South Africa, Which Once Led On Promoting LGBT Rights Abroad, Could Become A Roadblock
KAMPALA, UGANDA (13 October 2014) The AIDS Healthcare Foundation (AHF) mourns the loss of another Doctor, Dr. John Taban Dada who died due to Ebola Virus Disease (EVD) in West Africa. Dr. Dada, a Ugandan national, succumbed to the Disease on 9th October 2014 in Monrovia, Liberia. By the time of his death, Dr. Dada was working at Liberia’s largest hospital, JF Kennedy Memorial Center, and was consulting with the AIDS Healthcare Foundation partner in HIV service provision, People Associated for People’s Assistance (PAPA).
The Ebola outbreak in West Africa has continued a persistent spread pushing the death toll over 4,000 as of 9th October 2014. Having been declared an international public health emergency by the World Health Organization, Ebola Virus Disease has infected over 370 health workers and killed 216 doctors and nurses. In July, Dr. Sheik Humarr Khan, 39, who served as Medical Officer for AHF’s Sierra Leone Country Program, succumbed to the disease after being quarantined and cared for by medical providers from Médecins Sans Frontières at the isolation unit in the Kailahun District in Eastern Sierra Leone for several days. In Liberia, Dr. Dada’s death brought to four (4) the number of Doctors who have died since the outbreak.
“Our brothers and sisters in West Africa need accelerated action by commissions such as the African Union and the World Health Organization to expand provision of appropriate and adequate personal protective equipment, mobilize and deploy more health workers in the region, and increase and equip more isolation centers specifically established to cater for infected health workers,” said Dr. Penninah Iutung Amor, the AHF Bureau Chief for the African Region. “All these are achievable – but only if the commissions and the World Health Organization prioritize and scale up addressing obstacles that are holding us back in the response.”
There was hope late September when President Obama pledged support to the EVD response in the region however the actualization of this support has been delayed due to logistical challenges — inadequate human resources for health, poor state of the runway at the airport, and delays in setting up new isolation centers. “Since we have few isolation centers, we are seeing some people suffering from Ebola re-circulating into the community and therefore driving the infection further,” said Chinnie Sieh, Program Manager with People Associated for People’s Assistance (PAPA). “This is a crisis that requires all the Africa Commissions, the United Nations, all African governments and non-government actors to respond.”
“It is high time that the containment of this outbreak became a reality in the West African Countries of Sierra Leone, Guinea and Liberia,” said Dr. Lydia Buzaalirwa, the Director for Quality Management with AIDS Healthcare Foundation Africa Bureau. “Everybody needs to take part in the control of Ebola. We need to cut the chain of new transmissions, get in more volunteers, more logistics, and communities should be involved in building new isolation units. We demand that the African Union step up its leadership and exponentially accelerate its response to the Ebola outbreak in the region.”
By The AIDS Healthcare Foundation
The sexual and reproductive health rights of young marginalized populations are often neglected and their collective voice in this critical area not always heard. To try to redress this imbalance young people from marginalized communities and key populations in Bangladesh, Ethiopia, Puerto Rico and Uganda met in New York this week to discuss how to put these rights issues firmly on the post-2015 development agenda, leaving no one behind.
Taking place on 25 September, the General Assembly side event which took the form of a panel discussion, examined the vital role of community engagement, advocacy and service delivery in protecting the rights and meeting the needs of young key populations. These include men who have sex with men, sex workers and young people living with HIV.
Young speakers, who were peer educators, directors of national and regional NGOs, actors and community leaders, argued that universal access to HIV services and health coverage could not be achieved without prioritizing the needs of the most marginalized. They also noted the contribution of comprehensive sexuality education to improving young people’s health and the role that communities can play in both promoting rights and challenging stigma and discrimination.
The event was hosted by the Government of Brazil and organized by the International HIV/AIDS Alliance, GESTOS, the Global Youth Coalition on AIDS, ATHENA, ICASO, International Civil Society Support, STOP AIDS NOW!, Stop AIDS Alliance, the HIV Young Leaders Fund, the African Services Committee, and the Global Forum on MSM and HIV, in collaboration with UNAIDS.
"Setting goals is only part of the story. Where we should look for change is the way that we will implement the goals. We need to change the way we are doing business and craft the space for civil society in the new post-2015 agenda."
Luiz Loures, UNAIDS Deputy Executive Director
“We are talking about development here and sexual and reproductive rights are development."
Pablo Aguilera, HIV Young Leaders Fund
26 September 2014
For the last three years, AIDS Accountability International’s (AAI) work to stimulate greater accountability from funding partners – particularly the Global Fund – has focused on countries in Southern Africa. Based on the impact and successes of that work and its publication as good practice (Oberth, 2013; Oberth, 2014), AAI has partnered with vested stakeholders in Kenya, Tanzania (Mainland and Zanzibar) and Uganda to scale up our work to East Africa and ensure that the Global Fund is accountable to women, young girls and LGBT communities there.
In August 2014, Daniel Molokele (Deputy Executive Director) and Gemma Oberth (Senior Researcher) represented AAI in three different national and regional forums to promote greater transparency around Global Fund country dialogue.
The AAI team started in Kenya where we were brought in as technical partners to facilitate civil society country dialogue for Kenya’s upcoming HIV/TB concept note to the Global Fund (to be submitted 15 January 2015). As impartial and unbiased facilitators, AAI is able to draw out key priorities from various marginalized groups, including MSM, sex workers, people with disabilities, the TB community and other civil society representatives. The workshop was a national level training for civil society focusing on the Global Fund and the use of data in planning for the New Funding Model. The training workshop was held from 20-22 August at Maanzoni Hotel, just outside Nairobi, and hosted by Aidspan, in partnership with various partners such as International HIV Alliance, EANNASO, KANCO, LVCT Health and KENAAM. The outcome of the workshop will be The Kenya Civil Society Priorities Charter, produced by AAI as part of an initiative we have led in eight African countries, in partnership with the Ford Foundation.
After supporting civil society in Kenya to set priorities for the Global Fund New Funding Model, AAI travelled to Zanzibar where we facilitated a multi-stakeholder Priorities Charter development workshop. AAI’s technical support was requested by the Secretariat of the Zanzibar Global Fund Country Coordinating Mechanism (ZGFCCM), based on our previous work supporting civil society and key populations dialogues (in partnership with the International HIV/AIDS Alliance) and developing the Zanzibar Civil Society Priorities Charter, an initiative led by AAI.
The multi stakeholder consultation in Zanzibar was held on 25 August 2014 and was attended by representatives from diverse sectors in Zanzibar that included government departments, civil society, key populations, development partners, academia and private sector. The outcome of this workshop will be the Zanzibar Key Stakeholder Priorities Charter, which AAI will produce based on the priorities set at the meeting. The Charter is intended to guide the concept note development process in Zanzibar for both their HIV/TB concept note and Malaria concept note (both to be submitted on 15 October 2015). Some of the top priorities among the key stakeholders were on issues around treatment, care and support, behaviour change and also on health systems strengthening, among others.
Lastly, from 26-28 August 2014, AAI travelled to Dar es Salaam, Tanzania to participate in a regional civil society meeting that was hosted by EANNASO. The meeting was attended by civil society members of CCMs across several countries in East Africa, including Kenya, Tanzania (Mainland and Zanzibar), Burundi, Rwanda, Uganda and Ethiopia. The participants shared their experiences and lessons learnt from their active participation on CCMs, particularly focusing on civil society engagement in the concept note development process for the Global Fund New Funding Model. At the meeting, AAI conducted a session on Accountability Literacy, building the capacity of the delegates to hold other CCM members accountable through greater transparency, dialogue and action. A key outcome of the meeting was the launch of a regional civil society CCM forum and also the election of steering Committee.
The AAI team was impressed with the level of commitment and support from the various partners across East Africa and now looks forward to developing more opportunities for programme partnerships in the region.
AIDS Accountability International's work on CCMs and GFATM are kindly funded by funding partner Ford Foundation, South Africa Office.
In 2000, the creators of the Millennium Development Goals (MDGs) completely overlooked sexual and reproductive health and rights (SRHR), a mistake that, if repeated, would cripple the dreams of millions of young girls and women for years and generations to come.
Access to SRHR enables individuals to choose whether, when, and with whom to engage in sexual activity; to choose whether and when to have children; and to access the information and means to do so. To some, these rights may be considered an everyday reality. However, that is not the case for millions of young people in the world – particularly girls and women.
On Tuesday night, I had the fantastic opportunity to listen to some of the foremost global leaders speak on behalf of ensuring access to sexual and reproductive health and rights in the post-2015 agenda. The benefits of ensuring SRHR are society wide and inevitably translate into improved education, economic growth, health, gender equality, and even environment.
“At my high school, you would be expelled if found with a condom.” – Samuel Kissi, former President, Curious Minds Ghana
When girls are healthy and their rights are fulfilled, they have the opportunity to attend school, learn life skills, and grow into empowered young women. Wherever girls’ SRHR are ignored, major educational barriers follow. Child marriage and early pregnancy are major contributors to school dropout rates. In South Asia and Sub-Saharan Africa, girls are married before age 18 at an alarming 50 percent and 40 percent respectively. And in Sub-Saharan Africa, where 90 percent of adolescent pregnancies occur in marriage, it is safe to assume that not all those sexual acts were consensual and not all those pregnancies were planned.
“Initially I used to oppose family planning, but now I fully support. I support it because my wife has more time to work and earn money.” – The Honorable Dr. Tedros Adhanom Ghebreyesus, Minster of Foreign Affairs for the Federal Democratic Republic of Ethiopia, sharing the story of an Ethiopian man’s changed opinion regarding the importance of SRHR
Protecting SRHR not only saves lives and empowers people, but it also leads to significant economic gains for individuals and for the community as a whole. As previously stated, ensuring SRHR helps to decrease school dropout rates and, as a result, leads to a more productive and healthy workforce as each additional year of schooling for girls increases their employment opportunities and future earnings by nearly 10 percent.
“We cannot eliminate new HIV infections without providing SRHR services to women so they can make informed decisions to protect themselves and their children in the future. Yes, we will end the AIDS epidemic, but first we need to respect the dignity and the equality of women and young girls.” – Dr. Luiz Loures, Deputy Executive Director, UNAIDS
Access to SRHR guarantees quality family planning services, counseling and health information. These services are critical, particularly because women are often victims of gender-based violence and sexual assault and thereby face greater risks for sexually transmitted diseases like HIV/AIDS. Failing to secure and uphold SRHR dooms women and girls with an increased risk of unsafe, non-consensual sex and maternal mortality.
“How can you control your life if you cannot control your fertility?” – Helen Clark, UNDP Administrator
When a woman can easily plan her family, she is more equipped to participate in the economy alongside her male colleagues. When the sexual rights of a woman or girl are fulfilled, she will experience decreased rates of sexual violence and enjoy a healthy relationship with a respectful partner. When a woman or girl does not fall victim to child marriage and early pregnancy, she can stay in school and achieve anything she puts her mind to.
“The woman continues to bring life, to bring up the next generation, to stand before you and say, ‘I am ready to embrace my rights and to deliver a better planet to humanity.’” – Joy Phumaphi, former Minister of Health, Botswana; Chair, Global Leaders Council for Reproductive Health
A 2012 study found that community water and sanitation projects designed and run by women are more sustainable and effective than those that are not. Similarly, women produce 60 to 80 percent of food in developing countries and, with the economic and educational gains that coincide with secured SRHR, a woman is better equipped to effectively manage her land.
The post-2015 Sustainable Development Goals will not happen without SRHR being addressed. So far, the world has failed to recognize that SRHR are equally as fundamental to global development as finance and trade. We can no longer afford to view SRHR as a taboo or promiscuous topic. When 90% of first births in low-income countries are to girls under 18; when the leading cause of death among adolescent girls aged 15 to 19 is pregnancy and childbirth; when two-thirds of new HIV infections in sub-Saharan Africa are among adolescent girls; and when 200 million women want to use family planning methods but lack access, the young girls and women of the world do not have a promiscuity problem – they have a human rights problem.
By Elisabeth Epstein
25 September 2014
Addis Ababa, Ethiopia–08 September 2014: The African Union and partners met Monday on the side lines of the emergency meeting of the African Union Executive Council to announce pledges by the African Union Partners Group (AUPG) to the African Union Support to Ebola Outbreak (Operation ASEOWA).
The United States Government announced USD10 million and the European Union 5 million euros to be made available immediately to support the African Union Operation to end the Ebola outbreak in West Africa. The Republic of China last week announced USD 2 million to ASEOWA.
The Deputy Chairperson of the African Union Commission, Mr. Erastus Mwencha, expressed gratitude to partners for the generous response to support the African Union operation ASEOWA and for all the concerted efforts to respond rapidly to the outbreak.
“The focus should be on containing the epidemic to make sure that it does not spread further, improve the capacity of health facilities, which have been overstretched and monitor contacts and manage the confirmed cases”, the AUC Deputy Chairperson said.
The African Union this week received the assessment report from the mission that it sent to the affected countries which will inform its path breaking response.
“The United States is absolutely committed to working with the international community to increase response efforts in West Africa and help bring this outbreak under control”, said Ambassador Reuben E. Brigety, adding “We commend the AU for sending an assessment team and welcome its findings and we urge the AU to ensure that its mission is working through its operations on the ground and in accord with WHO Ebola response roadmap”.
The ASEOWA operation aims at filling the existing gap in international efforts and will work with the African Humanitarian Action in mobilising medical and public health volunteers across the continent and will compliment ongoing efforts by various humanitarian actors who are already on the ground.
The African Union made a historic decision end of August by declaring Ebola a threat to peace and security in Africa invoking article 6 (f) relating to its mandate with regard to humanitarian action and disaster management at its 450th meeting. The meeting authorised the immediate deployment of a joint AU-led military and civilian humanitarian mission to tackle the emergency situation caused by the Ebola outbreak. The World Health Organisation (WHO) estimates that about USD600 million is needed to put the epidemic under control.
Click here to read: ASEOWA Pledge
The Ebola outbreak in West Africa has killed 2,288 people, with half of them dying in the last three weeks, the World Health Organization (WHO) says.
It said that 47% of the deaths and 49% of the total 4,269 cases had come in the 21 days leading up to 6 September.
The health agency warned that thousands more cases could occur in Liberia, which has had the most fatalities.
The outbreak, which was first reported in Guinea in March this year, has also spread to Sierra Leone and Nigeria.
In Nigeria, eight people have died out of 21 cases, while one case of Ebola has been confirmed in Senegal, the WHO said in its latest update.
On Monday, the agency called on organisations combating the outbreak in Liberia to scale up efforts to control the outbreak "three-to-four fold".
Ebola spreads between humans by direct contact with infected blood, bodily fluids or organs, or indirectly through contact with contaminated environments.
However, the WHO says conventional means of controlling the outbreak, which include avoiding close physical contact with those infected and wearing personal protective equipment, were not working well in Liberia.
The reason for this remains unclear; however, experts say it could be linked to burial practices, which can include touching the body and eating a meal near it.
There are also not enough beds to treat Ebola patients, particularly in the capital Monrovia, with many people told to go back home, where they may spread the virus.
Sophie-Jane Madden, of aid agency Medecins Sans Frontieres, told the BBC that health workers at the largest treatment centre in Monrovia were completely overwhelmed: "Our teams are every day turning away people who are desperately seeking healthcare."
Meanwhile, the US says it will help the African Union mobilise 100 African health workers to the region and contribute an additional $10m (£6.2m) in funds to deal with the outbreak.
The announcement comes as a fourth US aid worker infected with the deadly virus was transported to a hospital in Atlanta for treatment.
The identity of the aid worker has not yet been revealed.
Two other aid workers who were treated at the same hospital have since recovered from an Ebola infection.
Separately on Tuesday, the UN's envoy in Liberia said at least 80 Liberian health workers had died from Ebola, according to the Associated Press.
Karin Landgren described the outbreak as a "latter-day plague" that was growing exponentially. She added that health workers were operating without proper protective equipment, training or pay, in comments to the UN Security Council.
By BBC News Africa
9 September 2014
Addis Ababa, Ethiopia–21 August 2014: The Peace and Security Council of the African Union on Tuesday invoked Article 6(f) relating to its mandate with regard to humanitarian action and disaster management at its 450th meeting. The Council authorised the immediate deployment of a joint AU-led military and civilian humanitarian mission to tackle the emergency situation caused by the Ebola outbreak.
“Using the infrastructure of the Peace Support Operations, the African Union Commission is finalising the planning of the joint military and civilian mission code named Operation ASEOWA that could start deployment by the end of August 2014,” Said Dr. Mustapha Sidiki Kaloko, Commissioner for Social Affairs of the African Union Commission.
The African Union Support to Ebola Outbreak (Operation ASEOWA) is expected to deploy civilian and military volunteers from across the continent to ensure that Ebola is put under control. The mission will comprise medical doctors, nurses and other medical and paramedical personnel. The operation is expected to run for six months with monthly rotation of volunteers. The operation will cost more than USD25 million and the US government and partners have pledged to support the African Union with a substantial part of this amount.
The operation aims at filling the existing gap in international efforts and will work with WHO, OCHA, US CDC, EU CDC and others agencies already on the ground.
For more information, visit http://www.africa-union.org
For further information contact
Wynne Musabayana | Deputy Head of Division | Information and Communication Directorate | African Union Commission | Tel: (251) 11 551 77 00 | Fax: (251) 11 551 78 44 | E-mail: MusabayanaW@africa-union.org | Web: www.au.int|Addis Ababa | Ethiopia
Tawanda Chisango | Social Affairs | African Union Commission |Tel: +251115182029 | E-mail: Chisangot@africa-union.org | Web:www.au.int |Addis Ababa | Ethiopia
About the African Union
The African Union spearheads Africa’s development and integration in close collaboration with African Union Member States, the Regional Economic Communities and African citizens. AU Vision:to accelerate progress towards an integrated, prosperous and inclusive Africa, at peacewith itself, playing a dynamic role in the continental and global arena, effectively driven by an accountable,efficient and responsive Commission. Learn more at: http://www.au.int/en/