Transgender Health Rights Boosted by Hospitals’ ‘Separate Room’ Policy

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Health

The community frequently targets transgender people. Now they are able to welcome new measures that mean they will be able to safely access health care. Credit: Yusufzai Ashfaq/IPS

The community frequently targets transgender people. Now they are able to welcome new measures that mean they will be able to safely access health care. Credit: Yusufzai Ashfaq/IPS

PESHAWAR, Pakistan, Apr 30 2024 (IPS) – Transgender people and civil society organizations have welcomed the decision of the chief minister in Khyber Pakhtunkhwa, Pakistan, to allocate separate rooms in hospitals for the transgender community so they can avail themselves of uninterrupted healthcare.

“We demand that all provinces follow suit and announce facilities for more than 500,000 transgender people in the country,” Farzana Shah, president of the Khyber Pakhtunkhwa (KP) Transgender Association, told IPS.

On April 6, KP Chief Minister Ali Amin Khan Gandapur announced separate rooms for transgender persons in public hospitals after complaints that they aren’t getting admissions because they face violence in the facilities.

“In the last year, about 47 transgender people have died because of violence, and 90 have been injured. Many injured transgender people die due to delayed treatment. In most cases, we can’t get healthcare at hospitals,” Shah, 40, said.

The Chief Minister’s directives to reserve rooms have received a positive response.

Members of a delegation of transgender people who recently met him quoted Gandapur as saying, “Provision of better health facilities to transgender persons in the province is our priority. We will help the underprivileged community.”

Arzoo Khan, a social activist, is overwhelmed.

“In all 38 district-level hospitals, we now have a separate room. Previously, the hospitals denied admission to our colleagues,” Khan said.

“The problem we face is that most transgender people have been deserted by their families because of social repercussions. People look down on transgender people.”

“We don’t have anyone to help us; therefore, the government’s support is a highly welcome step,” Khan said.

In addition to the allocation of space, the government also provided land for a separate graveyard for transgender people.

Civil society activist Jamal Khan said that there are several instances when the local communities have denied the burial of eunuchs because they don’t consider them Muslims.

“They earn their livelihoods through dancing at marriage parties and on other festive occasions where they have social acceptability,” he said. “The allocation of separate hospitals’ rooms and land for graveyards are really commendable measures that will lead to the protection and respect of transpeople.”

Transgender people are often deprived of last rituals, like giving them baths and performing their funerals after deaths.

Sobia Khan, another leader, said they are deeply vulnerable and subject to abuse and violent attacks, despite being a cheap source of entertainment.

“Some transgender people also have HIV/AIDS and other potentially fatal diseases for which they need continuous medication,” Sobia said.

The attitude of the police towards the group was also bad, she added

“More often than not, police beat up our members; they pull them by their collars and drag them into the streets.”

Khan claimed that her parents have been excluding her for the past ten years.

“Peshawar, the capital of KP, is home to 9,000 transgender persons; most of them have lost connections with their families and they were regarded as sinners and hence ditched by near and dear ones,” Sobia said.

Where the group was targeted by violence, the perpetrators were seldom brought to justice, which emboldens others to mistreat transgender people.

“Sexual harassment of trans people is a common sight. Everyone thinks that we are sex workers, which is untrue because we only dance. Many are raped,” she said.

Police officer Rahim Shah told IPS that many transgender people were invited to marriage parties where they danced for money.

Shah claimed that upon their return from the performance at night, robbers targeted them and killed or injured those who attempted to resist.

“In cases of murder or transgender injuries, their family members don’t come to receive dead bodies for burial or look after the wounded in hospitals,” he said. Their problems are complex, as they neither enjoyed respect in the community nor in their families.

Sumaira Shah, 29, narrates her ordeal after running away from home.

“My family was staunchly opposed to dancing and my father and brothers used to beat me every day, forcing me to quit dancing as it was a source of dishonoring the family but it was my fashion,” she said.

“Sick of daily taunts and beatings, I ran away from my native Swat district to Peshawar when I was just 14,” she said. Since then, I haven’t seen any of my relatives. Shah said she welcomed the hospital room policy.

“A month ago, a hospital in Peshawar sent me back home with some medicines despite having a high fever,” she said.

She said, “People frequently threaten me when I decline their offer for sex relations, and I’m afraid because many of our seniors have died at the hands of gangsters when they didn’t comply with their demand for illicit relations.”

Social rights activist Pervez Ahmed appreciates the government’s new initiatives.

He claimed that this was the first time the government had made an effort to safeguard the health of those who had lost their parents’ support and faced harsh rejection from the community.

Ahmed said that the government has already included transgender people in a free health insurance program, under which they can avail themselves of USD 12,000 per year.

IPS UN Bureau Report

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IPCI 2024: Technology as a Tool to Advance and Threaten Sexual and Reproductive Health Rights

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Population

The benefits and challenges of technology in SRHR were a key topics at the International Parliamentarians' Conference on Implementation of the ICPD Programme of Action 2024, in Oslo, Norway. Credit: Petter Berntsen / NTB Kommunikasjon

The benefits and challenges of technology in SRHR were a key topics at the International Parliamentarians’ Conference on Implementation of the ICPD Programme of Action 2024, in Oslo, Norway. Credit: Petter Berntsen / NTB Kommunikasjon

OSLO, Apr 12 2024 (IPS) – Technology emerged as a core theme of IPCI Oslo for its relevance in advancing the objectives of the Cairo Programme of Action.

When channeled for good, it is an effective tool that can fill accessibility gaps in the health sector and spread awareness of sexual and reproductive health rights. Yet, the way in which digital technology has been weaponized against SRHR is of great concern for parliamentarians, especially for women.

In a plenary meeting on Thursday, April 11, 2024, parliamentarians shared their countries’ experiences of employing technology to enhance sexual and reproductive health practices (SRHR), while also cautioning its misuse as a tool to propagate misinformation and disinformation about SRHR and to enact online harassment, among other offenses. Information and communications technology was seen to be used often to raise awareness of reproductive and sexual health or to facilitate access to services.

Telemedicine is one example of the way that technology is used to enhance access to reproductive health services. Countries like Tanzania and Ireland saw an increased reliance on telemedicine and digital technology during the COVID-19 pandemic, when in-person appointments were not an option, along with an increased use of digital family planning apps that have allowed young women to make informed decisions.

It was acknowledged that uneven access to technology is a sign of and can result in inequalities in this sector, which can, as Fox Odoi-Oywelowo, a member of parliament from Uganda, remarked, hinder progress in the ICPD. Within the healthcare sector, this is evident in the skills and training of healthcare workers in urban areas versus rural areas. Rural areas already face the issue of fewer options for sexual and reproductive health services and fewer opportunities to develop digital skills, so this digital divide is further indicative of inequality.

Parliamentarians may find it challenging to uphold SRHR in the first place when vocal opponents of these rights are driving online discourse. Women in politics who advocate for these rights are often targets of harassment. Annie Hoey of Ireland’s Seanad Eirann Party recounted her own experience of harassment. She noted in such cases that not only was the politician attacked on an individual level, but the social issue would be attacked as well, and any person involved by association would face harassment online.

The impact of this on SRHR is that women in politics are threatened or prevented from doing their job. Developments in SRHR policies are drafted by women parliamentarians, often based on lived experiences, and women in politics have a public platform through which they can raise awareness on the issues. But if they are driven away from public life out of fear for their safety, the issues may not get picked up again. At the parliamentarian level, there would be no one to advocate for these rights to be enshrined.

Neema Lugangira, MP, Tanzania, said that this form of technology-facilitated gender-based violence on women in politics can cause them to retreat from online spaces, a form of “self-censorship,” which can “shrink democracy.”

“To get more women in politics, we need to be online,” she said. “If we want to truly take advantage of the paths to technology, which will impact more young women and girls who are mostly marginalized, we have to make these online spaces safe. Because how are we going to access the information if the online space is not safe?”

This also ties back to the concept of bodily autonomy and the right to live safely in one’s body. “If there are threats of violence online that can then become in-person, that is, I think, an impact on our sexual and reproductive health because we can’t live as fully,” Hoey told IPS.

She explained that she knew of women politicians who got abortions and had to be private about this in fear of facing judgement and scrutiny from critics online.

“All of this online discourse of demonizing women, demonizing women in politics… means that other elements of our lives are under threat. People should be able to access abortions whether they want to or not, whether they are women parliamentarians or not. This online discourse creates a lack of safety for women to do that.”

This is just one example of technology-facilitated gender-based violence (TF-GBV), where online harassment leads to a fear of safety for one’s life and even risks reducing women’s public presence.

UNFPA defines this as an act of violence committed using digital media and communications technologies against a person on the basis of their gender. Other examples also fall into the category of cybercrimes, such as cyberstalking, doxxing, and revenge porn.

What the discussions revealed was that there remained gaps at the legislative level to address violence against women in online spaces, especially for women in politics. Gender inequality in politics persisted within communities that perpetuated gender inequality on a societal level. When it came to how technology factored into this, it was identified that this would develop at a faster rate than legislation could keep up to address it. Nevertheless, it was important to revisit the legislation and ensure that it could protect all vulnerable communities.

“As parliamentarians, we are perfectly poised, perfectly placed, to ensure this legislation is in place,” Alando Terrelonge, MP, Jamaica, said as the session reached its conclusion. “We have a duty of care to ourselves, as well as a duty of care to women, children, and other vulnerable groups, to ensure that appropriate legislation is in place all over the world and is enacted.”

IPS UN Bureau Report

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WHO Calls for More Data on Violence Against Older Women and Women With Disabilities

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Gender Violence

Older women and women with disabilities are underrepresented in global data on violence against women. Credit: WHO/Kiana Hayeri

Older women and women with disabilities are underrepresented in global data on violence against women. Credit: WHO/Kiana Hayeri

UNITED NATIONS, Mar 29 2024 (IPS) – Older women and women with disabilities experience abuse that is unique to their demographics, yet they are underrepresented in national and global databases, according to findings shared by the World Health Organization (WHO).

On Wednesday, WHO and UN-Women released two new briefs, the first in a series that will discuss neglected forms of violence, including gender-based violence. The two briefs, titled Measuring violence against older women and Measuring violence against women with disability, investigate the types of violence that these groups face through the data available. Through reviewing existing studies into violence against women, the research team was able to synthesize the information available on this topic and its scope across different countries.

As was noted by Dr. Lynnmarie Sardinha, Technical Officer at WHO and the UN Special Programme on Human Reproduction (HRP) for Violence against Women Data and Measurement, and author of the briefs. The limited data on older women and women with disabilities undermines the ability of programmes to meet their needs. “Understanding how diverse women and girls are differently affected, and if and how they are accessing services, is critical to ending violence in all its forms.”

One in three women is affected by gender-based violence in these forms. For older women—aged 60 years and over—and women with disabilities, they are also subjected to other forms of abuse and neglect, usually at the hands of caregivers, family members, or healthcare institutions such as nursing homes. Examples of this include controlling behaviors such as withholding medicine and assistive devices, and financial abuse. Though these forms of neglect and abuse have been observed, the studies that the briefs reviewed seemed to focus more on intimate partner violence through physical and sexual abuse. The briefs acknowledge, however, that violence against women should not only be exemplified by intimate partner violence. The prevalence of this example hints at further nuances that are not sufficiently captured in the studies due to their limitations.

Violence against older women can manifest in other ways as they and their partners/perpetrators age. Although women aged 15–49 are at higher risk of intimate partner and sexual violence, older women are still likely to experience it, and this can shift towards other forms of abuse, such as neglect, economic abuse, and psychological abuse. The brief on older women reveals, however, that there is limited data to definitively state its prevalence. This is particularly the case for low- and middle-income countries; the data that was compiled for this brief comes largely from high-income countries, a gap that the reports are aware of. Older women are represented in only ten percent of the data on violence against women.

Only 6 percent of the studies reviewed for women with disabilities included measures of violence specific to this group. The lack of questions specific to this demographic indicates that they are, perhaps unconsciously, unaccounted for when measuring the scale of violence against women. Data collection procedures may not be designed to accommodate women with disabilities or prevent them from self-reporting, such as deaf or hard-of-hearing women who are unable to participate in surveys conducted through the telephone.

The briefs also suggest that women who live with lifelong disrespect and neglect may not recognize the specific forms of violence, which could account for fewer instances being reported. This could also apply to older women, where surveying and reporting mechanisms are geared towards women of reproductive age, especially in low- and middle-income countries.

This may also speak of socio-cultural attitudes towards violence against older women that are steeped in ageism, harmful stereotypes, and discriminatory cultural norms that prevent them from sharing their experiences.

The WHO briefs make several recommendations to address the evidence gaps. Among them are extending the age limit for survey participation and incorporating questions that relate to different types of violence. Data collection should also account for cultural-specific contexts of violence and abuse across different countries. Women with disabilities should be consulted in research at every stage when designing surveys targeted at them, which will allow for a broader spectrum of disabilities to be accounted for.

Read the briefs on women with disability and older women.

IPS UN Bureau Report

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Air Quality Sensors Boosting Nairobi’s Fight Against Air Pollution

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Environment

A mother and her children are seen wading through a cloud of smoke at the Dandora dumpsite, Kenya's largest open landfill. Smoke emanating from the dumpsite is cited as a contributor to air pollution in Nairobi. Credit: Jackson Okata/IPS

A mother and her children are seen wading through a cloud of smoke at the Dandora dumpsite, Kenya’s largest open landfill. Smoke emanating from the dumpsite is cited as a contributor to air pollution in Nairobi. Credit: Jackson Okata/IPS

NAIROBI, Feb 29 2024 (IPS) – Deborah Adhiambo (43) has been battling mild asthma since 2022, a condition she describes as “both a health and economic burden.’’ The mother of three lives within Dandora Estate, nine miles east of Kenya’s capital, Nairobi. Dandora is home to Kenya’s largest open landfill, which receives more than 2,000 metric tonnes of waste daily.

For five years, Adhiambo operated a makeshift restaurant near the dumpsite, where her main clients were waste pickers working within its environs.

“Working near the dumpsite exposed me to the heavy smoke that billows from the dumpsite. I started developing chest pains gradually and would take painkillers to subdue the pain. It was later that I was diagnosed with asthma,’’ Adhiambo told IPS.

Adhiambo’s doctors told her that prolonged and constant exposure to toxic fumes was the root cause of her asthma. She was forced to close her business since she could not venture out of her house early in the morning, late in the evenings or during cold seasons.

“The closure of my business due to sickness crippled me economically as it was my only source of income. Getting medication and feeding my family has been hard because now I have to rely on my husband, who also works at the dumpsite,” she says.

Nairobi’s Air Quality

More than 70 percent of Nairobi’s 5.3 million residents live in informal settlements like Dandora, which analysts say have the worst air quality, with vulnerable populations, particularly women and children, bearing the brunt of polluted air. Vehicles, open burning of waste, and industrial emissions are cited as the major sources of air pollutants in Nairobi. Motor vehicles contribute an estimated 40 percent of Nairobi’s particulate matter (PM2.5) air pollution concentrations, with illegal dumping and open waste burning contributing 25 percent.

And as both the population and economic output of Kenya’s capital keep expanding, the demand for energy from fossil fuels is also on the rise. The rapid expansion of Nairobi has taken an environmental toll on the city, which is evident in the worsening air pollution levels.  Air pollution in Kenya’s capital is 4.2 times higher than the World Health Organization’s (WHO) recommended average annual concentration levels.

According to the World Health Organization, Nairobi’s air pollution is 2.4 times higher than recommended levels, with 19,000 poor air quality deaths being reported in Kenya annually.

Air photo 1- A technician installs a low-cost air quality monitor sensor in Nairobi, Kenya. Air quality monitors are helping Nairobi collect data on air pollution. Credit: Jackson Okata/IPS

A technician installs a low-cost air quality monitor sensor in Nairobi, Kenya. Air quality monitors are helping Nairobi collect data on air pollution. Credit: Jackson Okata/IPS

Tech and Data

To enhance her efforts in combating air pollution, the City of Nairobi has been incorporating the use of technology. The city management has been installing low-cost air quality monitors and sensors to gather and share data on the levels of air pollution trends across the city. The data collected is then analyzed and guided in the formulation of policies and legal frameworks to combat air pollution, even as East Africa’s economic giant works towards realizing her ambitious target of becoming a net-zero green city by 2030.

Dubbed AirQo monitors, the low-cost air quality sensors developed by a team of young engineering and computer science students at Uganda’s Makerere University are in use in eight countries, including Kenya.

Engineer Bainomugisha, an Associate Professor of Computer Science at Makerere University and lead developer of the AirQo monitoring system, says Sub-Saharan Africa lacks usable air quality data that can help in the formulation of proper and effective policies to combat air pollution. AirQo monitors collect information about air pollution levels, types of air pollutants, and air quality

Bainomugisha explains that the air quality monitors main aim is to “close the existing gap in air quality monitoring.” AirQo air quality monitors collect air samples, which are then analyzed through a light scattering technology that quantifies the particulate matter concentration.

The information is then relayed to a cloud-based network that determines the pollution levels in a specific area. The devices measure the air particulate matter PM2.5 and PM10, which is a mixture of solid particles in the air. They also capture ambient meteorological conditions such as humidity and atmospheric pressure

“The air quality monitors run on a 2G GSM-enabled network configuration for loT sim cards and are optimized to work in areas with unstable internet and power connectivity,” says Gideon Lubisia, AirQo’s international operations embedded systems and network support engineer.

AirQo has also developed a mobile app that allows people to receive periodic and real-time updates on the air quality in their city.  The monitors are mounted at strategic points within the city’s Central Business District, industrial areas, markets, along major city highways and in select residential areas. while others are mounted on motorbikes that move from one location to another, collecting data.

Data and Policy Formulation

With the monitors in place, Nairobi City has been able to develop two air quality collocation installations and infrastructure reference grade monitors, according to Nairobi City County Deputy Director in Charge of Air Quality and Climate Maurice Kavai.

“The one-stop center collocation enables our research teams to compare air quality data collected from various points within the city, which is key in developing appropriate action,” Kivai explained.

“The availability of periodic data collected by the monitors enables the city to establish the extent of pollution in particular areas, identify the causes, and develop necessary actions,” he said.

Through air quality data collected through the monitors and establishing the extent of air pollution in the city, Nairobi has been able to develop a city Air Quality Action Plan as well as enact the Nairobi City County Air Quality Act which have become critical policy and legal assets in tackling the problem of air pollution.

AirQo monitors are now in use within select cities in eight African countries, including Uganda, Kenya, Nigeria, Cameroon, Burundi, Ghana, Mozambique, and Senegal.

Global Push for Clean Air

During the Climate and Clean Air Conference(CCAC) 2024 in Nairobi between February 21 and 23, 2024, ahead of the sixth session of the UN Environment Assembly (UNEA-6), member states and partners launched a Clean Air Flagship effort to provide, among other things, data-led policy action towards combating air pollution

Inger Andersen, UNEP’s Executive Director, said, “We need to push harder on superpollutants. Just as you need a superhero to defeat a supervillain, we need super solutions to face down super pollutants. And we need you to mastermind these solutions.”

Speaking on the sidelines of the CCAC, Kenyan environmentalist Elizabeth Wathuti observed that “the very essence of life starts with a breath, a gasp of air that signifies the beginning of our journey on this Earth. Yet, for too many across our globe, this fundamental act of breathing has become a hazard, a risk, and a gamble against the odds of pollution and climate-induced adversities.” According to Wathuti, the commitment to clean air and a stable climate is not just an environmental cause but a fight for the very right to life.

The World Health Organization estimates that 99 percent of the world’s population lives in places with poor air quality, leading to nearly seven million premature deaths per year, primarily in low- and middle-income countries.

According to UNEP, in Africa alone, ambient air pollution caused an estimated 400,000 premature deaths in 2019, while indoor air pollution caused more than one million premature deaths in the same year. Some of the leading air pollution-related ailments that contribute to these premature deaths include pneumonia, heart disease, stroke, diabetes, chronic lung disease, and lung cancer. Ambient air pollution and household air pollution are associated with 6.7 million premature deaths annually.

IPS UN Bureau Report

 

Tracking Global Development in Child Benefits Through New Monitoring and Information Platform

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Sustainable Development Goals

Students attending at the Souza Gare school in the Littoral region, Cameroon. The school hosts displaced children who have fled the violence in the North-West and South-West regions. Photo credits: ECW/Daniel Beloumou

Students attending class at the Souza Gare school in the Littoral region, Cameroon. The school hosts displaced children who have fled the violence in the North-West and South-West regions.
Credits: ECW/Daniel Beloumou

UNITED NATIONS, Feb 15 2024 (IPS) – Inclusive social protections for children would be a positive signifier of social development in a time where 1.4 billion children globally are denied them. A step towards realizing this has been taken through a new monitoring tool on current social protection and child poverty statistics.

The International Labour Organization (ILO), UNICEF, and Save the Children have partnered together to create the Global Child Benefits Tracker. This online platform will globally monitor children’s access to social protection and identify gaps in existing social protections systems in over 180 countries.

On Wednesday, this tool was launched at a side event on universal child benefits (UCBs) during the 62nd Commission for Social Development (CSoCD62) hosted in New York. One of the prevailing themes for this year was the use of digital transformation to promote inclusive growth and development. In the context of the Sustainable Development Goals, the tracker would go forward to monitoring growth in poverty eradication by calling on governments to implement responsible and appropriate social protection systems for all by 2030.

The platform includes a breakdown of child poverty statistics by country, region, and income bracket. Notably, the percentage of children that currently have access to social protections is higher when compared to the percentage of the country’s population that is covered by benefits and the expenditures on these social protections. The platform also provides data on the percentage of children at risk of or experiencing monetary or multidimensional poverty. The purpose of this platform will be to serve as a knowledge tool for use in designing evidence-based child-sensitive social protections, intended for use by policymakers in government and international development programmes, social protection programmes, and civil society organizations. The tool would facilitate the exchange of best practices and inspire greater investment in child-sensitive social protection.

The platform also includes a community tab, where supplemental material can be shared as designed by experts and practitioners, such as blog posts, podcasts, videos, and links to resources. David Lambert Tumwesigye, the Global Policy & Advocacy Lead, Child Poverty, of Save the Children International, has urged members of government, academia, development partners, and practitioners to contribute to the community tab and expand the broader understanding of child poverty. “We aim to highlight the scale of global child poverty,”  he said.

Disruptions in the global economy, increased costs of living, and the COVID-19 pandemic are cited as some of the factors that have underlined the need for resilient and comprehensive social protections, especially for children at high risk of experiencing poverty. Yet, as was pointed out by speakers at the event, there have been limited investments in social protections for children, despite the general sentiment that these would be imperative. This was described as a “moral, social, and economic catastrophe,” by ILO Director in New York, Cynthia Samuel-Olonjuwon.

At the launch of the International Labour Organization (ILO), UNICEF, and Save the Children's Global Child Benefits Tracker. Credit: Naureen Hossain/IPS

At the launch of the International Labour Organization (ILO), UNICEF, and Save the Children’s Global Child Benefits Tracker. Credit: Naureen Hossain/IPS

“Life without social protection inflicts enormous social costs, and they result in squandered and prematurely shortened lives,” she said. “For children, social protection can literally be a lifesaver. It can make the difference between a healthy, happy, and long life or one that is punctuated by ill health, stress, and unrealized potential.”

The data on countries’ current social protections has been compiled through public studies and those conducted by the ILO and UNICEF. It reveals that social protection programmes in low-income countries reach less than 10 percent of their child population, in contrast to high-income countries, where their programmes reach more than 80 percent of their child population. Yet, the global average of children covered by social protection or benefits caps out at 28.1 percent. Although the evidence suggests that low-income countries struggle to provide universal child benefits, child poverty is still a global issue that affects all countries, regardless of their income group.

ILO, UNICEF, and Save the Children have urged policymakers and leaders to take the necessary measures to implement universal child benefits, or at least more inclusive, child-sensitive social protections. This includes building a social protection system that provides benefits to its citizens across the life cycle, from birth to old age, and securing financing for these programmes through increased public investments and mobilizing domestic resources.

A comparison of child benefits in South Africa compared to the region. Credit: Child Benefits Tracker

A comparison of child benefits in South Africa compared to the region. Credit: Child Benefits Tracker

The Global Child Benefits Tracker may be a step forward in monitoring progress towards social development when considering the progress that remains in achieving the SDGs. While it is still in its early days, the tool may benefit from expanding its coverage to include contributions from actors on the ground. Philip Alston, the former UN Special Rapporteur on Extreme Poverty and Human Rights, suggested that the platform should include qualitative evidence through testimonies to get a clearer sense of the challenges that hinder social protections and how governments have chosen to act.

There will remain challenges to implanting the sort of social protections and benefits that are being called for. There are still gaps in information, as not all countries are featured. At present, there is limited investment in child benefits. It was acknowledged that the fiscal space is a determining factor, and for the low- and middle-income countries in the Global South, this can be even more challenging due to the limitations in their financial state. It is here that solidarity from the international community and support from financing institutions would serve these countries.

Child benefits can be part of the wider social protection systems, and it has been proven that they can positively contribute towards food security and improved access to basic social services, according to UNICEF’s Global Director of Social Policy and Social Protection, Natalia Winder Rossi. Not only can they directly benefit children and their families, but they can also contribute to their communities and local economies.

“The investment is clear, the evidence is clear, but we continue to face challenges in convincing our own policymakers that this is a wide choice,” she said. “I think the Tracker provides some of that progress, to track some of those results… At UNICEF, this is part of our very strong commitment to closing the coverage gap for children. To make sure that we have systems that are strong and inclusive, we must make sure that every child is part of them and receives adequate benefits. But also that systems are adequately responding to crises.”

Visit the Global Child Benefits Tracker here.

IPS UN Bureau Report

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Moimuna Nursing Institute Ushers Hope for Vulnerable Rural Girls in Bangladesh

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Active Citizens

Dr MA Sayed conducts a practical with his students at the Moimuna Nursing Institute. Credit: Rafiqul Islam/IPS

Dr MA Sayed conducts a practical class with his students at the
Moimuna Nursing Institute. Credit: Rafiqul Islam/IPS

THAKURGAON, Bangladesh, Feb 6 2024 (IPS) – After passing her secondary school certificate (SCC) in 2019, Sweety Akter went door-to-door to collect money to enroll in a college, but she wasn’t successful.

Born to an extremely poor family in Fultala village under Baliadangi upazila in Thakurgaon district, Akter saw her dream of studying fading as she was unable to enroll in a college because of a lack of funding, despite her good results at school.

“I went to many places but did not get the opportunity for admission. I did not have the financial support to study at a private college or an educational institute.”

Then Sweety’s fortune changed.

“I luckily got a chance to study for a nursing diploma free of charge at Moimuna Nursing Institute (MNI),” she told IPS.

Two sisters, Sweety Akter (left) and Shikha Akter (right) enrolled in Moimuna Nursing Institute, Sweety has already completed a nursing diploma with financial support from the institute and Shikha is now a second-year student. Credit: Rafiqul Islam/IPS

Two sisters, Sweety Akter (left) and Shikha Akter (right), are enrolled in Moimuna Nursing Institute. Sweety has already completed a nursing diploma with financial support from the institute, and Shikha is now a second-year student. Credit: Rafiqul Islam/IPS

Explaining her financial hardships, the 22-year-old Akter said her father is a gambler who had sold all the family’s assets to gamble, and he had even sold their lone homestead, where they are currently living.

“My father does not give me and my younger sister any money for education. My mother works as domestic help at the houses of people and is bearing the costs for our four-member family,” she said.

Sweety said that if she had not had the opportunity to enroll at MNI, it would have been impossible for her to pursue tertiary education, and she would have been forced to marry.

Overcoming all the odds and passing the nursing diploma, she is now pursuing an internship at Rangpur Medical College and Hospital (RMCH) with financial support from the institute, which paves the way for former students to get jobs at hospitals.

Shikha Akhter (19) enrolled in Moimuna Nursing Institute in Thakurgaon, northwest Bangladesh, to pursue a diploma in nursing science and midwifery with the encouragement of her sister, Sweety.

Shikha said she enrolled in the institute at a minimum fee, and now she is enjoying more facilities than other students as her elder sister also studied there.

“I am studying the nursing diploma and staying at the MNI’s hostel, which makes my life easy. I want to be a good nurse and serve people,” she added.

Joya Rani, a 20-year-old girl from poverty-stricken Kaliganj village under Deviganj upazila, also studied the nursing diploma with financial support from the institute.

“My father is physically challenged, so he cannot work. My mother is the only breadwinner for our family, and she supports the family by rearing cattle. That’s why she cannot give me any money (for study),” she told IPS.

Joya, who is currently doing an internship at RMCH, said she received a stipend of Taka 2,000 (USD 19) from the institute over the past two years, and if she had not received the stipend, it would not have been possible for her to continue studying.

Moimuna Nursing Institute, located 460 kilometers away from the capital Dhaka, is a non-profit approved by the Bangladesh Council of Nursing and Midwifery and offers a three-year diploma in nursing for about USD 1,500, which includes tuition fees, accommodation, uniforms, and books.

Thakurgaon is a poor district in Bangladesh, with a poverty rate of 36.7 percent against 18.7 percent at the national level. Of them, about 19.7 percent of people in the district live in extreme poverty, which prevents many from continuing their education, particularly the girls.

Since the start of its journey in 2019–20, the MNI has been providing financial support, including stipends and need-based scholarships, for students coming from underprivileged families.

MNI’s managing director, Dr. MA Sayed, said the institute authorities are providing a handful of scholarships, with three poor students receiving stipends in each batch so that they can continue their nursing education.

In distributing scholarships and stipends, a committee of the institute inspects the houses of their students. If the committee finds evidence of acute financial hardship, the MNI provides support.

Even after completing the nursing diploma, the institute’s support continues, and it facilitates sending the former students to public hospitals to do internships.

“During their internship, we are providing financial support for some selected poor students so that they can accomplish their goals,” Sayed said.

He said the MNI provides a residential facility for its students to ensure a smooth environment for education, resulting in a 100 percent pass rate, which makes it the first in Thakurgaon district.

“We also carry out career counseling for students to encourage them to consider a higher education in nursing,” he added.

Teachers, students and staff of Moimuna Nursing Institute pose for a photo in front of its main building on the campus. Credit: Rafiqul Islam/IPS

Teachers, students, and staff of Moimuna Nursing Institute pose for a photo in front of its main building on the campus. Credit: Rafiqul Islam/IPS

Nirmola Toppa, mother of Nila Kispotta, who recently completed a nursing diploma from the MNI, said after her daughter passed the SSC examination, she tried to marry her off because she could not afford to pay for her daughter’s educational expenses.

But a scholarship meant Nila could complete her diploma, and she is now getting a stipend of Taka 2,000 (USD19) per month from MNI to complete her six-month internship at RMCH.

Nirmala said Nila received Taka 6,000 (USD 57) to enroll in the internship too.

Founder of Moimuna Nursing Institute, Dr. Saifullah Syed, said in Thakurgaon, many rural underprivileged girls and those coming from minority and ethnic communities pass the entrance exam (SSC) to enroll in nursing institutes but do not enroll due to financial constraints.

Also, there are many who could qualify but do not take the entrance exam, thinking that they may not be able to afford the educational expenses to become nurses and midwives, he said.

“That’s why I founded Moimuna Nursing Institute to ensure that qualified poor rural girls, particularly those coming from minority and ethnic communities, get the opportunity to become nurses and midwives,” Syed told IPS.

He asserted that his institute has established an endowment fund under the control of a Board of Trustees, provides need-based scholarships, and arranges sponsors.

The MNI welcomes donations as it means more students may be assisted.

IPS UN Bureau Report

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