Category Archives: TB

World leaders review progress on Maternal health

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Prime Minister Erna Solberg of Norway, Co-chair of the MDG Advocates Group, and Graça Machel, Chair of The Partnership for Maternal, Newborn & Child Health (PMNCH), joined world leaders and the reproductive, maternal, newborn and child health (RMNCH) community to review progress toward achieving the  Millennium Development Goals focused on women and children’s health, and to identify targets for healthy women and children for the post-2015 sustainable development agenda.

 

The high-level panel of the MDG Advocates—a group of eminent personalities working to focus attention on the need to deliver on the vision for the Millennium Development Goals (MDGs) and to end poverty by 2030—met in Johannesburg at the 2014 PMNCH Partners’ Forum, cohosted by the Government of South Africa, PMNCH, Countdown to 2015, A Promise Renewed, and the independent Expert Review Group.  The Panel discussed several new reports released at the Forum, including the Countdown to 2015 report for 2014, which tracks progress in the  75 countries that account for the vast majority of maternal and child deaths, and the Success Factors for Women’s and Children’s Health report, which analyzes 10 countries that have made rapid progress toward the MDGs.

 

“Globally, we have made good progress on the MDGs,” said Prime Minister Solberg. “But more can and must be done. With fewer than 550 days until the Millennium Development Goals deadline, time is of the essence to scale up our efforts on behalf of women, children and adolescents.”

 

The leaders called for the new sustainable development agenda to be rights-based, equity focused and to place healthy women, children and adolescents at its core.  Leaders called for the new framework, which will be debated by the UN General Assembly in September, to focus on ending preventable maternal, newborn and child mortality, and to  ensure sexual and reproductive rights, including universal access to quality sexual and reproductive services.

 

Since 1990, both maternal and child mortality have halved and 50 million more children go to school each year. But many challenges remain and further rapid progress on health outcomes will require addressing the multiple determinants of health. For instance, every year 14 million girls are forced into marriage, and in many countries, women and girls still do not have access to adequate education.

 

“Across the world, the rights of women and girls continue to be grossly violated. The burden of poverty on women is ever present.” said Graça Machel.  “Every woman should have access to resources and gain space to assert her aspirations. Nobody should die in child birth. All girls should go to school with their brothers and master the tools for a productive life. ”

 

The Panel also previewed the PMNCH Partners’ Forum Communiqué, which will focus on working across sectors—including education, infrastructure, and economic development—to ensure a comprehensive, broad-based approach to improving women’s and children’s health. The Communique, which was endorsed by the MDG Advocates, called for this comprehensive response to be enshrined in specific new global development goals.

 

“We proved that Innovative Financing can help us to reach the MDGs” said Philippe Douste-Blazy, United Nations Special Advisor on Innovative Financing for Development. “New partners are uniting in South Africa to commit energy and resources towards innovation and saving lives.”

 

Dr. Carole Presern, Executive Director of PMNCH,  said, “Today, we leave with renewed energy to make sure that women, newborns, children and adolescents do not die from easily preventable causes; that sexual and reproductive health and rights are respected and that everyone, everywhere should be able to look forward to a healthy, happy and productive life..”

 

Source: http://www.spyghana.com/world-leaders-review-progress-maternal-health/

NGOs roll out sex freedom drive in Kenya

Kenya Story

Civil society groups in Kenya have started collecting signatures in a new campaign to promote sexual freedom. The campaign targets one million signatures and the support of MPs.

 

Although it mainly focuses on family planning and reproductive health, the “I Decide” campaign might run into trouble in Kenya because it also wants anti-homosexuality laws repealed. It is also asking the government to provide safe and legal abortion to women.

 

“We want a world in which sexuality is recognised both as a natural and precious aspect of life,” said Family Health Options Kenya (FHOK), who are coordinating the campaign locally.

 

FHOK director Edward Marienga said asked politicians to support people’s “rights to decide what happens to their bodies, who they live with and whether or not they become pregnant.” The Kenyan campaign was launched in Nairobi yesterday by Moi University Chancellor Prof Miriam Were.

 

“Sustainable development and gender equality will be achieved when everyone has access to sexual and reproductive health, the right to bodily integrity, and control over all matters related to their sexuality,” she said. Prof Were further asked the government to expand family planning. “For every $1 invested in family planning $31 in additional public service and health expenditure is saved,” she said.

 

Organisers want the UN to include sexual and reproductive health and rights among the new global targets to replace the Millennium Development Goals next year. The one million signatures will be presented to UN Secretary-General Ban Ki-Moon mid next year.

 

Giant pro-abortion lobby International Planned Parenthood Foundation (IPPF) is coordinating similar campaigns in other countries across the world. Health Cabinet Secretary James Macharia said in a statement he supports the campaign. “The Ministry of Health in Kenya is willing to prioritise sexual reproductive health in support of what FHOK in partnership with IPPF are doing,” he said.

 

The campaign is also petitioning the government to end violence against women and forced marriage. FHOK said in a statement the government should not decided for people what to do with their own bodies, who to love and how. “Shockingly many women and men around the world are denied these basic rights by governments and by tradition,” it said. The campaign hopes to have these rights guaranteed across the world by 2020.

 

By John Muchangi

16 May 2014

Source: http://www.the-star.co.ke/news/article-167325/ngos-roll-out-sex-freedom-drive-kenya#sthash.M4QAfxk6.dpuf

Health experts call for integrated approach to HIV and TB in Zimbabwe

Story

Zimbabwe is facing challenges in eliminating tuberculosis (TB) say health experts, who are calling for much greater integration of HIV and TB programmes within the healthcare system.

 

Tremendous progress has been made in minimising the spread of HIV while TB programming is weak in comparison, according to Michael Bartos, UNAIDS country director for Zimbabwe.

 

Strengthening coordination systems

Bartos told a recent workshop for Zimbabwean civil society organisations that there was an urgent need to strengthen coordinating systems across HIV, TB and malaria. The workshop was run by AIDS Accountability International in partnership with Southern Africa AIDS Trust and Zimbabwe AIDS network.

 

“We need, as civil society, to enhance HIV mobilisation to support TB. There is weak mobilisation of communities where it matters. The issue of resources also needs to be addressed if we are to succeed in eliminating the spread of TB,” Bartos said.

 

Civil society priorities

At the workshop, representatives from various HIV groups created a priorities charter as an ‘advocacy road map’ for the Global Fund to fight AIDS, TB and malaria. The top priority was the need for a coordinating mechanism for HIV and TB, according to Dr Gemma Oberth, senior researcher at AIDS Accountability International.

 

“This is because HIV coordinating structures are disproportionately strong, compared with TB civil society networks,” Dr Oberth said.

 

Some of the priorities identified include prevention, treatment, advocacy, care and support, mitigation and stigma reduction.

 

Increase in new TB cases

Zimbabwe is ranked 17 among the 22 countries in the world worst affected by TB, according to a research project commissioned by the World Health Organisation.

 

Victoria James, director of New Dimension Consulting, which carried out the research, said: “The estimated incidence of new TB cases was 633 per 100,000 in 2010 compared to 97 per 100,000 in 1990, reflecting a growing trend. Seventy-five per cent of adult TB cases are reported to be HIV co-infected, while HIV testing in TB is 97 per cent. The treatment rate is very low and civil society needs to focus more on playing a role to address the issues.”

 

She also highlighted some concerns involving new TB diagnoses, which are reported to have increased from 35,340 in 2013 to 38,725 in 2012.

 

Lack of resources

According to Dr Charles Sandy, deputy director of AIDS and TB programmes at the Ministry of Health and Child Care, TB is managed through the routine health system. The government is faced with the challenge of a lack of resources, although it collaborates with local and international partners.

 

“We are dependent on the health delivery system for success of the TB programme. Although we have made some progress in trying to address TB, we are facing challenges of a demotivated health workforce and lack of optimum work performance,” Dr Sandy said.

 

He added that community awareness in addressing TB was low and more resources were needed to address the challenges. Sandy said the government worked with civil society organisations through the Country Coordinating Mechanism and invited them to make suggestions on how they could be more involved.

 

Image: Emmanuel Gasa, a young HIV/AIDS activist working within the civil society and attending workshop, Zimbabwe
© Wallace Mawire

 

Read the Zimbabwe Civil Society Priorities Charter

 

By Wallace Mawire

7 May 2014

Source: http://www.keycorrespondents.org/2014/05/07/health-experts-call-for-integrated-approach-to-hiv-and-tb-in-zimbabwe-2/

Malawi to prioritise gender-based messages in response to HIV and TB.

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In Malawi, a new civil society charter to tackle HIV and TB is prioritising gender-based messages to help change people’s behaviour.

 

Malawi is the third country to set up such a charter in response to the Global Fund’s new funding model.

 

Working with men

 

According to the Malawi Demographic and Health Survey, data shows that in 2013 men were disproportionately likely to report having more than one sexual partner (9.2%) compared to women (0.7%).

 

To address this, non-governmental organisations well placed to promote community dialogue and carry out activities involving theatre for development, role models, and working with families, schools and churches.

 

The primary target group for such activities is men, but there will also be a focus on raising awareness of the risks of having multiple sexual partners with girls and young women.

 

Civil society intends to measure the impact of this activity through an increased number of men testing for HIV, men who seek circumcision, couples testing together and men using condoms.

 

Empowerment of women and girls

 

Poverty greatly affects the ability of young women to make choices about their behaviour. The charter prioritizes a two-pronged strategy to support young women through access to information and economic empowerment.

 

This means combatting issues of early child marriage, gender-based violence and transactional sex, which are all shown to be related to poverty and the economic circumstances of young women. Civil society organisations supporting the charter intend to scale up activities relating to village savings and loans associations for women.

 

This work will focus on young women aged 15 to 24. The charter has identified border towns and some lakeshore towns as hot spots where support for affected communities are needed and where impact will be greatest.

 

The impact of this activity will be measured in the short-term through the number of women engaged in village savings and loans schemes and fewer child marriages, and in the longer term through bylaws restricting child marriages.

 

Condom promotion

 

In Malawi, 80% of new HIV infections occur among partners in stable relationships (National AIDS Commission, 2012). This can be explained, in part, by negative perceptions about condom use within long-term relationships.

 

Work to address this issue will focus on rural women, as the issue of gender norms and power imbalances make it difficult for women to negotiate or introduce condom use within their relationship, especially the female condom.

 

The charter recommends the activities to be carried out in remote rural areas, as a three year programme from May 2014 – May 2017 with gathering people to sensitize on condom promotion, media reporting, education and communication campaigns, peer education as some of the activities.

 

One of the ways in which civil society will measure impact of this intervention will be through monitoring the number of rural women using the female condom.

 

Availability and accessibility

 

Condom use is higher in urban areas than it is in rural regions of Malawi and this can be partially explained by the fact that health centres and hospitals are some of the only places where condoms can be accessed in rural areas, yet evidence shows bottle stores are much more popular places to get condoms, especially among groups most at risk of HIV such as sex workers (FPAM & UNFPA, 2011).

 

Civil society intends to increase condom distribution points and lobby different community and religious leaders around accepting use of condoms. It will also pair access to condoms with lubricants, particularly for key populations such as men who have sex with men. A three year programme is expected to start from 2014 up to 2017, with focus on marginalised people such as rural women and people with disabilities.

 

Key populations

 

There is a need to scale up existing programmes targeting groups most at risk of HIV. Creating demand for health services among such populations is a high priority because data shows HIV prevalence among sex workers in Malawi is 70.7% (National AIDS Commission, 2012) and 15.4% among men who have sex with men (“HIV among men who have sex with men in Malawi” Wirtz et al., 2013).

 

Civil society is best placed to access people most at risk of HIV through peer education and outreach work. The target group will be primarily men who have sex with men and sex workers, though prisoners are also identified as a key population in this context, especially in connection to their vulnerability to TB. People with disabilities and refugees were also identified.

 

The outcome will be measured by reductions in HIV prevalence and increases in health seeking behaviour among key populations.

 

CLICK HERE to view the Malawi Civil society Priorities Charter

 

Image: Members of the market theatre group perform an HIV awareness drama to village members, Chipemberemchere, Malawi
© Nell Freeman for International HIV/AIDS Alliance
By Owen Nyaka
April 23. 2014

Source: http://www.keycorrespondents.org/2014/04/23/malawi-to-prioritise-gender-based-messages-in-response-to-hiv-and-tb/

Memorandum on Human Rights Priorities for the European Union-Africa Summit.

Introduction

The European Union (EU)-Africa summit provides an important opportunity to highlight crucial human rights developments in both Africa and Europe. Progress is being made on many human rights issues in an array of countries, but daunting challenges remain. The summit agenda includes both democracy and governance and peace and security, two broad topics that include a range of human rights concerns.

Human Rights Watch is concerned by some of the negative trends, particularly in Africa regarding the respect for human rights defenders and violations of the rights to freedom of association, expression, and peaceful assembly, and in the EU in relation to the rights of migrant and asylum seekers, and discrimination and intolerance towards migrants and minorities.

This memorandum summarizes key thematic concerns, provides links to specific country information where relevant, and urges African and European member states to implement recommendations that would help address ongoing human rights violations that threaten the lives and well-being of citizens across the continent, as well as the sustainable development of numerous countries.

I. Democracy and Good Governance

Threats to Freedom of Expression, Association, and Peaceful Assembly in Africa

The proliferation of a wide range of nongovernmental organizations and independent media has been among the most important positive developments across Africa in the past two decades. Independent media, civil society activists, and nongovernmental organizations play essential roles in any democratic society, whether through investigating and reporting on government policy, exposing corruption and human rights violations, advocating for the rights of minorities and vulnerable communities, or providing health, education, and other social services.

Human rights defenders—whether individuals, groups, lawyers, or journalists—are fundamental to ensuring the ability of all people to know, understand, and enjoy their rights. They also play a key role in exposing as well as assisting those seeking redress for human rights violations. A vibrant civil society and independent media is also critical for the conduct of free and fair elections in line with international standards. Furthermore, recent events in North Africa and the Arab world demonstrate how public access to communications and Internet technology and the increasing use of social media have amplified both the appetite for information as well as the ability of individuals from all segments of society to organize and respond to developments that affect their lives and interests.

Yet these exciting trends have also provoked a backlash in a number of countries, particularly those governed by longstanding, often authoritarian leaders and ruling parties who fear and suppress independent criticism, political opposition, and peaceful public dissent. As briefly described below, the backlash has assumed a number of forms including: threats, harassment, arbitrary detention, and prosecution of human rights defenders; censorship of independent media and nongovernmental voices; the promulgation and use of laws that violate fundamental rights to freedom of expression and association; and unlawful state efforts to undermine, bar, or crack down on peaceful protests.

Harassment and Prosecution of Human Rights Defenders
Harassment, threats, arbitrary detentions, and politically motivated prosecutions of human rights defenders, including journalists, human rights activists, anti-corruption campaigners, and others have become an alarming, regular feature of too many countries in Africa.

Eritrea presents an extreme case where no independent civil society or media is permitted to operate, but other countries have shown an increasingly repressive tendency or created a hostile environment in which activists and media self-censor due to fear of heavy-handed repercussions.

In countries such as the Democratic Republic of Congo and Angola, journalists and human rights defenders have been the target of threats and physical attacks from state agents. In others, such as in Kenya and Somalia, unidentified assailants who may or may not be affiliated with the state are responsible for numerous acts of violence, including killings. In other countries, such as Ethiopia, Sudan, and South Sudan, abuses usually take the form of harassment, arbitrary detentions, and prosecutions.

Many countries have used a combination of direct threats and oppressive laws and state policies to undermine human rights defenders. Rwanda’s domestic human rights movement has been almost destroyed by state intimidation, personal threats, infiltration, and administrative obstacles. In Burundithe government has often responded to the work of human rights activists and journalists by labeling them mouthpieces of the opposition. Ethiopia’s independent human rights groups have been forced to either stop working on human rights issues or dramatically curtail their activities due to increasingly repressive laws on association and restrictions on foreign funding. Equatorial Guinea also imposes excessive restrictions on the registration and operation of nongovernmental groups, and has no legally registered independent human rights groups. Sudan has shut down human rights and democracy organizations without cause, imposed burdensome registration requirements, and has used its repressive national security apparatus to monitor civil society groups and target individual activists for arrest and detention.

Harassment and arrests of human rights defenders by state security forces frequently increases in the lead-up or aftermath of national elections, as occurred in Zimbabwe in 2013. In Uganda, threats to civil society activists and the media have been linked to reporting on sensitive issues like corruption, oil, land or President Yoweri Museveni’s eventual succession. The Ugandan government’s raids on theDaily Monitor, a leading newspaper, and other media in May 2013 was a clear example of the severity of politically motivated attacks against the media. Uganda’s ruling party uses a wide range of tactics to stifle critical reporting, from occasional physical violence to threats, harassment, bureaucratic interference, and trumped-up criminal charges against journalists. This was particularly apparent during political unrest in September 2009 and prior to the February 2011 elections.

In certain countries, such as Cameroonand Uganda, activists working on the rights of vulnerable minorities—such as the lesbian, gay, bisexual, and transgender (LGBT)—have had workshops shut down and faced particular threats. In Zambia, an HIV/AIDS activist is currently on trial simply for suggesting in a TV interview that decriminalizing same-sex conduct would help facilitate HIV outreach to sexual minorities. Recent laws criminalizing homosexuality in Nigeria and Uganda present a worrying trend that could also have significant impact on human rights activism and advocacy more broadly given the wide latitude of the legislation. In Nigeria, President Goodluck Jonathan signed into law on January 7, 2014, the Same-Sex Marriage (Prohibition) Bill. It is a sweeping and dangerous piece of legislation that criminalizes public displays of affection between same-sex couples and restricts the work of organizations defending gay people and their rights. The law could lead to imprisonment solely for a person’s actual or imputed sexual orientation. People could face charges for consensual adult sexual relations in private; advocacy of LGBT rights; or public expression of their sexual orientation or gender identity. The terms “same-sex marriage” and “civil union” are so broadly defined in the law that they include virtually any form of same-sex cohabitation.

Mainstream human rights organizations in Nigeria could be threatened for opposing the law, and have said they fear speaking out about it. Funders or supporters of LGBT rights and related work in Nigeria could also face increased scrutiny under the law. The law will hinder public health efforts to work on HIV and could criminalize programs funded by major donors that provide education on HIV prevention and health for men who have sex with men.

In Uganda, President Yoweri Museveni signed the Anti-Homosexuality Bill into law on February 24, 2014. The new law not only increases the penalty for same-sex conduct to up to life imprisonment, but creates a raft of new and vague criminal offenses that violate the rights to freedom of expression and association among others. The “attempt to commit homosexuality” now incurs a penalty of seven years as does “aiding and abetting” homosexuality. A person who “keeps a house, room, set of rooms, or place of any kind for purposes of homosexuality” also faces seven years’ imprisonment. Because the law also criminalizes the “promotion” of homosexuality, a person could now go to prison simply for expressing a peaceful opinion. Local and international nongovernmental organizations doing legitimate human rights advocacy could now be at risk of criminal sentencing of up to seven years. Public health promotion and prevention efforts targeting “at risk” groups might have to be curtailed, and health educators and healthcare providers could face criminal prosecution under the same provision.

Human Rights Watch urges African and EU representatives participating in the summit to call for and support:
• Thorough investigations of any cases of harassment, threats, or violence against human rights defenders and other civil society activists, and violations of their rights to free expression, association and assembly. Those responsible for such abuses should be held accountable, regardless of position or rank.
• Uganda and Nigeria to take immediate steps to suspend implementation and repeal discriminatory legislation and take substantive steps to ensure all laws comply with their international human rights obligations.
• Thorough reviews of the impact of the Ugandan and Nigerian laws on all EU-supported development projects and programs, particularly taking time to ensure that objectives can be met without a) exposing implementing partners, project employees or beneficiaries to possible criminal prosecution under the laws, and b) discrimination or discriminatory provision of services.

Abusive Laws Regulating the Media and Civil Society
Journalists in Africa are frequently arrested and prosecuted under a variety of laws for doing their work as reporters in violation of international protections for free expression and media freedom. Ethiopia’s prosecution of at least 13 journalists under its counterterrorism law has been a particularly sinister misuse of domestic legislation. More often, countries seeking to limit the independent media introduce specific media legislation. A media law adopted in Burundi in June 2013 undermines the protection of sources, limits subjects on which journalists may report, imposes new fines for media found in violation of the law, and requires journalists to have a minimum level of education and professional experience. Following a legal challenge by the Burundian Union of Journalists, the Constitutional Court ruled in January 2014 that certain articles of the media law were unconstitutional. This provides an opportunity for the Burundian government to not only modify those articles, but ensure that the law as a whole respects journalistic freedom and protects Burundi’s vibrant independent media. Kenya is currently considering legislation that could give authorities a broad remit to censor media and limit foreign funding of nongovernmental organizations.

In Rwanda, where journalists have faced years of intimidation, media laws adopted in 2013 appeared to increase the scope for independent journalism, but a range of other laws have been used to silence media criticism. After several journalists were arrested and convicted in connection with their articles, most Rwandan journalists do not dare investigate or report on human rights abuses by the state or comment on politically sensitive issues.

Criminal defamation laws remain a concern across a number of African countries, particularly Angola, where the country’s most prominent anti-corruption campaigner, Rafael Marques de Morais, has been subjected to nine defamation lawsuits in the last year. Yet civil defamation laws can also be problematic. For example, by allowing damage awards in defamation cases that are far beyond the ability of most Liberian newspapers to pay—and mandating imprisonment for non-payment—Liberian law makes imprisonment the likely outcome of many civil defamation cases, which creates a serious chilling effect on journalism.

Public order and information laws are also frequently used to curtail independent media and civil society activities and public demonstrations on governance issues. For instance the Access to Information and Protection of Privacy Act and the Public Order Security Act in Zimbabweand the recently passed Public Order Management Bill in Ugandahave been or may be used in this way. Even South Africa, widely considered to be one of the most liberal media environments on the continent, has passed a controversial Protection of State Information Bill, known as the “Secrecy Bill,” which could limit protection for journalists and whistleblowers seeking to report information that is in the public interest.

Yet the picture is not entirely bleak. A growing number of African countries, such as Sierra Leone, have passed or are in the process of passing freedom of information laws that could play a crucial role in improving government transparency, the rule of law, and respect for human rights.
Human Rights Watch urges African and EU representatives participating in the summit to:
• Call for the repeal or amendment of legislation that restricts freedom of expression and association, including provisions that limit foreign funding, impose arbitrary or intrusive requirements on the ability of nongovernmental organizations to function, or limit the types of lawful activity that organizations can undertake.
• Support legislation, such as freedom of information laws and other legislation that promotes the rights to freedom of information, expression and association.

Crackdowns on Peaceful Protests
Restrictions on freedom of expression and association are often coupled with crackdowns on public protests. Uganda, Sudan, Ethiopia, Zimbabwe, and Angola, to name a few, have seen public demonstrations in the past few years on a variety of issues, often linked to public concerns over corruption, accountability or state failure to respect human rights and account for violations.

The situation in Burundi is becoming increasingly tense, with repeated confrontations between opposition party members, on the one hand, and the police and the government on the other. Government and police have obstructed opposition party meetings and disrupted demonstrations and other activities. In February, the government attempted to impose pro-ruling party leaders on the opposition party UPRONA, prompting the resignation of all three UPRONA ministers and effectively splitting the party into two. In March, violent clashes between the police and members of the MSD opposition party led to arrests, injuries, and a suspension of the MSD. In March, 69 MSD members were charged in connection with their alleged role in a confrontation with the police. After a summary trial that lasted just one day, and with no time to prepare their defense, 21 were sentenced to life imprisonment, and 34 to various other prison terms.

Sudan’s violent repression of protests in Khartoum and other cities and towns in September 2013 resulted in 170 deaths of protesters and the detention of hundreds. Sudanese security forces arbitrarily detained and tortured peaceful protesters in 2011 and 2012. The Angolan government has responded to periodic protests by a youth movement and war veterans with regular arbitrary detentions and the use of unnecessary or excessive force by security forces. In a similar fashion, the Zimbabwe security forces have quashed peaceful protests with excessive force and arbitrary arrests and detention. Protests by members of the Muslim community in Ethiopia have been met with excessive force, beatings, and detentions, a pattern replicated in Uganda, which has seen several protest movements quashed by abusive police and other security forces.

The EU-Africa summit should:
• Stress that the right to peaceful assembly is a fundamental right embodied in the African Charter on Human and Peoples’ Rights and other international human rights law.
• Condemn the unnecessary or excessive use of force by security forces in response to protests.
• Call on the African Commission for Human and Peoples’ Rights to investigate serious situations in which state security forces have used excessive force against protesters, including most recently in Sudan.

II. Peace and Security

The rapid escalation of conflicts in the Central African Republic (CAR) and South Sudan over the past several months demonstrates the unintended consequences of decades of repression, weak institutions, corruption, and the legacy of impunity in some African countries.

In South Sudan, conflict erupted in December 2013 between pro-government and opposition forces, and has included massive abuses against civilians. The violence has taken on dangerous ethnic overtones across the country and reflects South Sudan’s legacy of impunity for mass crimes during years of civil war. Human Rights Watch has urged both parties to end abuses and ensure justice for crimes against civilians as a key step toward lasting peace.

The African Union (AU) responded in late December by establishing a Commission of Inquiry into the human rights violations and abuses committed. The Commission is set to begin work in April. Human Rights Watch and other international and South Sudanese groups have called on the AU to ensure the Commission be effective, credible, impartial, and independent, that it be staffed with relevant forensic investigators and human rights experts, and that it make public its findings. The EU, which has also pledged to support accountability, should extend support to the AU’s Commission.

With regard to the CAR, to their credit, both the EU and AU responded by pledging or deploying troops in a very insecure and dangerous situation. Those responses have been much appreciated by residents of CAR and the humanitarian actors working to address the massive crisis there.

Human Rights Watch has been documenting abuses in the CAR for the past year and has observed that the presence of the peacekeepers has deterred some violence. In other cases, however, we have seen troops abandon their neutrality and get drawn into the conflict between the Seleka and anti-balaka forces. In some instances, Chadian peacekeeping troops have facilitated the movement of armed Seleka leaders—complicit in grave abuses—to areas where the Seleka can regroup. We have urged the AU to rein in these rogue forces and prevent them from allowing the Seleka to prey on civilians.

Human Rights Watch has also repeatedly called for the augmentation of African and European peacekeeping in CAR, particularly with the deployment of a UN peacekeeping force that can help stabilize the divided nation, prevent further abuses, and help rebuild tattered institutions. Until that force is on the ground, the AU peacekeeping force, known as MISCA, and the French Sangaris need to take immediate additional measures to provide greater security, including actively patrolling areas vulnerable to violence, especially those where minority Muslim populations remain. In the wake of the Seleka collapse, thousands of Muslim residents have fled to the neighboring countries of Chad,Cameroon, and the Democratic Republic of the Congo. Remaining Muslim residents are at extreme risk of violence, either in their homes or on the streets, in Bangui or in more remote locations, such as the south western region. There is an urgent need for more peacekeepers and more resources to contend with this human rights and humanitarian catastrophe.

African and EU representatives at the summit should:
• Call on all the warring parties in South Sudan to protect civilians and civilian property;
• Ensure that the South Sudan Commission of Inquiry is effective, credible, impartial, and independent, that it is staffed with competent forensic investigators and human rights experts, and that it makes its findings public.
• Urgently support the deployment of a UN peacekeeping force in the CAR and expedite the deployment of EU forces in the interim.

Africa and International Justice

In 2014, the commemoration of the 20th anniversary of the Rwandan genocide acts as a sober reminder that ensuring accountability for international crimes such as war crimes, crimes against humanity, and genocide remains one of the most urgent issues on the continent. The EU-Africa summit comes at a time of intense challenges for the International Criminal Court (ICC) in Africa. The election of ICC suspects Uhuru Kenyatta and William Ruto as Kenya’s president and deputy president has generated renewed backlash to the ICC from the AU and some African leaders. The EU-Africa summit is an important moment for African ICC member states to affirm support for the court.

The ICC has its flaws, but it is a crucial court of last resort. Its reach should be expanded, not hindered. Ideally, domestic courts will have the capacity and willingness to ensure justice when serious crimes in violation of international law are committed, but in many cases the judiciary in countries where such crimes are perpetrated is weak. Regional courts have also faced difficulty in their judgments being respected or continuing to operate after taking independent decisions.

There are double standards in the application of international justice: some powerful countries have not joined the ICC and the Security Council has used its power to refer situations to the ICC inconsistently. But justice should not be denied where it is possible because it is not yet possible everywhere. African governments should press for justice wherever the worst crimes are committed, such as in Syria, but not hinder the prospects for justice in Africa. As has been shown in countries such as Sierra Leone, the Democratic Republic of Congo, and Kenya, impunity tends to foster renewed crimes.

A 2013 AU summit decision calls for immunity for sitting officials before international courts. This is contrary to the very core of the ICC’s Rome Statute, which considers the official capacity of those responsible for grave crimes to be irrelevant. This has been a cornerstone of international law since the post-World War II trials at Nuremberg, and is included in the statutes of the International Criminal Tribunals for the former Yugoslavia and Rwanda and the Special Court for Sierra Leone.

The EU-Africa summit should:
• Reaffirm the importance of the ICC in bringing to justice those responsible for the gravest international crimes that cannot be prosecuted in domestic courts.

The Rights of Asylum Seekers and Migrants in the EU

The approach of the EU and its member states to migration and asylum is too often characterized by an emphasis on migration control and border enforcement at the expense of the rights of migrants and asylum seekers, including the right to seek asylum.

Deaths at Sea
The death of over 500 people in October 2013 in two shipwrecks off the Italian island of Lampedusa rightly focused the EU’s attention on boat migration in the Mediterranean. That same month Italy launched an ongoing naval search and rescue operation called Mare Nostrum that has rescued over 14,000 people by mid-March 2014. In December 2013, the Council of the EU endorsed recommendations developed by a specially created task force on short and medium-term measures to limit the loss of life of migrants and asylum seekers at sea.

Human Rights Watch is concerned that many of the EU’s proposed policy responses, though framed in terms of saving lives, reflect the EU’s preoccupation with border enforcement through an emphasis on preventing departure and barring entry. This can be seen in the focus on increased border surveillance—primarily through the launch of EUROSUR, a platform for information sharing among EU countries for the purpose of detecting irregular migratory movements—cooperation with countries of origin and of transit, including joint naval patrols, and a crackdown on people smuggling. The debate has revived longstanding disputes among EU member states about responsibilities for rescue operations, for determining where those rescued should be disembarked, and for processing migrants and asylum seekers.

Enhanced efforts to save lives at sea should go hand-in-hand with respect for other fundamental rights, such as the right to seek asylum and protection against torture and ill-treatment. Human Rights Watch recommends the EU to take the following steps:
• Ensure that increased surveillance of the Mediterranean, including through implementation of EUROSUR, is focused on the paramount duty of rescue at sea, on the basis of a broad definition of distress and a presumption that all intercepted or rescued persons will be taken to the closest safe port of call in an EU country;
• Adopt binding rules to avoid disputes about disembarkation points to ensure that migrants are taken promptly to a safe port of call and given access to asylum, including in situations where the rescue is conducted by private vessels;
• Develop orderly and legal entry mechanisms for asylum seekers; and
• Ensure that immigration cooperation with sending and transit countries is subject to clear and enforceable human rights safeguards.

Access to Asylum
While the EU has moved towards harmonization of asylum procedures and reception standards across the Union, including with the adoption in June 2013 of an asylum package, asylum seekers face gaps in protection in a number of member states. Despite reforms in Greece, asylum seekers there continue to encounter serious obstacles accessing the asylum system, a large backlog in processing cases, and inadequate reception conditions or prolonged detention in sometimes abusive conditions. Asylum seekers in Bulgaria also face poor reception and detention conditions, as well as summary returns to Turkey without proper procedures and excessive use of force by border police. Italy has largely failed to implement a long-term approach for asylum seekers and refugees, adopting instead short-lived “emergency plans” that do not guarantee consistent, adequate standards of treatment, conditions, and access to asylum.

Summary expulsions from the Spanish enclaves of Ceuta and Melilla to Morocco are also a problem, raising concerns that persons in need of international protection are being denied access to asylum procedures and other protections, and that both asylum seekers and irregular migrants are returned without due process to the risk of abuse at the hands of Moroccan security forces. Fifteen migrants drowned on February 6, 2014, while swimming to Ceuta amid serious concerns that the actions of the Spanish Guardia Civil, including firing rubber bullets and teargas at the water, contributed to the deaths.

Recent reform of EU directives brought certain improvements to common EU standards, but the common rules provide broad grounds for detention of asylum seekers, do not obligate member states to provide free legal assistance at first instance, and fail to exempt especially vulnerable asylum seekers, including torture survivors and unaccompanied children, from accelerated procedures. Maltahas a virtually automatic detention policy for up to 18 months, while asylum seekers in Greece may also be held in detention for up to 18 months if they apply for asylum after being detained for irregular migration.

Accelerated procedures at borders, including asylum hearings, are inherently unsuitable for complex cases, and make it difficult for individuals to present medical or other evidence of their need for international protection. Human Rights Watch has documented how such procedures put unaccompanied children at risk of expedited removal from France and fast-track women victims of sexual violence in the United Kingdom into detention and denial of protection.

Asylum seekers as well as unaccompanied children also face transfers between EU countries under the Dublin regulation or bilateral agreements. The Dublin regulation requires as a general rule that the first EU country of entry be responsible for assessing asylum claims, and allows member states to return anyone to the first EU country they entered even if that first country lacks a fully functioning asylum system and adequate reception conditions, or otherwise offers less protection. Recent reforms to the regulation have improved safeguards, including by requiring member states to assess the risk of inhuman or degrading treatment before transfer to another EU country. Concerns remain that theDublin system does not properly weigh the variety of factors that might connect an asylum seeker to one state over another, including wider family relations, community ties, language, as well as personal preference of the applicant. Human Rights Watch has also documented how Italy bypasses the Dublin regulation entirely through summary returns to Greece of adult asylum seekers and unaccompanied children who stow away on ferries from Greece to Italy.

We urge the EU-Africa summit to reaffirm the importance of access to fair and effective asylum procedures and decent reception conditions. EU institutions should monitor and enforce, including through infringement proceedings, full compliance with EU asylum regulations. EU member states should consider further reforming the Dublin regulation. Detention of asylum seekers should be used only as a last resort and for the shortest time possible, and EU countries should not detain unaccompanied children and families with children, but rather provide them with safe reception accommodation.

Discrimination and Intolerance in the EU

Discrimination and intolerance against minorities, including Muslims and Roma, and migrants is a serious concern across the EU. Comprehensive data compiled by the EU Fundamental Rights Agency, judgments by the European Court of Human Rights, assessments by UN treaty bodies and experts, as well as numerous NGO reports, including by Human Rights Watch, all point to persistent hostility and discrimination against certain groups.

Despite binding international and regional norms on combating hate crimes, numerous EU countries lack robust legislation and machinery to adequately address violence based on ethnic or racial prejudice. Human Rights Watch has documented the failure of police and the judiciary in ItalyandGreece to investigate, prosecute, and punish appropriately xenophobic attacks against migrants and minorities, and the inadequacy of state response to hate crimes in Germany.

The use of unlawful ethnic profiling by law enforcement affects minorities and migrants in EU countries. In France, overly broad grounds for police stops and the lack of clear guidelines leads to repeated and abusive identity checks targeting blacks and Arabs, violating anti-discrimination norms and undermining police-community relations. In Greece, Athens police conduct abusive stops and searches based on ethnic profiling and have detained tens of thousands of people, including many legal migrants, in an ongoing police operation to crack down on irregular migration.

While Muslims in the EU face discrimination in a variety of spheres, Muslim women have been particularly singled out by measures aimed at curbing the wearing of the Muslim headscarf and the full-face veil. Some countries, including France and Germany (in eight out of sixteen states), prohibit civil servants, including teachers, from wearing religious symbols. Franceand Belgium have adopted laws prohibiting the concealment of one’s face in public. In all these cases, parliamentary debates have made it clear that Muslim religious dress is the principal target of such bans. Comparable nationwide bans have been proposed in a variety of other countries, including Italy, the United Kingdom, and Denmark, while a number of municipalities in Spain and Italy already have, or are contemplating, local bans.

The situation for Roma, Europe’s largest ethnic minority, is particularly alarming. The EU collectively recognizes that the persistent discrimination and marginalization require intervention, and has developed a strategy and funding to that end. But in practice Roma migrants from Eastern Europe face forced eviction and expulsion in Franceand Italy. Further east, in Hungary, Romania, Bulgaria, the Czech Republic, and Slovakia, the situation is even more alarming, with little progress toward ending forced evictions and housing and school segregation (also a problem in Greece), despite hundreds of millions of euros in EU funding and binding rulings by the European Court of Human Rights.

We encourage participants in the EU-Africa summit to engage in a frank discussion about discrimination and intolerance in the EU. EU member states and institutions should take steps to ensure robust response to hate crimes, to prohibit explicitly the use of ethnic profiling by law enforcement, and implement fully strategies to address deep and widespread discrimination against Roma. EU institutions should affirm the fundamental rights to freedom from discrimination, freedom of religion, and the right to autonomy of Muslim women.

Human Rights Enforcement in the EU

The Treaty on European Union states that the EU is founded on respect for human rights. As outlined in the EU Strategic Framework and Action Plan on Human Rights and Democracy—adopted by the Council of the EU in June 2012—this means both ensuring that the Union’s relations with other countries are founded on respect for human rights, and ensuring rights for everyone are respected within the Union itself. Yet EU institutions have failed to respond adequately to some of the most pressing human rights concerns inside the EU, including abusive laws and practices by some member states.

The European Commission has the power to bring infringement proceedings against member states when they fail to apply correctly and adequately EU law, including in relation to the EU Charter of Fundamental Rights, which is binding on EU member states when they are applying EU law. Ultimately such proceedings can lead to judgments by the European Court of Justice and sanctions. While the Commission has sought to use infringement proceedings in some cases involving human rights, it is has been reluctant to use human rights as the basis. Its decision-making and criteria have been opaque, and it has sometimes accepted cosmetic changes as sufficient to halt proceedings. The Commission has also been hesitant to confront member states on their human rights records in its annual report.

The European Parliament has been more outspoken on occasion and has played an important role in scrutinizing EU legislation and challenging EU policy on human rights. But political and national allegiances have sometimes blunted the Parliament’s effectiveness.

The response of the Council of the EU has been particularly disappointing. It has established a Working Party on Fundamental Rights and Free Movement of Persons (FREMP), where member state officials can discuss human rights challenges and possible EU action in response to violations by member states. But the work of FREMP has in fact been largely confined to negotiating EU accession to the European Convention on Human Rights and no meaningful engagement with civil society has been established. Faced with systematic efforts by the Hungarian government to undermine the rule of law and human rights, for example, and the failure of member states to respect their obligation to investigate complicity in acts of torture and enforced disappearances in the context of the CIA rendition program, the Council has been silent.

The Council acknowledged for the first time, in June 2013, the need to do more to address human rights violations within the EU, and called on the Commission to “take forward the debate … on the possible need for and shape of a collaborative and systematic method to tackle these issues.”
In March 2014, the European Commission announced a new “rule of law mechanism” that would allow it to challenge member states over “systematic threats to the rule of law” that nonetheless fall short of the threshold for action under article 7 of the Treaty on European Union, the EU’s most powerful (but never used) enforcement tool. Though a welcome signal of the Commission’s pledge to act when fundamental values come under threat, concerns remain that the new mechanism does little to overcome the lack of political will that obstructs genuine human rights enforcement in the EU.

Human Rights Watch calls on the EU to heed the detailed recommendations of the Human Rights and Democracy Network, a platform of 48 organizations of which Human Rights Watch is a coordinating member, to improve scrutiny of and accountability for human rights violations within EU borders. These recommendations were set out in an August 2013 statement. The EU should define a more comprehensive internal human rights strategy that mirrors its external strategic framework, and devise a corresponding action plan to guide collective EU action. All EU institutions, including the Commission, the Parliament, and the Council should embrace an ambitious mandate to deploy effectively existing institutional arrangements to promote and protect the full range of rights within the EU, including a willingness to hold individual member states to account when they violate human rights.

Children and Armed Conflict

In the majority of countries with armed conflicts around the world, national armed forces or armed groups have used schools for military purposes, with devastating consequences for the safety and well-being of children and their right to education.

Across Africa, schools have been used for military purposes in at least nine countries since 2005: Central African Republic, Chad, Cote d’Ivoire, Democratic Republic of Congo, Libya, Mali, Somalia, South Sudan, and Sudan. For example, in Congo, armed forces occupied and used schools in Katanga and North and South Kivu in 2013. In South Sudan in 2012, troops used at least 18 schools, affecting approximately 13,000 children. The cost to repair damage cause by such use was around US$67,000 per school.

Good policies and practices have emerged in both Africa and Europe to protect schools from military use. In South Sudan, a 2012 order of the army deputy chief of staff “unconditionally prohibited” forces from “occupying schools, interfering with or disrupting school classes or activities, or using school facilities for any purpose.” In Cote d’Ivoire, nongovernmental organizations shared information on military use of schools with UN peacekeepers, who then advocated with state and non-state actors to leave occupied schools. In Ireland, the Defence Act states that military manoeuvers and encampments cannot interfere with schools or school grounds. In the United Kingdom, the Manual on the Law of Armed Conflict prohibits the use of education institutions for purposes likely to expose it to damage, unless there is no feasible alternative.

As of March 2014, the following AU and EU member states have expressed their support for the process of finalizing the Draft Lucens Guidelines for Protecting Schools and Universities from Military Use during Armed Conflict, which urge armed forces to refrain from using schools and provide six guidelines for good practice: Austria, Croatia, Finland, France, Lithuania, Portugal, Senegal, Slovenia, South Sudan, and Sweden.

The EU-Africa summit should:
• Urge efforts to reduce the harm to children and schools during armed conflict, and support the process of the Draft Lucens Guidelines for Protecting Schools and Universities from Military Use during Armed Conflict.

Women’s Human Rights

Human Rights Watch has documented a range of human rights abuses against women and girls in both the EU, for example in Hungaryand Belgium, and in Africa, such as in Somaliaand Kenya. Cooperation between the EU and Africa is particularly important and useful in three areas: ending child marriage, protecting rights of domestic workers, and ending gender-based violence in conflict.

Child Marriage
Human Rights Watch has documented the myriad of human rights abusesaround the practice of child, early and forced marriage in a number of countries, including in South Sudan. The chair of the AU, Nkosazana Dlamini-Zuma, has unequivocally statedthat “We must do away with child marriage.” The African Charter on the Rights and Welfare of the Child states that child marriage and the betrothal of girls and boys shall be prohibited and effective action, including legislation, shall be taken to specify the minimum age of marriage to be 18 years and make registration of all marriages in an official registry compulsory. The EU is currently developing a large campaign and strategy to end child marriage.

Human Rights Watch urges Africa and the EU to cooperate and to include the following recommendations in any effort to end early, child and forced marriages:
• Set and enforce the legal minimum age of marriage at 18.
• Require verification of age and the full and free consent of both spouses.
• Establish and enforce compulsory marriage registers.
• Provide sufficient training to law enforcement officials on gender discrimination, violence against women, and early, child and forced marriage specifically.
• Recognize marital rape as a criminal offense.
• Increase access to education for girls—including married girls, access to reproductive and obstetric health care for all girls and women.

Domestic Workers’ Rights
An estimated 50 to 100 million people, a vast majority of them women and girls, are employed in private homes as domestic workers. Human Rights Watch has documented abuses against domestic workers around the world, including in Moroccoand Guinea. Abuses include being grossly underpaid, extremely long work hours, no freedom of movement, and physical, sexual and psychological abuse. In July 2011, members of the International Labour Organization—governments, trade unions, and employers’ associations—voted overwhelmingly to adopt the ILO Convention No. 189 Concerning Decent Work for Domestic Workers, which established the first global standards for the millions of domestic workers worldwide.

In Africa, good examples are starting to emerge. Both South Africa and Mauritius have ratified the convention. Zambia and Tanzania have raised the minimum wage for domestic workers. A landmark court ruling in Kenya in December 2012 placed domestic workers under the protection of the labor law, extending to them the national minimum wage and social security benefits.

The Council of the EU, the European Commission, and the European Parliament have called on EU countries to ratify the convention. To date, only Italy and Germany have done so, while Ireland and Belgium have pledged their intent to ratify. Spain has issued a royal decree that ensures domestic workers the minimum wage, maximum working week of 40 hours, and minimum daily rest periods.

Human Rights Watch urges the EU and Africa to encourage ratification of the Domestic Workers Convention and act to ensure all member countries implement the convention’s terms.

Gender-Based Violence during Armed Conflict
Human Rights Watch has documented gender-based violence in conflict in Democratic Republic of Congo, Cote d’Ivoire, Sudan, and Guinea, and earlier in Bosnia and Kosovo.Most recently, Human Rights Watch has been conducting research in Somalia’s capital, Mogadishu, where sexual violence is pervasive, including by government soldiers and allied militia. This is due in large part to failed or non-existent state structures to protect women, particularly vulnerable groups such as internally displaced women and girls, and to ensure justice for abuses and tackle the social and economic vulnerability of women and girls. Women interviewed by Human Rights Watch described a paralyzing climate of fear, where no place was safe, and many women are vulnerable to attack, and where perpetrators attacked with impunity.

The EU has developed and adopted a comprehensive approachto the EU implementation of UN Security Council resolutions 1325 and 1820 on women, peace and security. Individual European countries have developed their own initiatives, most notably the Preventing Sexual Violence in Conflict initiative of the United Kingdom. Similarly, the AU adopted resolution 1325 unanimously in the AU Security Council in 2000. Human Rights Watch has learned that the AU is currently in the process of developing a code of conduct for its troops on sexual violence and harassment, a particularly welcome step given recent events in Somalia.

In order to curtail gender-based violence in situations of conflict, Human Rights Watch urges the EU and Africa to:
• Comprehensively address prevention, access to services, access to justice, legal reform and the overall promotion of women’s participation, equality and empowerment.
• Support the UN special representative on Sexual Violence in Conflict.
• Implement the full Security Council resolution 1325 agenda, including subsequent Resolutions 1820, 1888, 1890, and 1960.
• Where lacking, adopt a clear code of conduct on sexual violence and harassment for security forces and peacekeeping personnel, and ensure that regional efforts are done in coordination with already existing mechanisms to combat gender based violence.

Rights of Persons with Disabilities

The Convention on the Rights of Persons with Disabilities (CRPD)—adopted by a majority of African and EU countries as well as the EU itself—explicitly recognizes the importance of international cooperation in advancing the rights of persons with disabilities. Making human rights integral to development—and the post-2015 development framework in particular—would contribute to more just and inclusive development outcomes, would encourage a focus on the poorest and most marginalized communities, such as people with disabilities, and would draw attention to the underlying and systemic reasons why people with disabilities often do not receive services, resources or economic opportunities, and prompt action to address them.

With respect to legislative reform, a number of countries within the EU and Africa, including Ghana, Ireland, and Zambia, have completed or are currently engaged in mental health law reform to comply with their obligations under the CRPD. It is important to ensure that this legislation fully respects the right to legal capacity, freedom from arbitrary detention, including involuntary institutionalization, and free and informed consent.

In the case of Ghana, for example, the 2012 Mental Health Law falls short of its obligations under the CRPD and its implementation has been slow, marked by the lack of community-based mental health services and delays in setting up much-needed oversight mechanisms. People with mental disabilitiesin Ghana face serious abuses in hospitals and spiritual healing centers—so-called prayer camps—including involuntary admission and arbitrary and prolonged detention; inadequate conditions, including overcrowding and poor hygiene; forced seclusion, lack of shelter, physical and verbal abuse, and involuntary treatment, including electroconvulsive therapy. In prayer camps, people with mental disabilities are chained—sometimes outdoors—and denied food and medication and adequate shelter. Of particular concern is a March 2014 announcement that the Ghana Mental Health Authority will launch a “clean the streets operation,” designed to round up people with mental disabilities on the streets and force them into confinement in psychiatric hospitals. This amounts to the arbitrary detention of people with mental health problems for no reason other then their disability status. We are concerned that this operation may be funded through development assistance from DFID.

Human Rights Watch urges Africa and the EU to:
• Align in promoting a disability-inclusive approach to development, particularly in the post-2015 development agenda, on the basis of the CRPD principles of non-discrimination, equality, participation, and accountability.
• Pledge that development assistance will not be used to fund programs that violate the fundamental rights of people with disabilities.
• Share good practices in implementing the rights of persons with mental disabilities as articulated by the CRPD, and to promote regular and adequate oversight of both formal and informal mental health service providers.
• Pledge to reach out to disabled persons’ organizations on the national and local level, to seek their advice on disability-inclusive policies and practices.
• Review all legislation with the aim of harmonization in line with the CRPD, in consultation with the disabled persons’ organizations in each country. Those countries that have not yet ratified the CRPD and its Optional Protocol should do so as a matter of priority.

By Human Rights Wtach

31 March 2014

http://www.hrw.org/news/2014/03/31/memorandum-human-rights-priorities-european-union-africa-summit

In Sierra Leone, “HIV/AIDS, TB & Malaria Pose Serious Threats to Development in Africa”…President Koroma tells Counterparts

 

President Dr. Ernest Bai Koroma has said that HIV/AIDS, Tuberculosis and Malaria pose serious threats to the socio-economic development of Africa.He made this statement on the occasion of the Special Summit of the African Union on HIV/AIDS, Tuberculosis & Malaria in the Nigerian capital, Abuja on Monday 15th July, 2013.

The theme of the two-day summit is ‘Ownership, Accountability and Sustainability of HIV/AIDS, Tuberculosis and Malaria Response in Africa: Past, Present and the Future’.


President Koroma informed his colleague Heads of State and Government that Sierra Leone has drastically reduced HIV infections and was now aiming towards a zero tolerance plan against the malaise. Whilst acknowledging the challenges facing the fight, he however maintained, “We have shown leadership as a nation”.


The president also informed the Summit that in the fight against malaria & TB, the Government of Sierra Leone has made tremendous progress and was still making the necessary efforts to minimize the presence of these syndromes in the country.

President Koroma further used the platform to continue to appeal to donors to increase funding to enable performing governments accomplish their struggle against HIV/AIDS, Malaria and Tuberculosis in Africa.He also called on all to renew their vow and fight against these diseases so that the continent will realize sustainable socio-economic development.

He commended his Nigerian counterpart His Excellency Goodluck Jonathan and the African Union for the initiative to organize a Special Summit to implement the Abuja Call for Accelerated Action towards Universal Access to HIV/AIDS, Tuberculosis and Malaria treatment services in Africa.


In his opening remarks, the Nigerian President Goodluck Ebele Jonathan said the presence of his colleagues at the Summit signifies the importance they attach to the development of Africa. He pointed out that these diseases were crucial to the socio-economic development of the continent and still remain major causes of morbidity and mortality. President Jonathan therefore urged his colleagues to give the relevant attention needed to address these syndromes.


Commending Global Fund for being the major funding agency that continues to sustain the fight against malaria, TB and AIDS, which he dubbed a “noble mission”, President Goodluck Jonathan called on his colleagues Heads of States and Government to take ownership of the process. He also implored them to sustain their commitment, noting that the Summit was also to review their total achievements so far and make a renewed commitment towards the challenge.


The President also acknowledged other development partners for their immense support and efforts towards the fight against malaria, TB and HIV/AIDS in Africa.

According to the World Health Organization (WHO), of the World’s thirty four million people living with HIV, 23.5 million are in Sub-Saharan Africa, and 21 of the Global Plan’s 22 focus countries are in Africa. Similarly, the World Health Organization (WHO) estimates that there were about 219 million cases in 2010 and about 90% of the estimated 660,000 deaths from malaria in that year occurred in Africa. Africa also carries a large burden of the TB disease with 30% percent of the approximately 9 million new TB cases each year and 9 of the 22 most affected countries coming from Africa.


Recognizing the devastating impact of HIV/AIDS, TB and Malaria and other related infectious diseases on the socio-economic development of Africa, the Heads of State and Government of Africa adopted the 2000 and 2001 Abuja Declarations and Action Frameworks committing Africa Union Member States to take measures to halt the progression of these diseases in Africa. This high level commitment, reinforced on multiple occasions at the continental level over the past five years, marked a turning point in the continental response to the three diseases stimulating a sharp increase in resources and the scaling-up of programs to fight HIV/AIDS, TB and Malaria.


Although countries have strengthened their interventions in many of the priority targets set by the Abuja Call, they still continue to face constraints due to the lack of financial, material, technical and human resources for addressing health needs. Increase access to Anti-Retroviral Treatment (ART) is imperative. It is against this background that the Heads of State and Government during their Twentieth Ordinary Session of the January 2013 Summit held in Addis Ababa, endorsed the offer made by the Federal Republic of Nigeria, to host the Special Follow-up Summit on the Abuja 2001 Africa Union Summit on HIV/AIDS, Tuberculosis, Malaria and other related communicable diseases in the third quarter of 2013 to address the numerous challenges that will enable Africa realize the Abuja Call objectives and the Millennium Development Goal (MDG) on health.

On arrival in Abuja, Nigeria, President Koroma was received by the Special Adviser to President Goodluck Jonathan on Performance Monitoring and Evaluation, Professor Sylvester Monye, where he was taken to CGOCC Company Limited for a brief presentation on projects undertaken by the company on hydro electricity and water supply.

 

By State House  Communications

17 July 2013

http://news.sl/drwebsite/publish/article_200523238.shtml

Women’s Rights in Africa: 18 countries are yet to ratify the Maputo Protocol!

On the eve of the 10th anniversary of the Protocol to the African Charter on Human and Peoples’ Rights on the Rights of Women in Africa (Maputo Protocol), the Coalition of the campaign, Africa for Womens’ Rights : Ratify and Respect reiterates its call for the continental ratification of this progressive instrument within the African human rights system and for its effective implementation.

Adopted on July 11, 2013, to complement and strengthen the articles of the African Charter related to the protection and promotion of women’s rights, the Maputo Protocol is an important instrument of reference. Its provisions, with regard to civil and political rights, physical and psychological integrity, sexual and reproductive health, non-discrimination, economic emancipation, among others, symbolise African States’ commitments to put an end to discrimination, violence and gender stereotypes against women.

« The adoption of the Maputo Protocol was an exceptional moment, historical for the realisation of the rights of women in Africa. Today, this instrument constitutes a model, a endless source of inspiration. Provided its ratification and full implementation, it can represent a real tool of action for the lasting transformation of our societies » declared Soyata Maiga, Special Rapporteur of the African Commission on Human and Peoples’ Rights (ACHPR) on the rights of women in Africa.

36 out of 54 member States of the African Union (AU) have so far ratified the Protocol, a clear victory for those who over the years have tirelessly mobilised and worked to achieve this goal. Moreover, in many countries, legal and institutional measures, such as laws prosecuting perpetrators of sexual violence (Kenya, Liberia), criminalising domestic violence (Ghana, Mozambique), prohibiting female genital mutilation (Uganda, Zimbabwe) or establishing mechanisms mandated to promote women’s rights (Côte d’Ivoire, Senegal), have accompanied these ratifications.

 

 

See the interview of Soyata Maiga, Special Rapporteur of the African Commission on Human and Peoples’ Rights (ACHPR) on the rights of women in Africa, on the progress made and challenges remaining since the adoption of the Protocol (interview conducted on 10 July 2013)

 

Despite these notable achievements, there are still some obstacles to the full realisation of women’s rights on the continent. Eighteen (18) states [1], have still not ratified the Protocol, and in several of these countries – including Sudan, Central African Republic or Egypt, which still facing serious political crisis or situations of armed conflicts – women continue to be the main targets of violence, discrimination and stigmatisation.

For Sheila Nabachwa, FIDH Vice President and Ag. Deputy Executive Director (Programs) at the Foundation for Human Rights Initiative (FHRI – Uganda), «Non-State Parties should understand that, today, the trend goes on the other side. 10 years after its adoption, it is time for these States to ratify the Protocol and accept that the guarantee and protection of women’s fundamental rights can no longer suffer from political, cultural or religious considerations or pretexts ».

In State Parties, several of the rights enshrined in the Protocol, or provided within national laws, are yet to be fully implemented. In DRC, Guinea-Conakry, Mali, thousands of women victims of sexual violence continue to demand justice and compensation; in Uganda, they are still waiting for equality within the family to be recognised ; in Nigeria, they continue to fight for their right to property to become a reality. Unfortunately, most of the State Parties do not respect their obligation, under article 26 of the Protocol, to indicate, in their periodic reports submitted to the ACHPR, the measures undertaken for the full realisation of women’s rights as provided within the Maputo Protocol.

«The adoption of the Maputo Protocol by African States represented a formidable progress from a legal point of view ; its effective implementation should now symbolise the respect of the obligations they have freely consented to abide by » declared Mabassa Fall, FIDH Representative to the African Union.

On this tenth anniversary of the Maputo Protocol, the Coalition of the Campaign Africa for Women’s Rights: Ratify and Respect pays tribute to the determination and courage of the women and men who advocate tirelessly to ensure that the rights guaranteed in the Maputo Protocol are not lost. In this regard, our Coalition notes with concerns the repeated attacks in several countries against women activists, a phenomenon that must be taken seriously and to which States must respond without delay. The Coalition of the Campaign calls on all national, regional and international actors to join the considerable efforts that are made on a daily basis for the ratification and enforcement of the Maputo Protocol.
SOURCE : International Federation of Human Rights (FIDH)10 July 2013

http://world.einnews.com/pr_news/158178028/women-s-rights-in-africa-18-countries-are-yet-to-ratify-the-maputo-protocol

Kenya signals partnership with UNAIDS, Global Fund

The leaders of the Joint U.N. Program on HIV/AIDS, the Global Fund to Fight AIDS, Tuberculosis and Malaria and Kenya’s government recently met in Nairobi to discuss the fight against deadly diseases.

Mark Dybul, the executive director of the Global Fund, and Michel Sidibe, the executive director of UNAIDS, met with the leaders of Kenya’s new government, the Global Fund said on Monday. The leaders, other civil society organizations and their partners signed two grant agreements worth $27 million to support new programs to fight diseases like HIV and TB.

“In Kenya, and in other countries, the most effective prevention often comes by reaching those most vulnerable to infection,” Dybul said. “We can be most effective when all partners are moving in the same direction.”

The grants will be jointly implemented by Kenya’s Ministry of Finance and by the African Medical and Research Foundation. The grants will support programs to improve the treatment and diagnosis of TB, reduce diagnostic delays in vulnerable communities, provide nutritional support to TB patients and protect TB/HIV co-infected patients.

“Kenya can have a profound effect on the AIDS response if it continues to lead in a people-centered approach to health,” Sidibe said. “If all people in Kenya can access essential health services with dignity and without fear – then surely this country can tip the balance of the epidemic in Africa.”

Kenya is ranked 13th among the 22 highest burden TB countries in the world. The absolute number of notified TB cases grew 10-fold in Kenya since 1990.

The HIV epidemic is the most significant driver of the TB burden increase in Kenya.

By Paul Tinder

2 June 2013

http://vaccinenewsdaily.com/medical_countermeasures/325851-kenya-signals-partnership-with-unaids-global-fund/

 

US Supreme Court strikes down policy requiring AIDS groups to oppose prostitution in order to receive US Government funds.

Clinical Director Chuck Cloniger (R) seeing his patient, Tanesh Watson for medical counseling at St. James Infirmary in San Francisco, a medical and social service organization for current and former sex workers of all genders, on 14 June 2012 in California. Credit: UNAIDS/K.Hoshino

On 20 June 2013, the United States (US) Supreme Court struck down section 7631(f) of the United States Leadership Against HIV/AIDS, Tuberculosis, and Malaria Act of 2003 (The Leadership Act). This provision which the Court called the “policy requirement” mandates that no funds made available under the Leadership Act may “provide assistance to any group or organization that does not have a policy explicitly opposing prostitution and sex trafficking.”

The US Supreme Court ruled in response to a challenge filed on 23 September 2005 by 5 civil society organizations against the provision and its negative impact on their efforts to address HIV.  The organizations include: Alliance for Open Society International; the Open Society Institute; Pathfinder International; the Global Health Council; and InterAction.

The US Supreme Court held that the policy requirement violates the First Amendment of the US Constitution which protects free speech. In particular, the Court held that the “policy requirement compels as a condition of federal funding the affirmation of a belief that by its nature cannot be confined with the scope of the Government program.”  The Court noted that “the First Amendment prohibits the government from telling people what they must say.”

Commenting on the decision of the Court, Purnima Mane of Pathfinder International said, “It has been a long and uphill battle, but we are very happy that the Court has spoken out in defense of our ability to engage with sex workers so we can better put in place programs that protect them and their clients from HIV.”

Respondents had claimed, among other things, that adopting a policy explicitly opposing prostitution may diminish the effectiveness of some of their HIV programs by making it more difficult to work with sex workers—a population at higher risk of HIV infection.

In its 2012 report, the Global Commission on HIV and the Law already noted that, “The pledge puts grantees in an impossible bind. If they don’t sign, they are denied the funds they need to control and combat HIV. If they sign, recipient organisations are barred from supporting sex workers in taking control of their own lives.”

Female sex workers are 13.5 times more likely to be living with HIV than other women of reproductive age in low-income and middle-income countries. In sub-Saharan Africa, the region with the highest HIV prevalence, the pooled HIV prevalence among sex workers is 36.9%.

The involvement and empowerment of sex workers with regard to HIV prevention, treatment and care services has shown to have great impact in reducing HIV infections among both female sex workers and the overall adult population. “The end of this requirement is a significant victory for sex workers and their advocates globally. Our contributions to effective HIV responses have now been recognised,” said Ruth Morgan-Thomas of the Global Network of Sex Work Project.

Given the importance of the case for the global AIDS response, the UNAIDS Secretariat participated as an amicus curiae (friend of the court). In that role, UNAIDS provided public health evidence and human rights arguments to support greater access to funding and resources for organisations engaged in HIV prevention, treatment, care and support services with and for sex workers. UNAIDS main points to the Supreme Court included:  1) Sex workers are among the populations most affected by HIV; 2) engagement with sex workers is essential to an effective response to HIV; and 3) any effective response requires adequate funding for programmes designed to ensure HIV prevention, treatment, care and support for sex workers.

UNAIDS Executive Director, Michel Sidibé praised the groups that were courageous enough to challenge the provision. “This shows civil society at its best – advocating for global health for all.  No group, including sex workers, should be left behind in our efforts to bring the AIDS epidemic to an end.”

US funding critical to HIV response

US leadership and generosity has been instrumental in the progress made in the global AIDS response over the last decade. Since the adoption of the Leadership Act, some 45.7 billion dollars have been made available to address HIV worldwide. The President’s Emergency Plan for AIDS Relief (PEPFAR), authorized by the Leadership Act, has been the largest health initiative ever undertaken by one country to address a global health epidemic. Thanks to US funding, access to HIV treatment has been expanded in low- and middle-income countries, and millions of lives are being saved. The decision of the US Supreme Court to strike down the policy requirement will greatly contribute to expand and improve the global AIDS response even further.

By UNAIDS

21 June 2013

http://www.unaids.org/en/resources/presscentre/featurestories/2013/june/20130621ussupremecourtdecision/

 

AIDS council adopts National Strategic Plan for HIV, TB

Deputy President Kgalema Motlanthe at a plenary meeting of the South African National Aids Council in Secunda, Mpumalanga. Picture: GCIS

By Samuel Mungadze

A NATIONAL Strategic Plan for HIV, tuberculous (TB) and sexually transmitted infections has been adopted on Friday, during South African National Aids Council (Sanac) meeting in Secunda, Mpumalanga, which was chaired by Deputy President Kgalema Motlanthe.

The National Strategic Plan has a target to have 3-million people on antiretroviral (ARV) treatment by 2015. South Africa currently has 1.9-million people on treatment.

The plan also aims to eliminate the transmission of HIV infection from mother to child by 2015 and to reduce AIDS-related maternal deaths. The country has in the recent past seen significant changes in the rate of mother-to-child HIV transmission.

Between 2008 and 2012, the rate of mother-to-child HIV transmission dropped from 8% to 2.7%. There was a leap in the percentage of HIV-infected women receiving ARV therapy between 2011 and 2012, from 87.3 % to 99%.

Similarly, 99 % of all infants born to HIV-infected women receive prophylactic ARV medication to reduce the risk of early mother-to-child HIV transmission in the first six weeks.

In this plan “Sanac aims to reduce TB incidence and mortality caused by TB in people living with HIV by 50 % in 2015”, read the statement from the council.

Sanac also approved plans to launch an HIV prevention programme aimed at sex workers. Details of the project were, however, not released with the council saying it would do so closer to the launch.

The National Strategic Plan is one of the many plans the government is implementing. Early, this month, Health Minister Aaron Motsoaledi announced the introduction of fixed-drug combination ARV therapy.

Patients living with both HIV and TB, have started being treated on the new therapy.

Fixed-drug combination therapy is a combination of three crucial antiretroviral medications in one tablet, taken only once a day.

This eliminates the need for patients to take three or more pills at various intervals per day.

 

19 April 2013

From the Business Day Live

http://www.bdlive.co.za/national/health/2013/04/19/aids-council-adopts-national-strategic-plan-for-hiv-tb