Complete Wellness

The wall at a Community Mental Health Movement in Brazil. Credit: Mario Osava/IPS

UNITED NATIONS, Jun 26 2020 (IPS) – The current pandemic is not only heightening mental health concerns, but might also put many at risk of becoming institutionalised or being neglected by the system.

This is according to Dainius Pūras, the United Nations special rapporteur on the right of everyone to the enjoyment of the highest attainable standard of physical and mental health.

Pūras recently voiced his concerns about the “historical neglect of dignified mental health care,” that has been even more heightened under the pandemic.

“Before the pandemic, I critically addressed the current status quo of global mental health, and now with this pandemic my position is: even more I would recommend to rethink how we invest in mental health,” Pūras, a medical doctor with notable expertise in mental health and children s health, told IPS.

He added that there are two principles used when addressing mental health: a human rights and evidence-based approach. Currently, under the pandemic, the latter has come under attack with a massive amount of misinformation and false news spreading, which he says can affect mental health of people and their communities. 

Excerpts of the interview with Pūras follow. Some of the answers have been paraphrased for clarity.

Inter Press Service (IPS): In what ways has the pandemic affected mental health of people?

Dainius Pūras (DP): During a pandemic, there are risks that if a person has a mental health condition, he or she might be hospitalised by force. Also, because of the virus, there might be suspicions that this person may spread the virus, which poses an additional risk factor for discriminating against people with mental health concerns. 

There should be more research done but there are many insights and preliminary observations that this pandemic will probably have a serious impact on the mental health of individuals and societies. 

There are several reasons for this: the spread of the virus and requirements for distancing and isolation, plus economic and social [effects] and employment also increase different forms of violence for example domestic violence. All these will fuel mental distress, anxiety, fear, all these feelings of uncertainty about the future 

I should highlight another serious risk factor is that we witness massive amounts of fake news, disinformation, conspiracy theories around the virus, the origin of the virus and around statistics. This is not good for mental health. 

When children are not going to school, they’re missing out on very important aspects of socialisation. For many children, it s their only way to get a meal physical and mental health are interrelated in these ways.  

IPS: What is one of the current challenges of addressing mental health issues, especially under the pandemic? 

DP: I don’t support the narrative that this pandemic fuels mental distress, fear, anxiety, and the narrative that more mental illnesses will come. It’s not about producing more mental illness it makes people anxious and scared but that s a part of normal life, I do not want to medicalise that.  

We need to work against pathologisation and medicalisation. Because if we say millions of people are now more anxious than before, does it mean we will go on globally with medicalisation? Does it mean we will suggest  psychological medication to all these people including children and adults? 

I’m not against medication but when I analyse global situations, for sure this has gone too far. Feelings have been medicalised. I am warning that with this pandemic there would be a next wave of medicalisation. That when people are anxious and not happy, there might be an attempt to “medicalise them even more than before”. We have to be creative and to think of some innovative forms of support and cure, not necessarily medicalise. 

IPS: What are the risks involved for those with mental health at this time?

DP: More and more people are diagnosed. But then because of this diagnosis they’re discriminated against. And also because of that, in many parts of the world, many suffer from institutionalisation: sometimes that can be lifelong. 

Sometimes that’s because of a lack of services in the community and [as a result] they live in institutions but now we know these institutions are hotspots for the virus. As for many countries, the closed spaces, such as prisons or psychiatric institutions are now making it worse given how dangerous it can be for residents and staff because the virus can spread.
IPS: Are there certain communities more vulnerable to facing mental health risks in this pandemic?

DP: Many people who were already left behind will suffer disproportionately So, in many parts of the world, LGBT people are discriminated against, people with disabilities other than psycho-social ones we discussed, and those with physical disability, indigenous people, migrants and refugees in difficult situations, and also the prison population these people are at more risk. 

IPS: The issue of mental health appears to have multiple layers of barriers: financial means and social stigma. How do you navigate both financial concern as well as social stigma of this issue?

DP: My approach is that we always have to keep in mind the principles and then we will not be lost when it’s concrete. We should follow non-discrimination, empowerment, accountability and other principles. 

The problem is all these global mental health [responses] are based on discriminatory approaches; for example, if a person is diagnosed with a mental health condition or illness they could be discriminated against by mental health law in their country. 

Next week, I will be presenting many arguments to the Office of the High Commissioner of Human Rights (OHCHR) about the need for a shift in paradigm instead of making small changes. A shift is needed. There is too much: the biomedical model is overused; its okay but when it’s overused, it s harmful. 

 IPS: What’re your hopes going forward? 

DP: With this pandemic what I m emphasising in my statement; now we should be finally convinced that we need to move ahead with reducing the number of these [mental health] institutions, with a final goal of abandoning this legacy.  

Unless diversity is accepted and inclusion becomes everyone’s business, it will be impossible to achieve the goal of universal health coverage because 15% of the global population who have some form of disability will be left behind. Credit: Bigstock.

Jul 30 2020 (IPS) – Over the next seven years,  to improve technology, health and education, according to CEO Sundar Pichai. This is unprecedented and could be a game changer that could improve health, education and economic empowerment. 

While Google should be commended for such foresight, it is also pertinent to note that there was no mention of how this investment would benefit India’s 26 million persons living with disabilities. Without a doubt, investments in the Indian economy must be all-inclusive. This means including persons living with disabilities, particularly women and children.

For long, disability has been neglected to the detriment of millions of Indians who live with various forms of it. The plight of persons living with disabilities in India is not unique. In the global south, efforts to improve the health and wellbeing of persons with disabilities are usually led by individuals with disabilities, civil society and disabled persons organisations.

In the global south, efforts to improve the health and wellbeing of persons with disabilities are usually led by individuals with disabilities, civil society and disabled persons organisations

Unless diversity is accepted and inclusion becomes everyone’s business, it will be impossible to achieve the goal of universal health coverage because of the global population who have some form of disability will be left behind.

Indeed,  have been magnified at this time of COVID-19. These challenges include unprecedented number of deaths, lack of access to finances, people-centered healthcare, home based caregivers etc. Furthermore, closure of intervention centres and special schools, have  for children with developmental disabilities.

Education is also a major challenge as most schools turned online, without working on accessibility and barriers to inclusion, and so .

There are many non-profits and government organisations in India that provide services to persons with disabilities, and most have been closed since April 2020, but staff are working overtime to provide the best services through online mediums thereby avoiding disruption of services and ensuring continued developmental progress in children.

So far, feedback from families are varied: from increased involvement of parents to no progress because such parents do not have access to digital technology.

This is the time to  as its key feature in India. However, to realise this, the private sector must play a key role as a funder and incubator of ideas.

These are five ways Google could ensure that its $10 billion investment in India is inclusive of persons living with disabilities.

First, involve persons living with disabilities in any plans to discuss the investment. This involvement must be from the beginning when plans are developed to when impact is evaluated. New initiatives must actively seek inputs from persons living with disabilities with different kinds of impairment. If this diverse representation is pursued, the inputs would be inclusive and could mitigate some challenges that may arise.

Second, ensure at least 20% of all roles are reserved for persons living with disabilities, to be well distributed along gender and age groups. Women are needed in leadership positions as the impact they make are phenomenal, with valuable indices like empathy, wellbeing and happiness. Also, children living with disabilities should not be left out.

Third, improve healthcare delivery by training health workers on providing care that is respectful and meets the needs of persons living with disabilities. Health facilities must be obligated to provide services without discrimination.

To achieve this, the investment should include partnerships with schools where health workers are trained to make the curriculum disability-friendly. Health workers already in service should also be trained and retrained on disability-centered care.  adopted by medical schools in India, should be used to train students, as well as train and retrain health professionals.

Fourth, ensure provision of social determinants of health such access to education, economic empowerment, access to clean water and sanitation for persons living with disabilities. For instance, access to clean water and sanitation helps reduce the incidence of infectious diseases.

Indeed, one of the most important public health interventions to reduce the spread of COVID-19 is frequent hand washing with soap under running water. Moreover, the more educated people are, the better their health-seeking behaviours.

Also, providing economic empowerment interventions would empower persons living with disabilities to pay for their healthcare themselves when the need arises.

Lastly, such a huge investment requires regular monitoring and evaluation. Persons living with disabilities should be included in monitoring teams. No one better than persons living with disabilities can evaluate the impact and the influence of programs that create change and transformation to improve the quality of life of members of the community. Also, lessons learnt can help others know how to cater for the needs of persons living with disabilities.

To be sure, Google is a private business and is entitled to deploy its corporate social responsibility however it deems fit. However, as one of its biggest markets, India is deserving of this investment.

It would amount to perpetuating gross inequities in India if persons living with disabilities are left behind again.

Dr Shubha Nagesh is a medical doctor and works with the Latika Roy Foundation, Dehradun India

Dr. Ifeanyi M. Nsofor, is a medical doctor, a graduate of the Liverpool School of Tropical Medicine, the CEO of EpiAFRIC and Director of Policy and Advocacy at Nigeria Health Watch. He is a Senior Atlantic Fellow for Health Equity at George Washington University, a Senior New Voices Fellow at the Aspen Institute and a 2006 International Ford Fellow. 

Photo by cottonbro from Pexels.

Sep 9 2020 (IPS) – Once safe and effective COVID-19 vaccines are available, tough choices will need to be made about who gets the first shots.

A committee of the National Academies of Sciences, Engineering, and Medicine – at the behest of the Centers for Disease Control and Prevention and National Institutes of Health – has proposed an .

They recommend first responders and health care workers take top priority. Older adults in congregate living situations would also be part of a first vaccination phase, according to the plan.

We are faculty at Johns Hopkins University and the University of Southern California who have spent decades studying . One of us is a member of the National Academy of Medicine.

Having seen firsthand , we disagree with some of the recommendations. Asymptomatic spread is and threatening surrounding communities.

We argue that this pandemic requires a different model for making vaccination choices. After taking care of essential workers, vaccinations should be given to the biggest transmitters of the virus – mostly the young – and only then to the most vulnerable.

Lessons from 2009 flu epidemic

The textbook vaccine model goes out the window when novel viruses emerge.

Some lessons can be drawn from the , which killed an estimated 500,000 people around the world. In the U.S, President Barack Obama declared the spread a national emergency.

Optimally, older people will drive down deaths by staying home in large numbers, and younger people will drive down infections by getting vaccinated in even larger numbers. It all works if the vaccine is effective and enough people take it

A vaccine was developed as early as the fall of 2009. However, only . The CDC was required to make some difficult decisions about allocation. Some states requested 10 times the amount they were allocated.

In the end, the CDC allocated the vaccine strictly in proportion to a state’s population – that is, on a per capita basis. States then allocated them, often with priority to infants and the elderly, along with people at high risk.

This priority – to protect the most frail – has been public policy since at least the .

Later studies, however, have shown that a was to control , which often has meant vaccinating school-age children early.

One of the lessons from these past pandemics is that early can avert multiple infections with others.

The superspreaders

The experience of the past few months has shown how important it is to check transmission with COVID-19. found that as few as 10% of those infected lead to 80% of the infection cases. What has made it more difficult is that up to at all.

Very few of the COVID-19 are elderly. It is the younger people who have a much greater propensity to resume social lives at schools and in other venues.

Among the young are a subset of highly social people with wide circles of friends who become the most fertile ground for the spread of COVID-19. These young people also have a much lower risk of death or even severe symptoms, which also means they are more likely to infect others.

Cases have been spiking in the 15- to 25-year-old age group, that they are propelling the spread of the virus. A recent outbreak on the infected at least 40 people.

The American Academy of Pediatrics and that at least 338,000 children have tested positive for the virus through July 30, with more than a quarter of that number having tested positive in just the last two weeks of that month.

More broadly, younger residents in the virus hot spot of Los Angeles County . In California, young people between 18 to 34 years of age account for .

Young versus old

Anticipating that young people will engage in activities that spread the virus, many universities . Some that decided to go after as little as a week on campus.

With or without a vaccine, , especially those with underlying medical conditions, is avoiding contact with potential carriers.

Optimally, older people will drive down deaths by staying home in large numbers, and younger people will drive down infections by getting vaccinated in even larger numbers. It all works if the vaccine is effective and enough people take it.

We predict the pressures and politics around prioritizing vaccine distribution will be intense. We argue that the key will be to take the most beneficial route, not the most obvious one. With a full-scale public health campaign behind it, that will mean prioritizing those who are driving transmission, not those who are most vulnerable.

As counterintuitive as such a strategy may appear, plenty of evidence shows this would be the right approach.

, Leonard D. Schaeffer Chair and Distinguished Professor of Public Policy, Pharmacy, and Economics, ; , Professor of Preventive Medicine and Associate Director for Data Science Integration, , and , Bloomberg Distinguished Professor of Economics and Business, Director of JHU s 21st Century Cities Initiative,

This article is republished from under a Creative Commons license. Read the .

SYDNEY and KUALA LUMPUR, Nov 2 2020 (IPS) – US third quarter GDP numbers released two weeks ago delighted stock markets and President Trump. Output had picked up by 7.4%, annualised as 33.1%, the largest quarterly economic growth on record, almost double the old record of 3.9% (annualised as 16.7%) in the first quarter of 1950, seven decades ago.

Anis Chowdhury

Spinning numbers
This news could not have come at a better time for Trump, who is struggling for re-election, as his Council of Economic Advisers (CEA) declared that this affirmed , “we’re coming back, and we’re coming back strong”. The CEA spun the White House press release accordingly, “The Great American Recovery: Third Quarter GDP Blows Past Expectations”.

The CEA the record to “the strong foundation of the pre-pandemic economy and the efficacy of the Trump Administration”, portraying it as “a testament to the fortitude and resilience of America’s workers and families”.

Meanwhile, new US COVID-19 cases on the very same day reached a record high, and still rising, with total cases , with deaths four times the total American death toll during the two decade long Vietnam War, and fast approaching a quarter million.

Glass half full/empty
As COVID-19 rages unchecked, economic activity remained its pre-pandemic peak. According to the ‘’ of Moody’s Analytics and CNN Business, the economy was only 82% of what it was in early March, with 10.7 million jobs lost since February!

Jomo Kwame Sundaram

by the Bureau of Labor Statistics in early October show that more than 12.6 million Americans were out of work while lasting job losses rose, with 36% of the jobless deemed permanently unemployed.

Those permanently laid-off ballooned , and the number of long-term unemployed (those jobless for 27 weeks or more) increased by 781,000 to 2.4 million. This number is still rising fast, threatening extreme hardship for many more households.

Prospects for those losing jobs may be bleak as US job recovery appears to be . After adding 4.8 million jobs in June, job gains slowed to 1.8 million in July, 1.5 million in August and only . As time passes and job growth continues to slow, it will take years to bring employment back to pre-pandemic levels.

Exaggerating trends
Annualising a quarterly or monthly rate tells us how much the economy would expand or shrink if the rate of change is maintained for a full year. But this can be misleading, by making mountains out of molehills. Undoubtedly, the second quarter’s massive collapse was followed by a large gain in the third.

But the third quarter recovery of 33% after the second quarter contraction of 33% does not mean the economy is back to where it was. If 100 drops 33% to 67, and then regains 33%, it gets to 89 (from 67) still 11 short of the original 100.

Rapid growth in one quarter does not mean the economy has gained strong momentum. The collapse in the previous quarter had set a low baseline. Hence, any rebound from that depressed base would generate a huge growth rate.

Hours worked are often a for employment and economic recovery. Average hours worked in the first quarter were 5.1 million, dropping to 4.5 million in the second, before recovering to 4.8 million in the third, still below pre-COVID levels.

that the economy has been slowing. For example, consumption growth was slower every month from June to August than in the month before.

Similarly, retail sales slowed over mid-2020, before a slight rebound in September. The Chicago Federal Reserve National Economic Activity Index indicated that August growth was the slowest since recovery began in May.

Disparities widen
The prestigious has observed, “COVID-19 exacerbating inequalities”, as the pandemic various US disparities already growing for decades. As 45 million Americans lost their jobs, .

Meanwhile, US Centers for Disease Control and Prevention show hospitalization rates for Blacks and Latinos 4.5 times that for non-Hispanic whites. A US National Academy of Sciences also found age-adjusted COVID deaths more than 2.5 times higher for Blacks than for Whites.

US income and wealth inequalities since the early 1970s. The share of total income earned by the top decile (10%) from around 31% in the 1970s to about half in 2015, while the top 1% or percentile’s share rose from 8% to 20%.

Much of this increase among the top 10% came at in the bottom half of the distribution whose share of total income halved from 20% in the 1970s as median US workers’ from 1973.

Over the past three decades, the wealth share of those in the top decile (10%) of household income rose from 61% to 70%, while that of the top 1% went .

Jobless rates for were higher than the national average, even before the pandemic. Disproportionately employed in low paying occupations, they have due to the pandemic.

, e.g., as 617,000 women, compared to 78,000 men, dropped out of the labour force in September. Half of these women were between 35 and 44, the prime working age.

Omitting the important things in life
The pandemic can even augment GDP, which includes all COVID-related expenses, including those for treatments and funerals, plus the trillions that governments – federal, state, municipal – spend to tackle the crisis.

Perhaps, it is fitting to recall Robert Kennedy from over half a century ago:

“Too much and for too long, we seemed to have surrendered personal excellence and community values in the mere accumulation of material things. Our Gross National Product… counts air pollution and cigarette advertising, and ambulances to clear our highways of carnage.

“It counts special locks for our doors and the jails for the people who break them. It counts the destruction of the redwood and the loss of our natural wonder in chaotic sprawl.

“It counts napalm and counts nuclear warheads and armored cars for the police to fight the riots in our cities. It counts Whitman’s rifle and Speck’s knife, and the television programs which glorify violence in order to sell toys to our children.

“Yet the gross national product does not allow for the health of our children, the quality of their education or the joy of their play. It does not include the beauty of our poetry or the strength of our marriages, the intelligence of our public debate or the integrity of our public officials.

“It measures neither our wit nor our courage, neither our wisdom nor our learning, neither our compassion nor our devotion to our country, it measures everything in short, except that which makes life worthwhile.

“And it can tell us everything about America except why we are proud that we are Americans.”

Bibbi Abruzzini, Forus Communication team, Paris.

Credit: Forus International

PARIS, Dec 10 2020 (IPS) – On Human Rights Day, civil society calls for the protection of civic space as a fundamental freedom, as more than 80% of the world’s population live in countries where civic space is closed, repressed or obstructed.

Protecting civil society and fundamental freedoms means protecting the rights to associate and assemble, to express views and opinions. Civic space is the bedrock of any open and democratic society. When civic space is open, citizens and civil society organizations are able to organize, participate and communicate, claiming their rights and influencing the political and social structures around them. But this is not the case for most citizens around the world, new data unveils.

, with data from over 40 National NGO platforms, by Forus, , and , finds that 40% of NGO platforms continue to face high levels of impunity in the use of excessive force against human rights, gender and environmental defenders, in particular in Sub-Saharan Africa, Latin America and Asia.

For 50% of NGO platforms, national laws and regulations are a key barrier to civil society activities in their country. In times of Covid, hurdles have multiplied, with 68% of NGO platforms noting that the health crisis was used to justify restrictions on their activities within the boundaries of legal and regulatory frameworks, and for 23%, the health crisis led to increased arbitrary restrictions.

“We’ve been really alarmed and we’ve spoken loudly through our megaphones, wherever we have been able to speak up, to say that governments should stop using the state of emergency to crack down on civil society,” says Sarah Brandt from Globalt Fokus, the Danish national platform of NGOs.

Some groups are more subject to harassment or interference by the government than others. In Cambodia, media outlets are particularly targeted. In Spain, the Occupy movement and those fighting against la “ley mordazas” or “gag law” introducing limitations on protests and imposing administrative sanctions against demonstrators both online and offline. In Colombia, Chile and Argentina, organisations representing indigenous, social leaders and trade unions are routinely scrutinized and attacked. In the UK, organisations that work with migrants, refugees, and the Muslim community face continuous pressures. In Denmark, the organisations being targeted include anti-establishment groups such as ANTIFA and Extinction Rebellion.

With increased surveillance, persecution and violence, only half of NGO platforms turn to national governments as institutional channels to promote accountability for attacks on civil society, while over two thirds use Human Rights Councils and the judiciary system. This shows the crucial role played by human rights institutions, which continue to be guardians of fundamental rights and never cease upholding democratic values.

Credit: Forus International

Carlos Andrés Orellana Cruz, joined , the Honduran national platform of civil society organisations, to support local communities defending their territory from mining projects in one of the world’s most infertile lands when it comes to human and civil rights.

“The only way to protect ourselves is by protecting others. No struggle is or should be isolated, social change cannot happen in small groups of people seeking quotas of power, but in an active and mobilized citizen participation, with effective exchange of knowledge and commitment to principles of social justice and democracy,” Carlos explains.

In countries like Honduras, this is becoming increasingly difficult, as . , according to CIVICUS, attacks continued to target activists as well as journalists, and the Honduran government introduced a new criminal code enabling the criminalization of these actors. This dire context is coupled with the little support civil society receives from institutional channels. 42% of NGO platforms report examples of efforts by governments or other major development actor to actively discredit their work.

Lockdown has forced many protests off the streets, yet changes in the digital environment, including the implementation of new technologies, software and access to information, have positively contributed to an enabling environment for civil society, according to a third of NGO platforms interviewed in the study. In contrast, 40% have experienced mixed to negative impacts and 15% merely negative impacts, as online spaces exacerbate the risk of widening the digital gap, privacy breaches and crackdowns.

For activists like Yasmine Ouirhrane, former Young European of the Year and Founder Podcast Host at , digital realms have opened new spaces for much needed cross-cultural dialogues. With her online platform and podcast she amplifies the voice of the “new daughters of Europe”, focusing on conversations with young women representing the diversity of the region, breaking stereotypes, navigating multiple identities, and challenging the conventional wisdom of what it means to “belong”.

“As Youth, we have been great advocates for our own rights. We have been outspoken: raising our concerns, tweeting our moods, demonstrating during Fridays for OUR future, even gaining seats at the decision-making table,” says Yasmine. “Yet, not all of us can speak up, not all of us are heard, not all of us are seen. Stories remain untold. The road for inclusion is still long and it’s time that we reflect on the invisible youth, the ones that have no means or hope to engage”.

The Forus Enabling Environment study calls for the inclusion of civil society in policy dialogues especially in rural and regional settings, in local languages and using diverse and locally appropriate technologies.

Only 7,5% of NGO platforms indicated that their governments effectively support civil society organisations with more limited capacities and resources.

This needs to change. Promoting a healthy civil society means protecting fundamental human rights, essential to the creation and maintenance of civic space, but more importantly of a healthy and just society.

The new report by Forus , Cooperation Canada and AidWatch Canada was produced with the financial support from Bread for the World and the French Development Agency.

NOUMEA, New Caledonia, Jan 25 2021 (IPS) – In 2019, the United Nations General Assembly proclaimed 24 January as International Day of Education, in celebration of the role of education for peace and development. The United Nations’ Sustainable Development Goal 4 challenges all nations to “ensure inclusive and equitable quality education and promote lifelong learning opportunities for all” by the year 2030. As we think about this in the context of the COVID-19 pandemic, and the emerging post-COVID-19 environment, what does inclusive and equitable education look like and how do we ensure that lifelong learning opportunities are benefitted by all?

EQAP Director Michelle Belise

Pacific Island Literacy and Numeracy Assessment (PILNA) results have provided us with rich data that identifies trends in literacy and numeracy for primary school students in the region. The PILNA data in recent cycles have also provided additional insights that speak to learning more broadly in terms of the learning skills that primary students are developing. PILNA 2018 data indicates that problem-solving and critical thinking skills are a challenge for many students in the Pacific region. For example, over 70% of year 6 students struggled with questions that required interpretation and reasoning in numeracy. Similarly, over 50% of students were unable to provide an explanation for their responses to questions in literacy that asked them to interpret what they had read or to make a decision or support an opinion, based on their reading.

At the senior secondary level, student results for the South Pacific Form Seven Certificate (SPFSC) have shown similar trends in recent years. Higher-order questions requiring students to apply their knowledge and problem solve in subjects across the spectrum, but particularly in the sciences and maths, are challenging. Students are generally able to respond to questions by applying recall or direct application of skills and knowledge, but struggle when asked to inter-relate multiple concepts, to address real-world situations or to extend their thinking into a more abstract use of skills and knowledge.

“…traditional education has frequently focused on problems that already have solutions…”

How do we equip learners for the demands of lifelong learning in an ever more rapidly changing world? Traditional education has focused on skills and facts, the kind of education many of us have experienced and the kind of education that has long been a staple of formal education systems around the world. It has frequently focused on problems that already have solutions and in supporting students in getting to those solutions. In recent years there has been increasing recognition that if learning is a lifelong effort, education needs to provide learners with skills that will allow them to solve problems that don’t yet have solutions.

Learning in the twenty-first century should be less focused on facts and figures, which are far more readily available than was the case in past centuries. Instead, education for lifelong learning must emphasise the importance of critical thinking, problem solving, reasoning, analysis, interpretation, synthesizing information, as well as collaboration and digital literacy skills. Gaining these skills, however, involves different ways of engaging in learning that are often not as readily available in large classrooms or in settings where students are not encouraged, or perhaps even overtly discouraged, from questioning what the teacher is saying. The efforts to develop the many skills needed by learners are complicated by the added challenge of disruptions to learning caused by the pandemic and efforts to fill the gaps with distance learning and virtual gatherings.

As we navigate the COVID crisis, we have a unique opportunity to reset standards in education, by providing the tools to ensure future generations embrace critical thinking both here in the Pacific, and globally.

Michelle Belisle Director, Educational Quality and Assessment Programme

The following opinion piece is part of series to mark the upcoming International Women’s Day March 8.

NEW YORK, Mar 4 2021 (IPS) – In 2020, progress on gender equality in many countries in large part because of the far-reaching impacts of the COVID-19 pandemic. According to a , by 2021, around 435 million girls and women will be living on less than $1.90 a day, including 47 million pushed into poverty as a result of the pandemic. Global lockdowns contributed to a , and estimates show that sexual and reproductive health and rights (SRHR), the bedrock of gender equality, have been severely disrupted, at risk of experiencing an unmet need for modern contraception. Our most pressing global issues have seldom been so daunting, and fault lines in existing social, political, and economic systems have never been so deep.

Kathleen Sherwin

Fortunately, the evidence-based solutions we need to lay the groundwork for a future that delivers for all, including for girls, women, and underrepresented populations1 , are in plain sight. As a global community, by using gender equality as our shared North Star, we can set in motion actions that help us not only recover, but come out on the other side of our most pressing global challenges stronger. Achieving gender equality, with a focus on girls’ and women’s health and rights, must be central to the actions we take in response to COVID-19, and other deeply entrenched barriers to progress, such as .

On this International Women’s Day, we’re calling on governments, the private sector, and civil society leaders to firmly position gender equality as our collective roadmap for coordinated action on COVID-19 and sustainable development. As essential first steps, together, we must prioritize collecting and using disaggregated data, securing the full and effective participation of girls and women in all aspects of decision-making, and investing more in gender equality. Sustainable progress toward a world that works for everyone depends on it.

Decision-makers must collect and use disaggregated data to set equitable action in motion.

Girls and women are too often invisible to decision-makers because data and knowledge about them is either incomplete or missing. To create policies that advance gender equality by addressing the disproportionate impacts of global challenges on girls, women, and underrepresented populations, we first need to invest in disaggregated data to get a full, intersectional picture of the uneven impacts of global issues.

In August 2020, in partnership with , we set out to do just that, conducting a — in 17 countries, representing half of the world’s population — to better understand the impacts of COVID-19 on girls and women, and global public opinion and expectations for policymaking on gender equality. We learned that girls and women are shouldering the worst of the pandemic’s impact: across 13 of 17 countries surveyed, women report experiencing greater emotional stress and mental health challenges than men, and taking on an even greater share of household tasks.

Girls and women must be fully and effectively engaged in charting our shared path forward.

Building a sustainable future for all requires the full participation — and potential — of girls and women in all aspects of our international and domestic response to global issues, and the realization of that potential depends on their health and rights. In fact, we now know that believe women must be involved in all aspects of COVID-19 global health response and recovery efforts.

Crucially, we must engage today’s youth, who will ultimately bear the consequences of our action — or inaction — and who have the highest expectations for more government funding for gender equality. expect their government to spend more on gender equality, and are ready to take personal action to make sure that they do.

Gender equality is what citizens want, and it’s what the world needs to build a healthier future for all.

The resounding call for action on gender equality, matched by robust funding and accountability mechanisms, holds across countries surveyed for men and women, young and old alike. want their government to invest more to promote gender equality, and are ready to act — from the way they vote, to the products they buy — to make sure that this happens. The resounding majority of citizens also believe that increasing access to SRHR is a top priority for immediate government action.

As governments, the private sector, and civil society leaders come together on International Women’s Day, and during upcoming global fora including the 65th session of the and the to discuss how to transform words into action that improves the health of all people and the planet, ensuring that gender equality is our shared roadmap for responding to global challenges is crucial to sustainable progress now and in years to come. It’s what citizens want, and it’s what the world needs to build a healthier, more gender-equal future.

1 People of underrepresented sexual orientation, gender identity, and/or expressions, and sex characteristics (SOGIESC), and those who experience multiple and intersecting forms of discrimination and oppression.

The author is Interim President CEO,

Continued inequity in COVID-19 vaccination means virus mutations occur and newer variants emerge that may be resistant to currently available vaccines. Credit: United Nations.

ABUJA, Apr 2 2021 (IPS) – As richer western nations continue hoarding COVID-19 vaccines to the detriment of poorer nations, there is some light on the horizon. On April 15, 2021, the U.S. will join the Global Vaccine Alliance (GAVI) and of the Investment Opportunity for COVAX Advance Market Commitment.
The aim of the event is to raise more funds to ensure at least 1.8 million doses of COVID-19 vaccines are available to 92 low-income nations. The U.S. recently donated $4 billion to COVAX and this new leadership role is highly commendable.

“The more the virus that causes COVID-19 is out there in the world, the more opportunities it has to evolve—and to develop new ways of fighting our defenses against it. If we don’t get the vaccine out to every corner of the planet, we’ll have to live with the possibility that a much worse strain of the virus will emerge.” 
Bill Gates

However, even if all the commitments are met from the launch, only 20% of people in poorer nations would be vaccinated. Furthermore, it could take until late 2022 for that population to be vaccinated.

Continued inequity in COVID-19 vaccination means virus mutations occur and newer variants emerge that may be resistant to currently available vaccines. Therefore, it is in the interest of every nation (both rich and poor) that everyone everywhere has a fair chance of being vaccinated simultaneously.

Bill Gates alluded to this in his recent : “The more the virus that causes COVID-19 is out there in the world, the more opportunities it has to evolve—and to develop new ways of fighting our defenses against it. If we don’t get the vaccine out to every corner of the planet, we’ll have to live with the possibility that a much worse strain of the virus will emerge.”

Simply put, to end this pandemic, we must vaccinate everyone, everywhere.

As the COVAX investment commitment launch approaches, these are three ways the U.S. especially can ensure more equity in ending the COVID-19 pandemic globally:

First, support the push by the World Trade Organization for temporary COVID-19 vaccine patent waivers so that vaccines can be manufactured locally in Africa and other parts of Asia. Recently, the U.S. Chamber of Commerce calls for the World Trade Organization to back a temporary waiver of intellectual property rights to speed coronavirus vaccine production in poor countries.

If this continues, it could take until late 2023 or even early 2024 to vaccinate all those eligible across Africa. President Joe Biden has to intervene to authorise these waivers so that vaccine production can take place simultaneously in rich and poor countries.

Local production of vaccine in African countries will also lead to reduction in logistics costs and waiting times in transporting the vaccines from the west to African countries. has concluded preclinical trial and would soon begin clinical trial for a vaccine locally.

Likewise, Johnson and Johnson pharmaceutical has of their single-dose vaccine to the Africa Vaccine Acquisition Task Team. Most of the supplies would be manufactured locally by Aspen Pharma in South Africa The U.S. should support more local production across African countries to speed up COVID-19 vaccination on the continent.

Second, block capital flight via corruption from poorer nations. . This theft amounts to a staggering $800 billion stolen from 1970 to 2008. These funds are stolen via electronic transfers.

Surely, banks and other agencies are aware as the theft is happening. The U.S. can work with banks and national anti-corruption agencies to stop funds being stolen. We do not have to wait for funds to be stolen and then go through all manners of legal and regulatory bottlenecks to repatriate the funds.

For example, no one really knows how much Nigeria’s former military dictator, General Abacha stole from the country. Twenty-three years after his death, funds he stole are still being repatriated back to the country.

The U.S. should also impose sanctions on banks, bank executives, politicians and civil servants who aid these thefts. With $50 billion yearly, Africa will not be dependent on richer western nations to vaccinate her people. Indeed, at $10 per dose, $50 billion will buy 5 billion doses of the Johnson and Johnson Covid-19 vaccine more than enough to vaccinate all Africans three times over.

Third, ending the pandemic is not just about vaccines. Therapeutics, personal protective equipment and other commodities are essential. Sadly, the U.S. hoarded these at the beginning of the pandemic in 2020. These hoardings must stop.

The African Union’s Africa Medical Supplies Platform () chaired by Zimbabwean billionaire, Strive Masiyiwa has succeeded in creating a platform for linking manufacturers with African nations especially for pre-ordering of COVID-19 commodities, including vaccines. The AMSP is an innovative idea to make Africa self-sufficient in COVID-19 response. This should be supported by the U.S.

All lives are created equal. The U.S. government should deepen its global health leadership by ensuring that this COVAX launch is an opportunity to demonstrate the sanctity of lives everywhere. It is the equitable thing to do to end this global pandemic for everyone.

Dr. Ifeanyi McWilliams Nsofor is a graduate of the Liverpool School of Tropical Medicine. He is a Senior New Voices Fellow at the Aspen Institute and a Senior Atlantic Fellow for Health Equity at George Washington University. Ifeanyi is the Director Policy and Advocacy at Nigeria Health Watch.

NEW DELHI, India, May 17 2021 (IPS) – Somalia is one of the most complex regions of the world, with threats and political instability, extreme weather conditions, movement of internally displaced people (IDPs), decades of conflict, poverty-related deprivation, poor health and communicable diseases that are killing people. There is a constant risk of gender violence making women, children and members of minority groups particularly vulnerable, and more so during displacement or while seeking work. Three decades of civil war and instability have weakened Somalia’s health system and contributed to it having some of the in the world. The COVID-19 pandemic has added yet another strain on its tremendously fragile infrastructure presenting unexpected challenges and dilemmas.

Dr. Deqo Mohamed

This states that, “the multitude of crises and rates of inflation have left the majority of families food insecure and without income, halted education and health services, and exacerbated existing vulnerabilities and the incidence of violence. Needs far exceeds the current available resources and capacity.”

One of the doctors leading healthcare and currently involved in the fight against COVID-19 in Somalia is Dr. Deqo Aden Mohamed, an obstetrician-gynecologist, founder of ‘The Hagarla Institute’ and co-founder of ‘The Somali Cancer Society’.

Dr. Deqo has been working full time on the ground in Somalia, and leads multiple projects on maternal health and the National Call Center for COVID-19, and is part of the Somali National Taskforce for COVID-19, 2020. In an interview given to me, Dr. Deqo says, “the pandemic has been exhaustive, we created a national call centre last year, which helped reduce the effect of COVID-19 to some extent. We have a very young population in Somalia who are all below 40 and they were able to recover from COVID-19 with very mild symptoms. A few elderly with comorbidity needed beds, but we were not ready when COVID-19 hit last year. We barely had 19 beds, and we didn’t even have ventilators.

“The good thing in Somalia is that because we have been through several famine and natural disasters, people or the government or the non-profit organizations/ international ones, are set in their mechanisms, where they are able to quickly react in emergency situations. They were able to set up one hospital last year very quickly, which also was just not enough.” Dr. Deqo said.

Last year amongst many, Somalia also lost one of its fearless and most compassionate humanitarian whose life’s work gave hope to , while inspiring countless others worldwide. Also known as “Mama Hawa and “the Mother Teresa of Somalia , Dr Hawa Abdi, Somali’s in a refugee camp close to the Adbi hospital, which was dubbed as Hawa Village. It is estimated that two million were served by her foundation over a period of 35 years. It was in these camps, Dr. Deqo grew up feeding the refugees her mother was harboring and shaping her destiny of becoming a doctor herself.

“My mother, (Dr Abdi) started the Hawa Abdi Foundation, it was started with the goal to help mothers have access to maternal healthcare. But once the civil war began, it transitioned from rural healthcare to an organization that did everything. It was very inspiring to watch her, the way she stood up as a woman, the way she negotiated with the elderly, the way she taught that your femininity should not hold you back, because in a society as a woman you are undermined. She was a strong woman,” Dr. Deqo added.

What began as a one-room clinic, changed the course of healthcare in Somalia, and helped in alleviating poverty and suffering in the country. However, the in Somalia still remains one of the weakest, poorly resourced and inequitably distributed in the world and in the absence of functioning public sector facilities, the country’s healthcare system has been “.”

While private health services and the pharmaceutical sectors largely remain unregulated, they are the backbone of healthcare in the country. Most funding for the health sector comes from international donors and is ‘’.

“The government runs only three hospitals here, so imagine in Mogadishu we have 4 million people and just three hospitals. The second wave of COVID-19 was much harder than last year. What we lost in one years time, we lost in one month in 2021,” says Dr. Deqo.

Currently the country is grappling with the triple threat of drought, COVID-19 and insecurity in Mogadishu which is driving severe humanitarian needs in Somalia. Somalia a 48% increase in deaths from COVID-19, doubling of cases from 6687 to 13,812 cases in just 59 days. The in Mogadishu, is adding to the difficulties in deliveries of humanitarian services in several parts of the country.

In a issued by International Rescue Committee, (IRC) Richard Crothers, IRC Somalia Country Director said, “Over 80% of the country is suffering from drought conditions, cattle and crops are dying as the frequency of climate-related hazards increase. We’ve seen a spike in COVID-19 cases and deaths over the last month, with many cases going undetected and untested. In a country already suffering from severe humanitarian crises, with almost 6 million people in need, the drought will drive even more displacement and food insecurity. Now more than ever we need an increase in support and funding in order to meet the rising humanitarian need.”

In this , co-authored by Dr. Deqo, lack of access to screening services and important information about COVID-19, could put millions of internally displaced people in Somali settlement camps at risk.

“Three million internally displaced people (IDP) live in more than 2,000 settlement camps in Somalia. The large-scale camps are a tinderbox for potential outbreaks of infectious disease. Overcrowded conditions restrict opportunities for physical distancing and the camps often lack reliable access to basic amenities such as running water, soap, and medical treatment. The humanitarian crisis is already acute in Somalia,” the report states.

“The government wants to help, they communicate everyday, but the capacity is very limited, they don’t have funding, allocation of funding to government healthcare is very limited, basically they cannot run their own hospital, so that s the situation.

“ If we have people in place those with the right skills, knowledge and moral compass, things will be fine. Right now, as a doctor I am putting my energy and resources to have the best people in place. The country was brain drained, it lost two generations due to civil war and I think that’s what we are missing. I cannot solve all the issues from the ground, but I think we have the best opportunities in Somalia right now, and if we can learn from the mistakes, we can have a good healthcare system in the country,” says Dr. Deqo.

Somalia is among the to receive doses of COVID-19 vaccine delivered through the COVAX Facility. According to UNICEF, 300,000 doses of COVID-19 vaccines arrived in Somalia, but health officials say have been used. One of the major reasons according to this is “the Islamist militant group Al-Shabaab s warning in Somalia that people are used as guinea pigs for AstraZeneca, large sections of Africans are steering clear of vaccines.”

Despite mechanisms in place to react quickly, as mentioned earlier by Dr. Deqo, the broader challenge for Somalia to battle through is the combination of a weak healthcare system, raging political and humanitarian crisis and adding to this, vaccine hesitancy must be a priority for the Somali government to overcome. If not, then COVID-19 will not only remain a regional threat, but possibly a global one as well, given the aggressive and uncontrollable mutation of the virus, which Somalia cannot afford to risk.

The author is a journalist and filmmaker based out of New Delhi. She hosts a weekly online show called The Sania Farooqui Show where Muslim women from around the world are invited to share their views.

The author is Commonwealth Secretary General

Patricia Scotland

LONDON, Jun 25 2021 (IPS) – Over the past 18 months, the impacts of the coronavirus pandemic have transformed our lives and prompted a period of deep reflection as a global community. In some sense, we are only now starting to understand our vulnerabilities, and in particular, how deeply exposed and interconnected we are as people, communities and as countries.

At the same time, the pandemic has been a stark eye opener on our capacity to deal with the risks and shocks, at both individual and country level. The experience has shown us our vulnerability, and comparatively, our resilience is only partly determined by our income or economic status.

For small states in particular, the focus on Gross Domestic Product (GDP), a figure which sums up the economic strength or income of a country, can never fully reflect the potential impact of external shocks outside the control of any government. A country’s high income, for example, does not negate its vulnerability to climate disasters, which can reverse years of development gains overnight.

In other words, measures such as GDP, or other equally narrowly focused economic statistics only provide us part of the picture. We need much more nuanced and comprehensive measurements and indicators to assess our full risk factors, and more precisely, our susceptibility to harm.

This has been regrettably demonstrated by the ongoing pandemic, during which as someone recently noted, ‘while we are all in the same storm, we re not all in the same boat.’

GDP was settled upon as the simple and translatable measure of economic progress over 75 years ago, with the establishment of the Bretton Woods institutions.

It has certainly been a useful measure, yet most economists and experts today would agree that it is not the best measure of a nation, whether in terms of its economic progress, its sustainability or its potential. Put frankly GDP is too blunt a tool to serve as the only measure of success and progress, especially in these times of rapidly accelerating economic, social and environmental change.

We face a much more complex world than we did decades ago, a world which is also much better understood, and more thoroughly analysed any point in our history. And we need to update the tools we use to tackle this new world in a way that is fit for purpose. Big data, analytics, and Artificial Intelligence permeate every aspect of many of our lives. And yet, when it comes to development finance, we still rely singularly on an incomplete GDP figure to assess what type of funding countries should get, and how much.

This is why the debate has been building around new ways to assess less-developed and at-risk countries, and how they can be best supported by international financial institutions. It is also why the Commonwealth alongside many organisations, including the UN, has started to consider other more nuanced and constructive ways of assessing nation states and vulnerabilities.

The Commonwealth has approached this debate objectively, not to be swayed by one interest or group but to use rigorous analysis to lead an open discussion about how best to target support the poorest and most vulnerable nations in the world.

With over a third of the world’s sovereign nations as members, including 32 small states, and approximately 2.4 billion people living in the Commonwealth, we have a duty to address and advise on these issues, and to find consensus on a way forward.

In this vein, I am immensely proud of the work done by my team to produce the Commonwealth’s for consideration by Commonwealth member countries. This Index, which weights country s vulnerability against their built up and policy-related resilience, will give policymakers and financial institutions a sound tool by which to assess who is most in need of support.

And if adopted, we are convinced that the Index will transform the way we invest and deliver finance to developing countries.

One thing is clear. As we emerge from this crisis, we cannot return the business as usual. In order to respond effectively as an international community to the interlinked global crises confronting us today, we must overhaul the way we think about development finance, particularly in the post COVID world. We need to move beyond the thin analysis that GDP and per capita income provides us and to come up with a new way of determining the type of support vulnerable countries could receive. It is crucial that we do better, and we indeed can, through a tool such as the Universal Vulnerability Index.