Campaign for Affordable Medicine Gains Ground in South Africa

JOHANNESBURG, Jun 3 2015 (IPS) – Patient and leading health organisations in South Africa have now joined a campaign launched in 2011 by Treatment Action Campaign (TAC) and Doctors Without Borders (MSF) to push for reform of the country’s current patent laws.

The campaign’s promoters say that these laws severely restrict access to affordable medicines for all people living in South Africa.

The organisations which have adhered to the campaign are: People Living With Cancer (PLWC), South African Depression and Anxiety Group (SADAG), DiabetesSA, CanSurvive, SA Federation for Mental Health (SAFMH), Stop Stock Outs, Cancer Association of Southern Africa (CANSA), Schizophrenia and Bipolar Disorder Alliance (SABDA), South African Non-Communicable Diseases Alliance (SANCD Alliance), Marie Stopes, Epilepsy South Africa and Cape Mental Health.

Together, they are calling on the South African government to finalise a National Policy on Intellectual Property that champions measures to reduce prices and increase access to a wide range of medicines for people in need across the country.

TAC and MSF reported Jun. 1 that the expanded coalition of organisations represents public and private sector patients in South Africa seeking treatment and care for a range of cancers, mental illnesses, diabetes and other non-communicable diseases – as well as tuberculosis, HIV and sexual and reproductive health diseases.

South Africa currently grants patents on almost every patent application it receives, allowing companies to maintain lengthy monopoly periods on medicines, argues the campaign. This keeps prices of many medicines higher in South Africa than in many other countries.

According to TAC and MSF, it is estimated that 80 percent of patents granted in South Africa do not meet the country’s patentability criteria. This is largely due to the fact that patents are granted without substantive examination of applications to ensure that patentability criteria are met.

“Some cancer patients would rather go to other countries, like India, for treatment – the combined cost of the flight, medical services and drugs is cheaper than buying the drugs alone in South Africa,” said Bernice Lass of cancer group, CanSurvive.

Linda Greeff of PLWC said that her organisation was supporting the campaign because “we want to ensure that there is proper scrutiny of patent applications before patents are granted. We want a patent granting process that is ethical and transparent, so that more people can access the medicines that they need.”

According to Cassey Chambers of SADAG, the group deals with “patients every day who cannot afford medication or treatment, and as a result become more depressed, helpless, hopeless and even suicidal in some cases.”

DiabetesSA’s Keegan Hall stressed that as health organisations, “we have an obligation to take steps to improve affordability and access to medicines. The cost of insulin and other diabetes management tools are far too expensive for many patients,” Hall added.

Health organisations joining the Fix the Patent Laws campaign say that they recognise the opportunity South Africa has to improve access to medicines for all diseases through reforming problematic patent laws.

South Africa’s Department of Trade and Industry (DTI) has already embarked on the process of legislative reform, releasing a Draft National Policy on Intellectual Property for public comment in 2013. The draft policy contained important commitments to reform the laws in order to restore the balance between public and private interest, in favour of people’s health.

The Fix the Patent Laws campaign coalition is calling for urgent approval of a finalised National Policy on Intellectual Property, as a critical first step toward reform of problematic patent laws and practices that deprive people living in South Africa of more affordable treatments for all conditions.

It notes that as a member of the World Trade Organisation (WTO), South Africa is required to uphold minimum standards of intellectual property protection as defined by the international Agreement on Trade Related Aspects of Intellectual Property Rights (TRIPS). This includes granting 20-year patents on medicines.

However, South Africa also has significant flexibility under TRIPS to amend national legislation in order to improve access to medicines. According to the health organisations, reforms could include the government taking measures to limit abusive patents being granted on medicines.

At the same time, it says, government could establish easier procedures for overcoming legitimate patent barriers when medicines are unaffordable, unavailable or not adapted for patient needs.

Edited by    

 

U.N. Targets Trillions of Dollars to Implement Sustainable Development Agenda

Macharia Kamau, Permanent Representative of the Republic of Kenya to the U.N., addresses a press conference on the agreement achieved on 2 August by Member States on the outcome document of the United Nations Summit to adopt the post-2015 development agenda. Credit: UN Photo/Mark Garten

Macharia Kamau, Permanent Representative of the Republic of Kenya to the U.N., addresses a press conference on the agreement achieved on 2 August by Member States on the outcome document of the United Nations Summit to adopt the post-2015 development agenda. Credit: UN Photo/Mark Garten

UNITED NATIONS, Aug 3 2015 (IPS) – After more than two years of intense negotiations, the U.N.’s 193 member states have unanimously agreed on a new Sustainable Development Agenda (SDA) with 17 goals including the elimination of extreme poverty and hunger to be reached by 2030.

At a press briefing Monday, Ambassador Macharia Kamau of Kenya, one of the co-facilitators of the intergovernmental consultative process, told reporters the implementation of the agenda could cost a staggering 3.5 trillion to 5.0 trillion dollars per year.“Women and girls everywhere have much to gain from the SDGs. But to make this a reality, we have to keep pressure on governments to follow through on their commitments.” — Shannon Kowalski

This looks like “an astronomical figure”, he said, compared with the hundreds of billions of dollars – not trillions – the United Nations has been traditionally seeking for development aid.

“It is ambitious, but not unattainable,” he said, and could come mostly from domestic resources, both public and private.

“All countries have to rise to the occasion,” he said, adding that it was imperative for the business sector to get on board.

Still, the U.N. Under-Secretary-General for Economic and Social Affairs Wu Hongbo of China struck a more cautious note when he told reporters “it will be very difficult to give specific figures.”

But all 193 member states, he said, are expected to mobilise domestic sources to help attain the 17 Sustainable Development Goals (SDGs). https://sustainabledevelopment.un.org/post2015

The SDGs are a successor to the eight Millennium Development Goals (MDGs), which were approved by heads of state in 2000, and will end in December this year.

The new goals, which will be part of the U.N.’s post-2015 development agenda and to be approved at a summit meeting of world leaders Sep. 25-27, cover a wide range of political and socio-economic issues, including poverty, hunger, gender equality, industrialisation, sustainable development, full employment, human rights, quality education, climate change and sustainable energy for all.

Jens Martens, director of the Bonn-based Global Policy Forum, who has been closely monitoring the negotiations, told IPS the new Sustainable Development Agenda is a compromise and the result of a painful consensus building process.

“The new Agenda is unique, as it is universal and contains goals and responsibilities for all countries in the world, including the rich and powerful,” he noted.

The Agenda addresses the raising inequalities within and among countries and the enormous disparities of opportunities, wealth and power, Martens pointed out.

Some of the new Sustainable Development Goals (SDGs) are highly ambitious, like the first goal to end poverty in all its forms everywhere.

However, the Agenda is far less ambitious when it comes to the means of implementation, he warned.

“The implementation of the SDGs will require fundamental changes in fiscal policy, regulation and global governance. But what we find in the new Agenda is vague and by far not sufficient to trigger the proclaimed transformational change. But goals without sufficient means are meaningless,” he declared.

Bhumika Muchhala, senior policy analyst, finance and development at the Third World Network, told IPS the SDGs are indeed significantly more ambitious than the MDGs, but that much of this money is going to come from two key sources.

One, private money, through the multi-stakeholder partnerships that the U.N. has enshrined in the SDG Goal 17 as well as through various other processes, such as the Sustainable Energy for All initiative or the Global Financing Facility.

And second, from domestic money straight from developing country coffers, as no new international money is being committed.
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She said the glaring absence of any intergovernmental process or model of governance over these proliferating multi-stakeholder partnerships renders them void of accountability and transparency, much less rigorous due diligence practices such as ex-ante and independent assessments, monitoring and oversight and third-party evaluation processes.

Such provisions and principles, she noted, are even integrated into the World Bank Group s architecture, where the Ombudsman and even the IEO (Independent Evaluation Office) in the IMF serve as monitoring agencies.

For example, it has been demonstrated that the decision-making taking place in a fund like the Global Financing Facility will be done behind closed doors, by a small group of elite financial investors and private sector actors who contribute to the Facility, she added.

Shannon Kowalski, Director of Advocacy and Policy, International Women’s Health Coalition, told IPS the SDGs signal a major step forward, especially for women and girls.

With this new framework there is potential to really change the game and advance gender equality—which has been recognised as absolutely essential to sustainable development, she added.

“Women and girls everywhere have much to gain from the SDGs. But to make this a reality, we have to keep pressure on governments to follow through on their commitments. In the end, the promise of this historic development agenda is really up to us,” Kowalski declared.

Ian Koski, a spokesperson for the ONE Campaign, said the new global goals are a major landmark in the effort to end extreme poverty.

They lay out a global contract for a world where nobody lives in hunger or dies of preventable diseases, and while their formal adoption in September will rightly be cause for celebration, goals alone will not end poverty, he said.

It’s going to take a significant amount of hard work to turn these aspirations into reality. It’s going to take national blueprints for delivery that will improve the lives of the poorest people and the poorest countries, he cautioned.

“The monitoring of the goals will need a sharp focus on accountability, backed by investments in data collection and use so that citizens have the information they need to ensure that leaders keep their promises,” Koski declared.

Secretary-General Ban Ki-moon said the new development agenda “encompasses a universal, transformative and integrated agenda that heralds an historic turning point for our world.”

“This is the People’s Agenda, a plan of action for ending poverty in all its dimensions, irreversibly, everywhere, and leaving no one behind. It seeks to ensure peace and prosperity, and forge partnerships with people and planet at the core.”

He said the integrated, interlinked and indivisible 17 Sustainable Development Goals are the people’s goals and demonstrate the scale, universality and ambition of this new Agenda.

Ban said the September Summit, where the new agenda will be adopted, “will chart a new era of Sustainable Development in which poverty will be eradicated, prosperity shared and the core drivers of climate change tackled.”

Deon Nel, international acting executive director for conservation at World Wide Fund for Nature (WWF) said: “We congratulate negotiators on their bold action. This is an essential move toward realizing our dream of shaping a world where people, planet and prosperity come together.”

He said SDGs are universal goals that will commit all countries to take action both within their own borders and in support of wider international efforts.

Individual national commitments must add up to a worldwide result that helps all people and ensures a healthy environment.

He said the new development plan represents significant improvement from the U.N.’s MDGs as it recognises the interlinkages between sustainability of ecosystem services, poverty eradication, economic development and human well-being.

Edited by Kitty Stapp

The writer can be contacted at [email protected]

 

In Hawaii, Concern Rises about Use of Farm Pesticides

Tammy Brehio of Kihei, Hawaii, pointing from her back balcony to a Monsanto cornfield a few hundred yards from her house. The inset photo, taken by Tammy, shows a Monsanto tractor spraying pesticides. Credit: Photo by Christopher Pala. Inset photo by Tammy Brehio.

KIHEI, Hawaii, Oct 16 2015 (IPS) – Tammy Brehio stood on the back balcony of her home in Kihei on the island of Maui and pointed to a brown field a few hundred yards away.

“That’s where they spray the pesticides, even when the wind is blowing directly at us,” said the 40-year-old year mother of three small children. “Ever since we moved here, we all have sore throats and we cough all the time.”

She and a neighbour, who declined to be identified because he works for an agricultural company and feared losing his job, said the spraying often takes place at night. “It wakes me up, it smells really strong and it’s hard to breathe,” Brehio said.

“We do not apply pesticides at night,” said Monica Ivey, the spokeswoman for Monsanto, which grows genetically modified corn on the field. “Monsanto complies with all federal and state laws that govern responsible pesticide use.”

Whether or not the companies respect these laws, which forbid allowing pesticides sprayed on a field to drift beyond it, has become one of the biggest controversies in Hawaii in the past few years.

Over the past decade or so, Monsanto, DuPont and Dow Chemical of the United States, Bayer and BASF of Germany and Syngenta of Switzerland have more than doubled their acreage in Hawaii. Attracted by a year-round growing season that cuts in half the time it takes to bring a new variety to market, they have turned the Aloha State into the epicentre of corn grown with genes modified in laboratories – designed mostly to tolerate the pesticides the companies produce and sell to farmers with the corn.

The kernels grown in Hawaii are sent the mainland United States, where they are planted and harvested. Those kernels are then sold to farmers, whose production ends up mostly as cattle feed and ethanol. The corn sold as food is known as sweet corn and constitutes perhaps one percent of the industrial variety, which is known as field corn.

The agro-chemical companies now own or lease about some 25,000 acres on the islands of Maui, Molokai, Kauai and Oahu – about 2 per cent of the land area. Because the islands are mountainous and farmland is scarce, the fields often abut homes, businesses and schools. Most of these fields were previously used to grow sugar cane and pineapple, and the towns grew around them in the 19th and 20th centuries.

At any given time, about 80 per cent of the fields are bare and brown. The crops are grown in small patches of a few acres and sprayed often with pesticides, which residents complain that they often are forced to inhale.

Even a mile from the nearest cornfield in downtown Waimea, on the island of Kauai, Lois Catala, 75, reports that the pesticide clouds percolate into her home with no warming. “All of a sudden, your eyes are burning and you’re itching all over, and you hear everybody complaining,” she said. A local doctor says she stopped biking to work on a road that bisects cornfields because she went through clouds of pesticides too many times. Other residents interviewed told of similar experiences.

Testing new varieties of pesticide-resistant field corn and growing seed corn from them requires 17 times more restricted-use insecticides and more frequent applications than farmers in the US use for their crops, a by the Center for Food Safety has concluded. Court documents filed by attorneys for Waimea homeowners who successfully sued DuPont for pesticide and dust impacts to their homes show the company sprayed 10 times the mainland average, based on internal pesticide records obtained from DuPont.

The frequent, sometimes daily, sprayings have led to a spate of complaints that the companies violate with impunity federal and state laws.

The laws say that commercial applicators who spray pesticides that winds carry out of their property is liable for a $25,000 fine and/or six months in jail. The pesticides receive approval from the federal Environmental Protection Agency only after being tested for their legal use, which does not include human inhalations.

In 2006 and 2008, Howard Hurst was teaching special-education classes at Waimea Middle School, on Kauai, when clouds of what he believes were concentrated pesticides blew into the school from an adjoining field operated by Syngenta. “It feels like you have salt in your eyes, your tongue swells, your muscles ache, it’s awful,” he said in an interview at the school. Both times, the school was evacuated and several students were treated at the nearest emergency room.

But the state authorities, instead of prosecuting the Swiss company, which denied that it was spraying on those days, insisted that the evacuations were caused by mass hysteria triggered by an onion-like plant called stinkweed.
Without ever accepting responsibility, Syngenta stopped using the field adjacent to the school. The closest is now a half-kilometer away. Hurst said pesticide odors have become much less frequent.

In 2013, the Kauai county council passed a law ordering the companies to create wider buffer zones and to disclose in far more detail than they do now what they spray, where and when. A group of doctors in Waimea, which is surrounded by cornfields on three sides, that the number of cases of serious heart defects in local newborns was 10 times the national rate.

Meanwhile, in Honolulu, a pediatrician said in an interview that he’d noticed a statewide spike in another birth defect called gastroschisis, in which the baby is born with the abdominal organs outside.

“Data suggest that there may also be an association between parental pesticide use and adverse birth outcomes including physical birth defects,” the American Academy of Pediatrics this year.

“I think it’s serious,” says Bernard Riola, a pediatrician in Waimea. “We need an in-depth epidemiological study. Right now, we just don’t know” if the pesticides are causing the birth defects. Another doctor at the hospital said he tried to get the state to do just such a study, to no avail.

Bennette Misalucha, the head of the agro-chemical companies trade group, the Hawaii Crop Improvement Association, dismissed the doctors’ concerns. “We have not seen any credible source of statistical health information to support the claims,” she wrote in an e-mail after declining to be interviewed.

The companies she represents strongly opposed the buffer-zones and disclosure law, which resembled others passed in 11 other states. They argued that it would drive away the companies and cause job losses, and that critics of the pesticide-drift problem were simply victims of scare-mongering by opponents of genetically modified food.

They sued and a federal judge struck the law down, arguing that only the state can regulate pesticide use. Civil Beat, a Hawaii news site, reported that it effectively does not.

In Maui and Molokai, which form one county, a bitterly fought ballot initiative was approved by the voters in November 2014 banning genetically modified agriculture until an Environment Impact Statement is performed and proves the industry is safe.

The companies spent $8 million to fight it, reportedly the most spent on any political campaign in Hawaii history. Another federal judge struck it down on the same grounds as the Kauai ordinance: that only the state can regulate pesticide use. Both rulings are being appealed.

Back in Maui, Brehio, the mother of three who says she is dispirited by the lack of progress in curbing illegal pesticide drift, was remodeling her kitchen with her husband and preparing to sell their house. “This is a not a safe place for me and my family,” she said.

Meanwhile, construction has started on a strip of land between her house and the Monsanto field for a 660-unit affordable-housing development where the cheapest units will be right against the Monsanto fields.

This report was supported by a grant from the Fund for Investigative Journalism.

 

Tackle ‘Hidden Hunger’ by Improving Food Systems

Jomo Kwame Sundaram was the Coordinator for Economic and Social Development at the Food and Agriculture Organization of the United Nations (FAO) and received the 2007 Wassily Leontief Prize for Advancing the Frontiers of Economic Thought.

KUALA LUMPUR , Feb 29 2016 (IPS) – Nutrition is complex and multi-dimensional. Micronutrient deficiencies or ‘hidden hunger’ are much more widespread than chronic undernourishment or hunger, understood as inadequate dietary energy. Micronutrient deficiencies refer to the lack of essential vitamins, minerals and other substances required over the human life cycle by the body in small amounts. Micronutrient undernutrition has long-term effects on health, learning ability and productivity, leading to high social and public costs, reduced work capacity in populations due to high rates of illness and disability, and loss of human potential.
Jomo Kwame Sundaram. Credit: FAO

Jomo Kwame Sundaram. Credit: FAO

Although the most severe problems of micronutrient malnutrition are found in developing countries, people of all population groups in all regions of the world are affected by some micronutrient deficiencies. More than two billion people in the world are deficient in key vitamins and minerals, particularly vitamin A, iodine, iron and zinc. This is a serious impediment to socio-economic development, exacerbating the vicious cycle of malnutrition, underdevelopment and poverty. Not surprisingly then, the economic gains to society of reducing micronutrient deficiencies are estimated to have a benefit-to-cost ratio of almost thirteen to one!

While there is no consensus on a plan to tackle all forms of malnutrition (undernourishment, micronutrient deficiencies, diet-related non-communicable diseases) across the world, the problems are better understood now, with options for addressing malnutrition increasingly known. Preferably, micronutrient requirements should be met through food intake.

Food-based strategies promote the consumption of foods naturally rich in micronutrients or enriched by ‘fortification’. Food-based approaches, which include food production, dietary diversification and food fortification, are sustainable strategies for improving the nutrition of populations. Increasing access to as well as the availability and consumption of a variety of micronutrient-rich foods improves nutrition in general.

However, progress in promoting and implementing food-based strategies to achieve sustainable improvements in micronutrient status has been slow. Much of the effort to control the three major deficiencies of public health concern – i.e. vitamin A, iron and iodine deficiencies – has focused on supplementation. Communities and households need to nourish themselves adequately with appropriate food-based interventions.

Where there are acute micronutrient deficiencies adversely impacting human nutrition, there is a clear, but temporary role for supplements for groups at high risk and during emergencies, until the food system is improved to ensure that it sustainably serves dietary needs over the human life-cycle.

An exclusive focus on supplementation also distracts from addressing the deeper causes of malnutrition. Focusing on supplements inadvertently promotes large commercial opportunities, which may have a vested interest in discouraging alternative long-term options for addressing malnutrition on a more affordable and sustainable basis.

It is important to approach interventions in a balanced and nuanced way, incorporating nutrition-sensitive food system and agricultural practices and knowledge as well as costed plans for nutrition supplementation. Food system-based nutrition interventions need to inform choices of appropriate strategies.

While supplement-based interventions are often viewed as short-term, and food-based interventions as longer-term, that is not necessarily the case. Food system interventions, such as providing school meals, can have an almost immediate impact besides longer term gains. The choice between supplement-based and food system-based strategies to end malnutrition is not always clear cut.

First, some supplements can be delivered through food systems. Mineral supplementation of soil, a key component of most agricultural systems, can help address dietary micronutrient deficiencies. In Turkey, for example, fertiliser has been enriched with zinc as zinc absorbent plant varieties help address widespread zinc deficiencies affecting Turkey’s soil, crops and people.

Second, micronutrient supplementation generally will not be very effective without adequate food. Micronutrient supplements without adequate food can even have negative effects. Third, the most effective way to address malnutrition varies with the type of micronutrient deficiency. Some micronutrients, such as iron and folic acid, are commonly delivered to pregnant women through supplements in rich and poor countries alike. Others, such as iodine added to table salt, are easily delivered through mineral fortification of foods. In most cases, however, micronutrients can be delivered effectively through nutrition-optimised food systems.

In recent years, a global movement has been gathering force to end hunger and malnutrition – reflected in the success of the Scaling Up Nutrition movement, calls for a single food security and nutrition goal for the post-2015 Sustainable Development Goals, the UN system’s mobilisation around the Zero Hunger Challenge and the November 2014 Second International Conference on Nutrition (ICN2).

Complementary national initiatives for global action – such as the UK and Brazilian governments’ ‘Nutrition for Growth’ initiatives since the 2012 London Olympics and the USAID’s Multi-sectoral Nutrition Strategy for 2014-2025 – have increased greater awareness of and action against malnutrition.

ICN2 clearly recognized the problem of hidden hunger, and that progress in addressing it has been weak. There is need for sustained and coordinated international support, including through ICN2 follow-up efforts, which offers a once in a generation opportunity to broaden and deepen political commitment and ensure appropriate, coherent and sustained efforts against malnutrition in all its forms.

(End)

 

Bangladesh’s Urban Slums Swell with Climate Migrants

This article forms part of an IPS series on the occasion of the World Humanitarian Summit, taking place May 23-24 in Istanbul.

Abdul Aziz stands with one of his children in Dhaka s Malibagh slum. He came here a decade ago after losing everything to river erosion, hoping to rebuild his life, but has found only grinding poverty. Credit: Rafiqul Islam/IPS

Abdul Aziz stands with one of his children in Dhaka’s Malibagh slum. He came here a decade ago after losing everything to river erosion, hoping to rebuild his life, but has found only grinding poverty. Credit: Rafiqul Islam/IPS

DHAKA, May 23 2016 (IPS) – Abdul Aziz, 35, arrived in the capital Dhaka in 2006 after losing all his belongings to the mighty Meghna River. Once, he and his family had lived happily in the village of Dokkhin Rajapur in Bhola, a coastal district of Bangladesh. Aziz had a beautiful house and large amount of arable land.

But riverbank erosion snatched away his household and all his belongings. Now he lives with his four-member family, including his 70-year-old mother, in the capital s Malibagh slum.

“Once we had huge arable land as my father and grandfather were landlords. I had grown up with wealth, but now I am destitute,” Aziz told IPS.

Fallen on sudden poverty, he roamed door-to-door seeking work, but failed to find a decent job. “I sold nuts on the city streets for five years, and then I started rickshaw pulling. But our lives remain the same. We are still in a bad plight,” he said.

Aziz is too poor to rent a decent home, so he and his family have been forced to take shelter in a slum, where the housing is precarious and residents have very little access to amenities like sanitation and clean water.

“My daughter is growing up, but there is no money to enroll her school,” Aziz added.
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About the harsh erosion of the Meghna River, he said the family of his father-in-law is still living in Bhola, but he fears that they too will be displaced this monsoon season as the erosion worsens.

Like Aziz, people arrive each day in the major cities, including Dhaka and Chittagong, seeking refuge in slums and low-cost housing areas, creating various environmental and social problems.

Bachho Miah, 50, is another victim of riverbank erosion. He and his family also live in Malibagh slum.

“We were displaced many times to riverbank erosion. We had a house in Noakhali. But the house went under river water five years ago. Then we built another house at Dokkhin Rajapur of Bhola. The Meghna also claimed that house,” he said.

According to scientists and officials, Bangladesh is one of the most vulnerable countries in the world to climate change and rising sea levels. Its impacts are already visible in the recurrent extreme climate events that have contributed to the displacement of millions of people.

, which struck on Nov. 15, 2007, triggering a five-metre tidal surge in the coastal belt of Bangladesh, killed about 3,500 people and displaced two million. In May 2007, another devastating cyclone hit the coast, killing 193 people and leaving a million homeless.

Migration and displacement is a common phenomenon in Bangladesh. But climate change-induced extreme events like erosion, and cyclone and storm surges have forced a huge number of people to migrate from their homesteads to other places in recent years. The affected people generally migrate to nearby towns and cities, and many never return.

According to a 2013 joint study conducted by the Refugee and Migratory Movements Research Unit (RMMRU), Dhaka University and the Sussex Centre for Migration Research (SCMR), University of Sussex, riverbank erosion displaces 50,000 to 200,000 people in Bangladesh each year.

Eminent climate change expert Dr Atiq Rahman predicted that about 20 million people will be displaced in the country, inundating a huge amount of coastal land, if the global sea level rises by one metre.

The fifth assessment of the Intergovernmental Panel on Climate Change (IPCC) made a similar prediction, saying that sea levels could rise from 26cm – 98cm by 2100, depending on global emissions levels. If this occurs, Bangladesh will lose 17.5 percent of its total landmass of 147,570 square kilometers, and about 31.5 million people will be displaced.

“The climate-induced migrants will rush to major cities like Dhaka in the coming days, increasing the rate of urban poverty since they will not get work in small townships,” urban planner Dr. Md. Maksudur Rahman told IPS.

Dr. Rahman, a professor at Dhaka University, said the influx of internal climate migrants will present a major challenge to the government’s plan to build climate-resilient cities.

Bangladesh is a disaster-prone country. Floods also hits the country each year. The Ganges, Brahmaputra and Meghna river basin is one of the most flood-prone areas in the world. shows that the devastating 1998 flood alone caused 1,100 deaths and rendered 30 million people homeless.

Disaster Management Secretary Md Shah Kamal said Bangladesh will see even greater numbers of climate change-induced migrants in the future.

“About 3.5 lakh [350,000] people migrated internally after Aila hit. Many climate victims are going to abroad. So the government is considering the issue seriously. It has planned to rehabilitate them within the areas where they wish to live,” he said.

Noting that the Bangladeshi displaced are innocent victims of global climate change, Kamal stressed the need to raise the issue at the in Istanbul on May 23-24 and to seek compensation.

 

Women’s Cooperatives Ease Burden of HIV in Kenya

Dorcus Auma weaving sisal fronds into a basket. Her Kenyan women s group has helped provide income to care for her grandchildren, orphaned by HIV/AIDS. Credit: Charles Karis/IPS

Dorcus Auma weaving sisal fronds into a basket. Her Kenyan women’s group has helped provide income to care for her grandchildren, orphaned by HIV/AIDS. Credit: Charles Karis/IPS

NAIROBI, Jun 27 2016 (IPS) – Seventy-three-year-old Dorcus Auma effortlessly weaves sisal fronds into a beautiful basket as she walks the tiny path that snakes up a hill. She wound up her farm work early because today, Thursday, she is required to attend her women s group gathering at the secretary’s homestead.

Except for their eye-catching light blue dresses and silky head scarfs, they would pass for ordinary village women. They are part of the Kagwa Women s Group in the remotest part of  in Kenya’s lake region.

A recent county profile of HIV/AIDS prevalence by the revealed that Homa Bay County leads Kenya in HIV prevalence, standing at 25.7 percent.

Auma joined the group in 2008 when the care of her three grandchildren was thrust upon her shoulders.

“HIV/AIDS robbed me of my three children, leaving me with the burden of having to take care of three children left in a vulnerable condition,” says Auma.

With no steady income to provide for their basic needs, she joined other women who shared the same predicament.
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says that can play a big role in helping households affected by the HIV/AIDS pandemic, and the women s group at Homa Bay has proved this to be true.

Composed of 28 members, it started as a merry-go-round, which is a self-help group that helps women to save money. The group is supported by through an initiative to enhance target households through cooperatives.

“Within we are trying to help the families to get economically empowered through the locally available resources. This is a group of old women, they are all grandmas, and they had already started doing their own merry go-rounds. We came in with training on village savings and loaning, which is a simplified model of the savings at the rural level – it s like a rural bank,” says Jedidah Mwendwa, a technical specialist with (pdf), one of the implementing organizations.

Most of the members are grandmothers whose children died from HIV/AIDS, and hence were left to fend for their grandchildren.

“Since the grannies cannot engage in vigorous economic activities, they were introduced into saving and loaning at their own level. They agreed to raise monies for saving and loaning among themselves through locally available resources like making ropes, baskets and mats,” says Mwendwa.

“When they meet on Thursdays, they collect all their material contributions. One of their members is sent to the nearby market, which is Oyugis, a distance of 61km, to go sell their products and the following week, the money that came from the market is what is saved for each specific member,” says Mwendwa.

The savings are rotated to individual members on an annual basis, and since they do not have a secure place to keep the money, they usually loan out the entire collected amount to members who return it with one percent interest.

“Since I joined this group, my life has changed. I have been able to engage in sustainable farming. My grandchildren have a reason to smile as they have nutritious food on the table,” says Auma, as she gives instructions to her eldest grandchild, a 16-year-old girl, on how to separate the sisal strands.

Initially, local people were a bit reluctant to attend the HIV caretaker training sessions because of the real stigma associated with the illness, but most have come around, and their efforts are paying off.

“We offer to the group and school clubs sensitization on adherence and nutrition, says Rose Anyango, a social worker in the county. The women and the children are responding well and the stigma no longer exists. Through village savings and loaning they are able to feed their children as well as educate them.

The group has seen immediate successes in behavior, attitudes and practices regarding cultural dictates and inclusion of people living with HIV/AIDS in development activities. Women are now actively taking the lead in economic , enabling them to support their families.

The group now plans to increase to increase its impact by involving more members from the surrounding community, which will go a long way in not only empowering of locals but also reduce the stigma of HIV/AIDS.

 

False Promises: Avoid ‘Miracle’ Rice and Just Eat a Carrot

Prof. Vandana Shiva is a physicist, ecofeminist, philosopher, activist, and author of more than 20 books and 500 papers. She is the founder of the Research Foundation for Science, Technology and Ecology, and has campaigned for biodiversity, conservation and farmers’ rights, winning the Right Livelihood Award [Alternative Nobel Prize] in 1993. She is executive director of the Navdanya Trust.

Vandana Shiva. (Photo: The Seeds of Vandana Shiva film)

NEW DELHI, Aug 10 2016 (IPS) – Norman Borlaug, father of the Green Revolution, died on September 9, 2009. Alfred G. Gilman died on December 23, 2015.

Both were Nobel laureates and now both dead. Gilman was a signatory to a recent letter condemning Greenpeace and its opposition to genetic engineering.

How many Nobel laureates does it take to write a letter? Easily ascertained — the dead Gilman and 106 others were enlisted in “supporting GMOs and golden rice”. Correct answer — 107, dead or alive.

The laureates were rounded up by Val Giddings (senior fellow, Information Technology and Innovation Foundation), Jon Entine (author of Abraham’s Children: Race, Identity and the DNA of the Chosen People) and Jay Byrne (former head of corporate communications, Monsanto). Real people don’t have the luxury of getting Nobel laureates to write 1/107th of a letter, “chosen” folk do. Evidently.

Photo source: Vandana Shiva

Photo source: Vandana Shiva

Cornell University is a “chosen” institution central to genetically modified public relations. The Cornell Alliance of Science is funded by Bill Gates, just like the failed golden rice experiment.

The Nobel laureates accuse Greenpeace of killing millions by delaying ghost rice — something the biotech industry accuses me of doing, for the same reason. Unlike golden rice — whose failure to launch is the industry’s own failure, the opposition to genetic engineering (and hence golden rice) is very real and successful.

As Glenn Stone, a rice scientist at Washington University, states: “The simple fact is that after 24 years of research and breeding, golden rice is still years away from being ready for release.”
Golden rice is a false miracle. It is a disease of nutritionally empty mono-cultures offered as a cure for nutritional deficiency. In fact, golden rice, if successful, will be 400 per cent less efficient in providing Vitamin A…’ – Vandana Shiva

It is Borlaug’s Green Revolution monocultures that contributed to malnutrition by destroying biodiversity, which destroys the diversity of nutrients we need to be healthy. As Navdanya research has shown, biodiversity produces more food and nutrition per acre. Borlaug’s ghost is still shaping the industrial agriculture “miracles” based on monocultures of the mind and spin in place of science.

It is now more than 20 years since the “miracle” golden rice began to be promoted as the excuse to allow patents on life.

The last time golden rice was resurrected when Patrick Moore of Allow Golden Rice Now was sent to Asia to push the failed promise. Women of the world organised and responded to Moore — Diverse Women for Diversity issued a declaration on International Women’s Day in 2015 titled Women and Biodiversity Feed the World, not Corporations and GMOs.

Golden rice is genetically engineered rice with two genes from a daffodil and one gene from a bacterium. The resulting GMO rice is said to have a yellow colouring, which is supposed to increase beta-carotene a precursor of Vitamin A. It has been offered as a potential miracle cure for Vitamin A deficiency for 20 years.

But golden rice is a false miracle. It is a disease of nutritionally empty monocultures offered as a cure for nutritional deficiency. In fact, golden rice, if successful, will be 400 per cent less efficient in providing Vitamin A than the biodiversity alternatives that women have to offer. To get your daily requirement of Vitamin A, all you need to eat is one of the following:

Two tablespoons of spinach or cholai (amaranth) leaves or radish leaves
Four tablespoons of mustard or bathua leaves
One tablespoon of coriander chutney
One-and-a-half tablespoon of mint chutney
One carrot
One mango

So, if you want to be four times more efficient than 107 Nobel laureates, just eat a carrot!

Not only do these indigenous alternatives based on women’s knowledge provide more Vitamin A than golden rice ever will, and at a lower cost, but also provide multiple other nutrients.

Our critique of golden rice is that even if it is developed, it will be inferior to the alternatives women have in their hands and minds. Women are being blocked from growing biodiversity and spreading their knowledge to address malnutrition, by rich and powerful men and their corporations who are blind to the richness of the earth and our cultures.

Through their monoculture of the mind, they keep imposing monocultures of failed technologies, blocking the potential of abundance and nourishment. As I wrote in 2000, blindness to biodiversity and women’s knowledge is a blind approach to blindness prevention.
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Grain.org concluded in Grains of delusion: Golden rice seen from the ground, way back in 2001: “The best chance of success in fighting Vitamin A deficiency and malnutrition is to better use the inexpensive and nutritious foods already available, and in diversifying food production systems in the fields and in the household.

The euphoria created by the Green Revolution greatly stifled research to develop and promote these efforts, and the introduction of golden rice will further compromise them. Golden rice is merely a marketing event. But international and national research agendas will be taken by it.”

The Giddings-Entine-Byrne Nobel PR stunt was timed to coincide with the US Senate vote on the Dark Act — the denial to Americans of the right to know what they eat. With two decades of the GMO experiment failing to control pests and weeds, creating super pests and super weeds instead, there is now an attempt to push through the “next generation” of GMOs — such as “gene drives” for exterminating nutrient-rich species like the amaranth.

Amaranth, a weed to the 107 Nobel laureates, is a richer source of Vitamin A than golden rice has promised it will be, when it grows up. The laureates would have us round up all the Vitamin A we already have in abundance, create deficiencies by exterminating it with RoundUp, and provide golden rice to alleviate the absence of Vitamin A.

Mr Gates is also supporting this failed miracle, as well as the failed communication through the Cornell Alliance for Science. He also funds the Global Alliance for Improved Nutrition and Harvest Plus, the corporate alliance for biofortification.

The corporate-controlled World Food Prize for 2016 has been announced for “Biofortification”. Scientists funded by Mr Gates have been given the prize for inventing an orange sweet potato. But the Maori in New Zealand had developed kumara, orange (beauregard) sweet potato, centuries ago.

Mr Gates is also funding the biopiracy research of James Dale of Queensland, who took the Vitamin A-rich indigenous bananas of Micronesia and declared them to be his invention.

The biopiracy of people’s biodiversity and indigenous knowledge is what Mr Gates is funding. The Gates fortification or Nobel fortification, will not nourish people. Fraud is not food.
Dr Vandana Shiva’s article was published in

The statements and views mentioned in this article are those of the author and do not necessarily represent those of IPS.

 

Indigenous Peoples Lands Guard 80 Per Cent of World’s Biodiversity

In much of the Andes, soil erosion is thought to be one of the most limiting factors in crop production. Soil is vulnerable to erosion where it is exposed to moving water or wind and where conditions of topography or human use decrease the cohesion of the soil. ©IFAD/ Juan I. Cortés

ROME, Feb 9 2017 (IPS) – They are more than 370 million self-identified peoples in some 70 countries around the world. In Latin America alone there are over 400 groups, each with a distinct language and culture, though the biggest concentration is in Asia and the Pacific– with an estimated 70 per cent. And their traditional lands guard over 80 per cent of the planet’s biodiversity.

They are the indigenous peoples.

They have rich and ancient cultures and view their social, economic, environmental and spiritual systems as interdependent. And they make valuable contributions to the world s heritage thanks to their traditional knowledge and their understanding of ecosystem management.

“But they are also among the world s most vulnerable, marginalized and disadvantaged groups. And they have in-depth, varied and locally rooted knowledge of the natural world, “ the Rome-based ().

“Unfortunately, indigenous peoples too often pay a price for being different and far too frequently face discrimination,” the Fund, which hosts on Feb 10 and 13 on Rome the in the Italian capital.

During this biennial meeting, the United Nations specialised agency will bring together representatives of Indigenous Peoples Organisations from across the world, as well as leaders of partner bodies to engage in a direct dialogue and improve participation of indigenous peoples in the Fund’s country programmes.

Credit: IFAD

Credit: IFAD

Over the centuries, the Indigenous peoples “have been dispossessed of their lands, territories and resources and, as a consequence, have often lost control over their own way of life. Worldwide, they account for 5 per cent of the population, but represent 15 per cent of those living in poverty.”

One of the most effective ways to enable indigenous peoples to overcome poverty, it adds, is to support their efforts to shape and direct their own destinies, and to ensure that they are the co-creators and co-managers of development initiatives.
Rights of Indigenous Peoples

The , adopted by the General Assembly on Sep. 13, 2007, establishes a universal framework of minimum standards for the survival, dignity, well-being and rights of the world s indigenous peoples.
Key facts
• There are more than 370 million self-identified indigenous people in the world, living in at least 70 countries
• Most of the worlds’ indigenous peoples live in Asia
• Indigenous peoples form about 5,000 distinct groups and occupy about 20 per cent of the earth’s territory
• Although indigenous peoples make up less than 6 per cent of the global population, they speak more than 4,000 of the world’s 7,000 languages
• One of the root causes of the poverty and marginalization of indigenous peoples is loss of control over their traditional lands, territories and natural resources
• Indigenous peoples have a concept of poverty and development that reflects their own values, needs and priorities; they do not see poverty solely as the lack of income
• A growing number of indigenous peoples live in urban areas, as a result of the degradation of land, dispossession, forced evictions and lack of employment opportunities
Source: IFAD
The Declaration addresses individual and collective rights; cultural rights and identity; and rights to education, health, employment and language. And it outlaws discrimination against indigenous peoples and promotes their full and effective participation in all matters that concern them.

It also ensures their right to remain distinct and to pursue their own priorities in economic, social and cultural development. The International Day of the World s Indigenous Peoples is observed on Aug. 9 every year.

Announcing the Forum, IFAD noted that it has more than 30 years of experience working with indigenous peoples. In fact, since 2003, an average of about 22 per cent of the Fund’s annual lending has supported initiatives for indigenous peoples, mainly in Asia and Latin America.

Since 2007, it has administered the Indigenous Peoples Assistance Facility (IPAF). Through small grants of up to 50,000 dollars, it supports the aspirations of indigenous peoples by funding micro-projects that strengthen their culture, identity, knowledge, natural resources, and intellectual-property and human rights.

To help translate policy commitments into action, it has established an that promotes a process of dialogue and consultation among indigenous peoples organisations, IFAD staff and member states.

The Fund empowers communities to participate fully in determining strategies for their development and to pursue their own goals and visions by strengthening grass-roots organisations and local governance.

Land is not only crucial to the survival of indigenous peoples, as it is for most poor rural people – it is central to their identities, the Fund reports. “They have a deep spiritual relationship to their ancestral territories. Moreover, when they have secure access to land, they also have a firm base from which to improve their livelihoods.”

According to this international Fund, indigenous peoples and their knowledge systems have a special role to play in the conservation and sustainable management of natural resources.

The first global meeting of the Indigenous Peoples' Forum at IFAD was held in Rome on 11-12 February 2013. ©IFAD/Giulio Napolitano

The first global meeting of the Indigenous Peoples Forum at IFAD was held in Rome on 11-12 February 2013. ©IFAD/Giulio Napolitano

Indigenous Women s Untapped Potential

The also named “bank of the poorest” as it provides grants and low-interest credits to the poorest rural communities, recognises indigenous women s untapped potential as stewards of natural resources and biodiversity, as guardians of cultural diversity, and as peace brokers in conflict mitigation.
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Nonetheless, it says, indigenous women are often the most disadvantaged members of their communities because of their limited access to education, assets and credit, and their exclusion from decision-making processes.

This ‘bank of the poorest’ is a specialised agency of the United Nations, which was established as an international financial institution in 1977, being one of the major outcomes of the 1974 World Food Conference, which was organised in response to the food crises of the early 1970s that primarily affected the Sahelian countries of Africa.

That world conference resolved that an International Fund for Agricultural Development should be established immediately to finance agricultural development projects primarily for food production in the developing countries.

One of the most important insights emerging from the Conference was that the causes of food insecurity and famine were not so much failures in food production but structural problems relating to poverty, and to the fact that the majority of the developing world s poor populations were concentrated in rural areas.

Since its creation, IFAD invested 18.4 billion dollars to help 464 million rural poor people.

 

World Lags on Clean Energy Goals

At the current pace in 2030 there will still be one person in ten without electricity. Credit: Bigstock

At the current pace in 2030 there will still be one person in ten without electricity. Credit: Bigstock

VIENNA, May 14 2017 (IPS) – It may be the 21st century but more than three billion people still use fire for cooking and heating. Of those, one billion people have no access to electricity despite a global effort launched at the 2011 Vienna Energy Forum to bring electricity to everyone on the planet.

“We are not on track to meet our goal of universal access by 2030, which is also the Sustainable Development Goal for energy,” said Rachel Kyte, CEO for and Special Representative of the UN Secretary-General.“Indoor air pollution has a bigger health impact than HIV/AIDS and malaria combined.” –Vivien Foster

“We must all go further, faster—together,” Kyte told more than 1500 delegates and government ministers at the 2017 version of the biannual this week, organized by the .

Kyte reminded everyone that the 2015 Sustainable Development Goal for energy (SDG 7) was a unanimous promise to bring decarbonized, decentralized energy to everyone and that this would transform the world bringing “clean air, new jobs, warm schools, clean buses, pumped water and better yields of nutritious food”.

Moreover, to prevent catastrophic climate change the world committed to net zero CO2 emissions by 2050 under the , she said. “Why are we not moving more quickly?”

At the current pace in 2030 there will still be one person in ten without electricity, according to the . Most of those people will be in Africa.

In Chad, Niger, South Sudan and Democratic Republic of the Congo only one person in ten currently has access and this is falling as populations increase, said Elisa Portale , an energy economist at the World Bank who presented the report’s findings.

Although renewable energy like solar and wind gets a great deal of press and attention, the world is failing to meet the SDG target of decarbonizing 36 percent the global energy system and will only get to 21 percent by 2030. Currently it is about 18 percent since renewables include hydropower and biomass. A few countries managed to increase their renewable share by 1 percent per year but some others like Canada and Brazil are actually going backwards, she said.
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Decarbonizing electricity is going much faster than decarbonizing energy for heating and for transportation, which is seen to be more challenging.

Improvements in energy efficiency are also far behind. Investment in energy efficiency needs to increase by a factor of 3 to 6 from the current 250 billion dollars a year in order to reach the 2030 objective, the report concluded.

The biggest failure the Global Tracking Framework revealed was that the current number of people still using traditional, solid fuels to cook increased slightly since 2011 to 3.04 billion. Those fuels are responsible for deadly levels of indoor air pollution that shorten the lives of tens of millions and kill four million, mainly children, every year according to the .

This seems to be a low priority and by 2030 only 72 percent of the world will be using clean cooking fuels, said Portale. In other words, 2.5 billion people mostly in the Asia-Pacific region and Africa will still be burning wood, charcoal or dung to cook their foods.

Clean cooking is not a priority for most governments although Indonesia is doing quite well, said Vivien Foster, Global Lead for Energy Economics, Markets Institutions, The World Bank. “Indoor air pollution has a bigger health impact than HIV/AIDS and malaria combined,” Foster told IPS.

One reason clean cooking is a low priority is that men are largely the decisions makers in governments and at the household level and they often are not involved in cooking. Environmental health issues generally get far less attention from governments she said. “Sadly, it’s often mobile phones before toilets,” Foster said.

However, the situation in India is dramatically different.

Green energy decarbonized, decentralized energy — is no longer expensive or difficult. It is also the most suitable form of energy for developing nations because both access and benefits can come very quickly, said Piyush Goyal, India’s Minister of Energy.

Access to clean liquid propane gas (LPG) for cooking has increased 33 percent in the last three years, which is about 190 million homes. In the last year alone 20 million of the poorest of the poor received LPG for free, Goyal told IPS.

Although millions have no connection to electricity, Goyal said it was his personal belief this will no longer be the case by 2019, three years before India’s 2022 target.

“Prime Minister Modi is completely committed to universal access, he said. He grew up poor. He knows what it is like to not have electrical power.”

India is adding 160 gigawatt (GW) of wind and solar by 2022 and it may beat that target too as the cost of solar and wind are well below coal, the country’s main source of energy. The US currently has just over 100 (GW) in total. One GW can power 100 million LED lightbulbs used in homes.

On the energy efficiency front, India is also closing in on a target of replacing all of its lighting with LEDs, saving tens of millions in energy costs and reducing CO2 emissions by as much as 80 million tonnes annually.

“We are doing this even if no one else is. We have a big role to play in the fight against climate change,” Goyal said.

 

Educating Children One Radio Wave at a Time

‘Kidnappy’ is one of the fears that Nigerian children shared as part of UNICEF’s Education in Emergencies exercise. Thousands of young girls have been kidnapped and held for year by Boko Haram since the start of the insurgency in 2009. Credit: UNICEF

UNITED NATIONS, Jul 19 2017 (IPS) – Nigeria’s conflict has displaced more than a million children, leaving them without access to education. However, an innovative radio program aims to transform this bleak scenario.

Concerned by the ongoing insecurity and its impacts, the UN’s children agency (UNICEF) created a radio program to help educate displaced children in the Lake Chad region.

“Boko Haram has disrupted the lives of 1.3 million children with a radical insurgency that has burned villages, displaced people, and created a culture of fear,” said UNICEF’s Crisis Communications Specialist Patrick Rose.

Now entering its eight year, Boko Haram’s violent insurgency has intensified and spilled over in the Lake Chad region, displacing over 2 million people across four countries.

The group has particularly targeted education, destroying more than 900 schools and forcing at least 1,500 more to close.

According to Human Rights Watch, at least have been killed and another 19,000 forced to flee. Boko Haram has also attacked students to keep them out of school and forcibly recruited students into its ranks.

Such targeted attacks and destruction have created an education gap in crisis-affected areas, especially where displaced communities have fled to.

“Short of going through and building new schools in all of those communities when we don t know how long this conflict is going to last, we tried to develop ways that we could reach these children and deliver some sort of educational routine that will keep them at least learning,” Rose told IPS.

Created with support from the European Union (EU) and in partnership with the governments of Cameroon and Niger, UNICEF’s radio education programs serve as an alternative platform for the 200,000 children in the two countries unable to access schools.

It includes 144 episodes of educational programming on literacy and numeracy for various ages and will be broadcast through state channels in both French and the local languages of Kanouri, Fulfulde, and Hausa.

The curriculum also includes a child protection component such as psychosocial support, guiding teachers to create a space for children to share their experiences and learn how to manage their fears.

“When you have children who have been deeply disturbed by displacement, many of whom have witnessed the murders of their own families, and you create a situation in which they are expected to spend eight hours a day in a classroom that isn t engaging at all with the reality that they are encountering outside, you get a fundamental dissonance and ultimately low engagement,” Rose said.

As part of its Education in Emergencies initiatives, UNICEF works closely with communities to identify the risks they face as individuals and schools as a whole.

In one such workshop about fears, one girl wrote “kidnappy,” reflecting the deep distress and risk of kidnapping that young girls face.

Not only does the radio program have the potential to decrease the likelihood of kidnapping as children listen from home, but it also creates a “positive” space that addresses children’s realities.

Discussions are underway with the governments of Cameroon and Niger to make radio courses certified, allowing children to receive a certification and pass the school year.

Rose called the approach to the complex crisis “unique,” as it moves from a focus on individual countries to a multi-country response.

He also highlighted the potential for the radio education program to be replicated in other regions of the world.

In 35 crisis-affected countries, humanitarian emergencies and protracted crises have disrupted the education of 75 million children between the ages of 3 and 18.

“In the same way that radio played a key role in the Cold War and reaching people around the world with messages, it is the same sort of situation here—radio doesn t respect the borders of conflicts,” Rose concluded.

Ongoing insecurity has impeded humanitarian response in the Lake Chad basin, leaving children’s needs largely unmet.

UNICEF has so far received 50 percent of a 38.5-million-dollar appeal to meet the education needs of children in the region.