Campaigners Petition UN to Investigate Racial and Gender Discriminations in Global COVID-19 Vaccine Roll-Out

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Civil Society, Health, Human Rights

US, UK, Germany, Norway, and Switzerland in violation of international human rights law in “prolonging the pandemic” ahead of vital World Trade Organisation meeting

GENEVA, Nov 10 2021 – An international coalition of human rights law groups, public health experts, and civil society organisations is taking legal action against the US, UK, Germany, Norway, and Switzerland, on the grounds that these countries are in violation of international human rights law by failing to intervene on what has been an inequitable and racially discriminatory roll-out of the vaccine and other COVID healthcare technologies.

In an appeal to the UN Committee on the Elimination of Racial Discrimination (CERD), the coalition charges that by failing to lift intellectual property barriers on all COVID-19 medical technologies through a TRIPS waiver (or to effectively implement it through technology transfers), the US, UK, Germany, Norway, and Switzerland are in violation of the International Convention for the Elimination of All Forms of Racial Discrimination, a human rights convention ratified by nearly all countries in the world.

Because the rich countries currently making and hoarding vaccines are majority white, and the formerly colonized countries suffering due to vaccines being withheld are majority Black, indigenous, or other people of colour, the current inequitable vaccine rollout is a textbook example of structural racial discrimination.

The International Convention for the Elimination of All Forms of Racial Discrimination requires that countries take effective measures “to review governmental, national and local policies, and to amend, rescind or nullify any laws or regulations which have the effect of creating or perpetuating racial discrimination wherever it exists.” Countries have an obligation under the convention to “prevent, prohibit and eradicate” all practices of racial discrimination particularly “racial segregation and apartheid.”

Yet the US, UK, Germany, Norway, and Switzerland have opposed or willfully failed to take all available measures to increase global supply of and equitable access to vaccines and other COVID-19 medical technologies, a violation of their obligations under the human rights convention.

Globally, 73% of all COVID-19 vaccine doses have gone to just 10 countries. Rich countries have administered 61 times more doses per capita than poorer countries and delivered only 14% of the 1.8 billion doses promised to poor countries. Just 5.8% of Africans have been vaccinated. The top 10 high-income countries will have hoarded 870 million excess doses of vaccines by the end of 2021. Countries in the Global South stand to lose $2.3 trillion from now until 2025 if they can’t vaccinate 60% of their population by mid-2022.

The appeal asks the CERD Committee to compel the US, UK, Germany, Norway, and Switzerland to “respect, protect and fulfil their human rights obligations,” as well as to take several immediate actions, including:

    • Demand that the Respondent States immediately support, implement, and enforce a temporary waiver of the intellectual property barriers on COVID-19 vaccines, tests, and treatments currently imposed by the World Trade Organisation’s Trade-Related Intellectual Property Rights Agreement (TRIPS), as requested by India and South Africa in October 2020, and
    • Mandate technology and knowledge transfers from the relevant pharmaceutical corporations to the many manufacturers around the world standing by to ramp up production of these lifesaving medical technologies.
    The CERD meets from November 15 in a weeks-long session coinciding with the World Trade Organisation (WTO) ministerial meeting on November 30. The WTO ministerial is a key opportunity to resolve the year-long impasse on the proposal to break the corporate monopoly control of COVID-19 healthcare technologies by granting the TRIPS waiver.

Tian Johnson, Founder & Lead Strategist, African Alliance and member of the People’s Vaccine Alliance, said: “As a consequence of neocolonial economic and social policies in Africa, fragile health systems impact communities’ access to health services in much of the continent. Africa will become known as the continent of COVID-19 – not because of vaccine hesitancy but because of the inequity, greed, and inaction of pharmaceutical companies and political leaders of the North. Having to rely only on the continent’s own capacity and resources will not be enough to save African lives. Nor should it be. African lives matter, just as much as lives in Berlin, Washington, Tel Aviv, Geneva, London, Toronto or Brussels. COVID-19 is a global crisis that requires global action, whose response all countries should be able to share equally.”

Paula Litvachky, from the Center for Legal and Social Studies in Argentina, said: “Latin America has been extremely affected by the pandemic. It concentrates almost 25 percent of all COVID-19 deaths in a continent that is less than 10 percent of the world’s population. Although there is regional industrial capacity, many States have had problems accessing vaccines. Groups such as indigenous peoples, Afro descendants and racialized sectors are harder hit than others, both by the virus and by the dramatic social and economic crises it is provoking.”

Anele Yawa, General Secretary of the Treatment Action Campaign and a member of the People’s Vaccine Alliance, said: “Big Pharma has prioritized excessive profits over protecting people’s health for too long. Often they are aided and abetted by governments in the Global North through their inaction or opposition to a more just system. We have repeatedly seen this occur in many fights for access to affordable medicines, from the fight for HIV medicines in the early 2000s and more recently in our fight to Fix the Patent Laws to ensure more affordable medicines for cancer, TB, mental health and beyond. Yet again now with COVID-19, we are seeing Big Pharma greed being prioritized over people’s lives all over the world. Governments must fulfil their international obligations and help prioritize people over profits by ensuring vaccine equity for all, irrespective of where you were born, poverty, gender or immigration status.”

Joshua Castellino, Executive Director of Minority Rights Group International, said: “COVID-19 has hit people of colour, women, indigenous people, and other minority and discriminated groups harder in terms of infections, deaths, lack of access to healthcare, resultant poverty, and even violence and emotional trauma. The discrimination of the virus is being revisited by vaccine discrimination, as rich nations deliberately withhold and deny these same groups of people equitable access to it.”

Meena Jagannath, coordinator of the Global Network of Movement Lawyers at Movement Law Lab, said: “We have tabled an evidenced-based challenge to the UN, an institution meant to embody the spirit of multilateral cooperation. Our evidence points to specific actions by the named states in perpetuating structural divisions between the global north and the global south that are rooted in historical colonialism, all in the service of profit and the corporate capture of power. This contravenes their legal obligations under international covenants and agreements they’ve ratified. This is a test-of-our-times for the UN system to engage and correct. We are deadly serious in our resolve to seek justice and redress.”

Mandivavarira Mudarikwa, Attorney, Women’s Legal Centre, South Africa, a member of ESCR-Net – International Network for Economic, Social and Cultural Rights, said: “It is undeniable that women in their diversity, especially those of colour, have disproportionately been impacted by the COVID-19 pandemic, including in shouldering the greatest burden of healthcare and unpaid care work. The inequitable availability of access to health care, personal protective equipment and the distribution of vaccines, and other lifesaving treatments has laid bare the ongoing discrimination that women face in their daily lives. Critical, transformative action is needed immediately if we are to substantively effect change and bring about just and equal access to the right to health. We therefore support the submission of the CERD urgent action appeal aimed at addressing the gender and racial injustice that persists and hope that others will join in this collective action.”

The petition urges CERD to find that these countries must prioritise actions that will protect people’s lives instead of the corporate-controlled intellectual property of the vaccine. They should be supporting — rather than blocking — a proposal at the WTO to waive these intellectual property monopolies, so that more countries are able to make more and cheaper vaccines and other COVID healthcare technologies.

Germany, the UK, Norway and Switzerland have actively opposed moves to waive intellectual property barriers on all COVID-19 vaccine technologies at the WTO. The US has declared support but only for a narrow waiver on the vaccine alone, while failing to use other mechanisms at its disposal e.g. mandating technology transfers through use of the Defense Production Act.

The petition is also strengthened by a separate legal brief signed by jurists around the world which finds that these “blocking” states are also, by their actions, breaching a number of covenant and treaty obligations under international human rights law. The brief says these countries are violating both the International Covenant on Economic, Social and Cultural Rights and the International Covenant on Civil and Political Rights, along with a number of treaties they have signed as members of the WTO, including their legal obligations of international cooperation. A broad legal coalition is also advancing additional complaints in other forums, including a submission to the Committee on the Elimination of Discrimination Against Women (CEDAW) to surface the gender discrimination.

The petitioning groups include African Alliance, Center for Economic and Social Rights, Centro de Estudios Legales y Sociales, Minority Rights Group, Oxfam International and Treatment Action Campaign. The petition was coordinated by Global Network of Movement Lawyers (of Movement Law Lab) and ESCR-Net, and is supported by SECTION27 and other organizations within the People’s Vaccine Alliance.

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For Girls, the Biggest Danger of Sexual Violence Lurks at Home

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Civil Society, COVID-19, Development & Aid, Editors’ Choice, Gender, Gender Violence, Headlines, Health, Human Rights, Latin America & the Caribbean, Regional Categories

Gender Violence

Girls' sexual and reproductive rights activist Mía Calderón stands on San Martín Avenue in San Juan de Lurigancho, the most populous municipality of Peru's capital. She complained that the pandemic once again highlighted the fact that sexual violence against girls comes mainly from someone close to home and that the girls are often not believed. CREDIT: Mariela Jara/IPS

Girls’ sexual and reproductive rights activist Mía Calderón stands on San Martín Avenue in San Juan de Lurigancho, the most populous municipality of Peru’s capital. She complained that the pandemic once again highlighted the fact that sexual violence against girls comes mainly from someone close to home and that the girls are often not believed. CREDIT: Mariela Jara/IPS

LIMA, Oct 22 2021 (IPS) – “During the pandemic, sexual violence against girls has grown because they have been confined with their abusers. If the home is not a safe place for them, what is then, the streets?” Mía Calderón, a young activist for sexual and reproductive rights in the capital of Peru, remarks with indignation.

The 19-year-old university student, whose audiovisual communications studies have been interrupted due to the restrictions set in place to curb the covid-19 pandemic, is an activist who belongs to the youth collective Vayamos in San Juan de Lurigancho, the district of Lima where she lives.

Located to the northeast of the capital, it is a district of valleys and highlands areas higher than 2200 metres above sea level, where water is a scarce commodity and is supplied by tanker trucks. San Juan de Lurigancho was created 54 years ago and its population of 1,117,629 inhabitants, according to official figures, is mostly made up of families who have come to the capital from the country’s hinterland.

Lima’s 43 districts are home to a total of 9.7 million people, and San Juan de Lurigancho has by far the largest population.

In an interview with IPS during a walk through the streets of her district, Calderón said she helped one of her friends during the mandatory social isolation decreed in this Andean nation between March and July 2020, which has been followed by further restrictions on mobility at times of new covid-19 outbreaks.

Since then, classrooms have been closed and education has continued virtually from home, where girls spend most of their time.

“She was in lockdown with her two sisters, her mother and stepfather. But she left before her stepfather could rape her; the harassment had become unbearable. Now she is very afraid of what might happen to her little sisters because he’s still living at home,” she said.

But not all girls and adolescents at risk of sexual abuse have support networks to rely on.

An intersection with hardly any passers-by in San Juan de Lurigancho, one of the 43 districts of the Peruvian capital. There are now fewer children on the streets because schools have been closed since the beginning of the covid pandemic and they receive their education virtually. This keeps them safe from violence in public spaces, but increases the abuse they suffer at home. CREDIT: Mariela Jara/IPS

An intersection with hardly any passers-by in San Juan de Lurigancho, one of the 43 districts of the Peruvian capital. There are now fewer children on the streets because schools have been closed since the beginning of the covid pandemic and they receive their education virtually. This keeps them safe from violence in public spaces, but increases the abuse they suffer at home. CREDIT: Mariela Jara/IPS

Data that exposes the violence

Official statistics reveal a devastating reality: Between early 2020 and August of this year there have been 1763 births to girls under 14 years of age, according to the Health Ministry’s birth registration system (CNV).

All of these pregnancies and births are considered to be the result of rape, as the concept of sexual consent does not apply to girls under 14, who are protected by Peruvian law.

Looking at CNV figures from 2018 to August 2021, the total number increases to 4483, which would mean that on average five girls under the age of 14 give birth in Peru every day.

This is also the conclusion reached by the Latin American and Caribbean Committee for the Defence of Women’s Rights (Cladem), which in September completed a nationwide study on forced child pregnancy in Peru, published on Tuesday, Oct. 19.

For Cladem, forced child pregnancy is any pregnancy of a minor under 14 years of age resulting from rape, who was not guaranteed access to therapeutic abortion, which in the case of Peru is the only form of legal termination of pregnancy.

“These figures are unacceptable, but we know they may be even worse because of underreporting,” Lizbeth Guillén, who until August was the Peruvian coordinator of this Latin American network whose regional headquarters are in Lima, told IPS by telephone.

The activist headed up the project “Monitoring and advocacy for the prevention, care and punishment of forced child pregnancy” which was funded by the United Nations Trust Fund to End Violence against Women between 2018 and August 2021.

An aggravating factor for at risk girls and adolescents was that during the months of lockdown, public services for addressing violence against women were suspended and the only thing available was toll-free telephone numbers, which made it more difficult for victims to file complaints.

“What we have experienced shows us once again that homes are the riskiest places for girls,” said Guillén.

The Cladem study also reveals that the number of births to girls under 10 years of age practically tripled, climbing from nine cases in 2019 to 24 in 2020. And the situation remains worrisome, as seven cases had already been documented this year as of August.

Julia Vargas, 61, works in the municipality of Villa El Salvador, south of Lima, where she has lived since the age of 11 and where she maintains her vocation of service as a health promoter. Through this work she knows first-hand about sexual violence against girls and adolescents, which she says has worsened during the pandemic since they have been confined to their homes with their potential abusers. CREDIT: Mariela Jara/IPS

Julia Vargas, 61, works in the municipality of Villa El Salvador, south of Lima, where she has lived since the age of 11 and where she maintains her vocation of service as a health promoter. Through this work she knows first-hand about sexual violence against girls and adolescents, which she says has worsened during the pandemic since they have been confined to their homes with their potential abusers. CREDIT: Mariela Jara/IPS

One district’s experience

“Sexual violence against girls has been indescribable during this period, worse than covid-19 itself. Men have been taking advantage of their daughters, they think they have authority over them,” said Julia Vargas, a local resident of Villa El Salvador.

This municipality, which emerged as a self-managed experience five decades ago to the south of the capital, offers health promotion as part of its public services to the community.

Vargas, a 61-year-old mother of four grown children, is proud to be a health promoter, for which she has received training from the Health Ministry and from non-governmental organisations such as the Flora Tristán Peruvian Women’s Centre.

“It’s hard to conceive of so much violence against girls,” she told IPS indignantly at a meeting in her district, “and the worst thing is that many times the mothers turn a blind eye; they say if he (their partner) leaves, who is going to support me.”

Studies indicate that women’s economic dependence is a factor that prevents them from exercising autonomy and reinforces unequal power relations that sustain gender-based violence.

Vargas continued: “There was a case of a father who got his three daughters pregnant and made them have clandestine abortions, and do you think the justice system did anything? Nothing! It said there was consent, how can a young girl give consent?!”

“Girls can’t be mistreated this way, they have rights,” she said.

Mía Calderón, a 19-year-old youth activist with the Vayamos collective, demands more and better measures in Peru to defend girls from sexual violence, fueled by the closure of schools since the beginning of the pandemic, which keeps them isolated and in homes where they sometimes live with their abusers. CREDIT: Mariela Jara/IPS

Mía Calderón, a 19-year-old youth activist with the Vayamos collective, demands more and better measures in Peru to defend girls from sexual violence, fueled by the closure of schools since the beginning of the pandemic, which keeps them isolated and in homes where they sometimes live with their abusers. CREDIT: Mariela Jara/IPS

The culprit nearby

Calderón is also familiar with this situation. “The pandemic has highlighted the fact that sexual violence comes mainly from someone close to home and that many times the girls are not believed: ‘you provoked your uncle, your stepfather’, they are told by their families, instead of focusing on the abuser,” she said.

Her collective Vayamos works to help girls have the right to enjoy every stage of their lives. Due to the pandemic, the group had to restrict its face-to-face activities, but as a counterbalance, it increased the publication of content on social networks.

“No girl or adolescent should live in fear of sexual violence or should face any such risk,” she said.

However, Cladem’s research indicates that between 2018 and 2020, there were 12,677 complaints of sexual violence against girls under 14 in the country, the cause of many forced pregnancies.

But official statistics do not differentiate between child and adolescent pregnancy.

The 2019 National Health Survey reported that of the female population between 15 and 19 years of age, 12.6 percent had been pregnant or were already mothers. The percentage in rural areas was higher than the national rate: 22.7 percent.

Youth activist Mia Calderón, health promoter Julia Vargas and Cladem member Lizbeth Guillén all agree on the proposal to decriminalise abortion in cases of rape and on the need for timely delivery of emergency kits by public health services to prevent forced pregnancies and maternity.

These kits contain emergency contraceptive pills, HIV and hepatitis tests, among other components for comprehensive health protection for victims.

“There are regulatory advances such as this joint action protocol between the Ministry of Women and the Health Ministry for a girl victim of violence to access the emergency kit, but in practice it is not complied with due to the personal conceptions of some operators and they deprive the victims of this right,” explained Guillén.

She stressed that in order to overcome the weak response of the State to such a serious problem, it is also necessary to adequately implement existing regulations, guarantee access to therapeutic abortion for girls and adapt prevention strategies, since the danger often lies directly in the home.

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Winning the Human Race, Together

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Armed Conflicts, Civil Society, Climate Change, COVID-19, Development & Aid, Education, Education Cannot Wait. Future of Education is here, Environment, Gender, Global, Headlines, Health, Human Rights, Humanitarian Emergencies, Migration & Refugees, Poverty & SDGs, TerraViva United Nations

Opinion

NEW YORK, Oct 14 2021 (IPS) – “Now is the time for a stronger, more networked and inclusive multilateral system anchored in the United Nations,” said UN Secretary-General António Guterres in his latest report “Our Common Agenda.” Indeed, there is a fork in the road: we can either choose to breakdown or to breakthrough.

Yasmine Sherif

Making this moral choice and adopting this legal imperative is more relevant today than ever. The estimated 75 million children and adolescents caught in emergencies and protracted crisis who suffer from disrupted education has now dramatically increased from 75 million to 128 million due to the pandemic. These vulnerable girls and boys are now the ones left furthest behind in some of the world’s toughest contexts, in Afghanistan, the Middle East, Sub-Saharan Africa and South America.

The current education financing gap amounts to US$1.48 billion for low- and middle-income countries. A gap that is increasingly widening. In reviving the multilateralism that is so urgently needed, the UN Secretary-General will convene a crucial, timely summit on Transforming Education in 2022.

Despite all that we do, despite all our investments, we cannot win ‘the human race’ unless we invest in our fellow human beings, now. It is the children and young people impacted by armed conflicts, climate-crisis induced disasters, forced displacement and protracted crises who are in a sprint against time, with their lives and futures on the line.

We can no longer let “an entire generation facing irreversible losses be left behind in the ruins of armed conflicts, in protracted refuge, on a planet whose climate-change threatens us all,” as the UN Special Envoy for Global Education and Chair of Education Cannot Wait’s High-Level Steering Group, The Rt. Hon. Gordon Brown stated at the launch of Education Cannot Wait’s Annual Results Report: Winning the Human Race, on 5 October 2021.

Education is the foundation, the DNA and the absolute prerequisite for achieving all other Sustainable Human Development Goals and Universal Human Rights. Education means investments in the limitless possibilities of human potential: the workforce, governance, gender-equality, justice, peace and security.

“Access to quality education is key to addressing 21st century challenges, including accelerating the fight to end poverty and climate change,” says The LEGO Foundation’s new CEO, Anne-Birgitte Albrectsen, in this month’s ECW Newsletter high-level interview.

The time has come to connect the dots between individual human beings and our collective humanity and life on this planet. We are now investing more and more in Mother Earth through significant climate change financing. We must now also invest in the human beings populating the planet. The correlation between the positive impact of education upon on all aspects of life on the planet is indispensable and inescapable.

    • Higher education levels lead to higher concern for the environment, and adaptation to climate change. If education progress is stalled, it could lead to a 20% increase in disaster-related fatalities per decade.
    • Education is the one unique investment that can prevent conflict and forced displacement. High levels of secondary school enrollment have been shown to be associated with an increase a country’s level of stability and peace and reduce crime and violence.
    • Every additional year of schooling reduces an adolescent boy’s risk of becoming involved in conflict by 20 percent. This effect reflects both education’s economic benefits and its role in social cohesion and national identity.
    • Conversely, lack of education often leads to political disempowerment and regression to group allegiances. Across 22 countries in sub-Saharan Africa, sub-national regions with very low average education had a 50 per cent probability of experiencing the onset of conflict within 21 years, while the corresponding interval for regions with very high average education was 346 years.
    • Education is also the most secure means of ending extreme poverty. For nations, each additional year of schooling can add up to 18 per cent to GDP per capita. For individuals, one more year of education brings a 10 per cent increase in personal income. If all children were to learn basic reading skills, the impact would be 171 million fewer people living in extreme poverty. *Footnotes below.

Education Cannot Wait is a multilateral global UN fund. Our Annual Results Report of 2020, Winning the Human Race, launched at the UN in Geneva this month, testifies to what we can achieve when we think and act multilaterally: when we connect the dots, become one, and act for all.

Through multilateralism, we reached more than 29 million crisis-affected girls and boys in 2020 alone through ECW’s COVID-19 emergency response, working with our strategic partners, including host governments, our 21 donors, UNICEF, UNHCR, UNESCO, UNDP, WFP, our civil society partners, such as INEE, Jesuit Refugee Service, AVSI, Save the Children, Plan International, Norwegian Refugee Council, International Rescue Committee and numerous local civil society organizations across 34 countries. Through joint programming, we were also able to jointly deliver quality education to more than 4.6 million children and youth, of whom 51% were girls and adolescent girls, 38% were refugees – all while we increased ECW allocations to children and youth with disabilities.

This is made possible because ODA governments, private sector and philanthropic partners are scaling up their support for the catalytic ECW global fund whereby their investments are part of multilateral efforts that work as closely as possible to those we serve, establishing links conducive to numerous, diverse SDGs and human rights. The full list of our 21 generous donor partners can be found at the end of this Newsletter.

In connection with the UNGA week this year, ECW strategic donors advancing multilateralism, such as Germany, the United States, the European Union/European Commission, France, The LEGO Foundation and Porticus took giant steps and committed $138.1 million to ECW, bringing the total resources mobilized thus far in 2021 alone to $156.1 million and the total since ECW’s inception to $1.85 billion ($827 million mobilized for the Trust Fund; and, over $1 billion worth of programmes aligned with ECW MYRPs, as leveraged by ECW with partners).

Furthermore, the Global Hub for Education in Emergencies celebrated its new collective space under the ECW umbrella in Geneva, thanks to Switzerland which is the second biggest UN capital for humanitarian and development actors after New York City. The Global Hub brings together NGOs, the UN, academia, foundations, and governments to inspire more commitment and resources to quality education for those left furthest behind in emergencies and protracted crisis.

Multilateralism through the United Nations works.

Still, this is just the start of a major global effort to work through the multilateral coordination system to reach those left furthest behind and bring education from the margins to the center. Based on empirical evidence, ECW calls for an additional $1 billion to contribute to an innovative model that has proven to work.

Political leaders, governments, private sector, UN and civil society – all part of ECW’s multilateral UN system – recognize that education is a precondition for achieving the Sustainable Development Goals and Universal Human Rights. Together, we think long-term and act now. Together, we connect the dots and see things from afar and within. Together, we work on what the world needs most right now: A Common Agenda to Win the Human Race.

Yasmine Sherif is Director,
Education Cannot Wait
The UN Global Fund for Education in Emergencies and Protracted Crises

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

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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

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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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Nurturing a New Generation of Food Leaders

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Biodiversity, Conferences, Environment, Featured, Food and Agriculture, Food Security and Nutrition, Food Sustainability, Global, Headlines, Health, Humanitarian Emergencies, Sustainability, TerraViva United Nations

Food Sustainability

An European Institute for Innovation and Sustainability (EIIS) programme focusses on production, distribution, and consumption issues of food systems. Credit: Joyce Chimbi/IPS

NAIROBI, KENYA, Sep 22 2021 (IPS) – Food security experts have raised an alarm that with as many as 811 million people the world over or 10 percent of the global population going hungry, the world is off-track to ending hunger and malnutrition.

More so, after a decade of steadily declining, the number of malnourished people grew by 161 million from 2019 to 2020 alone, a spike attributed to complex global challenges such as COVID-19, climate change and conflict, according to the United Nations.

Against this backdrop, the European Institute for Innovation and Sustainability (EIIS) launched a three-month, challenge-based and solutions-oriented food sustainability certificate course in May 2021 to actively help countries fix their food systems.

“Our aim is to provide a comprehensive base for a deeper understanding of the complex dynamics of food, giving course participants the tools and insights to perform better at work, shift careers, and become even more conscious and responsible consumers,” says Sveva Ciapparoni, the Food and Sustainability course coordinator.

With a special focus on G20 countries, as they are most representative of the world’s population and economy, the EIIS food sustainability programme uses the Food and Sustainability Index (FSI) to help learners understand the dynamics behind food systems and their inherent power to promote or derail the attainment of UN’s Sustainable Development Goals (SDGs).

Developed by the Economist Intelligence Unit with the Barilla Center for Food and Nutrition Foundation, the food index collects data from 67 countries worldwide to showcase best practices and highlight key areas for improvement towards the production and consumption of sufficient, sustainable and healthy food.

The EIIS programme breaks away from traditional food courses solely centred around gastronomy, culinary management and hospitality to focus on production, distribution and consumption issues at the very heart of the SDGs.

Marcela Villarreal, the Director of Partnerships and UN Collaboration Division at the Food and Agriculture Organization (FAO), indicates that the “course directly addresses several SDGs. These include fighting hunger (SDG 2), promoting the health of both people and planet (SDGs 3, 13, 15), and encouraging conscious and responsible consumption (SDG 12).”

“The food system approach adopted by the course through specific challenges is particularly conducive to understanding the SDG agenda and proposing solid and interconnected solutions,” Villarreal, also one of the foremost experts from the Food and Sustainability course’s faculty, says.

As such, participants, who were part of the May 2021 cohort of learners, had an opportunity to intersect the three critical pillars of any food system, including sustainable agriculture, nutritional challenges and food loss and waste, with the three areas where food experts say solutions to the broken food systems lie: innovation, education and policy.

Also unique to the course, the programme is taught through a Challenge Based Learning approach that “allows for the practical application of the concepts learned throughout the modules.

“How to feed 10 billion healthy foods, preserving the health of people and planet is the ambitious challenge tackled by the participants,” says Villarreal.

Participant Anant Saraf confirmed that being taken through online tuition combined with practical workshops enabled them to analyse food systems, understand the complexities of the food systems, and identify the most pressing problems facing specific food systems to provide solutions.

Importantly, Ciapparoni says that the course is an opportunity to interact with topics increasingly crucial to food production, distribution, and consumption in line with the SDGs and the UN’s first-ever food systems summit that kicks off on September 23, 2021.

Held within the UN General Assembly week in New York, the virtual UN Food Systems Summit will set the stage for global food systems transformation.

To do so, the UN will engage citizens from all over the world, including youth, researchers, food producers, indigenous people, civil society, and the private sector, in a discourse to transform how the world produces and consumes food.

As with the EIIS food sustainability course, the UN Food Systems Summit is a golden opportunity to empower people to understand and use the power of food systems to recover from COVID-19 and get back on track to end world hunger and malnutrition.

Ciapparoni indicates that course participants were aware that they would be contributing to the Summit.

The course challenge aligns with the UN Food Systems Summit agenda as it was developed in consultation with Martin Frick, deputy to the UN Secretary-General Special Envoy for the UN Food Systems Summit 2021, he added.

Therefore, at the heart of the EIIS course was an urgent need to build a generation of food leaders that can effectively transform food systems for food security, improved nutrition, and affordable healthy diets for all.

Towards this objective, Villarreal says that course participants were “divided into teams based on their backgrounds, diversity being the main criteria and that each team got assigned a G20 country to be analysed, with a specific focus on its food system.”

“After identifying the country’s key challenges, each team proposed possible solutions to improve their assigned country’s food system. The underlying idea is that, by proposing ways in which single countries can improve the sustainability of their food systems, participants will be able to suggest how to promote food sustainability globally – and thus address the course’s main challenge,” Villarreal adds.

Team South Africa, for instance, discussed the country’s rapid urbanisation and unfolding food production and security challenges in light of climate change and complex social, economic, and environmental challenges.

As for Saudi Arabia, the team concluded that the food system faces numerous challenges, as highlighted in the food and sustainability index of 2021 that ranked Saudi Arabia last compared to other G20 countries.

Saudi Arabia has the highest reliance on food imports among the G20 countries. The team aimed to identify how the country could overcome the food production challenges caused by its dry and hot climate.

Team India had the task of identifying how the country, ranked 13th among the world’s extremely water-stressed countries due to inefficient irrigation systems, groundwater depletion, and high production of water-consuming crops, can overcome these challenges.

With regard to the USA, the team analysed how the country, which has the highest food waste per capita globally, can address this problem.

Team Russia sought to fix the country’s faulty food production systems, processing, and transportation.

Team South Korea’s challenge was found in the globalisation of the country’s food system has increased consumption of highly processed foods leading to a food crisis.

Participants navigated through these challenges under the guidance of food and sustainability experts, including Villarreal. By providing solutions to fix broken food systems in specific countries, the EIIS course will have contributed towards practical solutions on how to feed 10 billion people by 2050 healthy food without harming the planet.