Contributed by Hillary Omala, the Executive Director of CFK Africa
Fifteen years ago, more than 1,100 people lost their lives in the violence following Kenya’s 2007 elections. Every five years since then, the Kenya General Elections have occupied international headlines, and tensions have risen across the country as painful memories come flooding back.
But the truth is, things have gotten better.
While tensions rose during the recent election period, so did calls for peace. And even though this year’s results were contested, the arguments were resolved in our courtrooms rather than in our streets.
Six of the countries of the East African Community – Burundi, Kenya, Rwanda, South Sudan, Uganda and Tanzania – recently concluded public hearings on a new sexual and reproductive health bill. Proponents of the bill argue that it will improve access to sexual and reproductive health which, in turn, will improve other public health and development indicators such as maternal mortality and HIV infection rates. But the bill has faced fierce opposition since it was first tabled in 2017. The Conversation Africa’s Ina Skosana spoke to researchers Anthony Ajayi and Nicholas Etyang to unpack what the bill covers and where the sticking points are
CAMFED is one the world’s leading organizations that advocates for and helps young girls in sub-Saharan Africa attain an education. CAMFED which stands for the Campaign for Female Education has to date supported 379,000 young girls with secondary school scholarships, one million girls attend primary school, and works with 6,787 partner schools across sub-Saharan Africa.
As we all know, girls who are deprived of an education are most likely tethered to a cycle of poverty for an entire lifetime. But girls who are afforded an education can leap out of poverty and and into the realms of economic development. They can take on better jobs, learn to save money, or become entrepreneurs. Women who are educated take better care of their individual environments and therefore take on climate change. And studies show when sub-Saharan women have an education, they fight for their daughter to have an education as well. They become stewards of passing down education and leaders in their communities.
If you have followed my travels or have read my blog over the years you know that Ethiopia is my favorite country in the world. There is something about the people, the culture, its beauty and the sheer size of the country I love. Even though I love Ethiopia I have never been under a grand illusion that it is a unified country. There have been mass arrests and killings in Oromia, journalist and freedom fighter imprisonments, and now a civil war with mass atrocities and forced starvation against the people of the Tigray region. In fact, just this week reports of an airstrike on a market near Tigray’s capital Mekele killed at least 64 people and wounded over 100.
Even as war is still happening in Ethiopia’s northernmost region, its national election officially wrapped on Monday without voting in Tigray, of course. Now, ballots are being tallied across the country with the likelihood that the current prime minister Abiy Ahmend will be reelected.
Since last November, Ethiopia and Eritrea’s militaries as well as militia groups from Ethiopia’s Amhara region have imposed heavy atrocities on the country’s northern Tigray region. Reports from the ground from journalists and aid agencies reveal mass rapes, murders, and intentional starvation of 350,000 of the region’s 6 million people. Farmers are not being allowed to plant their crops and food trucks are being turned around at gunpoint.
Yesterday, the New York Times published photos by conflict photographer Lydnsey Addario who captured some of the sufferings in Tigray including rape survivors to children who have been caught in the crossfire.
By Caroline Kinsella, Advocacy and Communications Intern, White Ribbon Alliance
One of the more hidden human rights abuses around the world is the fact that one billion people have no legal proof of identity. Alarmingly, UNICEF estimates that about one in four children under age 5, or 166 million, are unregistered and without any trace that they exist. Conversations about reducing global poverty and protecting the health and human rights of mothers and newborns must include the challenges of birth registration.
A single piece of paper has the power to transform a person’s future. Birth certificates are necessary to access government services, life-saving medical treatment, a nationality and age related legal protections. Legal proof of birth is often required to attend school and apply to higher education, as well as open a bank account and vote. Many of the individuals without a birth certificate today are children who were never registered at birth. In some cases, nobody knows for decades that a child does not have a birth certificate.
In Uganda, Senfuka Samuel, who goes by Sam, applied for a master’s degree program that required a birth certificate. As he did not have one, Sam had to venture to the hospital where he was born. There, he discovered that hospital records before the year 2000, including any proof of his birth, were destroyed in the civil war. Traveling hundreds of miles over two weeks, Sam spent his own money to first get issued a necessary ‘birth notification’ – a slip of paper with birth details handwritten by a midwife – to later gain a new legal birth certificate.
It was a sunny afternoon as most days are in Ethiopia in April. I was taking an individual tour of a large hospital in the middle of Addis Ababa where I got to talk to doctors, nurses, and see waiting rooms and even patients who were recovering from care.
I distinctly remember the room of women who had recently had abortions or were awaiting one. The room was eerily silent despite the number of patients in the large recovery room with few windows and no air conditioning. Personal effects were on all of the beds: blankets, purses, food, extra clothes . Some of the women had female visitors, others did not. While the Ethiopian abortion law on the books is considered “semi-liberal” by African standards, there is some pushback on abortion services although in practice if a woman wants an abortion she can most likely get one. This is mostly to help decrease maternal mortality rates and to curb the rates of unsafe abortions.
As I concluded my tour, the last room I saw was where the abortions took place with all of its machines and lone hospital bed. At that moment I was glad that despite the law, these Ethiopian medical professionals along with the hospital’s policy allowed women to have a choice about their own bodies and reproductive rights.
As is true with each new presidential administration the global health community hangs in the balance. According to KFF.org the US global health funding was set at $11 billion in FY 2019 and in 2020 the funding was significantly decreased. This funding goes towards programs in more than 70 countries for HIV, malaria, maternal and child health among other health challenges. But now with the … Continue reading 4 Reasons The US Is Back on Track With Global Health
The United Nations has designated Sierra Leone as the most dangerous place to have a baby. In fact, it has the highest maternal mortality rate in the world at 1,360 deaths per 100,000 live births. On average, most women have at least six babies in Sierra Leone. In a previous post I mentioned the Aminata Maternal Foundation that helps pregnant women in Sierra Leone. An … Continue reading [WATCH] Video Shows Horrors of Childbirth in Sierra Leone #MaternalHealth
When I was in Zambia I saw ways in which nurses treat cervical cancer in low resource settings. Women who do not benefit from the HPV vaccine and still develop cervical cancer are often subject to visual inspection of the cancer typically with a digital camera followed by cryotherapy to freeze the diseased part of the cervix. Some researchers question whether this approach to cervical cancer treatment is effective in low-and-middle income countries. Globally, the cervical cancer burden falls disproportionately upon women in low and middle-income countries. In fact, approximately 90% of deaths from cervical cancer occur in these countries like Bolivia, Guinea, and Swaziland. Rates are highest in Central America, sub-Saharan Africa, and Melanesia.
As I have written many times before postpartum hemorrhage (PPH) or excessive uterine bleeding after childbirth is the leading cause of maternal mortality in low-and-middle income countries. The recommended drug to prevent PPH according to the World Health Organization (WHO) is oxytocin. When administered in its recommended dose it causes little to no side effects. Oxytocin, the WHO’s current gold standard therapy, however, must be refrigerated and administered by skilled health workers posing two obstacles to its wider use in low resource, tropical settings.
Some countries have approved misoprostol, an oral drug, to prevent PPH, but there are several concerns that its use can be misappropriated for abortions instead of used solely for PPH. The World Health Organization has listed misoprostol as an alternative to oxytocin if it is not available.
Now, another PPH preventative drug, carbetocin, has been added to the latest updated 2019 WHO Essential Medicines List. The announcement was made last week. Unlike oxytocin, even at high temperatures carbetocin remains effective. The recommendation is that carbetocin can be used when oxytocin is not available or if its quality is uncertain. Additionally, the cost must be comparable to oxytocin.
Tens of thousands of young Nigerian girls and women leave their country every year with sincere hopes of starting a brand-new life in Europe where they believe they will be met with ample job and educational opportunities to provide for their families. That is what they are often told by “recruiters” in their home states who seek out vulnerable girls (sometimes as young as ten) and women to leave for Europe. Unfortunately, the promises made to them by human traffickers are empty promises. In reality, four out of every five Nigerian girls and women who survive the long, harrowing journey to Europe will end up in the sex trade.
We often read about these stories in the news, but cannot adequately understand the harsh lives these girls and women endure at the hands of their traffickers. Essentially held in modern slavery, the women and girls have a debt placed upon them that they must pay off by prostituting themselves or else face dire consequences, sometimes fatal. Not only are they faced with threats by their Nigerian madams, they are also exploited in the streets where they are susceptible to sexually transmitted diseases, rapes, and physical violence. Wanting to tell these stories, Austrian filmmaker Sudabeh Mortezai wrote and directed Joy, an award-winning drama that shows the harsh and complex realities of these women and girls’ lives as prostitutes.