front pages when political leaders and the media make the connection between girls’ and women’s health and socio-economic development and productivity, children’s education outcomes and nations’ political stability.”

Male journalists also have a role to play and two of the fifteen journalists honoured for their contribution to raising awareness on these crucial rights were men.

Besides India and Liberia, other honorees hailed from Argentina, Cameroon, Bangladesh, Kenya, Pakistan, the Philippines, Senegal, Tanzania, Uganda, and the United States.

Online Vote

Readers have the opportunity to vote for their favourite journalists from the fifteen journalists selected by Women Deliver.

The three winners will receive scholarships to attend Women Deliver’s 2016 conference, which will be held in Copenhagen, Denmark.

Voting is open until 20 March 2015.

Edited by Kanya D’Almeida

At the Women Deliver conference in Kuala Lumpur, advocates shared strategies for breaking religious taboos on reproductive rights. Credit: Stella Paul/IPS

By Stella Paul
KUALA LUMPUR, May 31 2013 (IPS)

Liberian journalist Mae Azango says she spent a year living “like a bat, going from tree to tree” with her daughter in order to escape religious fanatics who were threatening to kill her for exposing the practice of female genital mutilation in her home country last year.

A senior reporter at the local FrontPage Africa publication, Azango told IPS that although the Liberian government signed a treaty in 2012 promising its citizens the right to information, it continues to hold back data on sexual and reproductive health and rights from journalists.

“With every story that I write, I take a great risk,” she says, adding that she is entirely dependent on “secret sources” within the government to gather information, since very little is shared in the public domain.

Her woes found echo among hundreds of women and health experts gathered in the Malaysian capital of Kuala Lumpur for the third annual Women Deliver global forum that ended Thursday.

Hailing from different corners of the globe, participants at the conference had no trouble identifying common goals: breaking taboos surrounding sex education and creating a safe climate for advocates, health professionals and educators to spread awareness on safe sex and family planning.

In Morocco, a country of 32 million people, schools are banned from offering sex education to young people because parliamentarians believe it to be an “evil concept, designed to promote promiscuity,” sexual and reproductive advocate Amina Lemrini told IPS.

She says progress on improving sexual health services in her country has been particularly slow due to taboos introduced by religious leaders.

With a government unwilling to challenge clerics, the job of providing crucial health services falls entirely on the shoulders of civil society, who are then threatened for their efforts.

Lemrini says she does not know a single reproductive rights activist who has not been threatened, yet the government offers them no protection.

Their distress has been recognised by leading experts in the field, including the executive director of the United Nations Population Fund (UNFPA), Babatunde Osotimehin, who told IPS that religious fundamentalism is a “indeed a worry” when it comes to progress on sexual health.

Still, he urged activists to continue their work, adding, “Fundamentalism exists in all societies and all religions – what matters is how we communicate our message.”

He believes that if more people are made aware of their rights and choices, they will not hesitate to defy archaic laws and so-called “cultural taboos.”

“The average person on the street does not want a situation where death comes calling every day for reasons that can be prevented,” he stressed.

Indeed, even a cursory glance at global statistics is enough to make a strong case for the need for better communication: according to the UNFPA, nearly 800 women die every single day as a result of pregnancy-related complications; in a year, that number is closer to 350,000 deaths, of which 99 percent occur in developing countries.

Sex-selective abortions and neglect of newborn baby girls have resulted in an estimated 134 million “missing” women worldwide.

Doing a wide sweep of global data, the UNFPA estimates that “millions of girls” practice unsafe sex and lack information on contraceptives. Osotimehin recently wrote that an “unmet need for family planning exists among 33 percent of girls between 15 and 19 years old…in Ethiopia, 38 percent in Bolivia, 42 percent in Nepal, 52 percent in Haiti and 62 percent in Ghana.”

Nyaradzayi Gumbonzvanda, head of the Young Women’s Christian Association (YWCA), told IPS that giving up on communication about sexual and reproductive health and rights was not an option.

“We need an operative environment for those who are discussing this issue,” she said. “We need to protect the media — this isn’t a choice. Governments must scale up the level of cooperation with the media and provide supportive legal backup where it is not yet available.”

Gumbonzvanda thinks that citizen journalism could be an effective way to mitigate the risk posed by fundamentalists, not only by amplifying the voices of those who often go unheard, but also by empowering common citizens to take action.

Nowhere was the power of citizen journalism more evident than during the revolution in Egypt in 2011, where blogs, tweets, and Facebook posts replaced TV channels, newspapers and radio stations in reaching millions of people.

Today, as Egyptians struggle against the conservative policies of the ruling Muslim Brotherhood, that network of citizen journalists has turned its attention to reproductive health and safe sex, topics that are frowned upon by Islamists.

Ahmed Awadalla, sexual and gender-based violence officer for Africa and Middle East Refugee Assistance (AMERA), told IPS that anyone discussing the issue risks detention, arrest, harassment and imprisonment.

As a result, the number of bloggers increases every day, as citizens and advocates flee to cyberspace in search of safe forums to share information and ideas.

“When I blog about the sexual rights of women I break two rules,” Awadalla said. “First, by speaking about a forbidden issue and secondly by speaking as a man, who is not supposed to take the side of women.” Though he faces harsh repercussions, nothing will persuade him to give up his advocacy.

But even while citizens innovate new ideas to get around the deadly threats of engaging in sex education, experts say governments must not be let off the hook for failing to provide these basic services.

Governments in Asia, Africa and Latin America must be held accountable by foreign funders, says Agnes Callamard, executive director of the London-based ‘Article 19’, an organisation dedicated to freedom of expression.

“Every government has committed to spending a certain amount of the funding they receive (on sexual health),” she said, so tracking aid flows could pressure governments to improve their track records on information sharing.

In fact, when the Mexico-based Grupo de Información en Reproducción Elegida (GIRE) started to track aid supposed to be allocated to providing information on sexual and reproductive health in 2011, “we found that nearly a million dollars were missing,” said GIRE Information Rights Advocate Alma Luz Beltrán y Puga. “We sued the government over that.  If the same tracking is done the world over, it can lead to greater accountability.”

According to a study done by the World Health Organisation (WHO), developed countries donated nearly 6.4 billion dollars to help provide access and information on reproductive health in developing countries. It is now up to civil society to ensure that money is responsibly allocated.

Young Bangladeshi women raise their fists at a protest in Shahbagh. Credit: Kajal Hazra/IPS

By Stella Paul
KUALA LUMPUR, May 29 2013 (IPS)

“If I am thirsty and want a bottle of Coca-Cola I can get it, no matter where in the world I am. Why can’t I get contraceptives or sexual heathcare?” asked Carlos Jimmy Macazana Quispe, a youth representative from Peru currently in Kuala Lumpur for the third edition of the Women Deliver global conference on the “health and well-being of women and girls.”

A member of the Lima-based Instituto Peruano de Paternidad Responsable (INPPARES), a non-profit organisation that helps young Peruvians learn about sexual and reproductive rights, Quispe was expressing frustration that 36 percent of sexually active Peruvians – the majority of them youth – do not have access to contraceptives.

There are over a hundred youth like Quispe participating in the three-day conference that started on May 28, most of them from developing countries in Asia, Africa and Latin America where “contraceptives” are equated with condoms, teen pregnancy is on the rise and child marriage is often considered a social norm.

One of these ambassadors is Shreejana Bajracharya, a youth consultant from the Nepal-based Ipas, an NGO working to prevent deaths and disease from unsafe abortions in a country where 21 percent of all mothers are aged below 18 years.

Bajrachayra, who counsels young married and unmarried women factory workers about safe sex, says that over 80 percent of sexually active young women practice unsafe sex and risk pregnancy because they fear that contraceptives could cause them physical harm.

“I meet youth who tell me that…(birth control) pills could damage their kidneys or their heart,” she told IPS, adding incredulously: “And these are women who live in the capital (Kathmandu). If awareness levels in the capital are so low, imagine what youth in rural areas are experiencing.”

According to Pablo Aguilera, head of the New York-based HIV Young Leaders Fund, the situation is particularly bad for minority communities like those who identify as transgender, or people living with HIV/AIDS.

Aguilera, himself a young person living with HIV, identified two simultaneous problems: not only are at-risk populations unaware of the most basic information regarding safe sex and reproductive health, but they are also unaccounted for, passing under the radar of surveys or other attempts to identify target populations.

“We need to engage more youth from marginalised and stigmatised communities, such as transgender (people),” he told IPS, adding that vulnerable youth must be included in studies and surveys “not as interviewees but as interviewer. This will not only help them receive information firsthand, but will also sensitise them on the issue instantly.”

Leading experts in the field are keenly aware of the need to step up efforts. Babatunde Osotimehin, executive director of the United Nations Population Fund (UNFPA), admits that there is a lack of hard data on sexual and reproductive health, but says the UNFPA is helping government agencies across the world recognise the need to overcome this.

Even in cases where data exists, governments do not utilise it for “practical purposes such as planning, and that is a big challenge,” Osotimehin told IPS.

Jyoti Shreshtha, a post-graduate student from Kathmandu, says the Nepali government “does not make a conscious effort to educate” youth on issues like HIV/AIDS and sexual rights.

In countries like Bangladesh, says student leader Umme Mahbuba, events and conferences around pregnancy, early motherhood, safe sex and contraceptives are targeted mostly at professionals, experts or academics. “Youth often stay away from these forums thinking ‘this issue is not for me’,” Mahbuba told IPS.

This can be attributed partly to the jargon that surrounds conversations about sexual health. According to Faustina Fynn-Nyame, country director for Marie Stopes International (MSI) in Ghana, young people are put off by “incomprehensible literature” and terms like “family planning”, which they cannot identify with.

“There is a need to take communication more seriously and coin terms that are youth-friendly,” she said.

But none of these tactics on youth engagement will go far without massive investment in this global effort.

“There is an urgent need to invest more (in)…creating effective tools of communication and building communication skills,” said Aguilera.

Some countries are feeling the financial crunch more than others. Sinthuka Vive, a student from the war-ravaged town of Jaffna in northern Sri Lanka, says the state is struggling to fund reproductive health services.

“During the war, many hospitals were damaged,” she told IPS. “The few that survived are struggling to provide care to married women. Youth, meanwhile, have nowhere to go, no one to provide them with counseling or information.”

The issue of funds has been a major topic of debate at the conference underway in Malaysia, particularly with regards to promises made at the July 2012 London Summit on Family Planning, where global leaders pledged a total of 2.6 billion dollars to provide 120 million more women and girls in the world’s poorest countries with voluntary access to contraceptive services, supplies and information by 2020.

It remains to be seen whether or not these funds will be leveraged to improve the sexual health and reproductive rights of youth around the world.

Laxmi Yarragantla, a 20-year-old mother of three, lives in the Warangal district, where over 50 percent of girls are married before they reach 18 years. Credit: Stella Paul

By Stella Paul
HALDIYAGANJ, India, May 28 2013 (IPS)

In the small village of Haldiyaganj in the northeastern Indian state of Meghalaya, 17-year old Injuara Begum is nursing her son who was born right here on the floor of her home three years ago.

She has never heard of Janani Suraksha Yojana (JSY), a government health scheme that provides free medicine, midwife assistance and 30 dollars in cash to all pregnant women who deliver at a government hospital.

“In marginalised communities, early marriage is the only way to…ensure a girl’s physical safety.” -- Mamatha Raghuveer
Nor is she aware that marriage before 18 years of age is illegal and punishable by law. “My parents arranged my marriage when I was fourteen,” she tells IPS in a whisper – a result of shyness coupled with intense fatigue that has plagued her ever since giving birth.

Injuara comes from a poor Muslim family that migrated to India from Bangladesh in 1980. Her father, a brick kiln worker, says the early marriage was intended to “protect his daughter’s future” in this volatile border village where there are few opportunities for women beyond motherhood.

Injuara’s story is indicative of a worrying trend in India, where, according to a 2012 study by the United Nations Children’s Fund (UNICEF), 22 percent of women become mothers before the age of eighteen.

Research indicates that over 70 percent of these child mothers are from marginalised groups like the Scheduled Caste (Dalits) and other tribal communities, who comprise 24 percent of the country’s total population of 1.24 billion people, or refugees who have few economic opportunities.

Experts say lack of access to, and awareness of, health services compounds the problem.

Severe health repercussions

The exclusion of marginalised women from health services is holding India back from achieving the Millennium Development Goals, which set the target of reducing maternal mortality and achieving universal access to reproductive healthcare by 2015.

According to the UNFPA, 25 percent of the 56,000 maternal deaths in India in 2010 occurred within marginalised communities.

D C Sarkar, head of the Haldiyaganj Public Health Centre, tells IPS that most first-time mothers here are below 18 years. “Almost 70 percent of them suffer from low haemoglobin levels and weakness,” he said, which results in premature deliveries and miscarriages.

Since his own centre is ill equipped to deal with pregnancy-related complications, he often refers his patients to the district hospital. But it is an exercise in futility, since none of the village’s residents can afford to pay hospital fees.

Sunil Dhar, one of the leading gynaecologists in the northeastern region, says over 70 percent of his patients are from minority communities, while most are below the age of 20.

Drawing on his 50 years of medical experience in the border state of Tripura, Dhar told IPS, “Over 50 percent of my patients are as young as 14 and 15. Elderly female relatives, who want to know the health of the foetus, usually accompany the young girls who come here – but one look at the expecting mother tells me she is the one in need of treatment,” for conditions like jaundice, or swollen ankles.

He links poor health and early marriages to the socio-economic status of refugee communities in these northern border regions, where over two million people fleeing the bloody Liberation War in Bangladesh arrived in 1970.

The 1990s also saw an influx of refugees from Myanmar (formerly Burma) and the Chittagong Hill districts of Bangladesh. Still living in abject poverty in informal camp settlements, these communities “can’t be expected to go to the hospitals – the hospitals must come to them,” according to Dhar.

Further south, in the central Indian state of Chattisgarh, a Gond tribal woman named Khemwanti Pradhan tells IPS she was married at 15, and became pregnant shortly after.

A resident of the Sindurimeta village in the conflict-ridden Bastar region, she was forced to delivered both her sons at home because the closest health centres were shut when she went into labour late at night. “My mother-in-law helped me cut the umbilical cord,” she said.

An ongoing Maoist insurgency against the government keeps most people indoors for fear of being caught in the crossfire.

Though Pradhan was aware of the JSY government health scheme, violence prevented her from accessing the services. “Doctors and nurses will not work after dark because they are scared of the Maoists. No transport is available after four in the evening. If our men go out to fetch a car or a doctor, army personnel suspect them of being terrorists and arrest them for interrogation,” she lamented.

Integrated Solutions

According to UNICEF, over 52 percent of girls in the Warangal district of the southern Indian state of Andhra Pradesh are married in their teens. Experts say the region is in dire need of targeted interventions that can slow this trend.

Here, an NGO called ‘Thaurni’ trains adolescent girls from vulnerable communities, such as children of migrant labourers, landless farmers and nomadic tribes, to become anti-child marriage campaigners. In the past five years, the organisation has stopped 56 child marriages in the district.

Still, hundreds of girls continue to get married every year because existing laws do not cater to their specific problems, Mamatha Raghuveer, head of Thaurni, told IPS.

“According to the Prohibition of Child Marriage Act, anyone found guilty of planning or conducting a child marriage can be fined up to 2,000 dollars and also be jailed for a maximum of two years.”

But while this law has relevance for mainstream society, where families have other options, it does not address the specific problems in marginalised communities.

For people in dire economic and political straits, living in regions where rape and sexual abuse is rampant, “early marriage is the only way to…ensure a girl’s physical safety.” Unmarried teenagers face untold risks, including being kidnapped and sold to brothels. “We need a policy that focuses on reaching out to these people,” Raghuveer stressed.

According to Swapan Debnath, a local homeopathy practitioner and school teacher in Tripura, the prevailing “anti-immigrant” climate in India also forces many families to turn to early child marriages as insurance against deportation.

Therefore, policies to improve maternal mortality must necessarily tackle issues of violence and immigration, incorporating, wherever possible, cross-border solutions to prevent child marriage and early motherhood.

Debnath hopes that the Women Deliver global health summit, scheduled to run from May 28 to 30 in the Malaysian capital Kuala Lumpur, will provide the perfect opportunity to discuss such integrated strategies.

While activists and experts from around the world debate on what action can be taken, women in vulnerable situations have no choice but to rely on the support of their families.

At the moment, Injuara is happy that her husband Zakir Mohammed is not asking for another child just yet.  Since contraceptives and abortions are considered a sin, family planning means abstaining from sex – something that her husband has agreed to do until she regains her strength. “I am happy,” she says, “that he understands.”

Every three years since 2007, a global advocacy organisation called Women Deliver has convened an international conference to talk about issues relating to the health and well-being of girls and women.

UNFPA, the United Nations Population Fund, has been privileged to participate in these conferences, and looks forward to joining multilateral organisations, NGOs and global leaders for the third Women Deliver conference in Kuala Lumpur this weekend.

Dr. Babatunde Osotimehin. Credit: UNFPA

Our focus this year will be on two issues that affect not just women and girls, but development in general, because research shows that voluntary family planning and maternal health are two key vectors for lifting developing nations out of poverty.

We will unveil new initiatives for each and seek to galvanise the world community for both programmatic and financial support. UNFPA has promoted voluntary family planning since it began operations in 1969, and if we have learned anything in the decades since, it is that the ability of women to plan when and at what intervals they will have children is essential to national progress in everything from education to health to economic prosperity.

Equally important, we have learned that family planning is about more than just condoms and other family planning commodities. It’s about human rights, information and education.

At the Women Deliver conference, UNFPA will launch a new partnership with the International Planned Parenthood Federation (IPPF) to increase access to family planning in some of the world’s most hard-to-reach areas. In cooperation with IPPF, we will seek to galvanise political commitments from 13 nations with statistically low contraceptive prevalence rates in order to increase support for programmes to educate women and men about the benefits of family planning.

UNFPA’s second major initiative will actually take place in the days leading up to Women Deliver, when we will co-host a symposium on the crucial, frontline role midwives play in lowering maternal deaths, reducing disabilities related to childbirth, and improving overall national health indicators.

More than 230 midwives will be joined by leading U.N. agencies, civil society representatives, policy makers and officials from donor nations to discuss ways to increase the numbers and improve the skills of midwives in developing countries.

At the symposium, UNFPA, alongside its partners from Intel, the World Health Organization and Jhpiego, the NGO affiliated with Johns Hopkins University, will roll out a new online training module for frontline maternal health workers to help train them to deal with issues such as pre-eclampsia, excessive post-birth bleeding and prolonged and obstructed labour. These medical complications can be matters of life and death for women giving birth in the developing world, so this is a critically important initiative.

But it is clear that these family planning and maternal health initiatives will succeed only if they are embraced by government leaders in a position to fund and support them. And there are often obstacles to that embrace.

The first obstacle, of course, is money. Governments struggling to meet the basic needs of their citizens face severe competition for scarce resources. But family planning and maternal health are so critically important to long-term development that they should be among the top spending priorities for developing nations’ governments.

And because helping underdeveloped nations rise out of poverty is so vital to international security and the global economy, voluntary family planning and maternal health should be investment priorities for developed nations as well.

The second obstacle standing in the way of family planning initiatives, in particular, are some cultural practices. The sad fact is that some societies still deny the human rights of half of their populations in the name of cultural traditions that do physical, social and psychological damage to women and girls.

As UNFPA sees it, the time has long passed when men can or should be allowed to dictate the reproductive rights of women. Young girls should not be forced into marriage. Sex should always be un-coerced. And every woman should have the means to enjoy her human right and freedom to choose if or when she will have children, and how many she will have.

We will be raising these issues at Women Deliver in Kuala Lumpur, and I hope all who attend will come away from the conference with a re-energised commitment to the central role these issues play in humanity’s future and to address the challenges of family planning and maternal health forthrightly.

*Dr. Babatunde Osotimehin is a United Nations Under-Secretary-General and Executive Director of UNFPA, the United Nations Population Fund.