Category: International Cooperation

How a community brought down child mortality by 95%

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Imagine a world in which pregnant women and little kids get regular home visits from a health worker — and free health care. That’s the ground-breaking approach that’s being adopted in one of the world’s poorest countries: the West African nation of Mali.

A nurse from the country’s cadre of community health workers visits each of the homes in her designated area, which contains roughly 1,000 people, at least twice a month. She diagnoses, treats and refer patients. It’s part of a free door-to-door health-care plan that began in 2008 as a trial by the government.

When data from seven-year trial was compiled by a team including researchers from the University of California, they found that child mortality for kids under age 5 dropped by an astounding 95%, according to findings published last year in BMJ Global Health. The population in the study area was 77,132 in 2013. During the seven years of the study, child mortality rates for that demographic fell from 154 deaths for every 1,000 live births in Yirimadio, among the worst in the world, to 7 – comparable to the 6.5 figure in the U.S.

And now the program will be extended to the entire country. President Ibrahim Boubacar Keïta announced a target date of 2022 for nationwide coverage — at a cost of $120 million. This localized, free health care for pregnant women and children under age 5 could help the West African nation meet the U.N. Millennium Development Goals. A key factor will be the provision of community health care workers who’ll be trained to do the door-to-door work.

The decision has earned praise from policy experts and patients alike. “This is long overdue,” says Dr. Eric Buch, a medical doctor and professor of health policy and management at South Africa’s University of Pretoria, who was not involved in the study. “Free health care for mothers and children under 5 is a very effective way of reducing mortality, and it could have a huge impact.”

The key to long-term success is long-term funding. Mali’s planned reforms rely on external funding from bodies such as the Clinton Health Access Initiative to supplement government spending. But there is no guarantee this funding source will last in future decades, and Mali will need to find a long-term solution that may involve restructuring its budget.

[NPR]

African migrants arrive at Texas border and fan out across the country

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United States Customs and Border Patrol is facing a new wrinkle in their efforts to control and manage the flow of migrants across the U.S.’s southern border: a sudden influx of asylum seekers from countries in Africa. The Associated Press reports that migrants from Africa are flocking to the U.S.-Mexico border after flying into South and Central American countries.

In one recent week, border patrol apprehended at least 500 African migrants in the Del Rio sector of the border — twice the number border patrol apprehended in all of fiscal 2018 across the entire U.S.-Mexico border.

Like those immigrants coming to the border in migrant caravans, the African migrants have a plan once they hit the U.S. border. After being processed, they typically fan out to 16 U.S. cities, according to the Washington Examiner, where communities of African refugees are thriving, helped along by non-profits at the border that provide newly processed asylum seekers with paid transportation.

Most African migrants appear to be escaping human rights abuses and violent dictatorships on their home continent. Most, Border Patrol says, are from the Republic of the Congo, the Democratic Republic of the Congo, and Angola, as well as Cameroon. The AP adds that, in recent weeks, border patrol has processed asylum seekers from Ethiopia, Eritrea, and the Sudan.

A report about the Republic of the Congo, published by the U.N.’s Joint Human Rights Commission, claims that there have been “at least 324 victims of extrajudicial or summary executions, 832 victims of torture or cruel, inhuman or degrading treatment, 173 victims of rape or other sexual violence (114 women, 58 children and one man), and 431 victims of forced labor. The civilian population has been the main victim of the worsening security situation in these territories.”

The widespread violence, the U.N. says, is threatening to create a “mass displacement” of civilians; that “mass displacement” may have already begun.

Increased number of migrants from Africa turning up at US southern border

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Thousands of Africans from Cameroon, Congo and other violence-plagued countries are preparing to cross over the southern border of the United States, according to Customs and Border Protection reports.

  • Border agents from the Del Rio area of Texas sounded the alarm on May 31 about a group of 116 African migrants, sitting on the US side of the Rio Grande, waiting to be arrested.
  • Then, in early June, agents in Eagle Pass, Texas, detained another group of Central African families. In all, more than 500 Africans in a single week crossed the Del Rio border zone.
  • Late in June, agents arrested yet another 310 mostly Haitian and African migrants.
  • Data from Mexico’s interior ministry suggests that migration from Africa this year will break records. The number of Africans registered by Mexican authorities tripled in the first four months of 2019 compared with the same period a year ago, reaching about 1,900 people, mostly from Cameroon and the Democratic Republic of the Congo (DRC).

Until recently, African migrants headed to Europe, but the European Union has slammed the door on them. Now African migrants who head to Europe face indefinite detention in facilities on the north coast of Libya. According to the United Nations, these detention centers are “an outrage to the conscience of humanity.” Toilet facilities are nonexistent, food is crawling with maggots, many adults succumb to severe malnutrition and rape and torture are commonplace.

That’s why many African migrants are coming to the United States. They’re cobbling together airfare to Ecuador (which has a no-visa policy) and then trekking through Panama, north through Central America to the US border.

The African migration is indicative of how much larger the humanitarian crisis at the southern border could get.

[New York Post]

From Libya to Texas, tragedies illustrate plight of migrants

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They are trapped in squalid detention centers on Libya’s front lines. They wash up on the banks of the Rio Grande. They sink without a trace — in the Mediterranean, in the Pacific or in waterways they can’t even name. A handful fall out of airplanes’ landing gear.

Migrants are often seen as a political headache in the countries they hope to reach and ignored in the countries they flee. Despite a wave of Syrians, Iraqis and Afghanis pouring into Europe, daily reminders of migrants’ plights are back on front pages.

The U.S.-Mexico border has become a flashpoint amid President Donald Trump’s ambitions to build a wall to keep out migrants. Many children caught crossing are stuck in squalid, unsanitary detention centers. Children have also been separated from parents in custody. Critics call such policies inhumane, heartless and “un-American.”

Around the world, a record 71 million people were forcibly displaced in 2018, according to a report last month by the U.N. refugee agency, in places as diverse as Turkey, Uganda, Bangladesh and Peru.

Despite the rhetoric about migration crises in Europe and the U.S., the top three countries taking in refugees are Turkey, Pakistan and Uganda. Germany comes in a distant fifth.

A 20-year-old who fled war in his homeland in sub-Saharan Africa two years ago survived the airstrikes, gunfire from militia members trying to keep migrants inside the compound, torture for ransom by traffickers and a sinking boat in the Mediterranean. He is now sleeping outside the Tajoura detention center in Libya along with hundreds of other migrants and awaiting a second chance to go to sea.

“I faced death in Libya many times before. I am ready to die again. I already lost my brothers in the war in my country,” he told The Associated Press. He didn’t want his name used because the militia fighters who shot at him are still guarding the compound.

[AP]

Four EU countries to take rescued migrants after Med standoff

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 Four European Union countries have agreed to take in 64 African migrants rescued by the German ship Alan Kurdi and stranded at sea for almost two weeks, the Maltese government announced on Saturday.

The ship, operated by the humanitarian organization Sea-Eye, had been refused entry by Italy and Malta. Both countries had insisted it was Libya’s responsibility to take in the boat, Sea Eye said earlier in the week.

The Maltese government said that through the coordination of the European Commission, the migrants will be redistributed among Germany, France, Portugal and Luxembourg.

In March, Malta received 108 migrants after a small tanker which rescued them was hijacked by some of the migrants themselves. Maltese soldiers stormed the vessel and escorted it to Malta. Three teenagers have since been taken to court and are under arrest. 

[Reuters]

US prosecutors to retry volunteer who gave humanitarian aid to migrants

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Federal prosecutors in Tucson, Arizona announced they will seek to retry Scott Warren on two charges of harboring undocumented immigrants. In lieu of another trial, which is currently slated for November 12, prosecutors also offered Warren a plea deal on Tuesday, offering to drop the harboring charges if he pleads guilty to aiding and abetting illegal entry without inspection.

Warren was arrested in January 2018 and accused of giving two migrants from Central America—Kristian Perez-Villanueva of El Salvador and Jose Arnaldo Sacaria-Goday of Honduras—food, water, and a place to sleep for three nights. He is a volunteer with No More Deaths, an advocacy organization that works to stop migrant fatalities that occur as they cross the dangerous stretch of Arizona desert along the southern border. Warren testified that his crimes amounted to nothing more than human kindness.

Prosecutors argued during the initial proceedings that the case was “not about humanitarian aid,” but that Warren had intentionally worked “to shield illegal aliens from law enforcement for several days.” Border Patrol agents testified that they observed a conversation between the two migrants and Warren in which he pointed to the mountains nearby. Although they admitted they could not hear the contents of the discussion, they said they assumed he was coaching them on how to avoid a Border Patrol checkpoint.

Several founders of No More Deaths provided their own supporting testimonies, explaining that they developed legal protocols for their volunteer work in line with those of the International Red Cross.

[Reason]

Italian authorities arrest humanitarian rescue boat captain after docking

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Italy on Saturday arrested the captain of a humanitarian rescue vessel and seized the boat after it had forced its way to a dock with 40 migrants aboard.

On Twitter, Italy’s interior minister, Matteo Salvini, said that the “pirate” commander had been arrested and that the migrants would be distributed across other countries in Europe, though he did not name them.

The early morning events brought a tense resolution to a weeks-long standoff in the Mediterranean–one in which a German humanitarian group rescued the migrants and found itself closed off from European ports with nowhere to go.

Over the last year, since Italy closed its ports to charity vessels as part of its hard-line stance against migration, Europe has struggled to manage even the fairly limited flow of newcomers. Time and time again, boats that have rescued migrants have found themselves in limbo for days or weeks in the Mediterranean.

[The Washington Post]

Two-thirds of those in extreme poverty live in Africa

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The World Poverty Clock and Brookings Institute indicate that more than 643 million people across the world live in extreme poverty, with Africans accounting for about two-thirds of the total number.

The researchers note that 14 out of 18 countries where poverty is rising are in Africa, adding that if current rates persist, 90% of the world’s poorest will be living on the continent by 2030.

Nigeria has overtaken India as the country with the largest number of people living in extreme poverty, with an estimated 87 million Nigerians, or around half of the country’s population, thought to be living on less than $1.90 a day.

Other nations in Africa to feature on the list of 10 worst affected countries, include the Democratic Republic of Congo, with 60 million people; Ethiopia with 23.9 million people; Tanzania with 19.9 million.; Mozambique, with 17.8 million people; Kenya, with 14.7 million people; and Uganda, with 14.2 million.

The introduction of internationally agreed UN Sustainable Development Goals, intended to “end poverty” by 2030, has resulted in about 83 million people escape extreme poverty between January 1, 2016 and July 2018. However, “the task of ending extreme poverty by 2030 is becoming inexorably harder because we are running out of time. We should celebrate our achievements, but increasingly sound the alarm that not enough is being done, especially in Africa,” researchers say.

[CNN]

Parents pay children’s tuition fees with plastic bottles

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Oriola Oluwaseyi, 32, makes her way through the busy streets of Ajegunle, a low-income community in Nigeria’s commercial center, Lagos, to collect plastic waste bottles from retail stores. In the evening, Oluwaseyi will drop the bottles at Moritz International School where her 8-year old daughter, Rebecca attends primary school. The bottles will act as down payment for her daughter’s tuition.

As a petty trader earning a pittance from trading car engine oil at bustling Ajegunle market in Lagos, Oluwaseyi does not earn enough to cover the annual 18,000 naira (around $50) school fees. However, thanks to a recent partnership with Africa Cleanup Initiative (ACI), an NGO with focus on sustainability, her daughter’s school now accepts the plastic bottles in exchange for school fees. Through a program called RecyclesPay, ACI collaborates with schools in low-income communities to allow parents who are unable to afford fees for their children to pay using plastic bottles they collect. Twice a month Oluwaseyi visits her daughter’s school with bags full of sorted plastic bottle recyclables. The cost of tuition is determined by how many bottles she has collected; for every 200 kilograms of recyclable bottles, Oluwaseyi can earn up to ₦4,000 (about $11) off the term’s tuition of ₦7500 (about $24).

“The program has given me leverage to channel the funds I would have spent on school fees, to buying of school bag, new pair of sandals and books for her,” Oluwaseyi says.

Nigeria has been tagged the poverty capital of the world, with 87 million Nigerians, around half of the country’s population, living on less than $1.90 per day.

There are more than 450,000 megatons of plastic waste discarded in Lagos waters every year, according to reports in local media. According to 2017 Ocean Atlas report, Nigeria is ranked number 11 in the world for plastic pollution, posing health risks to citizens and causing environmental damage.

Alexander Akhigbe, founder of ACI, says through the RecyclesPay scheme he is providing solutions to Nigeria’s environmental and climate issues. So far, ACI has run its projects in five schools in Lagos and has reached more than 1,000 school children, he says.

[CNN]

Arab opposition to President Trump’s “Deal of the Century”

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Sixteen signatory Middle Eastern organizations expressed their “grave concern regarding the US-led ‘Peace to Prosperity’ workshop in Bahrain, which poses a significant threat to the Palestinian right to self-determination, justice, and equality”,  part of President Trump’s anticipated Palestine-Israel peace plan. The proposal was put together by Trump’s son-in-law and senior adviser, Jared Kushner.

A joint statement comments on “…the troubling pattern of the current US administration’s policies portend what the plan will likely entail — a continued course of uncritical support for Israel at the expense of the rights of the Palestinian people. Since 2017, the Trump administration’s policies have undermined Palestinian rights, contravened international law, and flouted longstanding US policies with regard to Israel and Palestine.

“President Trump has recognized Jerusalem as Israel’s capital and Israel’s annexation of the Syrian Golan in violation of international law, which does not recognize sovereignty over territory taken from another country by force. It has also cut crucial US funding to UNRWA for its work with Palestinian refugees, eliminated USAID programs in the West Bank and Gaza, and closed the Washington office of the General Delegation of the Palestine Liberation Organization.

“Palestinians have been held captive to Israel’s market and economy due to the prolonged occupation and are facing increasing economic pressure as a result of US policies. Now, Palestinians will be asked to give up their inalienable rights and struggle for freedom and justice in exchange for vague promises of economic cooperation and an alleged better standard of living. The Palestinian Authority in the West Bank and a number of prominent Palestinian businessmen have made it clear that they oppose the plan and will not be attending. Russia and China will also boycott the workshop.”