Tag: Gender

How Nigeria’s Legal System is Failing to Safeguard Widows’ Rights — Global Issues

Nigerian law protects widows, but the reality they face is quite different.
  • by Promise Eze (sokoto, nigeria)
  • Inter Press Service

SOKOTO, NIGERIA, Aug 03 (IPS) – In February this year, Chichi Okonkwo not only lost her husband but was stripped of everything they owned together. Her husband was severely injured in a car accident about a month earlier. Despite being rushed to a hospital in Enugu, where they resided, he succumbed to his injuries weeks later. To compound her grief, Okonkwo’s late husband’s male siblings forcibly entered her home in the city a few hours after his passing, confiscating her husband’s land documents, car, money, clothes, and marriage certificate.

In the wake of these heart-wrenching events, Okonkwo was left with nothing but her six children. The eldest is just 18.

“They took everything my husband and I owned and forcibly evicted me and my children from our home,” laments Okonkwo. “They heartlessly claimed that, as a widow, I had no rights to any of my late husband’s possessions.”

Okonkwo’s children are now out of school because she was a housewife who depended on her husband’s income and is now left with nothing. She revealed that her late husband’s siblings, who seized and were aware of his bank PIN, callously left her with a mere 1 000 naira (approximately USD 2) out of the 2 million naira ($2,600) he had in his account.

Okonkwo said her husband’s relatives swore to drag her to court to challenge her rights, but she cannot afford a lawyer due to her financial situation.

In Nigeria, there are around 15 million widows.

Unfortunately, widows in the country often face the denial of their basic human rights due to traditional and cultural practices rooted in patriarchal beliefs.

According to The World Bank, “In much of Africa, marriage is the sole basis for women’s access to social and economic rights, and these are lost upon divorce or widowhood.”

In a country like Nigeria, where men dominate the economic and political systems, women are often expected to be submissive. The challenges women face are particularly amplified when they become widows, creating a doubly marginalized subgroup. Moreover, this vulnerable position sometimes exposes widows to dehumanizing rituals and harmful practices.

These harmful practices include mourning rites that involve widows sleeping with their deceased husbands’ corpses, shaving of widows’ heads, seclusion, wearing black or white clothes, and being forced to sleep and sit on the floor or mat. Additionally, some widows are coerced into marrying other members of the deceased husband’s family.

Despite laws granting women the right to inherit their husbands’ assets, many widows can still not claim their rightful share of land and property.

Efforts to combat these practices, such as the Violence Against Persons Prohibition Act (VAPP) enacted in 2015, have faced challenges in implementation and adoption by all states. According to the law, offenders are subject to a 500,000 naira ($648) fine or two years in prison. But arrests and prosecution of offenders are rare. And gender-based violence has persisted, which includes violence towards widows.

The enforcement of laws against offenders has been hindered by religious and cultural norms that promote silence and suppression of victimization cases. Victims often face threats or pressure from family members, community, or religious leaders whenever they try to report incidents to law enforcement.

Like Okonkwo, Sarah Temidayo’s life took a tragic turn when she lost her husband of four years to lung cancer in 2019. However, her grief was compounded by the actions of her husband’s relatives, who invaded her home in Lagos mere hours after his passing, intent on claiming everything that belonged to him. They even went so far as to take her wedding gown, certificates, and her then-five-year-old daughter’s clothes. Devastated and without recourse, Temitope sought justice through the legal system, but her efforts have yielded no results.

“I did not pick a pin out of my house. I had to start my life all over again,” she says.

Unfortunately, the nightmare did not end there for Temidayo. She was subjected to constant threats from her husband’s mother, who continued to torment her and accuse her of killing her son through witchcraft. These threats escalated to a terrifying climax when assassins attacked her at a bus stop in March 2021. She managed to survive, albeit with six bullets lodged in her leg. Despite reporting the incident to the police, no investigation was conducted, leaving her feeling abandoned by the system meant to protect her.

According to Ifeoma Oguejiofor, a legal practitioner in Southeast Nigeria, widows face challenges in seeking justice due to the understaffed courts, which can cause delays in the resolution of cases. Additionally, the financial burden of hiring a lawyer becomes a significant obstacle for many widows, making it difficult to access proper legal representation to handle their cases.

“There is a significant difference between the laws written in books and the actual pursuit of justice. According to the law, a surviving spouse, whether in a traditional marriage, a long period of cohabitation, or a marriage registered under the act, is entitled to inherit the estate of their deceased spouse. However, achieving justice through the legal system is often a prolonged and costly process, particularly for widows who have already lost a substantial portion of their assets to their husband’s relatives,” she explains.

“It’s high time the government, traditional rulers, and religious clerics enforce laws to protect widows in Nigeria. No woman should be discriminated against because she lost her husband,” says Hope Nwakwesi, the founder of Almanah Hope Foundation, a non-governmental organization focused on supporting Nigerian widows.

Nwakwesi, a widow who lost her police husband in 1994, endured distressing cultural rites, including having her hair shaved and wearing a mourning dress for a year. She faced further hardships as her relatives forcibly took her property, and she was expelled from her workplace and home in the police barracks. Despite seeking help, many, including police officers who offered assistance, demanded sexual favors in return.

Now, Nwakwesi is advocating for a bill in Nigeria’s legislative chamber. The bill aims to eradicate repressive cultural practices against widows and safeguard their fundamental human rights.

“My goal is to get the bill I’m fighting for approved and signed into law by the Senate. The current Violence Against Persons Prohibition Law is too vague and lacks specific clauses for protecting the rights of widows. Once the new bill becomes law, those who discriminate against widows will face arrest and prosecution by law enforcement agencies,” says Nwakwesi.

Abiola Akiyode-Afolabi, a civil rights activist and founding director of Women Advocates Research and Documentation Centre, noted that “For the government to protect widows effectively, they should review and update existing laws related to widows’ rights to ensure they are comprehensive, enforceable, and in line with international human rights standards.”

“Merely having laws in place is not enough; the government must ensure their effective implementation at all levels of the justice system. This requires training and sensitizing law enforcement officials, judges, and legal practitioners on the rights of widows and the importance of protecting them,” she adds.

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Women Shatter Gender Barriers in Uganda’s Fish Farming Industry — Global Issues

Women fishing in Lake Victoria.
  • Opinion by Pearl Amina Karungi (united nations)
  • Inter Press Service

UNITED NATIONS, Aug 02 (IPS) – In a groundbreaking turn of events, women in Bugiri District, Eastern Uganda, have defied societal norms and broken into the traditionally male-dominated fish farming industry.

Through the Women Economic Empowerment Programme launched by UN Women, these women have not only mastered the art of fishing but also revolutionized their economic prospects.

Rose Nakimuli, a resident of Bugiri, vividly recalls her journey into fish farming. “When I was selected to be trained in fish farming, I embraced the opportunity. I approached it as a job,” Ms. Nakimuli says with determination.

With the support of the UN Women project, she learned the ins and outs of aquaculture, swimming, and fishing, becoming a skilled fish farmer. Today, she proudly feeds her family and earns a descent livelihood from her newfound expertise.

Ms. Nakimuli is one of 1,400 women trained in fish farming. The Programme, initiated in 2019, has set ambitious goals to enhance women’s income security, promote decent work, and empower them with economic autonomy by 2025. The success achieved in the fish farming industry in Bugiri District stands as a shining example of the program’s impact.

With funding from the Government of Sweden and Standard Bank, UN Women partnered with the Bugiri District Local Government to support rural women in engaging in fish farming activities on the waters of Lake Victoria.

As a result, 28 cages brimming with Tilapia fish now stand as a testament to the women’s unwavering dedication and determination.

Amina Nakiranda, the project’s production manager, explains that it went beyond teaching women how to fish as the programme also equipped them with essential business management skills.

“Before this programme, many of us struggled with small businesses selling fresh produce or silver fish in local marketplaces,” Ms. Nakiranda reveals.

“However, through the comprehensive training provided by the project, we learned how to run our businesses efficiently, from start to finish.”

The cage fish project goes has strengthened the women’s capacity in governance, financial literacy, and the entire fish value chain. Inspired by their achievements, the women established a private company called “Women Economic Empowerment Bugiri (WEEB).”

Immaculate Were, the CEO of WEEB, proudly highlights the transformational journey of these women. “Although 85% of the beneficiaries are illiterate, they have become specialists in various aspects of fish farming, including feeding, harvesting, preservation, marketing, and trading,” Ms. Were remarks, adding that “Once a woman gets wealthy, that’s wealth for the whole nation.”

The project has also made significant strides in improving gender relations at the household level. With women contributing to the family budget and gaining financial independence, gender-based violence has notably reduced.

Judith, a member of the executive board of WEEB, shares her experience: “The project has reduced gender-based violence because we no longer sit home and beg our husbands for everything. We are no longer burdens; the project has empowered us.”

Beyond individual success stories, the fish farming project has made substantial contributions to the national GDP. With an impressive production of 508.5 tons of fish, the women have generated sales worth UGX 4.3 billion (approximately $1.15 million).

The project’s impact extends further, with UN Women providing essential support, including accommodations for working women, daycare services for their children, and necessary resources such as shelters, fish nets, life jackets, and a refrigerated truck for convenient market access.

“Thanks to UN Women, today we feel like heroes,” Ms. Nakimuli adds. ” Even the men view us as heroes, because fishing used to be a man’s job and we are excelling in it. It also gives us income to cater for our households.”

The journey of these resilient women serves as an inspiration, proving that with support and determination, barriers can be shattered, and new horizons can be explored.

Pearl Amina Karungi is Communications and Knowledge Management Officer, UN Women

Source: Africa Renewal: a United Nations digital magazine that covers Africa’s economic, social and political developments.

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Afghan Girls, Women Deprived of Education, Find Hope in Africa — Global Issues

Shabana Basij-Rasikh, co-founder and President of SOLA, speaks at the Women Deliver conference in Rwanda. Credit: Aimable Twahirwa/IPS
  • by Aimable Twahirwa (kigali)
  • Inter Press Service

KIGALI, Aug 01 (IPS) – When providing education to her small group of Afghan girls, who had been studying at a boarding school back home, became tenuous, Shabana Basij-Rasikh, relocated them to Rwanda.

She had set up a pioneering school under the project SOLA, the Afghan word for peace, and a short form for School of Leadership Afghanistan. But as the Taliban swept to power in August 2021, she closed the doors of the school, destroyed any school records which could help identify the girls, and on August 25, relocated 250 members of the SOLA community, including the student body and graduates from the programme, totally more than 100 girls, to Rwanda.

Basij-Rasikh, co-founder and SOLA’s President said a major challenge had been the lack of resources and capacity to teach Afghan girls after the return of the Taliban deprived right to education of girls in secondary schools and above.

As the Taliban swept back into power in Afghanistan in the summer of 2021, Shabana Basij-Rasikh, the founder of the nation’s only all-girls boarding school, initially ran the school out of a former principal’s living room. But that soon became untenable.

Speaking on the sidelines of The Women Deliver 2023 Conference (WD2023), which took place in Kigali from 10-20 July 2023, Basij-Rasikh, who completed her undergraduate studies in the United States, explained that when Kabul fell under the control of the Taliban, she managed within a short time to evacuate the entire school community to Rwanda.

“Although we managed to move the school to a safe country, it is still embarrassing and shameful for me since Afghanistan is the only country in the world where women and girls’ access to education has been suspended,” she said.

Initially, SOLA started as a scholarship program where Afghan youth would be identified and could access quality education abroad and, later on, go back to their home country as highly-skilled Afghans in whichever profession they chose.

“When the US announced that they were to withdraw their troops in Afghanistan, it created a lot of anxiety among young Afghans who were in the West hoping to return to the country.”

Basij-Rasikh regrets that some of her former students, who were able to leave Afghanistan after the Taliban’s return, are still struggling to continue their education overseas.

“We wish to see many Afghan girls return to schools,” she said, explaining that the migration status of the students in many countries restricted their access to education.

Since the school opened last year’s admissions season, Shabana Basij-Rasikh and her team have been inviting Afghan girls worldwide to apply and join the rest in Rwanda. Last year they enrolled 27 girls in their first intake.

“The major challenge is that there are several hundreds of thousands of girls who want to join our campus, but space is limited, and so places are being granted on merit and need,” Shabana told IPS.

Shabana argues investing in girls’ education is a smart investment; she is convinced that the current situation in Afghanistan must and should not be accepted or supported by any country around the world.

On September 18, 2021, a month after taking over the country, the Taliban ordered the reopening of only boys’ secondary schools. A few months later, in March 2022, according to human rights organizations, the Taliban again pledged to reopen all schools, but they officially closed girls’ secondary schools.

“These girls deserve the opportunity to realize their full potential, and the international community has an important role to play,” Shabana said.

UNESCO’s latest figures show that 2,5 million or 80 percent of school-aged Afghan girls and women are out of school.  The order suspending university education for women, announced in December last year, affects more than 100,000 students attending government and private institutions, according to the UN agency.

On the sidelines of the Women Deliver Conference 2023, Senegalese President Macky Sall pledged that his government would offer 100 scholarships for women who have seen their right to education decimated under Taliban rule in Afghanistan to pursue their university degrees in Senegal.

Rwanda is one of several African countries that agreed to temporarily host evacuated Afghans.

Sall, who was reacting to the concerns raised by Basij-Rasikhat, said his Government was ready to give chance to Afghan girls to pursue their studies.

So far, SOLA school has received 2,000 applications across 20 countries where some Afghans are living.

In 2022, it received 180 applications from Afghans living in 10 countries, but only 27 girls were admitted.

“That explains how families in Afghanistan are ready to support the girls in moving abroad to pursue their education,” Shabana said.

“Boarding schools that allow Afghan girls to study and live together are the best way to promote their education.”

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Nepal Poised To Start HPV Vaccination To Prevent Cervical Cancer, Awaiting GAVI — Global Issues

Girls wait for their vaccination cards to be updated after receiving the HPV vaccine at BP Koirala Cancer Hospital in Bharatpur, Nepal, 10 July 2023. Credit: Marty Logan/IPS
  • by Marty Logan (chitwan district, nepal)
  • Inter Press Service

CHITWAN DISTRICT, Nepal, Jul 31 (IPS) – As Dipak Subedi was organizing a vaccination programme against the human papillomavirus (HPV) in the city of Bharatpur in Chitwan district of southern Nepal he was getting phone calls from neighbouring districts asking if he had extra doses available — people were willing to travel for hours to get their girls vaccinated against HPV, which causes cervical cancer, the deadliest form of cancer for women in Nepal.

Callers had heard about the campaign, which started in 2022, after the city posted the news on its Facebook page, says Subedi, senior public health officer and chief of the Bharatpur public health promotion section. Unfortunately he had no extra doses to meet the demand. “With such demand if the HPV vaccine was to be included in our regular vaccination programme we could get more than 90% coverage,” he adds in an interview in his office in Bharatpur, a city of 370,000 people best known for its location near Chitwan National Park.

Most people approached for this article who were connected to the Bharatpur campaign, or to previous small-scale pilot projects in Nepal, noted similar high demand. In recent years the Nepal Government has pledged repeatedly to provide the HPV vaccine for national distribution but has yet to do so.

Awaiting GAVI response

Earlier this month a national campaign moved a step closer when the child health and immunization section of the health department submitted a request to the global vaccine alliance GAVI for 1.6 million doses. The response should be known by September; if positive, vaccination could start in 2024.

Cervical cancer is the fourth most common form of cancer among women globally and the leading cause of cancer-related deaths for women in 36 countries in Africa, Asia and Latin America. The World Health Organization (WHO) reported recently that 604,000 new cases of cervical cancer were reported globally in 2020 and that 342,000 women died from the disease – a staggering 90% of the new cases and deaths occurred in low and middle-income countries.

HPV is the virus that causes most cases of cervical cancer and is responsible for the majority of sexually transmitted infections of the reproductive system. The HPV vaccine has been shown to prevent up to 90% of HPV-related cancers and pre-cancerous injuries. WHO says that eradicating cervical cancer will require vaccinating 90% of all girls worldwide by the age of 15.

The burden of the disease in Asia is high. In 2020, China and India alone accounted for 40% of global cervical deaths (17% and 23% respectively), according to The Lancet journal. In Nepal, there were an estimated 14.2 cases per 100,000 women in 2020, versus the WHO target for 2030 of less than 4.0. The disease kills about 1,500 women in the country each year, reports the HPV Information Centre.

In 2020, researchers predicted that without any intervention, a total of 170,600 women in Nepal would die from cervical cancer by 2070 and 318,855 by 2120. But according to the UN Population Fund, HPV vaccination could prevent nearly 38,737 cervical cancer deaths in Nepal by 2070, and 165,115 deaths by 2120.

About 400-500 new cases are diagnosed at the BP Koirala Cancer Hospital in Bharatpur alone every year, says Dr Asmita Rana, the head of the hospital’s department of cancer prevention control and research.

Rana is managing the vaccination campaign that includes Bharatpur and two other municipalities, distributing 12,500 doses to girls ages 11-13, two doses each. While the first phase was a big success, the second one has faltered, she says in an interview in her office. That’s mainly because phase one was implemented at the community level (schools and health facilities) by municipal staff. Phase two was centred around the hospital, meaning that caregivers (school officials and/or parents) had to take time to transport children to and from the facility.

Staff members in the hospital’s department of cancer prevention control and research discuss vaccination with a girl about to be receive her second dose of the HPV vaccine, at BP Koirala Cancer Hospital in Bharatpur, Nepal, 10 July 2023. Credit: Marty Logan/IPS

Schools the preferred site

Asked what she has learned from the campaign, Rana says she would do all phases through schools next time to ensure participation. “That would be a more appropriate way to follow up those girls… rather than at the health facilities.”

The second learning is that raising awareness ahead of time is key, says Rana. “From my experience I can say that if we do an awareness programme ahead of time — tell them something about the vaccine, about HPV, and the effectiveness of the vaccine for preventing cancer, then they will be quite positive and participating.”

Even if people are initially sceptical, “gradually when we explain to them that it’s a very good vaccine, it’s free of cost — although it’s expensive if you have to buy it — and will prevent your daughter from getting cervical cancer in the future, most of the people are convinced.”

The vaccine is available at private health facilities in Nepal but two doses costs around 10,000 rupees (US$76). The country’s per capita income was about $1,300 in 2022. Neighbouring India started producing its own vaccine, Cervavac, in 2022. Its price is $4.88-$9.76 for two doses. South Asian neighbours Bhutan, Sri Lanka and the Maldives have launched national vaccination programmes while Bangladesh has done pilot projects.

It’s surprising to hear that vaccine hesitancy hasn’t been a minor issue in the campaign. One school did refuse to participate, says Rana, after they were told that parents had to sign consent forms. “They were thinking ‘it’s like a new Covid vaccine and it’s being tested via our girls’; they were not aware that the vaccine had been approved years before. I tried so hard to convince them but they would not come.”

School nurse Sudeepa Poudel also faced some resistance, but says she overcame it after talking to doubting parents. “They say ‘we were never vaccinated but we are fine till now — why do our kids need to be vaccinated’?… Some parents are easy to convince but many are not because they’re illiterate, so I have to take time to explain carefully to them; sometimes it takes two sessions. After that explanation they easily accept it.”

Poudel works at a secondary school in Bharatpur from where 25 girls were vaccinated earlier this year. Beforehand she spent one hour explaining the process to students. “I conducted classes for those students who were going to be vaccinated as well as those younger students (9-11) who might receive the vaccine in the future, explaining the purpose of the vaccine, where it comes from, how it’s managed, possible side-effects, etc.”

Just down the hall from Rana’s office at the hospital is the room where the vaccine is given. During one recent morning girls arrive in small groups and take turns sitting in a chair and rolling up their sleeves, while caregivers look on.

Later outside the room, three girls from a high school in Bharatpur shake their heads when asked if their shoulders hurt where they got the injection. They had no hesitation getting the vaccine, they add through an interpreter. “We got information from the school nurse and teachers so we are confident,” says one.

Girls from Aadikabi Bhanubhakta Higher Secondary School pose with their caregivers after vaccination, at BP Koirala Cancer Hospital in Bharatpur, Nepal, 10 July 2023. Credit: Marty Logan/IPS

3 reasons for support

“We’re doing this for three reasons,” adds another: to prevent genital problems, or issues having children, and because getting cervical cancer would interfere with menstruation.”

The father of one of the girls says he learned about the vaccine from his daughter, via news reports and social media before being contacted by the school. “I talked to the school nurse… Yes, I’m positive — both my wife and I are positive — because there is news about this vaccine being very good. I don’t know much about the technical part,” he adds, “but I feel good doing this for my child.”

HPV is spread through sexual contact, but Rana says that most Nepalis don’t interpret that to mean their daughters should be vaccinated before they become sexually active, which might be one reason there is little resistance to campaigns. “Their understanding is that it’s early marriage that would expose girls to HPV rather than premarital sex, because that was the experience of women who are now developing cervical cancer, who are around 40-45 years of age,” she says.

“Sometimes people do ask explicitly about the impact of premarital sex, but they do not resist having their girls vaccinated when we explain,” she adds.

At Bharatpur municipality Subedi says his team easily overcame hesitancy they encountered from parents during recent campaigns for Covid-19 and routine immunization for children under 2 years. “There are some rumours and misconceptions, but we can tackle that — I don’t think it’s a big deal. We can convince them. In every vaccination campaign we do the coverage rate is very high.”

Nepal’s health department has prepared an awareness module in preparation for HPV vaccination being added to the national vaccination programme, says Dr Abhiyan Gautam, head of the child health and immunization section. It will be part of what he calls a demonstration campaign ahead of the programme, which will distribute 20,000 doses in various parts of Nepal, still to be identified.

1st time under federal system

A trial phase is needed, adds Gautam, because the health system was reorganized after Nepal enacted federalism in 2017. “We haven’t conducted such a campaign at the local area… so this is a new concept for us,” he says. “The district recording and reporting system is also quite different now… at the operational level we have to be sure that the system will work, so we’ll be piloting first.”

The same system will be used for the national programme, if GAVI approves the request. “We are hopeful that we’ll get the vaccines,” says Gautam. “What we do know is that whenever we operate a vaccine programme GAVI provides some vaccines to Nepal. We submitted our application – now the ball is in their court.”

In response to a query, GAVI said that it does not comment on current applications.

The planned programme will include girls ages 10-14, in classes 6-10, rather than the 9-14 age group recommended by WHO. Gautam says this is to conserve limited resources. “Our national immunization advisory committee recommended 10-14 based on the country situation: if we go to 9-14 our operational costs will almost double.”

If Nepal launches the national programme, the immunization chief anticipates the same results as a previous government-run pilot project in 2016. “The vaccination coverage was very good (97%) because people demand the vaccine when they know about it… Poor people may not go to private settings to get vaccinations but even rich people are waiting for the national programme.”

This feature was supported by the Sabine Vaccine Institute and Internews.

© Inter Press Service (2023) — All Rights ReservedOriginal source: Inter Press Service

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Nepals Same-Sex Marriage Breakthrough — Global Issues

Credit: Prakash Mathema/AFP via Getty Images
  • Opinion by Andrew Firmin (london)
  • Inter Press Service

LONDON, Jul 28 (IPS) – Nepal is the latest country to join the global wave of marriage equality. On 28 June, its Supreme Court ruled that the government must immediately offer temporary registration of same-sex marriages, pending a change in the law. Around 200 couples reportedly sought to register as soon as the court judgment was made.

Nepal will therefore become the second country in Asia, after Taiwan, to recognise the right of all couples to marry. It’s little surprise that, as in many countries that have achieved marriage equality, it’s civil society that’s making the change happen, having brought the decisive court case.

Civil society’s breakthrough

Each year brings further important steps forward on two crucial fronts: decriminalisation of same-sex relations in the many countries where they’re still criminalised and recognition of marriage equality in countries that have made more progress.

Only last month a landmark was achieved in Estonia, which became the first post-Soviet state to legalise same-sex marriage. Now Nepal should become the 36th country in the world where LGBTQI+ people can marry, and the ninth this decade.

In Nepal, these efforts built on an earlier legal breakthrough, when in 2007 the Supreme Court ruled that the government must take measures to guarantee equal rights and end discrimination against LGBTQI+ people. This too was the result of a legal petition filed by several LGBQTI+ rights organisations following the country’s transition from a monarchy to a democratic republic. LGBTQI+ people had been as active as anyone else in demanding democracy but LGBTQI+ rights weren’t immediately recognised in the new Nepal.

The 2007 ruling unlocked significant progress: laws that banned gay sex were repealed that year. In 2015, Nepal’s new constitution recognised the fundamental rights of LGBQTI+ people and forbade discrimination. The court also recognised a third gender – a longstanding identity in the cultures of Nepal and other South Asian countries – and the right to have it registered on official documents.

Nepali schools now offer comprehensive sexuality education to students aged 13 to 15, which includes discussion of LGBTQI+ issues. This came as a result of a campaign by the Blue Diamond Society, a civil society organisation that has led the fight for LGBTQI+ rights in Nepal since 2001.

As further rights were recognised, continuing marriage discrimination increasingly stood out. A bill to legalise it was drafted soon after the 2007 ruling, consistent with the court’s order to guarantee equal rights, but not much happened after that. It fell on civil society to hold the government to account.

There are still challenges ahead. As yet, the government hasn’t responded to the court ruling, which suggests it’s hardly in a hurry to legislate. That means people’s rights remain vulnerable to administrative resistance, leading to uneven enforcement. On 13 July, for instance, the Kathmandu District Court rejected an application from a male couple to register their marriage.

Anti-rights backlash

Litigation has become the key means by which civil society wins change on LGBTQI+ rights, as reflected by a recent string of decriminalisation rulings in Caribbean countries. This strategy has the potential to bring legal and policy changes that are ahead of social attitudes. That’s been the case in Nepal, where there’s still stigma, social bias and discrimination, and in Nepal’s often fractious politics, some politicians seek to capitalise on that.

Globally, progress towards the recognition of LGBTQI+ rights is a much stronger trend than regression. But steps forward are inevitably followed by an anti-rights backlash, combined with politically opportunistic efforts to mobilise anti-LGBQTI+ sentiment.

This backlash is seen in the USA, from which emanates most of the funding that enables anti-rights campaigning around the world, as well as in European countries, including Hungary, Spain and Turkey.

But it’s felt most strongly in global south countries, where forces opposing LGBTQI+ rights spread disinformation that these are some kind of western imposition. This is apparent in several countries in Africa – such as Kenya, Nigeria and Uganda – and Asia – including Indonesia, where a new criminal code effectively criminalises same-sex activity, and Malaysia, where politicians profit from vilifying LGBTQI+ people.

That’s why positive moves in Africa and Asia are so valuable: they offer hope to embattled LGBTQI+ people not just domestically but around the world.

Progress in Nepal should particularly give heart to activists in India, where the Supreme Court is currently considering a case demanding the recognition of same-sex marriage, and Japan, where attempts to win court judgments have encountered setbacks. The good news should also resonate in Thailand, a country with a relatively progressive reputation on LGBTQI+ rights but where same-sex marriage still isn’t allowed.

Shifting attitudes

Evidence from the countries that have adopted marriage equality shows that public attitudes to same-sex marriage tend to shift in the wake of legal change. In the countries that introduced it in the early years of this century, it now has majority support.

That’s also the case in Taiwan, which legalised same-sex marriage in 2019. And there, changing social attitudes have gone hand-in-hand with further reforms: in January, the government recognised same-sex marriages of Taiwanese people with foreign partners. In May, same-sex couples were given full adoption rights.

When it comes to changing social attitudes in Nepal, the annual roster of Pride events – the main Nepali Pride Parade held each June, a trans parade in December and an LGBQTI+ women’s rally that marks International Women’s Day each March – will remain vital spaces to make LGBTQI+ people more visible and assert their right to exist in public space.

Nepali civil society will hope that by the next Pride event, the law will have changed. But they’ll do more than hope. They’ll keep campaigning until the law is changed – and after that, they’ll stay alert to backlash and keep pushing back against discrimination.

Andrew Firmin is CIVICUS Editor-in-Chief, co-director and writer for CIVICUS Lens and co-author of the State of Civil Society Report

© Inter Press Service (2023) — All Rights ReservedOriginal source: Inter Press Service

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Vulnerable Women Suffer the Worst Face of Discrimination in Argentina — Global Issues

“Migration is a right,” read the handkerchiefs held by two women at a demonstration in the Argentine capital for migrants’ rights. At left is Natividad Obeso, a Peruvian who came to Buenos Aires in 1994, fleeing political violence in her country. CREDIT: Camilo Flores / ACDH
  • by Daniel Gutman (buenos aires)
  • Inter Press Service

BUENOS AIRES, Jul 27 (IPS) – Remi Cáceres experienced gender-based violence firsthand. She struggled, got out and today helps other women in Argentina to find an escape valve. But because she is in a wheelchair and is a foreign national, she says the process was even more painful and arduous: “Being a migrant with a disability, it’s two or three times harder. You have to empower yourself and it’s very difficult.”

When she came to Buenos Aires from Paraguay, she was already married and had had her legs amputated due to a spinal tumor. She suffered violence for several years until she was able to report her aggressor, got the police to remove him from her home and raised her two daughters watching after parked cars for spare change in a suburb of the capital

On the streets she met militant members of the Central de Trabajadores Argentinos (CTA), one of the central unions in this South American country, who encouraged her to join forces with other workers, to create cooperatives and to strengthen herself in labor and political terms. Since then she has come a long way and today she is the CTA’s Secretary for Disability.

“The places where women victims of gender-based violence are given assistance are not accessible to people who are in wheelchairs or are bedridden. And the shelters don’t know what to do with disabled women. Recently, a woman told me that she was sent back home with her aggressor,” Remi told IPS.

From her position in the CTA, Remi is one of the leaders of a project aimed at seeking information and empowering migrant, transgender and disabled women victims of gender violence living in different parts of Argentina, for which 300 women were interviewed, 100 from each of these groups.

The data obtained are shocking, since eight out of 10 women stated that they had experienced or are currently experiencing situations of violence or discrimination and, in the case of the transgender population, the rate reached 98 percent.

Most of the situations, they said, occurred in public spaces. Almost 85 percent said they had experienced hostility in streets, squares, public transportation and shops or other commercial facilities. And more than a quarter (26 percent) mentioned hospitals or health centers as places where violence and discrimination were common.

One of the trainings held by the “Wonder Women Against Violence” project. On the left is Remi Cáceres, who escaped domestic violence and today is Secretary of Disability at the Central de Trabajadores Argentinos central trade union. CREDIT: María Fernández / ACDH

Another interesting finding was that men are generally the aggressors in the home or other private settings, but in public settings and institutions, women are the aggressors in similar or even higher proportions.

The study was carried out by the Citizen Association for Human Rights (ACDH), an NGO that has been working to prevent violence in Argentina since 2002, with the participation of different organizations that represent disabled, trans and migrant women’s groups in this Southern Cone country.

It forms part of a larger initiative, dubbed Wonder Women Against Violence, which has received financial support for the period 2022-2025 from the UN Trust Fund to End Violence against Women. Since 1996, this fund has supported projects in 140 countries for a total of 215 million dollars.

The initiative includes trainings aimed at providing tools for access to justice to the most vulnerable groups, which began to be offered in 2022 by different organizations to more than 1,000 women so far.

Courses have also been held for officials and staff of national, provincial and municipal governments and the judiciary, with the aim of raising awareness on how to deal with cases of gender violence.

María José Lubertino, president of the Citizen Association for Human Rights, takes part in a feminist demonstration in Buenos Aires. Lubertino coordinates the project on violence against disabled, transgender and migrant women in Argentina that runs from 2022 to 2025. CREDIT: Camilo Flores / ACDH

Fewer complaints

“Argentina has made great progress in recent years in terms of laws and public policies on violence against women, but despite this, one woman dies every day from femicide (gender-based murders),” ADCH president María José Lubertino told IPS.

“In this case, we decided to work with forgotten women. We were struck by the fact that there were very few migrant, trans and disabled women in the public registers of gender-violence complaints. We discovered that they do not suffer less violence, but that they report it less,” she added.

Lubertino, a lawyer who has chaired the governmental National Institute against Discrimination, Xenophobia and Racism (INADI), argues that these are systematically oppressed and discriminated groups that, in her experience, face their own fears when it comes to reporting cases: “migrants are afraid of reprisals, trans women assume that no one will believe them and disabled women often want to protect their privacy.”

Indeed, the research showed that 70 percent of trans, migrant and disabled women who suffered violence or discrimination did not file a complaint.

Many spoke of wanting to avoid the feeling of “wasting their time,” as they felt that the complaint would not have any consequences.

Each group faces its own particular hurdles. Migrant women experience discrimination especially in hospitals. Transgender people, in addition to suffering the most aggression (sometimes by the police), suffer specifically from the fact that their chosen identity and name are not recognized. Disabled women say they are excluded from the labor market.

More than three million foreigners live in this country of 46 million people, according to last November’s data from the National Population Directorate. Almost 90 percent of them are from other South American countries, and more than half come from Paraguay and Bolivia. Peru is the third most common country of origin, accounting for about 10 percent.

Of the total number of immigrants, 1,568,350 are female and 1,465,430 are male.

As for people with disabilities, the official registry included more than 1.5 million people by 2022, although it is estimated that there are many more.

Since 2012, a Gender Identity Law recognizes the legal right to change gender identity in Argentina and by April 2022, 12,665 identification documents had been issued based on the individual’s self-perceived identity. Of these, 62 percent identified as female, 35 percent as male and three percent as non-binary.

Women participate in one of the trainings on gender-based violence in Buenos Aires. The project is carried out by the Citizen Association for Human Rights with financial support from the UN Trust Fund to End Violence against Women. CREDIT: Camilo Flores / ACDH

Different forms of violence

Yuli Almirón has no mobility in her left leg as a result of polio. She is president of the Argentine Polio-Post Polio Association (APPA), which brings together some 800 polio survivors. Yuli is one of the leaders of the trainings.

“Through the trainings, those of us who participated found out about many things,” she told IPS. “We heard, for example, about many cases related to situations of power imbalances. Women with disabilities sometimes suffer violence at the hands of their caregivers.”

The most surprising aspect, however, has to do with the restrictions on access to public policies to help victims of gender-based violence.

The Ministry of Women, Gender and Diversity runs the Acompañar Program, which aims to strengthen the economic independence of women and LGBTI+ women in situations of gender-based violence.

The women are provided the equivalent of one monthly minimum wage for six months, but anyone who receives a disability allowance is excluded.

“We didn’t know those were the rules. It’s a terrible injustice, because disabled victims of violence are the ones who most need to cut economic dependency in order to get out,” said Almirón.

Another of the project’s partner organizations is the Human Rights Civil Association of United Migrant and Refugee Women in Argentina (AMUMRA). Its founder is Natividad Obeso, a Peruvian woman who fled the violence in her country in 1994, during the civil war with the Shining Path guerrilla organization.

“Back then Argentina had no rights-based immigration policy. There was a lot of xenophobia. I was stopped by the police for no reason, when I was going into a supermarket, and they made me clean the whole police station before releasing me,” she said.

Natividad says that public hospitals are one of the main places where migrant women suffer discrimination. “When a migrant woman goes to give birth they always leave her for last,” she said.
“Migrant women suffer all kinds of violence. If they file a complaint, they are stigmatized. That’s why they don’t know how to defend themselves. Even the organizations themselves exclude us. That is why it is essential to support them,” she stressed.

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A Shot in the Arm Can Prevent Cervical Cancer — Global Issues

Afshan Bhurgri, a cancer survivor, advises women to listen to their bodies and be aware of the symptoms of cervical cancer. Credit: Zofeen Ebrahim/IPS
  • by Zofeen Ebrahim (karachi)
  • Inter Press Service

KARACHI, Jul 26 (IPS) – “Listen to your body, and if there is anything strange happening, do not ignore it,” is the advice of 57-year-old Afshan Bhurgri, a cancer survivor.

Eight years ago, she was diagnosed with cervical cancer at a time when she was “in a good place” in life. Her kids were grown up, and she had more time to herself. A fitness freak, the schoolteacher’s daily routine included going to the gym daily. “I joined a creative writing class as I loved penning my thoughts!” she reminisced.

But then everything changed when she found out she had cancer.

Cancer of the cervix uteri is the fourth most common cancer among women worldwide, with an estimated 604,127 new cases and causing the death of 341,831 in 2020.

In Pakistan, an estimated 73.8 million women over the age of 15 are at risk of developing cervical cancer caused by the human papillomavirus (HPV).

Cervical cancer in Pakistan.

In the absence of complete data, it is estimated that of the 5,000 women diagnosed with this cancer in Pakistan, some 3,000 lose their lives every year due to lack of access to prevention, screening and treatment, thus making it the third leading cause of cancer-related deaths in women of the reproductive age group in the country, after breast and ovarian cancers. Up to 88 percent of cervical cancer cases are due to human papillomavirus (HPV) serotypes 16 and 18, as reported by the International Agency for Research on Cancer.

“We are short on authentic data on the prevalence of the disease burden,” said Dr Arshad Chandio, who works at Jhpiego Pakistan as an immunisation lead. His organisation, which has supported HPV vaccine introduction in seven countries with Gavi support, is partnering with the federal and provincial governments, along with WHO, UNICEF, and USAID, to implement a roadmap for cervical cancer prevention and introduction of HPV vaccine in Pakistan. Cervical cancer is the only cancer that is preventable by a vaccine.

Cervical cancer worldwide.

“Without authentic data, our plan to eradicate this disease will not be watertight,” admitted Dr Irshad Memon, the director general of the Expanded Programme on Immunisation in Sindh.

Dr Shahid Pervez, senior consultant histopathologist at the Aga Khan University Hospital (AKUH), co-chair of the country’s newly established National Cancer Registry, recommends legislation to make reporting of cancer mandatory. “This will be one way of collecting basic data, at one place, which is expected by international agencies to roll out an effective cancer control programme in Pakistan,” he added.

Although Bhurgri had knowledge about cancer of the cervix and went for regular health checkups and screenings, her doctors did not carry out full examinations, which led to the infection turning cancerous. It all started in 2009, five years prior to being diagnosed with cancer when she started noticing a “foul smell emanating from my vagina” after her period became “heavier” than usual.

Cervical cancer warning signs.

“Let alone screening and testing for the cancer, many healthcare professionals do not even know of the disease, or how women get infected,” pointed out Chandio.

“I am an educated person, I could afford to get the best medical help, and I went to three of the city’s top gynaecologists, got pap smears done on their requests over the years, and I was only sent for HPV test when it was too late,” rued Bhurgri. In 2014, a doctor suggested an ultrasound which gave a true picture. A biopsy confirmed she had cervical cancer.

After her biopsy, Bhurgri started reading up on cervical cancer, and one of the indications was the foul vaginal smell.

“It could have been nipped in the bud if only the doctors had carried out a thorough examination,” said gynaecologist and obstetrician Dr Azra Ahsan, president of the Association for Mothers and Newborns, blaming “sheer negligence” on the part of her fraternity.

“A gynaecological consultation must not only be limited to a conversation across the table,” said Ahsan, but should include an “examination on the couch including a proper internal examination, ideally a pap smear and visual inspection,” especially if, like Bhurgri, a patient was complaining of heavy bleeding and a foul smell.

Bhurgri’s journey towards wellness was tough. A radical hysterectomy was recommended, and her cervix, her uterus and her ovaries were removed. Twenty-eight radiations and five chemos later, over a five-month period, she was given a clean chit by her oncologist. The cost of treatment, back in 2014 at a private hospital, was a whopping Rs30,000,000 (USD 1,097) back then.

Screening can save lives

Although Bhurgri’s cancer may have remained under the radar despite regular screening via pap smears, doctors say HPV and pap smear tests are the best way to screen a woman for cervical cancer. They can identify patients who are at high risk of developing pre-cancerous changes on the cervix as well as pick up those who have already developed these changes.

These precancerous lesions can be treated before they turn into cancer. Sadly, in Pakistan, the uptake of pap smears is negligible and estimated to be as low as 2 percent.

According to Dr Uzma Chishti, assistant professor and consultant gynecologic oncologist, Department of Obstetrics and Gynecology, AKUH, Pakistan’s health system is so financially stretched that it cannot afford to provide screening of women by these expensive tests. Instead, she recommends WHO’s recommendations of performing a visual inspection of the cervix by acetic acid (VIA) to screen women to help reduce the incidence of cervical cancer. “VIA is an alternative screening test for low-and-middle-income countries like ours,” she said.

Vaccinations the Best Option

The WHO triple intervention recommendation to eliminate cervical cancer in countries like Pakistan includes scaling up HPV vaccination to 90 percent for girls aged between 9 to 14, twice-lifetime cervical screening to 70 percent and treatment of pre-invasive lesions and invasive cancer to 90 percent by 2030. “All three are essential if we want to eliminate cervical cancer completely,” emphasised said Ahsan.

HPV vaccinations to prevent cervical cancer are the way forward as it provides primary prevention, said Chishti, in the absence of VIA, screenings and pap smear tests. Almost 60 per cent of cervical cancer cases occur in countries that have not yet introduced HPV vaccination. Pakistan is one of them.

Once up and about, the first thing Bhurgri did was get her 14-year-old daughter vaccinated for human papillomavirus (HPV) vaccine. “My older daughter remains unvaccinated as she was 21 then and studying abroad. She needed three shots and could not make it to that timeline,” she said.

In Pakistan, two globally licensed HPV vaccines are available in the market – a quadrivalent vaccine and a bivalent vaccine Cervarix. Gardasil is protective against the HPV serotypes 6, 11, 16, and 18, providing protection against both cervical cancer and genital warts. Cervarix is effective against serotypes 16 and 18, thereby protecting only against cervical cancer.

In 2021, medical students at the AKUH interviewed 384 women attending outpatient clinics between the ages of 15 to 50 to find out their knowledge about cervical cancer. They found that of the 61.2 percent of women who had heard about cervical cancer, 47.0 percent knew about pap smear tests, and among them, 73 percent had gotten a pap test. A total of 25.5 percent of women, out of the 61.2 percent, knew that a vaccine existed for prevention, but only 9.8 percent had been vaccinated against human papillomavirus. The study concluded that a majority of the women interviewed for the study belonged to a higher socioeconomic class and were mostly educated, yet their knowledge regarding the prevention and screening of cervical cancer was poor. “This reflects that the knowledge levels as a whole would be considerably lower in the city’s general population,” the study concluded.

Shamsi highlighted the challenges of discussing HPV in a conservative society where sexual health topics are hardly discussed due to the embarrassment and taboo associated with sexually transmitted infections (STIs). This communication conundrum has resulted in a general lack of information about the disease. “There is a total lack of information about HPV, cervical cancer, and its prevention among the masses,” she said.

But this may change if Pakistan introduces the HPV vaccine at a national level, utilising routine effective and established immunisation delivery strategies. According to Dr Uzma Shamsi, a cancer epidemiologist at the AKUH, implementing the HPV vaccine at a national level in Pakistan could save hundreds of thousands of lives annually.

The benefits are enormous, and hundreds of thousands of lives could be saved each year, she emphasised.

Pakistan is in talks with Gavi the vaccine alliance, to support the country in including the single-dose HPV (two covers four strains) vaccine in its routine immunisation programme. “It will probably take another two years and USD 16 million before we can roll out the vaccine, but when it happens, it will be a country-wide campaign,” confirmed Memon.

Shamsi predicted some tribulation because the primary target group for vaccination is pre-adolescent girls. “A new vaccine for a new target age group comes with its own set of challenges in a society where conspiracy theories about vaccination programmes, stigma and misinformation about cancer and sexual health persist,” she said. And so before the actual rollout,  Shamsi emphasised, it was important to increase awareness about the HPV virus, cervical cancer causes, and vaccine’s safety and usage among the general public, patients, and healthcare professionals while actively dispelling misinformation.

Memon agreed that “conversation around the vaccine must begin”. For its part, the Sindh government set aside Rs 100 million ($365,884) for advocacy of HPV vaccine uptake in its current budget. “We will initiate a dissemination campaign once we know when the HPV vaccination programme is to begin,” he said. The Sindh province was also the first to initiate the typhoid conjugate virus vaccine after an extensively drug-resistant virus was found in the province. He was hopeful there would be less resistance to the HPV vaccine after the successful administration of measles and rubella and the pediatric Covid-19 vaccines earlier.

However, said Memon, “We will need more women vaccinators this time as young girls are shy of rolling their shirt sleeves up for male vaccinators.” With up to 125,000 female health workers across Pakistan, who were earlier trained by Gavi for MR immunisation, which is a much more difficult vaccine to administer (being subcutaneous) as opposed to the HPV one (which is muscular), he said, this workforce can be engaged to get trained for this vaccination campaign too.

In the end, however, according to Chandio, “without a strong political will and leadership, a national HPV vaccination programme cannot become a reality in Pakistan to eliminate this largely preventable cancer among women”.

Fighting her cancer has changed Bhurgri in more ways than one. Her message to women is to “not put yourself aside; make yourself a priority.” While she continues to lead a healthy life – going to the gym, eating healthy, resting, she said, “You cannot go on and pick up where you left off”.

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Transgender People Face Growing Violence, Discrimination in Pakistan — Global Issues

Transgender people often entertain at weddings and other events, but they increasingly face violent acts, especially since part of an Act ensuring their rights was recently struck down. Credit: Ashfaq Yusufzai/IPS
  • by Ashfaq Yusufzai (peshawar)
  • Inter Press Service

PESHAWAR, Jul 24 (IPS) – “The problems transgender people face start from their homes as their parents, especially fathers and brothers, look them down upon and disrespect them,” says 20-year-old Pari Gul.

Gul, a resident of Charsadda district in Khyber Pakhtunkhwa (KP), left her house at 16 when her mother asked her to or face being killed by her father.

“I was born as a boy, and my name was Abdul Wahid, but when I came to Peshawar and joined a transgender group, I got a female name, Pari Gul. Since then, I have been going to weddings and other festive ceremonies to dance,” she says. “Dance is my passion.”

However, she has often been the brunt of discrimination and violence.

“During my five-year career, people have beaten me more than 20 times. Each time the perpetrators went unpunished,” she told IPS in an interview.

Trans people are often targeted in KP, one of Pakistan’s four provinces.

On March 28, a man shot dead a transgender person in Peshawar. It was the third incident targeting transgender persons in the province in less than a week. Despite the violence, violent attacks on transgender people aren’t considered a major crime.

Khushi Khan, a senior transgender person, says lack of protection is the main problem.

“People have developed a disdain for us. They consider us non-Muslims because we dance at marriages and other ceremonies,” she says.

“We had lodged at least a dozen complaints with police in the past three months when our colleagues were robbed of money, molested and raped but to no avail,” Khan, 30, says.

Last month, clerics in the Khyber district decided they wouldn’t offer funerals to transgender persons and asked people to boycott them.

Rafiq Shah, a social worker, says that people attack the houses of transgender, kill, injure and rob them, but the police remain silent “spectators”.

“We have been protesting against violence frequently, but the situation remains unchanged,” Shah said.

Qamar Naseem, head of Blue Veins, a national NGO working to promote and protect transgender people, isn’t happy over the treatment meted out to the group.

“Security is the main issue of transgender persons. About 84 transgender persons have been killed in Pakistan since 2015 while another 2,000 have faced violence, but no one has been punished so far,” Naseem says.

The lack of action by the police has emboldened the people.

“Health, transportation, livelihoods and employment issues have hit the transgender (community) hard. Most of the time, they remained confined to their homes, located inside the city,” he says.

There are no data regarding the number of transgender in the country because the government doesn’t take them seriously, he says.

In May 2023, the Federal Shariat Court (FSC) dealt a severe blow when it suspended the implementation rules of the Protection of Transgender Persons Protection of Rights Act.

Farzana Jan, president of TransAction Alliance, says that FSC’s declaration that individuals cannot alter their gender at their own discretion, asserting that specific clauses within the Transgender Persons (Protection of Rights) Act, 2018 contradict Islamic law, has disappointed us.

The FSC declared un-Islamic sections 3 and 7 and two sub-sections of Section 2 of the Transgender Persons (Protection of Rights) Act, 2018, five years after the law was passed, the FSC rolled back key provisions granting rights to Pakistan’s transgender community.

Some right-wing political parties had previously voiced concerns over the bill as a promoter of “homosexuality,” leading to “new social problems”.

The Transgender Persons (Protection of Rights) Act, 2018, is against the injunctions of Islam as laid down in the Holy Quran and Sunnah of the Holy Prophet (PBUH) and will cease to have any legal effect immediately, the verdict stated.

Amnesty International said the verdict was a blow to the rights of the already beleaguered group of transgender and gender-diverse people in Pakistan. It said some of the FSC’s observations were based on presumptive scenarios rather than empirical evidence. The denial of essential rights of transgender and gender-diverse persons should not be guided by assumptions rooted in prejudice, fear and discrimination, AI said.

“Any steps taken by the government of Pakistan to deny transgender and gender-diverse people the right to gender identity is in contravention of their obligations under international human rights law, namely the International Covenant on Civil and Political Rights (ICCPR) and the Convention on the Elimination of All Forms of Discrimination against Women (CEDAW) to which they are a state party,” it said.

The government should take immediate steps to stop the reversal of essential protections, without which transgender and gender-diverse people will be even more at risk of harassment, discrimination and violence, AI added.

On July 12, 2023, transgender representatives from all provinces held a press conference at Lahore Press Club, where they vehemently condemned the recent decision by the FSC against the Transgender Persons (Protection of Rights) Act, 2018.

Arzoo Bibi, who was at a press conference, said it was time to stand united for justice and equality.

“Militants don’t threaten us, but our biggest concern is the attitude of the society and police,” said Arzoo.
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Marginalising Key Populations Impacting Efforts to End HIV/AIDS Epidemic — Global Issues

A transgender person participates in health services provided by the Khmer HIV/AIDS NGO Alliance (KHANA) in Phnom Penh, Cambodia, December 2019. Credit: UNAIDS
  • by Ed Holt (bratislava)
  • Inter Press Service

BRATISLAVA, Jul 14 (IPS) – A report released this week has highlighted how continuing criminalisation and marginalisation of key populations are stymying efforts to end the global HIV/AIDS epidemic.

The report from UNAIDS, entitled ‘The Path that Ends AIDS’, says that ending AIDS is a political and financial choice, and that in countries where HIV responses have been backed up by strong policies and leadership on the issue, “extraordinary results” have been achieved.

It points to African states that have already achieved key targets aimed at stopping the spread of HIV and getting treatment to people with the virus. It also points out that a further 16 other countries, eight of them in sub-Saharan Africa which accounts for 65% of all people living with HIV, are close to doing so.

But the report also focuses on the devastating impact HIV/AIDS continues to have and how alarming rises in new infections in some places are being driven largely by a lack of HIV prevention services for marginalised and key populations and the barriers posed by punitive laws and social discrimination.

“Countries that put people and communities first in their policies and programmes are already leading the world on the journey to end AIDS by 2030,” said Winnie Byanyima, Executive Director of UNAIDS.

Estimated adults and children living with HIV. Credit: UNAIDS

Experts and groups working with key populations have long warned of the effect that the stigmatisation, persecution and criminalisation of certain groups has on the AIDS epidemic.

They point to how punitive laws can stop many people from accessing vital HIV services.

Groups working with people with HIV in Uganda, which earlier this year passed anti-LGBTQI legislation widely considered to be some of the harshest of its kind ever implemented (it includes the death penalty for some offences), say service uptake has fallen dramatically.

“The law has had a very negative effect in terms of health,” a worker at the Ugandan LGBTQI community health service and advocacy organisation Icebreakers told IPS.

“Community members are threatened by violence and abuse by the public; many are afraid to go out. HIV service access points are now seen by LGBTQI community members as places where they will be arrested or attacked,” he said.

Speaking on condition of anonymity, the worker added: “This is going to affect adherence to treatment and will be bad for the spread of HIV. Some people are being turned away at service centres, including places where people go for ARV refills, because although the president has declared that treatment will continue for members of the community, there are individuals at some centres who say the law has been passed, and so they don’t need to give treatment to members of the community.”

Estimated number of adults and children newly infected with HIV. Credit: UNAIDS

Groups working with people with HIV in other countries where strict anti-LGBTQI laws have been introduced have also warned that criminalisation of the minority will only worsen problems with the disease.

In Russia, which has one of the world’s worst HIV/AIDS epidemics, anti-LGBTQI legislation brought in last year has effectively made outreach work illegal, potentially severely impacting HIV prevention and treatment. Widespread antipathy to the community also forces many LGBTQI people living with HIV to lie to doctors about how they acquired the disease, meaning the epidemic is not being properly treated.

A worker at one Moscow-based NGO helping people with HIV told IPS: “What this means is that the right groups in society are not being targeted , and so the epidemic in Russia is what it is today.”

Harsh legislation, conservative policies and state-tolerated stigmatisation also impact another key population – drug users.

Countries in regions where drug use is the primary or a significant driver of the epidemic, such as Eastern Europe and Central Asia and Asia and the Pacific, drug users often struggle to access harm reduction and HIV prevention services. They fear arrest at needle exchange points, attacks from a general public which often views them negatively, and prejudice and stigmatisation from workers within the healthcare system.

At the same time, in states with harsh laws targeting the LGBTQI community, drug users, sex workers or other vulnerable groups, civil society organisations helping those populations are also affected by the legislation, meaning that vital HIV prevention and treatment services they provide are hampered or halted completely.

And these problems are not confined to a handful of states. The UNAIDS report states that laws that criminalize people from key populations or their behaviours remain on statute books across much of the world. The vast majority of countries (145) still criminalize the use or possession of small amounts of drugs; 168 countries criminalize some aspect of sex work; 67 countries criminalize consensual same-sex intercourse; 20 countries criminalize transgender people; and 143 countries criminalize or otherwise prosecute HIV exposure, non-disclosure or transmission.

Consequently, the HIV pandemic continues to impact key populations more than the general population. In 2022, compared with adults in the general population (aged 15-49 years), HIV prevalence was 11 times higher among gay men and other men who have sex with men, four times higher among sex workers, seven times higher among people who inject drugs, and 14 times higher among transgender people.

Ann Fordham, Executive Director at the International Drug Policy Consortium, told IPS there was an “urgent need to end the criminalisation of key populations”.

“Data shows HIV prevalence among people who use drugs is seven times higher than in the general population, and this can be directly attributed to punitive drug laws which drive stigma and increase vulnerability to HIV. It is devastating that despite evidence that these policies are deeply harmful, the majority of countries still criminalise drug use or the possession of small quantities of drugs,” she said.

But it is not just minorities which are disproportionately affected by HIV.

Globally, 4,000 young women and girls became infected with HIV every week in 2022, according to the report.

The problem is particularly acute in the sub-Saharan Africa region, where there is a lack of dedicated HIV prevention programmes for adolescent girls and young women and where across six high-burden countries, women exposed to physical or sexual intimate partner violence in the previous year were 3.2 times more likely to have acquired HIV recently than those who had not experienced such violence.

Research has suggested that biological, socio-economic, religious, and cultural factors are behind this disproportionately high risk of acquiring HIV. Many girls and young women in the region are economically marginalized and therefore struggle to negotiate condom use and monogamy. Meanwhile, a predominantly patriarchal culture exacerbates sexual inequalities.

“For girls and women in Africa, it is general inequalities which are driving this pandemic. It is social norms which don’t equate men and women, girls and boys, it is norms which tolerate sexual violence, where a girl is forced to have unprotected sex, and that is then dealt with quietly rather than tackling the abuser,” Byanyima said at the launch of the report.

UNAIDS officials say that promoting gender equality and confronting sexual and gender-based violence will make a difference in combatting the spread of the disease, but add that specific measures aimed at young women and girls, and not just in sub-Saharan Africa, are also important.

“ services are not designed for young women in many parts of the world – for instance, girls cannot access HIV testing or treatment without parental consent up to a certain age in some countries,” Keith Sabin, UNAIDS Senior Advisor on Epidemiology, told IPS.

“A lack of comprehensive sexual education is a tremendous barrier in many places. It would go a long way to improving the potential for good health among girls,” he added.

But while the report highlights the barriers faced by key populations, it also shows how removing them can significantly improve HIV responses.

It cites examples from countries from Africa to Asia to Latin America where evidence-based policies, scaled-up responses and focused prevention programmes have reduced new HIV infections and AIDS-related deaths, while some governments have integrated addressing stigma and discrimination into national HIV responses.

It also noted that progress in the global HIV response has been strengthened by ensuring that legal and policy frameworks enable and protect human rights, highlighting several countries’ removal of harmful laws in 2022 and 2023, including some which decriminalized same-sex sexual relations.

“Studies strongly suggest a better uptake of services among men who have sex with men (MSM) in countries where homosexuality has been decriminalised or is less criminalised. A certain policy environment can improve uptake and outcomes,” said Sabin.

The UNAIDS report calls on political leaders across the globe to seize the opportunity to end AIDS by investing in a sustainable response to HIV, including effectively tackling the barriers to prevention and services faced by key populations.

Experts agree this will be crucial to ending the global epidemic.

“We have long known that we will not end AIDS without removing these repressive laws and policies that impact key populations. Today, UNAIDS is once again sounding the alarm and calling on governments to strengthen the political will, follow the evidence and commit to removing the structural and social barriers that hamper the HIV response,” said Fordham.

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Women Recyclers in Bolivia Build Hope, Demand Recognition — Global Issues

Sofía Quispe, the president of Ecorecicladoras de La Paz, finds a good haul of paper and cardboard in a municipal dumpster at the end of Avenida 6 de Agosto in La Paz, in a nighttime job that the southern hemisphere winter makes more challenging. CREDIT: Franz Chávez / IPS
  • by Franz Chavez (la paz)
  • Inter Press Service

LA PAZ, Jul 12 (IPS) – They haul many kilos of recyclable materials on their backs but receive little in return. These Bolivian women who help clean up the environment from dawn to dusk are fighting for recognition of their work and social and labor rights.

The inhabitants of La Paz, Bolivia’s political center, walk hurriedly and almost oblivious to the women of different ages silently opening heavy lids of municipal garbage dumpsters that are taller than the women themselves.

They use a homemade tool, a kind of hook with a long wooden handle, to dig through the unsorted waste, trying to avoid getting cut by broken glass, and in search of plastic containers, paper, cardboard or aluminum cans.

People walk by on the avenues and squares without looking at them, and sometimes actively avoiding them. The recyclers feel this indifference and even rejection, but they overcome it with the courage gained over years and generations, convincing themselves that they have a dignified vocation.

“People call us dirty pigs (cochinas), they humiliate us and we can never respond,” says Rosario Ramos, a 16-year-old who accompanies her mother, Valeriana Chacolla, 58, sorting through the trash for recyclable waste.

A study by the United Nations Joint Program on self-employed women workers in the country describes them generally as being “of indigenous origin, adults with primary school education. Seventy percent of them are also involved in activities related to commerce, while 16 percent work in the manufacturing industry.”

Of a population of 12.2 million projected by the National Institute of Statistics for the year 2022, 5.9 million are women. La Paz is home to 1.53 million people.

Of the total population of this Andean country, 41 percent defined themselves as indigenous in the last census, while according to the latest official data available, 26 percent of urban dwellers live in moderate poverty and 7.2 percent in extreme poverty, including most of the informal recyclers.

One of the groups of women of the Ecorecicladoras de La Paz association gather next to a municipal dumpster in a corner of Plaza Avaroa in Bolivia’s political capital, after finishing their nightly collection of reusable materials. CREDIT: Franz Chávez / IPS

On this southern hemisphere wintertime July night in La Paz, the group of women are virtually invisible as they gather around the dumpsters located in a corner of the Plaza Avaroa, in the area of Sopocachi, where residential and public office buildings are interspersed with banks, supermarkets and other businesses.

It’s a good place for picking through the waste in the dumpsters, and the women find paper, newspapers, plastic and aluminum containers. Although the volume of waste is large, each one of the garbage pickers manages to collect no more than one or two kg on one of the days that IPS accompanied different groups of the women in their work.

The silence is broken on some occasions when salaried municipal cleaners show up and throw the women out of the place, because they also compete to obtain materials that they then sell to recyclers. This is a moment when it becomes especially clear that garbage has value.

That is one of several reasons that forced the informal garbage pickers to come together in an association called EcoRecicladoras de La Paz. “There is no work for us, and they only listen to us when we organize,” says María Martínez, 50, the recording secretary of the 45 members, who also include a few men.

In Bolivia, trash is not separated into reusable and non-reusable waste in homes or offices. This task is carried out by private recycling companies, who buy the raw materials from informal waste collectors such as EcoRecicladoras.

Leonor Colque Rodríguez, 78, wearily ends her night shift collecting recyclable waste in Sopocachi, an area in La Paz, Bolivia. She has been working for 40 years as a “grassroots recycler” and is the head of her household. CREDIT: Franz Chávez / IPS

Martínez, with slightly graying hair, says she comes out every evening. “I was a domestic worker until I was 30 years old. When my daughter was born I couldn’t get a job. I collected plastic bottles, clothes and shoes and sold them to the factories, but the recycling companies who pay really low prices emerged,” she complains.

It takes about three months between the initial collection and the final sale of the recyclable materials. Martínez collects the materials, carries around seven kg on her back, walks about three kilometers and patiently stores them until she has enough to sell them to the wholesaler.

“One year I collected 200 kg of scrap metal and sold it for 150 bolivianos (about 20 dollars),” she recalls. The recycling companies want to buy by the ton, she explains, with a grin, because it is impossible for them to reach that volume.

She represents a second generation of garbage collectors. Her mother, Leonor Colque, is two years short of turning 80, and has been combing through garbage dumps and trash on the streets for 40 years. On her back she carries a cloth in which she hauls a number of pieces of paper and some plastic waste.

“They should stay in school because this job is not for young girls,” she recommends, sadly, because she could not achieve her goal of sending one of her daughters to a teacher training school.

At 58, Chacolla, like almost all women garbage pickers, is the head of her household. Her husband, a former public transport driver, lost his job due to health problems and occasionally works as a welder, door-maker or bricklayer.

When she goes out to sort through trash she is accompanied by her daughter, Rosario, who explains and expands on what her mother says, calling for a change in the public’s attitude towards them and respect for the work they do as dignified, emphasizing, as they all do, that they deal with recyclable waste, not garbage.

Vests like this one identify women “grassroots recyclers” in their work of sorting through waste in dumpsters installed by the municipal government of La Paz in different parts of the Bolivian city. CREDIT: Franz Chávez / IPS

“I walk with the Lord in my heart, he always helps me,” says Angelica Yana, who at 63 years of age defies the dangers of the wee hours of the morning in the Achachicala area, on the outskirts of La Paz, five kilometers north of the city.

“Nothing has ever happened to me,” says Yana, who leaves her home at three in the morning to scrape up enough to support a son who offers fine finishing masonry services, and her sick husband.

At the age of 70, Alberta Caisana says that she was assaulted by municipal cleanup workers while she was scrounging for recyclable materials. She now carries a credential issued by the Environmental Prevention and Control Directorate of the Autonomous Municipal Government of La Paz, and wears a work vest donated by development aid agencies from the governments of Sweden and Switzerland.

She relies on her uniform and identification card as symbols of protection from the indifference of the people and aggression from local officials.

The mother of a daughter and the head of her household, Anahí Lovera, saw her wish to continue her university studies frustrated, and at the age of 32 she combines collecting plastic bottles with helping in different tasks in the construction of houses.

In the foreground, the secretary of Ecorecicladoras de La Paz, María Martínez (50), together with Carla Chávez (42) and her mother Leonarda Chávez (72) take a break from sorting through waste in the Sopocachi area of the Bolivian city of La Paz. CREDIT: Franz Chávez / IPS

Others, they say, sell clothes and other recovered objects in street markets, such as the famous one in Villa 16 de Julio in the neighboring city of El Alto, where used and new objects are sold in an area covering two kilometers.

Lovera’s work appears to go smoothly, but she and her colleagues describe the moment of dealing with the buyers. They deliver an exact volume and weight of products and the buyers declare a lower weight in order to pay less.

“This sector isn’t noticed by society, especially because we work with waste, that is, with what society throws away; this work is ‘devalued’,” Bárbara Giavarini, coordinator of Redcicla Bolivia-Reciclaje Inclusivo, told IPS.

One sign of the public’s recognition of the “grassroots recyclers,” as they call themselves, could be the direct, sorted delivery of the waste, which would facilitate the women’s work, she said.

Redcicla, a platform that promotes the integrated treatment of waste, has been helping since 2017 to organize them and bring visibility to their work, while fostering the delivery of waste from citizens to “grassroots recyclers” and working for the recognition of their work as dignified.

The president of Ecorecicladoras de La Paz, Sofía Quispe, supports the idea of getting help from local residents in sorting materials and delivering them to their affiliates, instead of throwing them into dumpsters where they are mixed with products that prevent subsequent recycling.

The president of the women’s group Ecorecicladoras de La Paz, Sofia Quispe, walks along the central Arce Avenue in this Bolivian city in search of dumpsters where local residents throw their waste. CREDIT: Franz Chávez / IPS

Quispe is a 42-year-old mother of three. Like most of her fellow recyclers, she walks about two kilometers on foot in search of dumpsters, dressed in the customary indigenous wide-brimmed hat and pollera or skirt.

On the night that IPS accompanied her, she did not find the dumpster that was usually on Avenida 6 de Agosto, probably because it had been removed and taken to another part of the city.

The impoverished garbage picker was once a skilled seamstress who worked in small family-owned factories in the Brazilian city of São Paulo. Upon her return due to an illness, she was unable to raise the money she needed to buy a machine and raw materials.

She was also discouraged by the lack of interest among local residents in buying garments made in Bolivia, as they preferred low-cost clothing smuggled into the country as contraband.

Leonarda Chávez, another 72-year-old head of household, who collects recyclable materials every day with her daughter Carla Chávez (42) and granddaughter Maya Muga Chávez (25), feels satisfied because she can see her dream come true.

This month, her granddaughter earned a diploma in Business Social Responsibility, with which she completed her university education, in addition to a degree in commercial engineering and business administration, in a country where higher studies do not always guarantee good jobs.

Among the darkness and the objects discarded by people, hope is also alive. Rosario Ramos took the lessons of hard work and created her own goal: “I will study advanced robotics and prosthetic assembly,” she says with a confidence that contrasts with the group’s sad stories.

© Inter Press Service (2023) — All Rights ReservedOriginal source: Inter Press Service

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