Child Labour Survivor Has a Dream of Freeing Others — Global Issues

Child labour survivor Selimatha Dziedzorm Salifu (right) and her rescuer Andrews Tagoe (left), deputy general secretary of the General Agricultural Workers’ Union of TUC, who met her on a fishing beach in Ghana. Credit: Lyse Comins/IPS
  • by Lyse Comins (durban)
  • Inter Press Service

Born in the fishing village, Kpando-Torkor, in Ghana, Salifu, was forced to go out and work in the local fishing industry when her father Seidu died, leaving her mother, Mary, with six children to feed, clothe and shelter. The industry is well documented for child slavery and trafficking.

“When my daddy passed, I was drawn into child labour because mommy did not have something to take care of my siblings. She started travelling to the islands (on lake Volta) in a canoe to buy fish, and sometimes I helped her do that, and I helped other fishmongers who were in the same business,” Salifu, now 25, told IPS in an exclusive interview. “I helped them get the fish ready for market, cutting and cleaning it, for a fee.” She spoke to us on the sidelines of the 5th Global Conference on the Elimination of Child Labour in Durban, South Africa.

“I would wake up at 4 am and be there. We were a lot of children in the village so I had to get there early so I could get a customer. The boys would go out fishing, they didn’t go to school, and some were ill-treated on the lake. They would get pushed inside the water to rescue the nets (when they got tangled). I found that when I would go to school, I was so exhausted, I would sleep in class, and my teachers would ask me why,” Salifu said.

Her pay was just one or two Ghanaian cedis which could buy ‘kenke’ (similar to sourdough) and a little rice. Other children were often paid with just one small fish for their day’s labour handling Tilapia fish, mudfish and electric fish, Salifu said.

Despite her arduous plight of juggling work and school to survive, Salifu had a dream: One day, she would be a teacher and help children like herself.

“Sometimes getting food on the table was very difficult, and purchasing a school uniform was very difficult. I almost dropped out of school, but the God I serve saved me. I had a vision to want to be a childcare practitioner, to have my own institution to support children on the street just like myself,” Salifu said. “And then one day, I happened to meet this man at the river shore by my village, on the bank, going about my daily routine. I narrated my story to him, and he said he was going to talk to his team and they would help me.”

That man was Andrews Tagoe, deputy general secretary of the General Agricultural Workers’ Union of TUC. He is also a regional coordinator for Africa of the Global March Against Child Labour.

Tagoe had been working in the village, advocating against child labour, speaking to parents and educating them about the importance of sending their children to school rather than to work.

“I met the parents in the village and the fishermen and was talking about decent work and the fishing process and normal union issues,” Tagoe said.

He said most parents wanted their children to become lawyers and doctors, yet they were out on the beach working during school hours.

“So, I got up and went and looked at the beach during school time at around 10 am and found the beach full of children involved in activities, carrying fish, and I looked to the left, and there were classrooms and teachers without children,” Tagoe said.

Tagoe then made it his mission to reach out to the working children, like Salifu and began meeting with them and chatting about their lives, hopes and dreams.

“The parents also said that we didn’t know the unions work with child labour. So, let’s see what we can do to start a child labour free zone. There has been an enormous reduction in child labour, and more kids are now going to school,” he said.

“Since 2000 to date, the union has helped more than 4500 children in the whole of the agricultural sector, from rice, cocoa and palm oil to lake fishing,” Tagoe said.

A report by NORC at the University of Chicago has claimed that there are almost 1,6 million children involved in child labour in the cocoa industry alone in Ghana and the Ivory Coast.

NORC conducted surveys with children aged between 15 and 17 between 2008 and 2019, showing cocoa production rose by 62%.

However, the report acknowledged that the governments of Côte d’Ivoire and Ghana had implemented education reforms, such as free education and compulsory attendance to fight child labour. This led to children’s school attendance from agricultural households increasing from 58 to 80 percent in Côte d’Ivoire and 89 to 96 percent in Ghana.

Salifu said Tagoe’s team – she fondly refers to him as “daddy’ – assisted her in remaining in school to follow her dream.

“I thought my prayers had been answered. They came to take responsibility for my school (work), purchasing my textbooks, and I was able to write basic education exams,” Salifu said.

She went to school in the mornings and continued working afternoons to support her family.

Salifu completed her Basic Education Certificate and then worked for six months buying fish and selling it in nearby towns to raise money for Senior High School.

“Again, GAWU supported me by paying for some of my fees. I finished senior high at the age of 19 in 2016. I’ve always dreamed of being the greatest teacher in the world and owning my own institution, and working with children,” Salifu said.

Her dream was partially realised when she got a job working at a local school before moving to Accra, where she studied at a Montessori teacher’s training institution. She obtained her National Diploma in Montessori Training and took up a position at Tender Sprout International School in Accra.

“Where I am working, the children come from good homes and are even dropped off at school. But I want to go back to my community and help my brothers and sisters in the village and nearby communities and islands to help liberate them from child labour,” Salifu said.

“I still want to build on my dream to help the orphans and get the children back home. My mom is very aged now too, so I need to support my other siblings and my mother at home. There is no money at home, so they look up to me. I need to go back to university to get a degree in early childhood education.”

“God has saved me now because some mates my age ended up dropping out, and some had teenage pregnancies and STDs. I am very, very lucky,” Salifu said.

Salifu hopes telling her story will be a voice to help those still trapped in child labour escape.

“I think our voices should be heard here so we can go back and launch a project with our brothers and sisters so we can help them. That is my motive for being here. The dream must be achieved,” Salifu said.

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Food Banks are Early Warning Systems for Emerging Food Crises, but also a Key Solution — Global Issues

Community members in Sowripalayam, outside Coimbatore, receive a meal from No Food Waste, a GFN-supported food bank in India. Credit: The Global Food Banking Network/Narayana Swamy Subbaraman
  • Opinion by Lisa Moon (chicago, usa)
  • Inter Press Service

Add the pervasive effects of climate change to the mix, and the result is what the United Nations is calling a “perfect storm” that risks one-fifth of the global population – as many as 1.7 billion people – falling into poverty and hunger.

This number feels so large that it is almost inconceivable, never mind possible to accept. And of course, the mounting global food crisis will not affect everyone equally.

Recent feedback from food bank leaders all over the world already echoes the reality ahead. Because food banks, especially across emerging and developing markets, are the first (or sometimes only) port-of-call for those facing hunger, they offer a window into understanding the full extent of the coming food crisis: an early warning system of the strains on our food systems.

The Global Food Banking Network works with member food banks in 44 countries, and many of them in Africa, Asia, and Latin America are already reporting that higher food prices are contributing to an increase in demand for emergency food assistance.

For example, a partner food bank in Ecuador, Banco de Alimentos Quito, has reported a 50 percent increase in demand for services, while another partner, India Food Banking Network, has warned the number of people requesting food has doubled recently.

If more is not done – and done quickly – these numbers will be just the tip of the iceberg. Tragically, as while demand at many food banks is increasing, supplies donated to food banks are often diminishing.

These food banks in Ecuador and India—and others across the Network—are reporting decreases in product donations of up to 50 percent. Banco de Alimentos Quito and Banco de Alimentos Honduras, both of which regularly recover fresh produce directly from farmers to distribute to people facing hunger, are flagging that planting schedules have been thrown off because farmers cannot get key inputs.

In short, less produce is available to donate because of the rise in need and smaller, less reliable yields.

With the recent World Economic Forum in Davos and the G7 Summit, there are already calls on governments and business leaders to invest more in hunger relief and food aid. This is a crucial first step, but investment will only be as effective as the implementation mechanisms in place to deliver them.

This is also where food banks can step in effectively and immediately. Because food banks address community food needs even in less precarious times, they are already well positioned to respond to crises by scaling up in times of scarcity and distributing food when conventional supply chains are undermined.

The COVID-19 pandemic is already a case in point, with global food banks serving 40 million people in 2020, a 132 percent increase from the prior year. And because food banks are community-based and community-led, they can understand and adapt to local needs quite quickly, acting as frontline responders when a crisis hits.

Responses to the global hunger crisis must include recognition for the critical role food banks play. They will step up and play a crucial role in meeting the sharp increase in demand for food relief in the coming months.

However, if the global community steps forward and supports the value of these assets further, food banks’ impact can become outsized. And an outsized response is exactly what this coming crisis will require.

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Without Peace, Hunger Will Continue to Increase — Global Issues

Wars and conflicts have pushed more than 139 million people in 24 countries into acute food insecurity. Credit: FAO
  • Opinion by Mario Lubetkin (rome)
  • Inter Press Service

As rarely seen in recent history, issues related to agrifood systems and world food security are at the centre of global and regional debates and actions in the search of possible solutions to prevent the rapid worsening of world hunger as a result of war and other conflicts.

It also seeks to accelerate efforts to transform agrifood systems, to ensure inclusive and environmentally sound development and better nutrition.

“Peace is essential to protect people from hunger,” FAO Director-General Qu Dongyu has repeatedly said at major world forums.

Ukraine is obviously the country most affected by the war because of the human suffering and the destruction of food supply and value chains.

However, the consequences of this conflict are also being felt by low-income and food-importing countries that depend on Russia and Ukraine for food, grain, fuel and fertilizer supplies, especially in Africa and Asia, as they face an unprecedented rise in food prices.

At the end of March, just over a month after the start of the war, on 24 February, food products increased by 12.6%, the highest increase since 1990, according to data from the Food and Agriculture Organization of the United Nations (FAO).

At the end of April, prices fell slightly; however, the prospects for the coming months are far from encouraging.

According to a recent study by FAO, World Food Programme (WFP), and other institutions, around 193 million people in 53 countries were already suffering from acute food insecurity and in need of very urgent assistance in 2021, almost 40 million more than in 2020.

It is expected that the figures will continue to increase in 2022 if wars and conflicts continue.

Afghanistan alone represents approximately 20 million people in this situation, half of its population, with very high figures also in Somalia, South Sudan and Yemen.

Wars and conflicts have pushed more than 139 million people in 24 countries into acute food insecurity; extreme weather events have been responsible for extreme hunger for another 23 million people in eight countries, while economic shocks have enormously affected 30 million people in 21 countries.

These data demonstrate the increasingly close relationship between conflicts, climate change, economic and financial crises, as well as energy and health problems, with the fight against hunger.

All this in a context already worsened by the effects of COVID-19 in recent years, which further aggravated the situation of people who numbered more than 800 million at the beginning of the pandemic. The effects of COVID-19 increased that figure by an additional 100 million, not to mention the problems of malnutrition that affect more than 3 billion people.

The war increased prices, especially of wheat, corn and oilseeds as well as fertilizers. These increases come on top of already high increases in the worst period of the COVID-19 pandemic.

Wheat export forecasts for Russia and Ukraine have been revised downwards, and while other players such as India and the European Union have increased their offers, solutions remain very limited, and prices are expected to remain high.

Countries likely to be most affected by their dependence on wheat imports from European countries at war include Egypt and Turkey, as well as several African countries such as Congo, Eritrea, Madagascar, Namibia, Somalia and Tanzania.

In addition, some countries that rely heavily on imported fertilizers from Russia are exporters of grains and high-value commodities such as Argentina, Bangladesh and Brazil.

To face this difficult reality for a group close to 60 countries, FAO is proposing at major international forums, such as the Group of Seven (G7) meeting in Stuttgart, Germany, this month, the creation of a global Food Financing Fund.

This Fund would be designed to help the most affected countries cope with rising food prices and thus contribute to alleviating the situation of 1.8 billion people.

To guarantee greater market transparency, this specialized agency of the United Nations, together with the countries of the Group of 20 (G20), is promoting the strengthening and expansion of the Agricultural Market Information System (AMIS).

It is an inter-agency platform designed to improve the transparency of food markets, established in 2011 by the world’s most powerful countries following the global food price increases of 2007-2008 and 2010.

At the same time, the aim is to support Ukrainian rural families with rapid action to enable them to cultivate crops in time for the harvest that begins in the coming months, which represents an essential source of income for the country’s 12 million rural inhabitants, almost a third of its population.

This involves, for example, distributing potato-planting inputs for to thousands of Ukrainian producers in at least 10 provinces and making targeted economic transfers.

Addressing these dramatically growing emergencies, investing in the healthier, more nutritious and equitable agrifood systems, applying science and innovation more intensely to these processes, and reducing food losses can solve the food situation of hundreds of millions of people.

“Time is short and the situation is dire,” warned Qu at the United Nations Security Council on 19 May.

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Cuban Farmers Fight Land Degradation with Sustainable Management — Global Issues

Farmer José Antonio Sosa, known as Ché, stresses the importance of taking into account the direction of the land for planting, and the use of live or dead barriers to prevent rains from washing away the topsoil to lower areas, thus combating soil degradation in Cuba. CREDIT: Jorge Luis Baños/IPS
  • by Luis Brizuela (havana)
  • Inter Press Service

“The land was a mess, covered with sweet acacia (Vachellia farnesiana) and sickle bush (Dichrostachys cinérea), with little vegetation and many stones. People asked me how I was going to deal with it. With an axe and machete I gradually cleared the undergrowth, in sections,” Sosa told IPS.

Now there are plots of different varieties of fruit trees, vegetables and tubers on the 14 hectares that this farmer received from the State in usufruct in 2010, as part of a government policy to reduce unproductive land and boost food production.

The crops feed his family, while contributing to social programs and sales to the community, after part of the produce is delivered to the Juan Oramas Credit and Services Cooperative, to which the farm located in the municipality of Guanabacoa, one of the 15 municipalities of the Cuban capital, belongs.

On the farm, where he works with his family and an assistant, Sosa produces cow and goat milk, raises pigs and poultry, and is dreaming of farming freshwater fish in a small pond in the not too distant future.

La Villa is in the process of receiving “sustainably managed farm” certification. The farm and Sosa represent a growing effort by small Cuban farmers to recuperate degraded land and use environmentally friendly techniques.

The restoration of unproductive and/or degraded lands is also connected to the need to increase domestic food security, in a country highly dependent on food imports, whose rising prices mean a domestic market with unsatisfied needs and cycles of shortages such as the current one.

At the end of 2021, Cuba had 226,597 farms, 1202 of which had agroecological status while 64 percent of the total – some 146,000 – were working towards gaining agroecological certification, according to official statistics.

Sosa, who has been known as “Che” since he was a child, said the use of natural fertilizers and animal manure has made a difference in the recovery and transformation of the soil.

“It is also important to pay attention to the way crops are cultivated or harvested, to avoid compaction,” the farmer said.

Studies show that changes in land use, inadequate agricultural practices (including the intensive use of agricultural machinery and irrigation), the increase in human settlements and infrastructure and the effects of climate change are factors that are accelerating desertification and soil degradation in this Caribbean island nation of 11.2 million people.

Sosa stressed the importance of paying attention to the direction of the land for planting, and the use of living or dead barriers “to prevent the water from carrying the topsoil to lower areas when it rains.”

Drought and climate change

In this archipelago covering 109,884 square kilometers, 77 percent of the soils are classified as not very productive.

They are affected by one or more adverse factors such as erosion, salinity, acidity, poor drainage, low fertility and organic matter content, or poor moisture retention.

The most recent statistics show that 35 percent of the soil in Cuba presents some degree of degradation.

But at 71 years of age, Sosa, who has worked in the countryside all his life, has no doubt that climate change is hurting the soil.

“The rain cycles have changed,” Sosa said. “When I was young, in the early 1960s, my father would plant taro (Colocasia esculenta, a tuber that is widely consumed locally) in March, around the 10th or so, and by the 15th it would be raining heavily. That is no longer the case. This April was very dry, especially at the end of the month, and so was early May.”

He also referred to the decrease in crop yields and quality, “as soils become hotter and water is scarcer.”

Several studies have corroborated important changes in Cuba’s climate in recent years, related to the increase in the average annual temperature, the decrease in cloud cover and stronger droughts, among other phenomena.

According to forecasts, the country’s climate will tend towards less precipitation and longer periods without rain, and by 2100 the availability of water potential could be reduced by more than 35 percent.

But more intense hurricanes are also expected, atmospheric phenomena that can discharge in 48 hours half of the average annual rainfall, with the consequent stress and severe soil erosion.

Although the least productive lands are located in the east, and Cuba’s so-called semi-desert is limited to parts of the southern coast of Guantánamo, the easternmost of the 15 provinces, forecasts indicate that the semi-arid zones could expand towards the west of the island.

Goals

In addition to being a State Party to the United Nations Convention to Combat Desertification, since 2008 Cuba has been promoting the Program for Country Partnership, also known as the National Action Program to Combat Desertification and Drought; Sustainable Land Management.

Likewise, the Cuban government is committed to the 2030 Agenda and its 17 Sustainable Development Goals (SDGs), agreed within the United Nations in 2015.

In SDG 15, which involves life on land, target 15.3 states that “By 2030, combat desertification, restore degraded land and soil, including land affected by desertification, drought and floods, and strive to achieve a land degradation-neutral world.”

According to Sosa, the increase in soil degrading factors requires more efforts to restructure its physical and chemical characteristics.

In addition, he said, mechanisms should be sought to prioritize irrigation, taking into account that many sources are drying up or shrinking due to climate variability.

“In my case, I irrigate the lower part of the farm with a small system connected to the pond. But in the higher areas of the farm I depend on rainfall,” he said.

The construction of tanks or ponds to collect rainwater, in addition to the traditional reservoirs, are ideal alternatives for this Caribbean country with short, low-flow rivers and highly dependent on rainfall, which is more abundant during the May to October rainy season.

But farmers like Sosa require greater incentives: there is a need for more training on the importance of sustainable management techniques, and for economic returns, as well as financial and tax support, in order to make agroecological practices more widespread.

In 2019, Cuba approved the National Land Degradation Neutrality Target Setting Program.

“The guideline foresees implementing new financial economic instruments or improving existing ones by 2030 in order to achieve neutrality in land degradation,” Jessica Fernández, head of the Climate Change department of the Ministry of Science, Technology and Environment, told IPS.

The plan is to enhance the use of credits, insurance and taxes as economic incentives for farmers, based on soil improvement and conservation, and to account for the current expenses destined to environmental solutions to determine the total expenses for soil conservation, the official added.

“We are in talks and studies with the Central Bank of Cuba to gradually introduce green banking,” Gloria Gómez, director of natural resources, prioritized ecosystems and climate change at the ministry, told IPS.

“This service will seek to promote and finance projects that provide solutions to environmental problems through loans with lower interest rates, longer repayment periods, incentives for green products and services, or eco-labeling,” she said.

Since 2000, the Ministry of Agriculture has been developing the National Program for Soil Improvement and Conservation, and in January the Policy for Soil Conservation, Improvement and Sustainable Management and Fertilizer Use came into effect.

At the same time, the Cuban State’s plan to combat climate change, better known as Tarea Vida, in force since 2017, also includes actions to mitigate soil vulnerabilities.

In the last five years, the principles of Sustainable Land Management (SLM) were applied to more than 2525 hectares, while one million of the more than six million hectares of agricultural land in the country received some type of benefit, statistics show.

Other national priorities are related to increasing the forested area to 33 percent, extending the areas under SLM by 150,000 hectares and improving 65 percent of agricultural land by the end of the current decade.

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Youth Survivors, Activists Will Hold Governments Accountable to Call to Action on Ending Child Labour — Global Issues

Our voices must be heard and listened to – now and in the future, say child labour survivors and activists at the 5th Global Conference on the Elimination of Child Labour in Durban Badaku Marandi (India, survivor), Rajesh Jatav (India, survivor), Selimatha Dziedzorm Salifu (Ghana, survivor), Divin Ishimwe (Burundi activist), Esther Gomani (Malawi, activist), Rebekka Nghilalulwa (Namibia, activist, representative of the 100 million March). Credit: Cecilia Russell/IPS
  • by Lyse Comins (durban)
  • Inter Press Service

These were among the diverse opinions of child labour survivors and young activists in reaction to the Durban Call to Action to eradicate the practice at the 5th Global Conference on the Elimination of Child Labour in Durban. Hundreds of delegates, including world leaders in business, trade unions and civil society organisations, attended the conference, which ran in the city from May 15 to 20, 2022. Sessions and panel discussions highlighted topics from agriculture, climate change and global supply chains and how these sectors and issues contribute to child labour.

Speaking during the closing ceremony on Friday, International Organisation of Employers vice president for Africa, Jacqueline Mugo,  highlighted the salient points of the 11-page Durban Call to Action.

“The Durban Call to Action is a comprehensive action plan. Employers fully support this plan,” Mugo said.

The Durban Call to Action aims to:

  • Ensure decent work for adults and youth above the minimum age for work
  • End child labour in agriculture
  • Prevent and eliminate child and forced labour through data-driven policy and programmatic responses
  • Realise children’s right to education
  • Achieve universal access to social protection
  • Increase financing and international cooperation.

“It is in our hearts to make this crucial turning point happen. We must not fail the children of the world. This implementation of the Durban call will largely be the work of an African who will take up leadership ILO later this year, so we have no reason to fail. We are deeply committed to work for its full implementation,” Mugo said.

Togolese diplomat Gilbert Houngbo ILO Director-General (elected) takes up his new position on October 1, 2022, strategically positioning him to lead the fight against child labour globally.

“This conference is breaking new ground. Let us recall that 160 million children are in child labour, half of which are involved in hazardous work that puts their physical and mental health at risk. We must not forget that behind every number there is a girl, there is a boy like any other who wants to learn, who wants to play, who wants to be cared for and to grow up and be able to get a good job as adults. They are denied the most basic rights to protection. It is intolerable and, quite frankly, morally unacceptable,” Houngbo said.

According to the International Labour Organisation’s (ILO) and UNICEF’s latest statistics released in 2020, highlighted at the conference, at least 160 million children are now involved in child labour, a surge of 8.4 million in just four years.

Sierra Leone Labour Congress secretary-general Max Conteh blamed the Covid-19 pandemic for eroding the progress made in the fight against child labour.

“Statistics point to past achievements being fast eroded and child labour being exacerbated, no thanks to the Covid-19 pandemic. This has resulted in large numbers of children dropping out of school and falling into the labour market,” Conteh said.

South Africa’s Minister of Employment and Labour, Thulas Nxesi, called on countries to implement action plans to fulfil the Durban Call to Action.

“The message was very clear, governments must pass the necessary legislation, governments and business (must) accept that we need a structural change of the economy, it must not just be about profits, it must also be about people. That message was very clear. It would be a serious oversight not to earlier in the conference, children delivered the Children’s Call to Action, which highlighted the need for free access to education, social protection, the provision of safe spaces during crises such as pandemics and climate change disasters and the importance of evoking the spirit of “nothing about us without us” to democratically include children in policies and decisions that affect their lives.

Several child labour survivors and activists who commented on the conference and the Durban Call to Action said the focus on fighting child labour should be on education, eliminating corruption and listening to children’s voices.

Esther Gomani, a student from Malawi, was satisfied that the voice of some 60 children, who represented ten countries, were heard during special children’s sessions, for the first time, at the global conference.

“Before now, they did things without including people (children). People come to conferences, and there is no commitment. They come to enjoy the benefits. Now children’s voices have been amplified (so they will be heard) — nothing about us, without us. We need to be involved in the solutions,” Gomani said.

Rajesh Jatav, a child labour survivor from India, who was rescued by the Kailash Satyarthi Foundation, said governments should focus on providing quality education.

“Education is the key. This is the only message. Look after quality basic education. Governments have lots of money for quality education. But there is corruption. They should use this money on stopping illicit flows,” Jatav said.

Badaku Marandi, a survivor from India agreed vehemently.

“We are child survivors and are educated, we challenge the government and private sector to provide quality education,” Marandi said.

Rebekka Nghilalulwa, a child activist, and representative of 100 million March (Namibia) said the plan needed to be put into action to achieve results.

“I want to see each and everyone’s responsibilities and roles described. The Durban declaration should properly outline implementation. That way next time we will be celebrating and not deliberating on issues. It would be disappointing to include voices just for show. As much as we are young, we have the experience (of child labour),” Nghilalulwa said.

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Alarm Bells for Africa, Child Labour in Agriculture Requires Urgent Action — Global Issues

Child Rights Advocate and 2014 Nobel Peace Prize winner, Kailash Satyarthi urged participants at the 5th Global Conference on the Elimination of Child Labour, organised by the International Labour Organization (ILO) in Durban, South Africa, to put their efforts to eliminate child labour back on track. Credit: Cecilia Russell/IPS
  • by Sania Farooqui (durban)
  • Inter Press Service

The report, jointly released by the International Labour Organization (ILO) and UNICEF in 2021, warned that in sub-Saharan Africa, population growth, recurrent crises, extreme poverty and inadequate social protection measures have led to an additional 16.6 million children in child labour over the past four years. 

One of the key findings in the report included the state of the agriculture sector, which accounts for 70 percent of children in child labour (112 million), followed by 20 percent in services (31.4 million) and 10 percent in industry (16.5 million). The prevalence of child labour in rural areas (14 percent) is close to three times higher than in urban areas (5 percent).

In an exclusive interview given to IPS News, Andrew Tagoe, Board Member of the Global March Against Child Labour and the Deputy Secretary-General of the General Agricultural Workers Union, says child labour in Africa alone is more than the rest of the world combined. While the majority are in agriculture, other areas are equally very important.

“We have a big challenge at hand and Africa needs a lot of strategies to tackle it right away.

“Addressing child labour is not a benevolent issue, it is the right of the people in rural communities to have their children in school. Child labour free zones have proven and provided solutions. For example, the government of Ghana has adopted this method – a child labour free zone and child labour free community and friendly villages. However, this concept needs more investment to continue making improved participation of communities and structures to address the issue of child labour in the country,” Tagoe said.

The Commitment to Reducing Inequality Index (CRI) report shows that the fifteen South African Development Community (SADC) member states lost about $80 billion in 2020 due to lower-than-expected growth, which is equivalent to around $220 for every SADC citizen.

“The analysis estimates that this economic crisis could take more than a decade to reverse, erasing all hope of countries meeting their national development plan targets to reduce poverty and inequality by 2030. The report says that many SADC member governments are still showing considerable commitment to fighting inequality – but still, nowhere near enough to offset the huge inequality produced by the market and exacerbated by the COVID-19 pandemic.”

Among the key messages in the African Economic Outlook 2021 report, states that an estimated 51 million people on the continent could fall into poverty. “Today’s non-poor households, maybe tomorrow’s poor households, 50.2 percent of the people in Africa most vulnerable to staying in poverty live in East Africa.”

There is something that we are not doing well, if the number of child labour is so high, we must change our ways, says Tagoe.

“By working together, we have begun to see some way forward, but what we have seen is that in the allocation of resources, either not being sent to the right places or when they are not enough, that still remains a big challenge.”

“We are calling for huge, massive investments in the national plans of the country, we are also calling for a community-based approach – by working with Global March, agricultural unions and their grassroots organizations. It is important to note that it’s not just about the investment, but also about the allocation of the resources, enough money has been invested into fighting child labour, but where does that money go? How is it spent? These are important questions. More money needs to go into strategies that are working and looking into community development. We have been able to develop systems and strategies. We have been able to chart and map friendly villages and labour free zone, which shows what happens when proper investment is done, it creates the potential for child labour free communities and living.

“We want to address child labour in a way that it empowers the parents to take care of their own children, we want to address child labour in a way that it promotes improvement of community leaders, so they can pronounce their communities to be child labour free zones,” says Tagoe.

The ongoing 5th Global Conference on the Elimination of Child Labour organised by the International Labour Organization (ILO) in Durban, South Africa aims to bring together experts from around the world who are leading the way in tackling child labour to reinvigorate international cooperation and to call for commitments that will genuinely realize freedom for every child.

Speaking during the conference’s opening plenary, Child Rights Advocate and 2014 Nobel Peace Prize winner, Kailash Satyarthi urged rich nations to play their role in fighting the increasing global dilemma.

“You cannot blame Africa. It is happening because of the discriminatory world order. It is still an age-old racial discriminatory issue. We cannot end child labour without ending child labour in Africa. I refuse to accept that the world is so poor that it cannot eradicate the problem (of child labour),” Satyarthi said.

Child labour continues to be one of the worst end results of extreme poverty and inequality, children who are trapped in child labour deserve their right to education, health, clean water and sanitation.

“All of us must work together so that the prediction of these harrowing numbers doesn’t come true. We are very ashamed that the numbers are so high in Africa, and we must work hard to bring them down. All promises made to the children must be made to come true,” says Tagoe.

This is one of a series of stories that IPS will publish during the 5th Global Conference on the Elimination of Child Labour in Durban, South Africa.

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Inequality Tightens Its Grip on the Most Vulnerable — Global Issues

Every year, 570 million tons of food are wasted at the household level people. Global food waste accounts for 8–10% of greenhouse gas emissions. Credit: Claudia Ciobanu/IPS
  • by Baher Kamal (madrid)
  • Inter Press Service

And please don’t pretend you did not know that 20% of all humans –those who live in the wealthiest countries– waste about 35% of the food they buy, throwing it in the garbage.

Poverty, armed conflicts and corruption are also to be blamed in poor countries for wasting food –although in a much lesser volume–, due to the lack of adequate stocking infrastructure.

In short, every year, 570 million tons of food are wasted at the household level, according to the UN Environment Programme’s (UNEP)’s Food Waste Index Report 2021 report.

This amount of wasted food is sufficient to feed the millions of hungry people.

Moreover, global food waste accounts for 8–10% of greenhouse gas emissions, UNEP warns.

Meanwhile, the intensive agriculture industries dump in lands and seas huge amounts of food either because they are “ugly” –therefore not nice enough to be marketable–, or to keep their prices the most highly profitable possible.

The triple planetary crisis

Food waste accelerates the triple planetary crisis of climate change, nature and biodiversity loss, and pollution, according to the world’s environmental body.

Just take the case of a vast continent like Africa –55 countries home to 1.4 billion humans– causes a negligible 2% to 3% of all global greenhouse emissions, however it falls victim to more than 80% of the world’s climate catastrophes.

All the above, and other innumerable consequences, have a common name: inequality.

Inequality is not just about a morality issue: inequality kills one person … every four seconds.

From billionaires to trillionaires

Add to all the above the fact that as the COVID-19 pandemic devastates the poor, the world’s 10 richest have multiplied their wealth into trillions.

The numbers are unbelievably staggering: the world’s 10 richest men more than doubled their fortunes from 700 US billion to 1.5 trillion US dollars—at a rate of 15,000 per second or 1.3 billion a day, according to a new study from Oxfam International, IPS journalist Thalif Deen reported.

“These phenomenal changes in fortunes took place during the first two years of a Covid-19 pandemic that has seen the incomes of 99 percent of humanity fall, and over 160 million more people forced into poverty—60 million more than the figures released by the World Bank in 2020.”

Grabbed

As this happens, conservative estimates indicate that 811 million human beings are extremely hungry, close to the abyss of famine and death.

These millions live in the poorest regions of the world, those which have enormous natural resources –oil, indispensable minerals for giant technologies, private corporations, fertile soils grabbed by big business, etc– just do not eat.

Playing with fire

But there is much more evidence showing how the most vulnerable are left behind in one of the worst health crises in decades: COVID-19 vaccines.

See what the World Health Organization’s chief, Tedros Adhanom Ghebreyesus said on 4 May 2022: the best way to save lives, protect health systems and minimise cases of “long COVID” is by vaccinating at least 70% of every country’s population – and 100% of most at-risk groups.

Although more jabs have become available, a lack of political commitment, operational capacity problems, financial constraints, misinformation and disinformation, are limiting vaccine demand, he added while warning that COVID treatment is still often ‘out of reach’ for the poor.

Manufacturers’ record profits

While “we’re playing with a fire that continues to burn us”, he said that “manufacturers are posting record profits”.

Tedros Adhanom Ghebreyesus stressed that “we cannot accept prices that make life-saving treatments available to the rich and out of reach for the poor”.

Acute food and water shortages

Back to the staggering impacts of the climate crisis on those who contributed the least to cause it.

In East Africa only, 25 million humans now face acute food and water shortages due to the climate crisis, as already projected a few months ago by the scientific community.

The driest conditions

The East African region, and in particular, Somalia, Djibouti, Ethiopia, and Kenya, are experiencing the driest conditions and hottest temperatures since satellite record-keeping began, the world’s environmental body reported.

“As a result, as many as 13 million people are currently experiencing acute food and water shortages and a projected 25 million will face a similar fate by mid-2022.”

Scientists are blaming climate change for the current crisis in a part of the world that is least able to cope with.

“Africa as a whole contributes to about two to three per cent of global emissions that cause global warming and climate change.”

“However, the continent suffers the heaviest impacts of the climate crisis, including increased heat waves, severe droughts and catastrophic cyclones, like the ones that hit Mozambique and Madagascar in recent years.”

Things will only get worse

Furthermore, scientists and experts project that things will only get worse for Africa if current trends continue.

According to the 2022 Intergovernmental Panel on Climate Change report, “key development sectors have already experienced widespread loss and damage attributable to anthropogenic climate change, including biodiversity loss, water shortages, reduced food production, loss of lives and reduced economic growth.”

“The current drought hitting East Africa has been particularly devastating to small-scale farmers and herders across the Horn who are already vulnerable to climate related shocks.”

“At the moment in the Horn of Africa we are witnessing vulnerable communities being disproportionately affected by climate change who are least able to buffer against its impact,” said Susan Gardner, the Director of UNEP’s Ecosystems Division.

Famine

In the case of one East African country: Somalia, the United Nations Office for the Coordination of Humanitarian Affairs (UNOCHA) reported that the drought emergency has deteriorated to a point where the country is facing the risk of famine.

And that about 4.5 million people are affected, of whom nearly 700,000 people have been displaced from their homes in search of water, food, pasture and livelihoods.

The UN relief web also informs that:

• About 3.5 million people are in acute need of water assistance, including 1.4 million internally displaced people. Water trucking activities are ongoing but are insufficient to meet increasing needs.

• Schools are closing as children are displaced with their families. At least 420,000 (45% girls) out of 1.4 million children whose education has been disrupted are at risk of dropping out of school because of the drought.

• At least 1.8 million people were reached with various forms of assistance in February, but the escalating emergency calls for sustained scaling up of response and flexibility in reprogramming.

Unprecedented impacts

Confirming these facts, the International Organization for Migration (IOM) for its part reported that The Horn of Africa is in the grip of the worst drought in decades – parching landscapes, heightening food insecurity and causing increasingly widespread displacement.

An estimated 15 million people are severely affected by the drought in Kenya, Somalia, and Ethiopia – approximately 3,5 and 7 million people in each country, respectively.

The unprecedented impacts of multiple failed rainy seasons are threatening to create a humanitarian crisis in a region “already negatively impacted by cumulative shocks, including conflict and insecurity, extreme weather conditions, climate change, desert locusts and the negative socioeconomic impacts of the COVID-19 pandemic.”

Now that you have been reminded about some of the multiple, severe impacts of inequality, which, even at different levels, takes place in the rich, industrialised countries will you take them into account when it comes to voting politicians?

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Russian Invasion Blamed for 44 Million People Marching Towards Hunger & Starvation — Global Issues

  • by Thalif Deen (united nations)
  • Inter Press Service

David Beasley, executive director of the Rome-based World Food Programme (WFP), said last week: “Right now, Ukraine’s grain silos are full,” while “44 million people around the world are marching towards starvation.”

Population-wise, that amounts to the entirety of Argentina.

“The bullets and bombs in Ukraine could take the global hunger crisis to levels beyond anything we’ve seen before,” Beasley warned during a visit to the Polish-Ukrainian border.

“The world demands it because hundreds of millions of people globally depend on these supplies. We’re running out of time and the cost of inaction will be higher than anyone can imagine. I urge all parties involved to allow this food to get out of Ukraine to where it’s desperately needed so we can avert the looming threat of famine”.

Beasley warned that unless the ports are reopened, Ukrainian farmers will have nowhere to store the next harvest in July/August. The result will be mountains of grain going to waste while WFP and the world struggle to deal with an already catastrophic global hunger crisis.

A leading producer of grain, Ukraine had about 14 million tons in storage and available for export. But Russia’s blockade of the Black Sea ports has brought shipments to a standstill. More grain is stranded on ships unable to move because of the conflict.

US Ambassador to the UN Linda Thomas-Greenfield told reporters May 3 the United States chaired a Security Council meeting last March focusing on the link between armed conflict and food security.

“Once again, we will bring a spotlight to the conflict as a driver of food insecurity.”

The US, which is holding the rotating presidency of the Security Council this month, has scheduled an open debate on May 19 to examine “the nexus between conflict and food security.” US Secretary of State Antony Blinken is expected to preside over the meeting in-person.

Danielle Nierenberg, President, Food Tank, told IPS Russia’s war against Ukraine and their war crimes will have consequences that will last for decades. Yields of staple crops were already down in many parts of the world because of the impacts of the climate crisis and other conflicts.

“The war will only exacerbate the many crises the world is now facing—the biodiversity loss crisis, the health crisis, and the climate crisis”.

“And because Ukraine and Russia provided so much food—and cooking oils and fertilizer—to other parts of the world, including the Global South, there will be a massive hunger crisis,” she warned.

There is a chance that the war will accelerate a transition to more regenerative and local and regional food systems which was needed before the war. But in the meantime, there will be a a lot of suffering. Governments, NGOs, businesses, and other stakeholders will need to take action now to prevent a food crisis, Nierenberg said.

At a press conference in Vienna May 11, UN Secretary-General Antonio Guterres said: ” I have been in intense contact with the Russian Federation, Ukraine, Turkey, and several other key countries, in order to try to address seriously the problems of food security”.

“But once again, I do not intend to make public any of the initiatives I am having until they produce a result, because if this becomes something to be discussed, globally, I am sure that we will not be able to achieve anything,” he said.

WFP’s analysis has found that 276 million people worldwide were already facing acute hunger at the start of 2022. That number is expected to rise by 44 million people if the conflict in Ukraine continues, with the steepest rises in sub-Saharan Africa.

Daniel Bradlow, Professor of International Development Law and African Economic Relations in the Centre for Human Rights at the University of Pretoria, told IPS the war in Ukraine will have a devastating impact in Africa because many African countries import food and fertilizer from Russia and Ukraine.

Therefore, the war will lead to increase in food and fertilizer prices as well as shortages of food and fertilizer. The impact of the war will come on top of extreme weather events– droughts, floods– in various parts of the continent that will also have adverse impacts on food prices and supplies.

“Thus. it is likely that there will be increases in the number of people going hungry across the continent which will have tragic impacts on the development and wellbeing of children”.

The only silver lining in this terrible situation is that it might lead to people across the continent increasing their reliance on more indigenous crops such as cassava, he noted.

Hanna Saarinen, Oxfam’s Policy Advisor on Food, Agriculture and Land, told IPS global hunger is soaring with the war in Ukraine seeing food prices skyrocket.

“This is catastrophic for people living in countries highly dependent on wheat imports from Russia and Ukraine. Countries like Yemen and Syria in the Middle East and Somalia and South Sudan in Africa where we are seeing people pushed beyond the brink of hunger,” she said.

The reason is a broken global food system, one that is unable to withstand crises and one that is built on inequality. Many poorer countries are unable – and are too often made unable – to produce enough food to feed their people. They must rely on food imports. This dependency is dangerous, she added.

“Countries should refrain from using food export bans. They just do more harm. Countries should ensure that food can move quickly from one country to another”.

“We need a food system that works for everybody. One that can stand against shocks such as rapid food inflation and one that is built on local small-scale family farming” she declared.

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War and Famines Warnings of Potential Outcomes of the War in Ukraine — Global Issues

  • Opinion by Jan Lundius (stockholm)
  • Inter Press Service

Several years ago, a good friend of mine, Hussein Rahman, told me it is not accurate to blame mass starvation on poor harvests. Hussein is quite knowledgeable. He was awarded his Ph.D. from the Dijon University after researching a high yielding variety of rice. Afterwards he worked for 15 years for the World Food Programme (WFP) and was then posted in Lesotho, Angola, Comoro Islands, Ethiopia, and Yemen. During his last years with the UN, Hussein was during ongoing wars active in Somalia and Iraq, working for The Food and Agriculture Organization of the United Nations (FAO). Hussein was convinced that famines are a political issue. There are no examples of mass starvation affecting democratic societies.

While studying at Dijon University, Hussein was inspired by Amartya Sen’s book Poverty and Famines, in which Sen analysed what he as a nine-year-old boy in 1943 had seen in Bengal – how people succumbing to acute starvation lay dead in the streets. More than three million individuals died from this devastating famine.

Amartya Sen proves that despite crop failures, there was in 1943 an adequate food supply in Bengal, though extensive rice export, panic purchase, hoarding, military food storage and an economic boom caused food prices to rise and it was mainly landless rural workers and the urban proletariat, whose wages had not followed the development, who were unable to obtain enough food. Bengali food production was admittedly lower than it had been the previous year, though more abundant than it had been in the years before that, when no famine had occurred.

Later studies of the Bengal famine have proven Sen right in his conclusion that famines are created by humans and accordingly can be prevented, or at least mitigated. Archival studies have evidenced that Winston Churchill’s war cabinet in remote London had been repeatedly warned that a famine was brewing in India. At an early stage, the British Government was well aware of the fact that an excessive export of rice was likely to lead to a lethal famine, but it nevertheless chose to continue exporting undiminished quantities of rice from its Indian colonies to other parts of the Empire.

London turned a deaf ear when Indians demanded a promised million tonnes of wheat in return for the exported rice. The warlords stood leaning over their maps and with a cigar in his mouth Churchill observed that the reason for the famine was actually that Indians bred like rabbits and jokingly wondered if the rice shortage was so immense – how come that Gandhi was still alive? The War was at the centre of these men’s concerns and in order to prevent the Japanese enemy, who was approaching Bengal from Burma, from obtaining necessary food supplies, huge quantities of rice were brought away from the border areas, while thousands of boats were confiscated.

At the thought of Churchill and his associates leaning over their maps predicting and planning how the War would unfold, Requiem, a poem by Anna Akhmatova comes to mind. Akhmatova, was born in Ukrainian Odessa and had during World War II survived the German siege and starvation of Leningrad, her two husbands had been executed by the Soviet regime and her only son spent more than ten years in Stalin’s Gulag camps. In her poem Akhmatova writes about the immense suffering behind figures, abstract data, figures and statistics. One of the Requiem’s stanzas reads:

I would like to call you all by name,
but the list has been removed
and there’s nowhere else to look.
I have woven you a shroud,
from poor words I overheard.
I will remember you, everywhere.
I will not forget you,
not even among new sorrows.

The chilly attention rulers show to maps and statistics, or during gatherings around computers, does seldom acknowledge the immense human suffering caused by their fateful decisions.

According to Amartya Sen it is the inability of those in power, or even worse – their reluctance to act in the public interest by guaranteeing freedom for food producers, which cause mass starvation. Amartya Sen writes about an urgent need for a ”new human psychology”, by taking into account how

    “…politics and psychology affect each other. People can indeed be expected to resist political barbarism if they instinctively react against atrocities. We have to be able to react spontaneously and resist inhumanity whenever it occurs. If this is to happen, the individual and social opportunities for developing and exercising moral imagination have to be expanded.”

Fatal hunger is among the most degrading suffering affecting any human being. Paralysing starvation does not lead to rebellion. People plagued by an all-consuming hunger are forced into an animalistic, instinctive, all-encompassing quest for survival. During a famine, people experience months of indescribable suffering, weakened by hunger pangs that might lead to insanity, paralysis, and eventually death. Due to food shortage, entire social systems break down through a lack of morals, ”decency”, and compassion. Crime, violence, and emotional insensitivity spread throughout the social body, becoming replaced by a ruthless struggle of all against all. A desperate battle for your own survival.

Inside the Gulag and the killing fields of the Stalin era, as well as in the Nazi death camps and German occupied territories, starvation reigned, paired with freezing cold, mistreatment and general vulnerability. Even if not every hunger victim passed through the torment of famish and mistreatment, as if they had become animals, they all suffered from hopelessness, which in addition to physical pain forced them into shame and despair. It is not without reason that cynical rulers might consider hunger to be an effective means of crushing their enemies, bringing reluctant subordinates to their knees by pacifying and paralysing them through hunger and despair. Hunger is a weapon for the powerful and a bottomless shame for the destitute.

In 1928, the Stalinist regime introduced its first Five Year Plan, intended to force peasants to become workers mobilized for massive industrial production, or becoming engaged in a “more efficient, modern agriculture” in the form of kolkhozy (if they were cooperative-run collectives) or sovkhozy (if they were state-run), while people branded as “reactionaries, saboteurs and spies” were purged, exterminated and/or “rendered harmless.” The same thing which happened in China twenty years later.

The estimated figure for Ukrainian deaths during the Holodomor (1932-1933) is 3.3 million, while at the same time 67,297 individuals died of starvation in the labour camps and 241,355 in the settlements to which peoples reluctant to join collectives had been deported together with their families. Thousands died during travels to destinations in distant Siberia, or Kazakhstan.

When we hear about the famines and wars that continue to harass a great part of the world’s population, let us not forget that they are renhuo, man-made. Behind the statistics are suffering individuals – men, women and children – while the guilty ones, leaders watching computers and calculating gains and losses while replacing people with figures, are quite easy to identify and hold accountable for their pernicious actions.

Sources: Applebaum, Anne (2017) Red Famine: Stalin’s War on Ukraine. London: Penguin Books. Dikötter, Frank (2011) Mao’s Great Famine. London: Bloomsbury.

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Rural India Has a Diabetes Problem

South India has a higher rate of diabetes compared to North India, possibly due to its partiality towards white rice, which has a high glycaemic index. | Picture courtesy: Total Health
  • Opinion by Sweta Akundi
  • Inter Press Service

Reddyappa Reddy walks in and takes the seat opposite Dr Kumar. “Ten years ago I found out I have diabetes. I took Dr Kumar’s advice. Today, I walk up and down the lengths of a mango farm every day after dinner,” says Reddyappa, who is in his sixties. Dr Kumar adds that Reddy is an inspiration to the other patients at the clinic.

The numbers game

In 2013, Apollo Foundation’s Total Health initiative conducted a household survey of 195 villages and 32 gram panchayats in the Thavanampalle mandal. We screened 31,453 people for health data and found that 6.2 percent had diabetes. In addition, 16.7 percent of men and 12.2 percent of women were obese, a risk factor for diabetes.

Today, the numbers in the mandal have shot up, with 10.1 percent of the people suffering from diabetes. This is still less than the national average; diabetes in rural and urban India grew from 2.4 percent and 3.3 percent respectively in 1972 to 15 percent and 19 percent in 2015, according to a 2021 meta-analysis published in Annals of Epidemiology.

At 74.7 million people living with the disease, India is home to the second largest population of people with diabetes (after China). While the prevalence of diabetes is twice as high in urban India as compared to rural areas, Total Health has chalked it out to be one of the biggest causes of concern in Thavanampalle mandal, where its work primarily lies.

“I saw 600 people last month, of whom 200 had diabetes,” says Dr V Bhargav, who heads a mobile clinic unit. Most people who get diabetes are above the age of 50. Compare this to the national numbers:

A 2009 study found that of the people living with diabetes, 54 percent develop it before reaching 50 years of age. The same study says that the onset of diabetes among Indians is about a decade earlier than their Western counterparts.

Change in rural diet

“The environment in rural India is changing, starting from what we eat,” says Dr T Swarna, who heads a satellite clinic in Thavanampalle.

In 2016, the authors of a study conducted in Krishnagiri in Northwest Tamil Nadu identified the primary factors that “have catalysed dietary changes leading to rising prevalence of diabetes”. Of course, there is the increased availability of ‘city foods’ such as sugar-laden sodas and sweets, as well as trans-fat-laced chips and bakery goods.

But, more significantly, the availability of free polished rice at ration shops through the public distribution system (PDS) makes it the staple food of the region.

Less than 150 km from Krishnagiri, in Thavanampalle, doctors have observed a similar shift to rice as the staple. South India has a higher rate of diabetes compared to North India, possibly due to its partiality towards white rice, which has a high glycaemic index. When eaten as kanji (rice porridge) with the water it is cooked in, the starchy rice meal spikes blood sugar levels.

“The local feeling is that you are not full until you have had a rice meal,” says Dr M Gayathri, who heads our AYUSH clinic in Aragonda. The main aim is to keep hunger at bay, because not many people have the luxury of eating meat and fruit. Seasonal vegetables are affordable, but most plates are filled with rice and just a small portion of vegetables.

A rice meal is filling and cheap. “Farm labourers who leave for work at eight in the morning want a heavy meal that lasts through the day,” says Dr Bhargav. Wheat is not locally grown, so rotis are not commonly eaten. Dr Swarna adds, “People believe chapatis cause heat in the body when had in the morning.”

Rice is replacing millets such as ragi, which used to be popular in Thavanampalle. “We still make ragi balls, but the ratio of ragi to rice flour (2:1) has reversed because of changing tastes,” says Dr Bhargav.

Reddy is conscious of this. He says, “I include as many green, leafy vegetables in my meals as possible and have completely cut down on tea (most villages sweeten tea heavily).” However, he still depends on the PDS and can’t afford brown rice or red rice that were once regular traditional foods but have now become trendy ‘urban foods’, which has pushed up their prices.

“Before the Green Revolution in India, there were a hundred different varieties of rice in our diet,” says Jayanthi Somasundaram, head of Spirit of the Earth in Chennai (which promotes heritage rice), pointing to varieties such as thooyamalli, kaatuyanam, and mapillai champa.

“Until the 1950s to ‘60s, there was a conception that white rice, consumed by the elite, was superior. For the middle class, who would have millets, white rice became aspirational,” she says. Krishna Prasad, founder of the Karnataka-based Sahaja Samrudha, adds that as milling technology improved, the more polished rice became, and the more aromatic and of higher quality it seemed to people.

He recalls the Rayalaseema area of Andhra Pradesh in the 1960s: “Before it became popular for cash crops such as cotton and groundnut, the area, with its saline soil, used to grow many varieties of red rice.”

Over the years, diet isn’t the only thing that has changed, says R Indrani, another Thodathara resident living with diabetes. “I think the change in the crops we grow has also affected our lifestyle,” she says. Thavanampalle has traditionally been famous for its sugarcane fields and the jaggery it produced. She adds, “We used to have a sugarcane field as well. But now there are very few of them left. Like most farmers here, we shifted to cultivating 10 acres of mango.

Unlike sugarcane, which requires constant water and labour, the work in mango fields is seasonal and less intensive.” The doctors at Total Health suspect that this reduction in physical activity combined with changing diets could be one of the contributing factors to diabetes. “I can’t eat the mangoes I grow,” Indrani says with an ironic laugh.

Screening for diabetes

Indrani found out she has diabetes only a year ago when she attended an eye screening camp. “People here are not that keen on regular testing. Unless they can physically see that there is a problem, such as frequent urination, they won’t come. Their attitude is not preventative,” says Dr Gayathri.

“Often, when they first come to us, their blood glucose level is already at 11 percent (the normal level is 6.5 percent). They could have had diabetes for many years but they may have just not known it,” says Dr Swarna.

In fact, about one in every two Indians in the 15–49 age group living with diabetes is unaware of their condition, according to a study conducted by the Public Health Foundation of India in 2019. Of those aware, only a quarter have it under control. The study also found that rural men are more susceptible to diabetes.

“One fear we see among people is the idea that once they start medication, they will have to continue taking it for a lifetime. People here don’t like becoming dependent on medicines,” says Dr Gayathri.

Doctors are unanimous in their view that the focus must be on pre-diabetes—its prevention and control. On the preventive health front, a traditional kitchen revival, where a more diverse diet is practised, and rice does not form the centrepiece, may help.

The more difficult challenge is the attitudinal shift towards movement. In Thavanampalle, as in many rural and urban areas in India, physical work is linked with class hierarchy. The more prosperous a family gets, the more help they can afford and the less functional their movements become.

Additionally, it is important to manage low- to moderate-risk diabetes in people to prevent it from turning into something more serious. As seen in the results of the national NCD survey conducted this year, adequate screening, conducting regular health camps, and increasing awareness about diabetes as a lifestyle disease is how people who have not yet got the disease can prevent it.

Sweta Akundi is a content writer for Apollo Foundation, where she brings out stories from the villages of Andhra Pradesh and Telangana

This story was originally published by India Development Review (IDR)

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