Leprosy has a Cure, so has Prejudice, says Miss Universe for Brazil

Civil Society, Development & Aid, Featured, Gender, Headlines, Health, Human Rights, Inequity, TerraViva United Nations

Human Rights

Julia Gama, Miss Brazil Universe working with Morhan to deliver food baskets to people affected by Hansen’s disease, with support from the Sasakawa Health Foundation. Credit: Morhan

NAIROBI, KENYA, Sep 29 2021 (IPS) – A new dawn has come, and it was through the work of Yohei Sasakawa, the WHO Goodwill Ambassador for Leprosy Elimination, that those affected by leprosy now had a voice to speak for themselves.


So said Faustino Pinto, a person affected by leprosy and Vice National Coordinator of Movement for the Reintegration of People Affected by Hansen’s disease (Morhan), at a webinar with the theme ‘Hansen’s Disease/Leprosy as Human Rights issue’.

Sasakawa, who is also the chairperson of the Nippon Foundation, and Dr Alice Cruz, UN Special Rapporteur on the Elimination of Discrimination against Persons Affected by Leprosy, addressed the webinar. Guests included Caroline Teixeira, Miss World Brazil 2021 and Julia Gama, Miss Universe Brazil 2020. The Sasakawa Health Foundation, in collaboration with Morhan, were co-conveners. The event forms part of a 10-month-long campaign dubbed ‘Do not Forget Leprosy’.

The celebrity guests applauded his sentiments.

Faustino Pinto, a person affected by leprosy and Vice National Coordinator of Morhan. Credit: Joyce Chimbi

Gama, also working with Morhan, told IPS: “Hansen’s disease has a cure, and I believe so does prejudice. I will use my voice to ensure that those who were silenced are heard. I believe togetherness is our strength, and together we can eradicate Hansen’s disease.”

Pinto praised Sasakawa for his lifelong commitment to improving the lives of those affected by the disease.

“We were taught to just accept what we were told: Take the medicine, keep the appointments, open your mouth to check if you did take the medicine, do not abandon the treatment,” says Pinto. This changed when Sasakawa became involved.

Pinto appealed for those affected by leprosy to be heard, seen, and involved in efforts towards zero leprosy.

He lauded the Sasakawa and the Foundation “for always talking about us and including us in the debate” and for “truly listening to us and giving us a voice”. It is this voice that Pinto used to appeal to the global community, saying, “Don’t Forget Hansen’s Disease. Don’t Forget Us.”

At the heart of discussions was the bid to draw the world’s attention to a disease in equal measure, a medical and social problem. Furthermore, the meeting was a key platform where participants were urged to approach leprosy as a human’s rights issue.

While concerted efforts have today led to less than one case of leprosy in a population of 10 000 people as per WHO estimates, with at least 200 000 new cases reported annually, experts say leprosy is still very much a concern.

“There are more than one billion people in the world living with disabilities, including persons affected by leprosy. We need to create an inclusive society where everyone can have an education, find work, and get married if they want to. People have passion and motivation. Often, all they lack is opportunity,” says Sasakawa.

Governments efforts to respond to COVID-19 is believed to have setback the progress towards zero leprosy.

“Persons affected by leprosy face multiple discrimination. They are often discriminated against on various grounds – like leprosy, but also gender, age, poverty, disability, sexuality, and race. They also struggle with violence from the State and society and with interpersonal violence,” says Cruz.

Caroline Teixeira, Miss World Brazil, with Morhan’s national coordinators Artur Custódio (centre) and Lucimar Batista (right), and the director of the National Beauty Contest and Morhan volunteer, Marina Fontes (left). Credit: Morhan

“There is such ability and potential in the world, and to have everyone participate in society will create a truly wonderful future. That is why it is important for persons affected by leprosy to have confidence and speak out,” Sasakawa emphasises.

“To support them, Sasakawa Health Foundation and The Nippon Foundation are helping them to build up their organisational capacity. I would like to see a society in which everyone is active, able to express their opinions to the authorities with confidence, and their contribution is valued,” he adds.

Over ten months, the campaign, which leverages Sasakawa’s 20th anniversary as Goodwill Ambassador, will raise awareness of why the world should stay focused on leprosy.

“It was a great honour to be chosen Miss World Brazil and thus become an ambassador of the fight against Hansen’s disease in Brazil, the country with the highest incidence of the disease in the world,” Teixeira told IPS.

“In the coming days, I will be part of a Morhan delegation visiting several cities in the north of the country, sensitising governments to action in defence of the rights of persons affected. We will certainly unite many voices so that Hansen’s disease is not forgotten,” she says.

Nevertheless, left untreated, leprosy can result in permanent disability. Worldwide, three to four million people live with some form of disability due to leprosy, as per WHO estimates.

There is growing concern that COVID-19 and the fear of discrimination could further prevent people from visiting hospitals, leading to diagnosis and treatment delays.

As it is, WHO’s 2020 statistics show an estimated 40 percent drop in the detection of new leprosy cases, which, experts warn, will lead to increased transmission of leprosy and more cases of disability.

Discrimination and stigma remain a primary concern for Sasakawa. He decries that “people who should be part of society remain isolated in colonies facing hardships. The more you look into it, the more you see the restrictions they live under, including legal restrictions in some cases. Is it not strange that someone cured of a disease cannot take their place in society?”

“I belatedly realised that if the human rights aspect wasn’t addressed, then elimination of leprosy in a true sense would not be possible. I would like to create a society where everyone feels fully engaged, able to express their opinions, and appreciated. The coming era must be one of diversity, and for that, we need social inclusion.”

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Delivering On the Promise of Health For All Must Include Gender Equality and SRHR

Civil Society, COVID-19, Development & Aid, Gender, Global, Headlines, Health, Human Rights, Humanitarian Emergencies, Inequity, Labour, Poverty & SDGs, TerraViva United Nations, Women’s Health

Opinion

Health workers are at the frontlines in the fight against the new Corona Virus. Credit: John Njoroge

NEW YORK, Sep 29 2021 (IPS) – Gender-responsive universal health coverage (UHC) has the proven potential to transform the health and lives of billions of people, particularly girls and women, in all their intersecting identities. At tomorrow’s kick-off to the 2023 UN High-Level Meeting (HLM) on UHC, Member States and stakeholders will review progress made on the 2019 HLM’s commitments and set a roadmap to achieve UHC by 2030. We, as the co-convening organizations of the Alliance for Gender Equality and UHC, call on Member States to safeguard gender equality and sexual and reproductive health and rights (SRHR) as part of UHC implementation, especially in light of the gendered impacts of the COVID-19 pandemic.


To move forward, it is crucial to remember our cumulative past promises. In 2019, Member States adopted a Political Declaration that contained strong commitments to ensure universal access to SRHR, including family planning; mainstreaming a gender perspective across health systems; and increasing the meaningful representation, engagement, and empowerment of all women in the health workforce. Further, 58 countries put forward a joint statement that argued that investing in SRHR is affordable, cost-saving, and integral for UHC. These commitments were the result of the advocacy and hard work of civil society organizations, including members of the Alliance for Gender Equality and UHC, and set out a clear path on the steps needed to make gender-responsive UHC a reality.

However, following the 2019 HLM, the deadly and devastating COVID-19 pandemic drastically changed how individuals around the globe could access essential health services. Fundamental human rights, including hard-won gains made for UHC, SRHR, and gender equality, are now at risk as health and social services are strained and political attention is diverted. The protracted pandemic underscores how gender-responsive UHC is more important than ever.

We call on Member States to renew the commitments made in 2019 and affirm that delivering on the promise of health for all is only possible by way of gender-responsive UHC.

To truly deliver gender-responsive UHC, we offer the following five recommendations:

1. Design policies and programs with an intersectional lens that places SRHR and girls and women — in all their diversity — at the center of UHC design and implementation. To be effective, UHC must recognize and respond to the needs of women in all their intersecting identities, including by explicitly addressing the ways in which race, ethnicity, age, ability, migrant status, gender identity, sexual orientation, class, and caste multiply risk and impact health outcomes. What’s more, COVID-19 has deepened inequalities for marginalized populations, and special attention is needed, now more than ever, to deliver UHC for those pushed furthest behind.

2. Ensure UHC includes comprehensive SRH services, and provide access to SRH services for all individuals throughout the life course. These services must be free of stigma, discrimination, coercion, and violence, and they must be integrated, high quality, affordable, accessible, and acceptable. The World Health Organization (WHO) provides guidance in the UHC Compendium of interventions and supporting documents for what this can look like. The pandemic has given way to multiple interruptions to SRHR care. For example, an estimated 12 million women may have been unable to access family planning services due to the pandemic. COVID-19 response and recovery and UHC implementation must address these issues.

3. Prioritize, collect, and utilize disaggregated data, especially gender-disaggregated data. UHC policy and planning can only be gender-responsive when informed by data that are disaggregated by gender and other social characteristics. In the current pandemic, not all countries are reporting disaggregated data on infections and mortality from COVID-19 to the WHO, and most countries have not implemented a gendered policy response. In June 2021, only 50% of 199 countries reported data disaggregated by sex on COVID-19 infections and/or deaths in the previous month.1 The number of countries reporting sex-disaggregated statistics has also decreased over the course of the pandemic. Without this information, decision-makers are unable to base policies on evidence affirming how to address the health needs of all genders — a critical lesson for UHC.

4. Foster gender equality in the health and care workforce and catalyze women’s leadership. The approach to the health and care workforce in the pandemic has frequently not applied a gender lens, ignoring the fact that women are 70% of the global health workforce and powerful drivers of health services. Gender inequities in the health workforce were present long before the pandemic, with the majority of female health workers in lower-status, low-paid roles and sectors, often in insecure conditions and facing harassment on a regular basis. Moreover, although women have played a critical role in the pandemic response — from vaccine design to health service delivery — they have been marginalized in leadership on pandemic decision-making from parliamentary to community levels. In fact, 85% of national COVID-19 task forces have majority male membership. Urgent investment in safe, decent, and equal work for women health workers, as well as equal footing for women in leadership and decision-making roles, must be central to the delivery of UHC.

5. Back commitments to advancing SRHR, gender equality, and civil society engagement in UHC design and implementation with necessary funding and accountability. Now is the time to invest in health and the care economy, particularly in UHC. Governments everywhere are facing fiscal constraints from the pandemic. UHC is a critical part of investing in and building back resilient health and social systems to avoid catastrophic spending on future pandemics and global health emergencies. UHC must be designed intentionally, with appropriate accountability mechanisms, to reduce inequalities between and within countries — and especially gender inequality, which undermines social and economic rights and resilience.

We, along with our civil society partners in the Alliance for Gender Equality and UHC, stand ready to work hand-in-hand with governments, the UN, and all stakeholders to act on these recommendations on the road to the 2023 HLM on UHC. At this point in the COVID-19 pandemic, there is no time to waste in making the promise of health for all a reality, and this can only be achieved through gender-responsive UHC that centers gender equality and SRHR.

The authors are Ann Keeling of Women in Global Health, Divya Mathew of Women Deliver, Deepa Venkatachalam of Sama Resource Group for Women and Health, and Chantal Umuhoza of Spectra Rwanda. These four organizations are the co-conveners of the Alliance for Gender Equality and Universal Health Coverage.

1 Global Health 50/50 (globalhealth5050.org)

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