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Detained, Female and Dying: Why Prisons Must Treat Women’s Health Needs

Africa - INTER PRESS SERVICE - Thu, 07/01/2016 - 14:40

This is one of a series of posts by the author on her research in 2013-2015 among women’s prisons and prison communities in Albania, Guatemala, Jordan, the Philippines and Zambia, with DIGNITY, the Danish Institute Against Torture. Find it published as a comparative report, and four individual studies. Her other posts cover issues from violence to prison conditions.

“Gradually our lives are deteriorating, and we aren’t free to do anything about it. You think: ‘there lies my future’. You see death coming slowly and there’s nothing you can do.” – Inmate, Zambia

By Jo Baker
LONDON, Jan 7 2016 (IPS)

It is a grim fact that prisoners in most countries suffer from poorer health than non-prisoners, and that their right to health is not always protected. But for certain groups these rights can be even more elusive. Such is the case for women.

Jo Baker

For me, this was starkly illustrated during a visit to the clinic of a large women’s jail in the southern Philippines. Here, a very thin woman lay curled and still on a narrow wooden bench. Her hands were cradling her taut, bloated stomach, her eyes tightly closed. The nurse explained that she was an addict, arrested while heavily pregnant for drug possession (a sentence that keeps the country’s women’s jails lamentably stocked), and that her baby had died days earlier in a government hospital because of a condition related to her drug use, after a complicated labour. Being understaffed and short on medicine and beds in the prison, the best treatment she could offer the woman on her return, as she faced her withdrawal, post-labour pain, grief, separation from family, and possible years awaiting trial, were paracetamol, kind words and a bench. Hers would be a particular and gendered kind of purgatory.

In speaking with imprisoned women and healthcare practitioners across five countries, our research team commonly found harmful responses and barriers to healthcare that existed because the inmates were women. These included women who were imprisoned in Jordan while recovering from brutal gender-based violence (including honour crimes and rape), without adequate treatment or rehabilitation; women who prepared for and recovered from childbirth in dirty rooms with little more than substandard prison rations, water and soap; and women who were isolated and punished because of attempts to self-harm or commit suicide. “One girl used the edge of a seafood shell on her wrists,” recounted an inmate in the Philippines. “They scolded her. If you want to die, go ahead, do it now!”

These responses are of course unlikely to be particular only to these countries.

International standards (including the Bangkok Rules) now recognize that because women commonly face certain risk factors and backgrounds, they require a gender-specific framework for healthcare. More women than men suffer from particular diseases, including HIV, hepatitis and some cancers. They have differing sexual and reproductive health (SRH) needs, including those relating for example, to birth, abortion and the menopause. They are more susceptible to particular mental health problems. Studies have found self-harm in prison to be up to ten times higher among women than among men, and suicide to also be proportionally higher. This list goes on.

Women (especially those in conflict with the law) are also, crucially, more likely to have been victims of sustained gender-based violence and sexual abuse. Yet prisons, which are increasingly taking in women, are rarely equipped to respond to these forms of trauma. As I was told quietly by one prison healthcare worker, gesturing to a courtyard of around 20 women. “Almost all the women here are mothers, and a lot have maltreatment and molestation in their histories. I can look around and count more than ten women who have been raped. Some have been prostituted by their families. Then drug use comes in and makes it a vicious cycle.”

These and other cultural factors lead to a different sense of shame, which can also work as a barrier to healthcare. For example inmates in Jordan, Zambia and the Philippines told me that they often avoided reporting urinary tract infections and SRH problems to male health staff. Yet some prisons for women don’t employ female doctors, and these issues remain unrecognized, and sometimes debilitating.

My research findings with DIGNITY (see our comparative study here) therefore stress the urgent need for every prison and place of detention to follow a framework for healthcare that is gender-responsive and trauma-informed – one that treats women’s specific health needs, and trains staff accordingly. In just a few facilities did we find gestures towards this.

But not all gender-sensitive health responses are medical. The traditional prison model – designed as a harsh criminal justice response to violent men – remains the basis for many institutions detaining groups that are neither violent, nor male. In the facilities where women told me of harsh disciplinary structures, negative relationships between staff and inmates, and their isolation from caring relationships, they tended to report very low morale, forms of depression, and other signs of serious struggle, such as self harm and hunger strike. This was markedly different in facilities (such the one described here in Albania) that connected the women with the outside community – particularly their children – and gave them tools to cope, learn, communicate and prepare for the future.

Meanwhile, exercise is known to be important to health and morale, and is a right of prisoners under international law (see the Mandela Rules). Yet only in one of five countries, the Philippines, were detained women encouraged and able to exercise every day. In the other countries, exercise and sports facilities of some kind were common only in prisons for men.

Many of our findings on health fell in line with those observed by the former UN Special Rapporteur on Violence Against Women in her 2013 report on women’s incarceration, and they indicated clear and harmful examples of discrimination. Yet in reviewing issues raised by UN treaty body reports, we found women’s health to largely be a gap: UN experts are not giving this area consideration.

The human rights of these women entitle them to better, and must be championed, internationally and in their own countries. As once said by Dostoevsky, society must be judged by the way that it treats its prisoners. Or rather, and as told to me by one mother and survivor of domestic violence, sentenced to life in a Zambian prison: “If you’ve offended, certain things you must accept. But I don’t deserve to pass through some of these things. I came to prison healthy. I’m not intending to leave sick.”

(End)

Categories: Africa

Wrong Time of the Month: a Rights Gap for Developing Countries’ Girls

Africa - INTER PRESS SERVICE - Thu, 07/01/2016 - 11:23
Gina Din, the Founder and CEO of the Gina Din group, is a businesswoman from Kenya specializing in strategic communication and public relations. She was named CNBC outstanding businesswoman of the year for East Africa 2015 as well as 40 most influential voices in Africa. Siddharth Chatterjee is the UNFPA Representative to Kenya.
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Back on Track, Uganda’s Railways Signal Better Days Ahead

Africa - INTER PRESS SERVICE - Wed, 06/01/2016 - 09:53
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Caribbean Journalists Prepare to Report on Climate Change

Africa - INTER PRESS SERVICE - Wed, 06/01/2016 - 04:09

Dominican journalist Amelia Deschamps addressing a workshop in Santo Domingo on the role of reporters with regard to climate change. Researchers and journalists from Cuba, Haiti and the Dominican Republic took part in the event. Credit: Dionny Matos/IPS

By Ivet González
SANTO DOMINGO, Jan 6 2016 (IPS)

Environmentally committed journalists in the Caribbean point to a major challenge for media workers: communicating and raising awareness about the crucial climate change agreement that emerged from the 21st Conference of the Parties (COP21) in Paris.

“Scientific information must be published in clearer language, and we must talk about the real impact of climate change on people’s lives,” journalist Amelia Deschamps, an anchorwoman on the El Día newcast of the Dominican channel Telesistema 11, told IPS.

She was referring to the communication challenges posed in the wake of COP21 to the United Nations Framework Convention on Climate Change, held Nov. 30 to Dec. 11 in Paris to produce the first universal agreement to cut greenhouse gas emissions and curb the negative impacts of global warming.

“So far good intentions abound, but there are few practical steps being taken in terms of mitigation and adaptation,” said Deschamps.

In the view of this journalist who specialises in environmental affairs, media coverage of global warming “has been very weak and oversimplified,” which she said has contributed to the public sense that it is a “merely scientific” issue that has little connection to people’s lives.

“People are more concerned about things that directly affect them,” said Deschamps, who is also an activist for risk management in poor communities, and considers citizen mobilisation key to curbing damage to the environment.

The 195 country parties to the U.N. Framework Convention on Climate Change meeting in the French capital adopted a binding universal agreement aimed at keeping a global temperature rise this century “well below 2 degrees Celsius” with respect to the pre-industrial era.

Scientists warn that the planet is heating up as a result of human activity, and this is causing extreme weather events such as heat waves, lengthy droughts and heavy rainfall. In addition, clean water, fertile land and biodiversity are all being reduced.

Coastal areas are already suffering the consequences of rising sea levels, a process that according to scientific sources began 20,000 years ago, but has been accelerated by global warming over the last 150 years.

Small island nations such as those of the Caribbean are among the most vulnerable to climate change, while their emissions have contributed very little to the phenomenon.

“As journalists and communicators we have not managed to identify the right messages to make the public feel involved in this issue,” said Deschamps at a workshop organised by the Cuban Environmental Protection Agency, the Dominican Chapter of the Nicolás Guillén Foundation, the Norwegian Embassy and the Inter Press Service (IPS) international news agency.

Marie Jeanne Moisse, a reporter and environmental educator who works in the climate change office in Haiti’s Environment Ministry, spoke during a workshop in Santo Domingo about the media’s role in reporting on and raising awareness about global warming. Credit: Dionny Matos/IPS

To train reporters from the Caribbean, a group of experts from Cuba, Mexico and the Dominican Republic offered a Nov. 23-26 course on “Social Communication for Risk Prevention, Gender and Climate Change” in the Dominican capital.

The course was attended by 41 journalists from Haiti and the Dominican Republic. It included three talks that experts gave to students from two rural schools and to a group of 25 Haitian-Dominican women.

“The media need to be trained to provide more information at a national level on the phenomenon and about the agreement reached at COP21,” said Marie Jeanne Moise, an official in the climate change office in Haiti’s Environment Ministry.

According to Moise, a communicator and educator on the environment, “there is alarming talk today about global warming, and people are scared. But that doesn’t mean they know about the phenomenon or about how to protect themselves, to reduce the impacts on their lives.”

Moise urged journalists and reporters to “go to the roots of the problem.”

“News coverage focuses on catastrophes and on how vulnerable we are. But little is said about what contribution the media should make to help bring about a positive change in attitude towards the environment.”

The Haitian official said COP21 “created greater unity among the Caribbean as a vulnerable region that needs to adopt a common position.”

The countries in the region that took part in COP21 are negotiating as part of the Caribbean Community (CARICOM), made up of 15 mainly island nations, and as part of the Alliance of Small Island States (AOSIS).

Ahead of COP21, CARICOM launched the “1.5 to Stay Alive” campaign to raise awareness on the effects of climate change, especially on small island states, while strengthening the region’s negotiating position.

CARICOM estimates that inaction could cost its member countries 10.7 billion dollars in losses by 2025, or five percent of GDP, and some 22 billion dollars by 2050, or 10 percent of GDP.

Haiti and the Dominican Republic, which share the island of Hispaniola, are on the list of the 10 countries most vulnerable to natural disasters, according to the Climate Change and Environmental Risk Analytics report published in 2012 by Verisk Maplecroft, a global risk analytics and forecasting company based in Britain.

Besides physical and economic exposure to events like earthquakes and hurricanes, these countries are vulnerable due to social inequality, a lack of preparedness, and unequal distribution of local and regional capacities, said the study, which compared 197 countries using 29 indices and interactive maps analysing major natural hazards worldwide.

Dominican blogger and human rights activist Yesibon Reynoso said that in his country “quite a lot is known and talked about, with regard to the environment, because of the current circumstances.”

But, he said, “for example, deforestation is not always punished. Impunity reigns through exploitation with the support of corruption in the state.”

In his view, “environmental rights are not addressed in accordance with how essential they are to life, in the country and around the globe. There is no traditional social and political respect for the environment.”

Edited by Estrella Gutiérrez/Translated by Stephanie Wildes

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SYRIA: Give Peace a Chance

Africa - INTER PRESS SERVICE - Tue, 22/12/2015 - 13:31

Att.Editors: The following item is from the Emirates News Agency (WAM)

By Emirates News Agency (WAM)
ABU DHABI, Dec 22 2015 (IPS)

(WAM) – The Gulf Today, a United Arab Emirates (UAE) newspaper has said that years of strife and with millions of its people scattered across the globe, peace is what Syrians yearn for. The country is in ruins and the spreading of radicalism poses major security challenges regionally and globally.

“The Syrian conflict has rattled the world so much that any initiative aimed to restore peace in that country should be welcomed without any hesitation,” said ‘The Gulf Today’ in an editorial published on Monday.

“In this context it is good that in its first resolution that focuses on ending Syria’s five-year-long war, the Security Council has now given the United Nations an enhanced role in shepherding the opposing sides to talks for a political transition, with a timetable for a ceasefire, a new constitution and elections, all under UN auspices.

“Also to give the Syrian peace prospects a strong push, foreign ministers from 17 countries gathered in New York before the council’s session. The UAE has always been a peace-loving country and Sheikh Abdullah bin Zayed Al Nahyan, Foreign Minister, also took part in the meeting, presided over by U.S. Secretary of State John Kerry.

“As Kerry put it, the UNSC has sent a clear message to all concerned that the time is now to stop the killing in Syria and lay the groundwork for a government that the long-suffering people of that battered land can support.

“More than 250,000 people have been killed since Syria’s conflict erupted in March 2011. The civil war has been the main driver of mass displacement, with more than 4.2 million Syrian refugees having fled abroad and 7.6 million uprooted within their shattered homeland as of mid-year.

“An opportunity for peace has at last emerged. All parties involved in the talks should seize the chance. There is a dire need for leaders deliberating on the Syrian issue to take a flexible approach.

“The unambiguous goal is end to violence and a negotiated peace solution. The participating leaders should leave no stone unturned in achieving that,” concluded the Sharjah-based daily. (WAM) (END/2015)

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Accord Calls for First Global Conference on Peace

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By Vasu Gounden
DURBAN, Dec 22 2015 (IPS)

On 21 November 2015, during ACCORD’s 2015 Africa Peace Award celebration, I made a call for the United Nations to convene the first ever UN Global Conference on Peace.

The call was made during the presentation of the Africa Peace Award to the African Union Commission (AUC), in recognition of its central role in contributing to peace and promoting development in Africa. The award was made at a gala dinner by the Chairperson of ACCORD, Madame Graca Machel, and received on behalf of the AUC by Dr Nkosazana Dlamini-Zuma, Chairperson of the AUC.

Over the past few months, our television screens and social media have again exposed us to the graphic nightmares currently plaguing humanity. Terrorism, violent uprisings, and devastating conflicts now afflict several parts of the world, with no corner of our planet immune to either these challenges or their consequences.

Conflicts throughout the world have multiplied in complexity and intensity. The previous paradigm of warfare, where two nations fight one another across borders, is no longer the norm. Today internal conflicts around a number of grievances dominate, and are complicated by the rapid expansion of amorphous groups of radicalised and militant individuals.

As evidenced by the current challenges in Syria and Iraq, Libya, Nigeria, Yemen and Ukraine, the consequences of the violence are devastating and will scar these societies for generations to come. Our global community can no longer afford to pursue exclusively military-oriented responses, nor can states afford to remain indifferent to situations that are beyond their immediate concerns or borders. We need a new paradigm for peace.

With an exponentially growing population, unprecedented urbanisation often into unplanned cities, destabilising climate change, a shaky global financial system, growing unemployment, mass migration, and expanding wealth inequality, our planet is in a race against time to create a sustainable future and prevent these global challenges from accelerating and entrenching global instability.

As our work on climate change has shown, challenges such as these can trigger conflict and so even adaptation measures need to be conflict sensitive. While humanity is equipped with unprecedented technological advancements and incredible demographic opportunities to build a better future, we must channel the collective expertise of our global community to find sustainable and transformative pathways forward. The need for sustainable global peace is urgent and the stakes are rising as the challenges deepen. The choice of inaction could close the door on the future for which many strive. We must act quickly!

Collective political dialogue is the only true pathway to begin addressing inter-connected challenges in a sustainable and holistic manner. Over our 23-year history and through engagements with governments, armed groups, civil society, and regional, continental, and multi-lateral bodies, ACCORD has found this maxim to be true.

Our global systems for peace have grown more fragile and stressed just as our conflicts and challenges have evolved with ever increasing complexity. Our dialogue must focus on strategies to resolve current crises, prevent future deterioration, and ensure that peace and prosperity finally take root equitably and sustainably. Further, an urgent need exists to promote critical reflection, earnest debate and mutual solidarity amongst all people. We must underpin these efforts by shepherding a collective shift from an exclusive focus on ‘national interest’ to a collective focus on ‘global responsibility’. There are no easy answers, and no nation on its own has the solution for the challenges of today and more importantly the challenges of tomorrow.

Since its inception the United Nations has convened a number of World Conferences. However, to this day there has not been a UN-sponsored World Conference focused explicitly on peace. Bringing the entire community of humanity under one forum to deliberate earnestly has in the past contributed to tangible landmark global commitments from governments, the private sector and non-state actors alike. Our institutions and processes often limit discussion but a global conference creates a space where all are placed on an equal footing. Many of the current achievements on human rights, social development, climate change, and gender were built on the fresh foundations created by global conferences and dialogue. Such foundations create paradigm shifts, which then lead to practical outcomes.

It is our hope therefore that the Republic of South Africa, in collaboration with other African nations and under the auspices of the African Union, can propose to the UN General Assembly to host the first ever UN Global Conference on Peace in 2019 in Durban, on the 25th anniversary of South Africa’s democracy.

In advance of such a UN Global Conference on Peace and to support a global debate on peace we intend to assemble a multi-disciplinary gathering of experts from around the world in 2017, two years prior to the UN gathering.

As we face our future together we remember that South Africa’s peaceful transition was the result of collective global action and the struggle and outcome gave inspiration and courage to many. Unanimous and collective opposition to apartheid, from Africa and beyond, were critical in supporting the emergence of a peaceful and democratic South Africa against expectations and great odds. We therefore call the entire world to join once more in a free and peaceful South Africa, in the same spirit of collective unity, to begin charting a way forward to deliver global peace.

Now is the time!

(End)

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