Tag: Population

Urgent Investment Needed in Health Workforce — Global Issues

A nurse walks into a hospital ward in Janakpur in Dhanusha District in southern Nepal. Credit: UNICEF/Rupadhayay
  • Opinion by Roopa Dhatt, Susannah Schaefer (washington dc / new york)
  • Inter Press Service

WASHINGTON DC / NEW YORK, Apr 07 (IPS) – As World Health Worker Week draws to a close on April 7, health organizations from around the world have been celebrating women’s vital role in the health workforce and sharing stories about the enormous value they bring to all areas of health and care.

But platitudes are not enough. It’s time for global health leaders to step up and turn these words into action.

Globally, women make up almost 70% of the global health workforce and 90% of the frontline health workforce, contributing over $3 trillion to global health each year. The health systems in which they work play a significant role in remote and marginalized groups’ access to health, especially in times of crisis. Despite this, the challenges faced by community health workers (CHWs) are frequently overlooked.

CHWs play a critical role in providing care to vulnerable populations, but they are undervalued and accorded lower status in the “informal” workforce. Upwards of six million women are estimated to be either unpaid or grossly underpaid despite working in core health systems roles and just 14% of CHWs in Africa are salaried.

It is unjust that global health systems rely on the labor of unpaid women who are creating social and economic value that is uncounted and unrewarded. Unpaid work reduces women’s economic security and increases their lifetime poverty.

It also weakens health systems. The pandemic has demonstrated the need for strong and resilient health systems, but there can be no global health security while health systems are subsidized by some of the world’s poorest women.

Women health workers continue to make huge sacrifices to work on the frontlines. They went door-to-door educating households on the COVID-19 virus, tracing contacts, and delivering vaccines.

At last year’s World Health Assembly, India’s one million women community health workers known as accredited social health activists (ASHAs) were honored for successfully protecting the health of millions of people during the pandemic.

At the start of the pandemic, however, reports were coming out of India about the unacceptable risk faced by ASHA workers who were being sent into communities without lack of infection controls and facing stigma and abuse as perceived vectors of the virus.

In 2020, they launched widespread street protests and strikes to demand better pay, protection, and working conditions. ASHA workers may have been acknowledged as global health leaders, but they continue to be underpaid with small performance-based honorariums. They are still fighting for a fair and regular salary and the benefits that come with formal sector roles.

Pre-pandemic the World Health Organization (WHO) projected a global shortage of 10 million health workers by 2030, which COVID-19 now has deepened. Health workers lost their lives to the virus and significant numbers are unable to work, affected by ‘long-COVID’. There have been increased reports of violence towards women health workers during the pandemic–from colleagues as well as patients and their families.

In a 2018 report on health policy and system support to optimize CHW programs, one of the primary WHO recommendations included fair remuneration for CHWs, but this is still far from the norm. When CHWs are compensated, it often fails to align with WHO recommendations, which call for financial packages that are commensurate with the demands of the job, the level of complexity, the training required, and the hours worked.

This World Health Workers Week, we come together with our partners to call on global health leaders, governments and policy makers to disrupt the status quo. We believe that every person, regardless of gender, should have access to quality health and care and opportunities to thrive.

We know a fairly-compensated health workforce–alongside training, supervision, and safe working environments–leads to improved productivity, wider access to healthcare, and better patient outcomes.

The gender pay gap in health of 24% is one of the largest of any sector. We are calling on leaders to take measures to close that gap. We stand with our partners in calling for and focusing on transformative change, including gender-equal leadership in global health and a new social contract for women health workers centered on the need for fair and equal pay and safe and decent work.

There is increasing urgency in both high-income and low- and-middle income countries to prioritize changes in guidelines, funding, and policies. After three years of COVID-19, women health workers, who have been the majority in patient-facing roles, are burned out and traumatized.

Understandably, women are leaving the health sector at all levels in a ‘Great Resignation,’ which threatens to deepen the global health worker shortage crisis.

Addressing these injustices is a moral obligation and an economic necessity. Investing in health workers is a win-win proposition and will send a message that we recognize and value them as professionals.

Not only can we restore justice to neglected global health systems, but we can improve the working conditions and pay of health workers, unleashing broader economic benefits.

We would like to send a clear message that as heads of global health organizations we are committed to building stronger health systems and a more equitable world. Achieving true health equity includes quality care for all–including health workers.

Dr Roopa Dhatt is Executive Director and Co-Founder Women in Global Health, a fast- growing women-led movement with 47 chapters worldwide.

Susannah (“Susie”) Schaefer is Executive Vice Chair, President, and Chief Executive Officer (CEO) of Smile Train, the world’s largest cleft-focused organization with a sustainable and local model of supporting surgery and other forms of comprehensive cleft care.

IPS UN Bureau

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US Lagging Behind on Funding International Family Planning & Reproductive Health — Global Issues

Midwives Lucie Banionia and Lydie Mawelo help deliver the future at the General Reference Hospital in Kinshasa, Democratic Republic of the Congo, one of the world’s fastest-growing countries. Credit: UNFPA/Junior Mayindu
  • Opinion by Maniza Habib (washington dc)
  • Inter Press Service

WASHINGTON DC, Mar 28 (IPS) – International family planning and reproductive health (FP/RH) are critical to achieving gender equity, but U.S. investment in them is not nearly sufficient to meet the moment.

The Biden-Harris FY2024 budget request proposes to invest $619.43 million for bilateral FP/RH programs plus $57.5 million for the United Nations Population Fund (UNFPA)– a total of $676.8 million. That’s 11% more than Congress appropriated last year, and it’s one of the only proposed funding increases in the global health sector this year, yet it’s still just a fraction of what’s needed.

The fair-share U.S. contribution, i.e. what it would need to contribute proportionately to ensure the all women of reproductive age in low- and middle-income countries (LMICs) have their modern contraception needs met, is calculated to be $1.736 billion.

Family planning gives people control over their own bodies and futures. At its core, it’s about empowering individuals to make informed decisions about their sexual and reproductive lives, including if, when, and how many children to have, and how far apart to space births.

Access to family planning enables women to pursue their education and participate more meaningfully in economic and political life.

These are all necessary components of gender equality. Yet U.S. funding for international FP/RH has stayed flat for a decade while global population, reproductive health needs, and barriers to access have been growing. It is high time for the U.S. to meet its responsibility to help close the gap.

A group of children smile in Ismail Bhand village in Pakistan’s Shaheed Benazirabad district, Sindh province. Credit: UNICEF/Shehzad Noorani

There are 923 million women of reproductive age in LMICs who want to avoid pregnancy. About a quarter of those (218 million) have an unmet need for modern contraception. They want to avoid pregnancy but are not using a modern method. Reasons for this vary from government restrictions on accessing contraceptives to service providers refusing to distribute them to having to travel daunting distances to the nearest clinic.

These hurdles are compounded by gender-based discrimination. For example, stigma surrounding contraceptives and sex make it particularly difficult for young, single women to access services.

Marginalized groups face discriminatory attitudes in clinics, including in the U.S., where members of the LGBTQ+ community, immigrants, and Black, indigenous, and other people of color are often denied services and resources to meet their family planning needs.

The world needs much more robust support from the U.S. to overcome these obstacles and pave the way to achieving global gender equality. Due to the lack of sufficient investment to dismantle barriers to sexual and reproductive health and rights (SRHR) worldwide, U.S. support for overarching gender equality goals will inevitably be weakened, a new Population Institute report finds.

Some governments are showing they understand this problem and are changing policies accordingly. For example, President Xiomara Castro of Honduras just lifted a 14-year ban on emergency contraception, which will revolutionize access to FP/RH services. Beginning April 1, the provincial government of British Columbia will provide prescription contraception at no charge.

The U.S. has a responsibility to lead on global SRHR but ceded its leadership in recent years and is getting left behind. U.S. bilateral and multilateral FP/RH programs have been under attack, especially in the wake of Trump-era restrictive policies.

The modest increase in FP/RH funding in the current budget proposal shows the Biden-Harris administration recognizes the importance of global SRHR. But it doesn’t reflect the urgency or level of commitment needed.

At the same time, it undercuts SRHR by including the Helms Amendment, an outdated prohibition on using U.S. foreign assistance funding for abortion as a method of family planning. In practice, implementing the Helms Amendment has meant denying abortions even in instances of rape or incest, or in cases where it would save a woman’s life.

Failure to aim at U.S. fair-share levels of FP/RH funding in the latest budget proposal is a missed opportunity. Let’s not miss any more. Global population recently passed the 8 billion mark, and the need is growing.

We can meet the moment by recognizing the fundamental connections between SRHR, gender equality, and sustainable development, and accepting the obligation of the U.S. to lead on achieving them.

Maniza Habib is Research Associate at the Population Institute, a nonprofit based in Washington, D.C. that supports reproductive health and rights.

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Yes, Lower The Retirement Ages! — Global Issues

Source: United Nations.
  • Opinion by Joseph Chamie (portland, usa)
  • Inter Press Service

PORTLAND, USA, Mar 27 (IPS) – Yes, lower the retirement ages! That is the key message that workers worldwide are conveying to their governments.

Rather than increasing retirement ages as many governments are now proposing, men and women worldwide want to stop working well before they reach old age, which is approximately 60 years.

After toiling for years in factories, offices, shops, backrooms, vehicles, fields, etc., most workers around the world want to stop working before they reach old age. That desire translates into exiting the labor force and receiving a government pension at approximately age 55 years.

Government officials, economic advisors, business leaders and many others calling for raising retirement ages will no doubt consider lower retirement ages to be preposterous, verging on financial blasphemy and leading to an economy’s doom. Some have argued that lowering retirement ages places an unaffordable and unfair burden on taxpayers.

On the contrary, rather than leading to an economy’s ruination, a retirement age of 55 years may usher in a “retirement renaissance” resulting in untold benefits to societies worldwide.

The renaissance will enhance and extend the quality of life for those in retirement. It is also expected to decrease unemployment rates, lead to increased motivation among younger employees to continue working until retirement, provide businesses with energetic, healthy, well-trained youthful workers as well as foster cross generational interactions, recreation, hobbies and cultural activities.

In addition, the renaissance may contribute to raising low fertility levels by making childcare more readily available. Today two-thirds of the world’s population lives in a country where the fertility rate is below the replacement level of about 2.1 births per woman.

The retirement renaissance will permit retired men and women with adult children to assist with childcare and related activities. With grandparents available for childcare, young working mothers and fathers can be expected to be more favorably disposed to having additional children.

The protests, demonstrations and objections in Asia, Europe, North America and elsewhere reflect the public’s resistance to working until, as they claim, broken-down and close to near death. Large majorities of workers have clearly conveyed their opposition to their respective government proposals requiring people to work well into old age before they are entitled to receive their promised retirement pensions.

The various projected insolvencies of government pension systems, often cited as justification for raising retirement ages to record breaking high levels, are often dismissed by workers and their supporters as irrelevant. The insolvencies, workers contend, are simply financial excuses concocted by government officials and their wealthy supporters, who object to paying their fair share of taxes, to justify their goal of raising retirement ages and cutting pension benefits.

In addition to higher taxes on the wealthy and large corporations, workers argue that governments have plenty of financial resources at their disposal to permit lowering retirement ages and financing pension programs. Some contend that countries could substantially reduce their defense spending and redirect the substantial savings to retirement pension programs.

Admittedly, it is certainly the case that on average people are living longer than in the recent past and the proportions of elderly are increasing. However, those increases in longevity have not been shared equally across populations.

In general, those with high incomes have experienced longevity gains, while low earners have seen little gain in longevity. Moreover, workers contend that living longer should not translate into working longer and receiving reduced retirement pension benefits.

Both men and women spend decades working at jobs that they don’t particularly enjoy and for bosses they loathe. Many would argue that it only seems fair and reasonable to have several decades available to workers permitting them to do what they desire before they eventually face death. People are largely opposed to working until they are tired, bed ridden and unable to enjoy the remaining years of their life.

It is also the case that women on average live several years longer than men. At age 65, for example, at the global level women live close to three years longer than men. Even larger differences in life expectancy at age 65 between women and men are observed in other countries, such as France and Japan at nearly four and five years, respectively (Figure 1).

Source: United Nations.

Taking into account those well documented sex differences in longevity, the retirement age for women could be several years greater than that for men, perhaps 57 and 54 years, respectively. Such a difference between women and men would help to ensure gender equality in the number of retirement years.

In addition, neither men nor women should be forced to work beyond the recommended lower official retirement ages for men and women. Of course, exceptions should be permitted and lower official retirement ages should not bar individuals from working in old age if they choose to do so.

Some heads of state, elected officials, government bureaucrats, investors, business owners, academics, the wealthy, entertainers as well as many others are choosing for personal reasons it appears to work beyond official retirement ages. Some current heads of state, for example, are well beyond the official retirement ages of their respective countries with few of their constituents objecting (Figure 2).

Source: Author’s compilation.

With the world population reaching a record-breaking 8,000,000,000 people, the number of young women and men available to work is the largest ever. Whereas the proportion of the world’s population between ages 18 to 59 was 52 percent in 1950 and numbered 1.3 billion, that proportion increased to 56 percent in 2022 and numbered 4.5 billion.

There’s no denying the fact that the world’s population is older than in the past. Over the past 70 years, the proportion of the world’s population aged 60 years and older has nearly doubled, from 8 percent in 1950 to 14 percent in 2022. However, the increase in the proportion elderly is offset by the decrease in proportion of children below age 18 years from 40 percent in 1950 to 30 percent in 2022 (Figure 3).

Source: United Nations.

Also, some believe that rapidly improving technologies, including robots,androids and artificial intelligence, can complement and broaden a country’s labor supply. Those technologies are expected to offset reductions in the size of the labor force as people retire at around 55 years of age.

Many governments have enacted or are seriously considering raising retirement ages. Increases in today’s retirement ages are viewed by workers as nothing more than pension benefits cuts.

Proposals for raising retirement ages are viewed by workers as relying on faulty actuarial analyses of bankruptcy, dire warnings of pension insolvency and catchy phrases such as “Vivre plus longtemps, travailler plus longtemps” (“live longer, work longer”).

Moreover, conservative government officials in general are resistant to raising taxes on the wealthy and large corporations. However, many of those officials are favorably disposed to raising retirement ages, which would result in reductions in pension benefits. Also, some government officials have rejected calls to return retirement ages back to 60 years.

In sum, in addition to meeting the wishes of billions of working men and women who want to retire well before reaching old age, lower official retirement ages of approximately 57 years for women and 54 years for men may usher in a “retirement renaissance” that could result in untold benefits to societies worldwide.

Joseph Chamie is a consulting demographer, a former director of the United Nations Population Division and author of numerous publications on population issues, including his recent book, “Population Levels, Trends, and Differentials”.

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Africas Dark Road to Democracy — Global Issues

  • Opinion by Gabriel Odima (minnesota, usa)
  • Inter Press Service

MINNESOTA, USA, Mar 27 (IPS) – The dark road to democracy began with the manner in which the Kenyan Presidential election of August 2022 was handled. Today, the Church in Kenya is calling for dialogue between the ruling regime and the opposition. The issue here is not about dialogue, but the legitimacy of the President William Ruto. The situation in Kenya reminds me of a similar situation in Rwanda in early 90s.

In 1994, the World Council of Churches, the Lutheran World Federation and Africa Council of Churches sent a combined mission to Rwanda. The mission’s findings reported that ” the churches in Rwanda have been discredited by aligning themselves far too much with the former Hutu dominated regime and its tribal politics”.

According to the report, one member of the mission stated, ” In every conversation we had with the government and the church people alike, the point was brought home to us that the church itself stands tainted not by passive indifference but errors of commission as well”. Unfortunately, the church in Kenya today is aligning themselves with the ruling regime.

The Kenyan Tragedy

Seven months after Presidential election in Kenya, every organization, institution and government which had kept silent as if the Kenyan Presidential election were free and fair began to speak. The current crisis in Kenyan could have been prevented.

The attitude adopted by African Union (AU), the international community, governments, international press and human rights organizations after last year’s presidential election made the current situation in Kenya inevitable. In a democracy, except with his own consent, no person shall be hindered in the enjoyment of his or her rights to assemble freely and associate with other persons or to impart ideas.

The Kenyan regime has to come to terms with this realty.

In the 21st century, the forces against the development and sustenance of democracy and the enjoyment of human rights by the citizens of Africa are strong and powerful. A political map of Africa to show states ruled by the gun and states ruled by the ballot, if made, will show only a handful of the latter. Such map will not. however, show the real human tragedy which the gunmen and their supporters and apologists have wrought the African peoples.

In Africa, oppressive regimes, and most of those regimes are illegitimate like the case of Kenya today, is the driving force of conflict. The use of the gun like the current situation in Kenya today is only a short- term remedy and also creates a chain reaction to the problem.

Promoting democracy in Africa does not only serve moral interests of the United States of America but it helps to prevent war, reduce the influx of refugees. Preventing wars in Africa and creating a peaceful democratic society is cheaper than fighting wars.

When General MacArthur conquered Japan, he wrote a new constitution for the people of Japan. This constitution became the pillar of Japanese democracy. The United States and other nations of Western Europe helped Japan build its economy.

Today, Japan is the leading economic power house in Asia. If this worked for Japan, a nation without natural resources, how about Africa with abundant natural resources? General MacArthur did not do it alone, but it took the commitment on part of the Japanese people to rebuild their nation.

In the case of Kenyan’s current crisis, it is important to address the issue Hon. Raila Odinga has raised about the server to bring transparency in the election process. Kenyan people need to address the issue of accountability, corruption and transparency.

The policy makers in Washington should revive an effective policy that will enforce political reforms and curb electoral malpractices across Africa. Overhaul bilateral relationships with individual countries and attached conditions to U.S. foreign aid.

Such conditions should include human rights violations, political reforms, electoral reforms, accountability, good governance and transparency. Washington should emphasize respect of territorial integrity of each nation. No country in Africa should have the power to invade another country for selfish interests. A civilized nation cannot engage in military coups, rebel activities, political assassinations and massive human rights violations.

The United States has a responsibility to promote democracy and good governance across the continent of Africa. For any democracy to develop and mature there should be accountability, transparency and an effective constitution which reflects the will of the people and allows political freedom such as (a) Freedom of speech and expression, which includes freedom of the press and other media. (b) Freedom to assemble and to demonstrate together with others peacefully and unarmed and to petition. (c) Freedom of association which shall include the freedom to form and join associations or unions, including trade unions and political and other civic organizations.

Rev. Gabriel Odima is President & Director of Political Affairs, Africa Center for Peace & Democracy, White Bear Lake, MN 55110 USA
E-mail: [email protected]

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Its Time for Women to Lead the Sector — Global Issues

  • Opinion by Roopa Dhatt, Ebere Okereke (washington dc / london)
  • Inter Press Service

WASHINGTON DC / LONDON, Mar 16 (IPS) – Women health workers are more than two thirds of the health workforce and represent 90% of the world’s frontline health workers, yet hold less than a quarter of senior leadership roles – a situation which is unfair and a significant risk for global health security.

Despite five years of ad hoc commitments, our new report The State of Women and Leadership in Global Health shows few and isolated gains, while overall progress on women’s representation in global health governance has remained largely unchanged.

The report, launched on March 16, assessed global data together with deep dives into country case studies from India, Nigeria and Kenya. It found that women lost significant ground in health leadership during the COVID-19 pandemic.

A Women in Global Health study calculated that 85% of 115 national COVID-19 task forces had majority male membership. At global level, during the World Health Organisation’s Executive Board meeting in January 2022 just 6% of government delegations were led by women (down from a high point of 32% in 2020).

It appears that during emergencies like the pandemic, outdated gender stereotypes resurface with men seen as ‘natural leaders’.

A key and disturbing finding in the report was that women belonging to a socially marginalized race, class, caste, age, ability, ethnicity, sexual orientation, gender identity or with migrant status, face far greater barriers to accessing and retaining formal leadership positions in health.

Without women from diverse backgrounds in decision-making positions, health programs lack insight and professional experience from the women health workers who largely deliver the health systems in their countries.

Expanding the representation of diverse leaders in health is not just a matter of fairness, it also contributes to better decision-making by bringing in a wider range of knowledge, talent and perspectives.

Further, the report shows there is a ‘broken pipeline’ between women working in national health systems and those working in global health. As long as men are the majority of health leaders at national level and systemic bias against women continues, the global health leadership pipeline will continue to funnel more men into positions with global decision-making power.

The issues women face in national health systems are then reproduced at the global level where women are excluded from political processes and marginalized from the most senior appointments.

A deep dive of case studies in India, Nigeria and Kenya confirms that women are held back from health leadership by cultural gender norms, discrimination and ineffectual policies which don’t redress historic inequalities.

The similarities in the barriers faced by women health workers from very different socio-economic and cultural contexts are marked, indicating widespread systemic bias right across the global health workforce.

The consequences of locking women out of leadership represents a moral and justice issue, and also a strategic loss to the health sector. Through the pandemic, we saw how safe maternity and sexual and reproductive health services were deprioritized and removed from essential services in some countries, with catastrophic consequences for women and girls.

We saw women health workers unpaid or underpaid, and we saw dangerous conditions escalate as community health workers were sent to enforce lockdown, do contact tracing or provide services in unsafe conditions with no forethought given to providing security.

The findings of our report show that systemic change goes beyond numbers in gender parity leadership. What is needed is a transformative framework for action involving all genders from institutional, to national and global level.

Recommendations to drive transformative approaches include:

    ? Men must ‘lean out’ and become visible role models in challenging stereotypes to make way for qualified women
    ? Normalization of paternity leave to shift gender norms and reduce the burden of care of women
    ? Governments taking targeted actions to fast track the number of diverse women in health leadership roles through quotas and all-women shortlists, particularly for senior global health leadership roles that have never been held by a woman
    ? Institutions must be intentional about creating and maintaining a pipeline for women to move into leadership
    ? Measurable actions such as mentorship, shadowing / pairing and deputizing opportunities should be created and monitored to ensure women are visible for promotion opportunities
    ? A zero tolerance of discrimination towards pregnancy
    ? Supported flexible working options for all parents and carers

Investing in women is not only the right thing to do, but it also makes good business sense. When we get it right, we can unlock a “triple gender dividend in health” that includes more resilient health systems, improved economic welfare for families and communities, and progress towards gender equality.

The lessons of the pandemic have taught us much about the value of the health workforce and even more about the value of health workers. They are mostly women. It’s time for them to take their rightful roles in leadership.

Dr Roopa Dhatt is Executive Director and Co-Founder Women in Global Health, Washington, DC and Dr Ebere Okereke is Snr Health Adviser Tony Blair Institute London & incoming CEO Africa Public Health Foundation, Nairobi

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‘Stone-Age’ Donkey-Drawn Carts Ply Zimbabwes Abandoned Remote Routes — Global Issues

Bad roads in rural Zimbabwe mean the community have to rely on donkey carts and jalopy cars as bus operators are not prepared to travel there. Credit: Jeffrey Moyo/IPS
  • by Jeffrey Moyo (mwenezi, zimbabwe)
  • Inter Press Service

MWENEZI, Zimbabwe, Mar 15 (IPS) – From the Masvingo-Beitbridge highway in Zimbabwe at a spot popularly known as Turn-P, the road passing through Neshuro Township has been degraded, disused, and derelict for over two decades, with buses avoiding the route. Now donkey-drawn carts that operate alongside jalopy vehicles have become the new alternative for remote travellers around Mwenezi villages.

The scotch carts have become even more common in areas around Maranda and Mazetese in Mwenezi as villagers switch to them for transport to hospitals and clinics.

Such has become a life for 64-year-old Dennis Masukume of the Mazetese area.

The diabetic patient is forced to use alternative means of transport.

“I board a scotch cart every time I want to travel to Neshuro hospital for my medication, which means I use the scotch cart up to somewhere in Gwamatenga where I then get some private cars that ply the route to Neshuro at nominal fares,” Masukume told IPS.

At Tsungirirai Secondary school and Vinga Primary school in the Mwenezi district, the rare availability of public transport means that even teachers have to cope with scotch carts each time they have to travel to Maranda, where they catch jalopies to the Masvingo-Beitbridge highway on paydays.

In fact, with road infrastructure badly damaged in most rural areas in Zimbabwe, villagers are resorting to olden ways of transport-using scotch carts and walking to reach places where they can access essential services like health care.

The unpaved rural roads have become impassable for buses.

Now, some villagers are capitalizing on the crisis, using their scotch carts to earn a living.

Mwenezi district, located in Masvingo Province, south of the country, has become famed for routes plied by scotch carts.

Entrepreneurs have turned to making easy money from scotch carts. Twenty-four-year-old Clive Nhongo, who resides closer to Manyuchi dam in Mwenezi, said the bad roads had meant good business for him.

“I’m charging a dollar per passenger every trip I make with my scotch cart taking people anywhere around my area, and I can tell you I make about 20 USD daily depending on the number of customers I get, considering that villagers rarely travel here,” Nhongo told IPS.

While many villagers fume at the damaged roads and lack of a proper modern transport system, many, like Nhongo, have something to smile about.

“I provide the alternative transport, and until roads are rehabilitated and buses return on our routes, I might remain in business, which is fine for me,” said Nhongo.

He (Nhongo) has made wooden seats and installed them on his scotch cart to accommodate passengers.

More and more villagers, cornered with transport woes amid derelict roads in villages, are now having to rely on donkey-drawn scotch carts owned by village entrepreneurs like Nhongo.

Public transport operators like 56-year-old Obed Mhishi, based in Masvingo, Zimbabwe’s oldest town, said there was no way he could endure damaging his omnibuses plying routes with defunct roads.

Donkey-drawn carts have taken over.

“It’s not only me shunning the routes the ones in Mwenezi and its villages, but we are many transport operators shunning the routes owing to deplorable roads, and yes, scotch cart operators are capitalizing on that to fill the vacuum. That’s business,” Mhishi told IPS.

Yet even as scotch carts operators cash in on the growing crisis in the Southern African country, local authorities have said donkey-drawn scotch carts have never been regularized to ferry people anywhere in Zimbabwe.

An official working at Mwenezi Rural District Council, who said he was not authorized to speak to the media, said, “scotch carts don’t pay road tax, nor do they have insurance for passengers.”

But for ordinary Zimbabwean villagers in Mwenezi, like 31-year-old Richmore Ndlovhu, with dilapidated roads that have been neglected for years, the scotch carts have become the only way—insurance or not.

Buses that used to reach areas like Mazetese now prefer not to go beyond the Masvingo-Beitbridge highway, where scotch carts and a few jalopy vehicles scramble for passengers alighting from buses. These are the passengers wanting to proceed with their journeys into villages.

Zimbabwe’s rural roads in districts like Mwenezi have remained unpaved for more than four decades after gaining independence from colonial rule.

Meanwhile, Zimbabwean President Emerson Mnangagwa has been on record affirming that his country would become a middle-income state by 2025, just about two years from now.

Yet for opposition political activists here, like Elvis Mugari of the Citizens Coalition for Change, Mnangagwa may be building castles in the air.

“With corruption in his government and the sustained hatred for the opposition, Mnangagwa won’t achieve a middle-income Zimbabwe. That is impossible,” Mugari told IPS.

Batai Chiwawa, a Zimbabwean development expert, blamed the regime here for taking the whole country backwards.

“Is it not taking the country to the stone age era when villagers now have to use scotch carts as ambulances? Is it not a return to the dark ages when people now have to walk long distances because there is no public transport in their villages? This is embarrassing, deeply embarrassing, when people start using scotch carts as public transport in this day and era,” Chiwawa asked when commenting to IPS.

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Parliamentarians Pledge to Act on Grim Realities of Child Marriage, Gender-Based Violence — Global Issues

Delegates at the Arab and Asian Parliamentarians’ Meeting to Follow-Up on ICPD25 Commitments: Addressing Youth Empowerment and Gender-Based Violence, held in Jakarta, Indonesia held in Jakarta, Indonesia. Credit: APDA
  • by Cecilia Russell (johannesburg)
  • Inter Press Service

JOHANNESBURG, Mar 13 (IPS) – Child marriage, gender-based violence (GBV), sexuality education, religion, and tradition came under the spotlight during a conference, Arab and Asian Parliamentarians’ Meeting to Follow-Up on ICPD25 Commitments: Addressing Youth Empowerment and Gender-Based Violence, held in Jakarta, Indonesia.

Professor Keizo Takemi, MP Japan, Chair of the Asian Forum of Parliamentarians on Population and Development (AFPPD), reminded delegates that GBV is on the rise in conflict situations, during disasters, and during the prolonged COVID-19 pandemic.

“Furthermore, children in some countries are at higher risk of child marriage due to economic pressures and school closures caused by the pandemic. Globally, about one in five (21 percent) girls are married before the age of 18. Child marriage not only deprives girls of educational opportunities, but early pregnancy and childbearing also come with a higher risk of complications and death.

Pierre Bou Assi, MP Lebanon, President of the Forum of Arab Parliamentarians on Population and Development (FAPPD), told the delegates it was necessary to acknowledge and confront the issues of GBV in the region. It was clear from a series of case studies from the Arab and Asia Pacific region that while there has been some success, there was plenty of work to do.

Dr Dede Yusuf Macan Effendi, MP for Indonesia and Chair of the Indonesian Forum of Parliamentarians on Population and Development (IFPPD), said the country had had some successes – for example, the incidence of GBV dropped from 33 percent in 2016 to 26 percent in 2021. However, many incidents were unreported, and this was considered “the tip of the iceberg.”

Effendi noted the region’s issues – like the high proportion of child marriage and exposure to HIV/Aids.

Dr Hasto Wardoyo, the chairperson of BKKBN, said parliamentarians played a critical role, with various “studies suggesting that the government should take steps such as increasing care capacity and access to services such as health services, social services, developing children’s abilities, opening and equalizing access, strengthening family and social bonds.”

A professor from UIN Jakarta, Dr Nur Rofiah, gave a perspective from Islam and said the religion had a  concept of maslahah or goodness. This recognizes women’s bodily experiences are different from men’s, and it would be important to consider actions that “cause painful experiences for women’s bodies, including gender-based injustice.”

Rofiah emphasized the adverse effects of child marriage for women saying that child brides lost out on their childhood, dropped out of school, experienced domestic violence, often were adversely impacted by divorce, were stigmatized by being widowed, lacked competitiveness in the work environment, very often experienced single parenthood and were susceptible to child marriage.

COVID-19 had impacted the ICPD25 programme of action, especially on health care, with Malaria and tuberculosis neglected, as was gender equality, said  Nadimul Haque, an MP in India. The Regional Sexual and Reproductive Health Adviser, UNFPA ASRO Professor Hala Youssef, developed this theme, saying policymakers need to change strategy during this decade of action to 2030 – without which it would be difficult to achieve the goals. She called on delegates to move from the idea of “funding” ICPD goals to “financing” them. Funding was reliant on the government, but financing involved the wider society.

Delegates took a deep look at the pressing issues of child marriage, sexuality education, religion and gender-based violence during the Arab and Asian Parliamentarians’ Meeting to Follow-Up on ICPD25 Commitments: Addressing Youth Empowerment and Gender-Based Violence meeting held in Jakarta, Indonesia. Credit: APDA

Youssef called on parliamentarians to concentrate on the needs of young people, people with disabilities, universal health coverage, budgetary and financial allocations, social determinants of health, maternal deaths among adolescent girls, strengthening health workforce numbers, and capacity building.

The case study presented by Professor Ashraf Hatem, an MP from Egypt, showed that his country’s Universal Health Insurance (UHI) would soon remove the issue of what he called “catastrophic health expenditure” of the poor. The scheme rolled out in phases, would decrease out-of-pocket expenditure from 62 percent to 32 percent in 2032.

The government was subsidizing about 35 percent of the population. He gave an example of open heart surgery done in a UHI facility that would cost a patient 300 Egyptian pounds or about USD 10.

A grim picture of the social, psychological, economic, and medical burdens resulting from unintended pregnancies in her country was painted by Soukaina Lahmouch, an MP from Morocco. While there had been an improvement in the legal arsenal regarding abortion, marriage, and access to quality health services, much was still to be done. She explained that in Morocco, about 153 newborns are born out of wedlock each day, of which 24 children are abandoned at birth.

About 11,4 percent of pregnant women still received no prenatal care; however, in rural areas, about one-fifth of mothers received no prenatal care, and 13.4 percent gave birth without the assistance of qualified personnel.

“More than half of the women affected by poverty do not seek follow-up during pregnancies,” Lahmouch said, adding that education was a determinant, with almost all women with secondary school education giving birth in a health facility, but those without education more likely to give birth at home.

About 12 percent of women were married under 18, and a recent survey showed that 62.8 percent of women aged between 18 and 64 experienced violence during the year before the survey.

Dr Suhail  Alouini, a former MP of Tunisia, quoted a World Bank study, saying 18 percent of women were married before 18 in the Middle East/North Africa (MENA) region. While in many countries, the legal minimum age for marriage is set at 18, there were exceptions for the marriage of underage individuals due to court decisions.

Alouini said conflict and displacement increased the risk of GBV, including sexual violence and forced marriages.

“In some conflict-affected areas in the Arab region, the rates of child marriage have increased, and the COVID-19 pandemic has led to a surge in reports of GBV in the Arab region and around the world. The pandemic also disrupted efforts to prevent child marriage as school closures and economic hardships made girls more vulnerable to early marriage.”

He noted that GBV and child marriage requires a comprehensive and multi-sectorial approach focusing on prevention response and political leadership, and ICPD25 recommendations provide a road map for action emphasizing the importance of investing in data and research and engaging a wide range of stakeholders and political leadership. The role of parliamentarians is critical in addressing GBV and child marriage.

Laissa Alamia, MP of Bangsamoro Transition Authority, Philippines, spoke about the situation in the self-governing region and the Philippines.

“One in four Filipino women aged 15 to 49 experienced physical, emotional, and sexual violence by their partner or husband. One in six Filipino girls finds herself married before hitting the age of 18.”

This is the case even though the Philippines is known for its “most vibrant woman’s rights movement and the most comprehensive anti-GBV legal frameworks and mechanisms in the world.”

Bangsamoro region is disproportionately poor, and 62 percent of the women belonged to poor communities; the approximate number of child brides was 88,600 out of a population of 2.46 million women.

He said ethnic minority Muslim women continue to face different forms of discrimination, and the code of Muslim personal laws in the country gives a prescribed age for marriage of 15 for men and 15 or at puberty for females.

Alamia said the Philippines law, which prohibits child marriages, is not universally accepted by all communities and brings up religious freedom debates.

Dr Jetn Sirathranont, MP Thailand, noted in his closing remarks that there was still a long way to go to achieve the ICPD25 programme of action, but he hoped this conference would give an impetus to finding solutions.

Tomoko Fukuda, Regional Director of IPPF ESEAOR, encouraged parliamentarians to continue their work on the ICPD programme of action, despite conflicting priorities.

“So we as the older generation have to be committed to ensuring that the world is a better place for the young people and the children born into this world,” she said.

Anjali Sen, UNFPA Representative in Indonesia, shared a study by Schneider and Hirsch in 2020 that showed that “comprehensive sexuality education meets the characteristics of an effective GBV prevention … comprehensive sexuality education is based on human rights and gender equality.”

She called for it to be implemented, stating that it needed support and involvement from teachers, parents, healthcare providers, young people, and the government. Parliamentarians had a role in ensuring that policy and financial support were available.

Note:. This conference was organized by APDA and FAPPD, hosted by IFPPD and supported by UNFPA and Japan Trust Fund (JTF).

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Pandemic Accord Text Falls Short of Expectations — Global Issues

The WHO working group met to consider 307 amendments proposed by governments to update current regulations. February 2023. Credit: World Health Organization (WHO)
  • Opinion by Nicoletta Dentico, Ashka Naik (geneva)
  • Inter Press Service

GENEVA, Mar 13 (IPS) – As countries recently gathered in Geneva for the fourth round of negotiations on the WHO proposed pandemic treaty or accord, close examination of the current text by civil society experts has revealed significant gaps.

Critical concerns about the underlying vision of the draft text have been highlighted in a public statement led and endorsed by civil society organizations globally. The statement has been shared with the Intergovernmental Negotiating Body (INB4) that is mandated with the pandemic treaty negotiation.

These concerns still stand true. And it is urgent that the INB begins to tackle them before the next round of negotiations are upon us.

First and foremost, our analysis focuses on the fact that several parts of the text rely on voluntary arrangements, and that the binding regime of the text appears discouragingly vague and weak. One such instance relates to the principle of “common but differentiated responsibilities in pandemic prevention, preparedness and response,” which the draft borrows from the climate instruments.

This notion is extremely important to avoid pandemics, and it cannot be made voluntary, if the world is serious about the goal of reaching systemic capacity to respond to future health crises.

The draft text’s failure to provide safeguards or an accountability framework regarding the role of the corporate sector is another major source of concern. The WHO negotiation places the new UN’s ‘whole of society’ approach – which has been pushed in other negotiating fora – at its core through multistakeholderism, against the backdrop of striking and unfettered geopolitical power asymmetries. The involvement of the private sector in the COVID-19 response has been extremely problematic.

Countries desperately needing a concerted effort to tackle the pandemic were held ransom to the whims of power and profits of both the philanthropic and pharmaceutical industry.

The proposed treaty or accord mustn’t make the same mistakes, and all attempts to bring the corporate sector into the negotiation of any pandemic prevention, preparedness, or response must be strictly regulated at best, and prevented whenever there is a risk of public interest health policies being hijacked for profit.

It is clear that the financing approach outlined in the draft text blatantly ignores that the global financial system has historically prevented low- and middle-income countries from investing in public health.

Tax dodging by corporations, lack of fiscal and policy space for domestic resource mobilization, and crippling national debts are major barriers that prevent many countries from strengthening their public health services and institutions.

In low-income countries, debt has increased from 58% to 65% between 2019 and 2021. Thirty nations in sub-Saharan Africa have seen a debt-to-GDP ratio exceeding 50% just in 2021.

While the current draft misses taking into account the challenges of the global financial architecture, there is a blind spot with no substantive acknowledgement that public health crises are often engendered or exacerbated by a systematic destruction of the planet, at the intersection of the climate and environmental crises, food insecurity, and the mounting inequality crisis enshrined in gender and racial discrimination.

So far, the draft text hardly does justice to the urgency of preventing pathogen spillover at the animal-human interface. A narrow focus on the biomedical approach to dealing with future pandemics, without considering these intrinsic systemic factors, is bound to remain largely insufficient in dealing with any future pandemics.

Way Forward

Governments and various relevant socio-political actors engaged in the WHO diplomatic initiative on the pandemic treaty or accord have different and diverging interests and the Intergovernmental Negotiating Body (INB), which has done impressive work to keep pace with the agreed negotiations’ roadmap, has to reckon with these diverse political demands and conflicting pressures.

However, it is clear that to carry out the original intent of the new pandemic treaty or accord, unambiguous wording is needed that conveys a binding character of the agreement. This also means that the multistakeholder model under which the entire process of the treaty is being managed has to be re-examined and re-imagined instead of its current ‘whole of society’ form.

In future, none of the promises made by member states in the WHO pandemic treaty or accord will result in the desired change needed if the robust and reliable compliance mechanisms that enable governments to be held accountable are absent.

These demands are not unique to this treaty, but have similarly been made by civil society in ongoing negotiations in the UN on climate change and in the UN treaty on business and human rights. These were also incorporated into the tobacco control binding policy that the WHO established nearly 20 years ago.

At the same time, public health, public governance, public systems, and public funding must be at the center of the pandemic planning, prevention, and response. It is important to finally recognise that the global financial architecture must be overhauled, especially for low income and developing countries to have sovereign control over their fiscal and policy space, and to resource their public health needs through progressive taxation policies.

It is imperative to understand that the private sector cannot fulfill the current funding gaps and needs no leveraging by international development and financial institutions. Healthcare privatization is not the way to go to face the health challenges of the present and the future.

Lastly, all efforts must be made to make sure that the text creates a deliberate interconnection between the right to health and the right to a healthy environment, now explicitly adopted as a human right by the United Nations, as well as the rights of nature to exist and thrive.

It is about time that this global public health discourse reckons with the reality of populations and the environments from the ground, rather than from the ivory towers of corporate investors and vested policy-making.

Ashka Naik is the Director of Research and Policy at Corporate Accountability, and directs its food program, which focuses on structural determinants of food systems, nutrition, and public health

Nicoletta Dentico leads the Global Health Justice program at Society for International Development and co-chairs the Geneva Global Health Hub (G2H2)

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Breaking the Link between Polycrisis and Poverty — Global Issues

  • Opinion by Vidya Diwakar (brighton, uk)
  • Inter Press Service

BRIGHTON, UK, Mar 09 (IPS) – This year marks the halfway point— eight years in and eight years out— of the UN Sustainable Development Goals to end poverty and reduce inequalities.

Yet we are a long way off from these commitments, and multiple crises – now known as ‘polycrisis’ – such as conflict, disaster and extreme poverty are converging on low income and lower-middle income countries, necessitating systemic change in our poverty eradication efforts.

The scale of the challenge before us is undeniable. Poverty has long been concentrated in certain low- and lower middle-income countries that continue to experience conflict and a high number of conflict related fatalities, and high numbers of people affected by disasters from earthquakes, to floods, fires or drought.

These are just two causes of impoverishment and chronic poverty, which often combine with other crises and shocks including ill health.

This isn’t just a concern, however, at the country level. The challenge we are increasingly facing because of polycrisis in many parts of the world is that inequalities within countries are also worsening. The complex and often multi-layered nature of today’s crises means that policymakers need to develop longer term solutions, instead of firefighting crises as they emerge.

Our work at the Chronic Poverty Advisory Network (CPAN) in Afghanistan saw that the pandemic, layered with the transition in power, drought, and heightened economic crises, all combined to drive poverty and a dramatic increase in hunger.

Its consequences were especially worrying for certain groups, not least women and girls, and with intergenerational consequences.

In Nigeria, research points to a confluence of hardships over the years experienced by the poorest populations due to sequenced, interdependent crises. The poorest households pre-pandemic were more likely to experience hunger and sell agricultural and non-agricultural assets to cope during COVID-19 in 2020.

As time went on they were also more likely to pay more than the official price for petrol in 2022 during rampant economic crisis, and to expect drought and delayed rains to negatively affect them financially into 2023.

Yet despite interconnected crises, most governments and international agencies respond to each disaster individually as it arises. This could limit the effectiveness of poverty eradication interventions or create additional sources of risk and vulnerability amidst polycrisis.

For example, the singular focus of many countries responding to COVID-19 often diverted resources from other interventions including peacebuilding operations, thereby allowing new conflict risks to arise.

Working ‘in’ and ‘on’ polycrisis: centring equity and risk

To reach the goal of poverty eradication and reducing extreme inequities, it is critical to respond in a way is sensitive to working in places experiencing polycrisis. This requires at a minimum upholding principles of ‘do no harm’ and being sensitive to local conditions and contexts.

At the same time, we need to find ways of proactively working on polycrisis, by responding to multiple crises simultaneously rather than one at a time. In other words, building on learning from conflict contexts, we need to be working in and on polycrisis in the road to zero poverty.

Many countries worked ‘in’ polycrisis when responding to climate-related disasters during COVID-19. For example, the Bangladesh government adapted its Cyclone Preparedness Plan through various actions including modifying dissemination of messaging through public announcements and digital modalities, and combining early warning messaging with COVID-19 prevention and protection messaging.

Afghanistan disaggregates needs by sector, severity, location, and population groups in its humanitarian needs overview, which when considered holistically can help ensure responses that prioritise benefiting people in poverty.

There are equally important lessons from working ‘on’ polycrisis. The World Food Programme’s operational plan in response to COVID-19 was regularly updated to consider evolving layered crises and support pre-emptive action, scale-up direct food assistance, and reinforce safety nets.

There are also examples we can draw on for reducing poverty from around localised decision making, relying on the knowledge that local communities, women’s rights organisations, and local disaster risk management agencies have about populations in the areas in which they operate.

Flexibility in funding is important in this process to be able to respond to rapidly changing contexts and needs.

Working ‘in’ and ‘on’ polycrisis together necessitates matrix thinking, rebooting and recasting what we know of complexity of intersectionality. While we previously recognised intersecting inequalities primarily by identity markers, such as gender, caste, and socio-economic status, we need to increasingly be aware of how inequalities of people and place converge over time, and how we might centre equity in risk-informed responses.

This requires a fundamental shift from single-issue technocratic approaches to crisis management. For example, though social protection – direct financial assistance for people – was heralded as a key mitigation measure during COVID-19 and in response to recent food and energy price inflation, most cash transfer programmes averaged just four to five months during the pandemic.

Social protection could be adjusted to increasingly target the vulnerable as well as people in poverty, and within those categories the people who have arguably been most disadvantaged by these crises. Recovery programmes by governments and international agencies also need to go on for longer than they typically do to build people’s resilience in times of uncertainty.

Disaster-risk management agencies within government could also consistently integrate conflict considerations in their activities. There are examples of anticipatory action such as early warning systems that draw on local, customary knowledge that could be built on in this process.

Investments in coordination between disaster risk, social protection, and peacebuilding agencies, as well as multilateralism between governments, civil society, and international organisations more broadly are needed to anticipate and adapt to systemic risk.

But this risk-informed development will only get us so far, if equity is not centred alongside risk management. Just as crises are increasingly layered and interdependent, we need to similarly integrate our responses to break the link between polycrisis and poverty.

Vidya Diwakar is Research Fellow at the Institute of Development Studies and Deputy Director, Chronic Poverty Advisory Network

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Parliamentarians Tackle Youth Employment, SRHR in Post-COVID Asia and Pacific — Global Issues

Delegates at the Youth Empowerment: Education, Employment and Sexual and Reproductive Health and Rights forum held in Phnom Penh, Kingdom of Cambodia. Credit: APDA
  • by Cecilia Russell (johannesburg)
  • Inter Press Service

JOHANNESBURG, Mar 08 (IPS) – With more than 600 million youth aged between 18 and 24 in the Asia and Pacific region, putting their issues front and center is crucial. Speakers at a recent forum, Youth Empowerment: Education, Employment and Sexual and Reproductive Health and Rights, held in Phnom Penh, Kingdom of Cambodia, agreed that policy development and implementation should be youth-centered.

Professor Keizo Takemi, MP (Japan) and Chair of the Asian Forum of Parliamentarians on Population and Development (AFPPD), reminded parliamentarians of the work ahead when he noted in his opening address that while youth were “innovative thanks to global digitalization, half are unemployed or underemployed. Therefore parliamentarians have a vital role to play.”

The extent of the challenges emerged during the discussions. Raoul Danniel A Manuel, MP Philippines, said teenage pregnancy was higher in rural areas than urban, and there was also an education differential.

“The rate is 32 percent among teenagers without education, 14% among teenagers with primary education, and 5% among teenagers with a secondary education,” Manuel said, noting that the Philippines was the only country in Southeast Asia where the teenage pregnancy rate is increasing in girls aged 10 to 14.

“It is important to raise awareness among young people so that they know how to take care of themselves before they marry. We also need to continue to strengthen services, especially user-friendly services, by focusing on vulnerable groups and young women who do not go to school because this group is at a very high risk of pregnancy, and pregnancy can be risky.”

Lisa Chesters, MP (Australia), reminded conference delegates that “comprehensive sexual education has a positive impact on young people. It has been credited with delaying sexual debut can reduce unwanted pregnancies and STDs.”

Benefits included preventing intimate partner violence, developing healthy relationships, and preventing sexual abuse.

Australia learned after an online petition went viral in 2021 the extent to which students had been subjected to sexual harassment at schools. Following this, ministers for education throughout the country agreed on sexual education at school.

Chesters said it was crucial to include comprehensive, well-planned engagement of young people at the center of any advertising and social media campaigns.

The discussion also centered around employment. Felix Weidenkaff, the Youth Employment Expert for the ILO’s regional office for Asia and the Pacific, told the conference that while digitalization was a key strategy to increase youth employment, it wasn’t a one-off. Aspects lawmakers should consider would include TVET and skill development (including understanding the needs of those with disability), infrastructure, connectivity, and equipment to create an inclusive system.

Delegates at the Youth Empowerment: Education, Employment and Sexual and Reproductive Health and Rights forum held in Phnom Penh, Kingdom of Cambodia. Credit: APDA

Sophea Khun, Country Program Coordinator of UN Women, said changing gender norms required comprehensive and sustained strategies that engage multiple stakeholders at all levels: households, communities, institutions, and governments.

Girls and young women needed to be given the opportunity for training in STEM (science, technology, and mathematics) to close the digital divide.

“In addition, harmful social norms that contribute to controlling women and girls’ access to communications and technology also need to be tackled,” Khun said.

Hun Many, MP (Cambodia) and Chair of the Commission, reiterated in his closing remarks that to create a more elaborate and innovative policy, “youth need to be able to be part of the decision-making process and the discussions.”

Ahead of the conference, IPS interviewed Cambodian MP Lork Kheng, chair of the commission on public health, social works, vocational training, and women’s affairs. Here are excerpts from the interview.

Lork Kheng, Cambodian MP and chair of the commission on public health, social works, vocational training, and women’s affairs.

IPS:  A tremendous amount of work is to be done to improve SRHR for all and youth-friendly services. How can young MPs play an enhanced role in developing policy, ensuring services are adequately financed and delivered to the communities where required?

LK: With regards to the role of Parliament, we can oversee the implementation of policies related to education, the provision of safe counseling on sexual and reproductive health, family planning, abortion, HIV/AIDS prevention and care, and local monitoring of child marriages, which are challenges for our Asia-Pacific region. In addition, the National Assembly always provides opportunities for development partners to contribute ideas and proposals for consideration through close cooperation in organizing educational forums and disseminating discussions and exchanges at national and sub-national levels (in their constituencies). We can establish effective monitoring and evaluation mechanisms and coverage of the actual implementation of practitioners and service providers and the effectiveness of policies to ensure that they are providing the anticipated outcomes. Working with think tanks and civil society organizations to conduct research, assessment, and evaluation that informs policymaking and improves service delivery from all stakeholders’ perspectives.

Another important role is to communicate directly with the people and sub-national authorities in the constituencies where they are based. Young MPs and MPs often use the forum to meet and visit local administrations, etc., to mainstream the information and raise awareness of the importance of youth and family life planning, as well as to share good local and global political experiences and best practices that can be implemented within the existing framework of national and sub-national policies to stakeholders, especially local authorities who work directly with the youth.

In particular, in overseeing the financing, every year, MPs actively participate in the discussion of the draft budget law, in which the whole House closely monitors the progress and changes in the budget allocation according to each program. Furthermore, MPs also provide feedback to the executive branch during the initial consultation phase until the full house passes the draft budget. In this regard, the review of budget allocations for youth health care, such as increased attention to the prevention and control of non-communicable diseases, tobacco control, food safety and diet in general, and sexual issues in particular, has been addressed frequently and has been noted and considered by the relevant ministries as well as the Government.

The Ministry of Posts and Telecommunications has prioritized students who pass the upper secondary national examination with good grades to study digital skills with the support of a student loan that must be repaid when they get a job. This is to strengthen human resources with digital capabilities.

IPS: While Asia and the Pacific are home to more than 60% of the world’s youth aged between 15 and 24, the COVID-19 pandemic acted to disadvantage youth in poorer and rural communities, especially where schooling was interrupted, and children did not have access to the technologies for remote learning. How can youth MPs ensure that those children (who may even now be young adults) are given the opportunities to complete their education? Secondly, how should policy, infrastructure, and finance be directed at children still disadvantaged by a lack of technology?

LK: We all truly recognize that the COVID-19 pandemic is an extraordinary challenge that has plagued all socio-economic sectors, requiring the Government and authorities to respond with unusual means in these difficult circumstances. In developing countries like Cambodia, when schools were closed to prevent the spread of COVID-19 in its early stages, we did not have the right digital infrastructure for teaching and learning. Students in rural areas and those considered to be disadvantaged groups were the ones who faced barriers to accessing education at that stage. But if we look at the immediate solution of the Head of the Royal Government of Cambodia, we can measure the outcome of solving the challenges with this decision. The Government quickly rolled out vaccinations, especially prioritizing vaccinations for front-line medical workers and educators. That ensured that these two environments gained immunity as soon as possible so that students could return to class quickly with a high sense of security.

IPS: Youth are considered a vital resource for the country’s economic development, but they face high unemployment. What are young MPs working on to ensure that youth can get decent jobs and support young entrepreneurs? What are the policy directions needed to foster youth employment?

LK: Specifically in Cambodia, the unemployment rate for youth may be slightly lower than 14 percent. Nevertheless, youth are also facing other major challenges, such as skill mismatches with the job markets and vulnerabilities of international labor migration, which are the major concerns of the Parliament and the Government. As Cambodia is riding high on development in all areas, the labor market has expanded, especially in areas that benefit youth. In response to such demands, the Government has paid close attention to education and vocational training by prioritizing promoting science, technology, engineering, and mathematics (STEM) to encourage young people to acquire high-demand skills.

In this new academic year, the Government has encouraged youth to pursue vocational skills at the primary and secondary levels by giving monthly allowance to approximately 1.5 million students, in addition to their free tuition.

To support the promotion of young entrepreneurship, we have also established a number of mechanisms – both under state supervision and public-private partnerships – that have created entrepreneurship and incubation centers. In particular, during the COVID-19 pandemic, these mechanisms also played an important role in providing much-needed assistance to those businesses through loans and free training to the entrepreneurs so that they could utilize the technology for their businesses against the backdrop of a changing lifestyle in the new normal.

Note: Asian Forum of Parliamentarians on Population and Development (AFPPD), Asian Population and Development Association (APDA), and the Japan Trust Fund supported the hybrid conference.

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