Urbanization as a Path to Prosperity

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Opinion

Chris Wellisz. Credit: Porter Gifford

WASHINGTON DC, Jan 29 2020 (IPS) – Growing up in New York City in the 1970s, Edward Glaeser saw a great metropolis in decline. Crime was soaring. Garbage piled up on sidewalks as striking sanitation workers walked off the job. The city teetered on the edge of bankruptcy.


By the mid-1980s, it was clear that New York would bounce back. But it could still be a scary place; there was a triple homicide across the street from his school on the Upper West Side of Manhattan. Glaeser was nevertheless captivated by New York’s bustling street life and spent hours roaming its neighborhoods.

“It was both wonderful and terrifying, and it was hard not to be obsessed by it,” Glaeser recalls in an interview at his office at Harvard University.

Today, that sense of wonder still permeates Glaeser’s work as an urban economist. He deploys the economist’s theoretical tool kit to explore questions inspired by his youth in New York.

Why do some cities fail while others flourish? What accounts for sky-high housing costs in San Francisco? How does the growth of cities differ in rich and poor countries?

“I have always thought of myself as fundamentally a curious child,” Glaeser, 52, says. Rather than “pushing well-established literature forward,” he seeks to comprehend “something that I really don’t understand when I start out.”

While still a graduate student at the University of Chicago, Glaeser made his mark as a theorist of the benefits of agglomeration—the idea that dense and diverse cities are hothouses of innovation, energy, and creativity that fuel economic growth.

In the years since, his work has ranged across a breathtaking variety of subjects, from rent control and real estate bubbles to property rights, civil disobedience, and carbon emissions.

“For a couple decades now, Ed has been the leading thinker about the economics of place,” says Lawrence Summers, a Harvard professor who served as director of the National Economic Council under US President Barack Obama. “And the economics of urban areas are increasingly being seen as central to broad economic concerns.”

Glaeser and Summers are collaborating on a study of the hardening divide between well-educated, affluent coastal regions of the United States and islands of economic stagnation in what they call the “eastern heartland,” the interior states east of the Mississippi River.

There, in cities like Flint, Michigan, the proportion of prime-age men who aren’t working has been rising—along with rates of opioid addiction, disability, and mortality.

How can policy help? Traditionally, economists have been skeptical of the value of place-based policies like enterprise zones that offer tax breaks to investors, saying it is better to help people, not places.

People, they assumed, would move to where the jobs were. But labor mobility has declined in recent decades, partly because of high housing costs, partly because demand for relatively unskilled factory work has diminished.

Breaking with economic orthodoxy, Glaeser and Summers say that the federal government should tailor pro-employment measures, such as reducing the payroll tax or increasing tax credits to low earners, to fit the needs of economically distressed areas such as West Virginia. They also make the case for boosting investment in education.

As a Chicago-trained economist, Glaeser is a strong believer in the magic of free markets and opposes measures that distort incentives. “I have always been against spatial redistribution, taking from rich areas and giving to poor areas,” he says. “That doesn’t mean that you want the same policies everywhere.”

Urban economics seemed like a natural pursuit for Glaeser. His German-born father, Ludwig, was an architect who taught him how the built environment shapes people’s lives. His mother, Elizabeth, was an asset manager who introduced him to economics. Glaeser recalls how she used the example of competing cobblers to explain marginal cost pricing.

“I remember thinking what an amazing and fascinating thing it is to think about the impact of competition,” he says. He was 10 years old.

In high school, Glaeser excelled at history and mathematics. As a Princeton University undergraduate, he considered majoring in political science before choosing economics, seeing it as a path to Wall Street.

But dreams of a career in finance ended with the stock market crash of 1987, just as he started job interviews. So he opted for graduate school, because “it didn’t seem like I was cutting off many options,” he says.

“Then I got to Chicago, and that was when I really fell in love with economics.”

Glaeser keeps a framed photograph of himself with Gary Becker, the Chicago economist and Nobel prize laureate. Becker taught him that the discipline’s conceptual tools could be used to explore topics that had once been the domain of fields like sociology or anthropology—topics like racial discrimination, fertility, and the family.

“It was that sense of the creative side of economics that could work on a virtually unlimited canvas and try to make sense of any problem that you thought was important—that was the part that was so exciting to me,” Glaeser says.

At the time, Chicago economists Robert Lucas and Paul Romer were developing the so-called endogenous growth theory, which focused on the role of innovation and the exchange of ideas in economic development.

As Glaeser recalls it, Lucas pointed to cities as places where knowledge spillovers occur—meaning people can benefit from other people’s ideas without paying for them. Think of a city like Detroit early last century, where Henry Ford used his experience as chief engineer at the Edison Illuminating Company to start his automobile business.

That concept inspired a groundbreaking 1992 paper, “Growth in Cities.” Glaeser and three co-authors set out to use cities as a laboratory in which to test the new growth theories. Using 30 years of data covering 170 US cities, they found that local competition and diversity, rather than specialization, are the prime motors of urban growth.

The paper instantly made Glaeser a star and earned him a job offer from Harvard.

Glaeser “showed that urban variety, not specialization in one particular thing, was a big driver of employment growth,” says Joseph Gyourko, a professor at the University of Pennsylvania’s Wharton School and a longtime collaborator. “It was Ed’s first really well-cited article, so it did start him on his path.”

Gyourko and Glaeser started working together in the early 2000s, when Glaeser took a year’s sabbatical at Penn. They wondered why some cities, such as Detroit, declined so slowly, and why so many people stayed instead of moving elsewhere. They hit upon a simple answer: housing is durable, and as cities slump, it becomes cheaper to live there.

That insight prompted a related question: Why is housing so much more expensive than the cost of construction in cities like New York and Boston? The answer: land-use restrictions limit density, curbing the supply of housing and driving up prices. It was basic economics, yet until then, urban economists hadn’t focused on the role of regulation.

Glaeser argues that excessive regulation is destructive of the very essence of urban life—density. Cities thrive on the creativity that occurs when people living cheek by jowl exchange ideas and know-how. Sunbelt cities like Houston have grown because an easy regulatory environment keeps housing inexpensive.

To economists like Glaeser, building and zoning regulations are a tax on development. Some level of tax makes economic sense, because construction imposes costs on residents in the form of noise, congestion, and pollution.

But overly stringent regulation, often pushed by residents who want to keep out newcomers and protect their property values, can make housing unaffordable for most people.

Glaeser is similarly skeptical of historic preservation rules, to the dismay of followers of Jane Jacobs, the legendary critic of urban-renewal projects who celebrated the lively street life of New York’s old ethnic neighborhoods.

Glaeser is a big Jacobs fan—he owns an autographed copy of her 1961 classic, The Death and Life of Great American Cities—but argues that her efforts to oppose development in Greenwich Village were at odds with her support for low-income housing.

“I believe that many of our oldest buildings are treasures,” he says. “But don’t simultaneously pretend that that’s a route toward affordability. Affordability is created by mass-produced cheap housing or mass-produced cheap commercial space. And you might not like it aesthetically, but that is the affordable route.”

In 2000, Glaeser published “Consumer City,” a paper he wrote with Jed Kolko and Albert Saiz. In it, he took the concept of agglomeration a step further, arguing that people are drawn not only to the opportunities that cities offer, but also to amenities such as theaters, museums, and restaurants.

“We know that cities can attract the disproportionately young and innovative,” says Richard Florida, a professor of urban studies at the University of Toronto. “Ed was identifying the factors driving that, this whole idea that cities are not only places of production, but places of consumption.”

Glaeser laments policies such as the mortgage interest deduction, which encourages people to buy homes rather than rent apartments; highway subsidies, which make it easier to drive to the suburbs; and a school system that disadvantages inner-city students.

Such policies, he argues, not only are antiurban but also contribute to climate change, because city dwellers, who live in smaller homes and use mass transit, consume less electricity and gasoline than their suburban counterparts.

Surprisingly, he and his wife, Nancy, who have three children, decided to move to the suburbs of Boston several years ago. To Glaeser, it was a perfectly rational decision: the suburbs offer more living space, better schools, and a reasonably fast commute.

Already well known in academia, Glaeser started to reach a broader audience with the publication in 2011 of his bestselling book, Triumph of the City, a lively study of urbanization from ancient Baghdad to modern Bangalore.

His eloquence and enthusiasm make him a sought-after speaker at academic forums and TED Talks. Invariably, he is impeccably attired in well-pressed suits and preaches the gospel of urbanization in crisp, rapid-fire sentences.

Despite his celebrity, he takes teaching seriously. Rebecca Diamond, who attended his advising sessions as a graduate student, said he was generous with his time. “He taught me perspective and not to get too stuck in the weeds,” says Diamond, who now teaches at Stanford University and stays in touch with Glaeser.

Developing-world cities are his latest passion. True to form, he sees them as relatively uncharted territory, neglected both by urban economists, who focus on advanced-economy cities, and development economists, who concentrate on rural areas. They are also growing fast, and their physical and institutional infrastructure are works in progress, so economists’ policy advice can have an impact.

“The ability of economists to make a difference by getting engaged is just very large,” he says. “So, I think it is the new frontier.”

It also takes him to interesting places. His latest research project, with Nava Ashraf and Alexia Delfino of the London School of Economics, took him to the markets of Lusaka, Zambia, to study barriers to female entrepreneurship.

They found women are more likely to go into business if the rule of law is strong enough to help overcome inherently unequal relations with men.

Like Jane Jacobs, Glaeser is big believer in observing what he sees around him. “You don’t really understand a city until you’ve actually walked in the streets,” Glaeser says.

“That’s what makes Ed a first rate applied theorist,” says Gyourko. “You’ve got to get your hands messy in the data. Sometimes data is just walking around.”

While researching Triumph of the City, Glaeser explored places like Mumbai’s Dharavi quarter, which was a “completely magical experience.” Among the world’s most densely populated places, Dharavi hums with entrepreneurial energy, with potters, tailors, and other craftsmen working side by side in cramped, ill-lit quarters.

At the same time, unpaved streets, polluted air, and open sewers are reminders of the downsides of density. But Glaeser doesn’t bemoan the poverty of such places; on the contrary, he says cities attract the poor precisely because they offer opportunity. For the developing world, urbanization is the best path to prosperity.

“For all of their problems, amazing things are happening in India and sub-Saharan Africa and Latin America,” Glaeser says. “And things obviously don’t always go the right direction, but cities have been working miracles of collaboration for thousands of years, and whenever I go to a developing-world city, it is obvious to me that the age of miracles is not over.”

Opinions expressed in articles and other materials are those of the authors; they do not necessarily reflect IMF policy.

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2020 Is the Decade of Action & It Has to Be a Sprint

Africa, Armed Conflicts, Climate Change, Conferences, Crime & Justice, Development & Aid, Economy & Trade, Featured, Gender, Global, Headlines, Human Rights, Labour, Peace, Poverty & SDGs, Sustainability, TerraViva United Nations, Trade & Investment

Opinion

Hosted by the governments of Kenya, Denmark and UNFPA, world leaders gather for the 3-day Nairobi Summit on ICPD25 to advance sexual, reproductive health & rights for all. November 12, 2019. Photo Courtesy: Redhouse Public Relations

NAIROBI, Kenya, Dec 31 2019 (IPS) – Happy New Year, Kenya. 2020 marks a decade of action towards the realization of the Sustainable Development Goals by 2030.

Peace and development are inextricably linked, with each making the achievement of the other far more likely. This puts the conflict-prevention and development work of the UN at the heart of the agenda in East Africa, but in a multi-agency and programme environment, making meaningful progress is challenging.


Aware of this, the UN began a process of structural reforms led by the UN Secretary-General António Guterres who made reforms of the United Nations, a priority at the very beginning of his term in January 2017. The aim being to deliver better results through cooperation, collaboration and integration. 2019 was the year that the impact of these reforms became real and nowhere more than in the peace, conflict-prevention and development pillars of the UN’s work.

At the country level, that shift towards a nimble, 21st century UN challenges deeply entrenched practices and operations. In a country team with over 23 individual agencies, funds and programmes, the reform process can be complicated, even messy.

To the credit of the Kenya country team, we overcame the challenges of ceding long-held agency interests for the collective good and achieved some ground-breaking milestones in our partnership with governments, civic organizations and the private sector.

The most outstanding was our venturing out to confront challenges that transcend borders. East Africa faces major threats to peace and development across multiple fronts, and respective UN country teams have, in a remarkable show of teamwork, sought to harmonize their responses to these threats. Internecine border conflicts and the effects of climate change together make a formidable challenge that brought together UN teams from Kenya and Uganda, in a pact that seeks to bring sustainable development to the Karamoja triangle.

This pact follows from another successful regional collaboration project on the Kenya-Ethiopia border where communities accustomed to recurrent hostilities are now reaching out to each other to find solutions to common socio-economic challenges.

We believe that our regional surge towards prevention, peacemaking and diplomacy will have a particular impact on the youth, who suffer an enduring sense of being neglected and ignored. This narrative is a breeding ground for extremism and radicalization, so addressing such concerns was a key point of deliberation during last July’s African Regional High-Level Conference on Counter-Terrorism and the Prevention of Violent Extremism in Nairobi.

The same regional approach was behind the initiative by Kenya, Uganda, Tanzania, Ethiopia and Somalia to sign the Declaration and Action Plan to End Cross-border FGM in April 2019. This was the first time multiple countries had come together to tackle this pernicious cross-border crime.

But there remain many in the region still left behind by development, and we continue to stand up for them through our UN Development Assistance Framework 2018-2022. The framework’s gender equality and rights focus is unmistakable, because in too many communities, the simple fact of being born female shatters one’s chances of living in full human dignity.

Our focus on giving a leg-up to those left farthest behind has attracted a positive response from our partners in national and county governments. By staying in lockstep with national priorities on issues such as health, agriculture and housing, the common thread of messages from our partners is that we are staying effective and responsive to the ambitions of Kenyans.

As 2020 beckons, the decade of action starts and it has to be a sprint to deliver on the SDGs, the UN team in Kenya is rolling up its sleeves with greater urgency, ambition and innovation. We will enhance regional cooperation and private-public partnerships as we work with the Government towards lifting millions of the citizens of this region out of poverty and upholding their human rights.

We are re-imagining ways of delivering development in ways such as the co-creation of an SDG innovation lab between the Government of Kenya, the Centre for Effective Global Action at the University of California in Berkeley, the Rockefeller Foundation, and the UN. The SDG Lab will kick off with support for the delivery of Kenya’s Big Four agenda by harnessing, big data, technology and innovation to achieve scale and impact.

As a UN country team, we got off the blocks in 2019 in pursuit of UN Deputy Secretary General Amina Mohammed’s challenge to “flip the orthodoxy” for the repositioning of the UN. We have dared to go beyond the typical and will do whatever it takes to respond effectively to the challenges faced by Kenya’s people, now and in the future.

Siddharth Chatterjee is the United Nations Resident Coordinator in Kenya.

 

Mainstreaming Leprosy-affected People a Big Challenge in Bangladesh

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Feroza Begum, Leprosy activist. Credit: Rafiqul Islam / IPS

DHAKA, Bangladesh, Dec 12 2019 (IPS) – When Feroza Begum was first diagnosed with leprosy in 2006, it felt as though she had been struck by a thunderbolt due to the deep-seated prejudice in her society that the disease is a curse from Allah (God).


“ I was affected with leprosy disease, nobody accepted me (in the past). They had made me isolated. I cannot forget the plight I suffered at that time. Even my family was broken as I was left by my husband,” she told IPS. The 35-year old says she was ostracized and made to feel like a lesser person.

Feroza travelled about 200 kilometres from Bogura district to Dhaka, the capital city to attend the first-ever Conference of organizations of persons affected by leprosy. Feroza came to listen and talk to other people who had similar stories and also to engage with organizations that are fighting for an end to discrimination of people with leprosy.

“I got married in 2006 and a few days later, I was diagnosed as a leprosy patient’. She says after the diagnosis, members of her husband’s family started ignoring her. ‘They ignored me and did not talk to me and one day sometime in 2007 my husband divorced me and sent me back to my father’s home.”

After returning home, she started treatment with support from a local NGO and she eventually recovered from the Hansen disease. But as a result of the disease, she could not avoid disability.

Leprosy stigma in Communities

Although there is a stigma around leprosy in her society, Feroza is living with a disability and is leading a normal life. “Fighting stigma for a leprosy patient is a hard task in our society and leading a normal life is a challenging task too,” she added.

“Now my mother and I prepare mats and sell them in a local market. This is our only livelihood option but I never bow down to the stigma,” Feroza said.

Dr David Pahan, Country Director of Lepra Bangladesh, said Prime Minister Sheikh Hasina’s announcement of the ‘Zero Leprosy Initiative’ to eliminate the Hansen disease from the country by 2030 is commendable.

“Bringing leprosy patients into the mainstream of society is big for us as there is a negative perception about leprosy in our society,” he told IPS on the sidelines of the conference.

Now it is time for an Action Plan

Although the Zero Leprosy Initiative was announced, formulation of policies and action plans to eliminate leprosy is also a challenging task which lies ahead, he added.

Dr Pahan, who has been working on leprosy elimination since 1996, said leprosy patients must raise their voice together so that the authorities concerned take proper steps to bring them into the mainstream of society.

Dr David Pahan, Country Director of Lepra Bangladesh. Credit: Rafiqul Islam / IPS

Close to 100 leprosy patients and representatives from several organizations working in the field of leprosy attended the landmark leprosy conference in Dhaka which was organized by members of the Leprosy and TB Coordinating Committee (LTCC) and People Organizations, with support from The Nippon Foundation and Sasakawa Health Foundation.

The conference allowed people from across the country to share their experiences about the long plight in the recovering period of the disease.

Bangladesh is still a high burden leprosy country. The registered prevalence of leprosy was 0.7 percent, 0.27 percent and 0.2 percent in 2000, 2010 and 2016 respectively, and stood at 0.19 per 10,000 population in 2018, according to official data. The data also shows that about 4,000 patients were detected per year in the country over the last few years, with this figure standing at 3,729 in 2018.

Access to resources limited

Sonia Prajapoti of HEED Bangladesh, a local NGO working on leprosy control, said the case of leprosy is highly prevalent among tea workers in Sylhet, Habiganj and Moulvibazar districts as they are not aware of the leprosy disease and have limited access to civic amenities.

She said a social awareness must be created among the tea workers to keep them free from leprosy, while the leprosy patients could be brought into the mainstream of society by increasing their social status, providing proper healthcare and creating working opportunities for them.

“Prime Minister Sheikh Hasina’s announcement of the ‘Zero Leprosy Initiative, will increase the voice of the people who have been working on leprosy elimination, and this will help them fight leprosy together,” said participant Shandha Mondal, district coordinator of local NGO Shalom (leprosy) in Meherpur.

Speaking as the chief guest at the conference, Chairman of The Nippon Foundation and WHO Goodwill Ambassador for Leprosy Elimination, Yohei Sasakawa, assured Bangladesh of continuing support of the implementation of ‘the Zero Leprosy Initiative’ which was announced by Prime Minister Sheikh Hasina and which aims to eliminate leprosy by 2030.

“The government has already announced the Zero Leprosy Initiative that will help eliminate the discrimination the leprosy patients have been facing,” he said.

“You, the leprosy patients, know better about the disease than doctors…your government is working to eliminate leprosy by 2030. And we are here to know how we can help your government fight leprosy,” Sasakawa said.

The Nippon Foundation and the Sasakawa Health Foundation of Japan organized a national conference on leprosy in Dhaka on December 11 under the theme “ZeRo leprosy initiative”.

 

Sasakawa Vows to Continue Support for Fighting Leprosy in Bangladesh

Asia-Pacific, Conferences, Development & Aid, Featured, Headlines, Health, Human Rights, Poverty & SDGs, TerraViva United Nations, Women’s Health

Chairman of the Nippon Foundation and Sasakawa Health Foundation in Japan Yohey Sasakawa speaking at the Conference of Organizations of Persons Affected by Leprosy in Dhaka, Bangladesh. Credit: Rafiqul Islam / IPS

DHAKA, Bangladesh, Dec 12 2019 (IPS) – Chairman of The Nippon Foundation and Sasakawa Health Foundation, Yohei Sasakawa, has assured Bangladesh of continuing support for the Zero Leprosy Initiative announced by the country’s Prime Minister, Sheikh Hasina, aimed at eliminating leprosy by 2030.


Sasakawa was speaking at the opening of the first ever meeting of organizations working on leprosy in Bangladesh.

“The government has already announced the Zero Leprosy Initiative that will help eliminate the discrimination the leprosy patients have been facing,” he told a conference in the country’s capital. Prime Minister Hasina on Wednesday (December 11) also addressed the conference and Sasakawa reminded activists that the country’s leader expressed her commitment to make Bangladesh free from leprosy in the next decade.

Several organizations working in the field of leprosy, like members from the Leprosy and TB Coordinating Committee (LTCC) and People Organizations with support from The Nippon Foundation and Sasakawa Health Foundation, are attending the gathering.

Bangladesh’s leprosy burden ranks fourth-highest in the world. Four thousand new cases are detected annually – an average of 11 to 12 cases per day over the last 10 years. Every year an estimated 3000 leprosy sufferers are affected by complications that require specialized treatment in hospital.

Although the the number of leprosy cases are declining, more than one-third of leprosy patients are facing the threat of permanent and progressive physical and social disability.

Govenment needs help

Calling upon the leprosy patents to extend their support to the government in this regard, Sasakawa said Bangladesh’s Ministry of Health could not fight leprosy alone.

Sasakawa, also a World Health Organisation (WHO) Goodwill Ambassador, said: “You, the leprosy patents, know better about the disease than doctors. Your government is working to eliminate leprosy by 2030. And we are here to learn how we can help your government fight leprosy.”

He asked the participants to play a strong role in eliminating leprosy in Bangladesh. “I hope you will convey the lessons you learnt from the conference today to your community.

“If you all raise voice together, it would be stronger. So, you have to be stronger to fight leprosy (in Bangladesh). Your support is important to reach the goal,” he said.

About his journey as WHO goodwill ambassador, Sasakawa said he has been working on fighting leprosy around the world for the last 40 years.

“I have been providing assistance to about 120 countries, while I have traveled to different parts of the world 700 times to help (leprosy patients),” he said. “No matter which country I visited, the plight of the leprosy patients is the same.”

Sasakawa said he came here to share his opinion and experiences on leprosy from his journey. “I am very happy seeing the faces of leprosy patients who are participating in the conference, as this is the first time … we have met together,” he added.

Highlighting the nature of leprosy patients, the Nippon Foundation chief said the people who get disabilities suffering from leprosy and those become disabled due to road accidents are not the same, because leprosy is an infectious disease.

“That’s why leprosy patients fear to meet and their communities also do not accept it,” he said.

Role of NGO’s in the fight against Leprosy-free world

Sasakawa also praised the role of the NGOs, including Lepra Bangladesh and the Damien Foundation, in fighting leprosy in the country.

Shandha Mondal, district coordinator of SHALOM (leprosy), a local NGO working in Meherpur, said Prime Minister Hasina’s announcement on the Zero Leprosy Initiative will increase the voice of the people who have been working on leprosy elimination, and this will help them fight leprosy together.

Motiur Rahman, a leprosy patient of Gazipur, said the prime minister always gives priority to leprosy patients. For example, he said he had sought accommodation from the Bangladesh premier and he received a house from the Government.

The participants attending the national conference said that the prime minister’s call to local pharmaceuticals to produce medicines and distribute among leprosy patients free of cost is really commendable.

Speaking at the National conference on Zero Leprosy Initiative 2030, Prime Minister Hasina said many Bangladeshi pharmaceutical companies export medicines, and she called on these companies to produce drugs for leprosy locally and distribute those among leprosy patients free of charge.

But, they said, the PM should also instruct the authorities concerned to launch a new programme and announce a special budget for leprosy. This would be more helpful in fighting leprosy in Bangladesh, they said.

The Nippon Foundation and the Sasakawa Health Foundation of Japan organized a national conference on leprosy in Dhaka on December 11 under the theme “ZeRo leprosy initiative”.

 

Taking Bangladesh to Zero-Leprosy, One New Case at a Time

Asia-Pacific, Conferences, Development & Aid, Featured, Headlines, Health, Human Rights, Labour, Poverty & SDGs, TerraViva United Nations

Sandhya Mandal – a community health worker working on leprosy in Meherpur district of Bangladesh. Credit: Stella Paul / IPS

DHAKA, Bangladesh, Dec 11 2019 (IPS) – Sandhya Mandal has never felt so vindicated. For the past four years, the 36-year-old community health worker from Meherpur – a rural district bordering India – has been traveling 50 km every day along dusty roads on an old motorbike, searching for leprosy patients who needed urgent treatment. But in her community, instead of compliments, neighbours and relatives raised questions about her work and her character. “They ask why I come home so late and what is this ‘work’ that I really do. Some even imply that I might be doing something like prostitution,” Mandal tells IPS.


However, Mandal – project manager at an NGO called Shalom, which works with the government to end leprosy, sat in an audience of diplomats, ministers and health experts from all over the country, listening to Sheikh Hasina – the prime minister of Bangladesh – at a national conference on leprosy. “Nobody can doubt me or my work now,” she says, proudly clutching the yellow invitation card she received from the organizers of the conference – her first to a national-level event.

Mandal has every reason to be in the conference: since 2015 she has searched and found over 300 new leprosy cases. In fact, in November this year, she found 10 new cases on a single day – the result of an intense door-to-door search in Gangni, a small town with a high rate of leprosy. “We opened our database of old patients and contacted each one of them individually. We asked them if they knew anyone around them who had leprosy. Nobody could give us any concrete information, so I went from one house to other and from morning to evening I covered 40 families,” she recalls the drill. It was hard and Mandal did not have any time to eat or drink. But by day-end, she had found eight adults and two children who had visible signs of leprosy. She arranged for all of them to visit the TB and Leprosy Clinic (TLC) in Meherpur, a facility run by the government.

Early detection in leprosy key

Early detection and early treatment are the key to complete cure for anyone affected by leprosy, tells Mujibur Rahaman – a doctor at the TLC Meherpur. “The treatment is free. We have enough medicines. But bringing the affected ones to the treatment facility remains the biggest challenge,” Rahman tells IPS. Bangladesh eliminated leprosy in 1998, but new cases continued to be detected. In 2018, 3 729 new leprosy cases were detected.

Earlier this week, in her opening speech at the national conference, Prime Minister Hasina asserted that Bangladesh was committed to become leprosy-free by 2030. According to Rahman, dedicated community workers like Sandhya Mandal are the key to realizing the zero-leprosy status.

“Identifying a new patient is one thing; convincing them to see a doctor is entirely different. It takes very different level of skills,” he adds.

Providing counseling services

Mandal throws a little light on that skill: every time she finds a villager with a suspicious white patch with numbness, she tells him that it is a skin disease that needs urgent medical attention. “I never tell him it’s leprosy because, only a doctor can declare that after a test and also, if I spoke of leprosy, it would shock the person as everyone is still afraid of the disease,” Mandal reveals.

Mandal also counsels and provides emotional support to the person after a doctor has confirmed his or her leprosy. “Women are more scared than men because they feel their husbands will abandon them if they find out about their sickness. They are also scared of how their community would react. I tell them that they must tell their husbands but explain that its curable. To the neighbours, they can say it is a skin disease. I hold their hands, spend time with them. It calms them and it also makes them feel confident,” she tells IPS.

Listening to the prime minister has been an inspiring experience, Mandal says. At present there are not enough community health workers on leprosy. For example, in her own NGO, there are just two health workers. So, to achieve zero-leprosy in the next 10 years, Bangladesh would need many more community health workers, she says. Equipping the field workers at the rural NGOs with a motorbike would also help, as transportation remains a huge challenge in the villages. If these gaps are plugged, there is no reason why Bangladesh could not be leprosy-free, she says.
For those doubting her work, Mandal now has an answer: “Even the prime minister has shown an interest in leprosy, in our collective work. If anyone still doesn’t know why I work on leprosy for such long hours, they can ask the prime minister!”

The Nippon Foundation and the Sasakawa Health Foundation of Japan organized a national conference on leprosy in Dhaka on December 11 under the theme “ZeRo leprosy initiative”.

 

Nippon Foundation Announces US$ 2m Support for the Education of Rohingya Children in Bangladesh

Asia-Pacific, Conferences, Development & Aid, Education, Featured, Headlines, Health, Human Rights, Migration & Refugees, Poverty & SDGs, TerraViva United Nations

Chairman of The Nippon Foundation Yohei Sasakawa and BRAC Executive Director Asif Saleh announcing $2 million partnership. Credit: Rafiqul Islam / IPS

DHAKA, Bangladesh, Dec 11 2019 (IPS) – In the light of limited access to education for displaced Rohingya children, the Nippon Foundation has announced US$ 2 million support to BRAC to launch a project to ensure educational facilities to both Rohingya and local community children.


The Nippon Foundation made the announcement at a press conference at the BRAC Centre in Dhaka, which was attended by Nippon Foundation chairman Yohei Sasakawa and BRAC Executive Director Asif Saleh.

Under the US$ two million project, BRAC will build 50 steel-structured two-storey learning centres at Rohingya camps in Cox’s Bazar to provide an educational facility for Rohingya children. This project aims to provide educational access to 8,000 Rohingya children aged between 4 and 14 years. The Nippon Foundation is also supporting BRAC to open and operationalize 100 pre-primary centres for 3,000 host community children aged between 5 and 6 years through this funding.

Learning centres will educate Rohingya children

The project will ensure education access of Rohingya children to incoming children and existing children at the newly constructed learning centres.

As the host community in Ukhya, Teknaf and Ramuupazila of Cox’s Bazar are under significant stress. The project targets 3,000 host community children aged 5-6 years to get pre-primary education from BRAC-operated learning centres to prepare them for primary education. Engagement with parents, as well as the broader community, will be prioritised to select the location of centres, which will be established on the community premises.

Providing humanitarian support

The chairman of The Nippon Foundation Yohei Sasakawa said he visited the Rohingya camps in Cox’s Bazar to personally witness the reality there. “When I was there, I found the situation is much more serious.

“I have seen the refugee camps from the Myanmar side and Bangladesh side as well. And as a result of that, I actually saw, on my own eyes, how difficult the situation is. And under such a different situation, the Bangladesh government is trying to provide humanitarian aid (to the displaced Rohingyas),” he said.

Chairman of The Nippon Foundation Yohei Sasakawa and BRAC Executive Director Asif Saleh. Credit: Rafiqul Islam / IPS

Sasakawa, who is also a World Health Organization (WHO) Goodwill Ambassador, said given the circumstances, women and children are the most vulnerable in conflict-prone areas across the world and “that is why we need to provide support to women and children”. “With the partnership with BRAC, we will be able to provide more humanitarian support,” he added.

Regarding the long-standing Rohingya crisis, he said: “I hope the Rohingya problem will be resolved soon and the refugee camps (set up in Bangladesh) will not be permanent”. Bangladesh is hosting more than one million Rohingya refugees.

In August of 2017, a small group of Rohingya militants launched an attack against local police forces in Myanmar. This led to clashes between the Rohingya and the non-Rohingya population, Buddhist monks and police. This led to mass killings, abuses and abductions and s ost of the Rohingya fled to Bangladesh where the refugees now live in camps where they receive essential assistance and basic medical care

(http://www.ipsnews.net/2019/01/the-rohingya-the-forgotten-genocide-of-our-time/.

Promoting education to local and Rohingya children

BRAC Executive Director Asif Saleh said about 55 percent of the displaced Rohingya people staying in Cox’s Bazar are children and they have very limited access to education.

Apart from facilitating education to the Rohingya children, he said this project will provide support to 3,000 children of the host community as they are also very vulnerable and have limited access to education. “Our vision is to promote the facility to the poor and those who are still lagging behind,” he added.

Saleh said the support of the Nippon Foundation and the Japanese government are very important for Bangladesh, stating: “We always welcome such support”.

The Nippon Foundation has been working in Bangladesh since 1971. Its activities were focused on supporting health, education, human resource development and support for people with disabilities. These include, for example, supporting flood or cyclone victims, providing anti-leprosy drugs, scholarship programs, prevention of the cholera epidemic and supporting projects for relief and the rehabilitation of refugees in Bangladesh.

The Nippon Foundation, a Japanese private, non-profit grant-making organisation established in 1962, has decided to further support those projects in Bangladesh for basic human needs, including education and learning opportunities.

BRAC is a leading development organisation in Bangladesh dedicated to alleviating poverty by empowering the poor to bring about change in their own lives in Bangladesh.

The Nippon Foundation and the Sasakawa Health Foundation of Japan organized a national conference on leprosy in Dhaka on December 11 under the theme “ZeRo leprosy initiative”.

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