Central America – Fertile Ground for Human Trafficking

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Crime & Justice

This is part of a series of features from across the globe on human trafficking. IPS coverage is supported by the Riana Group.

An older woman panhandles on a street in San Salvador. Criminal trafficking groups take advantage of vulnerable people, such as the destitute, to force them to beg. But in Central America, 80 percent of the victims of trafficking are women and girls, for purposes of sexual exploitation. Credit: Edgardo Ayala/IPS

An older woman panhandles on a street in San Salvador. Criminal trafficking groups take advantage of vulnerable people, such as the destitute, to force them to beg. But in Central America, 80 percent of the victims of trafficking are women and girls, for purposes of sexual exploitation. Credit: Edgardo Ayala/IPS

SAN SALVADOR, Nov 8 2019 (IPS) – Central America is an impoverished region rife with gang violence and human trafficking – the third largest crime industry in the world – as a major source of migrants heading towards the United States.

Human trafficking has had deep roots in Central America, especially in Guatemala, Honduras and El Salvador, for decades, and increasingly requires a concerted law enforcement effort by the region’s governments to dismantle trafficking networks, and to offer support programmes for the victims.

The phenomenon “has become more visible in recent years, but not much progress has been made in the area of more direct attention to victims,” Carmela Jibaja, a Catholic nun with the Ramá Network against Trafficking in Persons, told IPS.

“We know that El Salvador, Honduras and Guatemala are countries with a heavy flow of undocumented migrants, which puts them at risk of becoming victims of trafficking.” — Carlos Morán

This Central American civil society organisation forms part of the Talita Kum International Network against Trafficking in Persons, based in Rome, which brings together 58 anti-trafficking organisations around the world.

Jibaja pointed out that “the biggest trafficking problem is at the borders, because El Salvador is a country that expels migrants,” as well as in tourism areas. The most recognised form of trafficking in the region is sexual exploitation, whose victims are women.

Carlos Morán, Interpol security officer and a member of the Honduran police Cybercrime Unit, concurs .

“We know that El Salvador, Honduras and Guatemala are countries with a heavy flow of undocumented migrants, which puts them at risk of becoming victims of trafficking,” Morán told IPS while participating in a regional forum on the issue, hosted Nov. 4-8 by San Salvador.

The “Regional Seminar on Investigation Techniques and Protection of Victims of Trafficking in Persons” brought together officials from the office of the public prosecutor, police officers, legal experts and other key actors and experts from Guatemala, El Salvador and Honduras, the countries that make up the so-called Northern Central American Triangle.

The objective is to strengthen capacities and good practices in the investigation of trafficking, especially when the crime is transnational in nature.

Morán and other participants in the meeting declined to talk about figures on the extent of trafficking in the region, due to the lack of reliable data.

Prosecutors, police officers, government officials, experts and representatives of social organisations from Central America are participating in a special seminar on human trafficking Nov. 4-8 to identify and coordinate joint efforts. Credit: Edgardo Ayala/IPS

Prosecutors, police officers, government officials, experts and representatives of social organisations from Central America are participating in a special seminar on human trafficking Nov. 4-8 to identify and coordinate joint efforts. Credit: Edgardo Ayala/IPS

Civil society supports victims

In the countries of the Northern Triangle there are government efforts to develop victim care programmes, but they are insufficient and civil society organisations have had to take up the challenge.

Mirna Argueta, executive director of the Association for the Self-Determination of Salvadoran Women (AS Mujeres), told IPS that “the problem is serious, because we are facing networks with great economic and political influence, and victims are not being protected,” and there are very few programmes to help with their reinsertion in society.

Her organisation has been working since 1996 with victims of trafficking, offering psychological and medical support, and is also an important ally of the Attorney-General’s Office in victim protection work.

AS Mujeres collaborates with the police and prosecutors when victims have to be moved from one place to another, in the most secretive way possible, especially when judicial cases against organised crime networks are underway.

In the past it has also offered shelter to women victims of trafficking, but now the prosecutor’s office does, said Argueta, who is also coordinator in El Salvador of the Latin American Observatory on Trafficking in Persons, which brings together 15 countries.

AS Mujeres’ victim care programme includes, in addition to psychological support, medical assistance which incorporates non-traditional techniques such as biomagnetism, performed by a physician specialising in this area, as well as massage and aromatherapy.

“Experience has shown us that with the combination of these three techniques, recovery is more effective, and care is more integral,” said Argueta.

She added that since the programme’s inception in 1996, it has served some 600 trafficking victims.

They currently offer support to five women, who IPS could not speak to because they are under legal protection, and providing their names or a telephone number for them has criminal consequences.

For the same reason, the public prosecutor’s office also vetoed conducting interviews with victims under its protection.

AS Mujeres also promotes a self-care network.

“When the victim has gone through different stages, we integrate her with other women and they can share their experiences, making it less painful, and helping them with their reinsertion in society,” Argueta added.

She said many victims feel they are “damaged,” or worthless, and they turn to prostitution.

Victims can spend anywhere from six months to two and a half years in the programme, depending on the complexity of each case. For example, there are women with acute problems of depression, suicidal thoughts and persecutory delusions.

According to figures from the United Nations office in Honduras, released in July, 80 percent of the victims of human trafficking in Central America are women and girls.

In El Salvador, 90 percent of cases involve sexual exploitation, according to official figures provided by the public prosecutor’s office during the regional forum in San Salvador.

However, other types of trafficking have been detected, such as labour exploitation, forced panhandling and others.

So far this year, the prosecution has reported 800 victims, cases that are still open.

Mirna Argueta (L), executive director of the Association for the Self-Determination of Salvadoran Women, and Catholic nun Carmela Jibaja, of the Central American Network against Trafficking in Persons, are two activists working to provide care for victims of trafficking, who are mostly women. Credit: Edgardo Ayala/IPS

Mirna Argueta (L), executive director of the Association for the Self-Determination of Salvadoran Women, and Catholic nun Carmela Jibaja, of the Central American Network against Trafficking in Persons, are two activists working to provide care for victims of trafficking, who are mostly women. Credit: Edgardo Ayala/IPS

In Guatemala, in 2018, the Public Prosecutor’s Office detected 478 possible victims of human trafficking, four percent more than the previous year. There were 276 reported cases, also an increase of four percent.

Children and adolescents continue to be vulnerable to trafficking, as 132 children and adolescents were detected as possible victims of human trafficking, 28 percent of the total, 111 of whom were rescued.

They were victims of illegal adoptions, labour exploitation, forced marriage, forced panhandling, sexual exploitation and forced labour or services. But the most invisible form of trafficking, according to the prosecutor’s office, is the recruitment of minors into organised crime.

Gangs involved in people trafficking

Experts consulted by IPS point out that many trafficking cases are the product of a relatively new phenomenon: involvement in trafficking by the gangs that are responsible for the crime wave in the three Northern Triangle countries.

The gangs have mutated into bona fide organised crime groups, with tentacles in the illicit drug trade, extortion rackets, “sicariato” or murder for hire and now human trafficking, among other criminal activities.

In El Salvador, it is common to hear stories in neighborhoods and towns controlled by gangs about young girls who gang leaders “ask for”, to be used as sex toys by the leaders and other members of the gang, and the families hand them over because they know that they could be killed if they don’t.

But the gangs go farther than that, forcing their victims to provide sexual services for profit, another aspect of trafficking.

Official figures from the National Council against Trafficking in Persons, which brings together government agencies to combat the phenomenon, indicate that in 2018 there were 46 confirmed victims, 43 police investigations and 38 judicial proceedings.

The trials led to four convictions and two acquittals. The rest are still winding their way through court, according to the Council’s Work Report 2018.

The document also reported that the attention to victims included programmes to help them launch small enterprises, as well as measures of integral reparations for families of children and adolescents in the shelters.

Emergency response teams were also coordinated to provide assistance to victims, whether the women are foreigners or nationals.

El Salvador is part of the Regional Coalition against Trafficking in Persons and Smuggling of Migrants, along with Belize, Costa Rica, Guatemala, Honduras, Mexico, Nicaragua, Panama and the Dominican Republic.

Honduras has also provided support for economic reinsertion, offering seed capital to set up small jewelry businesses, among others, said Interpol’s Morán.

At least 337 people from Honduras have been rescued since 2018, including 13 in Belize and Guatemala, according to a report by the Inter-Institutional Commission Against Commercial Sexual Exploitation and Trafficking in Persons in Honduras.

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Watchdog Pushes U.S. to Publish ‘Duty to Warn’ Khashoggi Files

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Press Freedom

The Committee to Protect Journalists (CPJ) seeks disclosure of files under the U.S. intelligence community’s “duty to warn” obligations, which demand officials alert folks in imminent danger. The CPJ wants to know if they knew about an assassination plot against Jamal Khashoggi. Photo by Sam McGhee on Unsplash

UNITED NATIONS, Sep 30 2019 (IPS) – A media watchdog has asked United States intelligence agencies to reveal whether they knew about an assassination plot against Jamal Khashoggi and failed to warn the Saudi journalist he was in mortal danger.

A legal brief, filed in a Washington DC district court by the Committee to Protect Journalists (CPJ), comes almost exactly one year after a Saudi hit squad butchered the renegade writer inside the Saudi consulate in Istanbul on Oct. 2.

CPJ’s advocacy manager Michael DeDora told IPS that his lawsuit against the U.S. government “asks a simple question: did the intelligence community know of yet fail to warn Jamal Khashoggi of threats to his life?”

Khashoggi, a U.S.-based Washington Post columnist, who was once a royal Saudi insider and had grown critical of the regime, was reportedly lured to the Saudi consulate in Istanbul in an elaborate and brutal plot to silence him.

Khashoggi was allegedly killed, dismembered and removed from the building; his remains were never found. The CIA reportedly assessed that crown prince Mohammad bin Salman, known as MBS, had ordered the operation.

The CPJ seeks disclosure of files under the U.S. intelligence community’s “duty to warn” obligations, which demand officials alert folks in imminent danger. The brief, filed Thursday, follows the Trump administration’s rejection of a previous CPJ disclosure request.

“Nearly one year after Khashoggi’s murder, disclosure of these documents would provide transparency and help efforts to secure accountability,” DeDora told IPS in an email.

“But this lawsuit has broader implications: journalists around the world should have the security of knowing that the U.S. will not ignore threats to their lives.” 

Khashoggi’s assassination sparked global outrage, blighted MBS’ global standing and undercut his ambitions to improve the kingdom’s poor human rights record and diversify its economy away from hydrocarbons. 

Saudi officials, who initially said Khashoggi had left the consulate unharmed, now say he was killed in a rogue operation that did not involve the prince. A domestic Saudi trial of 11 suspects is widely viewed as a sham.

Speaking with IPS among a small group of journalists in New York this month, Hatice Cengiz, Khashoggi’s former fiancée, explained how she was saddened by the lack of global pressure on Riyadh to come clean about the affair.

MBS has not visited Europe or the U.S. since the murder. While the prince was briefly shunned by foreign leaders, Riyadh’s long-standing diplomatic support from the U.S., Britain and others has largely resumed.

“This silence and inertia created huge disappointment on my side,” said Cengiz. 

“Countries could have demonstrated a more honourable attitude instead of remaining silent, particularly the United Nations, the European Union and the five members of the U.N. Security Council.”

Cengiz was joined at an event on the sidelines of the U.N. General Assembly by Agnes Callamard, the U.N. rapporteur on extrajudicial, summary or arbitrary executions who investigated the killing and concluded it was a “deliberate, premeditated execution,” and called for MBS and other officials to be probed.

Callamard, a French academic, said she knew that achieving justice for Khashoggi’s murder would be an uphill struggle, given Riyadh’s deep pockets, clout in the world energy markets and powerful friends in Washington, London and elsewhere.

“This single year [since Khashoggi’s death] is just the first phase in our journey for accountability and justice. And that means that it will demand and deserve patience, resilience, and time,” said Callamard.

“Early on, I could see that justice for Jamal Khashoggi would have to be found beyond the usual path and beyond our usual understanding of accountability.”

Callamard urged the CIA to publish its files, while also calling for an FBI investigation and a public inquest in Turkey. Meanwhile, a draft U.S. law on human rights and accountability, if enacted, would unmask and sanction the culprits and send “ripple effects” towards accountability around the world.

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Hiring for Inclusion

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Opinion

As companies begin to focus on hiring people with disabilities, we need to shape how they think and act on this interest.

Courtesy: United Nations

HYDERABAD, TELANGANA, India, Sep 20 2019 (IPS) – As companies begin to focus on hiring people with disabilities, we need to shape how they think and act on this interest.

In the first decade of this century, Andhra Pradesh had several self-help groups (SHGs)–women who were saving, borrowing, and generating livelihood opportunities for themselves as well as their communities.

As these groups grew, the government began to notice that the aspirations of children were different from their SHG-member mothers, who were mostly marginal farmers or weavers. The state felt that they needed to do something to fulfil these aspirations and from this was born the Employment Generation and Marketing Mission (EGMM)–a skilling mission under the Department of Rural Development in undivided Andhra Pradesh.

EGMM started in 2004 with a pilot–a Rural Retail Academy was set up in Warangal for youth who were 10th and 12th standard dropouts; local school teachers were taught to train them on customer-facing skills, and after six months they were ready to be placed.

Higher efficiencies, near-zero errors in an industry where margins are small–opened up almost 50,000 cashiering jobs for disabled youth in the retail sector.

Kishore Biyani of the Future Group was the first one to hire these young people, and him doing so changed the way India looked at rural youth. It made people realise that: a) you didn’t need graduates with degrees for customer service, and b) rural youth, if skilled right, could get formal private sector jobs.

Prior to the establishment of the EGMM, government skilling programmes didn’t think of job placement as something they were responsible for. All of them did skilling for skilling’s sake. Now placement has become the norm in every skilling programme offered by either the government or the private sector.

EGMM was also able to demonstrate innovation at scale. However, it’s relatively easy to achieve scale when you are sitting inside the government. When I thought of what to focus on after rural youth, it was important for me to enter a space where there wasn’t an existing model for scale, and to prove that it could be done outside of the government as well. Disability was that space.

Moving to disability

The statistics around disability are alarming–80 percent of the world’s disability population is in developing countries like India. Despite this, a decade ago, little was being done about it.

Cities with a booming IT industry like Bangalore and Delhi, had organisations training and placing disabled people in jobs, but this was limited to 30 people a year at best. And, most of them were urban and educated. However, 69 percent of the disabled youth in India live in the villages–and at the time, in 2012, nobody was focusing on less-educated rural youth with disability. 

There were many challenges

When we went to the villages, we faced several obstacles:

  • Getting youth to join: Disabled youth who lived in rural areas were doubly disadvantaged: they were cut off from the job market because of their rural location, and they (and their families) didn’t believe that they could ever get a job.
  • Finding trainers: We were also faced with a shortage of people who could train these youth. Disability is one word but within that word there are different kinds of disability–speech impaired, visually challenged, physical disabilities, and so on–and each one of them has different needs. Even when we did find trainers who could work with disabled youth–sign language instructors, for example–they were ill-equipped to train in the short-term training formats that we had developed.
  • Providing them job opportunities: Companies came with a lot of mindsets. They would ask us “Can you give us youth who look like you and me? Will it be expensive to hire and manage them? Will my other employees have a problem if I hire your youth?”

There is a gap in the urban disabled space as well

As we started working with the corporates, some multinational companies started asking us, “Where are the youth with English, the ones who are educated?” The perception is that if the disabled youth are educated, they will perhaps get jobs on their own.

However, in most cases, educated youth with disability have low skill levels. They qualify as engineers, have an engineering certificate and so their aspirations are to get into the well-known global and Indian tech companies. However, their technical knowledge is poor since colleges don’t have special educators to guide them.

The perception is that if the disabled youth are educated, they will perhaps get jobs on their own. However, in most cases, educated youth with disability have low skill levels. Picture courtesy: Rawpixel

The perception is that if the disabled youth are educated, they will perhaps get jobs on their own. However, in most cases, educated youth with disability have low skill levels. Picture courtesy: Rawpixel

The market is beginning to think about disability more actively

We are hearing companies talk about focusing on disability. So, while the timing is right, we need to shape how companies think and act on their interest.

Here are a few approaches that skilling organisations that work with disabled youth can adopt to ensure that larger numbers of corporates hire and retain these young people and that they do it in the right manner.

1. Try to place youth with disability in customer-facing roles

When they have to interact with customers, awareness about the issue of disability goes up automatically; you don’t have to work on that separately. We piloted this hypothesis by placing a speech- and hearing-impaired individual in a cashier’s job, with some simple workplace adaptations.

Three months later the retailer ran a survey to ask their customers for feedback and 95 percent of the respondents said that having ‘silent’ cashier had led to faster service. This insight–higher efficiencies, near-zero errors in an industry where margins are small–opened up almost 50,000 cashiering jobs for disabled youth in the retail sector.

2. Create a sensitive ecosphere

Hiring youth with disabilities is not just about matching profiles to jobs. We do sensitisation workshops, low cost adaptations, accessibility audits, going as far as to sync companies’ existing software to ensure that hired youth are productive. Otherwise, it merely reiterates the myth that youth with disabilities cannot work.

3. Build up jobs sector by sector

We did this with the automotive industry. We started with one company–Valeo–and hardwired all our best practices over there. More importantly, their HR director and I started talking about these innovations and the value provided by these youth at conferences and forums. As a result, 15 more auto companies started hiring disabled youth.

4. Teach portable skills and not specific job skills

Typically, skilling organisations give youth job-specific training–like say a three-day training in folding clothes. However, the danger with this approach is that if the folding clothes process stops, so does their job. It is important therefore, irrespective of the sector, to teach English, communications, and life skills–skills that they can take across jobs. This allows them to be mobile across jobs and capitalise on the opportunities available.

5. Encourage companies to measure impact

An executive from a multinational company that we at Youth4Jobs work with said that our alumni manage 75 forms a day versus their average of 45-50. Once companies experience the business case and see the results, their senior executives become champions for the programmes.

6. Prepare companies to be ready for changes in the law

It is likely that one day, a particular state might suddenly decide to make hiring of disabled youth mandatory in sync with the Right to PwD Act 2016 which speaks to the right of disabled to education and employment. And if that happens, other states will follow. It is important that companies are ready for it when it happens.

Meera Shenoy is the founder of Youth4Jobs, where she works on skilling young people with disabilities. She has been at the forefront of job-linked skilling for rural youth, tribal youth, and now youth with disabilities, at a scalable level. She was previously Executive Director, Employment Generation and Marketing Mission (EGMM), the first state government skilling mission. Meera has also consulted with the World Bank and the UNDP.

This story was originally published by India Development Review (IDR)

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NYC Library Ditches Controversial Saudi Royal MBS’ Event

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Human Rights

Protestors rallied outside a library building in Manhattan on Wednesday, carrying placards about Saudi Arabia’s war in Yemen and referencing the “bone saw” that was reportedly used to dismember Jamal Khashoggi, a prominent critic of Saudi prince Mohammad bin Salman. Credit: James Reinl/IPS

UNITED NATIONS, Sep 19 2019 (IPS) – A New York library appeared to bow to pressure this week when it canceled an event that was being co-hosted by Saudi Arabia’s crown prince Mohammad bin Salman, who is accused of a range of human rights abuses.

On Wednesday, the New York Public Library (NYPL) said it was scrapping the so-called Misk-OSGEY Youth Forum, a workshop on Sept. 23 that was being co-hosted by bin Salman’s Misk Foundation and U.N. youth envoy Jayathma Wickramanayake. 

The event had been blasted by Human Rights Watch (HRW) and other campaign groups, who said it served to whitewash bin Salman’s reputation after the killing of Saudi journalist Jamal Khashoggi in October last year — reportedly on the crown prince’s orders. 

Evan Chesler, chairman of the NYPL board, said that dropping the workshop was the “appropriate thing to do” after weeks of protests and an online petition that had garnered more than 7,000 signatures.

In a statement, the library said it had cancelled the “space rental” amid “concerns about possible disruption to library operations as well as the safety of our patrons” amid “public concern around the event and one of its sponsors”. 

It remains unclear whether the Misk Foundation will seek an alternative venue for the workshop at short notice. A U.N. spokesman told IPS it was “up to Misk to provide information on whether the event will take place elsewhere or not”.

Saudi Arabia’s mission to the U.N. and the Misk Foundation declined to comment on the controversy.

Protestors rallied outside a library building in Manhattan on Wednesday, carrying placards about Saudi Arabia’s war in Yemen and referencing the “bone saw” that was reportedly used to dismember Khashoggi, a prominent critic of bin Salman. 

“This week’s protests show that the public will not keep quiet while the leadership of the NYPL, a treasured repository of civilisation, hires our library out to the butcherer of Khashoggi,” Matthew Zadrozny, president of the Committee to Save the New York Public Library, told IPS.

“The NYPL leadership must explain to the public it serves who signed the deal with bin Salman’s foundation and why.”

Kenneth Roth, director of HRW, blasted the “repression-whitewashing event” on Twitter and asked U.N. secretary-general Antonio Guterres to scrap the partnership between his youth envoy, Wickramanayake, and the crown prince’s charity. 

Suzanne Nossel, CEO of rights group PEN America, said the library had made the “right choice”, addiing bin Salman’s government had “orchestrated the murder and dismemberment of journalist Jamal Khashoggi”.

“Hosting this event just days before the anniversary of Jamal’s killing would have been particularly appalling not just for his family, friends, and colleagues, but also for those currently being persecuted in the kingdom.”

Nossel also noted that the library “is the crown jewel of the literary community in New York” and it stands for “free exchange of ideas and free expression, qualities that the crown prince has repeatedly disdained in both words and actions”.

The NYPL event was set to see some 300 budding young entrepreneurs learn about green themes, corporate responsibility and other parts of the U.N.’s Sustainable Development Goals (SDG) agenda.

Khashoggi, a U.S.-based journalist who frequently criticised the Saudi government, was killed and dismembered on Oct. 2 last year after visiting the Saudi consulate in Istanbul, where he collecting documents for his wedding.

The CIA assessed that bin Salman had ordered Khashoggi’s killing. U.N. expert Agnes Callamard has described the death as a “premeditated execution,” and called for bin Salman and other high-ranking Saudis to be investigated.

Officials in Riyadh, who initially said Khashoggi had left the premises unharmed, now say the journalist was killed by a rogue hit squad that did not involve bin Salman. Activists have since pushed for accountability over the killing.

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Calls for Reform, Research and Reorganisation in Leprosy Healthcare

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The 20th International Leprosy Congress (ILC) is being held Sept. 10 to 13 in Manila, Philippines. The conference is hosted every three years and was last held in China in 2016. Credit: Stella Paul/IPS

MANILA, Sep 12 2019 (IPS) – Rachna Kumari of Munger in Eastern India’s Bihar state is not yet 30. But she’s already been married at 18, abandoned by her husband after she was diagnosed with leprosy and become an award-winning advocate of the disease. She has traversed a long road. And this week she undertook another step in her journey to fly to Manila, Philippines, as a delegate at the 20th International Leprosy Congress (ILC).

The grassroots leader, who is employed by the International Leprosy Elimination Partnership (ILEP), has also previously traveled to Ethiopia and China to share stories about her life and her work.

Prior to attending the ILC yesterday Sept. 12, she participated in the Global Forum of People’s Organisations on Hansen’s Disease, an event co-organised by Japan’s  The Nippon Foundation (TNF) and Sasakawa Health Foundation (SHF). The global forum gave her valuable insights into the universal challenges of leprosy-affected and leprosy advocates such as stigma and lack of financial sustainability, Kumari said.

She said she also gained technical education and management skills, which she feels are crucial for success in advocacy.

She added that when she carries out her work in communities across Munger, she has no official identification to show many of the Hansen’s disease-affected persons she comes across, many of whom are weary of strangers as they continue to face discrimination and stigma.

This simple form of accreditation, Kumari said, played a huge role in advocacy against the disease.

“[In] my community, I have nothing to prove that I am an advocate, a knowledge builder. So, people doubt me, they don’t know if they [can] trust me. A simple document of identification can be a big step to build trust between a community worker and her community,” Kumari told IPS.

Maya Ranavare, who works as a treasurer in Association of People Affected by Leprosy (APAL), in western India’s Maharashtra state, says that partnerships among organisations must not remain in closed rooms but should instead result in collective action that reaches communities.

“There is a sense of competition among  people’s organisations. Instead, we must act collectively. Also, if it is a partnership, then there should not be duplicity. Tasks should be distributed evenly. If one organisation is doing mobilisation, other should work on technical education. This will increase everyone’s skill and ability,” Ranavare told IPS.

According to Dr Arturo Cunanan, the Chief Medical Officer of the Culion Sanitarium and General Hospital in the Philippines, there needs to be programmatic changes in the government public health system. Budgetary allocation, innovation, new research and sensitisation of healthcare workers are all needs of the hour.

“Leprosy elimination is now like a car that has run out of fuel. We need that fuel right now. The fuel is innovation. Take vaccination for example. Why is that even after centuries, we still don’t have a vaccination for universal application?

“Also, we need innovative, easier ways to diagnose leprosy. If you look at Tuberculosis, there are several ways to do a quick test and find out if a person has it. But for leprosy, we still have only clinical test. We need new tools, quicker ways and for all of that we need new investments in innovation, research,“ Cunanan told IPS.

The ILC started runs Sep 10 to 13. The congress will identify the priorities for a future course of action to end leprosy. Currently there are 200,000 new leprosy cases reported every year across the world, with 60 percent of those new cases originating in India.

According to the organisers, the congress will identify the priorities for the future course of action for achieving zero leprosy. The congress also emphasised the importance of partnerships and a new future partnership among the leprosy-affected people’s organisations has already started between HANDA – a Chinese NGO– and PERMATA, an NGO based in Indonesia.

HANDA, which has recently been recognised by the government of China for their skills in project management, finance management and organisational re-structuring, is set to share these crucial skills with PERMATA. 

“We will soon host a delegation from PERMATA in our Guanzhou office. They have a special interest in finance management and we are ready to share our expertise and experience in that area with them,” Sally Qi of HANDA told IPS.

SHF was instrumental in building this partnership and encouraged  both HANDA and PERMATA to start a dialogue on skill sharing, Qi added.

 

‘Conference Emphasises Need for Partnerships to Create a World Without Leprosy’

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Human Rights

Yohei Sasakawa, chair of The Nippon Foundation and World Health Organisation (WHO) Goodwill Ambassador for Leprosy Elimination, delivered a keynote address at the 20th International Leprosy Congress (ILC). Credit: Stella Paul/IPS

MANILA, Sep 11 2019 (IPS) – Forty years ago, Yohei Sasakawa saw his father moved to tears after meeting and witnessing the suffering of people affected by leprosy – also known as Hansen’s disease. Not only did the patients have a physical illness, but they also suffered from social exclusion and discrimination. It made the young Sasakawa vow to work for the elimination of leprosy from the world – just as his father had been doing.

Decades later, after visiting 120 countries and having meetings with countless policy makers and state leaders, Sasakawa – now the World Health Organisation (WHO) Goodwill Ambassador  for Leprosy Elimination – is delivering on his promise.

At the first day of the 20th International Leprosy Congress (ILC), being held in Manila, Philippines, the chairperson ofThe Nippon Foundation (TNF) called for activists, scholars and those affected the globe over, to rally behind the goal of a world free of  stigma, discrimination and violation of human rights of those affected by leprosy. The ILC, which ends Sep 13, is supported by TNF sister organisation the Sasakawa Health Foundation (SHF).

Sharing his experiences, he recalled how he, TNF and SHF lobbied the United Nations to recognise the elimination of stigma against leprosy-affected people as a human rights issue.

Sasakawa reminded delegates that it was a tough journey against several odds as policy makers and diplomats  showed little interest in the human rights of leprosy-affected people. He told the congress how during a 2003 U.N. Human Rights Council meeting in Geneva, only five members attended the event to discuss stigma as a human rights violation in a room that could accommodate 50.

Not one to give up, Sasakawa kept pursuing the issue until finally in December 2010 the U.N. General Assembly unanimously adopted the resolution on elimination of discrimination against persons affected by leprosy and their family members and accompanying principle and guidelines was passed.

“I believe the elimination has been an important milestone in my journey,” Sasakawa said.

But despite the U.N. resolution and various local laws at country level worldwide abolishing policies like segregation and isolation of the leprosy-affected, society still stigmatises and discriminates against Hansen’s disease patients as well those who work within the field, like health care workers etc.

He said one example of this remains is the classification of leprosy as a neglected tropical disease.

“I would like to express my opposition to leprosy being considered as one of the neglected tropical diseases. Leprosy has never been neglected even for a moment by both persons affected and by people who have worked hard for their betterment. In my opinion, this medical terminology feels like it is looking down on the patients and also shows a lack of respect towards those are fighting against leprosy today. Leprosy is an ongoing issue.”

However, Sasakawa also acknowledged that in other areas — such as the partnerships and networking — there has been great progress. The Global Partnership for Zero Leprosy network was a significant step forward.

“The  collaboration will greatly enhance our work towards achieving ‘Zero Leprosy,’” he said, adding that the strengthening of these partnerships, especially with the governments, was crucial to reach the common goal of a leprosy-free world.

“Whenever I go abroad, I always meet with the national leaders of the countries. We cannot solve the issue of leprosy without their understanding and support. Without their support, we cannot secure the budget for activities to eliminate leprosy and the associated discrimination,” he reminded the congress.

Rachna Kumari, of International Federation of Anti-leprosy Associations or ILEP, who is based in Munger in Eastern India’s Bihar state, told IPS: “We cannot end stigma just by treating leprosy as a health issue.”

If only health workers are assigned to work on leprosy, they will work on medication. That is not enough to solve the problem we face. So, we need education. Government must include information on leprosy in school books. There must be billboards and large posters which can educate both patients and healthcare workers. Only with such a holistic approach we can win this,” Kumari said.

Earlier, delivering the keynote speech, the Philippine Secretary of Health Francisco Duque asserted that his government remains serious about respecting the rights of leprosy-affected people.

“The vision of our Universal healthcare for the Filipino people is deeply tied to the aspirations of the 2016-2020 global strategy for the leprosy and goal number 3 of the SDGs or the sustainable development goals. We remain committed to these goals and aspirations. We are committed to zero stigma, zero disability, zero transmission and  zero disease,” Duque told the congress.

Duque also stressed the importance of partnerships to achieve the goals yet unmet.

“We are only a  few months away form 2020 and our midterm strategy is only getting underway. We must work together. This year’s conference emphasises the need for partnerships to create a world without leprosy. And our success and your success may define the relations we have made and continue to make.

Acknowledging stigma as a “barrier for early detection and treatment“ of leprosy, Huong Thi Giang Tran, WHO’s Director for Disease Control in the Western Pacific also said that stigma limits the opportunity for life and leads to social and economic exclusion. She called for the addressing of stigma at the policy level.